Definitions
performance negatively impacted by distraction, substance abuse, illness, or fatigue
what is impairment
displays: anxiety, low stress tolerance, desperation, loss of control over personal life
what are psychological risk factors
irritability, labile mood, angry outbursts and frequent breaks
what is signs of substance abuse
this document identifies treatment options and the defined process for programs to assist the nurse with returning to work after recovery
what is the nurse practice act (in each state)
speaking up when you believe a nurse is using, abusing, or diverting medication
what is a nurse's duty
shakiness, tremors, smell of mints or frequent gum chewing
what is signs of alcohol abuse
displays: impulsivity, rebelliousness, aggressive behavior in childhood, friends normalize alcohol & substance use
what is behavioral risk factors
frequent dropping of medications, frequent volunteering to work late, come early, or work overtime; and frequent "wasting" of medications
what is signs of medication diversion
the nursing leadership team is required to report nurse abuse to these departments
what is Human resources, the state board of nursing, and even the local police department
when a staff nurse reports suspicion that a colleague is using or abusing medications, the manager must
what is investigate
weight loss, constricted pupils, diaphoresis, mood changes
what is signs of narcotic use/ abuse
what is social factors
increased patient requests for medication after pain stabilization, pain or sleep meds requested by a single nurse
what is medical record audits for medication diversion
restrictions that are often placed on a nurse returning from a treatment program
what is: limiting work hours, restricting work shift, limiting clinical work, or removing from units with high likelihood for medication access
a manager can do this if a nurse's behavior on duty is suspicious and/or clearly jeopardizes patient safety
what is request a urine drug screen or breathalyzer test
chronic, relapsing brain disease characterized by compulsive drug seeking
what is addiction
male gender, inherited predisposition, deficits in serotonin
what are demographic/ genetic risk factors
times of OR cases does not reconcile with drug dispensing, inappropriate drug choices and doses, signs of medication tampering
what is signs of anesthesia drug diversion
True or false- the nurse's license is revoked on his/her 1st incident with substance use/ abuse
what is a false statement
a manager should take this action when patient safety has been jeopardized
what is suspend or place employee on administrative leave
highly functional, knowledgeable, hardworking, overachiever
what is common but missed warning signs
overwhelmed at work, experiencing incivility, works in ER, ICU
what are work related risk factors
three steps that MUST be taken if a nurse is suspected by of substance use or abuse
what is 1. contact the manager, 2. confront the suspected nurse, 3. contact the board of nursing
upon the recovering nurse's return to work, it is important that colleagues are
what is be empathetic and supportive
internal investigations should include
what is witness reports, medication logs, and supporting documentation