The Non-anesthetic Substance
Colleen Amundson BSN, RN, SRNA
Shannon Bachman BSN, RN, SRNA
• History, prevalence, and
• Alcohol effects on the
brain including signs and
• Alcohol addiction in the
• AANA standards
including comparisons in
• Dr. William S.
potential use as
Fast forward- to 1960 and beyond
• 1958- Recognition of addiction by State Medical Boards
• 1962- “Narcotics and the Anesthetist: Professional Hazard's”
by Florence McQuillen, CRNA
– Alcohol is a gate-way drug to narcotic use
• 1980: Addiction is declared a disease
• 1983- present day: AANA’s contributions to wellness/recovery
Abuse vs. Addiction
– Family history
Zuckerman’s Sensation Seeking
Scale and MacAndrew Scale
score higher on
indicating a higher
alcohol abuse and
• “Evidence supports that many nurses and
anesthesiologists with a chemical dependency have
co-morbid psychiatric disorders” (Wright, E. L., McGuiness, T.,
Moneyham, L. D., Schumacher, J. E., Zwerling, A., & Stullenbarger, N. E. , 2012,
Alcohol’s effect on the brain
Alcohol-related brain damage
• Premature aging
Signs and symptoms
What do you do if you suspect a coworker?
What to expect
1. Supervised detox
2. Psychiatric evaluation
3. Inpatient treatment
4. Outpatient treatment
5. Individual and group
6. Self help groups (12step program)
7. Family therapy
8. Story telling
Re-entry into Practice
• Should the recovering anesthesia provider return to the
OR? -- Highly controversial topic
• Ongoing monitoring of the recovering anesthesia
provider for at least 5 years is the recommended practice.
• Re-entry into practice is made on a case by case basis.
• The decision is based on the addiction psychiatrist's
AANA Standards and Drug-Testing
Current drug testing:
(0.068 and 0.08)
Up and coming drug testing:
• Naltrexone assays
• EDAC blood test
• EtG/EtS urine test
Rules regarding alcohol use in
• There are no time limits
on alcohol consumption • Should there be?
There is No Shame in Recovery
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