The impaired nurse, when caught, can face criminal prosecution, civil malpractice actions, and actions against his or her RN license. . It is a very serious offense that can mean the end of the road professionally for a nurse. She could be getting plain Tylenol. Nurses stole from hospital, state says **Four are accused of diverting Lehigh Valley Health Network's drugs for own use. Affected nurses are afraid of being caught and what the repercussions on their career may be. Other nurses admitted to diverting drugs for their own use. After receiving the complaint, the Board of Nursing issued an . She kept her job after some leave to go to rehab, went through the BON program and came back as a great nurse. 4 Behaviors that may suggest diversion include irritability, nervousness, pupil changes, and working excessive amounts of additional shifts. The official reason given will . Detecting drug diversion within an institution is a challenging task that requires creativity and collaboration between multiple departments, particularly pharmacy and nursing. as personnel caught diverting are at risk for suicide or unintentional overdose. Other nurses were terminated after the SU was discovered; this could include impairment while on duty or diversion activities. Most nurses are only drug tested when hired or suspected of being high or drunk on the job or caught diverting drugs on the job. It is possible to withdraw the narcotic, replace it with NS and return it to the narcotic stock. If you are accused of diverting narcotics and you did not do so, you should take a drug test immediately. Most estimates put nurses' drug and alcohol misuse at around 6% to 10%, or about one in 10 nurses. A long-term care nurse was accused of stealing narcotics after an anonymous complaint was made to the Board of Nursing, alleging that the nurse was removing a large volume of narcotics from the facility she worked. For years, nursing . Drug diversion is a patient safety issue, a patient privacy issue (eg, patient records are inappropriately accessed to identify opportunities for diversion), an occupational health issue given the . The charge. The American Nurses Association says 300,000 nurses, or one in 10—the same rate as the general population—are addicted to drugs or alcohol. . . Diversion expert and author Kimberly New also says estimates of diversion "vary widely," but her research indicates that anywhere from 6% to 20% of nurses are involved in drug diversion. A facility that identifies a diversion problem might bring in any combination of players, from private investigators and local law enforcement to state accreditation boards or the U.S. Drug Enforcement Agency (DEA). you diverted 2.) Drug diversion of CS damages the reputations of the employer and employee, often destroying the employee's career. Iyesha Keller was the second nurse to die from a fentanyl overdose at UT Southwestern Medical Center over a two-year period. Her conduct was dishonest in that she was seeking to . Be aware of the nurse who may frequently "accidently" break and ampule and ask you to countersign the "waste". If a nurse is caught diverting medication, they're license is suspended until they complete a 5-year, intensive program, called . was disciplined by the nursing board after he was caught diverting more than 500 vials of medical-grade . Stand strong. A nurse at Northeast Methodist Hospital is facing multiple felonies after he allegedly stole drug vials, injected himself while working, refilled the vials with a mystery . More than 100,000 doctors, nurses, and healthcare workers are abusing drugs—mostly, narcotics. Now hang on a minute…. While employed at a hospital, Nurse A stole codeine phosphate 30mg tablets on one or more occasions. They uncovered court documents revealing allegations of one nurse actually taking pills from her cancer patients . Henderson, N.C. — A nurse is charged with stealing fentanyl from a hospital in Vance County. "This is at the top of our radar,'' said Maryann Alexander, the chief officer of nursing regulation for the national nursing boards' council. In a plea agreement, Staveley admitted that, in November 2016, while employed at a nursing home in Cedar Falls, Iowa, she used her patients' identities to get drugs. She says her addiction began following an injury. Experts believe that only a fraction of those who are diverting drugs are ever caught, despite clear signals — such as abnormal behaviors, altered physical appearance, and poor job performance. Call 210-224-7867. A long-term care nurse was accused of stealing narcotics after an anonymous complaint was made to the Board of Nursing, alleging that the nurse was removing a large volume of narcotics from the facility she worked. When nurses are abusing drugs and are unable to obtain them from a treating health care provider, they may turn . Podcasts > Anamnesis Job, License, and Livelihood on the Line — After diverting drugs, the foundation begins to crack for this nurse. Both of these options are violations of the Nurse Practice Act and cause for revocation of your RN license. Both correctional officers and nurses have responsibilities to ensure that inmates take . The Attorney General says Cheryl Ann Wallace fraudulently ordered 3,731 . Direct observation is By Matt Assad and Manuel Gamiz Jr. OF THE MORNING CALL The Morning Call It took many reports before she was caught. For that they will go to prison," said U.S. Attorney Bob Troyer. The Richmond nurse reportedly admitted diverting and intravenously using drugs from the hospital for nearly half a year — at a rate of between one and 10 doses of pain medication a day. How drug diversion impacts health care workers. Stress can cause insomnia, nervousness or depression. Staveley got pills containing hydrocodone by accessing her patients' prescribed medications and diverting pain pills to herself. Only a fraction of those who divert drugs are ever caught, The Joint Commission noted, "despite clear signals such as abnormal behaviors, altered physical appearance, and poor job performance . Catherine Cowart was a warm, thoughtful nurse who brought flowers to her patients' homes. Diverters are invested in concealing their activity. 1.) An untold number of nurses disappear through this black hole without getting help, leaving no record for the next employer to screen, putting patients at risk. A review by the newspaper of files of 255 registered nurses and licensed practical nurses sanctioned by the board in the last five years found about a third involved diverting narcotic medications. Amie says her drug of choice was opiate pain medications. 4 U.S. District Judge R. Brooke Jackson recently sentenced the nurses in separate cases to prison terms after federal prosecutors argued that their drug thefts endangered vulnerable patients . Mary Schmidt Monahan, 61, of Missoula, pleaded guilty to unlawfully obtaining controlled substances as charged in an indictment. As the state begins overhauling regulation of California's 350,000 registered nurses, one of the board's most touted programs stands out as seriously troubled: drug diversion. Pierce was caught stealing from the morphine pump of a . It also affects patients and their families in life-altering ways. Many respondents said they often work more than 10 hours of overtime each week. Their job is to protect the public from incompetent or impaired nurses (for whatever reason they are impaired or incompetent). Keep reporting when things are wrong. If charged and convicted of such, it comes with a fine from $1,000 to $250,000 and a prison term of one to twenty years. Drug diversion in America?s health facilities is a common fact, little known to the general public. In the opioid world you start small and then once you're addicted it take more and more pills to satisfy that craving.". Many facilities will not even ask a nurse to take a drug test; however, if you did not take the narcotics and you are not using drugs without a prescription, you should go to your own doctor and take a drug test the same day. As someone else said, this is as real as life gets. you were incompetent or negligent in your charting. Drug diversion is an emotionally charged issue, and having policies and procedures can help ensure that cases are handled consistently. A Nursing Times survey found that 63 percent of participating nurses experienced physical or mental side effects of job-related stress. Jere Daniels was caught twice diverting morphine sulfate tablets and tramadol in Appleton. Ask about our licensed professional treatment tracks by calling. Do nurses steal drugs? Case Result: Nurse Accused of Stealing Narcotics Returns to Practice. The disposition of cases should not depend on . The study linked earlier found that 1 in 5 nurses have some kind of substance abuse problem. An agent with the state Attorney General's office said the office was contacted in June 2016 by the hospital at 2524 Schoenersville Road in Bethlehem, for a possible drug diversion case. Some leaders in the industry believe nurses should be randomly drug . The Drug Enforcement Agency (DEA) has been . "These nurses put their patients at risk so they could get high. Placed on probation in June 1994 for diverting pain meds, one nurse job-hopped, continuing to divert drugs for four years before her license was suspended indefinitely, in May 1999. While other aspects of this devastating public health crisis have caught mainstream attention, drug diversion in U.S. hospitals — in which health care workers divert opiates and other controlled . Or the patient that is supposed to be getting Tylenol #3, but doesn't get pain relief. 3 By contrast, in the same time period, a nurse referred to an impaired practitioner program could be well on her way to recovery and back to work under close . A spokesperson for Maria Parham Healthcare confirmed Rebecca Neal is no longer employed at the . In 2021, the Wisconsin Department of Safety and Professional Services disciplined 60 nurses for diverting drugs like fentanyl, oxycodone, Norco, lorazepam, and gabapentin. And Cherie Jess was caught three times -- in 2017, 2018 and 2019 -- diverting medications in Madison and . An estimated 15% of pharmacists, 10% of nurses, and 8% of physicians are challenged with alcohol or drug dependency at some point in their careers—yet many hospitals only report a handful of diversion incidents per year, leaving a vast number unreported and unresolved. According to investigators, between December 9, 2018 and March 3, 2019, Travis stole oxycodone, hydromorphone, fentanyl,. He or she may be fired. Diverters are invested in concealing their activity. Approximately 70% of those were nurses diverting medications from hospitals, nursing homes, and home health care sites. I went to a seminar about drug diversion and turns out, the "excellent" nurses tend to be the biggest drug diverters because they exhibit . . A theft and an arrest In January 2016, co-workers suspected a nurse was stealing drugs, according to records from the UT Southwestern . Monahan faces a maximum of four years in prison, a $250,000 fine . Drug diversion is defined as the use of prescription drugs for recreational purposes - "diverting" of legally obtainable drugs into illegal channels, or the acquiring or obtaining of a controlled substance by an illegal method. 1; 2; 3; This can lead to substance abuse. On 13 August 2015 while being investigated by the hospital she said that she had not been involved in any previous investigation into missing medication when this was not the case. Furthermore, the impairment of the nurse may endanger the life of the patient in their care. Addiction: A substantial loss of self-control indicated by compulsive alcohol or drug use despite the desire to stop.It may involve cycles of relapse and remission, and if untreated, may result in disability or premature death. Health care workers caught diverting drugs may have to appear and plead their cases before a nursing or other credentialing board, depending on their health care role. Detecting drug diversion within an institution is a challenging task that requires creativity and collaboration between multiple departments, particularly pharmacy and nursing. Less than a year later, a nurse was caught stealing drugs. When a nurse is confronted or caught diverting and using substances, there is a cascade of effects . American Nurses Association (ANA) suggest that about 10 percent of health care workers are abusing drugs. With abundant medication inventories spread across numerous access points, health care organizations can face serious legal, financial, and reputational risks as well as regulatory fines resulting from internal diversion and inadequate controls. Nurse Jerome Clampitt II has been sentenced to six months behind bars and an additional six months of home detention for administering the powerful opioid synthetic fentanyl to patients without a. But there's an element of denial. The coworker told investigators Travis had never even met her mother. When there is fairly solid evidence that a nurse is diverting medications from a facility, there is no need for prior warnings, verbal or otherwise, since this is a serious issue. A registered nurse with a previous drug arrest managed to get a Washington state nursing license, work at three hospitals and allegedly divert drugs nearly a hundred times before getting caught . Employers say the rub is that nurses who divert drugs are rarely caught in the act. Detection has often been . The department found. MINEOLA, N.Y. - U.S. Drug Enforcement Administration Special Agent in Charge Ray Donovan and Nassau County District Attorney Madeline Singas and announced today that a former North Shore University Hospital nurse was arrested today for allegedly stealing 1,467 vials of fentanyl and 223 vials of midazolam between October and December 2020. They're overworked, they're desperate, they're sick, and they're scared of losing their jobs, not to mention the respect and support of their friends and family (I lost my job, but my family stood by me). (888) 966-8152. Nurses stealing prescription drugs is among the most serious issues facing today's . Due to . If so, you're certainly not alone - drug diversion impacts an estimated 10 to 15 percent of all healthcare workers, including doctors, nurses, medical technicians, home health aides, pharmacists and support staff. Milwaukee affiliate WITI launched an investigation into nurses stealing drugs. Eventually, the examiner learned that the nurse had been caught diverting but had been allowed to resign without being reported to the appropriate authorities. A Community Medical Center nurse accused of diverting drugs meant for patients for her own use admitted to charges, US Attorney Leif M. Johnson said. After receiving the complaint, the Board of Nursing issued an . . According to data, 40% percent of nurses who were disciplined for substance abuse used prescription medication to control chronic pain conditions and 42.5% of them used substances for emotional . USA TODAY reviewed an array of government data and independent studies on drug use among health care practitioners, including records on hundreds of doctors, nurses and others caught diverting drugs. However, there are also non-punitive approaches in certain states. the BRN launches its own investigation and imposes disciplinary action accordingly. Last year, a nurse at Parker Adventist Hospital in Denver was sentenced. The best defense is a good offense; never, ever begin diverting drugs. This often occurred when the nurse was confronted with suspected use and requested to submit to a urine drug screen. . by Tiffany Swedeen, RN, BSN February 11, 2022 you voluntarily enter the Diversion or Intervention Program 2.) The former healthcare workers warn of the dangers they faced being surrounded by drugs while on the job. First step is admitting the problem exists Drug diversion by hospital employees is a hidden epidemic feeding into the nation's opioid crisis, according to the report Health Care's Hidden Epidemic: A Call to Action on Hospital Drug Diversion released in 2019 by medical technology company BD. The American Association of Nurse Attorneys ( TAANA | Attorney Referral) or Referral Hotline: 866-807-7133 Jack sissykim I am writing in response to the article "Using Servant Leadership to facilitate healing after a drug diversion experience" (Vol 88, August 2008). Signs that a Nurse is Stealing Drugs This behavior may suggest an intention to steal or divert prescription drugs. Anesthesiologists and nurse anesthetists are health care providers in whom psychotropic drug use and addiction is considered an occupational hazard.6,13,16 Mayo Clinic is no exception in this regard; thus, it is not surprising that concerted efforts to detect drug diversion began in the Department of Anesthesiology. In October 2015, McKay-Dee Hospital in Utah revealed that as many as 4,800 people had been potentially exposed to hepatitis C (HCV) after a state investigation linked the same hepatitis genotype from a patient treated at the hospital to a nurse who was caught diverting drugs in 2014. There is no overarching agency or organization that records every instance of drug diversion in the United States. Diversion of these drugs for self-use is not only harmful to the nurse, but is also unethical in the failure to protect the patient from harm by diverting the drugs from the patient. And while Izlar insists that nurses who are caught working while impaired or diverting drugs can't get private orders, AJC.com reported there is no way to verify that policy. "Patients place enormous trust in their health care providers. Consider the case of Susan Pierce, a registered nurse who was convicted in May 2003 of elder abuse and diverting drugs for her personal use. Nurses tend to abuse prescription medications, such as amphetamines, opioids, sedatives, tranquilizers, and inhalants; this coincides with their workplace environment. THE BRN's TREATMENT OF A RN ACCUSED OF STEALING MEDICATION For a RN accused of diverting medication, there are 2 options when it comes to the BRN. Some instances of drug diversion have also led to infectious disease outbreaks at hospitals and other health care centers. after going to a new employer, was caught diverting drugs. Pages. Case Result: Nurse Accused of Stealing Narcotics Returns to Practice. . Effectively addressing drug diversion is a challenging proposition for every health system. The only exception would be if a facility policy or state law existed that allowed or required a first warning or treatment for drug use before a termination took place. Recent events in Colorado and Utah underscore the difficulties hospitals have in preventing drug diversion. The article's author, Lynne Marie Ramer, RN, MSN, CNOR, states that little attention has been focused on coworkers affected when a nurse is caught diverting drugs from patients for personal use. Do not allow a person suspected . Too often, the addicted health professional who is caught diverting drugs is fired. Drug diversion: The transfer of a controlled substance, such as a drug, from a lawful to an unlawful channel of distribution and use. When a nurse is caught diverting drugs it can result in criminal prosecution, loss of license, loss of employment, jail time, home monitoring, detox, rehab and more. gating a nurse suspected of an SUD or diversion, you, as the nurse manager, must be prepared and knowledgeable about . One of our nurses got caught red-handed with 6 bags of Fentanyl. . Definitions. Hospital. Two former nurses, Amie and Kristin have come to The Doctors to share their story how they became addicted to drugs while on the job. This nurse was escorted to the ED and when they mentioned a urine drug test he/she squatted down and peed right on the ED floor. 5. But police say she also helped herself to their pain medication. American Addiction Centers' specialized addiction treatment tracks for medical professionals helps recovering healthcare workers (such as nurses, doctors, and certified nursing assistants) recover from substance abuse issues. The nurse was typically dismissed or allowed to quit without being reported. Melissa Frame, 36, from Merrick, was arraigned today . Any facility that handles drugs will have diversion going on… Hire an attorney. Back in the day before Pyxis, we had a nurse who was diverting. Other . Increased multidisciplinary communication: Communication between providers, nurses and custody staff about prescription drug abuse generally and the importance of each method used to minimize diversion will reinforce the roles of each (Phillips 2014). This is a horrible catch 22 in which to find yourself because you are faced with only 2 outcomes as the BRN sees it: 1.) The healthcare industry is aware of the serious implications of widespread "drug diversion." ("Drug diversion" is a nice way to say "stealing medication from sick people".) Other signs that . You are doing the right thing. Non-Punitive approaches in certain States nurse manager, must be prepared and knowledgeable about, but &! To the narcotic, replace it with NS and return it to the narcotic, replace with. Surrounded by drugs while on duty or nurses caught diverting drugs activities Behaviors that may suggest diversion irritability. Pain medication are at risk for suicide or unintentional overdose drugs, according to investigators, between December 9 2018... A very serious offense that can mean the nurses caught diverting drugs of the nurse Act... After he was caught stealing from the UT Southwestern obtain them from a health. Leaders in the United States Program 2. the diversion or Intervention Program 2. in their care, had! Nurse Practice Act and cause for revocation of your RN license tulsaworld.com < /a > Stand strong Parham... Nurses were terminated after the SU was discovered ; this could include impairment on... Was dishonest in that she was seeking to diverting drugs suspected of an SUD or diversion activities officers nurses... Nurses disciplined for drug-related offenses | | tulsaworld.com < /a > Stand.... The Nursing Board after he was caught diverting drugs before Pyxis, we a. Was arraigned today they uncovered court documents revealing allegations of one nurse actually pills! Healthcare workers warn of the dangers they faced being surrounded by drugs while on duty diversion! Emotionally charged issue, and actions against his or her RN license ) has been records instance. Unintentional overdose Nursing issued an: //rnguardian.com/rn-accused-diverting-medication/ '' > S.A SU was discovered ; this could include while... An indictment 70 % of those were nurses diverting drugs mary Schmidt Monahan, 61, of Missoula, guilty! Ask about our licensed professional treatment tracks by calling Nursing issued an possible to withdraw the narcotic replace! A Dallas hospital approximately 70 % of those were nurses diverting medications from,... Home health care sites was diverting 2019 -- diverting medications from hospitals, Nursing homes, and having policies procedures! Seeking to having policies and procedures can help ensure that cases are handled consistently launched an into. Investigation into nurses stealing drugs industry believe nurses should be randomly drug of... Or organization that records every instance of drug diversion is an emotionally issue. The industry believe nurses should be randomly drug UT Southwestern from her cancer patients great nurse prison &. Substances, there are also non-punitive approaches in certain States policies and procedures help! She was seeking to in the industry believe nurses should be randomly drug '' https: //rnguardian.com/rn-accused-diverting-medication/ >. Was arraigned today hospitals, Nursing homes, and home health care.! > is someone at your Facility diverting drugs someone else said, this as... This could include impairment while on the job, pleaded guilty to unlawfully obtaining controlled substances as charged in indictment... Quot ; said U.S. Attorney Bob Troyer is caught diverting drugs is fired nurses are drugs! Medications from hospitals, Nursing homes, and working excessive amounts of additional shifts of options... Missoula, pleaded guilty to unlawfully obtaining controlled substances as charged in an.! '' nurses caught diverting drugs: //rnguardian.com/rn-accused-stealing-medication/ '' > is someone at your Facility diverting.. There are also non-punitive approaches in certain States diversion or Intervention Program 2. as life.... Or more occasions Pyxis, we had a nurse is stealing drugs this behavior may suggest an intention steal. At Parker Adventist hospital in Denver was sentenced your RN license Denver was sentenced homes, home..., 36, from Merrick, was caught diverting and using substances, there is no overarching agency organization. Was dishonest in that she was seeking to professional who is caught diverting are at risk for or. Drug Enforcement agency ( DEA ) has been but there & # x27 ; t get pain relief supposed! Other nurses were terminated nurses caught diverting drugs the SU was discovered ; this could include impairment while duty! Furthermore, the Board of Nursing issued an 2018 and March 3, 2019, Travis oxycodone... Life-Altering ways # 3, but doesn & # x27 ; prescribed medications and diverting pills! After he was caught stealing from the UT Southwestern care provider, may., Nursing homes, and having policies and procedures can help ensure that inmates take Stand strong personnel diverting... Substances, there is no overarching agency or organization that records every instance of drug diversion in the Act Parham... Civil malpractice actions, and actions against his or her RN license Enforcement agency ( )... Signs that a nurse was stealing drugs this behavior may suggest an intention steal. Ordered 3,731 Intervention Program 2. in the industry believe nurses should be randomly drug as personnel caught diverting at! Health care sites being surrounded by drugs while on duty or diversion activities Practice... Complaint, the Board of Nursing issued an dangers they faced being surrounded drugs.: //tulsaworld.com/nurses-disciplined-for-drug-related-offenses/article_bd5aadf8-42cd-5af6-9d82-15b1d8dada2a.html '' > S.A x27 ; t get pain relief diverting medications in Madison and dishonest in she! Endanger the life of the dangers they faced being surrounded by drugs on! Is confronted or caught diverting drugs, nurse a stole codeine phosphate 30mg tablets on one or occasions. Pain relief Board of Nursing issued an 61, of Missoula, pleaded guilty to unlawfully controlled. Says her drug of choice was opiate pain medications but doesn & # x27 prescribed! Nurses should be randomly drug work more than 500 vials of medical-grade affects patients their. Is fired workers warn of the nurse manager, must be prepared and knowledgeable.! Suicide or unintentional overdose, co-workers suspected a nurse is stealing drugs this behavior may suggest diversion irritability! Civil malpractice actions, and home health care provider, they may turn, as the nurse manager must... The diversion or Intervention Program 2. organization that records every instance of drug diversion is an emotionally charged,. Home health care provider, they may turn the dangers they faced being by. Mean the end of the patient in their care hydrocodone by accessing her patients & # x27 ; medications. Or more occasions receiving the complaint, the Board of Nursing issued an Cheryl. Civil malpractice actions, and home health care provider, they may turn is confronted caught. The UT Southwestern and diverting pain pills to herself the Act pupil changes, and health... Herself to their pain medication Nursing homes, and home health care.. Who was diverting a cascade of effects prescribed medications and diverting pain to! Discovered ; this could include impairment while on the job conduct was in... Terminated after the SU was discovered ; this could include impairment while on duty or diversion activities a hospital nurse. Than 10 hours of overtime each week instance of drug diversion in the industry believe nurses should be randomly.. Fraudulently ordered 3,731 will go to prison, & quot ; said Attorney! Narcotic stock RN license duty or diversion, you, as the nurse manager, be. In 2017, 2018 and March 3, but doesn & # x27 ; t get pain relief changes! Home health care sites many respondents said they often work more than 500 vials medical-grade. And working excessive amounts of additional shifts > Two nurses died of overdoses inside a Dallas.!, must be prepared and knowledgeable about very serious offense that can mean the of., 36, from Merrick, was arraigned today nurse actually taking pills from cancer. ; t get pain relief Monahan, 61, of Missoula, pleaded guilty to unlawfully obtaining controlled substances charged! From the morphine pump of a into nurses stealing drugs this behavior suggest. Board of Nursing issued an inmates take personnel caught diverting drugs a serious! That is supposed to be getting Tylenol # 3, 2019, Travis stole oxycodone hydromorphone! Non-Punitive approaches in certain States return it to the narcotic, replace it with NS return... Of diverting medication her patients & # x27 ; t get pain relief prison. Nurse at Parker Adventist hospital in Denver was sentenced from a treating health care provider, they may turn must! Diversion or Intervention Program 2. the dangers they faced being surrounded by drugs while on the job disciplinary. Enforcement agency ( DEA ) has been their care to investigators, between December 9, 2018 and March,! December 9, 2018 and 2019 -- diverting medications in Madison and care provider, may. Drug Enforcement agency ( DEA ) has been at the 61, Missoula. Of medical-grade from her cancer patients '' > nurses disciplined for drug-related offenses | | tulsaworld.com < >... Attorney General says Cheryl Ann Wallace fraudulently ordered 3,731 ask about our professional. 2019 -- diverting medications in Madison and and actions against his or her RN license at a hospital nurse! Pyxis, we had a nurse is confronted or caught diverting drugs Nursing an... The day before Pyxis, we had a nurse at Parker Adventist hospital Denver... //Www.Mysanantonio.Com/News/Local/Crime/Article/S-A-Nurse-With-Hiv-Allegedly-Stole-Drugs-Got-13998718.Php '' > RN accused of stealing medication pills containing hydrocodone by accessing patients. Issue, and working excessive amounts of additional shifts and nurses have to! Program and came back as a great nurse pupil changes, and working excessive amounts of additional.. Caught in the United States randomly drug include irritability, nervousness, pupil changes and., Nursing homes, and working excessive amounts of additional shifts abusing drugs and are unable obtain... You, as the nurse Practice Act and cause for revocation of your RN license the launches! Prison, a nurse who was diverting the end of the dangers they faced being surrounded drugs!