1. ON ROAD ASSESSMENT Teena Jorgensen reg.NZOT mOTNZ- WNA
Driver Trained Occupational Therapist
Go-Able Ltd
Director
Ph:

2. On Road Assessment Main points for today: Indicators Preparation
Driving Instructor- role
Feedback
Report

3. We have a legal and ethical obligation to ensure the safety of other road users as well as our patient/ client.

4. Indicators for assessment:
Age related deterioration
Medication
Drug/ Alcohol use
Physical limitations/ disability
Visual deficits
Brain Injury
Medical conditions with progressive deterioration e.g. multiple sclerosis, cerebral palsy
Psychiatric conditions

5. Preparation: Pre- appointment APPOINTMENT: Interview
Functional Assessment- range of movement, strength, coordination, sensation > need for vehicle modification
Plan assessment route (with driving instructor)

6. Assessment: Transfers Use of controls Assessment process/ progress
Traffic/ Road Conditions
Monitor for, for example, pain, fatigue

7. Habitual Errors:
don’t compromise safety
Hazardous Errors:
- verbal prompt from DI
Critical Errors:
-DI physical intervention required
Failure to observe critical features (signs/ markings), signs, hazards
Failure to observe critical features that affect driving safety
Any of the errors listed requiring physical intervention to avoid an incident
Too fast/ slow when approaching intersections
Late braking at intersections
Reduced buffer zones
Inadequate scanning
Errors in use of indicator
Incorrect vehicle position
Inadequate mirror/ blind spot checks
Failure to select an appropriate gap at intersections and lane changes
Poor control of vehicle controls
Driving too fast/ slow
Incorrect hand position on steering wheel
Errors in vehicle positioning

8. Driving Instructor role:
Provide a driving environment that enables client to familiarise themselves with vehicle/ vehicle modifications…address anxiety/ nervousness.
Maintain safety of the vehicle and its occupants with minimum degree of intervention.
Observe aspects OT is unable to observe.
Support the OT in the feedback session.
Remedial driving tuition- WHEN and HOW?

9. Feedback: D E A R M A N Describe the situation/ your decision
Express yourself
Assert yourself
Reinforce or Reward
Mindful (stay mindful of your objective), Maintain your position.
Appear competent
No is OK (can offer solutions)

10. Report:
Database details: client, their DOB, address, contact details (NOK?), reason for referral/ diagnosis, referrer
Medical data (current and historical)
Driving History
Need for driving and driving support available
Physical screen
Medication
Pain
Vision and hearing
Body of report:
Introduction: Vehicle used and who attended, time of day, weather conditions, road situations encountered, speed zones covered
Assessment process
Areas of concern
Statement regarding driving ability (consistent/ adequate, inconsistent)
Summary of cognitive (if applicable) and On Road results. Do results of each component support each other, and if not, why?
Remedial driving tuition indicated?
Recommendation/s

11. DRIVING IS A PRIVILEGE
NOT A RIGHT

12. What do you remember?...
What do you do if the client does not have a current driver license?
What is the main indicator for a critical error in an On Road driving assessment?
What is the main purpose of having a driving instructor present?
Thank you for listening…and please collect your chocolate fish 