On Line Self Study
Implementing Systems for Detection and Prevention of Drug Diversion
http://www.carefusion.com/images/Prevention_of_Drug_Diversion.pdf
Carefusion, owner of the brand Pyxis, did a webcast (since expired) on recognizing and preventing drug diversion in the clinical setting. While the webcast no longer exists, they have a nice PDF of the slides. Here is the text from a few selected slides. Here is a copy of the Prevention_of_Drug_Diversion.pdf.
Webcast and Presentation created by:
Mitch Sobel, RPh, Assistant Director of Pharmacy Services Saint Barnabas Medical Center, Livingston, New Jersey
Aline Greene, RN, CEN, Pyxis Nurse Liaison Roper Saint Francis Healthcare, Charleston, South Carolina
Elaine Jones, RPh, MBA, Director of Regulatory Compliance Cardinal Health Pharmacy Management
Friday, January 27, 2006
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Drug Diversion Happens at Hospitals It’s a FACT
By nurses
By pharmacists
By physicians
By unlicensed staff
By other licensed professionals
By visitors/general public
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How Big of a Problem is Drug Diversion?
615% nurses abuse drugs found in hospitals
Indiana Board of Nursing
12 anesthesiologists die from overdoses of fentanyl a year; abuse drugs 3x the general physician population
American Society of Anesthesiologists
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Warning Signs
Staff members seeing changes in coworkers behavior
Employee asking to witness excessive wastage
Continuous issues with inventory management
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Employee Warning Signs
Deteriorating job performance.
Psychological changes.
Behavioral changes.
Changes in physical appearance.
Length of addiction may result in employees showing no signs at all.
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Methods of Enabling
Failure to recognize warning signs.
Attributing signs to other causes (stress, illness, etc.).
Provides coworker with password.
Cosigning wastage not observed.
Making excuses for person not following narcotic handling procedures.
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Typical Nurse Profile
Best nurse on the floor
Never would have suspected him/her
Willing to work extra shifts
Stays late after shift ends
Comes in early for shift
Agency/Registry nurse
Divorce/child custody
Recent health problem
Death/illness in family
May show up on off days
Prefers night shift
Prefers high narcotics floors
Signs out more narcotics than peers
Frequently documenting waste
Nursing notes do not coincide with drugs given
Frequent restroom breaks
Record keeping becomes sloppy
Impaired or passed out at work place
Patient complaints
Coworker complaints
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And many more interesting slides.
Wednesday, March 17, 2010
