Detailed information about disciplinary . 1406 0 obj <> endobj These are all common symptoms of the deeply personal, social, spiritual, and professional crisis experienced by second victims of fatal errors. Take disciplinary actions as necessary to protect the public from unsafe nurses. 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. National Council of State Boards of Nursing, Inc. All Rights Reserved. Complaints - Tennessee Adapted from: Kelman B. endstream endobj startxref For Institutions. Failure to recognize self-blame in second victims. During the hearing, RaDonda appeared to fall on the sword of guilt, remorse, self-doubt, loss of confidence, and a wish to make amends. Tennessee Department of Health issues a monthly media release listing all disciplinary actions taken by the health related boards during the prior month. But the five rights are merely broadly stated goals or desired outcomes of safe medication practices that offer no procedural guidance on how to achieve these goals. 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; Consequences range from moderate to severe, including permanent license revocation and significant fines: In certain areas, such as alleged chart falsification or chart illegibility, the Tennessee Board of Nursing presumes the nursing professional acted with intent. (1) As a result, the nurse's practice will be affected in some way and the nurse must fulfill the requirements of the discipline . TDH Newsroom. 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. 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. When an individual is engaged in at-risk behavior, their internal risk monitor is silent. Place: Electronic Meeting / Poplar Room . The nurse was distracted (talking to an orientee) while preparing the medication and failed to read the full medication label. ~\W3o3Vq~;?+|_y[OFCP"!$"1 fNr]E Xxo?_OxW/$w;~p.)}(z!% mR:muv P" NT/T*?UlaP=:> 3paRh ZC! PDF Rules of The Tennessee Board of Nursing Chapter 1000-04 Advanced %PDF-1.7 The court for Tennessee professional licensing is the Administrative Procedures Division. You can draw your own conclusions by viewing the 2-day hearing, but the following is what ISMP finds most disturbing and unjust about the Boards decision to revoke RaDondas license: Significant outcome bias. If you are threatened with the loss of your professional license, you must take prompt action. 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. While the prosecutor noted that RaDonda did not act with bad intent, he alleged that she did act recklessly. Survey of Advanced Practice Registered Nurses Disciplinary Action Nurse did not monitor a patient who had received an IV sedative that is sometimes used for moderate sedation. If you are a licensed professional and have been arrested for a crime, your license to practice may be on the line. <> However, ISMP believes her actions were either unintentional (human error) or at-risk behaviors, not reckless behaviors. 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. In addition to suspending or revoking a nursing license, state boards of nursing may issue fines or warnings and possibly require a nurse . According to her defense attorney, her acceptance of responsibility for the error was immediate, extraordinary, and continuing. But mistakes were made. An outcome bias often results in over-reacting to a singular event with unwarranted disciplinary action, or under-reacting to a system design flaw if the outcome is not harmful. 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. Professional boards must publish disciplinary license action each year by month per Tennessee Code Annotated, Section 68-1-114. 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. 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. Nurse License Verification service enables nurses to verify their license(s) from a Nursys verification participating board when applying for endorsement into another state. As a primary source equivalent the data is provided directly from the boards of nursing. Hospital fires nurse for not following the five rights of medication administration. Below is a list of actions taken in March 2021.
Throwing Car Batteries Into The Ocean Jocko,
Why Did Prince Write Slave'' On His Face,
Articles T