Andy Gish is a Board Certified Emergency Room Nurse who helped pass Georgia’s Medical Amnesty Law better known as “Don’t Run, Call 911”. She now teaches an extensive lecture on the Opioid Crisis and how to offer informed compassionate care to people with Substance Use Disorder/Opioid Use Disorder.
The Opioid Crisis affects every sector of our community including schools, healthcare systems, the child-welfare system, the judicial system as well as retail establishments including stores, restaurants and bars. In healthcare, this crisis is affecting every department including the ER, labor and delivery, peri-operative care and primary care. Even veteran medical staff often do not how how to best approach patients with substance use disorder. The language you use, unintentional bias and feeling overwhelmed by this crisis can make or break how you connect with patients. Using an informed and compassionate harm reduction framework can make this much more affective and can help you make real connections with your patients, community members or loved ones in crisis.
Andy offers lectures programs ranging from 90 mins to 3 hours on the opioid epidemic, de-stigmatizing language and care of patients with substance use disorder and introduction to harm reduction practices. Lecture include:
Andy offers all of these within the framework of case studies from her own work and gives examples of how she has found ways to connect with patients. This is not just a Naloxone/Narcan training but offers a more comprehensive, wholistic approach to treating patients with SUD/OUD.
This lecture can be geared toward medical or non-medical attendees. All will leave with a better understanding of overdose prevention and feel more comfortable talking about SUD/OUD.
Andy teaches classes of medical, nursing and pharmacy student as large as 300 about how to offer informed, compassionate care to patients with SUD/OUD. Her goal is arming the future healthcare force with skills to really connect with patients and make a difference.
Schools:
Emory University
University of West Georgia
Philadelphia College of Osteopathic Medicine
Mercer
Medical College of Georgia
Brenau University
Georgia Association of Nursing Students
Andy has educated hundreds of doctors, PAs, NPs, nurses and pharmacists about the history and current state of the Opioid Crisis and how to offer better care to our patients with SUD/OUD.
Sites:
Emory Healthcare
Georgia Poison Control
The CDC
Northside Hospital
Morehouse College
Grady Drug Taskforce
Andy has taken her lecture and geared it towards other areas in the community where education in dealing with persons with SUD/OUD is often overlooked.
Sites:
Georgia Department of Public Health
Emory Police Department
Columbia & Russell County EMS, Fire and Law Enforcement
Georgia Municipal Court Judges
Drug Policy Alliance Conference
Andy has both lead and been a member of several roundtable and panel discussions offering a wholistic harm-reduction perspective to these dialogues.
Events:
Opioid Summit Round-Table at The Carter Center
Emergency Preparedness Student Nursing Alliance -Emory University
Frontline Response to the Opioid Crisis - Emory University
Rarely do we anticipate an overdose of one of our community members. When this happens it makes our community shudder. People often don't know how to talk about it, how to deal it and how to process it. Arming communities with knowledge and a place to discuss issues openly becomes a place of connection and healing. Training bars, restaurants and community organizations to recognize and treat overdoses helps them to protect their own communities.
Organizations:
Large community groups
Service industry groups
Neighborhood Associations
Local Business Associations
Patients used to commonly say things like "This is going to kill me one day anyways. I've already seen too many friends die of overdoses" Honestly back then, sometimes I'd almost lost hope myself. In recent years, with the acceptance of Medical Amnesty Laws across the nation, access to naloxone and offering more compassionate care has changed this dialogue.
Now patients often say "I don't go anywhere without naloxone. I've save saved someone! I look out for my friends"
Changing dialogues to a harm reduction framework and enlisting people with SUD/OUD in being part of the solution often supports their own recovery.
-Andy Gish
Georgia's Medical Amnesty Law allows certain legal protections for the victim and the caller when 911 is used in cases of medical emergencies related to drug and alcohol overdoses. The law also allows for state wide access to Naloxone/Narcan the antidote for opioid overdoses.
If customers can’t find it, it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.
In 2022, decriminalized an important harm reduction tool: Fentanyl Test Strips. Georgia Law now states "any testing equipment used to determine whether a controlled substance has been adulterated and contains a synthetic opioid" is no longer a drug-related object.
Fentanyl Test Strips Save Lives
Image: Riley Kirkpatrick Access Point Georgia
Syringe Services are essential Harm Reduction tools that reduce HIV, Hep C and other sometimes lethal infections while linking people to empathetic care and services. They are free and legal in the state of Georgia. Check out these organizations doing this important work:
* The FDA to CLIA-Waived Fentanyl for point-of-care testing NOW, so that clinicians can offer live saving treatment.
* Real-time drug testing through Harm Reduction Community Partners
* Access to Treatment
*Destigmatized Language being taught to providers in all health care settings
PUBLIC HEALTH NURSING (Open Access) 14 Nov 2022 Sarah Febres-Cordero PhD, RN, Daniel J. Smith PhD, AGPCNP-BC, CNE, Abigail Z. Wulkan BSN, RN, Abigail Julier Béliveau BSN, RN, Andy Gish BSN, RN, Stella Zine CPS, Laurie Fugitt BSN, RN, ABJ, Nicholas A. Giordano PhD, RN
NURSE EDUCATION REPORT (Open Access) 17 Jan 2023
Nicholas A. Giordano, Sarah Febres-Cordero, Helen Baker, Katherine M. Pfeiffer, Lisa Marie Walsh, Andy Gish, Sydney A. Axson