Narcotic Diversion in Home Care

[Katillac, RN]

Hi, All.

I'm wondering if anyone has any resources they can point me to regarding suspected narcotic diversion in a home care patient. This is a case where we strongly feel that narcotics are being hoarded, used by someone other than the patient, and potentially sold. My questions include to what extent is the nurse liable, as well as the prescribing doctor? What is the ethical and legal response when someone is in legitimate pain but also has documented history of past narc abuse and every appearance of doing so presently? While I would appreciate opinions, credible references would be the most helpful. I realize I may need to look for a lawyer, but how to find one that has expertise in this particular area?

Thanks in advance,

Katillac

(Cross Posted to Hospice Nursing)