Arcand v. Board of Registration in Nursing

22 Mass. L. Rptr. 568
CourtMassachusetts Superior Court
DecidedJune 28, 2007
DocketNo. 20063530
StatusPublished

This text of 22 Mass. L. Rptr. 568 (Arcand v. Board of Registration in Nursing) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arcand v. Board of Registration in Nursing, 22 Mass. L. Rptr. 568 (Mass. Ct. App. 2007).

Opinion

Connolly, Thomas E., J.

This is a ch. 30A, §14 appeal by the plaintiff, Anne Arcand, R.N., a registered nurse, of the Board of Registration in Nursing’s (“Board”) decision imposing a Reprimand on Arcand’s nursing license. The Board’s underlying charge was that Arcand diverted a vial containing 8 mg. of morphine, a controlled substance, for her own use on or about July 12, 1999 while working at the Sun Bridge Care and Rehabilitation Center in Beverly, Massachusetts. Hearings were held before an Administrative Hearings Officer on April 14, May 12 and 25, August 11 and September 8, 2004. The Hearings Officer issued a tentative decision on May 11, 2006, and the Board’s final decision was issued on July 19, 2006. The Show Cause Order alleged, in part, that Ms. Arcand diverted a vial containing 8 mg. of morphine, a controlled substance, for her own use on or about July 12, 1999 while working at the Sun Bridge Care and Rehabilitation Center in Beverly.

In short, the Board concluded that Arcand’s conduct warranted disciplinary action and that her conduct was unprofessional and tended to undermine public confidence in the integrity of the profession. The Board’s basis for its conclusion that discipline was warranted were ch. 112, §61, and 244 CMR 9.03(5), (35), (37), and (39) (all sections of the new 2000 regulations). The Board imposed a Reprimand on Arcand’s license to practice as a Registered Nurse in Massachusetts.

The plaintiff, in turn, filed this ch. 30A, §14 action for judicial review. The regulations of the Board of Registration in Nursing were changed, effective on October 13, 2000. The plaintiffs conduct which is the subject of this proceeding took place on July 12, 1999. The hearing took place in 2004 and the Board’s final decision was rendered on July 16, 2006. The hearing [569]*569was held under the regulations which came into effect on October 13, 2000 (“new regulations”). The Reprimand issued to Arcand was under the new 2000 regulations.

One of the issues raised is that Arcand claims that she should have received a reprimand under the pre-October 13, 2000 regulations (“old regulations”) since her actions for which she was reprimanded occurred at the time when the old regulations were in effect. The only difference between the prior and new 2000 regulations concerning the sanction of Reprimand is that under the old regulations “a reprimand did not constitute disciplinary action for purposes of application for licensure in another jurisdiction.”

Under the new regulations, Arcand would be required to report the reprimand as a disciplinary action if she applies for a nurse’s license in another state. Thus, Arcand wishes that the old regulations apply to the sanction of reprimand that she received in 2006 so that she need not report her reprimand on any application that she might make for licensure in another jurisdiction.1 Therefore, one of the issues is whether the old or new regulations should apply to the hearing and/or sanctions issued.

The plaintiff, Arcand, also claims that the Board of Registration in Nursing took approximately seven years to process this matter. On or about August 20, 1999, the Board first issued its complaint against the Plaintiffs nursing license based on conduct that occurred on July 12, 1999. In July 2000, the Board offered the Plaintiff a 3-year voluntary surrender of her nursing license as a resolution of the matter. The Plaintiff declined the offer and indicated that the case would be tried. The Board then took no further action relative to the complaint for the next three years from July 2000 through July 2003. Apart from offering the Plaintiff the three-year voluntary surrender in July 2000, the Board basically did nothing on this complaint for four years. In July 2003, the Board issued an Order to Show Cause to which the Plaintiff filed her Answer and a request for a formal adjudicatory hearing pursuant to ch. 30A and 801 CMLR 1.01 et seq. It took another eight months for the Board to hold the first hearing. The hearings were held April 14, May 12 and 25, August 11 and September 8, 2004. It took the Hearing Officer another one year, eight months to issue his tentative decision on May 11, 2006. The Board’s Final Decision and Order was issued on July 19, 2006. It therefore took the Board of Registration in Nursing seven years to process this one claim of misconduct The plaintiff claims that she was prejudiced by the seven-year delay in the handling of this fairly simple, straightforward complaint. If the complaint had been handled promptly, the Board would have been able to issue its Final Decision, and impose its discipline of reprimand prior to the effective date of the new regulations in August 2000. The plaintiff claims that she was severely prejudiced by the Board’s failure to promptly process the complaint. If she had been reprimanded prior to the effective day of the new regulations, the reprimand would not constitute disciplinary action for purposes of application for licensure in another jurisdiction. 244 CMR 7.08(2). The post-October 13, 2000 regulations required the reporting of the reprimand when application for licen-sure in another jurisdiction would be made.2

I. THE DELAY AND PROCEDURE FOLLOWED BY THE BOARD OF REGISTRATION IN NURSING IN ITS PROCESSING AND ADJUDICATION OF THIS ONE SIMPLE COMPLAINT WAS UNFAIR AND BASED ON UNLAWFUL PROCEDURE.

The time line for the Board of Registration in Nursing’s actions and procedures in this case is as follows:

July 12, 1999: Act for which discipline is sought occurs.
August 20, 1999: Board issues its Complaint against plaintiffs nursing license.
July 2000: Board offers Plaintiff a three-year voluntary surrender of her nursing license. Plaintiff refuses offer and demands an adjudicatory hearing.
October 13, 2000: Board’s prior regulations, 244 CMR 7.07, are replaced by new regulations, 244 CMR 7.04 effective October 13, 2000.
July 2003: Board issues an Order to Show Cause.
April 14, May 12 and 25, August 11 and September 8, 2004: Hearings held before Hearing Officer.
May 11, 2006: Tentative Decision issued by the Hearings Officer.
July 19, 2006: Board issues final decision imposing a reprimand under the post-October 13, 2000 regulations.

This Court concurs with the Hearing Officer’s analysis of this case, as set out in footnote two above. It involves a simple, but honest mistake by a Registered Nurse, in forgetting to waste the balance of a vial of morphine sulfate, and taking it home with her. She had properly documented having withdrawn the drug from supply, and administered it to a patient in accordance with a valid medication order. This is absolutely no evidence that Ms. Arcand diverted the drug for herself or for somebody else’s use. She has a complaint-free record for her 31-year career as a Registered Nurse. Her character witnesses at the hearing were effusive in their praise of her professionalism and dedication to nursing

The Board of Nursing handling and conduct in its seven years of “processing” this matter has to make this Court, and in all likelihood the citizens of Massachusetts, ask just what is going on at the Board of Registration in Nursing in its grossly incompetent and untimely processing of this Complaint. It has put Ms.

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Cite This Page — Counsel Stack

Bluebook (online)
22 Mass. L. Rptr. 568, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arcand-v-board-of-registration-in-nursing-masssuperct-2007.