BON order on RN CA

Nurses Recovery

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Hello. I don't know if this is the correct place. Just new here. I am BON for CA for an incident as RN in 2011. But since then, I have had the chance to become an NP. Sept 2016 was when order came into effect. So, I cant find work as NP, or RN. Interviews for RN question my "you are NP, do you know what RN does? And how will you react when NP tells you things?". As NP, they want someone independent, not cosigning and checking up on most charts and me consulting with them twice a shift. I know there are you guys out there for a bit longer than me without Jobs, but it just gets psych downgrading each time there is a face to face interview and you have to disclose the order and to have 2 job offers rescinded, although it was known to them ahead of time on the application. I was also reported to the NPDB but not OIG as of the last time I checked. I have AANP certification and AANP has reminded mw to apply again for this year... And the main person in charge of renewal also assured me via email to apply. Juat need to get out of this rut... Not many PT jobs, as I can only do PT due to family responsibilities. Just thanks for listening.

Exclusions are imposed for a number of reasons:

Mandatory exclusions: OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP, or other State health care programs; patient abuse or neglect; felony convictions for other health care-related fraud, theft, or other financial misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.

Permissive exclusions: OIG has discretion to exclude individuals and entities on a number of grounds, including misdemeanor convictions related to health care fraud other than Medicare or a State health program, fraud in a program (other than a health care program) funded by any Federal, State or local government agency; misdemeanor convictions relating to the unlawful manufacture, distribution, prescription, or dispensing of controlled substances; suspension, revocation, or surrender of a license to provide health care for reasons bearing on professional competence, professional performance, or financial integrity; provision of unnecessary or substandard services; submission of false or fraudulent claims to a Federal health care program; engaging in unlawful kickback arrangements; and defaulting on health education loan or scholarship obligations; and controlling a sanctioned entity as an owner, officer, or managing employee.

To avoid CMP liability, health care entities need to routinely check the LEIE to ensure that new hires and current employees are not on the excluded list.

From oig.gov site

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Classes assigned.

Ethics.

End of life care.

Medication error.

Professional accountability liability.

Critical thinking skills.

All online

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Wait, so Im a little confused...so you have to meet your probation requirement which requires you to work as an RN, but no one will hire you...And if you do not meet this requirement they are going to say that you didn't meet your requirement and you face more punishment?? I think that the BON should have a list of programs where you can work this off.

And you elected to not have a full hearing? Uggghhhhh ...I don't know how you are doing it. I would be so livid.

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Are these classes online ??? or do you have to take them somewhere in person ?? Critical thinking skills class-->Are they serious? lol!

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So they can also put your license on this exclusion list for being on probation????! THIS IS CRAZY!!!!

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Correct to the above. I couldnt and dint have money for a hearing which I knew I may lose.

Yes. Those classes listed are to be online. NCSBN. Board classes.

Stress and pharmacology to be in class and approved prior to taking by the Board.

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Correct to the above posts. I couldnt and didn't have money for a hearing which I knew I may lose.

Yes. Those classes listed are to be online. NCSBN. Board classes.

Stress and pharmacology to be in class and approved prior to taking by the Board.

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BON states they don't have list of places to work off probation. They are not nurse placement center.

Can you believe how mad I was when I found out AFTER accepting probation? The other OIG.gov and exclusions list also I found out after probation.

At hearing, if you say anything wrong, they can yack on another accusation or 2 or 3. And another yrs probation for those or revoke license or suspend, whatever they feel. Is why I didn't bc I didn't have solid case. No one will testify on my behalf.

I'm just trying my best. Taking care of my special needs toddler and seeing this as lemonade from my lemons ive been given.

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Im so sorry. At the end of the day: stay strong and you have learned a lot from all of this. #1. Carry (that is if you can get this now since probation also ruins this also) 2. Document like crazy and 3. perhaps everything happens for a reason...maybe you are meant to do something different :) in the end ...it will all work out!!

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Oooh. NSO insurance ( been insured with them for yrs) is not Happy with me. Thank you for mentioning that! Whoever reads the blog will know. I am having trouble with them too. Renewal was in July and I took my time. :). Sooooo, they said that there was an incident occurrence?????!!!!!!! And they will have to check my rates. What the heck?! I told them I didn't even use them or get sued. It doesn't matter to them. I had probation.

So. I am so glad to impart some info here to you and others who may be going through same thing. If possible, fight all you can to not have a ding, and this is what may be consequences. I wished I could have known and maybe be more prepared. So is it is why I sometimes feel like giving up.

Oh documentation.... My former boss told me not to document MD pt care conversation after he learned of my accusation and not to document email pt care in chart! Either and not to notify PMDs of care via email I did for f/u !!??? Geez!!!! Needless to say, I didn't listen to him or other MDs during transition of care. Hahaha! You get burned once and it's enough.

Other ICU nurses friends now document exact conversations with MDs!!!! Wow. What about that?!!! So, yep, I'm happy to help others after fact. Ha. And they also now don't do what MDs ask if they think it might be unusual. And MDs can't say anything back to nurses there or bully them or write them up which they usually do for insubordination. They were gonna have MDs write EHR rx directly to pharmacy, (for about 5 yrs before I started) well that was the whole conflict with MDs and pharmacy, but after me in 2011, MDs shut up and agreed. 6 mo after, it was implemented. So they can't say RNs don't fax RX to pharmacy and it's RN fault. Rx go direct to pharmacy and it's MDs and pharmacy responsibility at that point. I had also pushed for this while I was there in ICU, bc outpt had this protocol.

So. Yep. Things change for a reason. And things happen for a reason. Thanks so much for listening. I will keep hanging on. Keep trying Zahir! Think of all avenues the Board may get at you and cover those bases. Also hope that they can get a suponea for a disposition by those RNs who don't want to talk about your awesome work. I didn't do that, maybe that may have helped...if going to Court, think about those ppl who can give you strong work and personal referrals and defend you in good light and ask them in advance.

Good luck to us all. It has to work out:)

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More in NPDB.

Administrative Fines and Formal Money Penalties

Federal licensing and certification agencies must report to the NPDB all money penalties and administrative fines that are formal or official actions (e.g., formal disciplinary actions) against health care practitioners, providers, or suppliers.

However, fines that are considered administrative or technical in nature must be reported to the NPDB only if they meet the NPDB definition of negative actions or findings. First, these types of administrative fines must be publicly available information. In addition, administrative fines reported as negative actions or findings must be either:

Connected to the delivery of health care services, or

Taken in conjunction with other adverse licensure or certification actions, such as revocation, suspension, censure, reprimand, probation, or surrender.

Generally, each reporting entity determines whether its action is connected to the delivery of health care services.

An action must be reported to the NPDB based on whether it satisfies NPDB reporting requirements and not based on the name affixed to the action.

From:

The NPDB - Guidebook

What actions are reported to the NPDB?

Medical malpractice payments

Adverse clinical privileges actions

Adverse professional society membership actions

State licensure and certification actions

Federal licensure and certification actions

Negative actions or findings by a peer review organization

Negative actions or findings by a private accreditation organization

Exclusions from participation in a Federal or state health care program (including Medicare and Medicaid)

Other adjudicated actions or decisions

Health care-related civil judgments and criminal convictions in Federal or state court

When do reports expire in the NPDB?

Reports in the NPDB do not expire. Information reported to the NPDB is maintained permanently, unless it is corrected or voided from the NPDB by the reporting entity or by the NPDB as a result of the Dispute Resolution process.

From:

The NPDB - Check Your Report FAQs

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They denied my insurance. I need to reapply

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