www.aanawellness.com peer assistance update greg stocks crna ejd

www.aanawellness.com www.aanapeerassistance.com

Peer Assistance UpdateGreg Stocks CRNA EJD

NORTH CAROLINA ASSOCIATION OF

NURSE ANESTHETISTS

AANA Peer AssistanceHistory

26 Years of service. Leader in the industry. Started as Ad-Hoc Committee. Included in the Joint Committee Conference in

2006. Wellness Program 5 years young.

Latest Information:

AANA Wellness RestructuredState Peer AdvisorAIR SurveyPropofolEducation Initiatives

AANA Peer Assistancewww.aanapeerassistance.com

Peer Assistance Advisors Committee

(PAAC)

WellnessCommittee

Art Zwerling(Senior Advisor)

Heather Wilson

GreggRampleman

State Peer Advisors(SPA)

Volunteer CRNAs in each state.Resource for education and intervention.Familiar with local resources (monitoring

and treatment programs, nurse practice act).

North Carolina StatePeer Assistance

Linda Stone CRNA MSN

(919) 250-9740

lstone@rsna-edu.org

www.ncana.com/PeerAssist.html

What We Do…..National Hotline 24/7Resource for professionals in crisis.Detoxification and treatment

recommendations and resources.Assist in planning interventions.Assist in re-entry planning.

And…..

Provide educational resources and speakers for anesthesia schools, departments and institutions.

Provide model policies and procedures.Monitor and engage in research and

evaluate latest treatment methods.

Anesthetists In Recovery (AIR)Survey Data

Online confidential support forumModerated, Members OnlySRNAs and CRNAs in recovery5 Question Survey110 Respondents

Air Survey

1) What was your drug of choice?

2) If your drug of choice was propofol, why?

3) Have you ever self administered propofol?

4) Besides your drug of choice, what other substances did you abuse?

5) At what point during your anesthesia career did you become chemically dependant?

PROPOFOL

The DEA.

The King of Pop.

The PAAC.

The inside story…….

Propofol: Sept. 2008

PAAC meets in ChicagoPropofol abuse discussedMultiple deaths reportedPropofol whitepaper proposed with an

AANA position paper in mind.

Propofol: What we found

First reported abuse in 1992 by anesthesiologist.

Multiple reports from around the world of abuse, most with fatal outcomes.

Research shows propofol affects the dopamine reward system like other drugs of abuse.

And we found more….

Abuse drastically under reported in the literature.

Death rate 38-50% of all who abuse it.Hotline calls are frequently about

propofol abuse.Multiple deaths reported in PAAC in last

12 months.

The Good News

Ease of access is the overwhelming reason for choice of propofol.

When controlled, propofol abuse falls dramatically…so do deaths.

The recommendation for immediate control is made to the AANA Board.

Need for DEA control is identified.

Michael Jackson:An unlikely turn of events…….

PAAC submits “The Urgent Case for Re-Classification of Propofol as a Controlled Substance” to CPIA, Practice and the AANA BOD early 2009.

AANA BOD creates Position Statement 2.14 “Securing Propofol” in record time on June 6, 2009. Revised 9/09

June 22, 2009 the Position Statement is published on the AANA website.

Three days later Jackson dies.Propofol is implicated within days

creating a media firestorm and making Propofol a household name.

Fospropofol…An unlikely coincidence!

Pro-drug of propofol.Was awaiting final FDA packaging

approval coincidently.Proposal for Schedule IV status

published in August.Schedule IV status finalized in October.

Control of PropofolWhat it will do…and what it won’t do.

Will NOT likely decrease incidence of substance abuse in anesthesia.

Will NOT significantly impact patient care. WILL decrease incidence of propofol abuse

very dramatically. WILL save scores of lives of our colleagues

and friends.

The Uproar:

“We don’t need no more stinking regulation!”

“Control of drugs hasn’t stopped the problem!”

“Patient’s will suffer in an emergency!”“If someone is stupid enough to abuse it

and die, that’s their own problem!”

Propofol: The Future

Schedule IVScheduling supported by the AANA and

ASA.Sooner than later.Get used to it now.Simmer down.

Education Initiatives

Standard Curriculum for all anesthesia programs.

Standardized PowerPoint presentations, Wearing Masks video, learning outcomes.

February ASF.Random drug screening.

Contact me:

Greg Stocks CRNA EJD

(410) 916-5885 (confidential)

GregS@crnapaac.com

Visit the Wellness booth!