Bad Nurses Able to Keep Working in Other States
ProPublica/USA Today—July 16th, 2010
Nurse Craig Peske was fired from a hospital in Wausau, Wis., in 2007 after stealing the powerful painkiller Dilaudid “whenever the opportunity arose,” state records say. In one three-month period, he signed out 245 syringes full of the drug — nine times the average of his fellow nurses.
Hospital officials reported him to Wisconsin nursing regulators and alerted police.
Six months later, Peske was charged with six felony counts of narcotics possession. But by that time, he had used a special “multistate” license to get a job as a traveling nurse at a hospital 1,200 miles away in New Bern, N.C.
“When I went to go for the job in North Carolina, I looked at the status of my license, and it was still active,” says Peske, 36, who was later convicted of two felony drug charges. “That kind of surprised me, so I figured I would take it.”
The ease of Peske’s move illustrates significant gaps in regulatory efforts nationwide to keep nurses from avoiding the consequences of misconduct by hopping across state lines.
The two states in which Peske worked are part of a 24-state compact created to help get good nurses to areas where they are needed most. Under the decade-old partnership, a license obtained in a nurse’s home state allows access to work in the other compact states.
But an investigation by the non-profit news organization ProPublica found that the pact also has allowed nurses with records of misconduct to put patients in jeopardy. In some cases, nurses have retained clean multistate licenses after at least one compact state had banned them. They have ignored their patients’ needs, stolen their pain medication, forgotten crucial tests or missed changes in their condition, records show.
Critics say the compact may actually multiply the risk to patients. There is no central licensing for the compact, so policing nurses is left to the vigilance of member states.
Outside the compact, each state licenses and disciplines its own nurses. But within it, states effectively agree to allow in nurses they have never reviewed.
Read More: USA Today
