Abstract
This issue of Workplace Health & Safety contains a Continuing Nursing Education Module on “A Policy Analysis of Mandatory Obstructive Sleep Apnea Screening in the Trucking Industry.” 1.0 contact hour of continuing nursing education credit will be awarded by AAOHN upon successful completion of the posttest and evaluation.
A certificate will be awarded when the following requirements are met by the participant: (1) Participant logs on to the AAOHN LMS website at www.aaohn.org/education/ online-learning-center and enrolls in the course ($10 members; $15 non-members); (2) The completed posttest and course evaluation are entered online at http://www.aaohn.org by July 2020; (3) A score of 75% (6 correct answers) is achieved by the participant.
Upon completion of this lesson, the occupational health nurse will be able to:
Describe steps in policy analysis using Bardach’s Eightfold Analysis Path.
Determine the most equitable policy alternative for all stakeholders as related to mandatory obstructive sleep apnea screening, testing, and treatment.
The American Association of Occupational Health Nurses, Inc. is an Approved Provider of continuing nursing education by the American Association of Occupational Health Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. The American Association of Occupational Health Nurses, Inc. is additionally approved as a CNE provider by the California Board of Registered Nursing (#CEP9283).
Contact hours received for successful completion of the posttest and evaluation may be used for relicensure, certification, and re-certification.
Assessing the nature and extent of the problem Evaluating the current policy climate Examining policies from other areas similar to the local problem Define a feasible policy alternative
Evaluation Identifying the problem Projecting future outcomes Sharing the analysis
28% 25% 20% 15%
Only CMV drivers with a body mass index > 30 should be screened All CMV drivers must be screened yearly No stance has been taken; public comments are in progress Obstructive sleep apnea screening is not mandated for CMV drivers.
one million one hundred million two hundred million one billion
Increased numbers of CMV drivers are diagnosed and treated for OSA Maintain quality of life in OSA patients Enable as many CMV drivers as possible with OSA to continue to work Slow the decline of CMV driver safety in the U.S.
Work environment challenges Driver age and baseline health status Economic toll on drivers and trucking companies Testing requirements
Do nothing Revise medical examination form Mandate OSA screening in all medical certification examinations Pursue OSA screening and treatment via formal rulemaking process