Substance Abuse and Nurses - the New Mexico Board of Nursing

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Summary of Risk Factors: • Substance abuse is an “Occupational Hazard” for nurses & doctors (Naegle, 1988). • Professional reluctance to “see” abuse: direct observations often ignored • Avoidance of “addressing” abuse: nurses are transferred, promoted, terminated • Avoidance of “reporting” abuse: seen as work performance issue, not unprofessional practice • Nurses receive hasher sanctions (Shaw, et al,2004) • “Malignant denial” of professionals (Hankes & Bissell, 1992).
Intervention: Worst thing is to do nothing! • Anyone can express a statement of concern • Observation • Documentation • Use factual and objective data(date, time incident) • Report to supervisor/charge nurse & follow up • Review and know your P & P • With any violation of NPA, file a complaint
Page 1 and 2: Substance Abuse, Nurses and the Div
Page 3 and 4: Theories of addictions (43 in 1980,
Page 6 and 7: Disease Concept of Addiction: DSM I
Page 8 and 9: Disease Concept of Addiction 1. Pri
Page 10 and 11: Progressive • Review of Jellinik
Page 12 and 13: Fatal • History of physical/sexua
Page 14 and 15: Stereotypes about addiction: Alcoho
Page 16 and 17: Stereotypes about health care profe
Page 18 and 19: Problem of Addiction: • Winick (1
Page 20 and 21: Occupations with highest risk for s
Page 22 and 23: Impairment • Nurses report that a
Page 24 and 25: Impairment and abuse • USA has a
Page 26 and 27: Prevalence: • Abuse and addiction
Page 28 and 29: Prevalence : Women: cont. • Tripl
Page 30 and 31: Identification: signs & symptoms co
Page 32: Risk Factors for Nurses • Substan
Page 35 and 36: Risk Factors: The Big 4 Attitude co
Page 37 and 38: Risk Factors: The big 4 Access cont
Page 39: Risk Factors: The big 4 Lack of Edu
Page 43 and 44: Why alternative to discipline progr
Page 45 and 46: 3 general types of programs #1: Alt
Page 47 and 48: Purpose of Regulation • Protectio
Page 49 and 50: Mandatory compliance with DP • DP
Page 51 and 52: Benefits of DP • Opportunity for
Page 53 and 54: Why do individuals relapse • With
Page 55 and 56: Relapse: Depends as much on environ
Page 57 and 58: Relapse: Slip vs Relapse • Relaps
Page 59 and 60: Recovery: A difficult, full time jo
Page 61 and 62: Recovery • 85-90% of health care
Page 63 and 64: Conclusions • Drug addiction is a
Page 65 and 66: QUESTIONS OR COMMENTS

Substance Abuse and Nurses - the New Mexico Board of Nursing

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