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Massachusetts Department of Public Massachusetts Department of Public HealthHealth
Division of Health Professions LicensureDivision of Health Professions LicensureBoard of Registration in NursingBoard of Registration in Nursing
Substance Abuse Rehabilitation ProgramSubstance Abuse Rehabilitation Program
helping nurses with substance abusehelping nurses with substance abusewhile protecting the public health & while protecting the public health &
safetysafety
Flickr photo credit: Delas…
SARPSARP
In 2009, approximately 22.5 million persons in In 2009, approximately 22.5 million persons in the United States were classified with substance the United States were classified with substance
dependence or abuse in the past year.dependence or abuse in the past year.… … That’s 8.9% of the population.That’s 8.9% of the population.
responding to an epidemicresponding to an epidemic
(SAMHSA, 2009)
Flickr photo credit: kristyr929
Flickr photo credit: kristyr929
Nurses are at risk for Nurses are at risk for abusing substances abusing substances due to a number of due to a number of factors including:factors including:
• Workplace-related StressWorkplace-related Stress
• Ease of AccessEase of Access
• Liberal Attitudes Liberal Attitudes towards Self-Medicationtowards Self-Medication
why why nurses?nurses?
Flickr photo credit: Spenser Marie
… is designed to protect the public health & safety, and does so by monitoring the recovery and return to practice of nurses with alcohol and drug problems.
SARP is a confidential, voluntary alternative to discipline program for nurses who hold a valid license issued by the Board, have a substance abuse problem and whose conduct could otherwise warrant formal disciplinary action by the Board.
SARP…SARP…
• Abstinence-based 5 year contract
• Random toxicology screens• Bimonthly therapy with
addictions counselor• Weekly AA/NA meetings• Weekly professional support
group with other nurses in recovery
• Quarterly monitoring meetings with our Substance Abuse Rehabilitation Evaluation Committee (SAREC)
• Quarterly workplace evaluations after returning to work
program program requirementsrequirements
photo credit: Daniel Sone
photo credit: Daniel Sone
• An alternative to having discipline on your license
• A safe & monitored return to practice
• A way to develop coping skills & a recovery system that works
• Participate confidentially with successful discharge
benefits of the programbenefits of the program
……in retrospect, in retrospect, many many
colleagues feel colleagues feel that an that an
intervention intervention probably saved probably saved
their lifetheir life..
““
””
Flickr photo credit: CraigCloutierSigns & Symptoms of Signs & Symptoms of
Possible Drug Use or Possible Drug Use or Impairment of a ColleagueImpairment of a Colleague
The smell of alcohol on their breath
The overuse of alcohol-masking mouthwash or mints
Hand or body tremors when in withdrawal
Unusual or excessive perspiration
Frequent tardiness and absenteeism without notice
Unexplained disappearances during shifts
Frequent complaints related to sleep or sleeping on the job
Frequent bathroom breaks
Coming in to work when not scheduled
Volunteering for unusual amounts of overtime
Unusual decreases in the level of grooming or self-care
Frequent reports of illness, accidents or family emergencies
Difficulty with memory or simple comprehension
Frequent or significant drug wastages, shortages or errors
Sloppy recordkeeping
Unexpected mood swings and personality changes
Inappropriate prescriptions for substances of abuse
(Kenna, et al, 2006)
Talk about SARP to a nurse you’re concerned about today.
No one has to do it on their own.
a complaint isn’t the only way to recoverya complaint isn’t the only way to recovery
photo credit: Rhoda Baer
Flickr photo credit: vanhookc
Board of Registration in Nursing
Substance Abuse Substance Abuse Rehabilitation Rehabilitation ProgramProgram
239 Causeway Street 5th Floor, Suite 500
Boston, MA 02114
phone: 617 973 0931/0904 fax: 617
973 0984
[email protected] [email protected] images in public domain or
taken from Flickr, attributed & utilized via Creative Commons