1. The Anesthetic Agent Substance Abusing Provider Poonam Agarwal, RN, BSN, SRNA Valentyna Groelle, RN, BSN, SRNA York College of Pennsylvania Nurse Anesthetist Program

2. Objectives Discuss statistics and risk factors for anesthetic agent and substance abuse among Nurse Anesthetists and Anesthesiologists. Identify currently abused anesthetic agents, in addition to patterns of behavior of the addicted provider. Discuss legal issues regarding reporting impaired provider. Examine current treatment and recovery programs, as well as options for reentry into the workforce.

3. Prevalence

4. Risk Factors

5. Factors Contributing to Development of Chemical Dependency Occupational Factors Occupational Exposure Neurobiological Factors

6. Occupational Exposure (Gold et al., 2006)

8. Neurobiological Factors

9. Adapted from Volkow et al., Neuropharmacology, 2004. Drive Saliency Memory Control Non-Addicted Brain NO GO Addicted Brain Drive Memory Control GO Saliency Why Can’t Addicts Just Quit? Because Addiction Changes Brain Circuits

10. Most Commonly Abused Substances

11. Propofol

12. Patterns of Behavior

13. Education and Prevention

14. Legal Issues

15. Legal Issues and Options

16. Treatment

17. Challenges of Reentry

19. Attitudes of Reentry

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