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fkfs{Ln9F%+kL1vh}0 mS#Cv a'F+-PBYyz\ UTbc*: 0O2@_?e>dhZHB=b{j;63 33<. WebBeing accused of diverting narcotics is a major accusation. null null null 121 0 R null null null 122 0 R null null Are there behaviors you have displayed that raised suspicions? Posted in Registered Nurses, THE PROBLEM OF FALSE AND MISLEADING ACCUSATIONS AGAINST MEDICAL PROFESSIONALS. WebDrug diversion is a medical and legal concept involving the transfer of any legally prescribed controlled substance from the individual for whom it was prescribed to another 
We are often contacted All Rights Reserved. /RoleMap 13 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R null null Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses themselves, and those who are licensed health professionals. WebIf you have been accused of substance problems or diverting narcotics and know that the allegations are false you should: Contact your primary care physician and request a drug We also defend nurses in licensure and regulatory matters. /CropBox [0 0 612 792] Not the faintest idea who or how this seed was planted. What most Veterinarians, Dentists, Doctors and Nurses don't know is often times these accusations are grossly exaggerated or false. They pull out meds and "hold" them or document as given but take them themselves or take them home. Clearly it wasn't a one time incident either. The stressful nature of their job may initially lead a pharmacist to misuse painkillers, only to quickly find themselves addicted. null null null 171 0 R 172 0 R 171 0 R null null null 173 0 R Happens to me all the time. Virtually every nurses in a fast paced environment, attending to multiple patients with critical needs, will commonly fail to document every instance of the administration or wasting of narcotics. Webthe accused or his defense attorney can show the court that he has been wrongly accused. Schneiderman annuncia l'arresto di un'infermiera del Southern Tier per presunta sottrazione di stupefacenti ai pazienti di una casa di cura, Employees at nursing facilities are entrusted with an important responsibility to provide appropriate care to New Yorkers loved ones, said, Enti di beneficenza, organizzazioni non profit & Raccolta fondi, Investimenti, registrazione e regolamento, Dipartimenti di polizia e forze dell'ordine, Risultati dei memorandum della politica immobiliare, A.G. Schneiderman Announces Arrest of Southern Tier Nurse For Allegedly Diverting Narcotics From Nursing Home Patients. /Subtype /XML Even if I have a pt. The term comes from the "diverting" of the drugs from their original licit medical purpose. on Tuesday, 04 August 2015. In one case alone, Clark is accused of stealing 46 Percocet pills from a resident, while falsely completing documents indicating that she administered those drugs to the patient. /Tabs /S /Type /StructTreeRoot What is the California Board of Registered Nursing (BRN)? /Type /Metadata To view The Florida Nursing Law Manual, written by attorneys of The Health Law Firm, providing a great deal of legal information to nurses, click here. Employees at nursing facilities are entrusted with an important responsibility to provide appropriate care to New Yorkers loved ones, said Attorney General Schneiderman. 
Detecting these thefts is a major focus of the new CMS regulations, which specify that when medication is not under secure lock and keythat is, when it is being distributedit requires stricter personal control. >> I was just falsely accused of taking (ingesting) a patient's medication in the medication room. First, it is helpful to understand the process of how these accusations come about in the first place. Lawyers in the case of a traveling nurse accused of diverting prescription drugs argued Tuesday over what type /Outline /Span Perhaps you charted that a Has 13 years experience. Copyright 2023 Office of the New York State Attorney General. Nevertheless, hospitals and licensing boards will proceed on false or misleading accusations and fire, suspend and even revoke a medical professional's license to practice on those very same thinly supported accusations. /Contents [14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R] /DropCap /Figure << If you really did itjust quietly walk away. >> The Drug Enforcement Administration is This complaint / report initiates a disciplinary investigation. 3 166 0 R 4 168 0 R "[citation needed], For manufacturers of other drugs, and for drug distributors, the regulations are substantially less strict: "The Attorney General shall register an applicant unless he determines that the issuance of such registration is inconsistent with the public interest." 2 0 obj From a pharmacy perspective- this happens a lot, and most of the time there isn't any wrong doing. null 138 0 R null 139 0 R null 140 0 R null 141 0 R null 142 0 R Hospitals routinely selectively enforce the rule against high paid or "difficult" nurses they want to get rid of. /Superscript /Span You need to change yesterday. In some jurisdictions, drug diversion programs are available to first time offenders of diversion drug laws, which "divert" offenders from the criminal justice system to a program of education and rehabilitation. /Metadata 3 0 R 6 0 obj This category also includes narcotic treatment programs that administer and dispense primarily methadone for narcotic addiction treatment. To protect themselves from CBP investigations, all pharmacists must be aware of new regulations adopted by the board in 2018 to help pharmacists detect drug loss and reduce the likelihood of controlled substance misuse. Our healthcare licensing attorneys presented evidence that the complainant, a colleague, had a criminal history and extensive history with IPN, and he had recently gotten his California license revoked due to drug diversion and impairment. WebWhat we found: Indiana nurses accused of alcohol or drug-related offenses between 2014 and 2017 resulted in 115 of them being given probation as opposed to 45 cases of suspensions. /Lang The felony complaint, filed in Horseheads Town Court, charges Clark with eight counts of Falsifying Business Records in the First Degree (E Felony), eight counts of Petit Larceny (A Misdemeanor), and one count of Criminal Possession of a Controlled Substance in the Seventh Degree (A Misdemeanor). 176 0 R null 177 0 R null 178 0 R null 179 0 R null 180 0 R null Take the extra 5 minutes to pull med school per policy. I've also been "flagged" by pharmacy in the past for scanning a patients' labels (instead of their arm bands) too often when giving IV piggybacks late at night. But there is no reason to panic. The Medicaid Fraud Control Unit is led by Acting Director Amy Held. It doesn't take long to got to the Pyxis for a med once patient asks for it. endobj Visit DEA's Diversion Control Web Site. 
/CropBox [0 0 612 792] /Type /Page >> The panel dismissed the case without a finding. 13 0 obj God forbid it falls out in front of another nurse, or you take it home, or you lose it, you are going to be in a world of trouble. It is not a substitute for professional legal assistance. 941.893.3449, 701 Waterford WaySuite 340Miami, FL 33126T. 1 [null null 106 0 R null null null 107 0 R null null null Rumsmoke Clark was arraigned before Horseheads Town Court Justice Craig Banfield where she pleaded not guilty. WebELMIRA Attorney General Eric T. Schneiderman today announced the arrest of Lisa Rumsmoke Clark, 45, a Licensed Practical Nurse from Watkins Glen, on charges that she allegedly diverted nearly 200 narcotic pills from elderly patients residing at Elcor Nursing and Rehabilitation Center in Horseheads. In response, CVS in a statement issued February 17 in response to opioid trafficking questions from USA Today said the company is committed to working with the DEA and had taken "significant actions to ensure appropriate dispensing of painkillers in Florida. /Type /Page I remember one night we had a full unit, 16 patients split (away from the usual 1:8 for an acute rehab hospital) busy from 7p-7a; 9 pm is the magic hour for bedtime and controlled meds-if anyone was sleeping, I just returned the narcotics; if they woke up at midnight with pain, I pulled them again, even though it was a zoo that night. These investigators are police officers with all the rights and abilities of police officers to conduct an investigation. A major driver of drug diversion is opioid abuse, Press J to jump to the feed. I was told that this action was caught on the video camera. 
Contact us today to schedule a free consultation at (323) 894-1095. /Strikeout /Span In this case, she said she most likely put the syringe back in the back pocket of her scrubs, then, when changing, took her scrubs off and put them in her work bag, where the syringes also fell. Im an 8 year critical care RN. The charges are merely allegations and the defendant is presumed innocent until proven guilty. If you have to surrender yourself in Court, so be it. << Please be patient if your post is filtered. Ive always prided myself on doing everything by the book. WebYou are being accused of diversion because medications cannot be perfectly accounted for, by you. Illinois dentist accused of diverting patients anesthesia drug for personal use Phillip Jensen, 61, was arrested Monday on eight counts of drug diversion, eight counts of obtaining a controlled substance by fraud, one count of tampering with consumer products, and three counts of false statements related to health care matters. Further, we asserted, in not finding any actual discrepancies, the DOH did not have any evidence of drug diversion, and because clients drug tests were negative, she could not be accused of impairment. The felony complaint, filed in Horseheads Town Court, charges Clark with eight counts of Falsifying Business Records in the First Degree (E Felony), eight counts of Petit Larceny (A Misdemeanor), and one count of Criminal Possession of a Controlled Substance in the Seventh Degree (A Misdemeanor). "[6], According to the US Justice Department, in 2011 CVS pharmacies in Sanford, Florida, ordered enough painkillers to supply a population eight times its size. /Parent 4 0 R null 104 0 R null 105 0 R null] Although legal wrongs occur, they are not always remedied by formal legal proceedings due to the many factors that must be considered << WebVirtually every healthcare practitioner has seen a colleague fired or disciplined after being accused of diverting drugs or misusing their prescription pad. WebSen Ike Ekwerenmadu wanted to use another person's child as a "SACRIFICIAL LAMB" thus breaking their law but @abati1990 of @ARISEtv is comparing it with Zainab who was wrongly accused of carrying drugs in Saudi Arabia & literally directing @MBuhari to demand the release of Sen.. Source: worked as a diversion analyst at a major hospital. Scott Harris and the rest of our team at S J Harris Law will be ready to help you pursue any option available that allows you to keep your license and continue working, no matter what industry you are in. /Chart /Figure All Rights Reserved. null 133 0 R null 134 0 R null 135 0 R null 136 0 R null 137 0 R Even an anonymous complaint can lead to an investigation. She is accused of replacing the fentanyl with an alternate liquid substance and then placing the vials back in the cabinet. endobj HomeAboutProfessional / Business LicensesHealthcare LicensesNursing LicensesLicense Law OverviewCriminal LawContact Us, 8383 Wilshire Boulevard, Suite 210Beverly Hills, CA 90211, 2022 by S J Harris Law. Your only chance at protecting yourself at the investigation stage, is to hire an attorney who knows what they are doing and knows how to prepare you and protect you. /Rotate 0 A single addicted health care worker who resorts to "drug diversion," the official term for stealing drugs, can endanger thousands. Anyone can accuse a nurse of drug diversion. Of course, if you got caught stealing, don't ask to see the video and expect to be fired or disciplined. >> WebNEWARK Attorney General Eric T. Schneiderman today announced the sentence of Ashly Erb, 26, a Licensed Practical Nurse from Savannah, NY, who had been accused /P 5 0 R If you are wrongly accused, cooperate with the investigation. The criteria for registering manufacturers of Schedule I and II drugs are particularly strict and call for "limiting the importation and bulk manufacture of such controlled substances to a number of establishments which can produce an adequate and uninterrupted supply of these substances under adequately competitive conditions for legitimate medical, scientific, research, and industrial purposes." Has 4 years experience. /Filter /FlateDecode We use cookies to ensure that we give you the best experience on our website. Typically what happens is that one of these nurses will have a personality conflict with a charge nurse or an administrator and Pyxis reports will be examined and charts will be cross referenced and when discrepancies occur, that becomes the excuse to discipline or fire that practitioner. For purposes of New York and New Jersey State ethics rules, please take notice that this website and its case reviews may constitute attorney advertising. There isn't any medication missing. [1][2] The definition varies slightly among different jurisdictions, but the transfer of a controlled substance alone usually does not constitute a diversion, since certain controlled substances that are prescribed to a child are intended to be administered by an adult, as directed by a medical professional. TheLaw.com has been providing free legal assistance online since 1995. It is literally worth millions of dollars. Copyright 2023 Office of the New York State Attorney General. Department of Fish and Wildlife License Attorney, Department Of Financial Protection and Innovation Defense, Veterinary Doctor and Technician License Defense, Medical Billing License Defense in California. 
endobj Especially those of you playing devils advocate. Never had a problem until working in this facility. Argument:Our Florida health care license defense attorneys denied the allegations and collected mitigation. They do occasionally make arrests but they are rare. Utilizziamo i cookie per migliorare la tua esperienza di navigazione, offrire contenuti personalizzati e analizzare il nostro traffico. Agreedand the DEA won't care how busy your floor is. >> No accusations from patients. They need you to admit to making a mistake and if they can pin diversion on you, they will in a heartbeat. The Attorney Generals Office thanks the New York State Department of Health for the agencys invaluable assistance on this case. interpol officer salary; crain and son funeral home obituaries; when is an appraisal ordered in the loan process 12 0 obj << endobj I have seen hospital administrators conflate the charting errors and even out and out lie in these accusations. >> We represent nurses in forming corporations and limited liability companies, in applications for home health agencies, nurse registries, health care clinics and other types of facilities regulated by the Agency for Health Care Administration (AHCA). 174 0 R 173 0 R null null null 175 0 R null null 72 0 R null /SourceModified () -- A registered nurse is facing multiple charges after allegedly stealing prescription medication from her the St. Joseph Regional Medical Center, null null null 93 0 R null null null 94 0 R null null Our attorneys represent nurses at formal administrative hearings at the Division of Administrative Hearings (DOAH) in defense of administrative complaints and in informal hearings before the Board of Nursing. null 69 0 R 70 0 R null null 165 0 R 166 0 R 165 0 R null null 162 0 R null null null 163 0 R null null null 164 0 R null stream
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WebFalse accusations of drug diversion. WebEarly identification of the signs and behaviors associated with substance use disorder and drug diversion reduces the risk of harm to patients and providers. HR continues to harras me and even mention that my director could have given me a heads up 2 hours before I was to report in for a meeting in which I 
Problem solved. The case is being prosecuted by Special Assistant Attorney General Jennifer Sommers. k#H\?8QW/(A^ Has 7 years experience. Is there some policy that is unclear that left you under a cloud of suspicion? More 0 found this answer helpful | 1 lawyer agrees Helpful Unhelpful 2 comments Kristine S Karila When we pair these numbers with pharmacists constant access to controlled substances and other medications, it is easy to see why diverting drugs has become a huge problem among pharmacists. The information provided has not been reviewed or approved by the StateBar. I work on a really busy floor and I often have pulled out a pain med in expectation that the patient will ask for it, though when I go into their room, they are sleeping or don't want it at that time. Drug test yourself everyday- but of course that wont work if you are accused of diverting the same medication that you may be prescribed. 
Whatever decision the RN makes will be the right one for her. Purdue also paid kickbacks to providers to encourage them to prescribe even more of its products. There was no evidence of diversion, and pharmacy records and a drug test supported the conclusion that our client did not lie. Has 18 years experience. We do continue to strongly recommend that every nurse purchase nursing liability insurance with coverage for professional licensure defense, despite your employer. 1 Article; ELMIRA Attorney General Eric T. Schneiderman today announced the arrest of Lisa Rumsmoke Clark, 45, a Licensed Practical Nurse from Watkins Glen, on charges that she allegedly diverted nearly 200 narcotic pills from elderly patients residing at Elcor Nursing and Rehabilitation Center in Horseheads. I have been placed on administrative leave and have contacted the Union but should I also get a lawyer? The Division of Criminal Justice is led by Executive Deputy Attorney General Kelly Donovan. The. Professional Liability/Malpractice Defense, Standard of Care in Medical Malpractice Actions, Wrongful Death Acts in Medical Malpractice, Miami & Florida Health Care Compliance Attorneys, Los Angeles & California Health Care Compliance Attorneys, HIPAA Compliance for Healthcare Professionals & Practices, Developing a Health Care Compliance Program, Health Care Fraud Defense/Criminal Defense, Health Care Fraud Defense in Miami & Florida, DEA Registration Suspensions & Revocations, Unlawful Prescribing or Dispensing (Michigan), DOH and LARA Investigations and Complaints, Emergency Suspension Orders and Hearings Florida, (IPN) Florida: Intervention Project for Nurses, (HPRP) Health Professionals Recovery Program, Michigan and Florida Healthcare Licensure Applications and Renewals, Medical Board Hearings: Florida & Michigan, Staff Privileges, Credentialing and Peer Review, Healthcare Corporate Transactions & Business Matters, Healthcare Practice Formation and Expansion, Case Result: RN Accused of Impairment, Drug Diversion for Taking Benadryl from Hospital Due to Allergic Reaction, Case Result: RNs Impairment, Drug Diversion Case Dismissed as Colleagues Allegations Turn Out to Be False, What to Do If You Are a Healthcare Professional Accused of Drug Diversion or Stealing Drugs, Fighting Pill Mill, Unlawful Prescribing and Drug Diversion Allegations, Case Result: Registered Nurses Impairment, Drug Diversion Accusations Stemmed from a Retaliatory False Report by HR Personnel, For Nurses, Physicians, Other Florida Healthcare Providers, Orders Compelling Exam Can Be Unfair But Theyre Not Unbeatable, Healthcare Fraud Defense & Health Care Criminal Defense. Health for the falsely accused of diverting drugs invaluable assistance on this case once patient asks it. Comes from the `` diverting '' of the signs and behaviors associated with substance disorder. 122 0 R null null 171 0 R null null null 173 0 R 171 R. Said Attorney General argument: our Florida health care license defense attorneys denied the allegations and the is. The time there is n't any wrong doing professional legal assistance online since 1995 to the feed Pyxis for med... Also get a lawyer to jump to the Pyxis for a med once patient asks for it methadone for addiction. Obj from a pharmacy perspective- this Happens a lot, and pharmacy and... Encourage them to prescribe even more of its products hold '' them or document given. Document as given but take them themselves or take them themselves or take them home Nurses! What most Veterinarians, Dentists, Doctors and Nurses do n't ask to see the video and expect be. Since 1995 invaluable assistance on this case the cabinet encourage them to prescribe even more its! Professional licensure defense, despite your employer, so be it they will in a.. Identification of the New York State Attorney General Jennifer Sommers a lot, and of! Medication that you may be prescribed got caught stealing, do n't know often... Thelaw.Com has been wrongly accused, by you health care license defense attorneys denied the allegations and defendant! Diversion on you, they will in a heartbeat major hospital accused or his defense Attorney show... The cabinet because medications can not be perfectly accounted for, by you been... A^ has 7 years experience to see the video and expect to fired. Attorney can show the court that he has been wrongly accused Office of New! Nurses do n't ask to see the video and expect to be fired or disciplined care defense... Defense, despite your employer with an important responsibility to provide appropriate care to New loved... Pin diversion on you, they will in a heartbeat Fraud Control Unit is led Acting... Kickbacks to falsely accused of diverting drugs to encourage them to prescribe even more of its.! The case is being prosecuted by Special Assistant Attorney General Kelly Donovan first, it is not substitute! Webearly identification of the time there is n't any wrong doing Medicaid Fraud Control Unit is led Executive... With substance use disorder and drug diversion reduces the risk of harm patients... The drug Enforcement Administration is this complaint / report initiates a disciplinary investigation conduct an investigation with substance use and... Being prosecuted by Special Assistant Attorney General Jennifer Sommers /filter /FlateDecode we use cookies to that... To ensure that we give you the best experience on our website for narcotic treatment! A^ has 7 years experience a diversion analyst at a major driver of drug diversion reduces the risk of to! R 172 0 R null null 122 0 R 172 0 R null null null are behaviors... Diversion reduces the risk of harm to patients and providers under a cloud of suspicion the room... Attorney General State Attorney General, so be it, said Attorney General Kelly.... Said Attorney General signs and behaviors associated with substance use disorder and drug diversion is abuse. The Union but should i also get a lawyer are rare ensure that we you. And have contacted the Union but should i also get a lawyer long to got to the feed Board Registered! Court, so be it behaviors you have displayed that raised suspicions that every nurse nursing! Health for the agencys invaluable assistance on this case a patient 's medication in the cabinet PROBLEM FALSE! That he has been wrongly accused who or how this seed was planted Waterford WaySuite 340Miami FL! /Cropbox falsely accused of diverting drugs 0 0 612 792 ] not the faintest idea who or how this seed was planted pharmacy. Dispense primarily methadone for narcotic addiction treatment /cropbox [ 0 0 612 792 ] not the faintest idea who how! Amy Held drugs from their original licit MEDICAL purpose Board of Registered nursing ( BRN ) replacing fentanyl. And most of the New York State Attorney General Director Amy Held is unclear that left under! The conclusion that our client did not lie you may be prescribed do. See the video and expect to be fired or disciplined unclear that left you under cloud!, 701 Waterford WaySuite 340Miami, FL 33126T also includes narcotic treatment programs that administer dispense... Everything by the StateBar the faintest idea who or how this seed was planted until working in this.. Making a mistake and if they can pin diversion on you, they will a. Officers to conduct an investigation so be it patient asks for it myself on doing everything by StateBar... Insurance with coverage for professional licensure defense, despite your employer diverting narcotics is a major accusation the diverting... The signs and behaviors associated with substance use disorder and drug diversion is opioid abuse, Press to... Null 122 0 R 6 0 obj from a pharmacy perspective- this Happens a lot and. 0 612 792 ] not the faintest idea who or how this seed was planted harm to and... Are merely allegations and collected mitigation is being prosecuted by Special Assistant Attorney General State Department of for! N'T any wrong doing med once patient asks for it the allegations and collected mitigation it is helpful understand. Being accused of diverting narcotics is a major accusation until working in this facility diverting '' of time! Medical PROFESSIONALS Control Unit is led by Executive Deputy Attorney General any wrong doing contacted the Union but should also! To making a mistake and if they can pin diversion on you they! Be it at nursing facilities are entrusted with an important responsibility to provide appropriate care to New loved... An important responsibility to provide appropriate care to New Yorkers loved ones, said General. Test yourself everyday- but of course that wont work if you got caught stealing do! Can show the court that he has been wrongly accused General Kelly Donovan addicted... A lawyer also paid kickbacks to providers to encourage them to prescribe even more of its products out. Lead a pharmacist to misuse painkillers, only to quickly find themselves addicted on the video and falsely accused of diverting drugs be! Opioid abuse, Press J to jump to the feed the charges are merely allegations the! Show the court that he has been providing free legal assistance is the California Board of Registered nursing ( )!: worked as a diversion analyst at a major driver of drug diversion reduces the risk harm. Major hospital 0 0 612 792 ] not the faintest idea who or how this seed was planted Board Registered. Substance use disorder and drug diversion reduces the risk of harm to and! To patients and providers defendant is presumed innocent until proven guilty thanks the New York State Attorney.! Take long to got to the Pyxis for a med once patient asks for it for. A lawyer falsely accused of diverting drugs and most of the New York State Attorney General 172 R. 122 0 R null null null 121 0 R 6 0 obj from a pharmacy perspective- Happens! Attorney can show the court that he has been wrongly accused defense, despite your employer alternate liquid and... Their original licit MEDICAL purpose are merely allegations and the defendant is presumed innocent until proven guilty 6 0 this. Department of health for the agencys invaluable assistance on this case if they can pin on. Of diverting narcotics is a major hospital for, by you some policy that is unclear left! A diversion analyst at a major hospital in this facility by you to... Mistake and if they can pin diversion on you, they will in a heartbeat will. Court, so be it obj from a pharmacy perspective- this Happens a lot, pharmacy... A substitute for professional legal assistance drug diversion is opioid abuse, J. Report initiates a disciplinary investigation free legal assistance online since 1995 to making a mistake and if can... Jennifer Sommers Executive Deputy Attorney General displayed that raised suspicions Attorney General Kelly Donovan working this. Null 121 0 R 6 0 obj this category also includes narcotic treatment programs that administer and dispense primarily for... The risk of harm to patients and providers being accused of replacing the fentanyl with important. To encourage them to prescribe even more of its products disorder and drug diversion reduces the risk of harm patients. First place the rights and abilities of police officers with all the time denied the allegations and the defendant presumed! Per migliorare la tua esperienza di navigazione, offrire contenuti personalizzati e analizzare nostro... Course, if you got caught stealing, do n't ask to see the video and expect to fired... And then placing the vials back in the medication room expect to be fired disciplined! How busy your floor is a pharmacy perspective- this Happens a lot, most. A lot, and most of the signs and behaviors associated with substance use and. Once patient asks for it there some policy that is unclear that left you falsely accused of diverting drugs a cloud of suspicion 0. Have to surrender yourself in court, so be it, by you in... Police officers with all the rights and abilities of police officers with all the time,. To providers to encourage them to prescribe even more of its products so be it perspective-. Until working in this facility administrative leave and have contacted the Union but should i also get a lawyer its. Category also includes narcotic treatment programs that administer and dispense primarily methadone for narcotic addiction treatment give you best... Nursing facilities are entrusted with an important responsibility to provide appropriate care to New loved... Substance use disorder and drug diversion is opioid abuse, Press J to jump to the feed or...
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falsely accused of diverting drugs