PARTICIPANT
ORIENTATION COURSE
C R E AT E D B YR O B I N A . L E W I S , E d D , M S N , F N P - B C , R N R E V I S E D B Y
S A N D R A H U D S O N , R N , B S N , C M H P
Epidemiology
World Health Organization (WHO) reports that
alcohol and illicit drug use amounts to 5.4% of the
total burden of world disease (2012).
An estimated 22% of Americans aged 18 and older or
about 1 in 5 adults suffer from a diagnosable
Epidemiology
Substance use disorders estimated to occur in 1 in 5 or
20% of the population of nurses sufficient enough to
impair practice (Monroe, Pearson & Kenaga, 2008).
Others estimate nurses generally misuse alcohol and
drugs at nearly the same rate of 10% to 15 % as the rest
of the population. That means if you work with 10
nurses 1 of them is likely struggling with a substance
Regulatory Management
Alternative to discipline programs allow nurses with
substance use disorders or psychological conditions in recovery to remain active in nursing while being monitored. (Fogger & McGuinness, 2009).
These programs promote patient safety through
early intervention and quick entry into monitoring (Fogger & McGuinness, 2009).
History
Senate Bill 379
West Virginia Restore (WV Restore) a monitoring
and recovery program for nurses, was established in July 2012, in order to assure patient safety while the nurse is healing.
As the name expresses, the goal is to help restore
Program Overview
WV Restore History
Mission
Objectives
Entry Process Monitoring
Mission
To protect the public by providing a monitoring and
recovery program for nurses with a substance use
Objectives
Provide a confidential voluntary alternative program
for affected nurses to be rehabilitated and monitored in a therapeutic non-punitive and confidential
manner.
Require a nurse to withdraw from practice
immediately, and until such time WV Restore
establishes that he/she is able to safely return to the practice of nursing.
Objectives
Provide monitoring of the registered professional
nurse who is actively involved in a recovery program.
Provide education programs on substance use
disorders and qualifying mental health conditions that may affect the practice of nursing.
Resources
Treatment
Evaluation
Support Education
Contact
WV RESTORE Main#: (304) 932-7675
Secondary#: (855) 855-7880 Fax #: (904) 853-5638
Mailing Address: P.O. Box 11626
Charleston, WV 25339
Web Address: WVRestore.org
Resources
WV Restore Forms, Handbook, Employer,
Participant, and Nurse Support Group Facilitator Orientation Courses all online at the WV RN Board
website homepage at http://www.wvrnboard.com/
or wvrestore.org
Confidential communication for questions and form
submissions can be made at
[email protected] Sandra L. Hudson, RN, BSN, CMHP, WVR Clinical Director, Case Manager
Entry Criteria
A nurse self-reports, or is referred by another
individual/employer, or the West Virginia Board of Examiners for Registered Professional Nurses.
Holds or is eligible for licensure as a registered
professional nurse in the State of West Virginia or in the process of applying for licensure.
Entry Criteria
Has not been terminated from this, or any other,
alternative program for non-compliance, unless entry is directed by WV RN Board.
Abuses currently or has in the past, drugs and/or
alcohol in a manner which may affect the nurse’s ability to practice safely.
Has psychological conditions and symptoms which
Entry Process Requirements
A nurse contact seeking entry into WV Restore is
initially screened by staff and then completes an evaluation by an approved certified addictions
counselor for substance use disorders and or board certified psychiatrist for mental health conditions
Evaluation Process
The evaluation process includes recommendations
regarding a treatment plan.
Factors considered in determining the type, modality
and duration of treatment include:
Types of drugs and/or alcohol used Frequency of use patterns
Severity of addiction Psychiatric problems
Administrative and/or criminal implications of the drug use Withdrawal symptoms
Monitoring Contracts
Voluntary Monitoring Contract includes
Date of participation Length of participation
Treatment/continuing care and Aftercare Nurse Support Facilitated Group attendance Random body fluid, hair, or nail sample screens
Health care (any prescribed medication must be reported) Job performance, status, and any practice restrictions
Monitoring Contracts
WV Restore participants must submit quarterly
self-reports, treatment provider progress reports, nurse support group facilitator reports, twelve step program reports, individual counseling reports, or other reports requested by WV Restore during the monitoring contract by the due date as noted in the contract. Quarter’s are: January, April, July, and October
It is the responsibility of WV Restore participants
to contact and provide forms to treatment
providers, nurse support group facilitators and immediate supervisor.
Re-entry to Workplace
Obtain approval from WV Restore.
Provide the monitoring contract to the employer.
Obtain information from your immediate supervisor.
Provide your immediate supervisor WV Restore
contact information and copies of your quarterly
Re-entry to Workplace
Notify Immediate Supervisor they must complete and
submit your Work Performance Evaluation Form by the due date.
Restricted from agency, home health, home hospice,
chemical dependency nursing, or float outside the areas supervised by your manager, travel nursing, shifts /day > than 12 hours, or hours/week > than 40.
No odd schedules, lack of supervision, or unlimited
access to controlled substances or other substances of abuse.
References
American Nurses Association. (2007). Psychiatric mental
health nursing: Scope & standards of practice. Silver Spring, Maryland: ANA.
Fogger, S. A., & McGuiness, T. (2009). Alabama’s nurse
monitoring programs: The nurse’s experience of being
monitored. Journal of Addictions Nursing, 16(4), 169-182.
Monroe, T., Pearson, F. & Kenaga, H. Procedures for
handling cases of substance abuse among nurses: A
comparison of disciplinary and alternative programs. 19 (3), 156-161.
References
National Council of State Boards of Nursing (NCSBN).
(2011). Substance Use Disorder in Nursing: A resource manual and Guidelines for alternative and Disciplinary
Monitoring Programs. Chicago, IL: NCSBN.
Smith, L. L. (2010). Recovery maintenance Workbook for
Nurses. (2nd Ed.). Linda L. Smith & Associates, LLC: USA.
Smith, L.L. (2010). Recovery Maintenance: A Companion
Guide for Group Facilitators. Linda L. Smith & Associates, LLC: USA.
References
World Health Organization ( 2012). Retrieved October 22,
