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The Anesthetic Agent Substance Abusing Provider. Poonam Agarwal, RN, BSN, SRNA Valentyna Groelle, RN, BSN, SRNA York College of Pennsylvania Nurse Anesthetist Program. Objectives.

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The anesthetic agent substance abusing provider

The Anesthetic Agent Substance Abusing Provider

Poonam Agarwal, RN, BSN, SRNA

Valentyna Groelle, RN, BSN, SRNA

York College of Pennsylvania

Nurse Anesthetist Program


  • Discuss statistics and risk factors for anesthetic agent and substance abuse among Nurse Anesthetists and Anesthesiologists.

  • Identify currently abused anesthetic agents, in addition to patterns of behavior of the addicted provider.

  • Discuss legal issues regarding reporting impaired provider.

  • Examine current treatment and recovery programs, as well as options for reentry into the workforce.

Occupational exposure gold et al 2006
OccupationalExposure(Gold et al., 2006)

Occupational exposure gold et al 20061
Occupational Exposure(Gold et al., 2006)

The anesthetic agent substance abusing provider

Why Can’t Addicts Just Quit?

Non-Addicted Brain

Addicted Brain












Because Addiction Changes Brain Circuits

Adapted from Volkow et al., Neuropharmacology, 2004.


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