Catch me , if you can. - NOAP - Homealternativeprograms.org/resources/conference/2017/handouts/rodrigo... · Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA Catch me ____, if you

Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA

Catch me ____, if you can. Addictions at the Workplace, the Risk to ALL


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 & …


• 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



Addiction, The ties that bind

• 1:3 People personally know an addict

• 1:10 People live with an addict

• 1:15 People Are addicts


A Game of Chance


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


5 factors of “chance”

1. Characteristics2. Accessibility &

Necessity 3. Enabling &

Misdiagnosing 4. Inadequate

Intervention5. Expert Knowledge


#1 Characteristics

More than meets the eye


“The Addict”• Disheveled• Unemployed• Irresponsible• Degenerate• Criminal• Dirty


Addict• Intelligent,

• top 25% of class

• Well liked and Respected

• Supervisors and Manager

• Advanced Degrees

• Top performers

• Charming

• Polite

• Gentetic Predisposition


#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.


I think I can * I think I can * I think I can * I think I can



#3 Enabling & Misdiagnosing

• Commitment• Potential loss• Hesitation to change


Commitment to negative Behaviors

Potential Loss (ponzi)


Incarceration & Prosecution

Borders

Just Say “No”

Gangs

System Strain

TreatmentEducationReentryM.A.TAftercare SupportMonitoring


Enabling at It’s Finest


#4 Inadequate Intervention

• Despite best intentions


Fate of the Nurse• Board of Nursing• Attorneys General• Legal • State Assistance Programs• Employers • Employers health coverage• NBCRNA• Credentialing • NPDB• OIG • NCSBN• Treatment Centers


By the Numbers


Physician/ Nurse Assistance Program for Addiction


Journal of Nursing Regulation


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


#5 Expert Knowledge

• One step behind


While You Were Sleeping


One step Ahead (always) 1. UDS- Tampering 2. U477003. Policy & Procedure4. Propofol 5. Testing Schedule- Panel6. Mass Spectrometry

What Now?


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.”



Questions?

Thank you for your attention.

Catch me , if you can. - NOAP - Homealternativeprograms.org/resources/conference/2017/handouts/rodrigo... · Guest Speaker : Rigo Garcia, MSN, APN-CRNA, MBA Catch me ____, if you

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