tn board of nursing disciplinary actions

Disciplinary action against her license was then filed. 1419 0 obj <>/Filter/FlateDecode/ID[<7C1E6885F79A2840B3CD3D4380937611><607411345D04C24E89F3B328005C117C>]/Index[1406 27]/Info 1405 0 R/Length 73/Prev 82019/Root 1407 0 R/Size 1433/Type/XRef/W[1 2 1]>>stream 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. Nor did anyone consider if the nurse recognized the risk associated with talking to the orientee while pulling medications from the ADC at the time of the error. DISCIPLINARY ACTION REPORT NASHVILLE, Tenn. -- Tennessee Code Annotated, Section 68-1-114 requires the Tennessee Department of Health to issue a monthly media release listing all disciplinary actions taken by the health-related boards during the prior month. For Institutions. 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. Place: Electronic Meeting / Poplar Room . 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. It is unlikely that the nurse perceived a significant or unjustifiable risk associated with obtaining medications via override. To make changes to your profile, log in to your account at:https://lars.tn.gov/datamart/mainMenu.do. Links to various Internet sites are available from the Department of Health Websitehome pageand from the Health Professional Boards Website. To determine what a reasonable nurse would do, the Board used a null hypothesis (suggesting no differences between nurses working in different systems) with a rigid lens in a vacuum, not actual nurses who were similarly situated, often leading to unreasonable expectations of a nurse. Tennessee Department of Health issues a monthly media release listing all disciplinary actions taken by the health related boards during the prior month. The nurse was surprised that the medication was a powder, so she turned the vial over quickly to look at the reconstitution directions on the back of the label, without looking at the front of the label (and product name). RaDonda was involved in a fatal medication error after entering ve in an automated dispensing cabinet (ADC) search field, accidentally removing a vial of vecuronium instead of VERSED (midazolam) from the cabinet via override, and unknowingly administering the neuromuscular blocking agent to the patient. Serious Disciplinary Actions States. <> Information concerning the existence of a court-sealed settlement shall be reported in cases involving such a settlement. Click here to go to the live stream site. Nurse was distracted while talking to an assigned orientee while retrieving the medication from the ADC. Table 2. Filing a Complaint; Monthly Disciplinary Action Report; Social Media; . 37201 tzHhn(`d4H&e `Hhe/bFi 1a33$LQLR00m]2b6Q ]j@ZiSf7\D@ hY. Nurse did not verify that the proper medication was removed from the ADC. The court for Tennessee professional licensing is the Administrative Procedures Division. e-Notify for Nurses helps nurses easily manage their licenses at no cost to them. National Council of State Boards of Nursing, Inc. All Rights Reserved. Also, hospital policy did not require monitoring after Versed administration, and the drug was not mentioned in the moderate sedation policy or the hospitals high-alert medication list. Contact the board at (615) 532-5166. Accountability for not following the five rights. Nurse could not carry out the physicians order to repeat the first dose if insufficient because she did not monitor the effectiveness of the first dose. Suite 400 437 0 obj <> endobj However, this failure is substantively unimportant relative to the wrong drug error. Nurse could not know the dose of the drug she administered if she had not read the label and knew the concentration. Nurse failed to verify the physicians order for Versed and administered the drug based on the primary nurses oral directions. The Board seemed to hold RaDonda accountable for not overcoming any of the hospital system failures that, in turn, set her up for failure. %%EOF here are three Nursys services publicly available via nursys.com: e-Notify for Institutions is a free of charge innovative nurse licensure notification system where you receive real-time notifications about nurses you employ. hbbd```b``+@$4XD'A$X|-XXV!`L^ +2$cXW l/#QF @ RaDonda's criminal trial is scheduled to begin on . Disciplinary Actions - New Mexico Board of Nursing Nurse License Verification service enables nurses to verify their license(s) from a Nursys verification participating board when applying for endorsement into another state. Currently, the annual rate of discipline on a nursing license is less than one percent. While the prosecutor noted that RaDonda did not act with bad intent, he alleged that she did act recklessly. (1) As a result, the nurse's practice will be affected in some way and the nurse must fulfill the requirements of the discipline . She said through tears at the hearing, I wont ever be the same person. ISMP was shocked, discouraged, and deeply saddened to learn that the Tennessee (TN) Board of Nursing recently revoked RaDonda Vaughts professional nursing license indefinitely, fined her $3,000, and stipulated that she pay up to $60,000 in prosecution costs. The court for Tennessee professional licensing is the Administrative Procedures Division. In response to the whistleblower, CMS conducts a surprise hospital inspection. %PDF-1.6 % Disciplinary Actions by the Tennessee Board of Nursing, License revoked: LPN = 2, CNA = 5, RN = 11, License suspended: LPN = 1, CNA = 0, RN = 14, License probation: LPN = 0, CNA = 0, RN = 15, License reprimanded: LPN = 0, CNA = 0, RN = 3, 23 Drug abuse, including over-prescribing or illegal prescriptions, 02 Patient chart falsification or patient chart data recorded illegibly, 02 Drug addiction, including substance addictionor substance use on duty, 19 Incompetence, negligence or unprofessional conduct. Board members, with few exceptions, are appointed by the Governor. 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. The board of nursing (BON), through its statutory authority specified in the nurse practice act, is responsible for reviewing and acting on complaints in order to fulfill their mission to protect the public. Nurse charged with criminal reckless homicide and impaired adult abuse. Map & Directions [+]. ); Names of medical schools or professional and training schools and dates of graduation; Graduate medical education or other graduate-level training; Specialty board certification as determined by the relevant board; Names of the hospitals where the licensee has privileges; The identification of any translating services that may be available at the licensee's primary practice location; An indication of which managed care plans in which the licensee participates; An indication of TennCare plans in which the licensee participates; Appointments to medical school faculties and indication as to whether a licensee has a responsibility for graduate medical education within the most recent ten (10) years; (optional), Information regarding publications in peer-reviewed medical literature; (optional) and, Information regarding professional or community service associations, activities and awards; (optional). Nursing professionals have the right not to respond verbally or in writing to any nursing license board communication without their counsel present. Licensed Nurses and Unlicensed Registrants Disciplinary action taken by the Board against an individual is listed below. However, RaDonda also testified that the error was made because of flawed procedures at the hospital, particularly the lack of timely communication between the pharmacy computer system and the ADC, which led to significant delays in accessing medications and the hospitals permission to temporarily override the ADC to obtain prescribed medications that were not yet linked to the patients profile in the ADC. Discipline | NCSBN Nurses disciplinary hearing is scheduled but delayed due to the pandemic. <> Investigation of the event did not include examination of recent sedation for claustrophobic patients in radiology or sedation with IV Versed to determine whether monitoring had occurred previously. Nashville, What Discipline Can a Board of Nursing Impose Against a Nurse Licensee % It seemed the Board was holding a disciplinary hearing primarily because the patient had died, so there was a significant outcome bias. All rights reserved. Detailed information about disciplinary actions is available on . Health Professional Boards - Tennessee Disciplinary Actions Log | North Carolina Board of Nursing July 23, 2021. License action type by Tennessee nursing professional. U.S. The information below represents a single month of 51 Tennessee Board of Nursing professional license actions in November 2018. Board of Nursing Complaint Process: Investigation to Resolution. While the vast majority of nurses are competent and caring individuals who provide care according to the standard, violations of the nurse practice act do happen. SD Nursing Board - Disciplinary Actions - SD Dept. of Health Disciplinary hearings are conducted in accordance with the "Open Meetings Act" NMSA 1978, Chapter 10, Article 15 and all disciplinary actions are listed on the Board website and published in the Board newsletter quarterly. You must be logged in to view and download this document. If reading the front of the medication label was the best way to confirm the drug in hand, then RaDonda failed in that regard. RaDondas immediate verbal disclosure to the team treating this patient far exceeded any benefit that would have been available through documentation. If you are a licensed professional and have been arrested for a crime, your license to practice may be on the line. More warnings would not have changed her performance.. 5200 Butler Pike While nursing mistakes or misconduct may lead to other consequences, such as employer reprimands, terminations, civil suits, or criminal charges, nurse disciplinary action directly affects a nurse's license. Nurse retrieved a nonurgent medication from the ADC via override. Yet, the primary way to determine the differences between at-risk and reckless behavior is to carefully consider the system-based causes that might have contributed to the behavioral choices. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. 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. Take disciplinary actions as necessary to protect the public from unsafe nurses. Also, the degree to which distractions were tolerated by the nurse, as well as by other hospital nurses, was never determined. These laws are defined in the Nursing Practice Act (NPA). Any actions taken by the boards must be filed with the Administrative Procedures Division of the Secretary of States Office in which effective dates will be assigned. Also, disciplinary sanctions are not imposed for at-risk behaviors, including not following the rules; any system design failures that may have contributed to not following the rules must be examined and factored into the judgment of the behavior. "9$3. Nurses criminal trial is scheduled to begin. Board Action | NCSBN In cases of this type, a nursing professional's legal counsel may get a dismissal or reduction of charges by exposing weaknesses in the board's case. 466 0 obj <>stream and nurses. The process is also summarized in the NCSBN videoBoard of Nursing Complaint Process: Investigation to Resolution. Please include your name, title/position, organization name, office phone and . Disciplinary Actions Taken by the Board - Oregon 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. In the end, the prosecutor made the statement that, Nothing [the hospital] could have done would have made the respondent [RaDonda] meet the standards of nursing practice She admitted to alarm and warning fatigue. Disciplinary Action. After CMS released its report, RaDonda was indicted, arrested, and charged with criminal reckless homicide and impaired adult abuse. The NPA is then interpreted into regulations by each state and territorial nursing board with the authority to regulate the practice of nursing care and the power to enforce the laws. Licensure QuickConfirm is a free service that allows employers and recruiters to retrieve licensure and any applicable discipline documentation in one convenient location. Available for institutions The Board has continued to promote a transparent disciplinary process. A description of any final board disciplinary actions within the most recent ten (10) years, which actions shall include final board action as defined by 4-5-314, and reprimand action taken pursuant to a board practice act; A description of any final disciplinary actions of licensing boards in other states within the most recent ten (10) years; The Office of Consumer Right to Know is charged with seeking and collecting this information and providing it to consumers via the Departments web site. Please include your name, title/position, organization name, office phone and email in your request. Select Begin Here For Sign-up under New User to create your account. See what boards of nursing are currently participating. The number of license violations per category for November 2018 are listed below: Nursing professionals in Tennessee who are threatened with the loss of their licenses can take action to protect their licenses. You can read the details of the error in three of our 2019 newsletters (January 17, 2019;February 14, 2019; March 14, 2019). This page has information and updates on nursing boards and regulation specific to Georgia. Information for health professionals regarding the COVID-19 response. Fifty states, District of Columbia and 4 United States (US) territories . Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. During the hearing, RaDonda was given an opportunity to testify and defend herself; however, she never shrank from admitting her mistake. {dhF`g)Ut9`6XX:WaVUR!@Z! Drug prescription errors, while serious events are not necessarily intentional. Getting to Know Your Licensing Board: the North Carolina Board of Nursing at a Glance; What Nurses need to know about Informatics, Social Media, and Security! Virginia Board of Nursing - Disciplinary Proceedings _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 Nursing Licensure for Internationally Educated Nurses, See what boards of nursing are currently participating, Enhance communication between member boards, Retrieve discipline and various other reports. hb```\^ !0!U[j|}+Iv0H/\K 2023 Institute for Safe Medication Practices. PDF Professional Licensure: Investigation and Disciplinary Action 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. To cite another example, the prosecutor stated that a reasonable nurse would have seen that the ADC defaulted to searching by the generic drug name, not the brand name (which was difficult to notice at the time), rather than recognizing that the capability of the ADC to simultaneously search by brand and generic names would have been so much more effective. How to report patients abusing TennCare benefits. Below is a list of actions taken in July 2020. endobj . The state's duty to protect those who receive nursing care is the basis for a nursing license. Undisputed failure but most likely at-risk, not reckless, behavior. Nurses alleged failures and unanswered questions about the event, anonymous whistleblower came forward to report the fatal error, TN Board of Nursing filed disciplinary action, crisis experienced by second victims of fatal errors, Anonymous whistleblower alerts state/federal agencies, Department of Health (Nursing Board) decides not to pursue disciplinary action, Department of Health (Nursing Board) reverses its prior decision, The RaDonda Vaught case is confusing. Filing Complaints and Researching Disciplinary Actions . Georgia: Nursing Board Tracker - ProPublica 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. By the time she arrived back in the intensive care unit (ICU), she learned of her error and immediately reported it and completed an event report. Tennessee: Nursing Board Tracker - projects.propublica.org As one Board member noted, I feel like, as humans, every one of us make mistakes, none of us are perfect. PDF Rules of The Tennessee Board of Nursing Chapter 1000-04 Advanced Patients, coworkers, members of the public, or employers can call the board of nursing, put complaints in writing, or complete a board of nursing Web site complaint form. Please click the link below to access the licensure renewal page.
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