Post on 25-Jun-2018
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Catch me ____, if you can. Addictions at the Workplace, the Risk to ALL
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
IntroductionsRigo Garcia
Background• APN-BC, CRNA, MSN, MBA
• Parkdale Center for Professionals,
Chief Executive Officer
• Great Lakes Anesthesia, Chief
Anesthetist
• Husband & Father
Claudia Garcia
Background• MBA, BSN, RN-BC, LAC, CADAC II
• Parkdale Center for Professionals,
Chief Operating Officer
• Licensed and Certified Alcohol and
Addiction Counselor
• Wife, Mother & …
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
• Objective 1
• Upon completion of this activity the learner will be able to List 3 predisposing factors of the impaired profession.
• Objective 2
• Upon completion of this activity the learner will be able to identify 3 obstacles facing nurses wishing to re-enter practice.
• Objective 3
• Upon completion of this activity the learner will be able to list at least 3 proposed solutions to remedy the current situation.
Program Objectives
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Addiction, The ties that bind
• 1:3 People personally know an addict
• 1:10 People live with an addict
• 1:15 People Are addicts
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
A Game of Chance
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
David Kwiatkowski • X-Ray Technician-Phoenix• On Friday, diverted medication
left out unattended, overdosed at work
• No hospital prosecution• Monday, started new job• 9 years, 19 hospitals , 8 states
and 12,000 pts: 40 cases of HEP C identified and one death.
• 39 years in Prison • 15 minutes too long
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
5 factors of “chance”
1. Characteristics2. Accessibility &
Necessity 3. Enabling &
Misdiagnosing 4. Inadequate
Intervention5. Expert Knowledge
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
#1 Characteristics
More than meets the eye
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
“The Addict”• Disheveled• Unemployed• Irresponsible• Degenerate• Criminal• Dirty
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Addict• Intelligent,
• top 25% of class
• Well liked and Respected
• Supervisors and Manager
• Advanced Degrees
• Top performers
• Charming
• Polite
• Gentetic Predisposition
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
#2 Accessibility & Necessity
“Although the initial act of consumption is voluntary, cessation of the addiction, on will power, alone is not”
Dr. Bernadette Roche –Author- Substance Abuse Polices in Anesthesia
Addictions are estimated to cost U.S. employers more than $300 billion a year.
76%, of people with a drug or alcohol Addictions are currently employed.
Substance Abuse and Mental Health Services Administration (SAMHSA)
Accessibility FACTS
• Addictions are estimated to cost U.S. employers more than $350 billion a year.
• 76%, of people with a drug or alcohol Addictions
are currently employed.
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
I think I can * I think I can * I think I can * I think I can
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
#3 Enabling & Misdiagnosing
• Commitment• Potential loss• Hesitation to change
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Commitment to negative Behaviors
Potential Loss (ponzi)
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Incarceration & Prosecution
Borders
Just Say “No”
Gangs
System Strain
TreatmentEducationReentryM.A.TAftercare SupportMonitoring
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Enabling at It’s Finest
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
#4 Inadequate Intervention
• Despite best intentions
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Fate of the Nurse• Board of Nursing• Attorneys General• Legal • State Assistance Programs• Employers • Employers health coverage• NBCRNA• Credentialing • NPDB• OIG • NCSBN• Treatment Centers
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
By the Numbers
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Physician/ Nurse Assistance Program for Addiction
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Journal of Nursing Regulation
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
A initial assessment is required
A list of treatment providers is given
The list of provider meets agreed upon standards
If treatment is required, it is mandatory
Confirmation of the treatment provider is obtained before the meeting? (why is this important?)
Treatment provider is forwarded OAG, BON, or Employer complaints?
State Monitoring Programs
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
#5 Expert Knowledge
• One step behind
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
While You Were Sleeping
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
One step Ahead (always) 1. UDS- Tampering 2. U477003. Policy & Procedure4. Propofol 5. Testing Schedule- Panel6. Mass Spectrometry
What Now?
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Proposed Solutions
1. Characteristics --- Accept Different Similarities
2. Accessibility & Necessity --- Consider the Compulsion
3. Enabling & Misdiagnosing --- Utilize Objective Parameters
4. Inadequate Intervention --- Oligopolize the Market
5. Expert Knowledge --- Learn More
“Many small people in many small places doing many
small things can change the face of the world.”
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA
Questions?
Thank you for your attention.