NEW: Nurse Suspended for Over-Prescribing Adderall, Ritalin, Xanax
Monday, May 21, 2012
Psychiatric clinical nurse Lisa Marenaro has been suspended for over-prescribing generic forms of Adderall, Ritalin, and Xanax.
Based on a complaint from the Director of the Town of Coventry's Department of Human Services, the Board reviewed five of Lisa Marenaro's patients (Marenaro is in practice with Dr. Mindy Rosenbloom, MD). Among the findings: one patient was prescribed a 180-day supply of Amphetamine Salts (generic Adderall) in 75 days, at 90 mg/day. According to the RI Department of Health, the usual dose is 40mg/day, and "there was no explanation in the records to explain the prescription of a dose approximately two and one-half times higher than the usual amount." Another patient was prescribed three times the recommended amount of the same substance.
A third patient was prescribed higher-than-usual dosages of Methylphenidate (generic Ritalin) as well as Alprozolam (generic Xanax) at more than twice the recommended dosage. In each of these cases, the Board found that Marenaro's records contained "no problem summary list, no active controlled substance log, no active medication list, [and] scant progress notes." Further, Marenaro "taped prescriptions to the outside door of her office, unsecured, and with patient names on the outsides of the envelopes." According to Board of Pharmacy report, "Those prescriptions could have been accessed and filled by anyone who came by, and confidential patient information was placed in an unsecured location."
The Director of Health has determined that Marenaro's licenses as a Psychiatric Clinical Nurse Specialist and as a Registered Nurse constitute an "imminent threat to the health, welfare and safety of the public." These licenses are suspended indefinitely.
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