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West Virginia Drug Diversion

Contact Hours Awarded: 3.5

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Course Overview

West Virginia Drug Diversion

Author: Cheryl Carlin
MSN, RN, CNE

In 2018, West Virginia had not only the highest opioid-related death rate in the nation, but also the highest synthetic opioid-related death rate (46). In 2019, West Virginia ranked in the top 10 for opioid dispensing rates, with a rate of 59.4 per 100 persons being prescribed an opioid (10), which is well above the national average of 46.7 per 100 (9). While this number has consistently decreased since 2006, the numbers of individuals in West Virginia affected by addiction and overdose remains high (30).  

In an effort to address these concerns, the West Virginia Board of Nursing requires annual education for nurses who prescribe, administer, or dispense controlled substances (45). This West Virginia Drug Diversion course will address issues concerning the opioid crisis, including best practices for prescribing controlled substances, managing patients who divert, behaviors associated with drug-seeking and substance use disorders, providing patient education on opioid use, storage, disposal, and reversal agents, as well as use of the West Virginia Controlled Substance Automated Prescription Program (CSAPP). 

Course Outline

  1. Introduction 
  2. Epidemiology of Pain and Substance Use Disorder
    – Pain
    Substance Use Disorder 
  3. Opioids
    – Indications and Action
    Contraindications and Precautions
    Adverse Effects
    Toxicity 
  4. Pain Management Using Opioids
    Assessment
    Addiction Risk Assessment
    Treatment Options and Goals 
    – Ongoing Monitoring
    Referrals
    Treatment Agreements and Informed Consent
    Discontinuing Opioid Therapy 
  5. Patient Education
    Safe Use of Opioids
    Proper Storage and Disposal
    Opioid Antagonists 
  6. Drug Seeking and Diversion
    Patients 
    Drug Diversion in Nursing 
  7. Prescription Drug Monitoring Programs
    Use of CSAPP 
  8. Case Study  
  9. Summary 
  10. References

Accreditation Statement

Nursing CE Central is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

In this course we will discuss drug diversion, substance use, and patient education, as required by the West Virginia Board of Examiners for Registered Professional Nurses. It will take the average learner 210 minutes to complete.

Course Objectives

After completing this course, the learner will be able to:

  1. Identify best practices in the prescribing of controlled substances. 
  2. Identify behaviors associated with drug-seeking and substance use disorders. 
  3. Describe best practices for managing patients who display drug seeking behaviors and diversion. 
  4. Describe appropriate patient education related to use, storage, and proper disposal of opioid medications, administration of opioid reversal agents, and basics of substance abuse. 
  5. Discuss legal consideration when treating patients prescribed controlled substances. 

Target Audience

  • Registered Nurses (RN)
  • Advanced Practice Registered Nurses (APRN)
  • Licensed Practical Nurses (LPN/LVN)

Requirement for Completion

  1. Enrollment in the course by the learner
  2. Read and learn all course materials
  3. Complete the course evaluation
  4. Attest and testify learning of the course materials

Accreditations + Approvals

  • American Nurses Credentialing Center (ANCC) (P0614)
  • California Board of Registered Nursing (CEP 17418)
  • Kentucky Board of Nursing (7-0090)
  • Louisiana State Board of Nursing (58)
  • New York State Department of Education (IC 208)
  • Florida Board of Nursing (50-23983)

Conflict of Interest Statement

Nursing CE Central nor any of the authors, planners, content experts or any contributors have a commercial interest nor were influenced by commercial interests in the creation of this course, financially or otherwise.

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Course created on: June 08, 2021

Course Expires on: June 08, 2024

Course Offering: #84