CE Module: Opioid Education and Naloxone Distribution by Occupation: A Scoping Review

This issue of Workplace Health & Safety contains a Continuing Nursing Education Module for 1.0 contact hour of continuing nursing education credit which 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 2027; (3) A score of 80% is achieved by the participant. Upon completion of this lesson, the occupational health nurse will be able to:

1. Describe mortality rates from opioid use.

2. Describe the five steps in Arksey & O’Malley’s methodological approach for the scoping review.

3. Discuss harm reduction strategies for opioid-related overdose.

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.

1. Substance use and substance-related overdoses are on the increase and vary by occupation. The most common industry which has the most reported substance use and substance-related overdoses is:

2. b. Law-enforcement

3. c. Food industry

4. d. Retail industry

The primary objective of this scoping review is to:

a. Explore which industries should be given naloxone

b. Identify areas for future education and intervention

c. Outline and examine the literature on opioid education and naloxone distribution (OEND)

d. Focus on OEND in health care workers

The focus of opioid education and naloxone distribution (OEND) programs is to:

a. Educate at-risk individuals and those who may encounter opioid-related overdoses about opioid use and to provide tools for overdose prevention

b. Distribute naloxone to as many people and households as possible

c. Discuss all the medicines that are considered opioids

d. Dissuade individuals from taking any pain medications because of the dangers of addiction and overdoses

The aim of the PRISMA-ScR scoping review was to identify:

a. Health care institutions such as hospitals and orthopedic offices that need to focus on the OEND programs

b. Underrepresented occupations in OEND programs and gaps in the existing literature and recommendations on the implementation of the OEND training programs

c. Prison systems where OEND programs are desperately needed

d. Rehabilitation facilities that could benefit from OEND programs

Out of the 1,413 articles identified for this literature review,

a. 1,000 articles were duplicates

b. 578 were eligible for the study

c. 75 articles were included in the review

d. 100 articles were excluded by 3 reviewers

In 2023, an analysis of substance overdose in 46 states revealed the top occupations disproportionately affected by overdose mortality. The professions most impacted were:

a. Nurses

b. Doctors

c. Managers

d. Stonemasons

Those most impacted by overdose mortality within construction and service roles are:

a. Men

b. Women

c. Hispanics

d. African Americans

Construction workers are being trained to identify and respond to opioid-related overdoses. Employers in the construction business are recommending:

a. Adding occupational health nurses to every construction site

b. Adding safety engineers to every construction site

c. Training tailored for construction workers that addresses substance use, suicide, and mental and physical well-being

d. Adding mental health practitioners to construction sites

One of the problems that public health agencies are encountering in providing naloxone to worksites is:

a. “Naloxone stigma”

b. Not enough individuals willing to be trained in OEND

c. The insistence on having a nurse on site

d. Availability of naloxone products

A limitation of this scoping review is:

a. Not enough articles met the criteria for inclusion in the review

b. Not accessing grey literature and databases

c. Lack of generalizability

d. No insights into OEND training for specific occupations