Peer Assistance and Opioid Dependency. Disclosures

Size: px

Start display at page:

Download "Peer Assistance and Opioid Dependency. Disclosures"

Dorcas Harmon
8 years ago
Views:

Peer Assistance and Opioid Dependency Suzanne Kinkle, RN, BS, CARN Director - Recovery and Monitoring Program (RAMP) New Jersey State Nurses Association Al Rundio PhD, DNP, RN, APRN, NEA-BC, DPNAP

1 Peer Assistance and Opioid Dependency Suzanne Kinkle, RN, BS, CARN Director - Recovery and Monitoring Program (RAMP) New Jersey State Nurses Association Al Rundio PhD, DNP, RN, APRN, NEA-BC, DPNAP Associate Dean for Post Licensure Nursing Programs: RN to BSN Program; Graduate Nursing & Doctoral Programs & CNE; Clinical Professor of Nursing College of Nursing & Health Professions Drexel University June 1, Disclosures Suzanne Kinkle-None Al Rundio- None The contents of this activity may include discussion of off label or investigative drug uses. The faculty is aware that is their responsibility to disclose this information 2.

Clinical Professor of Nursing College of Nursing & Health Professions Drexel University June 1, 2015 1 Disclosures Suzanne Kinkle-None Al Rundio- None The

2 Target Audience The overarching goal of PCSS-O is to offer evidence-based trainings on the safe and effective prescribing of opioid medications in the treatment of pain and/or opioid addiction. Our focus is to reach providers and/or providers-in-training from diverse healthcare professions including physicians, nurses, dentists, physician assistants, pharmacists, and program administrators. 3 Educational Objectives At the conclusion of this activity participants should be able to: Describe the role of peer assistance programs have in the treatment of opioid dependence which causes impaired practice. List barriers to treatment for nurses. Describe key elements of a peer assistance program. Describe the role of nursing boards in monitoring peer assistance programs. 4

3 What is Addiction? It is a chronic, progressive, primary disease characterized by Lack of Control Compulsion Continued use of the substance despite devastating consequences It is fatal if not treated 5 Why Nurses? 6

4 Are Nurses Different? No Estimated 6-8% of nurses use and abuse Same as general population, but reported less frequently The results are the same It is a disease that ends in Recovery or Death Yes Occupational hazard Intervention required Patient safety paramount Requires special monitoring 7 Risk Factors Education Accessibility Stress 8

less frequently The results are the same It is a disease that ends in Recovery or

5 Risk Factors for Nurses 9 Barriers to Treatment Shame, Fear Difficulty accepting the role of a patient Difficulty asking for help Seeing themselves as different Financial 10

6 Enabling the Nurse 1. Accepting CD nurse s responsibilities and duties 2. Avoiding, withdrawing from situation 3. Denying condition, minimizing severity of problem 4. Protecting the nurse from consequences of using by lying or protecting the nurse s image 5. Accepting nurse s rationalizations, excuses (Quinlan, 1995) 11 Barriers to Help Conspiracy of Silence 12

Denying condition, minimizing severity of problem 4.

7 HealthCare Professional Responsibility and Reporting Enhancement Act Professional is reported to clearinghouse if: They are terminated Limitations are placed on practice related to impairment, incompetency or professional misconduct If an investigation is on-going Leave of absence for physical or mental/emotional or substance use NJAC 13:45E Adopted 3/7/11 Expires 3/7/16 13 Nursing Code of Ethics Provision 3 The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 14

is on-going Leave of absence for physical or mental/emotional or substance use NJAC 13:45E Adopted 3/7/11 Expires 3/7/16 13

8 Three Common Goals of Alternative to Discipline Programs 1. Provide for the public s safety & welfare through the early detection, treatment & monitoring of nurses with substance use disorders (SUDs) 2. Decrease time between identification, entry into treatment, compliance & practice monitoring 3. Provide a process for nurses to recover from substance abuse disorders through a nonpunitive & non-public process NCSBN Types of Programs of Alternative to Discipline (ATD) Board of Nursing Statutory Arm of BON In House Statutory Arm of BON Contracted Out Special Committee of BON Professional Association Peer Assistance Collaboration with BON Peer Assistance No Relationship w/bon Peer Assistance or EAP w/no BON relationship 16

Decrease time between identification, entry into treatment, compliance & practice monitoring 3.

9 Monitoring Components 17 Case Study 18

10 References American Society of Addiction Medicine (ASAM),(2011) Public Policy Statement: Definition of Addiction. Retrieved from National Council of State Board of Nursing (2011) Substance Use Disorder in Nursing, A Resource Manual for Guidelines for Alternative and Disciplinary Monitoring Program. Quilan, D. (1995, December). The Impaired anesthesia provider: The manager's role. Journal of the American Association of Nurse Anesthetists, 63(6), `. Substance Abuse and Mental Health Services Administration.(SAMSHA).(7/2011)State Estimates of Substance Use and Mental Disorders from the National Survey on Drug Use and Health (NSDUH). Retrieved from 19 PCSS-O Colleague Support Program PCSS-O Colleague Support Program is designed to offer general information to health professionals seeking guidance in their clinical practice in prescribing opioid medications. PCSS-O Mentors comprise a national network of trained providers with expertise in addiction medicine/psychiatry and pain management. Our mentoring approach allows every mentor/mentee relationship to be unique and catered to the specific needs of both parties. The mentoring program is available at no cost to providers. For more information on requesting or becoming a mentor visit: Listserv: A resource that provides an Expert of the Month who will answer questions about educational content that has been presented through PCSS-O project. To join pcss-o@aaap.org. 20

The Impaired anesthesia provider: The manager's role. Journal of the American Association of Nurse Anesthetists, 63(6), 486-49`. Substance Abuse and Mental Health Services Administration.(SAMSHA).

11 PCSS-O is a collaborative effort led by American Academy of Addiction Psychiatry (AAAP) in partnership with: Addiction Technology Transfer Center (ATTC), American Academy of Neurology (AAN), American Academy of Pain Medicine (AAPM), American Academy of Pediatrics (AAP), American College of Physicians (ACP), American Dental Association (ADA), American Medical Association (AMA), American Osteopathic Academy of Addiction Medicine (AOAAM), American Psychiatric Association (APA), American Society for Pain Management Nursing (ASPMN), International Nurses Society on Addictions (IntNSA), and Southeast Consortium for Substance Abuse Training (SECSAT). For more information visit: For questions pcss-o@aaap.org Funding for this initiative was made possible (in part) by Providers Clinical Support System for Opioid Therapies (grant no. 1H79TI025595) from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department 21 of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Osteopathic Academy of Addiction Medicine (AOAAM), American Psychiatric Association (APA), American Society for Pain Management Nursing (ASPMN), International Nurses Society on Addictions (IntNSA),

The Heroin Epidemic in Adolescents and Young Adults. Marla D. Kushner, DO, FACOFP, FASAM, FSAHM AOAAM February 25, 2015

The Heroin Epidemic in Adolescents and Young Adults Marla D. Kushner, DO, FACOFP, FASAM, FSAHM AOAAM February 25, 2015 1 Marla Kushner, DO, Disclosures Speaker Bureau Alkermes Reckitt Benckiser 2 TARGET