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

Another Life lost

There has been a lot of chatter on list serves within the diversion prevention community about the nearly 8 gallons of fentanyl diverted from a New Hampshire hospital. The initial report stated, “At least 23 bags of the drug had been removed without being wasted or provided to patients”, but that number climbed to 583. […]

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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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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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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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Is Your Facility Doing What is Required?

Failure to comply with obligations under the Controlled Substance Act has resulted in a settlement agreement of $4.5 million for a medical center in Texas. The majority of cases we hear about are for harm to patients, this one however is for harm to employees. You can read the details here, but the summary is […]

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Signs Your Anesthesia Provider May have a Substance Abuse Problem

It’s no news that anesthesia providers have stressful and demanding jobs. Occasional signs of sleep deprivation is normal, especially for those in residency training (well, probably more than occasionally!). What other signs, in addition to sleep deprivation, should we be watching for that may indicate a possible substance abuse problem? Frequent bathroom breaks Frequent absences […]

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Second Victim

Those of you with experience in the area of patient safety or medication safety may be familiar with the term second victim. For those of you who may not be familiar with this term, second victims are health care professionals who are involved in an unanticipated adverse patient event, in a medical error and/or a […]

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What to Expect When the DEA Comes Knocking

Pharmacy is a world filled with regulations. The U.S. Department of Justice is just one agency enforcing some of those regulations, and they can show up at your pharmacy any time to confirm you are following the regulations. Here are the basics of what they are looking for. First, if they will always come with […]

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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.

Lab
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
A. Munoz, FACHE, CPHQ, CPPS VP

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