Changes in legislation in 2018 allowed registered nurses (RNs) along with nurse practitioners (NPs) and general practitioners (GPs) to complete driver licence medicals (DLM).
This option has not been taken up by many practices. Many have missed or forgotten about this change.
In resource constrained environments making the best use of all the team is necessary and valuable for patient care.
It makes a lot of sense for RNs, many of whom are completing a physical examination of blood pressure, visually acuity and cognition screening in a pre-consult before a GP or NP completes the DLM form, to step up into this role if they feel comfortable.
Many nurses will feel very comfortable completing the medical themselves if the patient is uncomplicated, but making the decision to deny access to a licence is often a very difficult consultation. Seeking a second opinion from a GP/NP in the team should always be an option for them.
If you would like further support on RN’s performing fitness to drive medicals, please contact nursing@pinnacle.health.nz.
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