BEFORE THE OKLAHOMA BOARD OF NURSING IN THE MATTER OF CANDICE RENEE' LEWIS RUSH, R.N . LICENSE NO. R0073797 STIPULATION, SETTLEMENT AND ORDER This matter comes on before the Informal Disposition Panel ("Panel") of the Oklahoma Board ofNursing ("Board") on the 13th day of September, 2011, in the Conference Room of the Board Office, 2901 North Classen Boulevard, Suite 105, Oklahoma City, Oklahoma. Jan Sinclair, R.N., a Nurse Investigator with the Board , appears in person, and Candice Renee' Lewis Rush , R.N., (hereinafter, "Respondent") appears neither in person nor by counsel before the Panel on this date. Respondent and the Nurse Investigator participated in an investigative conference on August 8, 2011, and subsequently consented to this Order. STIPULATION Respondent and the Panel hereby stipulate and agree to the followingjoint stipulation and proposed Order of the Board incorporating this stipulation and agreement in the above-styled matter. 1. Respondent is licensed to practice registered nursing in the State of Oklahoma, and is the holder of License No. R0073797 issued by the Oklahoma Board of Nursing. 2. On or about July 15,2011 , the Respondent , while employed with SouthCrest Hospital in Tulsa , Oklahoma, and working the 7:00 p.m. to 7:00 a.m. shift, in the Intensive Care Unit ("ICU") was found unresponsive in a bathroom on the unit. Respondent had a butterfly needle inserted in her right wrist and a syringe with white substance inserted in her vein. Respondent admitted to the Director of Intensive Care Services that she had injected herself with Diprivan. The Respondent was terminated from the facility. 1 3. Respondent admits to having a problem with controlled dangerous substances/alcohol. 4. Respondent has requested a referral to the Peer Assistance Program. 5. No formal complaint has been filed as ofthe date of this stipulation charging Respondent with a violation of the Oklahoma Nursing Practice Act. Respondent understands that Respondent has a right to require that a formal complaint be filed and the right to a formal hearing before the Board at which time Respondent could confront the witnesses against Respondent, cross­ examine those witnesses, and present evidence in Respondent's own behalf. Respondent understands that by signing and agreeing to this stipulation Respondent is waiving those rights. 6. This stipulation is executed by the Respondent for the purpose of avoiding further administrative action with respect to this cause. In this regard, Respondent authorizes the Board to review and examine all investigative file materials concerning Respondent prior to or in conjunction with consideration ofthis stipulation. Furthermore, should this joint stipulation not be accepted by the Board, it is agreed that presentation to and consideration ofthis stipulation and other documents and matters by the Board shall not unfairly or illegally prejudice the Board or any of its members from further participation, consideration or resolution of these proceedings. 7. Respondent fully understands and agrees that this joint stipulation and subsequent Final Order incorporating same will in no way preclude additional proceedings by the Board against Respondent for acts or omissions not specifically made a part of this stipulation. 8. Respondent expressly waives all further procedural steps, and expressly waives all rights to seek judicial review of or to otherwise challenge or contest the validity of this 2 joint stipulation of facts, conclusions oflaw and imposition of discipline, and the Final Order of the Board incorporating said stipulation. 9. It is expressly understood that this stipulation is subject to approval of the Board and has no force and effect until approved and Ordered by the Board. 10. This Stipulation, Settlement, and Order does constitute formal disciplinary action. STIPULATED DISPOSITION AND ORDER IT IS THEREFORE ORDERED by the Oklahoma Board ofNursing that Respondent is referred to the Peer Assistance Program ofthe Oklahoma Board ofNursing on the followingterms and conditions: 1. Respondent's license to practice registered nursing is hereby temporarily suspended as of the date of this Order, which temporary suspension shall be set aside provided Respondent provides documentation, satisfactory to the Board, of Respondent's acceptance into the Peer Assistance Program by November 4,2011 . 2. If Respondent is not accepted into the Peer Assistance Program on or before November 4,2011, or having been accepted is terminated from the Program for any reason other than successful completion of Respondent's contract and treatment plan, Respondent's license is hereby revoked for a period of two (2) years. 3. In the event Respondent's license is revoked as provided herein, any application to reinstate Respondent's license shall not be considered by the Board until Respondent presents evidence satisfactory to the Board of compliance with the Board's Guidelines For Individuals Requesting Reinstatement After Suspension, Surrender Or Revocation For 3 Misappropriation Or Misuse OfDrugs/Alcohol, a copy of which is attached hereto and made a part hereof. Respondent must also submit evidence of the continued qualifications for practice as set forth in the applicable Statutes and Rules ofthe Oklahoma Board ofNursing in effect at the time of Respondent 's reinstatement. 4. In the event Respondent's license is revoked as provided herein, Respondent shall pay an administrative penalty payable to the Oklahoma Board ofNursing in the amount ofFive Hundred Dollars ($500.00). The administrative penalty shall be paid only by certified check, money order or cash. Any Application to Reinstate Respondent's license will not be considered until the administrative penalty is paid in full. 5. Upon Reinstatement, Respondent's license will be immediately placed in temporary suspension pending readmission to the Peer Assistance Program. Respondent shall provide documentation, satisfactory to the Board, of Respondent's acceptance into the Peer Assistance Program within sixty (60) days of reinstatement. 6. The parties agree that both (all) parties have participated in the drafting ofthis Stipulation, Settlement and Order and that no presumption or construction against any party as the drafter of this Stipulation, Settlement and Order, shall apply or be applied in the event of a claim of ambiguity of the document or a provision thereof. 7. This stipulation shall not be effective until the fully executed Order is received in the Board office. 8. Upon successful completion by Respondent of Respondent's Contract, Amended Contract(s), and treatment plan with the Peer Assistance Program, no further Order ofthe Board shall be deemed necessary. 4 9. This Order constitutes disciplinary action by the Board and may be used in any subsequent hearings by the Board. In the event other misconduct is reported to the Board , this Order may be used as evidence against Respondent to establish a pattern of behavior and for the purpose of proving additional acts of misconduct. Respondent Approved and ordered this 27th day of September, 2011. JS:tj 5