The Fit for Duty Program has three simple steps:
Stage 1 - Let's get started
We start by providing a simple home-based overnight sleep test and health assessment*. Our test is simple to set up, and measures the level of oxygen in the blood, nasal air flow & occurrence of obstructed breathing while sleeping. This will identify those who have a moderate to high profile of obstructive sleep apnea and would meet the criteria for a CPAP trial. Left untreated, these are the employees who present your immediate, and ongoing, risk to your business. Our process will quickly identify, and then provide a specific treatment plan for, the individual so that they arrive at work Fit for Duty.
Stage 2 - What are the next steps for me?
After reviewing the sleep data, our Sleep Physiologist will determine what the best pathway for each individual will be. The employer and the patient are notified.
(Please note, that in some instances further diagnostic sleep assessments may be required).
1. Identified as ‘no current indication of OSA’
No further action, discharged from Fit for Duty Program with the recommendation to re-test routinely. We recommend that you provide a copy of your outcome letter to your GP for their records.
2. Identified as having more complex sleep concerns
Recommended that they seek further investigation from an appropriate Private or Public Sleep Clinic. We recommend that you provide a copy of your outcome letter to
your GP for their records. We will advise you of the health network available. We will inform your Employer of the outcome of the health assessment as per the requirements under the Health & Safety Act. Patient is discharged from Fit for Duty Program.
3. Identified as ‘meeting the criteria for a CPAP trial
Recommended trial of a Continuous Positive Airway Pressure (CPAP) machine for 1-4 weeks to establish tolerance, compliance and air pressure required for long term CPAP treatment.
Our telehealth nurses will establish CPAP trial set up. Weekly communication with our team is included in the CPAP trial stage. We also use modern technology to download data (Fisher & Paykel Healthcare InfoSmart) for compliance monitoring. Once the patient has established to long term CPAP treatment they will be registered for our Compliance & Monitoring Program which will provide visibility and confidence that the employee is adhering to treatment.
At the end of your CPAP trial a letter will be provided by our Clinical team to you, however, we recommend that you provide a copy of your outcome letter to your GP for their records.
We will inform your Employer of the outcome of the CPAP trial as per the requirements under the Health & Safety Act.
Note: There may be some individuals who do not tolerate or establish to the use of CPAP. It would then be required that they have a further consultation with a Sleep Physician to discuss concerns and alternative treatment options such as a mandibular advancement device (mouth guard) or ENT surgery. A letter will be sent to the individual, their GP and their Employer stating that they have been non-compliant/tolerant and have been referred for further consultation. If there is still no evidence of tolerance or compliance to treatment we are required to send a letter notifying of their discharge from the Program. If the individual is of significant risk the NZTA may need to be notified (by their GP or Sleep Professional) as a matter of safety concerns.
STAGE 3 - FOR THOSE WHO NEED LONGER CPAP TREATMENT
Fit for Duty offers a Compliance & Monitoring Program for all individuals who go on to long term CPAP treatment. This Program includes a CPAP machine, by prescription, and supported by daily compliance monitoring which is reviewed by our Sleep Physiologist.
All patients receive personal advice and support from our clinical team.
Every endeavour is taken by our team to support individuals who participate in this program.
Those who engage our Fit for Duty Program will have on going support from us to ensure that the program becomes part of how you manage fatigue in your business.