Nurse in legal trouble for reporting doctor

A Texas nurse is on trial this week for reporting a doctor whose practices she believed endangered patients. As Kevin Sack of the New York Times reports, last year Anne Mitchell submitted a report expressing her concerns about Dr. Rolando G. Arafiles Jr.’s prescription and surgical procedures—including sewing a rubber tip onto a patient’s finger for “protection,” a technique that was later questioned and found improper by the Texas Department of State Health Services. Yet, after Arafiles complained to local county sheriff, Robert L. Roberts Jr. who had been a patient after undergoing heart surgery, Mitchell was arrested and fingerprinted last June. She is now being tried on charges of “misuse of official information,” a third-degree felony in Texas that can mean up to a 10-year prison sentence if she is convicted.

The initial letter reporting Arafiles included information about six incidents that had alarmed Mitchell and two other nurses, as well as information about the doctor’s side business selling herbal supplements. As Sack, of the Times writes:

“To convict Mrs. Mitchell, the prosecution must prove that she used her position to disseminate confidential information for a ‘nongovernmental purpose’ with intent to harm Dr. Arafiles.”

Despite objections from nursing organizations, and a strong warning from the executive director of the Texas Medical Board about the dangerous ramifications a guilty verdict could have for the medical profession, Sheriff Roberts said he felt confident he could prove that Mitchell was attempting to destroy the doctor’s reputation and force him to leave town.

As for Mitchell, she seems bewildered and devastated. She characterized the events set in motion by her initial report as “surreal,” telling the Times: “[H]ow can this be? You can’t go to prison for doing the right thing.”

Related Topics: doctor, legal, misuse of official information, nurse, trial, Medicine, Public Health
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  • http://hollywoodcrashes.wordpress.com Angie

    he charges against the nurse will not prosper — if anything, she should complain about retaliation since the doctor is obviously harassing her through his client, the sheriff by pressing false allegations against her just to make her drop her complaint. Whistleblower laws protect employees from retaliation for “blowing the whistle” on their employers to the proper authorities, when they suspect that their employers are engaged in illegal, unsafe or unhealthy activities according to laws or public policy. She can file a counterclaim against him for retaliation: http://employmentattorneyservices.com/Proving-Workplace-Retaliation-Claims-Against-An-Employer.html

  • easyeros

    Está tudo louco…in USA…

  • http://nursegloria.wordpress.com nursegloria

    The public is not aware of how oppressed nurses are by their employers, doctors, and the board of nursing. Patients would be much safer if nurses were allowed to speak without fear of becoming bag ladies.

    According to the Illinois Nurse Practice Act, under “administration and discipline,” nurses are even supposed to self report age related infirmities. The Act and the discipline of Registered Nurses is unconstitutional in several ways.

    Whether she wins or not, at least this nurse will have due process since the media is paying attention and it isn’t an administrative law hearing as is a hearing before the board of nursing. Of course the board of nursing can always hall her butt in later for any old knit picking thing to force her out of nursing.

    That is why Nurse Practice Acts are written the way they are. Any nurse who advocates for patients by exposing unsafe conditions is easily taken out of the profession.

    This case is about protecting the malpractice insurers and the rates doctor’s pay for the insurance by keeping unsafe doctors and patient care situations a secret. This nurse is being prosecuted in order to be an example to other nurses to be quiet as our healthcare system continues to deteriorate.

  • flamingobingo

    @nursegloria
    Absolutely correct about the Board of Nurse Examiners. The sole goal of these boards is to take nurses out of the nursing field. With the nursing shortage getting worse, these “watchdogs” use virtually any excuse to keep nurses from practicing. They encourage abuse of nurses and for all their vaunted oversight fail to remove dangerous practitioners from the field because they are too busy trying to deplete the already sparse field. Discipline and remove dangerous practioners, seldom. Harrass and ruin lives over free speech and patient advocation? That’s what they’re doing now, with a vengence. This trial will make the current Texas Board redouble its efforts to get more nurses fired.
    Texas nurses get the message, shut up. Even if these nurses are found innocent, the The Board will be contacting them the next day. Guaranteed. Their fight isn’t over, not by a long shot.

  • http://leetilson.wordpress.com leetilson

    Perhaps local west Texas politics explains the prosecution of these nurses. Explaining the silence of the national healthcare organizations (other than the nurses and the ANA) is more difficult? Why is the ANA alone? Where are JCAHO, the AMA, and the AHA? Where are the other organizations?
    The case has been reported in national journals including Modern Healthcare last July, and nursing journals in September and October.
    The silence of organized medicine tells everyone who stands up for patient safety:
    1. You may be right.
    2. You may be doing exactly what we say you should do.
    3. But you are alone. If you go to jail, count on us to do this: nothing.
    4. The fact that you were obeying the law, and carrying out its commands does not matter. Twist in the wind.
    Want to be safe when you go to the hospital? Who is going to jail for 10 years to make sure your care is minimally acceptable?
    I am concerned about these nurses. I am far more concerned about what happens over the course of the next 5 years when nurses have to decide whether to blow the whistle. That no one stands up for these nurses is profoundly disturbing.
    Apparently, the relevant law means nothing.
    45 CFR 164.512(d).
    Texas Administrative Code 217.19
    Section 301.4025
    Section 242.133
    Section 160.012
    Section 554.002
    Lee Tilson
    http://www.rethinkingpatientsafety.com
    http://tinyurl.com/texas-nurse

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