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Travelers Hired Under EMSA

Rxpert Solutions > Controlled Substances > 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 to work. I imagine other states are doing the same. At the LA Surge Center, many nurses were brought in under this policy as well as one of the pharmacists I hired. This policy is so a medical facility that is unable to secure sufficient staffing from California certified and licensed healthcare professionals or a staffing agency may seek out-of-state healthcare professionals to fill the gap with approval from the EMS Authority1.

When diversion is identified or suspected for a healthcare worker licensed in a different state, what is the process for reporting? Recently, I was involved in suspected diversion of a Traveler Nurse licensed out of state. I did not realize she was part of the EMSA Policy until I saw the Board of Nursing Complaint that was filed where it stated she was hired under the EMSA Policy and mentioned the state of her licensure. New territory for me. Do we report to the California Board of Registered Nursing (BRN) or the BRN holding licensure? Both would be a good answer, but sometimes it takes a fair amount of follow through to confirm the report is filed at all, let alone in two states. After reaching out to a contact at the CA BRN, I was told the ideal process is to report directly to the state who holds the license. The complaint may be passed on fairly quickly, but typically the CA BRN will report to the NURSYS database and to the licensing state only after the CA case has been adjudicated. To ensure the more expedient reporting, it seems best to report directly. I also asked if the CA BRN requires they be notified of an out of state nurse’s activities or could the facility simply report to the licensing state only. The response from the CA BRN was “We do not currently have reporting requirements.”

The EMSA Policy states “the medical facility will be responsible for monitoring the healthcare providers hired based on this approval and will notify the EMS Authority of any unusual occurrence within 24 hours of the event occurring.” In addition to notifying the BRN, there must also be notification sent to the EMSA.

https://emsa.ca.gov/wp-content/uploads/sites/71/2020/03/MHPAuthorizationPolicyAndProcedure.pdf

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

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

  • 760.705.4078
  • tvidals@rxpert.solutions