Iowa nurses charged with unsafe practices and misappropriation of medications

By: Clark Kauffman

For the second time in two years, a Pottawattamie County nurse is facing disciplinary charges and is accused of prescribing or dispensing drugs in an unsafe manner.

The Iowa Board of Nursing alleges advanced registered nurse practitioner James D. Dickerson of Neola is guilty of professional incompetence for a willful or repeated failure to practice within the scope his license or ability; professional incompetence for failure to meet the telehealth standards defined by Iowa law; behavior that constitutes unethical conduct or practicing in a manner that’s harmful to the public;  and behavior that constitutes unethical conduct related to prescribing or dispensing drugs.

According to the board, Dickerson is certified as a family nurse practitioner who has practiced in Omaha, Nebraska, and provided telehealth services in Iowa during the period in which he allegedly violated state regulations.

As is customary with Iowa’s licensing boards, the Board of Nursing has not publicly disclosed when the alleged violations occurred, where they took place, or whether any patients were harmed. Some of that information may be publicly disclosed after the case is resolved through a settlement or board order.

A hearing in the matter is scheduled for Jan. 16, 2025.

In 2021, the Board of Nursing charged Dickerson with performing services beyond his scope of practice and prescribing or dispensing drugs to people who either weren’t patients or were outside his area of specialty.

In 2022, the board resolved that case by ordering Dickerson to immediately stop providing any treatment to patients with a complex mental health diagnosis until he received certification as a psychiatric nurse practitioner. The board also fined Dickerson $1,000 and ordered him to undergo five hours of consultation with a nurse practitioner.

Other Iowa nurses recently charged by the board with wrongdoing include:

— Dawn O’Neil, a registered nurse was charged with failing to document patients’ status and misappropriating patient medications. The board has not disclosed where O’Neil lives, where the alleged violations took place, or when they occurred. The board has, however, agreed to settle the case by ordering O’Neil to participate in the Iowa Nursing Assistance Program, which assist nurses with substance abuse issues.

— Linda Jay of Clarinda, a licensed practical nurse who was charged in July with failing to assess or evaluate the status of a patient and committing an act that might adversely affect a patient. According to the board, the violations occurred when Jay was working at an unspecified long-term care facility in November 2023 and a resident under her care experienced a change in condition that she failed to report to a physician.

In February of this year, she allegedly failed to properly document a patient’s condition and, 10 days later, she allegedly administered medication to a resident “outside of the notified blood pressure parameters.” Jay agreed to settle the case by paying a $300 civil penalty and completing 30 hours of educational training.

— Brandy Wicks, a registered nurse who is charged with misappropriating or attempting to misappropriate medications; failing to properly document or perform the disposal of medications; and failing to properly secure medications. The violations are alleged to have taken place when Wicks was working in an acute care hospital. The board has not disclosed where Wicks lives or when the alleged violations took place. A hearing on the matter is scheduled for Jan. 17, 2025.

— Cassie Forde of Mechanicsville, a licensed practical nurse who is charged with misappropriating medications or supplies belonging to a patient or clinic; failing to properly document or perform the disposal of medications; performing nursing services beyond the authorized scope of practice; falsifying records related to nursing practice; and committing an act that might adversely affect the welfare of a patient. No other details in the case have been made public. A hearing on the matter is scheduled for Jan. 15, 2025.

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Iowa nurses charged with unsafe practices and misappropriation of medications