Surrey Nurse Suspended for Reckless Narcotic Delivery to Wrong Address

A Surrey nurse has faced significant disciplinary action, receiving a 28-day suspension after being found guilty of professional misconduct for delivering highly addictive narcotics to the wrong address via a mail slot. The BC College of Nurses and Midwives (BCCNM) determined that Sarah Elizabeth Johnson’s actions, which occurred on June 29, 2021, were 'egregious' and demonstrated a severe lapse in professional judgment and adherence to safety protocols.

The incident involved Johnson delivering a crucial package containing fentanyl and hydromorphone to what she believed was a patient's address.

However, instead of confirming the recipient's identity or ensuring a secure handover, she deposited the potent drugs into the mail slot of an incorrect residence. It was only later that the package, containing these controlled substances, was retrieved from a neighbour.

While the patient ultimately received their medication and no immediate harm was reported, the potential risks associated with such a breach are immense.

Fentanyl and hydromorphone are powerful opioids, and their misdirection could have led to serious consequences, including diversion for illicit use, accidental overdose by an unintended recipient, or the patient suffering from withdrawal due to lack of medication.

The BCCNM's investigation highlighted several critical failures on Johnson's part.

She admitted to not adhering to established policies and procedures for medication delivery, failing to properly verify patient identification, and neglecting crucial drug accountability measures. These are fundamental tenets of safe nursing practice, designed to protect both patients and the public from the dangers of controlled substances.

In response to the findings, Johnson acknowledged her professional misconduct and has since undertaken remedial education to address the deficiencies in her practice.

The 28-day suspension, which commenced on February 27, reflects the seriousness of the breach, underscoring the BCCNM's commitment to maintaining high standards of care and public safety within the nursing profession in British Columbia. This case serves as a stern reminder of the unwavering responsibility healthcare professionals bear when handling and delivering potent medications.