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

2. 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.

3. Session Evaluation To evaluate this session, please do the following:
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4. 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

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

6. 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

7. 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

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

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

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

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

12. Results Results 9/24/13 27/ 4 3 = THC 1 = BDZ 9/30/14 31/ 3 2 = THC
Date
#/n
# Positives
Substance
# Accepted PAS Referral
# PAS Contract Required
# Returned to complete nursing program
9/24/13
27/ 4
3 = THC
1 = BDZ
9/30/14
31/ 3
2 = THC
1 = THC & Heroin
6/30/15
35/
3= THC
1 = AMP
4/5/16
33/ 1
1= THC & Cocaine
4/5/17
?/?
None
N/A
Results

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

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

15. 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.

16. 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

17. Thank you! Questions?

18. References