tn board of nursing disciplinary actions
Drug prescription errors, while serious events are not necessarily intentional. While searching for information on a particular health care professional, consumers should be aware that there are several locations available to aid them with their research. 1406 0 obj <> endobj Only cases that have occurred within the most recent ten (10) years shall be disclosed by the department to the public; All medical malpractice court judgments, all medical malpractice arbitration awards in which a payment is awarded to a complaining party and all settlements of medical malpractice claims in which a payment is made to a complaining party beginning with reports for 1998 and each subsequent year; provided, such reports shall not be disseminated beyond the most recent ten-year period, but shall include the most recent ten-year period for which reports have been filed. According to her defense attorney, her acceptance of responsibility for the error was immediate, extraordinary, and continuing. Disciplinary action taken by the institution or organization if action pertains to the Board's grounds for disciplinary action (see related content below) Minnesota Statutes Section 148.261 . Questions posed to witnesses were also misleading as they were directed at current conditions and not correlated to the conditions that existed in 2017. As a primary source equivalent the data is provided directly from the boards of nursing. a number of sources. July 23, 2021. endobj This information is not intended to create, and receipt As RaDondas defense attorney said during the hearing, Rather than revoking this good nurses license, there needs to be another way. If we dont find it, we risk jeopardizing the opportunity to recruit talented people into the healthcare fieldthey wont want to join a profession where an unintended mistake could end in the loss of their license or even jail time. TN The nurse questioned the need to monitor the patient, which was framed around the need to bring monitoring equipment along for use in radiology. However, was the Boards action fair and just in this situation? Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. Nurse did not monitor a patient who had received an IV sedative that is sometimes used for moderate sedation. Read our recipe for investigating nursing boards' oversight . I would have never wanted something like this to happen to her, or anyone that I loved, or anyone that I dont even know. The Division of Health Related Boards provides administrative support to the boards, committees, councils and one registry that are charged with the licensure and regulation of their respective health care professionals, as well as the Office of Consumer Right to Know. Each provider licensing board shall set by rule adopted pursuant to the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, a threshold amount below which judgments or settlements shall not be reportable; provided, such threshold shall, for chapter 6 or 9 of this title licensees, be set at seventy-five thousand dollars ($75,000), for doctors of chiropractic, regulated pursuant to chapter 4 of this title, be set at fifty thousand dollars ($50,000), for dentists, regulated pursuant to chapter 5 of this title, be set at twenty-five thousand dollars ($25,000), and for all other licensees under this title be set at ten thousand dollars ($10,000). What is NOT in dispute is that the hospital could have made barcode scanning technology a priority in radiology, given its high reliability for managing the risk of a competent, caring nurse showing up with the wrong drug in hand, as happened here. Furthermore, the Board did not determine whether RaDonda saw the risk associated with her behavior as substantial and disregarded it, and whether her internal risk monitor firedthat little voice that creeps into our conscious thoughts and lets us know we are in danger. The nurse believed she administered the prescribed dose of 1 mg (which was actually vecuronium, not Versed) after reading the directions for reconstitution on the label, correctly reconstituting the drug, and administering 1 mL of the reconstituted drug. When I started being a nurse, I told myself that I wanted to take care of people the way I would want my grandmother to be taken care of. The mission of each board is to safeguard the health, safety and welfare of . But whether this happened due to human error or at-risk behavior, or reckless behavior as alleged by the Board, is at odds. Below is a list of actions taken in July 2020. If you are a licensed professional and have been arrested for a crime, your license to practice may be on the line. National Council of State Boards of Nursing, Inc. All Rights Reserved. When an individual is engaged in at-risk behavior, their internal risk monitor is silent. 37201 The RaDonda Vaught case is confusing. However, this failure is substantively unimportant relative to the wrong drug error. and nurses. 4 0 obj The standards are very broad. The nurse was distracted (talking to an orientee) while preparing the medication and failed to read the full medication label. Contact us with any comments or questions. The nurses license verification is available immediately to the endorsing board of nursing. To make changes to your profile, log in to your account at:https://lars.tn.gov/datamart/mainMenu.do. . To make changes to or update the Practitioner Profile, please do so via the web at:https://lars.tn.gov/datamart/mainMenu.do. C. omplaints to nursing boards can come from . The graphic below demonstrates the disciplinary process from receipt of complaint to resolution and reporting. We believe this is what happened here. It seemed the Board was holding a disciplinary hearing primarily because the patient had died, so there was a significant outcome bias. Filing Complaints and Researching Disciplinary Actions. tzHhn(`d4H&e `Hhe/bFi 1a33$LQLR00m]2b6Q ]j@ZiSf7\D@ hY. If reading the front of the medication label was the best way to confirm the drug in hand, then RaDonda failed in that regard. Believing the best in everyone, ISMP has faith that the TN Board of Nursing likely had the right, albeit misguided, intention to protect the citizens of TN. Disputed failure. Please include your name, title/position, organization name, office phone and email in your request. Nurse was distracted while talking to an assigned orientee while retrieving the medication from the ADC. May 20-21, 2020 Vaught's professional discipline hearing is scheduled at a quarterly hearing of the Tennessee Board of Nursing. Nurse failed to document vecuronium administration to the patient in the EHR. Listed below are the meetings held for the past year. 214 2nd Avenue N., She said through tears at the hearing, I wont ever be the same person. Health Professionals Boards Disciplinary Actions, Tennessee Department of Health Publications. 7oM~/dc`xb7T206 )5F{w0Q ( While the Board accepted the state prosecutors recommendation to revoke RaDondas nursing license, ISMP doubts that the Boards action was just, and we believe it set us back 25 years in patient safety. Find Your Nurse Practice Act. Nurse did not verify that the proper medication was removed from the ADC. Currently, the annual rate of discipline on a nursing license is less than one percent. %%EOF As ISMP knows well from the vast number of error reports received, even the most careful and competent practitioner might make these mistakes or drift into unsafe practice habits without recognizing the risks. Nurse did not verify that the proper medication was administered to the patient. RaDondas immediate verbal disclosure to the team treating this patient far exceeded any benefit that would have been available through documentation. _X_\~?Map0j).,XxzZ(uJ@ X{ R@-npXC +G1#!$>Wwo^-!,${W'/7$ A@B`\mu)B8@afs@6Aad&@r6[K0(+hTR]rJL|yC .=okDYp B',zR5dbdG~8hy.3a6zt #x^h%~L7 fUFA@eRiM9X:0&z-j>@95_N6lxPoYK{T#9nHZ"ip]>3>U]S A payment in settlement of a medical malpractice action or claim should not be construed as creating a presumption that medical malpractice has occurred. (Pending malpractice claims shall not be disclosed by a board to the public. "9$3. As one Board member noted, I feel like, as humans, every one of us make mistakes, none of us are perfect. The information below represents a single month of 51 Tennessee Board of Nursing professional license actions in November 2018. The location of the licensee's primary practice setting; A description of any criminal convictions for felonies and, as determined by the board, serious misdemeanors, within the most recent ten (10) years. Disciplinary action against her license was then filed. hb```\^ !0!U[j|}+Iv0H/\K After CMS released its report, RaDonda was indicted, arrested, and charged with criminal reckless homicide and impaired adult abuse. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. The prosecutor acknowledged that the hospital had various system failures that contributed to the error; however, he stressed that the Board is not here to look at the system and is instead looking at individual conduct. Thus, the Board judged RaDondas behavior in isolation of the contributing system failures. If you are threatened with the loss of your professional license, you must take prompt action. This page has information and updates on nursing boards and regulation specific to Montana. See what boards of nursing are currently participating. Information for health professionals regarding the COVID-19 response. Yet, a failure to follow the five rights is often cited as a performance deficit when a medication error occurs, clearly perpetuating the mistaken belief that healthcare practitioners can be held individually accountable for achieving these goals. 0 Discipline Meeting . Below is a list of actions taken in NOVEMBER 2021. 2023 Institute for Safe Medication Practices. Undisputed failure but most likely at-risk, not reckless, behavior. hb```@( g0A2kC.)3gZZN.qY{IU!FIP!DCA vs5 case or situation. Receive the monthly Disciplinary Action Report bye-mail. endstream endobj startxref Were they monitored and by whom and for how long? It is not our intent to embarrass or diminish the TNBoard of Nursing by pointing out what we find disturbing or unjust in the deliberations of this complex matter, but rather to find a better way to achieve justice, learning, and improvement in safety. Undisputed failure but most likely human error, not reckless behavior. For the purposes of this subsection (a), a person shall be deemed to be convicted of a crime if such person was found or adjudged guilty by a court of competent jurisdiction. Filing Complaints and Researching Disciplinary Actions . <> Detailed information about disciplinary . hbbd```b``+@$4XD'A$X|-XXV!`L^ +2$cXW l/#QF @ Disciplinary Action. Nursysis the only national database for verification of nurse licensure, discipline and practice privileges for RNs,LPN/VNs and APRNs licensed in participating jurisdictions, including all states in theNurse Licensure Compact (NLC). Serious Disciplinary Actions States. Please click the link below to access the licensure renewal page. Board of Nursing Complaint Process: Investigation to Resolution. Select Begin Here For Sign-up under New User to create your account. However, ISMP believes her actions were either unintentional (human error) or at-risk behaviors, not reckless behaviors. Nurse claims that after failing to find the order in the patients profile in the ADC, she called the charge nurse to make sure the order had been placed, and then entered an empty room and checked the patients electronic health record (EHR) to verify the physicians order before returning to the ADC to withdraw the drug via override.