Impaired Nurses Working After a Treatment Program
Impaired Nurses Working After a Treatment Program
Kayla Johns
Santa Teresa Community College
Mary Shrine, MA.RN.CNE
RNSG 2035
Management of Client Care
April 19, 2010
Outline
Thesis: The dilemma is if impaired nurses should keep practicing after completing a treatment program; this issue is controversial due to nurses being responsible for the lives of others, there are pros and cons that must be understood before making any judgments.
I. Introduction-Definition of impairment and statistics on the issue
II. Case Scenario-Six nurses encountering different situations of impairment
III. Current Status:
a. American Nursing Association
1. Provision 3
2. 2002 resolution
3. Provision 3.6
i. TPAP
b. National Council of State Boards of Nursing
1. Substance Abuse Disorder Survey
c. U.S. Equal Employment Opportunity Commission
1. Americans with Disabilities Act
IV. Pros
a. Incentive
1. Increase in self-reporting
b. Assistance
1. Decrease/prevent nursing shortage
c. Patient Care
1. Better and safer environment
V. Cons
a. Risk
1. Jeopardized patient’s health
b. Co-workers
1. Increased work load
c. Economy
1. Facility pays for treatment programs
VI. Conclusion
Impaired Nurses Working After a Treatment Program
The nursing profession has an honorable position in society (Harris Poll, 2005). Nurses are responsible for the lives and health of others, to which they provide intimate care. However, nurses are not immune to the disorders that affect their patients. As a result, some are unable to practice due to some type of impairment, which is defined as a situation in which an individual is rendered unable to perform their professional duties and responsibilities in a reasonable manner because of a variety of health problems, including physical disease, psychiatric problems, substance abuse, and chemical dependence (Lectric Law Library, 2010). In fact, the American Journal
Kayla Johns
Santa Teresa Community College
Mary Shrine, MA.RN.CNE
RNSG 2035
Management of Client Care
April 19, 2010
Outline
Thesis: The dilemma is if impaired nurses should keep practicing after completing a treatment program; this issue is controversial due to nurses being responsible for the lives of others, there are pros and cons that must be understood before making any judgments.
I. Introduction-Definition of impairment and statistics on the issue
II. Case Scenario-Six nurses encountering different situations of impairment
III. Current Status:
a. American Nursing Association
1. Provision 3
2. 2002 resolution
3. Provision 3.6
i. TPAP
b. National Council of State Boards of Nursing
1. Substance Abuse Disorder Survey
c. U.S. Equal Employment Opportunity Commission
1. Americans with Disabilities Act
IV. Pros
a. Incentive
1. Increase in self-reporting
b. Assistance
1. Decrease/prevent nursing shortage
c. Patient Care
1. Better and safer environment
V. Cons
a. Risk
1. Jeopardized patient’s health
b. Co-workers
1. Increased work load
c. Economy
1. Facility pays for treatment programs
VI. Conclusion
Impaired Nurses Working After a Treatment Program
The nursing profession has an honorable position in society (Harris Poll, 2005). Nurses are responsible for the lives and health of others, to which they provide intimate care. However, nurses are not immune to the disorders that affect their patients. As a result, some are unable to practice due to some type of impairment, which is defined as a situation in which an individual is rendered unable to perform their professional duties and responsibilities in a reasonable manner because of a variety of health problems, including physical disease, psychiatric problems, substance abuse, and chemical dependence (Lectric Law Library, 2010). In fact, the American Journal
References: American Journal of Nursing. (2009). Impaired Nurse Resource Center. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN.aspx American Nurses Association Berens, M.J. (2000, September 12). Problem nurses escape punishment: State agency often withholds the key details of violations. Chicago Tribune, 1. Corinth, G. (1997). Nurses in need. Today: The Medical College of Georgia 16(3): 14-15. Daniel, I.Q. (1994). Impaired professionals: Responsibilities and roles. Nursing Economics 2(3): 190-195. Dunn, D. (2005). Home study program. Substance abuse among nurses-Defining the issue. AORN Journal, 82 (4), 572. Harris Poll (2005). Firemen, Doctors, Scientists, Nurses, and Teachers Top List as “Most Prestigious Occupations,” According to latest Harris Poll. #69 September, 8 2005. Hendrix, M.J., (1997). Perceptions and Attitudes Toward Nursing Impairment. Research in Nursing and Health, 10(5) 323-333. ISNA/ISNAP 2006 Fall workshop a big success. (November, December 2006, January 2007). Indiana State Nurses Association bulletin. Vol. 33. No. 1 The Lectric Law Library National Council of State Boards of Nursing. (2010). Disorder Guidelines. Retrieved from http://www.ncsbn.org Rogers, M.E U.S. Equal Employment Opportunity Commission. (2000). U.S. Department of Justice Civil Rights Division. Americans with Disabilities Act. Questions and Answers. Retrieved from www.usdoj.gov/crt/ada/qandaeng.htm Winokur, S