RN with expired license calling in scripts for family...family wants us to do it too.

Nurses General Nursing

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I wanted to ask everyone's opinion on a situation. I have 2 aunts who are RNs. One is still practicing, and does not get involved with doing shady things for our family related to medicine. Because of this my family has considers her the less competant nurse.

My other aunt stopped practicing nursing when I was about 15 (I'm in my mid 30s now) and is dianosed with bipolar. I remember gowing up her being the go to nurse in the family, everyone saying she should have been a doctor yada yada.

Well, I'm been a nurse for nearly 10 years, and I can now see how she "operates". She dianoses members of my family, and will call in scripts. I don't know which doctor she is using, but I doubt he or she knows. I do not do this, and take the same position as my other aunt, while I don't mind giving a little advise, when someone comes to me that has not been to a doc in 20+ years (my dad) asking about something that could be many different things, I tell him he really needs to get into a doctor. Also my hubby is a P.A. and they have asked him to call in scripts for them and he won't do it, and I agree with this 100%.

This past winter my dad was having abd pain (he did not tell me about it, as I am of no use because I will not dianose and treat him over the phone). He called my aunt (the one that is no longer working, and she told him he had shingles (*****) and that the pain would last for months. SO about 2 months later, he finally said something to me...and I told him he needed to get into the doctors, that why would she pick that diagnosis and give him this false sense of security, so he ignored this on going pain?? He said she asked him if he had a rash and he said he had a blister in his abd, that she never even looked at...

I aksed his a few questions and found out his abd was tender and distended...ugh...I told him to go into the ER...and he said No, it was just linger pain from shingles like my stupid aunt told him.

2 days later he developed a fever, and he called me, and I told him to go into the ER now, or he my die...he went in that night and he had diverticulitis and his bowel had already begun to perferate...I was so mad at my aunt. I told her don't you dare play doctor with my dad again, but she's out in lala land an told me that my dad said he had a blister so it sound like shingles.

Thankfully my dad was ok after a long hospital stay. After finishing abt, he was supposed to go back and have the microperforation repaired...and hasn't...

Anyway I told him, just because me and my husband don't phone diagnose or call in scripits (which I can't even legally do) doesn't mean you should use my wacko aunt for medical treatment. I said she pretty much gave you advice that could have killed you.

Anyway, yesterday my cousin texted me to ask my husband to call in antibiotics for her, and I told her no. I told her I'm sorry this family is used to my aunt handling things the way she has for years and years, and I'm sorry that you all think of that type of conduct as bein a good nurse, but its not. THe wierd part was she said she "went to the ER a few weeks ago for a uti, and the doc said you DH could call in more meds if I need them, so would he call in so macrobid cause the uti didn't go away"...

Even DH thought this was weird because none of his docs would do that, and actually none of the docs would know she knew my husband unless she told them...also he said no doc would be like "hey if this macrbid doesn't work, take some more!" Her text seemed like she was lieing...HD said he probably won't say anything to the doc because what my cousin said sounds like complete BS anyway. He said tell her to go back to the ER and get checked again. Either its resistant, or its something else. And we also know that my cousin sleeps around (she tells me) so maybe even an STD? He said usually when someone comes back for a second visit for a uti, then they will check for certain stds. I also know from her telling me that she has hpv...basically there might be more going on there ,and it doesn't make sense what she said in her text...

I have a huge family (HUGE) and I do not want my husband to be the next Aunt X that every one thinks will do everything on the side for them. Actually, my dad asked me last year (before the abd pain) if he could go into DH ER and get treated for free....Like he wanted my DH to "sneek" him in....smh

Now my concern is that my aunt will start calling in scripts (not narc just abt and BP meds etc) under my DH name. Basically DH said there's no way to know unless he calls every pharmacy in the area (for uncontrolled meds). I feel so bad that my family is doing this but he says don't worry about it.

I just needed to tell some other nurses about this. Its very upsetting that my family is doing this. I have no intention of reporting my aunt, because I don't know the details, but I now worry she will use my DH name....I have kind of always wondered which doc she is using when she has done this in the past. I am also annoyed that my family think me and DH (and my other aunt who is a really great nurse) are "not the smart" because we don't diagnose over the phone or call in scripts. My family has such a warped idea of what is proper conduct for a nurse that they see our conduct as something a stupid medical person would do, I think they mistake lack of intervention for not knowing anything...

Sorry about the long vent. Sorry for typos.

Specializes in Peds ED, Peds Stem Cell Transplant, Peds.

When you know someone is miss using their license or practicing medicine without a license, and you don't report them, you are breaking the law and it can also effect your license and your DH. So yes, you need to grow up. You letting this continue not only puts family and friends at risk for MRDO, you are hurting the entire public with her prescribing unneeded antibiotics. You are enabling this behavior.

Specializes in Transitional Nursing.

Like others have already pointed out, we're suggesting you look at the prescription bottles of said family members to whom the scripts have been called in for. Not your aunts.

I feel like you came here for validation that you are, in fact, a good nurse. In order to be a good nurse, I think you need to do the right thing here and turn your aunt in.

It may be easier to just assume you can't access the information needed to turn her in (pill bottles, what have you). All you really have to do is call the police and BON and report her. It doesn't matter if shes calling in Narcs or not. She can't diagnose someone over the phone (or period, for that matter) and decide that they should take an antibiotic that could very well kill them for all she knows. That's what the problem is here. She's messing with peoples lives. As someone else pointed out as well as you, she is mentally Ill and needs help. If she has to get that help in prison, so be it.

This is much bigger than simply being irritated that your family is mad at you for not calling in their z-pack. They need to be told that what they are asking you to do is Illegal and could be deadly, right after you call the police on your aunt.

Specializes in Emergency & Trauma/Adult ICU.
I was a member of this site years ago and left because it annoyed me. I only rejoined because I wanted to express this crumby situation to other nurses

If you described your situation to layperson friends/acquaintances, you would probably get the aw, shucks, that's terrible response.

You came here to discuss with other nurses. Nurses' responses are going to be more detailed, nuanced, and stress the professional duties that we know the license entails.

You believe you don't have enough first hand details to report your aunt to the BON, have you tried reporting her?

I'm pretty sure that the state police could provide you with some advice/assistance on this matter. I would act now before she starts using your DH name. She may try to hurt someone on purpose to get even.. This is a horrible situation and while it sucks, you must be the one to act if no one else will.

I was thinking further about this, and your OP, and I am curious if your Aunt has an expired nursing license how she is calling in meds at all. Usually the calls come from an MD's office, are refills, or someone needs an actual paper prescription or it is sent on the computer. Lets hope your Aunt is not using YOUR name as well as your husbands to do all this.

There is no reason to get defensive. This is behavior beyond your control. However, I would be 100000% sure that whatever Auntie wants to call in it has nothing to do with you. I would also, once you and your husband make sure you are not involved, stop any family member from discussing this with you or your husband. And I would be upfront in saying "what Auntie is doing is illegal, and stop telling me about it". You can't change what you already know, but going forward, you can choose to not be involved at all--and by involved I mean continuing knowledge that this is happening.

As far as your fathers' "shingles"....YES absolutely annoying, over the top and the like. But the "diagnosis" he obtained was from a former RN whose license has expired. So unless she called in Valtrex for him, it is akin to him web md'ing his symptoms and making his own judgement--people do decline to seek treatment all the time. And NO it is NOT right, not what we want for our parents, and scary.

You are a nurse who has a strong sense of ethics, or you would not be questioning all of this. Another thought is to say something along the lines of "Sweetie, I need my job, go to the Er" or "My husband has to work, so no, he can not call something in. Go to your PCP", and do not engage any further. "But Auntie says I need antibiotics" "Don't discuss Auntie with me, go to the doctor" end of discussion.

Auntie has put you in a pickle. You are concerned about your father, your husband, your credibility as a nurse in the eyes of your family. I get it. Take a couple of steps back, do not engage in Auntie/medical talk with the family--and it may mean screening phone calls for awhile. And you do need to look up your husband's DEA # and see what the history is.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

IN some states KNOWING that a nurse is engaging in illegal activities and NOT reporting will make you as responsible as they are in their crime......some states have mandated reporting of other licensed individuals and if you don't you will be prosecuted as well.....it is best that you report this Aunt and make it clear to the ENTIRE family this is illegal and you won't be participating.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Members have offered wonderful advice. Closing thread per OP request.

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