tn board of nursing disciplinary actions

And while RaDonda made a conscious decision to not monitor the patient or scan the medications barcode, she was told that monitoring was not required, and barcode scanning technology was not available in radiology. 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. Board members, with few exceptions, are appointed by the Governor. Undisputed failure but most likely human error, not reckless behavior. Boards of nursing have replaced a punitive approach to nurses with substance use disorder with treatment alternatives that help nurses return to practice. Available for institutions The nurse was distracted (talking to an orientee) while preparing the medication and failed to read the full medication label. While the prosecutor noted that RaDonda did not act with bad intent, he alleged that she did act recklessly. In December 2017, RaDonda made a fatal medication error when administering vecuronium rather than Versed to a patient in radiology. 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. Select Begin Here For Sign-up under New User to create your account. July 23, 2021. This page has information and updates on nursing boards and regulation specific to Montana. Nurse did not see or heed the warning on the vial cap/ferrule, , Undisputed failure but most likely human error, not reckless behavior. 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. 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. Adherence to the physicians order is oddly linked by the prosecutor to the nurses alleged failure to monitor the patient. Nursing Disciplinary Process in Tennessee SURBER, ASHER, SURBER & MOUSHON, PLLC WWW.TENNLAWFIRM.COM (615)997-1914 6 Grounds for Disciplinary Action Rules of the Tennessee Board of Nursing describe the Standards of Nursing Conduct or Practice. The RaDonda Vaught case is confusing. 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 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. The same Board member said a reasonable nurse would have brought appropriate monitoring equipment and oxygen to radiology to monitor the patient, despite repeated discussions with the primary care nurse who explicitly noted that no monitoring was required. Questions posed to witnesses were also misleading as they were directed at current conditions and not correlated to the conditions that existed in 2017. Adapted from: Kelman B. When a BON disciplinary process is based on substance use disorder 2 0 obj After discussions on this topic, the nurse did not think she had a duty to monitor the patient.

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