audit founds errors in charts made by 1 nurse like no Dr's orders 4 narcotics are signed out & no record that nurse gave them to the clients or wasted them...What would be the good decision of Incident based peer review committee ?
a-RN needs remedial education in how to documents these meds
b- the nurse must be reported to the BON for signing out med without order
c-the nurse sould be terminated from work for stealing drugs
d- the nurse must be reported to the BON becoz of the combination of the errors with possible impairment due to and/or substance use and /or abuse
I think she would be fired , which makes the answer C.
My rational, she had no physcian order, nor did she document which patient the narcotics went to. It was done not once ,but four times making it highly suspect for diverting for narcotics.
As a person I would like option A. Bcoz, even if it is rare, it may happen (busy days/ shifts, stress, dot know how to) you can miss something for several times, I believe it is better to do A first, rather than assume that a person is a bad one.
but the correct seems to be D. The law sounds like we must assume to see in everyone - lie, stealing, abusive/addictive behavior, sex offending, neglect, drug dealing, felony... hey, where we going? it is crazy))
A might be an option, as would B - but I would suggest D - and I would also strongly suspect that this action is a proscribed mandatory reporting requirement of either the State or the BoN - or both (or federal).
If it states it is a "legal" question - I'd look for the legal answer.
A = managerial
B = reporting to the BoN (but wait,....)
C = employment
D = reporting - but the answer gives a more qualified reason for reporting than B; ie: becoz of the combination of the errors with possible impairment due to and/or substance use and /or abuse
It clearly states for what purpose the reporting law exists.
I have no idea what law or regulation it is and suggest you check against your State Board home page.
I think she would be fired , which makes the answer C.
My rational, she had no physcian order, nor did she document which patient the narcotics went to. It was done not once ,but four times making it highly suspect for diverting for narcotics.
what right away C!?? even God said WORD first! I would talk first, asses what she knows about documenting if lack of it teach her on how to...
Specializes in psych, addictions, hospice, education.
the test question aside, in real world whoever discovered this huge problem would (should) report it to the boss, the boss should "re-educate" and watch the person with eagle eyes...
the test question aside, in real world whoever discovered this huge problem would (should) report it to the boss, the boss should "re-educate" and watch the person with eagle eyes...
I'd prefer that too - in the first instance.
But it seems 'diverting' is a significant issue - or is certainly receiving a larger amount of attention in USA than other parts of the world over the last 12 months - and as a result (usually) it becomes a manadatory reporting event so that the higher body can make consistent decisions.
My guess would be that most managers when faced with this situation do one of 3 things -
- deal with it effectively and appropriately.
- ignore it or half deal with it hoping it will go away
- dismiss the nurse - leaving them to continue their behaviour at another facility
Since there is no guarantee that most managers will do the best option - and most will go for the easy out - mutual parting of ways ( no longer their problem then) - the BoNs have determined that this is not the best overall option.
From what I gather, most BoNs have, either their own or access to, a specific nurse rehab program and they regard the incidence as a symptom of an addicitve condition rather than simply criminal behaviour.
To mention ciber-1's point:
The law sounds like we must assume to see in everyone - lie, stealing, abusive/addictive behavior, sex offending, neglect, drug dealing, felony... hey, where we going? it is crazy))
It seems that way - but what happens in reality is the matter is referred to the higher body for an objective review and decision. The other difference is that the BoN are not looking to criminalise the nurse's behaviour but are looking to supportively intervene and 'treat' the nurse.
Remember this is a nurse who may be taking narcotics whilst at work - the BoN has a duty of care, as do all nurses, to protect patients and - even tho it seems like you're dobbing/grassing/snitching/informing on another nurse - it's the better overall option in the circumstance.
:D:D:D:D
lpnflorida, LPN
1,304 Posts
I think she would be fired , which makes the answer C.
My rational, she had no physcian order, nor did she document which patient the narcotics went to. It was done not once ,but four times making it highly suspect for diverting for narcotics.