Professional issues 4 Flashcards
Compared to other health care specialties, substance use disorder _____________ anesthesia providers
disproportionally affects
A substance abuse disorder is the
recurrent use of substances that lead to clinical and functional impairment (a disease of the brain)
Addiction is a
need (psychological or compulsive) for a substance
____________ is the inability to safely participate in life (or professional) activities
Impairment
________ occurs when more drug is needed to achieve a given effect (intoxication) or a given dose of a drug produces a lesser effect
Tolerance
______________- is a characteristic syndrome that is the direct result of stopping or reducing the use of a drug
Withdrawal
Physical risk factors for developing substance use disorder include
acute or chronic pain
Psychological risk factors for developing substance use disorder includes
anxiety/depression/other psychological disorder
low self-esteem
low tolerance for stress
Behavioral/social risk factors for developing substance use disorder include
risk-seeking behavior
poor coping skills
history of trauma, abuse, stressful environment
personal/family history of alcohol/drug use/addiction
Workplace-specific risk factors for developing substance use disorder includes
production pressure
fatigue and/or burnout
irregular work hours
poor work-life balance
All of the following signs or symptoms are characteristic of substance abuse EXCEPT:
a. intense emotional response to a medical error
b. difficult to locate after breaks
c. frequent requests to work late or take call
d. emotionally labile and moody
a. intense emotional response to a medical error
Typical behaviors of an impaired provider include
poor performance with errors, accidents, or injuries that are inadequately explained
refuses drug testing
track marks, bloodshot eyes, significant weight loss or gain
frequent and unexplained tardiness, absences or illnesses often with elaborate excuses
Behaviors associated with drug diversion include
using more drugs for cases than colleagues
volunteers for cases with high opioid administration
inappropriate drug choices or drug doses
provider’s patients have high pain scores or uncontrolled pain
“missing” medications
For a provider with a history of substance abuse, __________ is recommended before returning to anesthesia practice
one full year in recovery
The provider with a recent history of substance misuse should participate in a monitoring program for at least _____________ in length with random drug testing
for at least 5 years
When confronting a suspected impaired provider, the following should be done
do not let the person out of your site and do not let them drive
have a bed in a treatment facility available
do not let the impaired person decide their treatment
only when all else fails, threaten to call the police
disclose to state licensing board
Identify the major goals of the institute for healthcare improvement triple aim’s broad conceptual approach to improving health outcomes (select 3):
a. avoid waste of supplies
b. improve patient experience
c. build an engaged leadership
d. improve population health
e. provide holistic care
f. reduce per capita costs
b. improve patient experience
d. improve population health
f. reduce per capita costs
Patient-centered care is based on four concepts:
dignity and respect
information sharing
participation
collaboration
______________ is emphasized as a strategy to reduce healthcare disparities and improve equity
Cultural competence
The National Institute of medicine describes the six domains of high-quality health care:
patient-centered
safe
effective
timely
efficient
equitable
