Nurse Calling In Scripts to Pharmacy Illegally - page 2

I have a question and a concern. There is a nurse where I work that calls in prescriptions to the local pharmacies for anyone that wants one. Not for narcotics or anything like that but if someone... Read More

  1. Visit  2bFNP4ME2015 profile page
    2
    She is a threat to patient safety in all levels. She needs to be reported and you need to fail a complaint with Wal-mart. She picked up a prescription in your name. Whose to say that she is diverting drugs that way too (narcotic or not). It's still wrong. This is your challenge to do the right thing as a professional. Remember the code of nursing that you recited at graduation. Stick to it.!
    nrsang97 and jadelpn like this.
  2. Visit  RNdynamic profile page
    0
    I say leave it alone. It sounds like this is the culture of the workplace. Let the nurse and the doctor work it out between themselves, without interfering in their relationship. Nurses fill out paperwork for doctors all of the time, and then just have the MD sign it. At our hospital, we fill out restraint order forms for them and just bring it to them to sign; because it's expected. Just leave it alone.

    And you are not legally responsible to report this either. Mandatory reporting applies in cases of elder abuse, child abuse, etc.
    Last edit by RNdynamic on Mar 2, '13
  3. Visit  RNdynamic profile page
    0
    Quote from nurse42long
    How do I report this to BON? Anyone know the procedure? I'm new at this job, less than two months and this nurse has been here 24 years. The Nurse Manager is aware of many things this nurse has done. In fact, the NM told me that "she is crazy, don't mess with her". Evidently she has stalked the NM to point of her needing to change her phone numbers. Everyone I've listened to here has told me that Administration is afraid of her. Other than this I really like this job, but I'm thinking I may just have to cut my losses as I don't need this kind of drama in my life. This is a very small rural hospital, everyone knows everyone and I'm not from around here.
    As far as the Bactrim, she went to Walmart on her hour long break and picked it up for me. Then asked for the $4.00! Afterwards, I realized that this got me involved, which is probably what she wanted. If I report her, won't I be on the line as well? I'm actually a little afraid of this person. Maybe a lot afraid.
    Then just drop it and look the other way. Rural hospitals don't have the resources that a lot of other hospitals have, and those resources might be the luxuries that these thread posters have and are basing their perceptions on. If you have only been there for two months, who are you to interfere? If you report her, you won't be on the line, but it can cause a lot of trouble for your career. Don't be surprised if your name gets "blacklisted" in the community and you can't secure further employment.

    Also, in spite of whistleblower laws, people have successfully sued would-be "snitches" when they weren't able to prove their case against the ones they were reporting. Beware, and good luck.

    Also, are you absolutely *positive* that she isn't conferring with the doctor behind closed doors or on the phone? Or that he didn't give her permission to call in scripts for convenience's sake for certain patients he may know?
    Last edit by RNdynamic on Mar 2, '13
  4. Visit  dishes profile page
    3
    It's the culture of the work place because administration and the nurse manager are afraid of her. RNdynamic, do you have a reference that shows there is no legal responsibility to report this matter?
    nursel56, roser13, and klone like this.
  5. Visit  mombabyRN96 profile page
    0
    I would notify the MD whose name she is using....I sure bet he doesn't know how out of control this person is!!
  6. Visit  sharpeimom profile page
    1
    I think she must be stopped!

    The system our PCP's office uses works well and I have no issues with. For routine maintenance meds, such as my HTN meds, my NSAID cream, I just call the nurse (an RN) and she calls them in to the same place we always use. Has to be the same place.

    For pain meds, ABX, control drugs, etc. the MD calls them in at day's end to anywhere we like. I say that as though we have several choices. We have a CVS, a Wal-Mart, and the pharmacy within our grocery store.

    A new symptom always warrants at least a talk, if not a visit, with the doctor.
    nrsang97 likes this.
  7. Visit  KelRN215 profile page
    1
    Quote from marycarney
    And why did WalMart not ask for proof of identity before releasing 'your' prescription? They likely have video of this transaction. She needs to be stopped.
    I have never been asked for proof of identity when picking up a routine medication. At most they ask my address but the last few times, they didn't even ask that. They require ID for controlled substances although I'm pretty sure I picked up my mother's Percocet after she had surgery without a problem.

    As far as the OP's situation goes... it sounds like perhaps this nurse was given a role and she took it upon herself to expand it? I know when I worked in the hospital, the nurses in the outpatient clinic were often the ones in charge of managing patients' refills. The nurses manned the prescription refill line. They had access to the prescription system and could handle refills as long as the patient/parent wasn't requesting any changes or anything new. So a nurse could handle a refill if the patient called in and said "I need a refill on my Dilantin" and the patient had been on Dilantin 200 mg BID standing for quite some time and that could be verified. They put in the prescriptions and set them up to be mailed out to the patient- the MD did review/sign them at the end of the day. Now, the last time I was over in that clinic was 6 years ago and e-scripts are way more common now so I am not sure if they have the ability to e-scribe or call in refills.

    A nurse- no matter the environment- most definitely CANNOT call in a script for a new antibiotic or anything of the sort.
    nrsang97 likes this.
  8. Visit  Mom To 4 profile page
    1
    Report her before Miss Doctor only in her head kills someone!
    NutmeggeRN likes this.
  9. Visit  klone profile page
    1
    Quote from OrNurrse03
    She is a threat to patient safety in all levels. She needs to be reported and you need to fail a complaint with Wal-mart. She picked up a prescription in your name. Whose to say that she is diverting drugs that way too (narcotic or not). It's still wrong. This is your challenge to do the right thing as a professional. Remember the code of nursing that you recited at graduation. Stick to it.!
    I imagine it might vary by state, but I know that one can pick up a prescription for other people (at least for non-narcotics). So I don't know that Walmart necessarily broke any laws.
    psu_213 likes this.
  10. Visit  dishes profile page
    0
    This problem is bigger than the threat to patient safety, the nurse is a known threat to management and staff and they are afraid of her, it sounds like she has a personality disorder and is volatile. I would seek legal advice regarding duty to report and would consider resigning.
  11. Visit  jadelpn profile page
    0
    Quote from nurse42long
    How do I report this to BON? Anyone know the procedure? I'm new at this job, less than two months and this nurse has been here 24 years. The Nurse Manager is aware of many things this nurse has done. In fact, the NM told me that "she is crazy, don't mess with her". Evidently she has stalked the NM to point of her needing to change her phone numbers. Everyone I've listened to here has told me that Administration is afraid of her. Other than this I really like this job, but I'm thinking I may just have to cut my losses as I don't need this kind of drama in my life. This is a very small rural hospital, everyone knows everyone and I'm not from around here.
    As far as the Bactrim, she went to Walmart on her hour long break and picked it up for me. Then asked for the $4.00! Afterwards, I realized that this got me involved, which is probably what she wanted. If I report her, won't I be on the line as well? I'm actually a little afraid of this person. Maybe a lot afraid.
    Did she assume you went to the local Walmart for a pharmacy, and used your insurance???--and the pharmacies have some strict policies on just giving meds to anyone for you-- Was the script in her name or yours? If she went the pharmacy on your behalf, please advise the pharmacy to not dispense any meds to anyone but you--if she is that "crazy" she could be calling anything in to the pharmacy under your name and picking it up.
    Otherwise, I would call the BON or email them and report it. It seems to me that management knows this is going on, but choosing not to do anything about it--because she is crazy???? But takes care of patients????
    If you choose not to call the BON, protect yourself first. It sounds like a scam to call in meds, and "go pick them up herself" FOR you. That is crossing the line into your personal life. And is creepy. So look out for you.
  12. Visit  nurse42long profile page
    1
    Thanks to all for your advice. I wanted to hear from nurses but in an anonymous way. And I appreciate all the comments. I have since talked with a few friends and family (psychologist, lawyer-nonmedical type, and an HR person, again non-hospital) and the consensus of opinion is to get away from the situation. This situation has existed long before I got there and I'm not the clean up crew. That's what my lawyer friend said. Also as some of you pointed out this woman is not stable, and is either crazy or criminal or both and it's not up to just me to fix her and this situation. I do plan to call the BON and ask a hypothetical question and see how involved I would have to get to report this. I'm also going to put in for a transfer to one of the other floors, (we only have one med-surg floor, OB, ICU and ER) so my prospects are limited. I was really looking forward to working at this little hospital as the OB Dept was low risk and well equipped and fairly well staffed, but oh well.
    dishes likes this.
  13. Visit  wanderlust99 profile page
    0
    If the nurse manager isn't doing anything, I would speak to do the doctor about it. Just tell him that she called in a prescription for you, under his name, and are you okay with that? He needs to know.

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