BROOKSVILLE - A Brooksville registered nurse had her license suspended last month due to pending disciplinary action in Texas for intravenously injecting opiates taken from a hospital operating room where she worked.
Lisa Robinson Paliy received licenses to practice as a registered nurse and certified registered nurse anesthetist in Florida in 2003, according to a Board of Nursing settlement agreement. Paliy worked at Oak Hill Hospital in 2010, before moving to Texas were the instances leading up to her the suspension of nursing license occured. She has since moved back to Florida.
Last August, the Texas Board of Nursing disciplined Paliy's license for taking morphine, hydromorphone and fentanyl from a medication dispensing system from patients who had already been discharged from the operating room.
Paliy failed to document whether the medication was given to a patient or discarded, according to an administrative complaint.
Rather than revoking her nursing license, Paliy was required to complete a drug intervention program for nurses and undergo evaluation by a specialist in addictive medicine.
The drug intervention program monitors the care and treatment of impaired nurses, oversees random drug screenings and provides for the exchange of information between treatment providers, evaluators and the Florida Department of Health.
According to the complaint, Paliy said she started having trouble with opioid drugs in May 2011 after experiencing pain due to a medical condition, and started taking drugs from her workplace to treat the pain. Her use quickly progressed to intravenous injection and mixing the drugs together to prolong their effect, it said.
"Ms. Paliy's evaluation raises significant concerns," wrote the specialist, who was not named in the complaint. "She cannot practice with reasonable skill and safety at this time. She has poor insight into the severity of her illness and the need for treatment."
The specialist also wrote Paliy would need a minimum of 6-12 months to be clean and sober, and monitored by the intervention program before that could be considered.
Paliy told the board she would not be able to undergo the treatment recommended by the specialist and declined the option of a second evaluation.
A letter sent to Paliy specified she had to arrange the recommended treatment at a facility by Nov. 1, 2012, but after receiving no notice that Paliy had entered treatment, her file was closed.
"It is my opinion that she is a long way off from returning to practice as a nurse anesthetist," the specialist wrote.
Advanced registered nurse practitioners are not allowed to prescribe controlled substances in the state of Florida, according to the Department of Health.