Successful reentry to the anesthesia workplace is possible with supportive colleagues and an established department policy. Monitoring the recovery of nurse anesthetists and other healthcare professionals with a history of substance misuse and chemical dependency requires a well-informed reentry plan. The following is intended to provide information and education concerning these issues.  If you have any questions, please contact a Peer Assistance Advisor.

Based on over 25 years of experience with CRNAs, the AANA Peer Assistance Advisors recommend that a good starting place for reentry is:

1. Minimum of one year out of the clinical anesthesia arena

2. Meeting the Talbott criteria for reentry

    o Supportive spouse/significant other

    o No untreated psychological comorbidities

    o Acceptance of the chronicity of chemical dependency

    o Grounded in the recovery community (sponsor, etc.)

    o Supportive worksite/department for reentry

3. Willing to commit to monitoring for a minimum of five years

4. Willing to take naltrexone where appropriate

5. Willing to participate in toxicology screening on a random basis

6. Has supportive colleagues at the worksite familiar with history and needs.

See also: AANA Peer Assistance Advisors' Recommendations for the Treatment of the Disease of Addiction in Anesthesia Professionals and Students

Reentry Resources

• Reentry Frequently Asked Questions (FAQs) 
• NBCRNA CE Refresher Program 
• Council on Recertification 
• Reentry into the Work Place 
• Article - Reentry Using Naltrexone: One anesthesia department's experience , Management Briefs, AANA Journal, August 1998.
• Are You In Recovery from Alcohol or Drug Problems Know Your Rights - Information brochure from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment  www.samhsa.gov
• Recovery Maintenance Workbook for Nurses and Health Care Professionals