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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
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)
Visit the Wellness booth!
