Showing posts with label drug abuse. Show all posts
Showing posts with label drug abuse. Show all posts

Saturday, August 6, 2011

Impaired Nurses, Chemical Dependence, Substance Abuse

Impaired Nurses, Chemical Dependence, Substance Abuse

Support needed to help nurses tackle substance abuse, Vanderbilt University:"An estimated 10 percent to 20 percent of nurses and nursing students in the United States may have substance abuse, misuse, dependency or addiction problems. The key to tackling this difficult issue — and protecting public safety — is support and treatment rather than punishment, according to a recent paper in the Journal of Clinical Nursing by Todd Monroe, a post-doctoral fellow at Vanderbilt University School of Nursing, and colleagues at the University of Tennessee. "Doctors and nurses are only human and face the same problems as everyone else, which can include chemical dependency," said Monroe."
Vanderbilt University
Nashville, Tennessee 37240 · (615) 322-7311
http://news.vanderbilt.edu/2011/02/help-nurses-tackle-substance-abuse

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Forum Discussions:

Drug Use As A Nursing Student:"Hi all. I am a male nursing student in my 2nd semester of school. I have 3 more after this and will take the boards next fall. I'm really excited about all of the possibilities and most of all (not to sound too cliche)about the opportunities to change lives that I'll have. I do have a question for current RN's. I occasionally smoke small amounts of marijuana. I don't have remorse or shame because I know it's a personal choice that I let affect noone around me. I only do it alone or with very close friends. I don't sell it or try to get anyone else to try it." http://www.nursingdiscussions.com/drug

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Impaired Nurses Bibliography, Alcohol And Drug Abuse Institute (ADAI):
http://lib.adai.washington.edu/biblist.htm#SP#occ

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Narcotic Use and Diversion in Nursing, Mandy L. Hrobak, University of North Carolina Charlotte:"Narcotic use and diversion in nursing is a growing problem that may be difficult to identify. Clinical indicators can help managers and staff become knowledgeable about signs and symptoms. Areas related to job performance, personality/mental status, and diversion are looked at as indicators. Workplace access and deviant work group norms can contribute to the picture. Certain methods of diversion may be hard to detect. Institutions need to be prepared to handle incidences of narcotic use and diversion before they occur. Policies can help provide for positive outcomes for the institution and the nurse, should she/he decide to receive treatment. Patient safety is of the utmost concern. A supportive environment is important for reentry of the rehabilitated nurse at work. Alcohol and drug dependency are covered under the American Disability Act of 1990. Assistance programs, education, and further research are needed in this area."
http://juns.nursing.arizona.edu/articles/Fall%202002/hrobak.htm

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National Resources:

American Society of Addiction Medicine:""The nation's medical specialty society dedicated to educating physicians and improving the treatment of individuals suffering from alcoholism and other addictions."
American Society of Addiction Medicine
4601 North Park Ave, Arcade Suite 101 Chevy Chase, M.D. 20815
Telephone 301/656-3920 Fax: 301/656-3815
http://www.asam.org

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National Association of Drug Diversion Investigators, Inc. (NADDI):"Established in 1987, the National Association of Drug Diversion Investigators, Inc. (NADDI) is a unique membership organization whose members are responsible for investigating and prosecuting pharmaceutical drug diversion. The organization has proven to be a valuable asset to law enforcement, the pharmaceutical industry and health regulatory personnel. NADDI's objective is simple: to improve the members' ability to investigate, and prosecute, pharmaceutical drug diversion."
http://www.naddi.org

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National Association of State Alcohol and Drug Abuse Directors, Inc.:"NASADAD's basic purpose is to foster and support the development of effective alcohol and other drug abuse prevention and treatment programs throughout every State. The Board of Directors is composed of a President, First Vice President, Vice President for Treatment, Vice President for Internal Affairs, Vice President for Prevention, Past President, Secretary, and Treasurer, as well as 10 regional representatives elected by the Association members in the region. The Washington, DC, office is headed by an Executive Director and includes divisions concerned with Research and Program Applications, Prevention Services, and Public Policy."
808 17th Street, NW, Suite 410, Washington, DC 20006
(202) 293-0090.
http://www.nasadad.org/

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September 12, 2000, Illinois, Chicago: Problem nurses escape punishment:"Lax government oversight and a shoddy system of reporting medical errors allow negligent, incompetent and impaired registered nurses to return to work in Illinois even after committing deadly errors. In Chicago, registered nurses have injected themselves with heroin and cocaine, then committed dozens of errors. They have stolen prescribed medications, then left patients to suffer in pain for hours."
http://chicagotribune.com/news/specials/chi-000912nursing3.story

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State Specific Resources:

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    Illinois:

      Illinois Nurses Association Statement on Chicago Tribune series on "Nursing Errors":"Like the general public, the Illinois Nurses Association was alarmed to see the disturbing headlines in the Chicago Tribune's series on nurses' involvement in medical errors. A close reading of the articles, however, reveals the findings that “nursing errors” are overwhelmingly attributable to inadequate staffing and systems, issues that nurses and the Illinois Nurses Association have long warned would result in the deterioration of quality care."
      http://www.illinoisnurses.org/erorsTribStmt.html

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      Peer Assistance Network for Nurses, Nurses Helping Nurses:"The Illinois Nurses Association developed a support network for nurses whose professional performance is hampered by abuse of chemicals or any resulting mental or physical illness. This support network is the Peer Assistance Network of Nurses, or PANN.
      Peer Assistance Network for Nurses (PANN)
      Illinois Nurses Association
      105 W. Adams, Suite 2101
      Chicago, IL 60603
      p: 312-419-2900
      Toll-free, confidential hotline: 1-800-262-2500
      http://www.illinoisnurses.org/benefits.htm

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    Kansas Nurses Assistance Program:"KNAP is a professional assistance program designed to assist all nurses and mental health technicians who have a problem or illness that has or could impair their ability to practice safely. KNAP is overseen by a voluntary Board of Directors comprised of nurses who are knowledgeable in these issues and who are willing to donate their time and expertise to assist other nurses."
    Kansas Nurses Assistance Program
    6005 Martway Suite 100 Mission, KS 66202
    (913)236-7575, webmaster@ksbn.state.ks.us
    http://www.ksbn.org/knap.htm

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    New Jersey:

    Nurses with Impaired Practice Problems:"The Institute for Nursing provides information and support to nurses with problems of impaired practice. These practice issues have primarily referred to substance abuse, a problem to which the nursing population is increasingly vulnerable. Services provided."
    The Institute for Nursing 1479 Pennington Road Trenton, New Jersey 08618-2661
    24 Hour Hotline 1-800-662-0108
    http://www.njsna.org/displaycommon.cfm?an=1&subarticlenbr=40

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    Drug diversion, qsl.net:"Drug diversion can be best defined as the diversion of licit drugs for illicit purposes. Prescription drug abuse accounts for almost 30% of the overall drug problem in the United States, representing a close challenge to cocaine addiction. Pharmaceutical diversion reaps large profits for the traffickers, and devastation for the abusers. This eventually affects their friends, families, and their workplace. The diversion of pharmaceutical drugs means that prescription drugs were illegally obtained by a variety of methods and a variety of offenders. This may have been accomplished by deception, or an outright theft of the drugs. Health care professionals face the prescription drug abuser on a daily basis. These drug seekers prey on physicians, pharmacists, dentists, and their staff, in a relentless attempt to obtain pharmaceuticals."
    http://www.qsl.net/w5www/diversion.html

    Emergency room nurses' attitudes, nurses' attitudes toward impaired nurses, and studies of attitudinal change:"Surveys of nurses' and nurse managers' attitudes toward impaired nurses, all published in recent years, suggest that they are generally supportive of impaired nurses and sanguine about their prospects for recovery."
    http://www.ncbi.nlm.nih.gov/pubmed/11349683

    Cincinnati (Ohio) Police Pharmaceutical Diversion Squad:"The Cincinnati Police Pharmaceutical Diversion Squad was formed through a Byrnes Memorial Grant in October 1990. Initially, the squad consisted of one supervisor, four investigators, and a secretary. The grant term ended in 1994, but because of the successes, the City of Cincinnati decided to continue to finance the operation."
    Pharmaceutical Diversion Squad, Sergeant Kerry Rowland, Commander
    Cincinnati Police Department
    310 Ezzard Charles Drive Cincinnati, Ohio 45214 USA
    513-352-1610
    http://www.cincinnati-oh.gov/police/pages/-5067-/

    Pharmaceutical Diversion Education:"Pharmaceutical Diversion Education is designed to assist a wide range of the population in understanding the potential abuse and addiction that can be associated with prescription medication. Year after year, Drug Enforcement Administration statistics indicate that pharmaceuticals are almost 30% of the overall drug problem in the United States, running a close second only to cocaine abuse. However, until recently, law enforcement, health care professionals, and the general public have placed little emphasis on this huge problem."
    Pharmaceutical Diversion Education, Inc.
    P.O. Box 146 Bethel, Ohio 45106
    Phone 1-800-566-2049 Fax (513) 734-1647
    http://www.rxdiversion.com/

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Thursday, August 4, 2011

Alcohol & Drug Abuse Institute (ADAI) Library Bibliographies on Substance Abuse

   
  • Counselors/Clinicians (Training, Ethics, etc.). . . .
  • before 2000 | 2000-2007 | 2008-present
  • Physicians and Substance Abuse. . . . . . . . . . . .
  • all years
  • Nurses' Use of Alcohol and Drugs. . . . . . . . . . . .
  • all years
  • Other Health Professionals and Substance Abuse.
  • all years
  • Police Officers and Substance Abuse. . . . . . . . .
  • all years
  • Athletes and Substance Abuse. . . . . . . . . . . . .
  • all years
  • Military and Veterans and Substance Abuse. . . . .
  • before 2000 | 2000-2003 | 2004-2007 | 2008-present
  • Sex Workers and Substance Abuse. . . . . . . . . . .
  • all years

    --

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    Wednesday, April 6, 2011

    Seminole dentist, doctor accused of writing each other prescriptions for pain pills - St. Petersburg Times

    Pinellas deputies accused two doctors of writing each other hundreds of prescriptions for thousands of pills Monday.

    Dentist Kevin O'Callaghan and podiatrist Brian Hameroff were arrested Monday after a four-month investigation titled "Operation Doctor Doctor," according to deputies.

    Over three years, Hameroff, 39, received 91 prescriptions for 840 hydrocodone pills, 660 lorazepam pills and 1,960 oxycodone pills, deputies said.

    Click on the "via" link for the rest of the article.

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    Nursefriendly, Inc. A New Jersey Corporation.
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    Tuesday, April 5, 2011

    The Law And Cannabis: Protecting Teens From Future Psychosis?

    Smoking pot as a teen may lead to psychosis later on in life. Cannabis is described as an "illicit drug" and is the most used in this category worldwide. Interesting enough, it is not clear whether the link between cannabis and psychosis is direct, or whether it is because people with psychosis use cannabis to self medicate their symptoms.

    A Dutch team, where cannabis usage is legal in their country, set out to investigate the association between cannabis use and the incidence and persistence of psychotic symptoms over 10 years. However, the study took place in Germany and involved a random sample of 1,923 adolescents and young adults aged 14 to 24 years.

    Click on the "via" link to read the rest of the article.

    --

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    ******************************************************

    Sincerely,

    Andrew Lopez, RN
    Nursefriendly, Inc. A New Jersey Corporation.
    38 Tattersall Drive, Mantua New Jersey 08051
    http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
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    Monday, March 14, 2011

    amednews: How Charlie Sheen's meltdown could affect patient care :: March 14, 2011 ... American Medical News

    Occasionally, news reports of out-of-control celebrities spur an increase in interest and admissions as more people seek treatment, said Robert R. Johnson, DO, medical director of Sierra Tucson, an addiction and mental health treatment center in Tucson, Ariz.

    But celebrities who have gone public about their treatment have the most positive impact encouraging others to seek help. Some examples are Betty Ford's battle with alcoholism and drug dependency and Patty Duke's honesty about her bipolar disorder, he said.

    "When people in the public eye own [up to] their struggles with depression, mood cycling or substance abuse, it has led to both heightened awareness and a greater openness for treatment within the general public," Dr. Johnson said.

    Click on the "via" link for the rest of the article.

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    ******************************************************

    Sincerely,

    Andrew Lopez, RN
    Nursefriendly, Inc. A New Jersey Corporation.
    38 Tattersall Drive, Mantua New Jersey 08051
    http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
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    Thursday, February 24, 2011

    Support needed to help nurses tackle substance abuse | Research News @ Vanderbilt | Vanderbilt University

    by Kathy Rivers | Posted on Thursday, Feb. 24, 2011 — 2:34 PM

    An estimated 10 percent to 20 percent of nurses and nursing students in the United States may have substance abuse, misuse, dependency or addiction problems.

    Todd Monroe

    Todd Monroe (Vanderbilt)

    The key to tackling this difficult issue — and protecting public safety — is support and treatment rather than punishment, according to a recent paper in the Journal of Clinical Nursing by Todd Monroe, a post-doctoral fellow at Vanderbilt University School of Nursing, and colleagues at the University of Tennessee.

    “Doctors and nurses are only human and face the same problems as everyone else, which can include chemical dependency,” said Monroe.

    Researchers have recommended six key points that could be built into alternative-to-discipline strategies after reviewing the latest research and professional guidance from the United States, Canada, New Zealand, Australia and the United Kingdom.

    Benefits of alternative-to-discipline

    The researchers said ATD programs provide greater patient safety, as they enable managers to remove nurses from the work environment quickly, unlike traditional disciplinary procedures that can take months, if not years. ATD programs also provide non-judgmental support and treatment that encourage nurses to seek help and improve their chances of staying in the profession.

    Click on the "via" link to read the rest of the article.

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    ******************************************************

    Sincerely,

    Andrew Lopez, RN
    Nursefriendly, Inc. A New Jersey Corporation.
    38 Tattersall Drive, Mantua New Jersey 08051
    http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
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    Saturday, February 19, 2011

    Teenage patients are answering medical questions on Yahoo! Answers

    by Lorelei Armstrong

    Doctors debate whether patients Googling symptoms is a good thing or a bad thing. I bet you haven’t thought about something that might be worse:  your teenage patients are answering one another’s medical questions on Yahoo! Answers.

    They’re not always clear on anatomy and terminology:  “How can I tell if I’m circumcised?” and “What’s the best way to shave my vagina?” and “Where is the female prostate located?”

    They are sexually active and not well informed: “If my boyfriend and I put the condom on after we start, can I still get an STD?” and “I had the HPV shot, am I protected from other STDs and AIDS?” and “I’m 12, should I take Viagra for my penis?”

    They are worried that they are too tall, too short, too heavy, too thin, that their parts are the wrong shape or size. They believe every fad diet in the world. “Is anorexia a good diet?” and “Is it healthy to drink 16.9 fluid ounces of water per day?”

    --

    Any questions, please drop me a line.

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    ******************************************************

    Sincerely,

    Andrew Lopez, RN
    Nursefriendly, Inc. A New Jersey Corporation.
    38 Tattersall Drive, Mantua New Jersey 08051
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    Monday, November 22, 2010

    Veterans: Traumas resurface at end-of-life - UPI.com

    U.S. researchers have tailored a program to help veterans whose traumas resurface at end-of-life.

    Researchers led by Dr. Joshua Hauser of Northwestern University Feinberg School of Medicine in Chicago and Dr. Amos Bailey of the University of Alabama at Birmingham have developed a program they say is tailored to meet veterans' end-of-life needs.

    "Many veterans, at the end of their lives, struggle with issues related to a traumatic event they had during their time in service," Bailey says in a statement. "They may have had a physical or emotional disability related to their time in service."

    In addition to dealing with battle experiences, the new program -- Education on Palliative and End-of-Life Care for Veterans Project -- addresses sexual trauma and substance abuse during service, as well as how the particular war in which a veteran served affects both emotional and physical care, and other issues.

    "Because these war memories come up more frequently near the end of life, palliative care providers need to be alert for these issues," Hauser says. "We want to show healthcare professionals how someone's individual war memories come up and how those can be talked about."

    The program, which began in October, is scheduled to be introduced in 170 Veterans Administration Medical Centers around the country during the next 12 months.

    --

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    Friday, May 4, 2007

    Alcoholics Victorious, Healthcare Associations, Organizations

    Alcoholics Victorious support groups:"Founded in 1948, Alcoholics Victorious support groups offer a safe environment where recovering people who recognize Jesus Christ as their "Higher Power" gather together and share their experience, strength and hope. AV meetings use both the 12 Steps and the Alcoholics Victorious Creed."
    http://crc.iugm.org/

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    See also:

    National, State Nurse (Nursing) Organizations, http://www.4nursing.com/associations/

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    Associations_22, Abuse, Abusive Behaviors, Abused, Direct Patient Care, http://www.nursefriendly.com/abuse/

    +Associations_65, Addictions, Drug and Substance Abuse on The Nursefriendly: http://www.nursefriendly.com/addictions/

    Associations_104, AIDS & HIV Acquired Immunodeficiency Syndrome, AIDS & HIV Resources, http://www.4nursing.com/aids/

    Associations_41, Blood Banks, Blood Donation, Apheresis Links, http://www.4nursing.com/blood/

    Associations_44, Pregnancy, Obstetrics, & Gynecology (OB-GYN), Direct (Bedside Nursing) Patient Care, http://www.4nursing.com/obgyn

    Canadian Associations, Cancer, Oncology, Malignancy, Tumors:
    http://www.4nursing.com/canadian

    Cardiac Associations, Cardiac & Cardiology Resources, http://www.4nursing.com/cardiac

    Intravenous, Infusion Therapy Professional Associations, http://www.4nursing.com/intravenous

    Medical Associations, Cancer, Oncology, Malignancy, Tumors, http://www.4nursing.com/medical

    Renal, Kidney Associations, http://www.4nursing.com/renal

    Respiratory Associations, http://www.4nursing.com/respiratory

    ******************************************************

    Sincerely,

    Andrew Lopez, RN
    Nursefriendly, Inc. A New Jersey Corporation.
    38 Tattersall Drive, Mantua New Jersey 08051
    http://www.4nursing.com info@nursefriendly.com ICQ #6116137, AOL "nursefriendly"
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