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Tales From an ED Nurse

The Reality of Propofol Abuse

Published September 7, 2009 3:22 PM by Lorettajo Kapinos

I have been following the first season of Nurse Jackie closely. Not only am I enjoying the show, but I also find the heated debate around it very interesting. Ainsley Maloney's  coverage of the show at Advance Perspective has had great comments, as well as Suzanne Gordon's website.  

The show has brought the reality of drug addiction right to the forefront of my mind, as well as the many alleged drug related deaths that have happened this summer, including Michael Jackson, Billy Mays and now DJ AM (Adam Goldstein).

But what really blows my mind is the number of medical professionals abusing Diprivan/Propofol.  I was shocked when I saw a clip about it on CBS.  I had no idea that anyone would use this drug on themselves, so I began doing a little research myself.

According to one article from Anesthesiology News in 2007, the fatality from even one time use is as high as 40%.  And the numbers of professionals using the drug was even more alarming.  And apparently, the numbers are rapidly climbing. 

So how come I didn't know about this?  I administer the drug on occasion and am scared every time I do.  Not only does it decrease respiratory effort, but it can drop blood pressure and heart rate.  I am required to have resuscitation equipment near by at all times, just in case something happens.

Maybe Nurse Jackie is happening at the right time.  We should no longer hide the fact that drug addiction is real and dangerous.  By talking about it, maybe we could find some answers. 

 Have you had experience with a drug addicted co-worker?  Was the situation talked about in your place of employment? Is there a way for us to support each other in times of distress?

4 comments

I got fired for suggesting to the supervisor that she

get a drug screen on one of the charge nurses.  

Her behavior was agitated and she had that

typical "drug sweat."  I too, have been there

when nurses got caught...more than once!

She changed out a PCA pump of Dilaudid and

walked out with the waste.  I was the one that

got fired without notice...after earning two (2)

"Quality Performer" employee evaluations.

In retrospect...I didn't take into account that they were lovers,

and that the hospital would support them in their illegal effort

to get rid of me, without due process.  

I was totally railroaded in a kangaroo preceding!

What that teaches the other nurses it to “keep your head down

and do NOT report…if you want to keep your job.

I'm suing Pro Se and am in appeals because apparently

the courts want to see medicine continue to carve out huge

profits on Wall Street and continue to drive up the cost of medicine

    ...at ANY cost!

SAUNDRA COUNCE, ICU - RN November 9, 2009 10:11 AM
NASHVILLE TN

I have worked with nurses that I have later found out were abusing drugs.  What concerned me most is that these were nurses that I worked closely with and I had NO suspicion of any of them.  

It certainly made me doubt my powers of observation and insight.  In fact I had believed that these particular nurses were better equipped at handling on-the-job stress than I was.

They appeared to be better employees than I was.  Less griping and complaining, always cool under pressure, never missed a day.

Tina September 10, 2009 2:25 PM

Lynn, thanks for sharing your story. It is hard to know how to react in every given situation.

n September 10, 2009 1:43 PM

I have personally dealt with people in the healthcare field and drug use. My first experience was with a very intelligent RN who was aquiring meds for his addicted, and equally intelligent spouse. The second time involved my witnesses a waste and the RN taking it (the waste), saying, 'there's not much here', and drinking it in front of me. I'm the new nurse in the facility, but already see how the politics work, and am terrified to let anyone know, for fear of retaliation. But, as this nurse was caught in the mitts of missing morphine, I gained the strength to seek out and report it (late). Well, she admitted taking it, but said,'what was the big deal, it was only 5ml', (the first med) and left voluntarily. I got a 3 day suspension for NOT reporting in a timely manner. So, now I work very differently with all counted and over ridden meds and never afraid to tell my story.

Lynn, hospital - LPN September 8, 2009 2:14 PM
Dade City FL

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About this Blog


    Lorettajo Kapinos, BSN, RN
    Occupation: Registered Nurse
    Setting: Western Massachusetts
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