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NSBN’s Role in Addressing the Nurse with a Substance Use Disorder. Debra Scott, MSN, RN, FRE Executive Director Nevada State Board of Nursing. The role of the nursing regulation. NRS. 632.207, Nondisciplinary condition, limitation or restriction Public protection
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NSBN’s Role in Addressing the Nurse with a Substance Use Disorder Debra Scott, MSN, RN, FRE Executive Director Nevada State Board of Nursing
The role of the nursing regulation • NRS. 632.207, Nondisciplinary condition, limitation or restriction • Public protection • Supporting nurses to practice safely enhances patient safety
Substance use disorder • Prevalence of addiction. • What does addiction look like? • Specifics to the female gender.
Substance use disorder (con’t) • Prevalence in nursing specialties • Types of users
risk factors • Top four risk factors • Access • Attitude • Stress • Lack of education • Other risk factors
Risk factors in relation to nursing • Role strain • Problems in everyday functioning • Peer enabling • Ingrained attitudes
How to identify and address the issue when it happens to you • Personality and mental status changes • Job performance • Diversion suspicion
Red flags • Documentation • Forgetfulness • Sharing access codes • Inaccuracies of the controlled substance count
What then? • If your co-worker is a peer, Then have an informal and confidential talk with him or her • If you are a supervisor, Intervene and Report
The board’s alternative program for nurses with substance use disorders • What is the Alternative Program? • How do I start the process? • How do I complete the process?
Contact information References • Nevada Nurse Practice Act (Chapter 632 of NRS & NAC) • Nevada State Board of Nursing. (2011) Annual Report 2010-2011 Reno, NV: NSBN • NCSBN. (2011) Substance Use Disorder in Nursing. Chicago, Il: NCSBN • American Psychiatric Association. (1994) Diagnostic and Statistical Manual of Mental Disorders (4th Edition). Washington DC: APA Debra Scott, MSN, RN, FRE 5011 Meadowood Mall Way #300 Reno, NV 89502 1-888-590-6726 nevadanursingboard.org