Course
West Virginia Drug Diversion
Contact Hours Awarded: 3.5
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Course Overview
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
- Introduction
- Epidemiology of Pain and Substance Use Disorder
– Pain
– Substance Use Disorder - Opioids
– Indications and Action
– Contraindications and Precautions
– Adverse Effects
– Toxicity - Pain Management Using Opioids
– Assessment
– Addiction Risk Assessment
– Treatment Options and Goals
– Ongoing Monitoring
– Referrals
– Treatment Agreements and Informed Consent
– Discontinuing Opioid Therapy - Patient Education
– Safe Use of Opioids
– Proper Storage and Disposal
– Opioid Antagonists - Drug Seeking and Diversion
– Patients
– Drug Diversion in Nursing - Prescription Drug Monitoring Programs
– Use of CSAPP - Case Study
- Summary
- 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:
- Identify best practices in the prescribing of controlled substances.
- Identify behaviors associated with drug-seeking and substance use disorders.
- Describe best practices for managing patients who display drug seeking behaviors and diversion.
- Describe appropriate patient education related to use, storage, and proper disposal of opioid medications, administration of opioid reversal agents, and basics of substance abuse.
- 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
- Enrollment in the course by the learner
- Read and learn all course materials
- Complete the course evaluation
- 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 Expires on: June 08, 2024
Course Offering: #84