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Managers have responsibilities

Ranjeet knows her first duty is to protect clients by making sure staff are providing safe care. Given the safety implications from the health record audit and Kelsey's observed behaviour, Ranjeet knows she will need to put Kelsey on leave while she investigates. She sets up an immediate meeting with Kelsey, her union representative, and a human resource liaison to review the concerns. During the meeting, Kelsey asks for a medical leave.

Two days after this first meeting, Ranjeet is informed that Kelsey will be off on extended leave. Ranjeet wonders if she still has a responsibility to report her concerns to BCCNM. She feels the clients are protected now that Kelsey is off work and seeking assistance to manage her health concern.

Does Ranjeet still have a responsibility to report to BCCNM?

Yes. Even though Kelsey is on leave, Ranjeet must still report her concerns to BCCN​M. The Health Professions Act and Duty to Report practice standard require her to report Kelsey if she believes, based on evidence, that Kelsey’s practice might be a danger to the public. BCCNM considers evidence of narcotic diversion from the workplace or being impaired at work to constitute a danger to the public.

It’s important that Ranjeet provides information to the College, verifying how Kelsey’s practice was impacted. This helps BCCNM protect the public, as it allows BCCNM to review how Kelsey’s behaviour affected patient care and safety, and ensures proper monitoring of Kelsey's health condition and practice following treatment and her return to work—even if she changes employers.

How does Ranjeet make a report to BCCNM?

Complaints need to be in writing with enough detail for BCCNM to evaluate the information and investigate. Read the letter of complaint.

The complaint should outline the evidence available to support the allegations. This may include witness reports, results of health records audits/reviews, examples of incidents with dates, times and those involved and other relevant, specific information. It should detail the steps the employer has taken to limit the risks the nurse’s practice poses to patients.

What are my reporting responsibilities?»

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​