KNAP

Relationship to the Kansas State Board of Nursing

KNAP is a confidential program.  As long as the nurse cooperates with the program, his or her name will not be shared with the Board of Nursing.

REPORTING REQUIREMENTS UNDER THE RISK MANAGEMENT LAW ARE SATISFIED BY A REPORT TO KNAP.

Providers

• Confidential services to Kansas RN’s, LPN’s, and LMHT’s experiencing problems and illnesses which could lead to impaired practice.
• Interventions, assessments, referrals for evaluation and treatment (if indicated.)
• On-going monitoring through random urine drug screens, contact with employers and monthly groups.

Causes for Concern

Job Function

• Narcotics discrepancies, e.g.: incorrect counts, alteration of narcotic containers, increased patient reports of ineffective pain control, discrepancies on records or frequent corrections of records, unusual amounts of narcotics wasted, significant variations in the quantity of narcotics ordered for technician’s unit or shift.
• Fluctuations in the quality of work performance.
• Irresponsible behavior from someone previously conscientious and responsible.
• Requests to work shifts that are the least supervised.
• Inordinate interest in patients’ pain control medications.

Behavior

• Increasing isolation from colleagues, friends and family and avoiding social activities.
• Complaints from others about work performance or alcohol or drug use.
• Mood swings, irritability or depression, or suicide threats or attempts, perhaps caused by accidental overdose.

Physical Symptoms

• Obvious intoxication such as swaying, staggering or slurred speech.
• Odor of alcohol on breath or the excessive use of breath-fresheners or perfume to disguise the odor of alcohol.