Publication Date

2-20-2024

Degree Awarded Date

December 13, 2024

DOI

https://doi.org/10.48765/bfyy-nm10

Abstract

Background: There is an increasing incidence of propofol diversion and abuse amongst healthcare workers. Barnes Jewish Hospital (BJH) has implemented the Stericycle controlled substance disposal system (CsRx) in the operating rooms (ORs) to address this issue; however, propofol continued to be left unsecured.

Purpose: The QI initiative aimed to raise anesthesia clinician awareness of propofol’s abuse potential and of the Stericycle CsRx container, ultimately to reduce unsecured propofol.

Methods: An educational intervention was utilized to address the identified problem. Data on unsecured propofol was collected via an auditing process of pharmaceutical waste bin contents at the BJH North campus endoscopy suite. Data on anesthesia clinicians’ knowledge and attitudes related to propofol disposal and diversion was collected via a survey tool.

Implementation Procedure: Baseline data was collected via four auditing sessions, over a two-week period, and via the survey tool. Data collection then occurred at one-, two-, and four-weeks post-education to assess for anticipated project outcomes.

Implications/Conclusion: Post-education, respondents had a greater appreciation for the dangers of unsecured propofol and greater support for the effectiveness of the Stericycle CsRx container. A decrease in unsecured propofol was met at the project site, reducing diversion risk.

Language

English (en)

Document Type

Article

Advisor

Spencer, Julie DNP, RN, CDCES (Chair) Barnes Jewish College, Goldfarb School of Nursing

Associated Committee

Perez, Sarah DNP, CRNA (Committee member) Barnes Jewish College, Goldfarb School of Nursing

Wolfe, Rachel PharmD, MHA, BCCP (Committe member) Washington University School of Medicine in St. Louis

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