Andy Gish RN, BSN, CEN

Andy Gish RN, BSN, CENAndy Gish RN, BSN, CENAndy Gish RN, BSN, CEN

Andy Gish RN, BSN, CEN

Andy Gish RN, BSN, CENAndy Gish RN, BSN, CENAndy Gish RN, BSN, CEN
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Teaching communities how to offer informed compassionate care to people with SUBSTANCE use disorder

Informed compassionate Care

Andy Gish RN, BSN, CEN (She/Her)

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:


  • The history of the opioid epidemic and "how we got here".
  • How healthcare providers can be the key to rebuilding trust and to connecting patients to care that encourages long-term recovery.
  • How to recognize, treat and prevent overdoses whether in the hospital setting, or in the community or in your home.
  • Naloxone/Narcan training, including how it works, safety and what to expect when it is administered to an overdose victim.
  • Details on personal and professional protections offered by medical amnesty laws
  • Compassionate, trauma-informed care including how to incorporate non-stimatixing language that will help make quick connections with patients and will make communication easier.
  • Research about stigma and language and how what we say matters.
  • Examples of legal and illegal substances commonly found on the streets including examples of counterfeit pills, heroin, xylazine, fentanyl, and it's analogues
  • Concepts in harm reduction, including benefits of syringe exchanges, meeting people where they are at and "nothing about us, without us."
  • Concepts in the "Warm hand-off" for patients under our care
  • Medication for Opioid Use Disorder (MOUD)


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. 

Guest Lecturer

Healthcare Students

Community and Corporate Learning Events

Healthcare Students

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

Healthcare Staff

Community and Corporate Learning Events

Healthcare 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

Community and Corporate Learning Events

Community and Corporate Learning Events

Community and Corporate Learning Events

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

Roundtable & Panel Discussions

Roundtable & Panel Discussions

Community and Corporate Learning Events

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

Crisis Intervention Planning

Roundtable & Panel Discussions

Crisis Intervention Planning

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 

Changing Dialogues

Roundtable & Panel Discussions

Crisis Intervention Planning

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

Don't Run, Call 911: Georgia's Medical Amnesty Law

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.  


Where there's life, there's hope! -- Georgia Overdose Prevention

Harm Reduction Legislation saves Lives

Don't Run, Call 911 & Access to Naloxone (House Bill 965, 2014)

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.

Naloxone State Standing Order

See Georgia's State Standing Order.


Look up Standing Orders for other states.

Georgia Legalizes Fentanyl Test Strips (House Bill 1175,2022)

Legalization of Syringe Services Programs (House Bill 217, 2019)

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

Legalization of Syringe Services Programs (House Bill 217, 2019)

Legalization of Syringe Services Programs (House Bill 217, 2019)

Legalization of Syringe Services Programs (House Bill 217, 2019)

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:

Atlanta Harm Reduction Coaltion

Access Point Georgia

WHAT WE NEED NOW

Legalization of Syringe Services Programs (House Bill 217, 2019)

WHAT WE NEED NOW

* 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


Publications

It's what the community demands: Results of community-based emergency opioid overdose trainings

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


Opioid-involved overdose trainings delivered using remote learning modalities

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


Community Working Together

Georgia Overdose Prevention

Georgia Harm Reduction Coalition

Georgia Harm Reduction Coalition

Find out more

Georgia Harm Reduction Coalition

Georgia Harm Reduction Coalition

Georgia Harm Reduction Coalition

Find out more

Access Point Georgia

Georgia Harm Reduction Coalition

Access Point Georgia

Find out more

Contact Andy

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Andy Gish

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