[MCOH-EH] Opioid Pain Medication

Sampson, Deborah Deborah.Sampson at snhhs.org
Wed Mar 16 13:10:46 PDT 2016


We make this pretty easy- we almost never prescribe controlled substances and then if we do it is only for 3-4 days (with no refill) for someone with severe pain who is out of work anyway.
Deb
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
Director
Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

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From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Hill, Jeffrey
Sent: Wednesday, March 16, 2016 3:25 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Opioid Pain Medication

ACOEM has a position statement(s) re Opiates.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Wednesday, March 16, 2016 1:59 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Opioid Pain Medication

We instruct employees they must take their medication after work or at bedtime.   They cannot take it before or during work.
We would assess each person and the job duty and the injury and the medication and the dosage of medication individually...before deciding if they do the types of jobs you described below.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Viereck, Maryann
Sent: Wednesday, March 16, 2016 1:50 PM
To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Opioid Pain Medication

DOT web site may be helpful
Maryann Viereck RN,BS,CEN,COHN-S
Employee Health Coordinator
Cape Regional Medical Center
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
phone 609-463-2512
fax 609-463-2910

   http://sos.ri.gov/documents/archives/regdocs/released/pdf/DOH/8003.pdf

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Mike Janak
Sent: Wednesday, March 16, 2016 11:01 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Opioid Pain Medication

Hello,

I'm searching for data or possibly a scientific study that would help me create a rationale for what jobs or tasks a worker would be unable to perform while on Opioid painkillers.
This would likely be in a return to work situation, where an employee who has received an injury is prescribed pain killers and is now allowed back to work, but is still taking the pain killing drugs.

Are there any safety considerations to make when placing the worker when they return?
Can they still operate a forklift, an overhead crane, climb ladders and/or walk on elevated platforms, etc.?
Would the narcotic drug affect balance, depth perception, fine motor skills, heart rate when performing physically demanding tasks, etc.?

I'm wondering if there is any information that could help make a decision on what jobs would contain potential hazards.

Thanks for your help!

Mike Janak
Ergonomic Specialist  MS, OSHT
Cell: 920-858-6413






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