On September 11, 2018 a panel of the Inquiry Committee approved an amended Consent Agreement between CRNBC and Sara Mitchell-Banks of Powell River, to remediate practice issues from 2014-2016 related to documentation, professional boundaries, critical thinking and clinical judgement. The Agreement was amended to include terms designed to address practice both as a Nurse Practitioner (NP) and as a Registered Nurse (RN).
In summary, the Inquiry Committee concluded that the Registrant failed to assess some patients and articulate a sufficient differential diagnosis process, failed to restrict activities to the appropriate scope of practice, used photography as a clinical tool without written consent or adherence to record retention requirements, rewrote a page in a medicolegal record (transparently noting that the document was re-written) and destroyed the original (contrary to standards), and communicated to some patients inappropriately.
The Registrant voluntarily agreed to a reprimand, remedial education, sessions with a regulatory practice consultant, and terms equivalent to Limits on practice. The Registrant’s practice will be supervised for 6 months if working as an RN or at least 1 year if working as an NP. She is prohibited from working in rural, remote areas or being in-charge (if working as an RN) for 1 year. The Registrant also consented to four onsite peer reviews of any NP practice. The Inquiry Committee is satisfied that the terms will protect the public.