how to report a nurse overmedicating a patient

by Iva Block Sr. 6 min read

Overmedication in Nursing Homes - Nursing Home Abuse …

5 hours ago Family members who learn of overmedication should consult an attorney who specializes in nursing home abuse and medical neglect, and they should report the problem to appropriate authorities, such as the state’s department of social services or the district attorney. >> Go To The Portal


Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the conduct occurred. All jurisdictions have specific processes for complaint intake. Contact the Board of Nursing.

Full Answer

What should I do if a patient is overmedicated?

If a patient is found to have been overmedicated over a period of time, the patient should be carefully weaned from the medication, with the assistance of a physician. If overmedication is suspected to be a sign of abuse or neglect, the patient should be removed from the situation.

What is overmedication in a nursing home?

Overmedication in Nursing Homes. Intentional overmedication is most often done with the purpose of making a patient easier to control, often referred to as chemical restraint. Antipsychotics and sedatives are medications that may calm a patient down, or make a patient more likely to comply with directions given by caregivers, family members,...

What are the risks of overmedication?

Chronic overmedication can also cause patients to become addicted to drugs, which can pose risks and difficulties for discontinuing the overmedication. Family members, patients, physicians, and care facility staff members may be capable of preventing overmedication.

Do nurses have to report violations?

"Many states have mandatory reporting," Alexander notes. That means a nurse who observes a violation of the state's Nurse Practice Act must report it. "Now, (a nurse) can report it to her supervisor, who then says, 'We'll take it from here,' and then files the report," Alexander says.

What is misconduct for a nurse?

Professional misconduct, as defined by the New York State Education Department, Office of the Professions, is “the failure of a licensed professional to meet expected standards of practice.” In nursing, examples of such failure include committing acts of gross incompetence or negligence, refusing to care for a patient ...

When should a nurse be reported?

When there is a legal requirement to report under the Regulated Health Professions Act, you must do so within 30 days of the incident. In any event, we encourage you to submit the report as quickly as possible.

What is the most common reason nurses are disciplined by state boards of nursing?

The most frequent reason for discipline is practicing while impaired. SBNs set and enforce minimum criteria for nursing education programs. Schools of nursing must have state approval to operate.

What to do if a nurse is stealing medication?

Report the situation to a supervisor or the nurse's employer immediately. Then, contact your state BON (or state licensing authority) and file a complaint. If you are unsure whether a nurse has done something that should be reported, contact the state BON for assistance.

How do you complain about a nurse?

Contacting the CLCH PALS teamTelephone: 0800 368 0412.Email: clchpals@nhs.net.Post: PALS team, Central London Community Healthcare NHS Trust, 5-7 Parsons Green, London, SW6 4UL.

What happens when a nurse is reported to the board?

Once a complaint hits their desk, the board has to determine if the facts as stated in the complaint are a violation of the laws that govern a nurse's practice. If so, an investigation is initiated, and the nurse may respond to the allegations. The board then resolves the complaint. It may or may not require a hearing.

What happens if a nurse violates the code of ethics?

As much as nurses try to avoid it, ethical violations do occur. Breaches in nursing ethics, depending on the incident, can have significant ramifications for nurses. They may face discipline from their state board of nursing, or from their employer. They can also face litigation.

Which of the following may be causes for disciplinary action taken by the board of nursing?

CAUSES OF DISCIPLINARY ACTION. The board of nursing may take disciplinary action against any nurse who's thought to be in violation of nursing laws or who's thought to pose a danger to the public.

Which is the most frequent reason for revocation or suspension of a nurse's license?

The nursing board can revoke a nurse's license for a variety of reasons. Some of the most common reasons include DUI convictions, improper patient care practices, and gross negligence, such as administering medications without a valid order and breaching patient confidentiality.

What would happen if a nurse was caught diverting drugs?

Nurse could face arrest and criminal charges. 2. The nurse would be referred to a program where he or she could get help.

What to do if a nurse is diverting narcotics?

If the person suspected of diverting is a nurse, pharmacist, physician, or other licensed healthcare professional: Report the healthcare worker to their professional licensure board within your state, such as the state Board of Nursing, Board of Pharmacy, or Medical Board.

What happens if a nurse is accused of drug diversion?

You may be fired for failure to comply, but here's a news flash: if you're suspected of diverting, you're going to be fired anyway. Protect yourself and do not give the employer or the future BRN investigation all they need to unequivocally prove diversion.

How do you know if you are overmedicated in a nursing home?

Overmedication can happen either because of negligence in a nursing home or intentional misconduct by nursing home staff. Some signs that a patient is overmedicated include lethargy, confusion, reclusiveness or other unusual behavior, and excessive sleeping. Any of these signs should be reported to a resident’s primary care physician or the administration of the nursing home.

What happens if a patient is overmedicated?

When a patient is overmedicated by mistake, it may give rise to a medical neglect claim against the facility. Often, elderly patients must take a number of different medications. If staff members are not adequately trained or there is understaffing at a facility, they are more likely to make mistakes when administering medications. In general, doctors should be consulted when administering both over the counter medications and prescribed medications to prevent injuries that can result from prescribing medications that are incompatible.

What is the age to sue a nursing home for elder abuse?

Most states have a rule about the minimum age a senior must be to bring an elder abuse lawsuit, which is usually 60, 65, or 70. If the nursing home has a practice or policy of overmedicating its residents, the nursing home will be directly liable for the overmedication and any injuries that arise from it. If intentional conduct is at issue, punitive damages may be available to punish and deter the defendant.

State and Territorial Boards of Nursing: What Every Nurse Needs to Know

This brochure offers nurses an explanation of what boards of nursing (BONs) do for the profession and those who work in it. This brochure provides information regarding:

Your State Board of Nursing Works for You: A Health Care Consumer's Guide

Serves as a guide for consumers who have experienced or witnessed a nurse exhibiting unsafe, negligent or incompetent behavior

What does overmedicating a resident mean?

Overmedicating a nursing home resident could be abuse if it was intentional. Overmedication occurs when a resident takes, or is given, more medication than is necessary or than has been prescribed by their doctor.

How to determine if a nursing home is overmedicating a resident?

If you are a loved one, you should always be on the lookout for abnormal behaviors or communication when you visit or call. Early signs of overmedication can include:

What kind of compensation could we be entitled to?

If you suspect your loved one is being overmedicated by nursing home staff, contact their physician immediately and have them review all medications given. If a patient has been found to have been overmedicated for a long period of time, they will need to be slowly weaned off of the medication.

Why Do Nursing Homes Overmedicate?

The nursing homes that do overmedicate do so for a variety of reasons. In some nursing homes, they just do not have enough staff to adequately take care of all of their patients.

Intentional Overmedication

There are also situations where patients are intentionally overmedicated. The patients who are aggressive, emotional, or uncooperative demand the most attention, but some facilities lack the time and human resources.

How Do I Tell if a Nursing Home Is Overmedicating?

In the United States, fewer than 20% of nursing home residents medically require antipsychotic medication; however, you will find nursing homes where a much higher proportion of the population is on this type of medication. For example, in the state of Florida, over 70% of nursing home residents are on antipsychotics.

What to Do if the Facility Is Overmedicating?

Typically, you will be able to notice these types of changes very easily. If your family member is acting very differently, you should ask to see a log of the medications that have been administered.

How to complain about poor care in a hospital?

How can I complain about poor medical care I received in a hospital? While you are in the hospital: If possible, first bring your complaints to your doctor and nurses. Be as specific as you can and ask how your complaint can be resolved. You can also ask to speak to a hospital social worker who can help solve problems and identify resources.

What do social workers do when patients leave the hospital?

Social workers also organize services and paperwork when patients leave the hospital. If you are covered by Medicare, you can file a complaint about your care with your State's Quality Improvement Organization (QIO) . These groups act on behalf of Medicare to address complaints about care provided to people covered by Medicare.

How long does it take to appeal a hospital discharge?

You should get a form from the hospital titled "An Important Message from Medicare," which explains how to appeal a hospital discharge decision. Appeals are free and generally resolved in 2 to 3 days. The hospital cannot discharge you until the appeal is completed.

What do you do if you get an infection in the hospital?

If you get an infection while you are in the hospital or have problems getting the right medication, you can file a complaint with the Joint Commission . This group certifies many U.S. hospitals' safety and security practices and looks into complaints about patients' rights. It does not oversee medical care or how the hospital may bill you.

Can a hospital discharge you until appeal is completed?

The hospital cannot discharge you until the appeal is completed. When you get your hospital bill: First, ask your doctor or the hospital's billing department to explain the charges. Find out how the hospital handles complaints about bills, and make your case. If you still have questions, you should contact the Medicare carrier ...

How can the nurse's problem be addressed?

The nurse's problem can now be addressed through treatment and confidential monitoring programs – and patients are no longer endangered. "It's important to say that 99% of nurses are extremely safe and very competent practitioners," Alexander emphasizes.

Who evaluates nursing reports?

State boards of nursing, which are in charge of nursing licensure, evaluate reports about nurses who may be unsafe. An attorney. Speaking to a nurse attorney or another attorney when considering reporting or in the aftermath of a safety issue can help nurses protect themselves. The public.

What are the problems with RNs?

Nurse practitioners and staff RNs report a variety of problems within health care facilities. Frequently reported issues include the following: 1 Inadequate staffing levels. 2 Lack of personal protective equipment and PPE violations. 3 Unsafe, unsanitary work environments. 4 Violence in areas such as emergency rooms and psychiatric units. 5 Colleagues whose unsafe practices endanger patients.

What is a nurse manager?

Sometimes called a head nurse, the nurse manager oversees operations for the entire unit and serves as a liaison between staff nurses and upper nursing and hospital management. Director of nursing.

What is a charge nurse?

With each new shift, a charge nurse is assigned to manage oncoming nurses on a particular unit, often in addition to his or her own direct patient care responsibilities. Nurse manager.

What is the job of a chief nursing officer?

Chief nursing officer. Also known as a chief nursing executive, the chief nursing officer usually reports to the hospital CEO. Risk management director. Also known as a hospital risk manager, this individual works proactively to prevent situations that could result in liability.

What is an assignment despite objection?

In some hospitals with nursing unions, an additional system of reporting called an "assignment despite objection" exists. "It's a special form that our union has and we can fill out to escalate (the response to) problems with safety," Arlund says.