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

Interviewing a Healthcare Working Suspected of Diversion

During the interview process of healthcare workers suspended of diversion, we need to remain respectful and empathetic. I suspect this would come fairly naturally to those of us who conduct these types of interviews, but I thought I would throw it out there as a reminder. Now, this does not mean we do not ask […]

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Investigative Interviewing & Advanced Interrogation Seminar Pt. 2

The four days at this seminar were days well spent! John E. Reid and Associates does a great job. Prior to the seminar, I would have said I have some experience and I can judge pretty well when a nurse is telling the truth about events surrounding a suspected diversion finding. After all, with an […]

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Attending an Investigative Interviewing & Advanced Interrogation Seminar

A few weeks ago while partnering with Protenus on a webinar titled Starting a Diversion Program from the Ground Up, there were a few questions during the Q&A session surrounding interviewing healthcare workers (HCWs) suspected of diversion. I think we all would agree that getting to the truth in an interview is not always straightforward […]

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Drug Diversion Withholds Meds from Patient

I was recently asked by someone what I did for a living. Occasionally I expound some, and people are always fascinated when the conversation goes a bit further than me stopping at  “I am a pharmacist”. They are fascinated because they enter the world of medication safety and drug diversion monitoring with me for a […]

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How Engaged are Your Staff in Maintaining Controlled Substance Security?

CMS Conditions of Participation states, “Abuses and losses of controlled substances must be reported, in accordance with applicable Federal and State laws, to the individual responsible for the pharmaceutical service, and to the chief executive officer, as appropriate.” (482.25(b)(7). Survey Procedures for this are: Interview the pharmacists, or pharmacy employees to determine their understanding of […]

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Travelers Hired Under EMSA

Has it happened at your institution yet? Emergency Medical Services Authority (EMSA) has adopted policies and procedures governing the use of out-of-state medical personnel to respond to the COVID-19 outbreak pursuant to the Governor’s Emergency Proclamation on March 4, 2020. Under this policy, facilities are bringing healthcare workers licensed in other states in to California […]

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Identifying the Signs of Addiction

As mentioned in last week’s webinar sponsored by Protenus on How to Start a Drug Diversion Program From the Ground Up, one reason for implementing a comprehensive drug diversion program is to increase the chances of identifying drug diversion sooner rather than later. In doing this, we hope to identify the addicted healthcare worker in […]

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They Are There, You Just Have to Find Them

I was in my vegetable garden this morning searching for the worms eating my tomato and mint leaves. For those of you who have ever grown tomatoes, you probably know what I’m talking about.  I’ve known about those pesky tomato hornworms since my first tomato planting years ago but had no idea there were worms […]

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Compliance Reminders Surrounding the Ordering of Schedule II Medications

There are a couple items surrounding the ordering of CII medications that would be worth your time to confirm compliance within your organization. This applies to ordering with paper 222 forms and CSOS. Does everyone ordering CIIs have a Power of Attorney (POA) granted by the Registrant on file? Confirm these are on file and […]

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Words from TJC Surrounding CS Diversion Monitoring

The following is an excerpt from The Joint Commission Quick Safety Issue 48, April 2019: Detection of drug diversion is challenging, and even the best efforts have not yet achieved complete eradication of diversion. Patient and workplace safety require effective reliable safeguards to maintain the integrity of safe medication practices to protect against diversion. Diversion […]

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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