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

Evidence Needed for Diversion Verdict

What kind of evidence do you need to pronounce a guilty verdict when it comes to diversion? Catching someone in the act of placing medication in their pocket when they are supposed to be wasting or seeing vials fall out of their locker leaves little room for doubt. Watching someone on camera substitute saline for […]

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A Diversion Program in a Highly Reliable Organization

In hospitals everywhere, we need to have a contingency plan for our key employees. It is so easy to fall into the rhythm of having our knowledgeable Buyer, IT Pharmacist, or Diversion Specialist (to name a few), with no backup in case something were to happen to our star. That “something” could be an extended […]

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Do Your Staff Know How to Check for Tampering?

All across the country, pharmacy staff are picking up returned controlled substances and placing them back into pharmacy stock. They are removing them from automated dispensing machine return bins and placing them back into the dispensing pockets. Prior to placing the medication back into stock for dispensing, are they checking the item to confirm there […]

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Taking Ownership of Your Pharmacist-in-Charge (PIC) Status

I recently spoke to a pharmacist that shared the culture at their organization when it comes to monitoring for diversion. While they do have a team of diversion specialists that understand diversion and what to look for, they are managed by leaders who think they know better than those specialists. As a result, the voices […]

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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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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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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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Education Surrounding a Facilities Diversion Program

An important component of a comprehensive diversion program is educating staff to 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 expectations of the staff. Additional education is needed for supervisors and managers that will be reviewing […]

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Just Culture Algorithm

Last week I gave a brief overview of the Just Culture model of accountability. I mentioned the three behaviors to consider with any error: human error, at-risk behavior, and reckless behavior.  Human error is a mistake, a lapse, an inadvertent act.  At-risk behavior is drifting from safe behavior when an individual does not believe the […]

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Just Culture Model of Accountability

A few years ago when I entered pharmacy management, the hospital I worked for promoted the “Just Culture” philosophy. Managers were educated on it, and we were all given a copy of the Just Culture Algorithm v3.2. I kept it close and found it to be very helpful to review prior to meeting with an […]

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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