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OFFICE OF THE ATTORNEY GENERAL

OFFICE OF THE ATTORNEY GENERAL. Prescription Drug Symposium. Drug Abusing Nurse Profile . High Stress Present when patient in pain Present when patient dies Demand for perfection. Profile Best nurse on th e floor Last person you would suspect

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OFFICE OF THE ATTORNEY GENERAL

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  1. OFFICE OF THE ATTORNEY GENERAL Prescription Drug Symposium

  2. Drug Abusing Nurse Profile

  3. High Stress • Present when patient in pain • Present when patient dies • Demand for perfection

  4. Profile • Best nurse on the floor • Last person you would suspect • Willing to work extra shifts and stays late

  5. Profile • May come to work on days off • Prefers high narcotic usage floors and signs out more than peers • Prefers night shift

  6. Profile • Frequently documents waste • Nursing notes don’t match drugs given • Takes frequent restroom breaks

  7. Profile • Often use Schedule II injectables such as Demerol, Dilaudid and morphine • Is self addicted • Often for personal use only – doesn’t deal

  8. Profile • Uses drugs on the job and is impaired or passed out • Sloppy record keeping • Patients and co-workers complain

  9. Profile • Has divorce/child custody issues • Health issues • Death/illness in family

  10. Methods of diversion • Steals from patients who have “as needed” prescriptions • Falsifies a doctor’s order

  11. Drug substitution • Very dangerous • Replaces controlled substances with other drugs • Replaces narcotic tubex with saline

  12. Omission • Drug will be signed out on the control sheet but not documented on the patient’s chart • Usually occurs in the latter stages of addiction when user is getting desperate

  13. Drugs of choice • Fentanyl patches

  14. Drugs of choice • Oxycontin

  15. Drugs of choice • Hydrocodone

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