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. Place: Electronic Meeting / Poplar Room . According to her defense attorney, her acceptance of responsibility for the error was immediate, extraordinary, and continuing. Find Your Nurse Practice Act | NCSBN Links to various Internet sites are available from the Department of Health Websitehome pageand from the Health Professional Boards Website. A nurse can be disciplined for "unprofessional conduct, and negligence, DISCIPLINARY ACTION REPORT . Nurses criminal trial is scheduled but delayed due to the pandemic. Nurse could not know the dose of the drug she administered if she had not read the label and knew the concentration. This timeline will help, Medication Safety Officers Society (MSOS). Below is a list of actions taken in NOVEMBER 2021. (1) As a result, the nurse's practice will be affected in some way and the nurse must fulfill the requirements of the discipline . Disciplinary Action Report Page 1 of 11 . Montana: Nursing Board Tracker - ProPublica 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. The nurse questioned the need to monitor the patient, which was framed around the need to bring monitoring equipment along for use in radiology. The mission of each board is to safeguard the health, safety and welfare of Tennesseans by requiring those who practice health care professions within this state to be qualified. Licensed Nurses and Unlicensed Registrants Disciplinary action taken by the Board against an individual is listed below. If you are a licensed professional and have been arrested for a crime, your license to practice may be on the line. I would have never wanted something like this to happen to her, or anyone that I loved, or anyone that I dont even know. Disciplinary Actions Taken by the Board - Oregon Nurse charged with criminal reckless homicide and impaired adult abuse. % This page has information and updates on nursing boards and regulation specific to Montana. Disciplinary action against her license was then filed. endobj Georgia: Nursing Board Tracker - ProPublica In a Just Culture, inadvertent behavior (human error) is not worthy of disciplinary sanction, regardless of the outcome, and the quality of behavioral choices made during an event are thoroughly examined to determine whether there was conscious disregard of significant risks. Disputed failure. . To be clear, nurses cannot be held accountable for achieving the five rights; they can only be held accountable for following the processes that their organizations have designed and held out as the best way to verify the five rights. She said through tears at the hearing, I wont ever be the same person. 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. July 23, 2021. 1:00 p.m. Call to Order Board Meeting Nurse was distracted while talking to an assigned orientee while retrieving the medication from the ADC. Referral to an alternative to discipline program for practice monitoring and recovery support (drug or alcohol dependent nurses, or in some other . Filing Complaints and Researching Disciplinary Actions . Read our recipe for investigating nursing boards' oversight . The information on this website is for general information purposes only. To SEARCH and find an individual, press Control and 'f' keys, and type in name. Filing a Complaint; Monthly Disciplinary Action Report; Social Media; . hbbd``b`:$gP " `v nb-W&FV^ 'F Professional boards must publish disciplinary license action each year by month per Tennessee Code Annotated, Section 68-1-114. The Board called for the revocation of RaDondas nursing license and fines of up to $3,000. Professional boards must publish disciplinary license action each year by month per Tennessee Code Annotated, Section 68-1-114. This information is not intended to create, and receipt RaDonda's criminal trial is scheduled to begin on . Also, the nurse was used to scanning the barcode on drug labels for verification and tried to locate a scanner to do so while in radiology, but to no availbarcode scanning technology was not available in radiology. Board Action | NCSBN If reading the front of the medication label was the best way to confirm the drug in hand, then RaDonda failed in that regard. e-Notify Get free license expiration and status updates via email These laws are defined in the Nursing Practice Act (NPA). Nashville Tennessean. Information Required to be Reported on Practitioner Profiles. Undisputed failure but most likely human error, not reckless behavior. The professions that are required to submit information are: alcohol and drug abuse counselors, audiologists, certified nurse practitioners, chiropractors, clinical pastoral therapists, dentists, dietitian or nutritionists, dispensing opticians, electrologists, marital and family therapists, massage therapists, medical doctors, medical laboratory personnel, nursing home administrators, occupational therapists, optometrists, osteopathic physicians, pharmacists, physical therapists, physician assistants, podiatrists, professional counselors,psychologists, registered nurse anesthetists, respiratory care practitioners, social workers, speech pathologists and veterinarians. RaDondas immediate verbal disclosure to the team treating this patient far exceeded any benefit that would have been available through documentation. Boards of nursing have replaced a punitive approach to nurses with substance use disorder with treatment alternatives that help nurses return to practice. Nurses disciplinary hearing is scheduled but delayed due to the pandemic. Nurse did not verify that the proper medication was administered to the patient. She did not read the front of the medication label due to either a momentary distraction (error) or an unsafe practice habit (at-risk behavior). 5200 Butler Pike a number of sources. 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. endobj Nurse did not monitor a patient who had received an IV sedative that is sometimes used for moderate sedation. PDF DISCIPLINARY ACTION REPORT - Tennessee Listings are sorted by the year of original Board action issued then by last name, first name. endstream endobj 1407 0 obj <. Disciplinary Actions by the Tennessee Board of Nursing Board members, with few exceptions, are appointed by the Governor. Please click the link below to access the licensure renewal page. Board actions may include: Fine or civil penalty. Click here to go to the live stream site. e-Notify for Institutions is a free of charge innovative nurse licensure notification system where you receive real-time notifications about nurses you employ. 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. 2023 Institute for Safe Medication Practices. `g"H>O|oD)svT>VZ9,VP{PVy9[K. The nurses license verification is available immediately to the endorsing board of nursing. Undisputed failure but most likely at-risk, not reckless, behavior. Virginia Board of Nursing - Disciplinary Proceedings 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. 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. U.S. The standards are very broad. 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. Health Professional Boards - Tennessee Tennessee Department of Health issues a monthly media release listing all disciplinary actions taken by the health related boards during the prior month. Misdemeanor convictions later expunged by a court of competent jurisdiction shall be stricken from the provider's profile; 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; A description of revocation or involuntary restrictions of hospital privileges for reasons related to competence or character that has been taken by the hospitals governing body or any other official action of the hospital after procedural due process has been afforded, or the resignation from or nonrenewal of medical staff membership or the restriction of privileges as a hospital taken in lieu of or in settlement or a pending disciplinary case related to competence or character in that hospital, all as taken pursuant to procedures promulgated by the board for licensing health care facilities. Patient involved in medication error is withdrawn from life support and dies. Practitioner Profiles - Tennessee <>/Metadata 1427 0 R/ViewerPreferences 1428 0 R>> This page has information and updates on nursing boards and regulation specific to Georgia. nunsirg ce nli es. When a BON disciplinary process is based on substance use disorder Discipline was defined as a formal action taken by a board of nursing or a court, whereby an APRN received a formal letter of reprimand, a restriction placed on an active license or certification, such as a prohibition against narcotic access, restriction from participating in the multi-state licensure compact, suspension with or without a stay, Professional nursing license action report. TN On September 27, 2019, in a stark reversal of a 2018 decision to take no licensing action against the nurse, the TN Board of Nursing filed disciplinary action against RaDonda that focused on three violations: Unprofessional conduct related to nursing practice and the five rights of medication administration, Abandoning or neglecting a patient requiring nursing care, Failure to maintain a record of interventions. 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. Failure to consider the significant contribution of system failures. Hospital fires nurse for not following the five rights of medication administration. Discipline | NCSBN Every state and territory in the US set laws to govern the practice of nursing. The Board of Nursing meets 12 times a year and takes disciplinary actions during each meeting. Without your 214 2nd Avenue N. 0 While the Board believed it was conscious disregard to not read the label, this is likely human error, as it happened inadvertently when she saw that the drug was a powder and quickly turned the vial over. 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. Nursing Practice Act - StatPearls - NCBI Bookshelf Board of Nursing. I know the reason that this patient is no longer here is because of me. Unfortunately, the Board members seemed to interpret this only as a clear admission of guilt and did not appear to acknowledge the psychological pain RaDonda is still experiencing as a second victim of a fatal error. The court for Tennessee professional licensing is the Administrative Procedures Division. Didn't find what you are looking for? _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 Tennessee Department of Health issues a monthly media release listing all disciplinary actions taken by the health related boards during the prior month. The information below represents a single month of 51 Tennessee Board of Nursing professional license actions in November 2018. 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. In addition to suspending or revoking a nursing license, state boards of nursing may issue fines or warnings and possibly require a nurse . Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. Contact us with any comments or questions. Plymouth Meeting, PA 19462. 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. 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; stream Resignation of a nurse before conclusion of any disciplinary proceeding or in lieu of discipline. %PDF-1.5 % You must have JavaScript enabled to use this form. We believe this is what happened here. TN Board of Nursing's Unjust Decision to Revoke Nurse's License Nashville, License action type by Tennessee nursing professional. The information below represents a single month of 51 Tennessee Board of Nursing professional license actions in November 2018. However, the nurse was unable to document medication administration in the EHR or electronic medication administration record (MAR) while in radiology. Find Your Nurse Practice Act. 1 0 obj 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. Listed below are the meetings held for the past year. 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. 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. . See what boards of nursing are currently participating. 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. The Administrative Procedures Division is the administrative court for the State. 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). Licensure QuickConfirm is a free service that allows employers and recruiters to retrieve licensure and any applicable discipline documentation in one convenient location. 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. Nursing Disciplinary Action Explained | NurseJournal.org Nursys Make a User ID that you can remember, such as your email address. Contact Info Georgia State Board. 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. As one Board member noted, I feel like, as humans, every one of us make mistakes, none of us are perfect. 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. There can be latitude in interpretation of intention and evidential proof of alleged misbehavior tovigorously defend nursing professionalsagainst the board's rulings. 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. %PDF-1.6 % and nurses. May 20-21, 2020 Vaught's professional discipline hearing is scheduled at a quarterly hearing of the Tennessee Board of Nursing. <> Dispositions of paid claims shall be reported in a minimum of three (3) graduated categories indicating the level of significance of the award or settlement. For example, one Board member suggested that a reasonable nurse would have transported the patient out of the radiology unit to a patient care unit that used barcode technology so she could scan the barcode on the medication prior to administration. 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. The nurse was distracted (talking to an orientee) while preparing the medication and failed to read the full medication label. Suite 400 In December 2017, RaDonda made a fatal medication error when administering vecuronium rather than Versed to a patient in radiology. 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. 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. The boards are also responsible for the investigation of alleged violations of the Practice Act and rules and are responsible for the discipline of licensees who are found guilty of such violations. 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. All rights reserved. PDF Tennessee Department of Health Health Related Boards Memorandum
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