ACOEM Practice Guidelines: Opioids and Safety-Sensitive Work

Details

• Personal Author:
  Bowden K ; Branco F ; DuBrueler K ; Els C ; Harris JS ; Hegmann KT ; Mandel S ; McKinney DW ; Miguel R ; Mueller KL ; Nadig RJ ; Schaffer MI ; Studt L ; Talmage JB ; Thiese MS ; Travis RL ; Weiss MS ; Winters T
• Description:
  Objective: ACOEM has updated the treatment guidelines concerning opioids. This report highlights the safety-sensitive work recommendation that has been developed. Methods: Comprehensive literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel to develop evidence-based guidance. A total of 12 moderate-quality studies were identified to address motor vehicle crash risk, and none regarding other work among opioid-using patients. Results: Acute or chronic opioid use is not recommended for patients who perform safety-sensitive jobs. These jobs include operating motor vehicles, other modes of transportation, forklift driving, overhead crane operation, heavy equipment operation and tasks involving high levels of cognitive function and judgment. Conclusion: Quality evidence consistently demonstrates increased risk of vehicle crashes and is recommended as the surrogate for other safety-sensitive work tasks. [Description provided by NIOSH]
• Subjects:
  Automobiles Delivery Of Health Care Narcotics Occupational Health Safety
• Keywords:
  Author Keywords: Guidelines Equipment Operators Guidelines Medical Care Motor Vehicle Crashes Motor Vehicles Occupation Occupational Medicine Opiates Opioids Prescription Drugs Safety Work

  More +
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 8 ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  56
• Issue:
  7
• NIOSHTIC Number:
  nn:20067391
• Citation:
  J Occup Environ Med 2014 Jul; 56(7):e46-e53
• Contact Point Address:
  Kurt T. Hegmann, MD, MPH, University of Utah Rocky Mountain Center for Occupational and Environmental Health, 391 Chipeta Way, Suite C, Salt Lake City, UT 84108-1294
• Email:
  Kurt.Hegmann@hsc.utah.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:49fe7213dd87b9604a500e548e26509130debcf71a965f791534f43b94a6213964ed144e0619534cadf9cefa507bb7872a86c5886935c7b2d0ed2f175c1ba877
• Download URL:
  https://stacks.cdc.gov/view/cdc/231441/cdc_231441_DS1.pdf
• File Type:
  [PDF - 207.34 KB ]