Bold Voices - December 2017 - 17

AT THE BEDSIDE

Unused Opioids May Pose Health Hazard
prescription. They kept the leftover
medications, placing the drugs at
greater risk for misuse, reports a related
article in FierceHealthcare. About 73 to
77 percent said they do not keep their
prescriptions in locked containers.
In addition, 90 percent of these
patients don't dispose of leftover opioids

appropriately, with just a few (4 to 9
percent) considering a disposal method,
such as returning unused medications
to a pharmacy, approved by the Food
and Drug Administration.
REFERENCE: Bicket MC, Long JJ, Pronovost PJ, Alexander
GC, Wu CL. Prescription opioid analgesics commonly
unused after surgery: a systematic review [published
online August 2, 2017]. JAMA Surg. doi:10.1001/
jamasurg.2017.0831.

DEA's Prescription Drug Take Back Days
The U.S. Drug Enforcement Administration (DEA) continues to announce periodic
National Prescription Drug Take Back Days, which are held at local collection sites
across the U.S. The DEA's goal is to provide a "safe, convenient, and responsible
means of disposing of prescription drugs" and educate the public about the
potential for abuse.
Statistics for the April 29, 2017, event note that 5,498 sites participated from
every state, plus Guam, Puerto Rico and the U.S. Virgin Islands. About 450 tons
of drugs were collected in one day.

17
AACN BOLD VOICES DECEMBER 2017

P

ostoperative prescription opioids
are often unused and unlocked,
which could contribute to
nonmedical use and cause injury or
death.
"Prescription Opioid Analgesics
Commonly Unused After Surgery: A
Systematic Review," in JAMA Surgery,
reviewed six studies involving 810
adult patients. "Medline, Embase
and Cochrane Central Register of
Controlled Trials were searched from
database inception to October 18,
2016, for studies describing opioid
oversupply for adults after a surgical
procedure. The primary outcome -
opioid oversupply - was defined as
the number of patients with either
filled but unused opioid prescriptions
or unfilled opioid prescriptions."
The review determined that 67 to
92 percent did not use an entire opioid


http://www.fiercehealthcare.com/healthcare/many-patients-prescribed-too-many-opioids-and-fail-to-dispose-them-study-finds http://www.fiercehealthcare.com/healthcare/many-patients-prescribed-too-many-opioids-and-fail-to-dispose-them-study-finds http://www.jamanetwork.com/journals/jamasurgery/article-abstract/2644905 http://www.jamanetwork.com/journals/jamasurgery/article-abstract/2644905 http://www.jamanetwork.com/journals/jamasurgery/article-abstract/2644905 https://www.deadiversion.usdoj.gov/drug_disposal/takeback/ http://aacn.org/store

Table of Contents for the Digital Edition of Bold Voices - December 2017

Another Angle
Pres Note Front Teaser
Masthead
AACN Updates Scope and Standards for Acute Care Nurse Practitioners
NTI 2018: Make Your Case for Attending and Register by December
Certification Holiday Reflections
Certified Nurses Day 2018
The Spirit of Giving: One Certified Nurse’s Contributions
Improving Joy in Work
Invest in Yourself With an AACN Scholarship
Disinfectant Use Associated With COPD in Nurses
The Joint Commission Revises NPSG 7 Requirements
Guidelines: Noninvasive Ventilation for Acute Respiratory Failure
High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
FDA Clears MRI System for Premature Babies
New Assay Can Distinguish Bacterial From Viral Infections
Missions of Mercy
How Hospitals Can Save Without Sacrificing Care
DNA Cancer Screening Shows Potential
Smartphone App May Help Screen for Pancreatic Cancer
Cardiologist-Intensivist Model Improves Outcomes
Social Media: Legal and Ethical Issues
Unused Opioids May Pose Health Hazard
AACN’s Facebook Community Weighs In
Conscientious ‘Nudges’ Can Help Patients and Families
Helping ICU Patients With Spiritual Needs
In Our Journals
Transitions
President’s Note
Bold Voices - December 2017 - Cover1
Bold Voices - December 2017 - Cover2
Bold Voices - December 2017 - Pres Note Front Teaser
Bold Voices - December 2017 - Masthead
Bold Voices - December 2017 - NTI 2018: Make Your Case for Attending and Register by December
Bold Voices - December 2017 - Certified Nurses Day 2018
Bold Voices - December 2017 - The Spirit of Giving: One Certified Nurse’s Contributions
Bold Voices - December 2017 - Invest in Yourself With an AACN Scholarship
Bold Voices - December 2017 - The Joint Commission Revises NPSG 7 Requirements
Bold Voices - December 2017 - High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
Bold Voices - December 2017 - New Assay Can Distinguish Bacterial From Viral Infections
Bold Voices - December 2017 - 12
Bold Voices - December 2017 - 13
Bold Voices - December 2017 - How Hospitals Can Save Without Sacrificing Care
Bold Voices - December 2017 - Smartphone App May Help Screen for Pancreatic Cancer
Bold Voices - December 2017 - Social Media: Legal and Ethical Issues
Bold Voices - December 2017 - Unused Opioids May Pose Health Hazard
Bold Voices - December 2017 - 18
Bold Voices - December 2017 - 19
Bold Voices - December 2017 - Transitions
Bold Voices - December 2017 - 21
Bold Voices - December 2017 - President’s Note
Bold Voices - December 2017 - Cover3
Bold Voices - December 2017 - Cover4
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