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Nursing Impairment in the workplace

By

Melissa Murray-Smith

November 21, 2020


Introduction
• FAILURE TO WORK IN THE NORMAL CAPACITY.
• THE ISSUE HAS BEEN RECOGNIZED AS A MAJOR PROBLEM AMONG HEALTHCARE
PROFESSIONALS INCLUDING NURSES.
• CAUSE- MISUSE OF DRUGS BY NURSES DURING THEIR CAREER.
• OTHER CAUSES- FAMILY ISSUES, FATIGUE, POOR WORKING RELATIONSHIPS, MEDICAL
COMPLICATIONS.
• AMOUNTS OF SUBSTANCES ABUSED- IS SIMILAR WITH THAT OF THE GENERAL POPULATION
• THE ISSUE IS CRITICAL AMONG NURSES AND HEALTHCARE WORKERS AS A RESULT OF THE
ROLE OF PATIENT CARE PLAYED BY NURSES IN THE HEALTHCARE SYSTEM.
• HIGH AMONG NURSES AS A RESULT OF THE AMOUNT OF DRUGS THEY COME IN CONTACT
WITH.
Signs of impairment
Behavioral or physical
Types of Behavioral signs
 Increased absences, leaving early and reporting to work late.
 Dishonesty
 Increased errors in the line of duty
 Use of narcotic treatment on patients
 Evident elevated pain in patients
 Asking for money from patients
 Increased unaccountability for actions.
Physical signs
 Physical signs- signs that can be physically identified from the affected individuals.
The signs are
 Sleepiness
 Poor judgement
 Dilated pupils
 Mouth odor
 Mood changes
 Vomiting, nausea and diarrhea
 Tremors
 Slurred speech
Intervention Program for Nurses (IPN).

 A program that was established in 1984


 The program was established after passage of a legislation.
 The program seeks to ensure the safety of practicing nurses that are unsafe to
practice as a result of alcohol and substance abuse or as result of mental or
physical conditions that affect practicing.
 IPN has a mission of providing holistic education through support and monitoring
to the Nurses in Florida.
Employer‘s Programs
 Employers have initiatives and programs to promote safety and offer assistance to impairment at
the workplace.
 Provision of induction training- to help workers be aware of roles to avoid straining.
 Provision of information on potential hazards- to keep workers aware of the hazards in the
workplace.
 Supervision- To keep an eye to avoid poor behavior or misuse.
 Development of reporting channels to help the reporting of misbehavior at the workplace.
 Identification programs- to help identify affected individuals at the workplace
Treatment

 A process that takes place over a period of time.


 The process begins with the identification, reporting, intervention ,then to
treatment.
 Evaluation depends on the amount of addiction.
 Patient is admitted.
 The patient is voluntarily enrolled for the impairment program.
 Limit practice as directed by the consultant managing the case.
 Medical records given to the consultant managing the case to help in
management.
Work Cited

Powell, Ronald I., and Alex G. Copping. Measuring Fatigue-Related Impairment in


the Workplace. 4 July 2016, www.emerald.com/insight/content/doi/10.1108/JEDT-
09-2014-0063/full/html.
Smiley, Richard, and Kyrani Reneau. “Outcomes of Substance Use Disorder
Monitoring Programs for Nurses.” Journal of Nursing Regulation, Elsevier, 15 July
2020, www.sciencedirect.com/science/article/pii/S2155825620301071.
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