Drug Diversion in Healthcare

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Presentation transcript:

Drug Diversion in Healthcare Prevention and Detection

Scope of the Problem Reliable statistics regarding the prevalence of drug diversion by healthcare workers are not available Diversion can happen anywhere and is a universal problem Many cases go undiscovered or unreported

Who and Why? Two factors impacting the incidence of drug diversion by healthcare providers are ACCESS and AVAILABILITY Generally, healthcare workers divert for personal use and are extremely secretive about it. Other reasons may include diversion for profit (to sell), or diversion for family (to use). Bell DM, McDonough JP, Ellison JS, Fitzhugh ED. Controlled drug misuse by Certified Registered Nurse Anesthetists. AANA J 1999;67(2):133-140.

Does Diversion Affect Patients & Residents? YES! Impairment/Addiction puts patients at risk Patients may be denied appropriate pain relief Patients may be billed fraudulently Patients may be exposed to blood borne pathogens

Rockcastle Regional Drug Diversion Prevention Rockcastle Regional has a drug diversion prevention program in place Drug screening of employees may take place pre-employment, at random, for cause, and after a work related accident or injury Missing and/or tampered with medications are investigated immediately Controlled substance documentation is audited randomly and frequently Reporting is MANDATORY- immediately

When to Report: Signs of Impairment Severe mood swings, personality changes Elaborate excuses Underperformance; poorly explained errors, accidents, or injuries Frequent or unexplained tardiness, work absences, illness, or physical complaints Confusion, memory loss, difficulty concentrating, unreliability Relationship discord (family or professional)

When to Report: Signs of Diversion Consistently uses more drugs than colleagues Frequently volunteers to administer controlled substances or relieve colleagues of casework Consistently arrives early, stays late, or volunteers to work overtime Frequently takes breaks or trips to the bathroom Frequently wastes large amounts Carries drugs or syringes in pockets

Where to Report If you suspect a healthcare worker of diversion or impairment, your responsibility is to report it immediately. Report to any of the following: Supervisor Director of Nursing Risk management Pharmacist