Nursing Education in the Land of Legal Marijuana Julie Basler, PhD Hollie Caldwell, PhD, RN Tricia Engelbert, RN

Session Disclosure 1) Approval Statement This continuing education activity was approved by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Arizona, Colorado, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division. Approval # 72-17 2) Criteria for Successful Completion To receive contact hours, participants must check-in to the session using the barcode scanner, attend the entire session and then complete both the session evaluation and full conference evaluation by July 31, 2017. 3) Conflicts of Interest This educational activity does not include any content that relates to the products and/or services of a commercial interest that would create a conflict of interest. 4) Commercial Support There is no commercial support being received for this session.

Session Evaluation To evaluate this session, please do the following: Go to 2017necintherockies.sched.com/mobile (the online schedule) on your mobile device Click on the session you attended Press “Feedback Survey” Complete survey for the session *Remember to enter your unique identifier located on the back of your badge when completing survey.

Announcements Julie Basler, PhD – Vice President of Academic Affairs, Platt College Hollie Caldwell, PhD, RN – Dean, School of Nursing at Platt College Tricia Engelbert, RN – CEO, 5280 Drug Testing Company, LLC, Greenwood Village, CO

Introduction Patient safety! Requirements for nursing students in clinical education locations Societal shifts regarding marijuana use Legalization of recreational marijuana in Colorado, 2014 Introduction

Background Drug statistics in US Drug statistics of US college students Drug statistics in healthcare Colorado Nursing Practice Act Peer Assistance Services (PAS) Program for Nurses Background

Background Role of nursing education programs Requirements of clinical affiliates College Drug Free Campus Policy at Platt College Evolution of policy since August 2009 Requirements of DOE regarding Drug Free Campus College philosophy & policy regarding treatment and rehabilitation Background

Methods Onsite drug screen vendor Setting Selection of screening dates Participants Faculty, staff & students Onsite drug screen vendor Description Certification Lab & MRO Methods

Methods Current composition of 10-panel Drug Screens Barbiturates Benzodiazepines Methadone Methaqualone Propoxyphene Marijuana Cocaine Opiates Amphetamines/Meth amphetamines PCP Value? Implications?

Methods What happens on screening day? Unusual occurrences How are results handled? Methods

Number of confirmed positives over four years during random screenings Number of confirmed positives over four years during non-random (scheduled) screenings Results

Results of non-random drug screens for same time period PRE-CLINICAL ACCESS AND RESULTS: From 12.3.14 - 11.16.16 Total Students Tested 550* Dilute Specimens 10** Positive Specimens 8*** Results of non-random drug screens for same time period

Discussion Student advising process Value of philosophy of treatment & rehabilitation Discussion

Student Advising Process for Students Testing Positive Random drug screen onsite at college Random drug screening results are received by college Student Advising by Dean or Assoc. Dean Suspension pending PAS evaluation; Release signed to allow college to receive results of evaluation Notification from PAS regarding determination of need for treatment contract; Most are 5 years Return to program next quarter* with or without treatment contract Continue & complete nursing program with or without treatment contract Student Advising Process for Students Testing Positive * PAS may recommend extended period of time out of nursing program to begin treatment.

Discussion Cost of random screening process over four years Cost to students referred to PAS Implications for nursing education programs in states where recreational marijuana is legal Successful implementation of a random drug screening program Discussion

Thank you! Questions?