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Substance Abuse Policies for Anesthesia

Bernadette Roche Book Cover, Medium


Substance Abuse Policies for Anesthesia:
Time to Re-Evaluate
Your Policies and Curriculum

by Bernadette T. Higgins Roche, CRNA, EdD
Administrative Director
Evanston Northwestern Healthcare School of Anesthesia, Evanston, Ill.

A comprehensive resource for anesthesia providers and the first book to collect the policies, procedures and structure needed in anesthesia departments to educate and protect practitioners through better understanding of substance misuse and dependency.

"This compendium is an incredible resource for us all. My hope is that every anesthesia provider will take the opportunity to learn from her work."
Jim Walker, CRNA, MS
Associate Professor Anesthesiology
Baylor College of Medicine, Houston, Texas

Chapters include:

  • Physiological Basis of Addiction
  • Epidemiology of Substance Abuse and Chemical Dependency
  • Identification of a Chemically Impaired Anesthesia Provider
  • Prevention, Education, Intervention, and Treatment
  • Diversion and Reentry to Practice
  • Policy Development
  • Model Substance Abuse Policy and Tools
  • Policy Supplements
    1. Substance Abuse and Chemical Dependency Educational Programs
    2. Substance Abuse and Chemical Dependence Resources
    3. Unfit for Duty Record
    4. Chemical Impairment Checklist
    5. Review of Records
    6. Consent for Drug and Alcohol Screen
    7. Consent for Assessment for Chemical Dependence
    8. Reentry Contract
    9. Consent for Release of Information
  • Societal Implications of Chemical Impairment

This book is available through the AANA Bookstore for a nominal charge of $15 per copy.

Substance Misuse and Chemical Dependency Brochure


Also available through the AANA Bookstore, this educational brochure about substance abuse and chemical dependency is provided for CRNAs, student nurse anesthetists, family members, colleagues, managers, and the public. It includes Scope of the Problem, Intervention and Treatment, Aftercare and Successful Reentry. Additionally it opens to a Signs and Behaviors of Impaired Colleagues flyer (8 x 14 inches) to post in your workplace.


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