On July 2, 2018, a panel of the Inquiry Committee approved a Consent Agreement between CRNBC and Nicolette Rivera of Surrey, to remediate practice concerns occurring in September 2016 and from July to October 2017, while the Registrant was working in a neonatal intensive care unit. Specifically, the Registrant did not adequately and safely recognize, document, or respond to clinical deteriorations in the workplace or during simulated emergencies. In one instance, the Registrant's failure to notify a nursing supervisor or physician that her patient had been increasingly unstable resulted in significant negative patient impact. The Registrant also required support for some fluid and medication calculations, stated she had completed remedial education when she had not, and came to work when not medically cleared.
The Registrant has voluntarily agreed to terms equivalent to limits on practice, including a minimum three year restriction from working in a Level 2 or 3 nursery, a six month period of supervision in the workplace, and limits to work day shifts only and have IV medications double-checked and cosigned. Additional terms include a reprimand, remedial education on documentation, and development and implementation of a learning plan.
The Inquiry Committee is satisfied that the terms will protect the public.