Marissa Hampton RN, BSN, SNNP and Gabriela Olivas RN, BSN, SNNP
The Anesthetic Agent Substance Abusing Provider Poonam Agarwal, RN, BSN, SRNA Valentyna Groelle, RN,...
-
Upload
gerald-oneal -
Category
Documents
-
view
220 -
download
1
Transcript of The Anesthetic Agent Substance Abusing Provider Poonam Agarwal, RN, BSN, SRNA Valentyna Groelle, RN,...
The Anesthetic Agent Substance The Anesthetic Agent Substance Abusing ProviderAbusing Provider
Poonam Agarwal, RN, BSN, SRNAPoonam Agarwal, RN, BSN, SRNA
Valentyna Groelle, RN, BSN, SRNAValentyna Groelle, RN, BSN, SRNA
York College of PennsylvaniaYork College of Pennsylvania
Nurse Anesthetist ProgramNurse Anesthetist Program
ObjectivesObjectives
Discuss statistics and risk factors for anesthetic agent and substance abuse among Nurse Anesthetists and Anesthesiologists.
Identify currently abused anesthetic agents, in addition to patterns of behavior of the addicted provider.
Discuss legal issues regarding reporting impaired provider.
Examine current treatment and recovery programs, as well as options for reentry into the workforce.
PrevalencePrevalence
Risk FactorsRisk Factors
Factors Contributing to Factors Contributing to Development of Chemical Development of Chemical
DependencyDependency
OccupationalOccupational ExposureExposure(Gold et al., 2006)(Gold et al., 2006)
Occupational ExposureOccupational Exposure(Gold et al., 2006)(Gold et al., 2006)
Neurobiological FactorsNeurobiological Factors
Adapted from Volkow et al., Neuropharmacology, 2004.
DriveSaliency
Memory
Control
Non-Addicted Brain
NO GO
Addicted Brain
Drive
Memory
Control
GOSaliency
Why Can’t Addicts Just Quit?
Because Addiction Changes Brain CircuitsBecause Addiction Changes Brain Circuits
Most Commonly Abused Most Commonly Abused SubstancesSubstances
PropofolPropofol
Patterns of BehaviorPatterns of Behavior
Education and Education and PreventionPrevention
Legal IssuesLegal Issues
Legal Issues and OptionsLegal Issues and Options
TreatmentTreatment
Challenges of ReentryChallenges of Reentry
Challenges of ReentryChallenges of Reentry
Attitudes of ReentryAttitudes of Reentry
ReferencesReferences
Bryson, E. O., & Silverstein, J. H. (2008). Addiction and Substance Abuse in Anesthesiology. Anesthesiology, 109(5), 905-917.
Collins, G. B., McAllister, M. S., Jensen, M., & Gooden, T. A. (2005). Chemical dependency treatment outcomes of residents in anesthesiology: Results of a survey. Anesthesia and Analgesia, 101, 1457-1462.
Fitzsimmons, M. G., Baker, K. H., Lowenstein, E., & Zapol, W. M. (2008). Random drug testing to reduce the incidence of addiction in anesthesia residents: Preliminary results from one program. Anesthesia and Analgesia, 107, 630-635.
Garcia-Guasch, R., Roige, J., & Padros, J. (2012). Substance Abuse in Anaesthetists. Anesthesiology, 25(2), 204-209.
Gold, M. S., Melker, R. J., Dennis, D. M., Morey, T. E., Bajpai, L. K., Pomm, R., & Frost-Pineda, K. (2006). Fentanyl Abuse and Dependence: Further Evidence for Second Hand Exposure Hypothesis. Journal of Addictive Diseases, 25(1), 15-21.
Jungerman, F. S., Alves, H. N., Carmona, M. J., Conti, N. B., & Malbergier, A. (2012). Anesthetic Drug Abuse by Anesthesiologists. Revista Brasilieira de Anestesiologia, 62(3), 375-386.
McHugh, M., Papastrat, K., & Ashton, K. C. (2011). Assisting the drug addicted nurse: Information for the legal nurse consultant. Journal of Legal Nurse Consulting, 22(3), 11-14.
National Institute Of Drug Abuse (2008, July). Addiction Science: From Molecules to Managed Care. Retrieved February 1, 2013, from http://www.drugabuse.gov/publications/addiction-science/drug-use-changes-brain/exposure-to-some-drugs-abuse-can-change-structure-neurons-in-brain
Quinlan, D. (2001). Peer Assistance: A Historical Perspective. Retrieved January 20, 2013, from http://www.aana.com/peer/historical.asp
Skipper, G. E., Campbell, M. D., & DuPont, R. L. (2009). Anesthesiologists with substance use disorders: A 5-year outcome study from 16 state physician health programs. Anesthesia and Analgesia, 109(3), 891-896.
Stocks, G. (2011). Abuse of Propofol by Anesthesia Providers: the Case for Re-Classification as a Control Substance. Journal of Addictions Nursing, 22(1), 57-62.
Tetzlaff, J., Collins, G. B., Brown, D. L., Pollack, G., & Popa, D. (2010). A strategy to prevent substance abuse in an academic anesthesiology department. Journal of Clinical Anesthesia, 22, 143-150.
Wilson, H., & Compton, M. (2009). Reentry of the addicted certified registered nurse anesthetist: A review of the literature. Journal of Addictions Nursing, 20, 177-184.
Wright, E. L., McGuiness, T., Moneyham, L., Schumacher, J. E., Zwerling, A., & Stullenbarger, N. E. (2012). Opioid Abuse Among Nurse Anesthetists and Anesthesiologists. AANA Journal, 80(2), 120-128.