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Keeping Patients Safe: Transforming the Work Environment of Nurses (2004)
Board on Health Care Services (HCS)
Institute of Medicine (IOM)

Citation Manager

. "Appendix C: Work Hour Regulation in Safety-Sensitive Industries." Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, DC: The National Academies Press, 2004.

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Keeping Patients Safe: Transforming the Work Environment of Nurses

Non–Health Care Public Service Industries

U.S. Military Air Force

Guidelines

  • Pilots limited to flying 12 hours in a 24-hour period, 75 hours in a 30-day period, and 200 hours in a 90-day period

  • Even in combat, all personnel (flight and nonflight) are limited to working 10 hours/day, 6 days a week, for a total of 247 hours a month during continuousoperations, and up to 12 hours a day, 6 days a week, during sustained operations

  • Crews manningintercontinental ballistic missile silos work 24-hourshifts with 2 days off

  • After 12 hours of flying, pilot must have 12 hours off duty, 8 hours of which must be consecutive and without interruptions

  • Crews manning intercontinental ballistic missile silos must have at least 6 hours for sleep during their duty period

  • Pilots have the option of taking small doses of stimulants during prolonged missions (e.g., flights of 15–18 hours)

  • Hypnotics may be prescribed to ensure that pilots obtain adequate amounts of sleep

  • Any deviations from flight limits must be approved by the flight surgeon

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419