Mary Jo Andre’ DNP, RN, NEA-BCNPD led Professional Day – 9/19/19

DRUG DIVERSION PANEL PRESENTATIONCNO OPENING REMARKS

Nursing Strategic Plan (2019-2021)

Workforce Optimization

Quality, Patient Safety

& Patient Experience

System Alignment and

Growth

Information Technology/

Digital Enablement

Professional Practice & Innovation

Leadership Development

Financial Strength

WORKFORCE OPTIMIZATIONWe value wellness and believe personal health and wellbeing is the foundation for providing the

best care to our patients and families.

Risk Factors for Substance Abuse

• Stress in the workplace

• Availability/accessibility of medications

• Drugs are viewed as useful tools

• Nurses tend to focus on helping others and ignore their own needs

• Drug diversion is the transfer of medications from legal and medically necessary uses to uses that are illegal and typically not medically authorized or necessary.

• Drug diversion does not solely involve controlled substances, although statistics tend to focus around controlled substances diversion and opioid abuse.

• It is done in many ways.

What is Drug Diversion?

• Removing medication for discharged patients• Removing larger doses when smaller doses are available• Removing medication when it is not needed• Pilfering medications from PCA or drips• Failing to document administration or failing to document wastage• Using overrides to:

• Remove medications without a physicians order

• Removing medications more frequently than the scheduled time

How is Drug Diversion Committed by Nurses?

Patient Nurse/Diverter Hospital

• Cared for by impaired provider

• Pain medication withheld

• Blood borne pathogen exposure

• Overdose

• Death

• Criminal prosecution

• Loss of job/license

• Liability: civil, regulatory

• Negative publicity: reputation

• Fine, license revoked or restricted

Substance Abuse/Diversion Impact

In the News….

Drug Diversion PanelAllison Bell, LCSW

Karen Lettre, MSN, RNJennifer Sanders, MSN, RN, NEA-BCKaren Sripan, MSN, RN, CPN, CCRN-K

Jeffrey Wagner, Pharm D, RPh, MPH, BCPS