ASHP Chapter 1 Controlled Substance (CS) Diversion Flashcards
Drug diversion has a major impact on these three area:
1-public health.
2-social welfare.
3-economic burden -
This is an indication that drug diversion may be occurring in home health care:
V-unwillingness to allow medication monitoring
2-history of substance use disorder of someone in the home, right?
3-family members appearing to be under the influence.
4-frequent refills or quick “as needed” (PRN) and use
5-family discord
6-conflicting accounts related to medication.
7-medication lost or disappearing.
8-frequent requests for higher medication doses.
9-reluctance to dispose of medication’s after a patient death
. This is an indication that drug diversion may be occurring in home health care:
What class does Buprenorphinr/Naloxone ( Suboxone) belong to?
Buprenorphine used to treat dependents/addiction to opioids(narcotics). Buprenorphine belongs to class of drug, partial opioid agonist – antagonist. It helps prevent withdrawal symptoms when caused by stopping other opioids by producing similar effects to this drug.
It is best defined as the diversion of illicit drugs for elicit purpose. It involves the diversion of drug legal and medically necessary used towards uses that are illegal, and typically not medically authorized or necessary.
Drug diversion
The best defined as the diversion of illicit drugs for illicit puppets. It involves the diversion of drugs from legal and medically necessary uses tours uses that are illegal, and typically not medically authorized to necessarily.
Definition of drug diversion
Five classes of drugs that are frequently abused:
1-opioids
2-depressants
3-hallucinogens.
4-stimulants
5-anabolic steroids
Drug Diversion and Public Health:
How many lives lost in the United States every day from overdosing on opioids
130
1-public health
2-social welfare.
3-economic burden
Drug diversion impact on 3 areas
Drug diversion and public health :
An infected healthcare worker
In the process of diverting narcotic self -used can pass?
That employee get infected in the process of diverting can pass on hepatitis C virus to approximately 36 patient
I study conducted by CDC, which noted sex, substitution, and tempering relate to outbreak recorded in hospital:
Settings over a ten-year period beginning meaning in 2004 : fentanyl
Drug Diversion and Public Health:
Effect on the patient three examples
1-procure delivered by an impaired healthcare provider
2-withholding pain medication from patient in need it
3-risk of infection due to tampering with injectable
-deaths
-Neonatal abstinence syndrome
-HIV
-hepatitis C
Drug Divertion : Societal Impact
1-there is Violet and property. Crimes associate with controlled substance, diversion and abuse.
2-increases in crime rate often result in higher budgetary expenditures for additional law enforcement resource.
3-higher health insurance premium.
4-prudent in the purchase of substance abuse treatment providers
Signs of an Impaired Health care Worker :
1-work absenteeism— absence is without notification/associate number of sick days
2-frequent disappearances from the worksite, having long unexplained absences, making improbable l excuses, and taking quickly on long trip to bathroom or to stockroom where drugs are kept
3-excessive amount of time to spend near drug supply
4-unreliability in keeping appointment and meeting deadlines
5-work for Formans, which alternate between periods of high and low productivity, and may suffer from mistakes, made due to inattention, poor judgment, and best decisions.
6-confusion, memory, loss, and difficulty concentrating or recalling details and instruction.
7-ordinary task we quite greater effort and consume more time
8-interpersonal relations with colleagues, staff and patient suffer, and really admit arrows or except blame for arrow or oversight.
9-heavy”” “ wastage” of drugs
Physical signs of potential diversion:
1-frequent running nose
Frequently running nose
Slurred speech
Unsteady gait
Sleepiness
Shakiness or trimmer
Progressive deterioration in personal appearance and hygiene
Watery eyes /constricted, or dilated pupils
Physical sign of Potential Diversion
Other signs potential diversion
-personality change-anxiety, depression, severe move swing
- Sloppy record keeping/suspect ledger entries
-error in judgment / retail relation in performance unit
-Work absences, tardiness
-Elaborate excuses/exten!ded break
-Wearing long sleeves when inappropriately
-existence and personal administration.p of drugs to patient.
Oxycodone, morphine.
Alprazolam, Clonazepam
Dextromethorphan, ketamine
Methylphenidate, ,amphentamine
Testosterone
Five classes of drugs that are frequently abused
Which medication drug it helps prevent withdrawal symptoms when caught at by stopping off the opioids by producing similar effect to this drug
Buprenorphine and buprenorphine, naloxone, Subone( CIII)
Buprenorphine and buprenorphine is class of drug called partial opioid, agonist-antagonist,
Naloxone is class of drugs calls opioid antagonist
A healthcare worker practicing while impaired can pull devastating risk to ?
Patient safety
When professional Judgment is impair, the rules for what?
When, for profession judgment is impair, the risk for malpractice and come from my patient, safety become significant
What is electronic database that allow for tracking control substance prescription with in a given area?
Prescription drug monitoring program called PDMP
-all 50 states have functioning PDMPs
-Participating in a PDMPs can alert providers a potential indicator of diversion
What are stopped diversion in-home care?
1-unwillingness to allow medication in monitoring.
2-history of substance use disorder for someone in the home.
3-family members appearing to be under influence.
4-frequent refill/quick “as needed” (PRN ) use.
5-family discord.
6-conflicting account related to medication’s.
7-medication loss/disappearing.
8-frequent requests for higher medication doses
9-reluctant to dispose of medication after a patient’s death
What are 2 things that motives for diversion drugs:
Personal use and personal gain
1-people are not necessarily bad people.
2-people turn to divertion as the result of an injury or personal struggled.
3-health care workers experiencing exhausting stress, burned out.
4-have access to an availability of controlled substances.
5-could be people you work with, friends, or even family members
People who divert drugs:
Which areas of divertion happen?
1-receiving areas.
2-storage areas.
3-automated dispensing cabinet.
4-medication/transportation cart like emergency or Hospital.
5-Employee. (pharmacy.)
6-waste and sharps containers
7-home health/family.
8-Mail rooms (mail out prescription)
9-medical practices.
10-manufacturing/distribution facilities
