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. TN Board of Nursing's Unjust Decision to Revoke Nurse's License In December 2017, RaDonda made a fatal medication error when administering vecuronium rather than Versed to a patient in radiology. Nashville, Thus, the nurse obtained the drug via override, as all nurses did per hospital directives, to temporarily address the system issue. Practitioner Profiles - Tennessee Late in 2018, the hospital was investigated by the Centers for Medicare & Medicaid Services (CMS) after an anonymous whistleblower came forward to report the fatal error. If the after a thorough investigation, the BON determines there is sufficient basis that the nurse violated the act or regulations, the BON may take disciplinary action on the nurses license. 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. If reading the front of the medication label was the best way to confirm the drug in hand, then RaDonda failed in that regard. Tennessee: Nursing Board Tracker - projects.propublica.org 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 Disputed failure. Look up, verify and monitor your nurse licenses anytime, anywhere. Tennessee Board of Nursing shall be subject to disciplinary action by the Board of Nursing in accordance with the provisions of T.C.A. This page has information and updates on nursing boards and regulation specific to Montana. You must have JavaScript enabled to use this form. 3 0 obj Filing Complaints and Researching Disciplinary Actions . At the time of the error, the EHR, ADC software, and pharmacy computer system were not communicating properly, leading to significant pharmacy order verification delays. National Council of State Boards of Nursing, Inc. All Rights Reserved. PDF Disciplinary Action Report Page 1 of 18 - Tennessee Contact us with any comments or questions. Montana: Nursing Board Tracker - ProPublica Below is a list of actions taken in March 2021. 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. For example, in the case of suspected theft or misappropriation, were there other professionals or employees present who had access to the alleged misappropriated items? After discussions on this topic, the nurse did not think she had a duty to monitor the patient. Also, during investigation of the event, it was not determined whether previous patients in radiology had been monitored after receiving an IV sedative. SD Nursing Board - Disciplinary Actions - SD Dept. of Health The system provides licensure and publicly available discipline data directly to you as the information is entered into the Nursys database by participating boards of nursing. But whether this happened due to human error or at-risk behavior, or reckless behavior as alleged by the Board, is at odds. Survey of Advanced Practice Registered Nurses Disciplinary Action RaDonda Vaught's trial has ended. This timeline of the case explains endobj `g"H>O|oD)svT>VZ9,VP{PVy9[K. Although many questions regarding RaDondas alleged failures and the event remain unanswered (Table 2), the Board still voted unanimously to strip RaDonda of her nursing license and levy the full monetary penalties allowed, noting that there were just too many red flags that RaDonda ignored when administering the medication. Nurse did not monitor a patient who had received an IV sedative that is sometimes used for moderate sedation. 4 0 obj Speak with an attorney as soon as possible. Board of Nursing. If it was a choice to not read the front of the label, at worse, it would be an at-risk behavior since most decisions are made on the fly in the subconscious, without the risk monitor firing. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The information below represents a single month of 51 Tennessee Board of Nursing professional license actions in November 2018. Complaints - Tennessee Health Professional Boards - Tennessee She said through tears at the hearing, I wont ever be the same person. While the prosecutor noted that RaDonda did not act with bad intent, he alleged that she did act recklessly. %PDF-1.7 What Discipline Can a Board of Nursing Impose Against a Nurse Licensee 0 TN Disciplinary action against her license was then filed. @3Mh?d+Nu*%5l(U9{rRA>@l=ph 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. Information concerning all settlements shall be accompanied by the following statement: Settlement of a claim may occur for a variety of reasons which do not necessarily reflect negatively on the professional competence or conduct of the provider. The nurse questioned the need to monitor the patient, which was framed around the need to bring monitoring equipment along for use in radiology. Any change to information is required to be reported within 30 days of the change. 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. 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.

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