Occupational Hazard of Nursing

Transcription

1 Occupational Hazard of Nursing

2 Substance Use Disorders(SUD) and Addiction is a Growing Public Health Issue

3 15-20% of nurses have substance use disorders (Bettinardi-Angres & Bologeorges, 2011) Compared to 10-13% of the general population 6% of this group use substances in a way that impairs professional judgment (Dunn, 2005)

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6 Negative Behavioral Symptoms Contribute to STIGMA

7 By Employers By Peers By Society Nurses are held to a higher standard.

8 Risk Factors Environmental Risks for Nurses Stress Easy Access Role strain- high demands, low control High pressure areas Injury Grief Lack of education about addiction Trauma high ACE Attitudes as Risk Factors for Nurses Self diagnosis Self medicating Denial Alcohol or Marijuana are acceptable means of coping Pharmacological optimism

9 Many New Yorkers count on Medicaid for an array of critical health care needs, and my office takes allegations of fraud against the Medicaid system seriously. The alleged forging of prescriptions to illegally obtain narcotics in this case not only represents a misuse of Medicaid dollars, but also fuels the vicious cycle of addiction. Attorney General Schneiderman

10 More nurses fired and arrested DWI more criminal convictions OPD more discipline for second offenses, criminal convictions, including DWI misdemeanors OMIG Medicaid Exclusion List Attorney General OIG Medicare Exclusion List

11 ANA Code of ethics encourages compassion toward our colleagues and reporting reasonable suspicion of impairment

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14 Two Programs in NYS to Help Nurses with Substance Use Disorders: Peer Assistance SPAN Alternative to Discipline PAP

15 Non-regulatory, confidential support, education, and advocacy program for nurses who are anywhere on the continuum from substance: MISUSE ABUSE DEPENDENCE

16 SPAN s mission is to be the resource for New York State nurses affected by substance use disorders, while fostering public safety through outreach and education.

17 Law passed in 2000 (Chapter 290) Created funding -$5 per year surcharge is part of all NYS nurses license/registration fees Contract with New York State SPAN services are offered at no out-ofpocket expense

18 Fulfilled four 3 year contracts Contract for next five years in place Currently in 15 th year since legislation

19 Heightening awareness: Outreach Education Identification Helpline Mentoring and Advocacy Ongoing support and advocacy Support groups Linkages with community resources

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23 SPAN has helped 2,750 nurses return to safe, effective practice Currently active: 582 nurses

24 Currently 34 groups 50 Advocates Groups adjusted according to dynamic participant population

25 Support Group Attendance & Number of Support Groups One Year View JUL-SEP 2014 OCT-DEC 2014 JAN-MAR 2015 APR-JUN 2015 Group Attendance Number of Support Groups

26 From 4/1/2015 6/30/ Advocacy Efforts: Return to Work Letters of Support Appeal letters Accompany participants to PAP/Regulatory meetings

27 Active advocacy with: PAP OPD BNE OMIG Attorney General OIG treatment Probation Legal proceedings Workplace

28 Participant Advocacy One Year View JUL-SEP 2014 OCT-DEC 2014 JAN-MAR 2015 APRI-JUN 2015

29 From 4/1/2015 through 6/30/2015: 48 Outreach/Networking events, reaching 1,198 contacts: Hospitals and other Healthcare facilities Employers EAPs Treatment facilities Professional Associations

30 Nursing administrators Human Resource personnel Risk Management personnel Counselors Social Workers 21 Schools of Nursing, reaching 577 nursing students

31 As nurses, we have the obligation to ensure patient safety. As caring colleagues, we have the ability to help restore a nurse to optimal health, preserve a career and return a valuable resource to the healthcare community.

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34 National Council of State Boards of Nursing National Institute on Drug Abuse Substance Abuse & Mental Health Services Administration

35 Go to: Scroll to: Peer Assistance Click on SPAN publications and other resources Find SPAN on FACEBOOK Statewide Peer Assistance for Nurses