catch me…. (if you can) - wv restore · 2018-09-20 · thank you, from the bottom of our hearts...
TRANSCRIPT
CATCH ME…. (IF YOU CAN)
The Impaired Provider.
Rodrigo Garcia• Husband & Father
• RN, MSN, APN, CRNA, MBA• Parkdale Center for Professionals
Co-Founder & CEO• Parkdale Solutions, Health Experts
in Loss Prevention, Co-Founder • Great Lakes Anesthesia,
Chief Anesthetist
Today’s Speaker
A GAMEOF
CHANCE
SUBSTANCE USE DISORDER,THE TIES THAT BIND
A. Addiction in the General Population
B. Know an Addict or Alcoholic
C. Addicted Health Care Professionals
D. Family Member is an Addict/ Alcoholic
• 1:3 or 33%
• 1:10 or 10%
• 1:15 or 7%
• 1:7 or 15%
Match the Sides
SUBSTANCE USE DISORDER,THE TIES THAT BIND
A. Addiction in the General Population
B. Know an Addict or Alcoholic
C. Addicted Health Care Professionals
D. Family Member is an Addict/ Alcoholic
• 1:10 or 10%
• 1:3 or 33%
• 1:7 or 15%
• 1:15 or 7%
SUBSTANCE USE DISORDER,THE TIES THAT BIND
• 80% OF WORLD’S OPIATES
• 90% OF WORLD’S HYDROCODONE
• 80% OF WORLD’S AMPHETAMINES
- N A T I O N A L I N S T I T U T E O N D R U G S- N A T I O N A L S A F E T Y C O U N C I L
“Prescribed to Death”
1. Characteristics
2. Compulsive Necessity
3. Enabling & Misdiagnosing
4. Inadequate Intervention
5. Expert Knowledge
5 Factors of Chance
#1 CHARACTERISTICS
• D I S H E V E L E D
• U N E M P L O Y E D
• I R R E S P O N S I B L E
• D E G E N E R A T E
• C R I M I N A L
• D I R T Y
……Under the Bridge
C H O I C E V . S . D I S E A S E
#2 COMPULSIVE NECESSITY
I THINK I CAN *I THINK I CAN *I THINK I CAN * I THINK I CAN
100 ug Reading, laughing, Smelling flowers (Dopamine Levels)
Frontline-The Meth Epidemic, 2006
150 ug- Food (Dopamine Levels)
Frontline-The Meth Epidemic, 2006
200
300350
400450
050
100150200250300350400450500
Sex Tobacco Alcohol Cocaine Opiates
Dopamine Levels
. ug Dopamine 2 ..
Frontline-The Meth Epidemic, 2006
200
450
1200
0
200
400
600
800
1000
1200
1400
Dopamine Levels
Endogenous Exogenous Methamphetamines
Frontline-The Meth Epidemic, 2006
#3 Enabling and Misdiagnosing
Over-commitment, Potential Loss, &
Hesitation to Change
60%Incarceration Prosecution
10%TreatmentEducation
ReentryM.A.T
Aftercare Support
5% Gangs
15% Just Say “No”
10% Borders
National Institute on Drug Abuse (NIDA) 2011 Report
#4Inadequate
Intervention
Management of the Impaired Provider
• BON
• OAG
• LEGAL
• ADT/ PHP
• EMPLOYER
• NBCRNA/ State Medical Assoc.
• CREDENTIALING
• NPDB
• OIG
• (TREATMENT CENTER)
Fate of the Health Care Professional
Detox 10% Success
Detox > Monitoring 60% Success
Detox > Treatment > Monitoring 1 year 85%(Accountability) 3 years 90%
5 years 95%
By the Numbers
A LW A Y S , O N E S TE P B E H I N D
#5 Expert Knowledge
• UDS
• U47700
• Policy & Procedure
• Propofol
• Testing Schedule
• Mass Spectrometry
Always, One step Ahead
What now?
SOLUTIONS
• Accept the “new face”
• Consider the Compulsion
• Objective Parameter
• Unify the Process
• Learn More
• Characteristics
• Accessibility & Necessity
• Enabling & Misdiagnosing
• Inadequate Intervention
• Expert Knowledge
Every 20 minutes someone overdoses and dies in the United States. By the time
We have completed this presentation, three Lives have been lost and three families
Will never be the same. Thank you, from The bottom of our hearts for Allowing us
to share our story and thank You for your willingness to make a difference.
Rigo & Claudia
Questions?
Thank you for you attention
Rodrigo Garcia [email protected]
www.ParkdaleCenter.com219-929-5367 X1060
888-883-8433