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CATCH ME…. (IF YOU CAN)

The Impaired Provider.

Rodrigo Garcia• Husband & Father

• RN, MSN, APN, CRNA, MBA• Parkdale Center for Professionals

Co-Founder & CEO• Parkdale Solutions, Health Experts

in Loss Prevention, Co-Founder • Great Lakes Anesthesia,

Chief Anesthetist

Today’s Speaker

A GAMEOF

CHANCE

SUBSTANCE USE DISORDER,THE TIES THAT BIND

A. Addiction in the General Population

B. Know an Addict or Alcoholic

C. Addicted Health Care Professionals

D. Family Member is an Addict/ Alcoholic

• 1:3 or 33%

• 1:10 or 10%

• 1:15 or 7%

• 1:7 or 15%

Match the Sides

SUBSTANCE USE DISORDER,THE TIES THAT BIND

A. Addiction in the General Population

B. Know an Addict or Alcoholic

C. Addicted Health Care Professionals

D. Family Member is an Addict/ Alcoholic

• 1:10 or 10%

• 1:3 or 33%

• 1:7 or 15%

• 1:15 or 7%

SUBSTANCE USE DISORDER,THE TIES THAT BIND

• 80% OF WORLD’S OPIATES

• 90% OF WORLD’S HYDROCODONE

• 80% OF WORLD’S AMPHETAMINES

- N A T I O N A L I N S T I T U T E O N D R U G S- N A T I O N A L S A F E T Y C O U N C I L

“Prescribed to Death”

1. Characteristics

2. Compulsive Necessity

3. Enabling & Misdiagnosing

4. Inadequate Intervention

5. Expert Knowledge

5 Factors of Chance

#1 CHARACTERISTICS

• D I S H E V E L E D

• U N E M P L O Y E D

• I R R E S P O N S I B L E

• D E G E N E R A T E

• C R I M I N A L

• D I R T Y

……Under the Bridge

C H O I C E V . S . D I S E A S E

#2 COMPULSIVE NECESSITY

I THINK I CAN *I THINK I CAN *I THINK I CAN * I THINK I CAN

100 ug Reading, laughing, Smelling flowers (Dopamine Levels)

Frontline-The Meth Epidemic, 2006

150 ug- Food (Dopamine Levels)

Frontline-The Meth Epidemic, 2006

200

300350

400450

050

100150200250300350400450500

Sex Tobacco Alcohol Cocaine Opiates

Dopamine Levels

. ug Dopamine 2 ..

Frontline-The Meth Epidemic, 2006

200

450

1200

0

200

400

600

800

1000

1200

1400

Dopamine Levels

Endogenous Exogenous Methamphetamines

Frontline-The Meth Epidemic, 2006

#3 Enabling and Misdiagnosing

Over-commitment, Potential Loss, &

Hesitation to Change

60%Incarceration Prosecution

10%TreatmentEducation

ReentryM.A.T

Aftercare Support

5% Gangs

15% Just Say “No”

10% Borders

National Institute on Drug Abuse (NIDA) 2011 Report

#4Inadequate

Intervention

Management of the Impaired Provider

• BON

• OAG

• LEGAL

• ADT/ PHP

• EMPLOYER

• NBCRNA/ State Medical Assoc.

• CREDENTIALING

• NPDB

• OIG

• (TREATMENT CENTER)

Fate of the Health Care Professional

Detox 10% Success

Detox > Monitoring 60% Success

Detox > Treatment > Monitoring 1 year 85%(Accountability) 3 years 90%

5 years 95%

By the Numbers

A LW A Y S , O N E S TE P B E H I N D

#5 Expert Knowledge

• UDS

• U47700

• Policy & Procedure

• Propofol

• Testing Schedule

• Mass Spectrometry

Always, One step Ahead

What now?

SOLUTIONS

• Accept the “new face”

• Consider the Compulsion

• Objective Parameter

• Unify the Process

• Learn More

• Characteristics

• Accessibility & Necessity

• Enabling & Misdiagnosing

• Inadequate Intervention

• Expert Knowledge

Every 20 minutes someone overdoses and dies in the United States. By the time

We have completed this presentation, three Lives have been lost and three families

Will never be the same. Thank you, from The bottom of our hearts for Allowing us

to share our story and thank You for your willingness to make a difference.

Rigo & Claudia

Questions?

Thank you for you attention

Rodrigo Garcia Rgarcia@ParkdaleCenter.com

www.ParkdaleCenter.com219-929-5367 X1060

888-883-8433