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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
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ACOEM practice guidelines: opioids and safety-sensitive work.

Kurt T Hegmann, Michael S Weiss, Kirk Bowden

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    |July 3, 2014
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    This summary is machine-generated.

    Opioid use is not recommended for individuals in safety-sensitive jobs due to increased crash risks. This guideline update emphasizes caution for workers operating vehicles or performing tasks requiring high cognitive function.

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    Area of Science:

    • Occupational Medicine
    • Public Health
    • Pharmacology

    Background:

    • The American College of Occupational and Environmental Medicine (ACOEM) has revised treatment guidelines regarding opioid use.
    • Opioid use presents potential risks in occupational settings, necessitating updated recommendations for specific job roles.

    Purpose of the Study:

    • To develop evidence-based guidance on opioid use for individuals engaged in safety-sensitive work.
    • To highlight updated recommendations concerning opioid use and its impact on job performance and safety.

    Main Methods:

    • A multidisciplinary expert panel conducted comprehensive literature reviews.
    • Evidence-based guidance was developed through article abstraction, critiquing, grading, and evidence table compilation.
    • Twelve moderate-quality studies focusing on motor vehicle crash risk in opioid-using patients were identified.

    Main Results:

    • Acute or chronic opioid use is strongly discouraged for individuals performing safety-sensitive jobs.
    • Safety-sensitive jobs encompass operating motor vehicles, transportation, forklifts, cranes, heavy equipment, and tasks demanding high cognitive function and judgment.
    • No studies specifically addressed other safety-sensitive work tasks beyond motor vehicle operation.

    Conclusions:

    • High-quality evidence consistently indicates an elevated risk of vehicle crashes associated with opioid use.
    • The increased risk of vehicle crashes is recommended as a surrogate indicator for risks in other safety-sensitive work tasks.
    • The findings support a recommendation against opioid use for patients in safety-sensitive occupations.