The employing institution has a legal obligation to the public. Historically, most institutions do not want to accept the potential legal liability by employing a recovering professional. However, trends are changing slowly. More institutions are establishing peer assistance programs to help and support the recovering substance abuser in his recovery. Aftercare contracts and new lab screening techniques have given the institution the tools necessary to assure the public and protect itself.
New medications are also available to insure and aid in the recovery process.
Recovering CRNAs re-entering the profession are role models. Much is to be learned and shared by this group of anesthesia providers. AIR is a national support organization involved with both education and networking for reasons of peer assistance. Before re-entry into the work place, a return to work contract should be established between the employer and recovering employee. Each contract should be geared toward the particular individual involved according to his or her particular situation.