1. NSBN’S ROLE IN ADDRESSING THE NURSE WITH A SUBSTANCE USE DISORDER Debra Scott, MSN, RN, FRE Executive Director Nevada State Board of Nursing

2. THE ROLE OF THE NURSING REGULATION  NRS. 632.207, Nondisciplinary condition, limitation or restriction  Public protection  Supporting nurses to practice safely enhances patient safety

3. SUBSTANCE USE DISORDER  Prevalence of addiction.  What does addiction look like?  Specifics to the female gender.

4. SUBSTANCE USE DISORDER (CON’T)  Prevalence in nursing specialties  Types of users

5. RISK FACTORS  Top four risk factors  Access  Attitude  Stress  Lack of education  Other risk factors

6. RISK FACTORS IN RELATION TO NURSING  Role strain  Problems in everyday functioning  Peer enabling  Ingrained attitudes

7. HOW TO IDENTIFY AND ADDRESS THE ISSUE WHEN IT HAPPENS TO YOU  Personality and mental status changes  Job performance  Diversion suspicion

8. RED FLAGS  Documentation  Forgetfulness  Sharing access codes  Inaccuracies of the controlled substance count

9. 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

10. 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?

11. QUESTIONS?

12. CONTACT INFORMATION Debra Scott, MSN, RN, FRE 5011 Meadowood Mall Way #300 Reno, NV 89502 1-888-590-6726 nevadanursingboard.org 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 (4 th Edition). Washington DC: APA