On July 20, 2018 a panel of the Inquiry Committee approved a Consent Agreement between CRNBC and June Michell of Smithers, to remediate practice issues occurring between September 2014 and June 2017, in home and community care in a First Nations community. The Registrant failed to ensure she left handover information for an oncoming replacement nurse when she went off on planned medical leave. She had gross gaps in documentation: an audit of 10 charts showed that no charts had an up-to-date care plan and 9 had no narrative charting for several months and up to three years. Six charts of clients with hypertension, active infections or diabetes had no recent vital sign or glucometer measurements, including one client whose BP was 240/100 in January 2018 with no follow up BPs in the chart for the next six months. Several charts had incorrect birthdates and/or non-chronologic charting. The Registrant failed to adequately supervise and/or oversee wound care delegated to non-regulated caregivers and did not document what she described as more than one thousand dressing changes. In one instance, the Registrant discontinued care to an elder due to his lifestyle, citing staff safety concerns that were not documented on incident reports nor corroborated by caregivers.
The Registrant has voluntarily agreed to terms equivalent to a suspension, conditions, and limits on practice. Specifically, after a six-month suspension during which the Registrant must complete ethics and indigenous cultural care education and sessions with a CRNBC practice consultant, the Registrant is prohibited from working as the sole RN on duty, in an in-charge capacity, or in a position where delegation to unregulated caregivers occurs for a minimum of six months. A minimum four-month period of supervision in the workplace, including charting audits, will also occur post-suspension.
The Inquiry Committee is satisfied that the terms will protect the public