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Anonymous865's Latest Activity

  1. Anonymous865

    Manager wants me to force prn pain meds

    HCAPPS has removed the questions about pain management from the survey. "On July 31, 2018, in the CY 2019 OPPS Proposed Rule, CMS proposed a plan to remove the HCAHPS Survey's Communication About Pain items (questions 12, 13 and 14 on the HCAHPS Survey). The recently released CY 2019 OPPS Final Rule requires that the pain items must be removed from all surveys beginning with patients discharged on October 1, 2019 and forward. This change affects all survey translations and all survey modes." This is from https://www.hcahpsonline.org/en/whats-new/ You can see the survey here. https://www.hcahpsonline.org/en/survey-instruments/
  2. I didn't know that. That is very interesting.
  3. To me what shows a tremendous disconnect is the photo she chose for her gofundme page. She is all dolled-up and sitting in her husband's lap at a party/celebration. She is trying to raise money to defend herself after killing Charlene Murphy. Sam Murphy will never again touch his wife of 50+ years. Even after more than a year Sam Murphy "is too upset to talk about his wife" with reporters. She and all her supporters seem to have forgotten Charlene, Sam, and their family. A less festive photo for her gofundme page would have been more appropriate and respectful.
  4. CORRECTED to add NOT
  5. You are right. The letter said it did not merit further action. I couldn't download the PDF document from the document cloud. I instead downloaded the Txt document from their document cloud. Apparently when it was converted to a txt document it left out the not probably because the not was underlined. Now I can't go back and fix the post.
  6. Just curious - Why do you think there is bad blood between Mr. Funk and Ms. Welch?
  7. That's the article. Here's the letter for anyone who can't access it. STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION OFFICE OF INVESTIGATIONS Metro Center 665 Mainstream Drive, Second Floor Nashville, TN 37243 615-741-8485 or 1-800-852-2187 Antoinette.Welch@Tn.gov October 23, 2018 PERSONAL CONFIDENTIAL 7005 3110 0001 7274 7346 Radpmda Vaught a Re: Disposition of Complaint No. Dear Ms. Vaught, Thank you for the work you have done with us through this necessary process. A complaint, which was filed against you, was forwarded to the Board Consultant for disposition after investigation. After a review by the Board's Consultant and a staff attorney for the Tennessee Department of Health, a decision was made that this matter did merit further action. The purpose of this letter is to inform you of the outcome. This is not a disciplinary action, and no record of it will appear in your licensure file. As you can appreciate, this Office has the statutory duty to investigate any allegation received against a practitioner licensed and/or certified under Title 63 of the Tennessee Code Annotated. The purposes for the investigative process are to maintain the administration and enforcement of the laws regulating your practice and to ensure that the citizens of Tennessee receive good quality health care from all practitioners. Please accept our sincere appreciation for your cooperation in the resolution of this matter. Sincerely, Antoinette Welch, Esq. Director Office of Investigations Tennessee Department of Health AW: be Complaint No,
  8. Apparently in Tennessee it's really, really, really hard to lose your license. What is really scary - if the board decides not to take action, the complaint is never made public. There is no way to know how many similar or even worse nurses were reported and the board decided not to take action. I've been reading through their Disciplinary Action Reports. Cynthia Leigh Clemons APRN, RN and Courtney Newman APRN, RN were indicted in 2016 for being part of the region's largest drug distribution and money laundering ring. The ring made $21 million in profit during just 4 years. The ring is accused of distributing "billions of opiates." https://www.knoxnews.com/story/news/crime/2018/01/19/rico-indictment-opiate-pill-mill-east-tennessee/1049174001/ Both appeared before the board in 2018, because they didn't report their indictment to the board. The board fined one $50 and the other $100. They put restrictions on their licenses - They can't work in a pain clinic and they can't prescribe controlled substances. Both are still working.
  9. You just have to look at the way hospitals and medical boards protect physicians who sexually abuse patients to see that. They don't care if they are abusing children or women. https://www.medpagetoday.com/publichealthpolicy/generalprofessionalissues/76948 Apparently voters don't care if physicians commit sexual misconduct either. https://www.timesfreepress.com/news/local/story/2012/nov/16/scott-desjarlais-supported-ex-wifes-abortions/92999/ The board fined him $250 for each patient he had sex with.
  10. A few nurse examples would include: Genene Jones Charles Cullen John Meehan (a.k.a. “Dirty John”)
  11. Next look at Dr. Michael Anthony Lapaglia. Lapaglia first came to the attention of a medical board in 2002 when he was a psychiatric resident in NC for having an “inappropriate relationship” with an inpatient psychiatric 16 year old female patient. This relationship continued after the patient was released. He also tested positive for marijuana. The contested charges were eventually dismissed without prejudice in 2005 (3 YEARS LATER), because his resident training license became inactive before the case was adjudicated. This allowed him to move to another state and apply for a license with a clean record. He did an emergency medicine residency from 2004-2007 in Hershey, PA He shows up in Tennessee in 2007 and begins to practice as an emergency physician. The first the public hears of him is in 2011 when the newspaper reports that Anderson County law enforcement officers have been transporting drug suspects to the ED at Methodist Medical Center in Oak Ridge (a city in Anderson County). Lapaglia has been doing cavity searches for them without patient consent or a warrant. In at least 3 cases Lapagalia sedated, paralyzed, and intubated these patients without their consent in order to facilitate his drug search. Lapaglia found drugs in only 1 person. This case went to trial and the courts threw it out as a 4th amendment violation and stated that Lapaglia’s actions “shocked the conscience.” Two individuals sued Lapaglia, the hospital, Lapaglia’s employer, the county, and others. The suit was settled and the terms of the suit were confidential. Lapaglia next shows up in the news in 2013 when Knox County law officers are called to his home on a domestic disturbance complaint. His girlfriend reported that Lapaglia had threatened to use his medical knowledge to kill her and dispose of her body. When officers entered his home, they foundd more than two pounds of high-grade marijuana in various strains; 52 diazepam (Valium) pills; 24 oxycodone pills; 22 amphetamine pills; 11 vials of Xylocaine; seven vials of succinylcholine; two bottles of propofol; two vials each of Marcaine and Lydocaine; and one vial each of bupivacaine, flumazenil, midazolam, fentanyl, and morphine. Because he was a physician, the DA allowed the medical board to handle his discipline. His license was suspended for 6 months while he received inpatient drug treatment. Then he was allowed to return to practicing medicine. They did restrict him from prescribing controlled substances. He’s back in the news in November of 2018 when he is arrested for selling prescriptions for a 1 month supply of the controlled substance of your choice for $300. Lapaglia was seeing “patients” at his home, the patients’ homes, MacDonald’s parking lot. How is this possible, since he no longer had a DEA certificate to prescribe controlled substances? Well his buddy Charles Brooks, MD was giving him blank signed prescriptions. Lapaglia was giving Brooks $150 of the $300 he was making on each prescription. Dr. Brooks had also been before the Board of Medical Examiners in the past. Also note that the arrest of Drs. Brooks and Lapaglia occurred at the same time the Vanderbilt made the news.
  12. I would say that Tennessee DAs have a legitimate concern that hospitals and professional boards are not protecting the public. Consider a few cases that have been in the news recently (warning this is long). Christopher Duntsch Christopher Duntsch (a.k.a. “Dr. Death”) – got his MD/PhD and did his neurosurgery fellowship at University of Tennessee Health Sciences Center (UTHSC). He moved to Texas and proceeded to maim and kill patients. He was so incompetent that a surgeon in Texas called UTHSC to find out if he really had completed neurosurgery training. When the Texas surgeon was assured by UTHSC attendings that Duntsch did complete training, the surgeon faxed a photo of Duntsch to his attendings at UTHSC. The Texas physician felt sure Duntsch was an imposter. He wasn’t. The UTHSC attendings told the Texas physician that Duntsch was great! Brilliant! Texas wasn’t any better than Tennessee. The board got at least a half dozen complaints from physicians and lawyers begging them to do something about Duntsch. They didn’t. One hospital would fire him, and he would just move to another hospital. He was eventually tried and sentenced to life in prison. News organizations investigated Duntsch and talked with neurosurgeons. Neurosurgeons stated that a neurosurgery trainee should participate in at least 1800 surgeries in order to complete their training. Documentation showed that Duntsch was actually IN an OR for only 100 surgeries while at UTHSC. (He wasn’t necessarily even PARTICIPATING in those surgeries. UTHSC still said he successfully completed his training.
  13. What you are saying is that medical professionals should not be subject to the same laws that govern every other person in the US. The purpose of professional boards is to define the professional standards that members of that profession must adhere to. They were never intended to exempt members from the state and federal laws and make them only accountable to the professional board. If you don't like the reckless homicide law, you can try to repeal it, but as long as there is a reckless homicide law, it should apply to everyone in exactly the same manner.
  14. Anonymous865

    Nurse Charged With Homicide

    I know physicians who have sent loved ones to Vanderbilt when they thought they needed care that couldn't be provided in the patient's community. On the other hand I wouldn't go to Vanderbilt, but I wouldn't go to any academic medical center. I don't think care from residents and students are in my best interest as a patient. Both of those are opinions not evidence. Unfortunately we can't get real data, because the medical community has convinced congress that incident reports are proprietary information so hospitals don't have to reveal this information. I think that all healthcare organizations should have to report every near miss and every mistake to a national database, so that they can be studied. By law every single cancer diagnosis gets reported to a state database and that information gets uploaded to a national database. The patient's name, address, ssn, diagnosis, occupation, marital status, treatment, health history, etc. is shared so that researchers all over the world can use the data for research. Because of pressure from the medical community, congress weighed the right of a patient for medical privacy against the best interest of society and decided that cancer patients don't get privacy. Why should hospitals have more privacy than the patients they care for? The only way to improve care is to study it, but that is not likely to happen and hospitals all over the country will continue to conceal their flaws.
  15. Anonymous865

    Nurse Charged With Homicide

    You keep arguing that the environment and staffing are to blame. You assert that she wasn't experienced enough to be in the helper role. The only evidence you present to support your argument is that everywhere you have worked nurses are so overworked as to present a danger to the patients. The evidence that I have found includes: Vanderbilt is licensed for 832 beds and has 4400 nurses. That is a very good ratio. US News and World Reports reports how hospitals compare nationally. They report the nurse to patient ratio for hospitals as very low, low, average, high, or very high for how they compare to other hospitals nationally, Higher is better. They report that the nurse to patient ratio at Vanderbilt is VERY HIGH. The nurse to patient ratio in critical care is 1:1-2. You argue that she was inexperienced. Per Vanderbilt's job application website - any nurse with < 6 months experience must apply for and be accepted into their nurse externship program. The program is 1 year long and includes classroom, lab, and preceptor training. They have 3 cohorts per year. That sounds like a lot more training than most new grads get in their 1st job. Vanderbilt's employee website says that nurses interested in becoming a preceptor must complete training on how to be an effective preceptor. If you look at their class schedule, the preceptor workshops are scheduled at least once a month. That certainly sounds better than what most hospitals do - "Hey. You're precepting today." I definitely think Vanderbilt handled this whole thing incorrectly. It appears they covered it up to protect their reputation. I don't see any objective evidence Vanderbilt is dangerously understaffed and that they are putting unqualified nurses in the role of resource nurse. RV's lawyer may argue that at trial. S/he would have access to data that we don't. S/he might be able to get employees to testify to that. If you have objective evidence that Vanderbilt (not most hospitals) created an environment that contributed to this death, I would be very interested. I have looked. What I have found that is publicly available does not support your argument.
  16. Anonymous865

    I Hope This is Not the Latest Trend

    One of the people charged was a nurse practitioner. The nurse practitioner and the ADON were the people with the most serious of the charges. I would assume that the nurse practitioner was the "Doctor" who was "paid a nice salary to oversee these patients." The corporation that owned the facility was fined nearly $100,000.