really disappointed after my trip to the BON

Nurses General Nursing

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We had our nursing school's "field trip" to the BON this week. I have to say it was so disappointing. I went in with the idea in my head that it would be fair and professional, but in fact it just seemed like the board was very biased against anyone with legal representation, and like their rulings were very arbitrary.

The first case we heard was a new RN who had recieved a DUI 2yrs prior to starting nursing school. It was a misdemeanor and she had fully completed her sentence before nursing school. The BON put her on 6mo of drug/ETOH testing when she earned her license. So she had to call daily to find out if it were her day to test. Each of the first 4mo she was in full compliance and had two drug tests each month, all negative. On the fifth month she tested twice, the last time on a Friday. It was the last week of the month. Over that weekend she moved, she was 8mo pg, and that Mon. she forgot to place her call into the testing system. As soon as she realized (with a couple minutes of it shutting down) she called those she was working with at the BON, but it was too late. She was given a "positive" drug test even though her number didn't necessarily come up. Her argument was that she was under the impression that she had to take two per month, and that she just completely forgot but thought she was fine since she'd already done two clean tests that month.

The BON suspended her license for 3mo, gave her a $1000 fine, and reinstituted 6mo of drug/ETOH testing.

The next case was an LPN who worked at a hospital and told the RN that pt x needed his demerol from the pyxis and the RN retrieved it for her. The following day the same thing happened except shortly afterward the LPN started acting intoxicated, making odd statements, and threw up. She tested pos. for demerol. Turns out there was no order for demerol at all.

The BON did not suspend her license, didn't fine her, nothing. She got put into PEER assistance. That's it.

To me it was just shocking that a nurse could lie to the RN to get the drugs, and take them ON HER SHIFT, clearly putting pts in real harms way and she just got put into PEER, and this other nurse has not had a single instance r/t drug/ETOH use/abuse as a nurse, or even in the couple years leading up to her licensure and she actually got a suspension with a big fine.

Do you think it was because she was an RN and the second was an LPN? It just seemed like the rulings were completely arbitrary and so unequal :down: I was honestly really disappointed because I expected the board to be tough, and after the first case I thought "wow, they really are tough" but I expected them to be tough on everybody. It seemed like if you tried to make a case, your penalty was very harsh, but if you just worked out a deal, you got off easier. Some people seemed to get off with a slap on the wrist, and others more harsh, but they were all lighter than the cases that were fought by the nurses. But what if you actually feel the charges by the BON are unfounded? You just take a deal anyway?

Specializes in IMCU.

Question: Would I ever know if a colleague was being monitored in this way? I mean without looking at the BON minutes?

This information doesn't seem terribly private.

Specializes in NICU, Post-partum.
when my 2 now 10 year old daughters were very small, i looked around at the young adults our society seems to be producing and didn't want that for my kids. i decided on 3 lessons that they needed to really internalize to become self-sufficient adults. here they are:

1. live is not always fair: deal with it an move on

2. work for what you want because no one is going to give it to you

3. actions have consequences: your actions or inactions determine the course of your life.

i think that this falls under both 1 and 3. was the bon unfair? maybe. deal with it and move on. did the nurse’s actions and inactions lead to consequences? yep. no matter what the lpn did or did not do is irrelevant. the rn got a dui and then did not comply with the bon. extenuating circumstances aside, her action and inaction led to her problems.

does anyone remember personal responsibility? i don't know about you guys, but i miss it!

however, if we practiced nursing care without any consideration for the individual circumstances of the individual...healthcare as we know it would go to hell in a handbasket.

so why is it, that the bon encourages us to do this with the patient and the public, but won't do it with it's own professionals.

don't anyone scream at my for saying this, but i have a feeling i know why:

it's mostly run by women.

women, by nature, hold grudges, have huge ego's, and think very little of seeing someone suffer if they personally don't care for them.

you get a group of them to run an organization and you'll see red tape and no consideration for the individual like you've never seen it before.

they probably look at each one of these cases and think: well, i never would have done ________________________, therefore, no one else in the planet should have either.

that is literally, how most women think.

the american medical association...pharmacy boards...crna's, etc.

mostly run by men.

men, don't hold grudges. they have an amazing ability to cast emotions aside and look at the facts...that is why most judges and attorney's are men.

that folks...is why.

we are shooting our own profession...in the foot.

I don't see it as being tough, I see it as being morally and ethically unfair.

I read the list of disciplinary actions in our state last night when I had insomia.

Case after case of people on drugs, diverting meds, ALL allowed to keep their license and keep working. Some of them had been before the BON more than once...yet, given chance after chance.

Then there was one RN...She had been licensed for 14 years and was a nurse manager at her hospital. She went out of town on vacation and got a DUI and didn't report it.

It wasn't until she renewed her license, several years after the DUI, that they even "caught" it. When asked on the application if she had a DUI since her last renewal, yup....she messed up...she put "no" on the application for renewal.

Granted, she shouldn't have done that. But by golly everyone that has had a DUI in their lifetime doesn't have a major drinking problem or is an alcoholic. Sometimes (not always, but sometimes)...it's just a matter of making the mistake of driving...thinking you were ok...and to find out when the police pulls you over, that you are not.

Did they give her a warning? Nope.

Did they let her do counseling? Nope.

Did they suspend her license temporarily? Nope.

They just flat out revoked it.

No more practicing nursing for her....they have an abuse registry in my state...these are people that have ABUSED patients that are STILL working.

My question to the board would be: Who would YOU rather have working on you?

Someone with multiple infractions of abuse and drugs, or someone who made a serious error in judgment, ONE time...and it didn't even have anything to do with a patient or their place of employment.

The obvious answer is neither...but seriously.

I don't see how the BON justifies what it does.

Also, if you do a research of court cases that involve your state's BON...you'll find out that very often, when they are challenged in court for pulling licenses....the court doesn't side with them unless there is the same level of proof as you would need in any other court case...not the "he said/she said" crap that is causing some nurses to lose their licenses.

good to know, of course there is a financial cost to that,,,,but ...maybe if it happened a few times the BON would clean up its act alittle....i dont imagine they like being second guessed and embarassed that way

thank you for this breath of fresh air and clear thinking. Most nurses are just too "obedient" (having been taught that in school) to think originally and critically about these issues.

Specializes in IMCU.

BabyLady I wish I could say I disagree about some groups of women, but what you say can all to often be true.

Yep, I didn't want to make those observations/accusations because I'm a man but I couldn't agree more. The Connecticut BON is supposed to be comprised of my "peers." Are there any men on it? Nope. I have an acquaintance who is an MD (male). He was caught writing controlled prescriptions despite not having a controlled drug license from Connecticut. He also wasn't keeping any records on these "patients." His punishment? A reprimand and a fine. His license? Still in his pocket. People on the BON have no accountability. They can do whatever they want to whoever comes before them and they answer to no one. If they make a mistake or intentionally step over the line in their decisions? Tough luck. You can have it.

Specializes in NICU, Post-partum.
BabyLady I wish I could say I disagree about some groups of women, but what you say can all to often be true.

Thank you for understanding where I was coming from.

I love being a female, I love every aspect of being a woman....but gosh, we are different! We have our quirks...and this is one of them when we get into groups.

We have seen over and over again of "nurses eating their young"....but could it not just be the nursing profession but ANY female-dominated profession?????

When you really think about it...it is!

Men can get into a fist fight one day and go have a beer the next.

Women will bring up a nasty rumor that they thought you spread about them when you see them at your 30-year class reunion!!!!

I believe you misunderstand. She had her indiscretion two years before she earned her RN. She was documented sober from the time of her DUI since... I'd like to add that it's remarkable to be able to do that. Most people with an alcohol problem relapse long before that. The BON were incredibly unfair. The expectation of beyond excessive check in's and bimonthly drug tests, were not only oppressive but cumbersome to manage,

It's not like she missed multiple appts. She was cooperating. One distraction/pregnancy and she gets her license suspended. The other one steals from the hospital and gets nothing... That's beyond unfair. It's not like the arrest was after she got her license, and then got arrested. DUI's are wrong but her punishment was more severe than some rapists, thieves, murderers. I'm not even joking...

I think you are being much harsher than the BON. In the first case you have a known user of alcohol who had a DUI on her public record. She was given rules to follow and didn't. So, she has consequences for that. Alcoholics are manipulators and will lie and twist the truth to suit their own purposes. When they drink they get forgetful. Maybe that is why she forgot to phone in and not the reason she gave. Now, none of us knows if this nurse is an alcoholic or not, but she was convicted of a DUI so why should the BON believe she isn't? You want to make it a case of bias because she was an RN? She broke the law by driving drunk and endangering people's lives! How do any of us know she doesn't still have an alcohol problem even if she is pregnant?

The expectaion

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