All Anesthesia:: Wearing Masks Programs

Wearing Masks Programs...The Potential for Drug Addiction in Anesthesia

Wearing Masks II

Wearing Masks I (time: 30 minutes) complete original version
Wearing Masks One was produced in 1993 and has been used in anesthesia practice since then. All Anesthesia realized that it was important to keep Wearing Masks I in distribution and therefore chose to add it as a Program included in Wearing Masks II.

Wearing Masks: Ten Years Later (time: 32 minutes)
The content of this program focuses on addiction in the workplace. Crucial information is provided by experienced substance addiction specialists: Dr. Lynn Hankes, Executive Director of a Physicians Health Program; and Dr. John Lecky from Wearing Masks I and several others.

Other information concerning the use of anesthesia drugs, demonstrated by three members of a family with addiction problems, is presented as well as an update on the status of addiction by Dr. Hornbein.

Well-being in private practice with Dr. Connie Ward (time: 5 1/2 minutes)
In this brief interview Dr. Connie Ward describes how his Well-Being Committee works to prevent and address substance addiction problems in the 8th largest private practice group of anesthesia practitioners in the US.

Risk Factors for Relapse in Healthcare Professional with Substance Use Disorders from JAMA March 23/30, 2005.
Copyrighted © 2005, American Medical Association. All Rights reserved.

Wearing Masks III is divided into 3 parts

Contradictions (time: 25 minutes)
Why is there addiction, and who is addicted? An overview of drug use in the society of the United States is examined and related to those practicing medicine. Specifically what does addiction disorder look like inside the mind of the addict and his family?

The Tim Glidden Story (time: 14 minutes)
An in-depth interview with an alcoholic who confronted his addiction and called for help. The Tim Glidden Story is one of hope for treatment and recovery.

Alteration and Destruction of Brain Pathways (time: 14 minutes)

Special graphics showing the effects of anesthesia-based drugs on brain pathways will be featured in this program. An expanded demonstration will show how this negatively affects the ability of an addict to successfully complete treatment and recovery.
This information demonstrates how brain damage from opioid narcotics is non-reversible in the short term.

Wearing Masks IV

Intervention (estimated time: 25 minutes)

The many facets of intervention will be examined and discussed. Representational parties may include the substance user, a family member, an anesthesia point person, a unit manager, a chairman, a representative of Physicians Health Program, a colleague, a Peer Assistance advisor as well as a specialist in intervention counseling. The program will include presentation of evidence, concerns as well as legal aspects of legal aspects of intervention. This overall program will be an illustration of the difficulties in conducting a successful intervention.

Pathways to the Return to Practice (Reentry process) (estimated time: 25 minutes)

This part of the program will take the situations of a variety of practitioners coming out of successful treatment into recovery who need to be supervised and integrated back into practice.

> Two knowledgeable and experienced anesthesia practitioners will be featured.

• Dr. Connie Ward, Chair, Well-Being Committee, Anesthesia Service Medical Group
• Heather Wilson, CRNA, MS, member AANA Peer Assistance Committee

> and a knowledgeable health care attorney

• Jodie Brokowski, Lead Attorney, Team Health Anesthesia Management Services

In addition, a sequence will be added from the successful Simulation Laboratory at Mt. Sinai Medical Center in New York City. This anesthesia unit assists recovering addicts reentering the specialty.

Content of this program will include the process of reentry:
A reentry contract; training on an anesthesia simulator; how to handle call, nights, and weekends; reporting and surveillance procedures; integration scenarios; mandatory urine testing; liability issues; confidence in interaction with other specialties e.g., surgeons; and insurance issues and procedures. Institutional credentialing and state regulatory issues will be addressed.