Screening for Obstructive Sleep Apnea in DOT Commercial Drivers
Almost everyday I get confirmation that there are misconceptions and inconsistencies with how medical examiners are managing the screening, evaluation, and management of sleep apnea in commercial drivers.
We have had several trucking companies contact us to find out what our testing protocol is for sleep apnea during the DOT exam. There is an occupational clinic in our area that has recently begun to send every patient whose neck measures more than 17” for sleep apnea testing, which has been costing trucking companies a lot of money. Is this something that we should also be automatically referring out for? Dr. Jonathon’s training course did not harp on sleep apnea besides questioning alertness, feeling resting when waking, snoring, trouble sleeping, etc. He was not under the impression that he has to measure and refer every patient over 17”. This doesn’t make sense to us as doctors because people of all shapes and sizes can have sleep apnea, regardless of their neck size.
- The impact obstructive sleep apnea has on large truck accidents, injuries and fatalities
- How to use the right screening tools on every driver, every exam
- How to order a sleep test, when to consider home sleep testing (HST) vs a polysomnography
- Interpretation of the test in collaboration with a sleep specialist
- How to determine when a driver needs treatment for sleep apnea
- Recommended treatments
- Certification or disqualification criteria and appropriate intervals
- How to determine compliance with treatment and guide further certification/disqualfication
- and more!