Will they contact State Board - page 2

by chinadoll1 7,743 Views | 56 Comments

My friend was fired today because she gave a patient her order of NPH insulin and held the patients Regular insulin for the AM dose. The patients blood sugar was 121, so the patient wanted Reg held. About 2hrs later the patients... Read More


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    Yes they will report it to the BON. She will need to list that she was fired on all applications for jobs and the renewal of her license. The board will decide if she needs remedial training with a temporary suspension of her license.
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    Wow, that's not cool! I was told they shouldn't contact them, and she doesn't have to put it on applications. How will she know if the board was contacted or not?
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    It's completely possible for a diabetic's sugar to drop that much after NPH, particularly a "brittle" diabetic, so there's really no way to assume that the wrong med was given, and therefore nothing to report. Even if it was a known med error, med errors aren't typically reported to the BON unless there was negligence involved. Best practice these days is to deal with med errors non-punitively and to search for ways to prevent it in the future. (Bar code scanning).
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    Quote from LadyFree28
    if she was going to hold, she needed to call the provider. This patient may need her basal rate constant; holding the regular can rebound the patients sugar into a higher amount, resulting in a higher dose of Regular insulin.

    She may have been fired for not collaborating with the provider, hence practicing our side her scope in some instances
    The Nurse wasn't holding the med, the patient was refusing the med, in the view of a BON those are two very different things. Policies when a patient refuses a med, in terms of notifying the provider, are facility specific and there is no blanket rule on this that a BON enforces.
    RW23RN, Sugarcoma, and KelRN215 like this.
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    Quote from MunoRN
    It's completely possible for a diabetic's sugar to drop that much after NPH, particularly a "brittle" diabetic, so there's really no way to assume that the wrong med was given, and therefore nothing to report. Even if it was a known med error, med errors aren't typically reported to the BON unless there was negligence involved. Best practice these days is to deal with med errors non-punitively and to search for ways to prevent it in the future. (Bar code scanning).
    Ok, so they can't do anything to her license then? I told her that being fired, which she shouldn't have been, was more than enough punishment! Then 1 of our friends said she had to let future jobs know she was fired for this and the board will maybe suspend her license temp or make her do refresher courses. Do you think this is true?
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    Does your facility have a policy for what happens if an error is made? If every nurse was fired for errors such as this and then "blacklisted" by the state board - we wouldn't have any nurses! Sounds pretty fishy to me. But as stated earlier, if you are in a RTW state you can be fired for anything or nothing at all.

    And I agree that med errors should be dealt with non punitively. We have all made mistakes - I am so sorry to hear this. It doesn't even sound like she did anything wrong.
    cardiacrocks likes this.
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    Quote from chinadoll1
    Ok, so they can't do anything to her license then? I told her that being fired, which she shouldn't have been, was more than enough punishment! Then 1 of our friends said she had to let future jobs know she was fired for this and the board will maybe suspend her license temp or make her do refresher courses. Do you think this is true?
    Only the BON can say if anything will or won't happen to her license, and the BON can do pretty much whatever the want, but in general, a single med error without willful disregard or gross negligence does not result in action against your license or really any sort of action by the BON.
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    Quote from hope3456
    Does your facility have a policy for what happens if an error is made? If every nurse was fired for errors such as this and then "blacklisted" by the state board - we wouldn't have any nurses! Sounds pretty fishy to me. But as stated earlier, if you are in a RTW state you can be fired for anything or nothing at all.

    And I agree that med errors should be dealt with non punitively. We have all made mistakes - I am so sorry to hear this. It doesn't even sound like she did anything wrong.
    I'm not sure about the policies because its a jail. Anything prob goes there. And your right, I don't think she did anything wrong either! I think they were just trying to find a way to fire her. Yes the BS dropped, but that doesn't mean she didn't give NPH! Yes we had to call EMS because in jail, if BS go to 20's then we have to call, but he was given D-50, and was fine. But like you said, it sounds fishy to me also!
    deeCNA2013 likes this.
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    Quote from MunoRN

    Only the BON can say if anything will or won't happen to her license, and the BON can do pretty much whatever the want, but in general, a single med error without willful disregard or gross negligence does not result in action against your license or really any sort of action by the BON.
    Ok. We work at the jail, so when her BS went to 20's, then we had to call EMS, so they could give IV D-50, then she was fine. So I hope they don't call state on her for this. Just wouldn't make since! Firing her was enough and unjust if you ask me
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