Definitions
Risk Factors
Evidence of what?
Treatment
Reporting/ Responsibilities
100

performance negatively impacted by distraction, substance abuse, illness, or fatigue

what is impairment

100

displays: anxiety, low stress tolerance, desperation, loss of control over personal life

what are psychological risk factors

100

irritability, labile mood, angry outbursts and frequent breaks

what is signs of substance abuse

100

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)

100

speaking up when you believe a nurse is using, abusing, or diverting medication

what is a nurse's duty

200

shakiness, tremors, smell of mints or frequent gum chewing

what is signs of alcohol abuse

200

displays: impulsivity, rebelliousness, aggressive behavior in childhood, friends normalize alcohol & substance use

what is behavioral risk factors

200

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

200

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

200

when a staff nurse reports suspicion that a colleague is using or abusing medications, the manager must 

what is investigate

300

weight loss, constricted pupils, diaphoresis, mood changes

what is signs of narcotic use/ abuse

300
has: peers who like to "party", access to substance availability, and expect alcohol/ drugs to have positive effect  

what is social factors

300

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

300

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

300

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

400

chronic, relapsing brain disease characterized by compulsive drug seeking

what is addiction

400

male gender, inherited predisposition, deficits in serotonin

what are demographic/ genetic risk factors

400

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 

400

True or false- the nurse's license is revoked on his/her 1st  incident with substance use/ abuse

what is a false statement

400

a manager should take this action when patient safety has been jeopardized

what is suspend or place employee on administrative leave

500

highly functional, knowledgeable, hardworking, overachiever

what is common but missed warning signs

500

overwhelmed at work, experiencing incivility, works in ER, ICU

what are work related risk factors

500

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

500

upon the recovering nurse's return to work, it is important that colleagues are 

what is be empathetic and supportive

500

internal investigations should include

what is witness reports, medication logs, and supporting documentation  

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