American Association of Nurse Anesthesiology

Peer Assistance Helpline
(800) 654-5167

Getting Help

Signs and Behaviors



Anesthetists in Recovery

National Council State Boards of Nursing (NCSBN)
Alternative to Discipline Programs information



AANA Peer Assistance Resource Directory

The following resources are available for helping CRNAs and student nurse anesthetists facing substance use disorder (SUD) issues. This assistance is also for the families, friends, coworkers, managers, supervisors, or colleagues seeking information or guidance.

The first step in getting help is to call the AANA Peer Assistance Helpline 800-654-5167 for 24/7 confidential live support and resources.

For additional resources, search by State for:

  • AANA State Peer Advisor (SPA) volunteers*
  • Substance Use Disorder Programs
  • State Boards of Nursing

Select a state from the drop down list below, then click search. 


State Peer Advisor

Robin Jankiewicz, CRNA, DNP, CDR (ret)
Great Falls, MT
Phone: 406-750-1930

Substance Use Disorder Program

Pu'ulu Lapa'au HI Program for Healthcare Professionals     (A)
Ted Sakai, Executive Director
200 North Vineyard Blvd.
Building B, Suite 271
Honolulu, HI 96817
Phone: 808-593-7444
Phone: 808-722-3111 (cell)
Fax: 808-593-8999
Web site:

State Board of Nursing

Hawaii Board of Nursing Prof & Vocational Licensing Division     (A)
Lee Ann Teshima, Executive Officer
P.O. Box 3469
Honolulu, HI 96801
Phone: 808-586-3000
Fax: 808-586-2689
Web site:

(D) Disciplinary Program 
(State Administration or Recognized)
(A) Diversion 
(Alternative to Disciplinary Program)
(P) Peer Assistance Networking Program
(Non-State Administered/Recognized)

Submit Peer Assistance Resource Directory revisions by email to:


*AANA Peer Assistance support is intended to provide resources and act as an information center for the purpose of providing helpful peer support to CRNAs in need of assistance for SUD. Although the helpline is administered by trained volunteers, it is not a professional treatment or counseling program. No person associated with the helpline, including any AANA staff or volunteers, is authorized to make a medical diagnosis, provide professional therapy, treatment or counseling, or provide legal or other professional advice of any kind. Please consult your personal medical provider or legal counsel for all such services. In addition, with the limited exception of anonymous demographic data, which is maintained for reporting purposes only, all information provided by a person contacting the helpline will be kept confidential to the extent required by applicable laws. However, please note that all AANA staff and volunteers are required to comply fully with all applicable state laws regarding mandated reporting.