University Hospital boss talks changes after nurse arrest, says ‘this will not happen again’

http://www.sltrib.com/news/health/2017/09/04/live-university-hospital-officials-discuss-arrest-of-nurse-who-refused-to-draw-blood/

University Hospital boss talks changes after nurse arrest, says ‘this will not happen again’

Administrators at University Hospital said Monday they have already changed policies so nurses, like the one who was arrested earlier this summer for refusing to draw a patient’s blood, no longer interact with police.

At a news conference Monday, Gordon Crabtree, the interim chief executive officer of University Hospital, said the nurse, Alex Wubbels, upheld hospital policy and patient privacy despite her July 26 arrest.

“Her actions are nothing less than exemplary,” Crabtree said. ”She handled the situation with utmost courage and integrity.”

The Labor Day news conference occurred on the same day Wubbels spoke on the ”TODAY Show.” She said while the discussions she’s had with the Salt Lake City Police Department have been progressive, she released the police body camera video Thursday because she felt University Hospital and the campus police force had not appropriately responded to the episode.

Crabtree took time Monday to praise Wubbels and to describe changes that have been implemented. Crabtree also said the University of Utah’s attorneys are considering whether to take action against Salt Lake City police and Jeff Payne, the detective who arrested Wubbels. Crabtree didn’t elaborate.

“His actions were out of line,” Crabtree said of Payne. “There’s absolutely no tolerance for that kind of behavior in our hospital.”

On July 26, Payne wanted Wubbels to draw the blood of 43-year-old William Gray, who was unconscious after being involved in a fiery crash earlier in the day in Logan. Wubbels refused, citing hospital policy against drawing the blood of someone without that person’s consent or without a warrant for arrest.

Thursday, bodycam video was released of Payne shouting at Wubbels and handcuffing and arresting her on suspicion of obstruction of justice. Police released her after about 20 minutes.

The video went viral and was picked up by many national news outlets. It drew nationwide criticism last week.

Payne has been placed on leave pending an internal investigation by Salt Lake City police and the city’s Civilian Review Board. Salt Lake County’s Unified Police Department has opened a criminal investigation at the request of District Attorney Sim Gill.

Crabtree said the hospital staffers are doing everything in their power to support Wubbels in the aftermath of the arrest.

“We have a traumatized nurse and a traumatized team,” Crabtree said referring to the burn unit.

Wubbels returned to the burn unit about a week-and-a-half after the arrest, said Margaret Pearce, chief of nursing. But her schedule is flexible so that she can take as much time as she needs.

“Alex took the time she needed,” Pearce said. “We’ve been playing it by ear with her.”

Nurses will no longer interact with police, Pearce said. That will be left to hospital administrators.

“We have to make sure this never, ever happens again,” Pearce said. “I was appalled at the events of July 26. She was advocating for the rights of her patient. She did this beautifully.”

The new policy, which was implemented in mid-August, will require police to interact with the hospital supervisor. It also will prevent law enforcement officials from entering the emergency room, burn unit or other patient areas in the hospital.

Crabtree and Pearce said the new policy began to be developed within hours of Wubbels’ arrest.

“As the CEO of this hospital, I take this very seriously,” Crabtree said. “We must stand together and make sure this is what it should be, a place for healing and a place for safety.”

Wubbels and her attorney, Karra Porter, said they released the video because police were not taking the event seriously. Porter has said her client does not necessarily want to file a lawsuit, but wants changes from both the Salt Lake City police force and police and security forces at the University of Utah.

University of Utah Police Chief Dale Brophy took an apologetic tone when he said he didn’t understand the gravity of the incident until he saw the body camera video.

“My reaction changed after viewing the video,” he said. “She shouldn’t have been hauled off in handcuffs.”

Apparently following protocol, two university police or security officers stood by during the arrest. Brophy said all of his officers will get training in de-escalation techniques. It remains unclear, however, whether university police will engage Salt Lake City officers differently in the future.

Nonetheless, Crabtree said that when it comes to University Hospital and its new policy, such an incident cannot take place again.

 

Detective, nurse altercation could spur review of hospital policies

http://www.modernhealthcare.com/article/20170904/NEWS/170909968/detective-nurse-altercation-could-spur-review-of-hospital-policies

Image result for Detective, nurse altercation could spur review of hospital policies

In a case that’s gone viral, a Salt Lake City nurse endured a police detective’s rough treatment, handcuffing, and threat of arrest to uphold her hospital’s policy of not allowing police to draw blood from a patient without an arrest, a search warrant, or the patient’s consent.

The incident is likely to spur hospital administrators to evaluate their policies surrounding police access to patients, said Jennifer Mensik, a nursing instructor at Arizona State University and vice president of continuing education for OnCourse Learning.

“I hear nurses all the time say it’s a lot easier not to argue with law enforcement and just draw blood,” Mensik said. “They don’t realize they are putting themselves at risk.”

The incident, captured by police officers’ body cameras, involved Alex Wubbels, a burn unit nurse at University of Utah Medical Center, refusing to let Salt Lake City Police Detective Jeff Payne draw blood from an unconscious patient who was severely burned in a car crash. During the encounter, Wubbels consulted via speakerphone with her supervisor, Brad Wiggins, who stated the hospital’s policy bars blood draws in such situations.

The U.S. Supreme Court ruled last year that police must obtain a warrant to test the blood of motorists suspected of drunken driving. In the Salt Lake City case, the patient, a reserve police officer, reportedly was driving a truck when his vehicle was struck head-on by a man in a pickup truck who was trying to evade police. He was not a suspect in any crime.

Mensik said police requests to draw blood from patients without an arrest, a warrant, or consent are common around the country. Nurses and emergency department staff often go along because they are busy or don’t know their hospital’s policy.

During the July 26 encounter, Wubbels, who’s worked at the hospital since 2009, calmly told Payne he couldn’t proceed with the blood draw. After Wiggins, the burn unit manager, said over the speakerphone that Payne was making a mistake by threatening a nurse, Payne is seen trying to swat the phone out of Wubbels’ hand, grabbing her by the arms, pulling her arms behind her back and handcuffing her.

“Help,” she screamed. “Help me. Stop. You’re assaulting me. Stop. I’ve done nothing wrong. This is crazy.”

Payne then strapped her into the front seat of his car. Another officer arrived and told her she obstructed justice.

“I’m also obligated to my patients,” she replied. “It’s not up to me.”

Wubbels was released without being arrested after hospital COO Dan Lundergan contacted police officials.

Wubbels and her attorney held a news conference last Thursday to describe the incident and play the 19-minute video taken from the officers’ body cams.

Salt Lake City Mayor Jackie Biskupski and Police Chief Mike Brown apologized on Friday for the conduct of Payne, who, along with another officer on the scene, reportedly has been placed on administrative leave. The police department, the district attorney, and the sheriff are conducting a criminal investigation into any misconduct that may have been committed by police during the incident.

Biskupski noted that Wubbles was “simply doing her job.”

“I just feel betrayed, I feel angry, I feel a lot of things,” Wubbles said during her press briefing. “And I’m still confused.”

Following the July 26 incident, the University of Utah Medical Center worked with the Salt Lake City police department to craft an agreement on how to handle police requests for blood draws and medical information from patients, said hospital spokeswoman Kathy Wilets.

Now, law enforcement personnel register at the hospital’s front desk and make their requests through hospital administrators rather than asking front-line providers directly.

Wilets called Wubbles a “rock star” for the way she stuck to hospital policy in that tense encounter with police. “We’re grateful to her. She put the needs of patients first and set a great example for everyone.”

5 Things to Know About Drug Diversion

http://www.healthleadersmedia.com/nurse-leaders/5-things-know-about-drug-diversion?spMailingID=9652923&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=1020558128&spReportId=MTAyMDU1ODEyOAS2#

Image result for 5 Things to Know About Drug Diversion

Drug diversion and addiction among nurses is not uncommon, but it is often misunderstood. An expert shares insights to improve understanding.

Have you ever worked with a colleague who diverted drugs to feed an addiction?

Chances are you have, though you may not have known it, since drug diversion and addiction are often very secretive issues. Most estimates put nurses’ drug and alcohol misuse at around 6% to 10%, or about one in 10 nurses.

This makes it highly likely that at some point in your career you’ll encounter a colleague or staff member who is, or will, divert and misuse drugs.

Yet, diversion and addiction are still misunderstood, says Laura Wright, PhD, CRNA, associate professor in the Department of Acute, Chronic, and Continuing Care at The University of Alabama at Birmingham, School of Nursing.

 

“Addiction is a disease, it’s not a moral defect,” she says. “But, when I talk about addiction, I still get people asking me, ‘Why would they ever do that? That’s an awful thing. How could they do that to their children?'”

Here are five things Wright, who is a member of the American Association of Nurse Anesthetists Peer Assistance Advisors Committee, (AANA) wants nurses to know about drug diversion and addiction.