Transcript NSBN’s Role in Addressing the Nurse with a Substance Use

NSBN’S ROLE
IN ADDRESSING THE
NURSE WITH A
SUBSTANCE USE
DISORDER
Debra Scott, MSN, RN, FRE
Executive Director
Nevada State Board of Nursing
THE ROLE OF THE NURSING
REGULATION
 NRS. 632.207, Nondisciplinary condition,
limitation or restriction
 Public protection
 Supporting nurses to practice safely
enhances patient safety
SUBSTANCE USE DISORDER
 Prevalence of addiction.
 What does addiction look like?
 Specifics to the female gender.
SUBSTANCE USE DISORDER (CON’T)
 Prevalence in nursing specialties
 Types of users
RISK FACTORS
 Top four risk factors
 Access
 Attitude
 Stress
 Lack of education
 Other risk factors
RISK FACTORS IN RELATION TO
NURSING
 Role strain
 Problems in everyday functioning
 Peer enabling
 Ingrained attitudes
HOW TO IDENTIFY AND ADDRESS
THE ISSUE WHEN IT HAPPENS
TO YOU
 Personality and mental status changes
 Job performance
 Diversion suspicion
RED FLAGS
 Documentation
 Forgetfulness
 Sharing access codes
 Inaccuracies of the controlled
substance count
WHAT THEN?
 If your co-worker is a peer,
Then have an informal and confidential
talk with him or her
 If you are a supervisor,
Intervene and Report
THE BOARD’S ALTERNATIVE PROGRAM
FOR NURSES WITH SUBSTANCE USE
DISORDERS
 What is the Alternative Program?
 How do I start the process?
 How do I complete the process?
QUESTIONS?
CONTACT INFORMATION
Debra Scott, MSN, RN, FRE
5011 Meadowood Mall Way #300
Reno, NV 89502
1-888-590-6726
nevadanursingboard.org
REFERENCES
•Nevada Nurse Practice Act (Chapter 632 of NRS & NAC)
•Nevada State Board of Nursing. (2011) Annual Report
2010-2011 Reno, NV: NSBN
•NCSBN. (2011) Substance Use Disorder in Nursing.
Chicago, Il: NCSBN
•American Psychiatric Association. (1994) Diagnostic and
Statistical Manual of Mental Disorders (4th Edition).
Washington DC: APA