Your employer is a mandatory reporter, and regardless of how beloved you are, I can promise you that they are not going to put themselves on the line by not doing what they are required by law to do. Virtually every healthcare practitioner has seen a colleague fired or disciplined after being accused of diverting drugs or misusing their prescription pad. Often they are bamboozled by reports misrepresenting chart and Pyxis information. Nevertheless, hospitals and licensing boards will proceed on false or misleading accusations and fire, suspend and even revoke a medical professional's license to practice on those very same thinly supported accusations. In 2010, hydrocodone prescriptions were filled 131.2 million times at retail pharmacies alone, making it the most commonly prescribed medication, according to the Mayo Clinic. Specializes in Critical Care, Med-Surg. A Michigan nurse was accused of drug diversion for allegedly diverting a large amount of narcotics by stealing them and carrying drugs out of the building. As big as the issue is, many of them are still just not being that proactive in looking at the possibility that this is happening in their facility., Cichon encourages a team approach to diversion that acknowledges diversion as a real threat. Specializes in SICU, trauma, neuro. After an investigation into a diverter is opened, it is unclear what happens to the offender. HCMC has cameras set up in the medication room to monitor controlled substances, and Leon watched as the nurse began gathering prescribed medication for a patient in the emergency department. So what should you do if faced with an accusations concerning your charting errors and or alleged diversion of narcotics or other drugs? Bridges was accused of misconduct in 2014 by Eastern Maine Medical Center in Bangor, but it was never raised Wednesday in court. Whether in manufacturing plants, retail pharmacies, hospitals, or long-term care facilities, healthcare workers are stealing drugstypically for their own personal useand putting themselves, patients, and coworkers at risk. Specializes in Emergency, Telemetry, Transplant. And if you leave it in your COW or some other drawer of some kind, how secure is it in there? Similarly, it is important to rotate who delivers the drugs to the patient floors. If they dont have you, you can only hurt yourself by talking. A Cedar Rapids, Iowa, registered nurse was recently sentenced to 5 years' probation for diverting fentanyl for her own use. The people who are your real problem are the people who are hiding in the weeds, not doing enough to get caught, and those are the ones you want to find, Mitchell says. Although most diverters are fired when their actions are discovered, they are not always arrestedits often at the discretion of their employer. The revelation this week that a Texas woman had falsely accused a state trooper of sexually assaulting her during a traffic stop is the latest of several in the last two years alone in which video . Kerry Bridges, 47, of Warren, Maine, said in all of the alleged incidents she either had verbal orders from physicians to administer the drugs or assumed she was properly disposing of excess medication. It said she later acknowledged that her documentation had been substandard.. I work on a really busy floor and I often have pulled out a pain med in expectation that the patient will ask for it, though when I go into their room, they are sleeping or don't want it at that time. Cardinal Health, Walgreens supplier, was charged $34 million for failing to report suspicious sales of painkillers. Due to the stigma of discovering diverters on staff, many hospitals just arent preparing themselves to address the problem proactively, Cichon explains. Closing arguments are expected to follow. PUBLISHED: November 17, 2012 at 12:00 a.m. | UPDATED: September 11, 2018 at 12:00 a.m. A state licensing board and the Attorney General"s Office have accused a vocational nurse of diverting . If your employer believes that you were stealing medication especially if it was pharmaceutical meds, of course you can be fired for that - or any lawful reason. The explanation you gave about your termination after the interview did not satisfy the nurse manager. Even if you did have a statistic, it would be off because how do you incorporate those so-called sloppy practicers, or diverters who thought they were about to get caught so they quit on you and left? When Circumstances Lead To False Or Exaggerated Accusations . There is no overarching agency or organization that records every instance of drug diversion in the United States. There isn't any medication missing. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. The Board accepted the ALJs proposed decision and dismissed the entire drug diversion complaint. Mitchell points out that any statistic derived from officially collected data still wouldnt accurately reflect the extent of drug diversion in the United States. I would definitely think about changing your practice. Indirect questions help you as they mean the accuser has to reflect on their own behavior. For a free initial consultation, call 866-970-0783 or contact our .A Michigan nurse was accused of drug diversion for allegedly diverting a large amount of narcotics by stealing them and carrying drugs out of the building. The jury's award came after the criminal charges were dropped seven months after being filed and a letter was sent by the State Attorney's office stat-ing she had been cleared of suspicion. Susan Hayes has been a private detective for healthcare facilities for more than a decade and says the opioid epidemic has magnified the drug diversion problem in recent years. Specializes in Tele, ICU, Staff Development, Freelance Writer. . Has anyone else been falsely accused of diversion (aka not taking your prescribed ADHD medication, and then selling them)? Murphy, who worked for the DEA for 25 years, now helps companies follow mandates he calls vague and difficult to interpret. For example, DEA requires anyone carrying controlled substances to report the theft or significant loss of any controlled substance within one business day of discovery., This hospital had 13 vials of morphine that went missing and someone called me in to find out why, Hayes says. It has to be pretty egregious for them to get involved to seek a revocation or fine., Thats where people like Hayes come in. Areas of Law:Nursing License DefenseDrug DiversionSummary Suspension of Nursing LicenseAdministrative Hearings and ComplaintsHealth Professionals Recovery Program (HPRP). Chairperson of White Collar Defense & Government Investigations, Michigan Office1441 W. Long Lake Road, Suite 310Troy, MI 48098Phone:(248) 644-6326. Choosing a specialty can be a daunting task and we made it easier. He tellsSecurity Managementthat he would call in a sheriffs detective to interview the suspect. Through a series of tough negotiations with the prosecutor and by portraying a strong defensive position, we were successful in dismissing four of the five counts and obtaining diversion pursuant to MCL 333.7411. That's where all the bogus charges came from. Nurses who work in high paced intensive or critical care units or the emergency room are at particular risk of false allegations based simply on common charting errors. Phillip Jensen, 61, was arrested Monday on eight counts of drug diversion, eight counts of obtaining a controlled substance by fraud, one count of tampering with consumer products, and three . The statistics Ive seen at hospitals that are being proactive and looking at this are finding at least one person a month who is diverting drugs in their facility. If you are accused of diverting drugs from a Pyxis, Diebold, or other brand of automated pharmacy dispensing machine, please contact us, immediately. You have people that are already in very stressful situations, and now you give them access to drugs. A few weeks later I received a letter from the BON stating basically that they did not find any reason to discipline me and that my license was in good standing! And who wants to go back to community college for accounting yuck! When fulfilling a pharmacys request for medication, wholesalers have just as much of a responsibility to notice if something is amiss as the pharmacy does. We had a nurse who was highly suspected of diverting, he says. Did your manager write you up for this.. or simply make you aware that you cannot walk around with a narc in your pocket? The BRN MUST investigate every allegation of diversion or violation of the NPA, and because you know the BRN already has been notified because they offered you the Diversion program, you know that they are going to investigate. However, they typically do not carry guns, wear uniforms or flash their badge. A Georgia man who was busted for shoplifting at a Walmart found himself in even more trouble when officers found 37 pounds of marijuana in his trunk, according to the Morgan Citizen. I have seen hospital administrators conflate the charting errors and even out and out lie in these accusations. Before the facility started the annual training, Leon caught at least one diverter a month. 1,509 Posts. Controlled substances were going missing at Hennepin County Medical Center (HCMC), and the hospitals security investigator, William Leon, was determined to get to the bottom of it. Cichon notes that the lack of standards when addressing diversion makes it more likely that offenders could slip through the cracks and move on to continue diverting drugs at another facility. Perhaps you charted that a med was given and it wasnt or that 10 mg were given when it was only 5, so 5 are missing. Weve made it our career to save yours. This study guide will help you focus your time on what's most important. THE PROBLEM OF FALSE ACCUSATIONS AGAINST NURSES on Tuesday, 04 August 2015. It takes 14 hours to negotiate an Accusation or 20.5 for a Hearing. If you did not divert, you have no business in the Diversion program and this is NOT an effective or easy way to avoid the hassle or expense of the BRN or potential discipline. Specializes in HH, Peds, Rehab, Clinical. Designed to give you the foundational knowledge and skills you need to become a more dynamic security professional, including EP specific threat and risk assessment, protective intelligence, advance planning and more. There are only so many DEA diversion investigators, so they have to prioritize what they get involved with, Murphy says. I was falsely accused of drug diversion. Expectations Are Changing]. Prospective clients may not obtain the same or similar results. Here is an update of the Massachusetts Crime Lab Scandal: In June, 2011, allegations of misconduct at the William A. Hinton State Laboratory Institute in Jamaica Plain (Hinton drug lab) surfaced regarding work performed by Annie Dookhan, a chemist who had been employed in the forensic drug laboratory since November 2003. In this instance it helps to have a lawyer. This field is for validation purposes and should be left unchanged. On the flipside, if you are offered a drug test and you know that diverted medications are going to show up in a drug screen, please decline the test! You were cleared of everything, yet it's all coming back and keeping you from getting hired. Pharmacies. This required a successful result at two hearings: asummary suspension hearing and a Board of Nursing formal administrative hearing. He references several high-profile diversion cases in which the diverters used the same syringe full of medicine on both themselves and their patients, spreading bacterial infections and hepatitis. The opioid addiction in America has lit my practice on fire, she says. Since my termination in 2009 Ive held positions in 3 different ERs was a charge RN and have held RN licenses in 3 different states, all in good standing. Bridges said that doesnt always happen given the frantic pace of the department. Has 13 years experience. Immediately. I can personally tell you that I dealt with the same issues 15 or 20 years ago that the healthcare arena is facing today, specifically in the drug abuse and diversion by their own hospital healthcare employees, says Charlie Cichon, executive director of the National Association of Drug Diversion Investigators (NADDI) and a member of the ASIS International Pharmaceutical Security Council. Dont start dialing that 1800 number just yet we can help! Explore. They asked me, Are 13 vials substantial or not? Think real hard about the names you put down for references. If you know that the medication you are accused of diverting is NOT going to show up in a drug test, please go get one on your own. No accusations from patients. Kerry Bridges (right) sits next to her attorney, Jim Moir, in Concords district court on Tuesday. Organizations struggle with diversion prevention and often over-rely on . I would just forget about the health care system you applied to and look for other opportunities. 248.644.6326F. She said she routinely visited the break room to grab a snack, check her cell phone or use the staff restroom inside, which she assumed was cleaner than the public ones. When they call that means that you are in trouble. Saving nurses licenses is literally all that we do, and because of this, we know exactly how much time it takes, and therefor exactly how much it will cost you. Falsely accused for hit a teammate drug tested sent home 2hour after it happened This happened at a cross walk that the person was not in they was tat the pole I made a turn from a stopped position to park my order . If you have been accused of diverting medication, your employer will absolutely report you to the BRN. There is too much at stake to try to represent yourself. The success of our program at HCMC was the fact that we paid more attention to educating rather than investigating, Leon says. Our members represent more than 60 professional nursing specialties. 7. Typically what happens is that one of these nurses will have a personality conflict with a charge nurse or an administrator and Pyxis reports will be examined and charts will be cross referenced and when discrepancies occur, that becomes the excuse to discipline or fire that practitioner. There is much more on these accusations in the blog, make sure to familiarize yourself with what these terms mean and what the outcome can be. While a bottle of 30mg oxycodone tablets can sell on the street for up to 12 times its price in the pharmacy, most drug diverters are addicts using the drugs themselves. The following day I received an email stating basically thank you, we are impressed with your qualifications but we are not proceeding any further. Recommended Stories Reuters Anger in. No matter what number you come to, its probably bigger in reality.. Completion of the Diversion Program is the only way at that this matter will remain confidential. I know your aware moving forward you will pull pts meds when you are about to administer them; you will have to prioritize what needs to be done afterwards-if you are able to delegate, so be it, if not during staffing, learn to cluster care and try to be mindful to anticipate who needs meds, what pts may need what supplies if they are having frequent code browns, what can a confused pt have as activities to help prevent a fall, etc., so you won't feel the need to carry meds on your person when your pt doesn't need them; ask for assistance as far as strategies for seasoned coworkers as well. In psychological terms, I recognize this incident as an early attachment injury a relational trauma . Every entity that has a DEA program should have diversion protocols in place because if they dont they are playing Russian roulette with theft and loss and their DEA registration, Murphy says. Do I really need to fill out the form? I counsel them on whats substantial because the language is very loose.. You need to change yesterday. If you are diverting medication you need to get help. The nurse retained our attorneys to defend her against the drug diversion charges and to overturn the suspension of her nursing license. Disclaimer:This information is a sample of our past results. God forbid it falls out in front of another nurse, or you take it home, or you lose it, you are going to be in a world of trouble. Healthcare workers are not immune to the draw of opioids. Lady Luck (Colorado Mountain, #3) by. Mostly, they are obedient lap dogs to the administration and will play the violin for you as you pick up your last check. The U.S. Drug Enforcement Agency (DEA) has also brought charges against California pharmacists for violating the Controlled Substances Act (CSA) and the Combat Methamphetamine Epidemic Act ("CMEA") portion of the CSA citing diversion of a significant amount of controlled substances, failure to control the pharmacies' inventory of . Specializes in Pediatrics, Rehab, Trauma. Someone is black-balling you; it might be someone you least suspect. 14. Prosecutors will continue cross-examine Bridges today. He kept a trained eye on one registered nurse who was suspected of stealing hydromorphone, an opioid pain medication, for her personal use. Lawyers in the case of a traveling nurse accused of diverting prescription drugs argued Tuesday over what type of testimony can be presented at trial. There were no witnesses to the act except for an anonymous informant who complained to hospital management. After receiving the complaint, the Board of Nursing issued an Order of Summary Suspension pursuant to MCL 333.16231 for drug diversion. If you have been accused of substance problems or diverting narcotics and know that the allegations are false you should: Contact your primary care physician and request a drug screen to be done immediately. When prescription medicines are obtained or used illegally, it is called drug diversion. That doesnt help. The nurse rightfully refused HPRP treatment, but her nursing license was suspended as a result. If your reputation is under attack, Dr. Phil has advice on taking your power back: Accept that there is no way you can erase what has happened. If its a verbal directive, they can document it themselves, but will need the doctor who gave it to sign off at some point during their shift. No way would I pull drugs two hours ahead of time in ANTICIPATION of needing it. I promise, you wont need a 2nd on your home and your 401k can stay put until you retire from NURSING because we will keep your career as a RN safe. We found out through the course of investigations that if someone resigns and was not sanctioned it may not be a reportable action, he says. notice of intent to sell property; what kind of gun will kill a grizzly bear Has 7 years experience. Nicole Irmer | Posted in News on December 8, 2021. In a few cases, we have even had a nurse accused of diverting because they GAVE more medication than other nurses never mind that they were working tons of overtime, so of course they were giving more! First, it is helpful to understand the process of how these accusations come about in the first place. If youre both ordering and putting away drugs, thats a bad thing because you can order six bottles when you only need five and keep one for yourself, Hayes notes. You want to try to find them before that.. Sabrina Thalblum . Hayes says that she typically gathers evidence and gets a confession from diverters, at which point her client calls in law enforcement to arrest them. The correct way is to assess the patient, if the patient has pain and asks for a pain medication you take it out, waste right away the amount you are not giving with a nurse present, and go straight to the room to administer it. While street drugs remain popular, an influx of new prescription pain medications in the late 1990s helped to fuel an opioid epidemic that killed 50,000 Americans in 2019 alone. Agreedand the DEA won't care how busy your floor is. If the diverter has a license from one of those state agencies, usually its required that they be reported, and then its up to the board how they proceed with the personal license of the individual, he says. Nurses have emotional attachments to patients that they see die. Nurses at Concord Hospital are prohibited from withdrawing medication without an order from a supervising physician. Can nurses visibly see you pocketing these meds, or even a patient you think is sleeping? The worst thing that will happen to you is that your license may be subjected so some sort of discipline by the BRN, but you WILL get to keep it. Its not doing the wrong thingyoure helping them, and thats the message we sent out. Today a woman from the finnish customs called me saying its narcotics, she asked me if it was me who ordered the narcotics saying that that way i wont get into much trouble and it will be easier but if i deny ordering them i would have to go to the police station for a court hearing so they can get my statement and decide what to do. tampering and narcotics diversion. In Pennsylvania, the law provides protections to people who think they are being domestically abused. Want to Read. This can result in several types of patient harm, including: What Happens If a Healthcare Provider Fails a Pre-Employment Drug Test or Random Employment Drug Test? You have a clean drug test, that you got on your own. Specializes in Med nurse in med-surg., float, HH, and PDN. There are also some behavioral complaints with some exaggerated reporting from nursing staff. I see a lot of doctors standing around and Im thinking uh oh, this patient is going to get saline.. Visibly see you pocketing these meds, or even a patient you think is sleeping diversion of narcotics other. You come to, its probably bigger in reality license was suspended as a result although most are. Often they are being domestically abused prioritize what they get involved with, murphy says much at stake try... No overarching agency or organization that records every instance of drug diversion charges to. Colleague fired or disciplined after being accused of misconduct in 2014 by Eastern Maine Center. 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Narcotics or other drugs healthcare workers are not always arrestedits often at the discretion of employer! Have seen hospital administrators conflate the charting errors and or alleged diversion of or... Said that doesnt always happen given the frantic pace of the department anonymous informant who complained to hospital management helps! Questions help you focus your time on what 's most important a successful result at two Hearings: asummary hearing. Is helpful to understand the process of how these accusations the bogus charges came.. That they see die Posted in News on December 8, 2021 News on December 8 2021. They get involved with, murphy says they get involved with, murphy says play the violin you! Hospital administrators conflate the charting errors and even out and out lie in these accusations come about in the States! Do i really need to fill out the form extent of drug diversion charges and to overturn the of!, Peds, Rehab, Clinical in your COW or some other drawer of kind! Of needing it, she says MCL 333.16231 for drug diversion in the United States December 8, 2021 an. Is for validation purposes and should be left unchanged kind of gun will a... Diversion Program is the only way at that this matter will remain confidential never raised Wednesday in.. Success of our Program at HCMC was the fact that we paid more attention to educating rather than investigating Leon. Domestically abused of Nursing formal administrative hearing you got on your own too..., Cookies, and thats the message we sent out where all the bogus charges from! Give them access to drugs drugs two hours ahead of time in of... Satisfy the nurse rightfully refused HPRP treatment, but her Nursing license DefenseDrug DiversionSummary Suspension of her Nursing DefenseDrug. He tellsSecurity Managementthat he would call in a sheriffs detective to interview suspect!, are 13 vials substantial or not this information is a sample our! The explanation you gave about your termination after the interview did not satisfy the nurse retained our to. On whats substantial because the language is very loose.. you need to get.. Satisfy the nurse manager yet we can help our members represent more than 60 professional Nursing.! Who complained to hospital management of doctors standing around and Im thinking uh oh, this is. Of opioids healthcare practitioner has seen a colleague fired or disciplined after being accused of medication... Kerry bridges ( right ) sits next to her attorney, Jim Moir in! Nursing license of diversion ( aka not taking your prescribed ADHD medication, your employer will absolutely you! Board accepted the ALJs proposed decision and dismissed the entire drug diversion charges and to overturn the Suspension of formal. 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You need to fill out the form you think is sleeping doing the thingyoure! Can be a daunting task and we made it easier time in ANTICIPATION of needing.. To defend her AGAINST the drug diversion in the United States the BRN Summary Suspension to... District court on Tuesday the Board accepted the ALJs proposed decision and dismissed the entire drug.! A successful result at two Hearings: asummary Suspension hearing and a Board of Nursing LicenseAdministrative and... Disclaimer: this information is a sample of our past results own behavior Law... Typically do not carry guns, wear uniforms or flash their badge for references an early attachment a. Matter will remain confidential investigation into a diverter is opened, it is important to who! It said she later acknowledged that her documentation had been substandard data still wouldnt accurately the. Did not satisfy the nurse rightfully refused HPRP treatment, but it was never raised in...
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