Tackling the Opioid Epidemic

Best Practice Nursing Care for Patients with Substance Abuse in Acute Care

Activity Details
  • Credit Amounts:
    • CNE: 1.00
    • Other: 0.00
  • Cost: Free
  • Release: Feb 7, 2017
  • Expires: Feb 7, 2020
  • Estimated Time to Complete:
    1 Hour(s)
  • System Requirements:
  • Average User Rating:
    ( Ratings)


Ashel A.  Kruetzkamp Ashel A. Kruetzkamp, MSN, RN, SANE
Emergency Department Nurse Manager
St. Elizabeth Healthcare
Edgewood, Kentucky

Needs Statement

Drug overdose is a huge problem facing the health care system in Kentucky. Drug overdose deaths are acute poisoning deaths due to prescription or illicit drugs. According to data from the National Center for Health Statistics, Kentucky had the second highest drug overdose death rate in the US in 2013.

Kentucky Injury Prevention and Research Center - http://www.mc.uky.edu/kiprc/  
Kentucky Department for Public Health http://chfs.ky.gov/dph/  
Released October 2015

Nurses encounter patients seeking prescription or illicit drugs in all work settings and routinely provide 24-hour care to patients in hospital. The staff nurse role is typically fulfilled at the bedside where nurses are in frequent contact with patients seeking health care who use illicit drugs (Natan, Beyil, & Neta, 2009) and face complex clinical and personal situations that require a high level of clinical competence, expertise, and skill (Ford, Bammer, & Becker, 2009). Advanced Practice Nurse Practitioners are concerned about prescribing opioids because of the problems with addiction and regulatory oversight. When asked to rank barriers to opioid prescribing, the NPs rated cost as the number one barrier and regulatory oversight and addiction as the second barrier - http://nurse-practitioners-and-physician-assistants.advanceweb.com/Continuing-Education/CE-Articles/Treating-Pain-in-Addicted-Patients.aspx.

Target Audience

Healthcare professionals caring for patients in acute care settings.


Upon completion of this educational activity, participants will be able to:

  • Identify patients with substance abuse
  • Identify care needed for the patient with substance abuse
  • Recognize a patient with substance abuse


The University of Kentucky, College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

This educational activity is offered for a maximum of 1.00 ANCC contact hour.

The Kentucky Board of Nursing (KBN) approves The University of Kentucky, College of Nursing (UKCON) as a provider as well. ANCC and KBN approval of a continuing nursing education provider does not constitute endorsement of program content nor commercial sponsors. The University of Kentucky does not approve commercial products. This educational activity is offered for a maximum of 1.2 KBN contact hours.

Provider #: 3-0008-01-18- 890. In order to receive credit, participants complete this CNE activity and submit a credit application and evaluation form online. Certificates may be printed once the evaluation is completed.

UK Healthcare CECentral certifies this activity for 0.00 hours of participation.

Faculty Disclosure

Michelle Lofwalll, MD (planner) has relevant financial relationships with commercial interests as follows:

  • Braeburn Pharmaceuticals - Consultant and Principal Investigator - Consulting Fees and Research Contract
  • PCM Scientific - Speaker - Honoraria

No speaker or other planners have any relevant financial relationships to disclose.

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speaker. In some cases, the presentation might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. The speaker will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

CE Content Concerns


Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504


  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.