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  • Impaired Nurse Treatment Program Intake Form

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WEST VIRGINIA DISCIPLINARY ALTERNATIVE PROGRAM FOR IMPAIRED REGISTERED PROFESSIONAL NURSES INTAKE FORM Date Completed: Completed By: Name: Date of Birth: Home Phone: Work Phone: Mailing Address: Sex:.

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Intervention Project for Nurses (IPN) was established in 1984 through legislative action to ensure public health and safety through a program that provides close monitoring of nurses who are unsafe to practice due to impairment as a result of misuse or abuse of alcohol or drugs, or both, or due to a mental or physical ...

The intense pressure of being responsible for the well-being of patients can be overwhelming for nurses, and this stress can be only exacerbated by inadequate support and increased work overloads. Studies have shown that chronic stress enhances substance use and is a major risk factor for the development of addiction.

According to Journal of Clinical Nursing, approximately 20 percent of all nurses struggle with an addiction to drugs or alcohol.

The American Nurses Association suggests that up to 10% of the RN work force may be dependent on drugs or alcohol.

Impairment results when a health professional, such as a physician, nurse, or allied health professional, is unable to provide competent and safe patient care because they are impaired by alcohol, prescription or nonprescription drugs, or mind-altering substances.

You can also call us on 1300 419 495 and tell us that you want to make a notification. Our website also has information about how we handle both mandatory and voluntary notifications. It also explains how to raise a concern if you are in Queensland or New South Wales.

Impairment occurs when a nurse is unable to provide safe patient care due to using a mood or mind altering substance, having a physical condition or a distorted thought process from a psychological condition (Intervention Project for Nurses, 2015).

Generally half of nurses who attempt recovery succeed, with many state monitoring programs reporting success rates from 48%15 to 90%.

Common physical signs and symptoms of a substance-abusing nurse include shakiness/tremors; fatigue; slurred speech; alcohol on breath or frequent use of mints, gum and mouthwash; diaphoresis; unsteady gait; runny nose; frequent mood changes; weight gain or loss; frequent nausea, vomiting and diarrhea; constricted/ ...

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232