• 950 Boardwalk Suite 305, San Marcos, CA 92078
    • 760.705.4078
    • tvidals@rxpert.solutions

Mitigating Diversion

I recently read a blog  by Dennis Tribble, a fellow pharmacist and IHFDA member, posted in ASHP titled Why do we talk about preventing diversion? I agree with his “rant” (his word not mine!). We use the word prevention when we talk about mitigating the risks for diversion, but we must be mindful of the fact […]

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Policies Surrounding Drug Tampering & Diversion

How explicit are your policies surrounding drug tampering and diversion? If I were to ask you what your facility does when there is a case of diversion, would the verbal process you give me match what is in policy? If it is not in policy, would your response be along the lines of “It’s just […]

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Drug Testing; Nail, Hair, or Urine?

There are many types of drug tests available, how do you know which one to use? Well, let’s look at the differences. Nail and hair drug testing have a long window of detection, making them an excellent way of testing for habitual drug use. The window for nail testing is 6-12 months and the window […]

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Large Scale Patient Notification

In a previous blog, I talked about involving the Infection Preventionist in diversion of injectable medications because of their expertise in disease transmission and the public health impact. Should there be a case of disease transmission from an employee to a patient, does your facility have the following? written protocols for launching a large response […]

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Including the Infection Prevention Department

Do you have a solid drug diversion monitoring program? If you said yes, that’s great! For those of you that do have a monitoring program, how many of you have participation from the Infection Preventionist (IP) during a suspected case involving injectable medication? Any time there is diversion that involves injectable medications, we need to […]

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Looking for the Smoking Gun?

Every now and then when performing a diversion investigation, you will find the smoking gun. One that is so hot you don’t need the healthcare worker to admit to diversion in order to be 100% convinced they are diverting. However, 99.9% of the time, you will not find that smoking gun early on. And by […]

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What is Considered Significant Loss?

I was listening to a lecture on controlled substance loss and theft. They mentioned the need to report any significant loss to the DEA. Significant loss or theft must be reported to the DEA within 1 day of the loss or discovery. These guidelines are clear; however, I have seen the question come up over […]

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Words Matter

Unintentionally, when talking about addiction, many people use language that is stigmatizing. In today’s time, we understand that addiction is a chronic, treatable, medical condition. Referring to substance abuse as a medical condition will help reduce the stigma and hopefully lead to those with a substance abuse disorder being more willing to seek treatment. Rather […]

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The Drug Diversion Triad

I recently heard a conference speaker, Maureen Burger, talk about the Drug Diversion Triad. All three parts of the triangle must exist before the healthcare worker commits diversion. The three parts of the triangle are Pressure or Motivation, Rationalization or Justification, and Opportunity. Pressure can come from external sources such as a financial need or […]

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Education Surrounding a Facility’s Diversion Program

An important component to a comprehensive diversion program is educating staff on the elements of the program. Education surrounding what diversion looks like, why prevention measures need to be put in place, why monitoring for diversion is important, and the expectations of staff. Additional education is needed for supervisors and managers that will be reviewing […]

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Our References

Terri is absolutely phenomenal. She is an incredibly knowledgeable pharmacy resource. As the medication safety officer, the quality initiatives she implemented not only impacted the patients at our medical center but also reached into the community. Terri is a genuine professional who upholds accountability while creating community among her team members. She is a great listener to identify friction points and has actionable ideas to implement improvements.

T. Eagle. MBA, MLS(ASCP), CLS Lab Operations Manager

Terri is an expert at prospective risk identification -Failure, Mode and Effects Analysis (FMEA). Terri participated in CHPSO Patient Safety Safe Tables and was part of the Hospital Quality Institute’s Regional Quality and Patient Safety Leader Network.
She is an excellent public speaker and communicates well with public and professional audiences. I look forward to her continued work in medication safety.

Regional Quality Network at HQI

Terri has done a tremendous job with the controlled substance diversion program. She has had such a positive impact and has really made the hospital a safer place.

Tri-City Medical Center
Nurse Manager

We would not be where we are with the improvements we have made with opioid prescribing if it were not for Terri driving the process.

Tri-City Emergency Medical Group
Chief Physician

In addition to understanding the ins and outs of the [controlled substance use] process completely, she is very proactive in coming to me with provider issues that she detects. She truly balances the administrative duties and the regulatory components demand with a keen sense of what my practitioners do and what their needs are on the ground. Terri is instrumental in working with my department, balancing patient care, cooperation, ability, and integrity to get the job done.

UCSD Medical Center
Chief Anesthesiologist

Terri is knowledgeable and effective in pharmacy leadership. She has the ability to be able to anticipate and prepare for the future. Her ability to utilize resources effectively in this changing environment is a strong asset. She can adapt, evolve, mentor and still never say “no” when asked to assist. She exhibits great abilities to be flexible and is a “self starter”. She has a pleasant yet effective demeanor that commands results.

Candace Fong, Pharm D
System Director of Pharmacy and Medication Safety Common Spirit Health

Terri has always impressed me as being very smart. resourceful, creative, and easy to work with. Terri’s commitment to medication safety permeated our organization, raising the awareness of this important issue throughout all levels of the institution. Terri has always been engaged, cooperative, and generous with her time.

Cary Mells, MD
Chairman of the Department of Emergency Medicine Tri-City Medical Center

Terri has done more for the Pharmacy in her few months as Interim Pharmacy Director than any other Director has done during my 12 years here.

Anita Kennedy, MBA
VP of Ancillary Services Methodist Hospital

Contact Us

Address: 950 Boardwalk Suite 305, San Marcos, CA 92078

  • 760.705.4078
  • tvidals@rxpert.solutions