You can also be sure that pharmacy hasa system in place to see how much medication that this nurse is taking out.
If all of your facts are true you will actually place your own license in danger by not reporting. anonymous isn't going to work later, everyone might decide to claim that they were the anonymous tipster. You can call your ethics hotline.
Umm and palliative care is an awesome place to be for someone with a diversion problem............
She may not have pyxis access, but these pts may be on pca devices, some folks will actiually steal pain patches right off he patients. Or how about. "You look busy, how bout you pull out some pain meds and I will give those for your." Then her name appears no where and the documented care giver take the fall in the end. Oh and people who NEED the meds aren't getting them and suffering.