Reported to BON for starting IV on self during Hurricane Helene

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

Published  

 

I had to stay at hospital due to Hurricane Helene and all roads closed to my home. Unable to contact family, unaware of their safety, and stressed out. Was assigned to a defunct/unused unit to sleep. When getting toiletries for a shower from supply room, I also took 2 bags of fluid (LR), IV start kit, 20 g IV needle, and IV tubing. I noticed the camera in the hall, but was not concerned about my actions being wrong. I administered the fluid to myself for rehydration purposes only. (Yes, I inserted the IV catheter myself). I told some work friends what I did. Somehow it made it to management and HR. 5 days later at next shift back, I was approached by management around 1600 and told to come with them and bring all of my things. I confessed to taking the fluid and withheld nothing when confronted by HR. Was sent home for the weekend and told my fate would be delivered on Monday. Was reported to the state board of nursing for theft of property. Does anybody have any knowledge or dealings with something similar and have advice as to what to expect? How long does an investigation take and what are common outcomes with something like this? And I honestly thought I was doing no wrong at the time. I understand the error now. I also have no prior history of write-ups, reprimands, suspensions, or legal trouble as a RN for 6 years. Thanks

Share this post

+ Add A Comment
Specializes in Tele, ICU, Staff Development.

I'm sorry to hear about what you're going through. Being isolated during a hurricane while worrying about your family sounds incredibly stressful.

It's important to understand your behavior and what drove you to start an IV on yourself in order to defend your actions to the BON. Your choices sound bizarre, but you may have made them based on a catastrophic situation and survivor mentality. Perhaps in that moment, you felt compelled to take extraordinary action to counteract the outward events over which you had no control. 

You say it felt normal to do so then, but keep in mind nothing about the situation was normal.
You also say that you thought you were doing no wrong but that you understand the error now. You should elaborate on that understanding if asked by the BON.

It's essential to address the implications of what happened.

First, regarding the state board of nursing's involvement, reporting your actions as theft could lead to a formal investigation. This process can vary significantly based on the state's regulations and the specifics of the incident. Typically, investigations can take anywhere from a few weeks to several months. During this time, the board will gather information, including interviewing you, reviewing surveillance footage, and assessing your explanation and intentions.

Expected outcomes of such investigations can range from no disciplinary action if they find the circumstances warranted some level of leniency to various forms of disciplinary action, including:

  • Reprimand. A formal warning that goes on your record but does not affect your license.
  • Probation. You may continue practicing under certain conditions, such as regular supervisor check-ins or monitoring program participation.
  • Suspension. Temporary removal from practicing nursing for a defined period.
  • Revocation. Your nursing license could be revoked in severe cases, typically reserved for more serious offenses.

Given your previously clean record, the board might consider your intentions and the context of your actions when deciding. It's crucial to demonstrate that you understand the gravity of the situation now and are committed to maintaining professional standards moving forward.

Additionally, here are some steps you might consider taking:

  • Seek legal advice. Consulting with an attorney who specializes in nursing law could provide you with tailored guidance and help navigate the investigation process.
  • Document everything. Keep a record of all communications with your employer and the board, including dates, times, and details of discussions. This documentation can be valuable for your defense or appeal.
  • Reflect on your actions. Understanding the implications of what you did is important. Consider writing a statement that outlines your thought process at the time and how you've come to terms with the mistakes. This can help convey your growth and understanding to the board.
  • Support systems. During this difficult time rely on colleagues, friends, or support groups. Sharing your experiences with others who understand nursing can provide emotional relief and practical advice.
  • Prepare for possible outcomes. Depending on the investigation's findings, prepare for different scenarios. This includes thinking about what you would do if faced with disciplinary actions and how to maintain your mental well-being throughout the process.
  • Stay professional. Continue to approach your job and interactions with colleagues and supervisors professionally. This will help reinforce your commitment to nursing and patient care.

Remember, while the situation is serious, having a clean history can only work in your favor. Many people have faced similar challenges and have been able to move forward successfully.

Take it one step at a time, and don't hesitate to reach out for help or resources along the way. You're not alone in this; the only way through this is through this.

Best wishes,

Nurse Beth

 

+ Add a Comment