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Dammeyer, Christopher William (Apr 8, 2021)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Christopher William Dammeyer (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183.

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: April 8, 2021

  3. Name of registrant: Christopher William Dammeyer

  4. Location of Practice: Vancouver, BC

  5. The College’s investigation:

    Multiple registrants were involved in this matter.

    The College’s investigation found that between January 2012 and June 2018, over 20,000 false transactions were processed on patient PharmaNet records at two pharmacies, where the Registrant had worked at both pharmacies as a pharmacist and at one pharmacy as a pharmacy manager.

    These transactions were considered false because:

    • Schedule I (prescription) medications associated with these transactions had not been authorized or prescribed by the prescriber associated with each transaction;
    • Medications associated with these transactions, which included Schedule I, Over-The-Counter (“OTC) medications and vitamins, were not actually dispensed to the “patient” in each case;
    • Transactions were processed as one-day supplies or seven-day supplies, for the sole purpose of artificially inflating prescription counts; and
    • Transactions were processed not for the purpose of providing health care and were not processed with each patient’s voluntary consent.


    The College’s investigation also found that during the same time period, over 10,000 transactions were processed on patient PharmaNet records for medications that were actually authorized but processed as one-day supplies or seven-day supplies when there was no clinical indication to do so. The medications for these transactions were not actually dispensed to the patient on a daily or weekly basis, making each patient’s PharmaNet records inaccurate and not current. These transactions were processed in this manner for the sole purpose of artificially inflating prescription counts.

    The “patients” whose PharmaNet records were affected were all either current or former employees of the two pharmacies, or family members of former employees of the two pharmacies. Reportedly, the owner of the two pharmacies had directed for transactions to be processed in the above manner in order to artificially inflate prescription counts at both pharmacies.

  1. The Registrant’s involvement and acknowledgements:

    Regarding the Registrant’s involvement in this matter, the Inquiry Committee considered it substantiated, and the Registrant has acknowledged, that:

    1. He processed false transactions for Schedule I and OTC/vitamin medications on his own PharmaNet record and on the PharmaNet records of his colleagues;

    2. He processed one-day or seven-day supply transactions for Schedule I and OTC/vitamin medications on the PharmaNet records of his colleagues and colleagues’ family members, where these medications were not actually dispensed to the patient on a daily basis, making the patient’s PharmaNet records inaccurate and not current; were all processed as one-day supplies for the sole purpose of artificially inflating prescription counts; and were not clinically indicated to be dispensed on a daily basis;

    3. He backdated PharmaNet transactions, meaning that the transaction records were created on a date later than the date that appears on PharmaNet;

    4. He billed the false and inaccurate transactions described above to PharmaCare and/or third-party insurance plans, when he knew these to be false or misleading claims;

    5. He processed medications on PharmaNet for himself;

    6. He inappropriately used personal health information and created inaccurate PharmaNet records, placing himself, his colleagues, and his colleagues’ family members at risk of harm, in case their PharmaNet records ever needed to be accessed for legitimate medical reasons;

    7. He failed to report to the College or to another person of authority regarding the improper practices occurring at the two pharmacies, even though he knew that these practices were improper; and

    8. As a pharmacy manager, he enabled the false transactions on patient PharmaNet records, prioritized meeting quotas and targets over patient safety and compliance with legislation, and did not set or enforce policies and procedures at the pharmacy he was managing to ensure compliance with practice standards.

  2. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to the following terms (in part):

    1. To successfully complete and pass an ethics course for healthcare professionals within two years. If he fails to complete this within the specified time period, his registration will be suspended for a period of 60 days;

    2. To appear before the Inquiry Committee for a verbal reprimand after completion of the ethics course;

    3. To have a letter of reprimand placed permanently on the College register;

    4. To not be a pharmacy manager and/or a preceptor for pharmacy students for a period of one year from April 8, 2021 to April 7, 2022;

    5. To pay a $3000.00 fine;

    6. To successfully pass the College’s Jurisprudence Exam; and

    7. To successfully complete and pass the “BC Community Pharmacy Manager Training Program” offered by the British Columbia Pharmacy Association, if resuming employment as a pharmacist.

  3. Rationale:

    The Registrant’s actions were considered serious contraventions of legislation involving pharmacy practice standards, the appropriate access, use and protection of personal health information and PharmaNet records, and his role as a pharmacy manager. His misconduct placed himself and others at risk of harm. The Registrant also contravened standards of the Code of Ethics involving protecting and promoting the well-being of patients, benefitting society, committing to personal and professional integrity, participating in ethical business practices, and conflicts of interest.

    In determining an appropriate disposition for the Registrant, the Inquiry Committee considered the Registrant’s report of feeling pressured by his employer (the pharmacy owner) to commit these actions, and that he personally did not stand to gain financially from what occurred.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession. Inappropriate access and use of personal health information compromises the public’s trust in the pharmacy profession as a whole. At all times, registrants must uphold legislative requirements and ethical obligations to appropriately access, use and protect personal health information.

Sidhu, Rauvan Singh (Apr 6, 2021)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Rauvan Singh Sidhu (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183. The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: April 6, 2021

  3. Name of registrant: Rauvan Singh Sidhu

  4. Location of Practice: Surrey, BC

  5. Admissions and Acknowledgements: The Registrant has admitted and/or acknowledged the following:

Between January 1, 2013 and December 31, 2014, while he was the pharmacy manager, owner, and director of a pharmacy, he billed Blood Glucose Test Strips (“BGTS”) on the PharmaNet records of multiple patients for which the purchase invoices for BGTS were insufficient to support the quantities billed. In making these false billings, the Registrant created inaccurate PharmaNet records.

Furthermore, the Registrant initially provided false information to PharmaCare auditors when they requested information regarding his BGTS purchases for the purposes of a PharmaCare audit.

  1. Disposition:

    The Registrant entered into a Consent Agreement with the College's Inquiry Committee, wherein the Registrant consented to the following terms (in part):

    1. To successfully complete and pass an ethics course for healthcare professionals;

    2. To have a letter of reprimand placed permanently on the College register;

    3. To be suspended as a registrant of the College for a period of 90 consecutive days, commencing June 7, 2021 to September 4, 2021; and

    4. To not be a pharmacy manager, direct or indirect owner of a pharmacy, and/or a preceptor for pharmacy students for a period of one year (April 6, 2021 to April 5, 2022).

  2. Rationale:

    The Inquiry Committee considered that the Registrant did not act with honesty and integrity, and that his conduct would reasonably be regarded by registrants and members of the public as professional misconduct. The misconduct of the Registrant was of a serious nature and that Registrant should have known that his conduct was unbecoming of a pharmacist.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, to deter the Registrant from similar conduct in his future practice, and to send a clear message of deterrence to the profession.

 
Pharmacist Registrant 9 (Mar 22, 2021)

Pharmacist Registrant 9 has satisfied the terms of an agreement reached with the Inquiry Committee dated March 23, 2016. Limits and conditions on pharmacist registrant’s registration as a pharmacist have now been removed. The pharmacist registrant’s name has been withheld pursuant to 39.3(4) of the Health Professions Act.


March 23, 2016
(March 22, 2021 – Limits and conditions removed)

The Inquiry Committee, pursuant to Section 36 of the Health Professions Act, has reached a new agreement with the pharmacist registrant for an additional five year period until March 23, 2021, whereby the registrant consented to undertakings involving regular medical monitoring for fitness to practice pharmacy. The undertakings in the agreement include, but are not limited to the following:

  1. Informing all managers and employers with whom he gains employment of his medical condition and the need to maintain vigilance with respect to recovery and the possibility of relapse, and the limits and conditions on his registration pursuant to the agreement;

  2. Ensuring that all managers and employers with whom he gains employment submits a written statement to the College declaring their awareness of his medical condition and the agreement;

  3. Being restricted from the following roles in his practice:

    1. an owner or manager of a pharmacy;
    2. a director of a corporation that owns a pharmacy; and
    3. a preceptor.

     

  4. Notifying the College of:

    1. all changes in his places of employment as a pharmacist
    2. all changes in residential address and phone number; and
    3. all changes in medical providers

The name of the registrant has been withheld in accordance with section 39.3 (4) (a) of the Health Professions Act for the purposes of not identifying the personal health information of the Registrant respecting the condition. The Inquiry Committee is satisfied that the undertakings will protect the public.


August 6, 2015
(March 23, 2016 - Limits and Conditions Updated)

The Inquiry Committee, pursuant to Section 36 of the Health Professions Act, has reached an agreement with the pharmacist registrant to remove the following undertakings:

  1. To return to work gradually, in accordance with the recommendations of his physician;
  2. To not work alone for a period of six months after returning to work in a pharmacy setting, meaning that he must never be the sole pharmacist in attendance at any time and that there must be another pharmacist in good standing working with him at all times;
  3. Not being involved in the dispensing, ordering, contact, destruction, counting or otherwise handling of opiate and benzodiazepine type medications.

The remainder of the undertakings are in effect until further notice.  The pharmacist registrant’s name has been withheld in accordance with section 39.3 (4) (a) of the Health Professions Act.


August 19, 2014
(August 6, 2015 – Partial undertakings removed)

The Inquiry Committee, pursuant to Section 36 of the Health Professions Act, has reached an agreement with the pharmacist registrant whereby the registrant consented to undertakings involving regular monitoring for fitness to practice pharmacy. The undertakings include, but are not limited to:

  1. Routine and random medical monitoring;

  2. Informing all managers and employers with whom he gains employment of his medical condition and the need to maintain vigilance with respect to recovery and the possibility of relapse, and the limits and conditions on his registration pursuant to the agreement;

  3. Ensuring that all managers and employers with whom he gains employment submits a written statement to the College declaring their awareness of his medical condition and the agreement;

  4. To return to work gradually, in accordance with the recommendations of his physician;

  5. To not work alone for a period of six months after returning to work in a pharmacy setting, meaning that he must never be the sole pharmacist in attendance at any time and that there must be another pharmacist in good standing working with him at all times;

  6. Not being involved in the dispensing, ordering, contact, destruction, counting or otherwise handling of opiate and benzodiazepine type medications;

  7. Being restricted from the following roles in his practice:

    1. an owner or manager of a pharmacy;
    2. a director of a corporation that owns a pharmacy; and
    3. a preceptor.

     

  8. Notifying the College of:

    1. all changes in his places of employment as a pharmacist
    2. all changes in residential address and phone number; and
    3. all changes in medical provider.

The agreement will remain in place for a minimum of two years of continuous pharmacy practice. The name of the Registrant has been withheld in accordance with section 39.3 (4) (a) of the Health Professions Act for the purposes of not identifying the personal health information of the Registrant respecting the condition. The Inquiry Committee is satisfied that the undertakings will protect the public.


March 15, 2011
(August 19, 2014 – Registration reinstated)

The Inquiry Committee, pursuant to Section 36 of the Health Professions Act, has reached an agreement with the pharmacist registrant to suspend his registration as a pharmacist effective March 15, 2011. The agreement remains in effect until further notice. The Inquiry Committee considers the agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to 39.3(4) of the Health Professions Act

 

Bagry, Pooja (Mar 3, 2021)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Pooja Bagry (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183.

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: March 3, 2021

  3. Name of registrant: Pooja Bagry

  4. Location of Practice: Surrey, BC

  5. Admissions and Acknowledgements:

    The Registrant has admitted and/or acknowledged the following:

    Between August 1, 2015 and July 31, 2017, while she was the pharmacy manager, owner, and director of a pharmacy, multiple practice errors were discovered at the pharmacy. The following were significant contributing factors to these errors:
     
    1. The Registrant did not actively participate in the day-to-day management of the pharmacy during her pregnancies and maternity leaves;

    2. The Registrant was absent from the pharmacy for three months while on maternity leave, but she did not notify the College of this absence;

    3. The Registrant failed to adequately supervise her pharmacy assistant, and failed to implement adequate procedures, checks, and controls to ensure accurate and safe delivery of community pharmacy services by her pharmacy assistant;

    4. The Registrant did not ensure that all patient records, invoices, and documentation were retained in the pharmacy;

    5. The Registrant did not appear to have established adequate procedures for inventory management; and

    6. The Registrant did not ensure that there was an ongoing quality management program at the pharmacy that was sufficiently effective to maintain and enforce policies and procedures to comply with all legislation applicable to the operation of a community pharmacy.

    During the same time period, the Registrant personally made errors during the processing of 18 prescriptions on PharmaNet.
     
  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to the following terms (in part):

    1. To have a letter of reprimand placed permanently on the College register;

    2. To not be a pharmacy manager and/or a preceptor for pharmacy students for a period of one year (March 3, 2021 to March 2, 2022);

    3. To pay a fine of $1000.00;

    4. To successfully pass the College’s Jurisprudence Exam; and

    5. To successfully complete and pass the “BC Community Pharmacy Manager Training Program” offered by the British Columbia Pharmacy Association.

  7. Rationale:

    The Inquiry Committee considered it a serious matter that during the relevant time period, the Registrant demonstrated a significant lack of managerial responsibility, which contributed to the occurrence of multiple practice errors and potential patient harm. As the pharmacy manager, the Registrant was responsible for ensuring that pharmacy staff complied with applicable legislation and standards of pharmacy practice at all times.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, to prevent and deter the Registrant from similar issues occurring in her future practice, and to send a clear message of deterrence to the profession.

Pharmacist Registrant 27 (Feb 23, 2021)
 

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on August 27, 2020. Pursuant to Section 32.2(4)(b)(i) of the Health Professions Act, the Inquiry Committee has reached an Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:

  1. To comply with any and all recommendations and treatment prescribed or directed by medical professionals involved in the Registrant's care;

  2. To comply with any and all work plans and gradual return to work protocols as advised by the Registrant’s medical professionals and/or employers;

  3. To strictly adhere to the Registrant's routine medical monitoring program for a total period of 5 years of monitoring;
     
  4. To not order, handle, prepare, dispense or destroy any narcotic, controlled or targeted substances the Registrant may have access to while being medically monitored;
     
  5. To inform the College in via e-mail of the Registrant’s places of employment as a pharmacist and report any changes to the location of their employment within 48 hours of such change;
     
  6. To inform all managers and employers with whom the Registrant gains employment of the limits and conditions on registration pursuant to the Agreement, if the pharmacy dispenses mood altering drugs;
     
  7. To ensure that all managers and employers with whom the Registrant gains employment submits a written statement to the College declaring their awareness of the limits and conditions on registration pursuant to the Agreement, if the pharmacy dispenses mood altering drugs;

The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.


August 27, 2020
(February 23, 2021 - Registration Reinstated)

 

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an agreement with the pharmacist registrant to voluntarily suspend the registration as a pharmacist effective August 27, 2020. The agreement remains in effect until further notice. The Inquiry Committee considers the agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.


February 11, 2020
(August 27, 2020 - REGISTRATION Suspended)

 

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on May 12, 2019. Pursuant to Section 32.2(4)(b)(i) of the Health Professions Act, the Inquiry Committee has reached an Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:

  1. To comply with any and all recommendations and treatment prescribed or directed by medical professionals involved in the Registrant's care;
     
  2. To comply with any and all work plans and gradual return to work protocols as advised by the Registrant’s medical professionals and/or employers;
     
  3. To strictly adhere to the Registrant's routine medical monitoring program for the current 3 year period, and then sign an identical agreement for monitoring for an additional 2 years, for a total period of 5 years of monitoring;
     
  4. To not order, handle, prepare, dispense or destroy any narcotic, controlled or targeted substances the Registrant may have access to while being medically monitored;
     
  5. To inform the College in via e-mail of the Registrant’s places of employment as a pharmacist and report any changes to the location of their employment within 48 hours of such change;
     
  6. To inform all managers and employers with whom the Registrant gains employment of the limits and conditions on registration pursuant to the Agreement, if the pharmacy dispenses mood altering drugs;
     
  7. To ensure that all managers and employers with whom the Registrant gains employment submits a written statement to the College declaring their awareness of the limits and conditions on registration pursuant to the Agreement, if the pharmacy dispenses mood altering drugs.

May 12, 2019
(FEBRUARY 11, 2020 - REGISTRATION REINSTATED)

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend the registration as a pharmacist effective May 12, 2019. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.


November 7, 2016

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on June 10, 2016. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4) of the Health Professions Act


June 10, 2016
(NOVEMBER 7, 2016 – REGISTRATION REINSTATED)

The Inquiry Committee, pursuant to section 36 of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend the registration as a pharmacist effective June 10, 2016. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to section 39.3(4) of the Health Professions Act.

Pharmacist Registrant 22 (Feb 21, 2021)

The Inquiry Committee has approved an amendment to the November 5, 2020 Consent Agreement. The pharmacist registrant is no longer restricted from acting as a preceptor.


November 5, 2020
(February 21, 2021 - Limits and conditions updated)

The Inquiry Committee pursuant to section 36(1) of the Health Professions Act and after consultation with the pharmacist registrant’s physician, has reached an Agreement with the pharmacist registrant to amend some of the terms in the Agreement of June 5, 2019. The pharmacist registrant is now being medically monitored by a different medical provider.


October 22, 2019
(November 5, 2020 - Limits and conditions updated)

The Inquiry Committee has approved an amendment to the June 5, 2019 Consent Agreement. The pharmacist registrant is no longer restricted from being a manager of a pharmacy.


JunE 5, 2019
(October 22, 2019 - LIMITS AND CONDITIONS UPDATED)

The Inquiry Committee, pursuant to section 36(1) of the Health Professions Act and after consultation with the pharmacist registrant’s physician, has reached an Agreement with the pharmacist registrant to amend some of the terms in the Agreement of October 12, 2018. The Registrant can now:

  • work alone in a pharmacy;
  • handle, physically prepare, and dispense prescriptions for opioid medications;
  • have access to the narcotic safe;
  • be involved with ordering narcotic medications.

October 12, 2018
(June 5, 2019 - Limits and Conditions Updated)

The Inquiry Committee has reinstated the pharmacist registrant’s registration which had previously been suspended for an indefinite period on August 13, 2015. Pursuant to Section 36(1) of the Health Professions Act, the Inquiry Committee has reached an Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:

  1. To strictly adhere to the Registrant's routine medical monitoring program with the institution currently involved in the Registrant's care and remaining on the monitoring program for a period of at least 3 years;

  2. To comply with any and all recommendations and treatment prescribed or directed by medical professionals involved in the Registrant's care;

  3. To not work alone in a pharmacy, and to have another pharmacist in good standing supervising the Registrant at all times;

  4. To not handle, physically prepare, or dispense prescriptions for opioid medications at any time;

  5. To not have any access whatsoever, on or off duty, to the narcotic safe in any pharmacy;

  6. To not be involved in any way with ordering narcotic medications, except for signing off on the necessary paperwork in the presence of a witnessing pharmacy staff member for the purposes of receiving and stocking such narcotics;

  7. To inform all managers and employers with whom the Registrant gains employment of his medical condition and the limits and conditions on registration pursuant to the Agreement;

  8. To ensure that all managers and employers with whom the Registrant gains employment submits a written statement to the College declaring their awareness of the Registrant's medical condition and the Agreement, and how they will accommodate and supervise the Registrant working in the pharmacy;
     
  9. To inform the College in via e-mail of his places of employment as a pharmacist and report any changes to the location of his employment within 48 hours of such change; and

  10. To be restricted from acting in the following roles in the Registrant's practice:

    1. Be a manager of a pharmacy;
    2. Be an owner (direct or indirect) of a pharmacy; and
    3. Act as a preceptor.

     


August 13, 2015
(October 12, 2018 – Registration Reinstated)

The Inquiry Committee, pursuant to section 36 of the Health Professions Act, has reached an Agreement with the pharmacist registrant to suspend registration as a pharmacist effective August 13, 2015. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to 39.3(4) of the Health Professions Act.


February 13, 2015
(AUGUST 13, 2015 - Registration Suspended)

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on August 5, 2014. Pursuant to section 36 of the Health Professions Act, the Inquiry Committee has reached an Agreement with the pharmacist registrant whereby the Registrant consented to undertakings involving regular monitoring for fitness to practice pharmacy. The undertakings include, but are not limited to:

  1. Routine and random medical monitoring;

  2. Informing all managers and employers with whom Registrant gains employment of Registrant’s medical condition and the limits and conditions on Registrant’s registration pursuant to the agreement;

  3. Ensuring that all managers and employers with whom Registrant gains employment submits a written statement to the College declaring their awareness of Registrant’s medical condition and the agreement, and how they will accommodate and supervise Registrant working in pharmacy;

  4. Registrant will not work alone in a pharmacy setting, meaning that Registrant must never be the sole pharmacist in attendance at any time and that there must be another pharmacist or pharmacy assistant or pharmacy staff working with Registrant at all times;

  5. Registrant will not have access to narcotic-safe or physically process and/or otherwise prepare any prescriptions that require access to the narcotic safe;

  6. Registrant will not be involved in any way with ordering supplies of narcotic medications;

  7. Registrant will not be involved in the dispensing, ordering, contact, destruction, counting or otherwise handling of opiate medications and other medications with abusive potential;

  8. Being restricted from the following roles in Registrant’s practice:

    1. an owner or manager of a pharmacy;
    2. a director of a corporation that owns a pharmacy; and
    3. a preceptor.

     

  9. Notifying the College of:

    1. all changes in places of employment as a pharmacist
    2. all changes in residential address and phone number; and
    3. all changes in medical provider.

     

The Agreement will remain in place for a minimum of three years of continuous pharmacy practice. The name of the Registrant has been withheld in accordance with section 39.3(4)(a) of the Health Professions Act for the purposes of not identifying the personal health information of the Registrant respecting the condition. The Inquiry Committee is satisfied that the undertakings will protect the public. 


August 5, 2014
(February 13, 2015 – Registration reinstated)

The Inquiry Committee, pursuant to section 36 of the Health Professions Act, has reached an Agreement with the pharmacist registrant to suspend registration as a pharmacist effective August 5, 2014. The Agreement remains in effect until further notice. The Inquiry Committee considers the agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to 39.3(4) of the Health Professions Act.

Serjeant, Rina (Jan 7, 2021)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of now former registrant Rina Serjeant (the “Former Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183.

    The Inquiry Committee and the Former Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: January 7, 2021

  3. Name of registrant: Rina Serjeant

  4. Location of Practice: N/A

  5. Admissions and Acknowledgements:

    Multiple registrants were involved in this matter.

    The College’s investigation found that between January 2012 and June 2018, over 20,000 false transactions were processed on patient PharmaNet records at two pharmacies, where the Registrant had worked as a pharmacy manager at one of the pharmacies. These transactions were considered false because:

    • Schedule I (prescription) medications associated with these transactions had not been authorized or prescribed by the prescriber associated with each transaction;
    • Medications associated with these transactions, which included Schedule I, Over-The-Counter (“OTC) medications and vitamins, were not actually dispensed to the “patient” in each case;
    • Transactions were processed as one-day supplies or seven-day supplies, for the sole purpose of artificially inflating prescription counts; and
    • Transactions were processed not for the purpose of providing health care and were not processed with each patient’s voluntary consent.


    The College’s investigation also found that during the same time period, over 10,000 transactions were processed on patient PharmaNet records for medications that were actually authorized but processed as one-day supplies or seven-day supplies when there was no clinical indication to do so. The medications for these transactions were not actually dispensed to the patient on a daily or weekly basis, making each patient’s PharmaNet records inaccurate and not current. These transactions were processed in this manner for the sole purpose of artificially inflating prescription counts.

    The “patients” whose PharmaNet records were affected were all either current or former employees of the two pharmacies, or family members of former employees of the two pharmacies. Reportedly, the owner of the two pharmacies had directed for transactions to be processed in the above manner in order to artificially inflate prescription counts at both pharmacies.

  6. The Registrant's Involvement and Acknowledgements:

    Regarding the Former Registrant’s involvement in this matter, the Inquiry Committee considered it substantiated, and the Former Registrant has acknowledged, that:

    1. On the PharmaNet record of her colleague, her name was associated with false PharmaNet transactions for vitamins and supplements, as the “prescriber” of these vitamins and supplements. The Former Registrant’s signature was on the prescription hardcopies of these transactions, meaning that she had checked these prescriptions before the hardcopies had been filed away;

    2. The majority of these transactions had been backdated, meaning that the transaction records were created on a date later than the date that appears on PharmaNet. The Former Registrant’s signature appeared on the prescription hardcopies of the backdated transactions, meaning that she knew, or ought to have known, that the transactions had been backdated;

    3. She processed medications on PharmaNet for herself;

    4. She enabled the inappropriate use of personal health information and the creation of inaccurate PharmaNet records, placing her colleague at risk of harm, in case their PharmaNet record ever needed to be accessed for legitimate medical reasons;

    5. She failed to report to the College or to another person of authority regarding the improper practices occurring at the pharmacy, even though she knew that these practices were improper; and

    6. As pharmacy manager, she enabled the false transactions on patient PharmaNet records, did not set or enforce policies and procedures at the pharmacy to ensure compliance with practice standards, and did not actively participate in the day-to-day management of the pharmacy.

  7. Disposition

    The Former Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to the following terms (in part):

    1. To pay a $3000.00 fine;
       
    2. To have a letter of reprimand placed permanently on the College register;
       
    3. If she reinstates her registration to Full Pharmacist status, upon reinstatement:
       
      1. To successfully complete and pass an ethics course for healthcare professionals within two years. If she fails to complete this within the specified time period, her registration will be suspended for a period of 60 days;
         
      2. To appear before the Inquiry Committee for a verbal reprimand;
         
      3. To not be a pharmacy manager and/or a preceptor for pharmacy students for a period of 2 years;
         
      4. To successfully pass the College’s Jurisprudence Exam; and
         
      5. To successfully complete and pass the “BC Community Pharmacy Manager Training Program” offered by the British Columbia Pharmacy Association.
         
  8. Rationale:

    The Former Registrant’s actions were considered serious contraventions of legislation involving pharmacy practice standards, the appropriate access, use and protection of personal health information and PharmaNet records, and her role as a pharmacy manager. Her misconduct placed others at risk of harm. The Former Registrant also contravened standards of the Code of Ethics involving protecting and promoting the well-being of patients, benefitting society, committing to personal and professional integrity, participating in ethical business practices, and conflicts of interest.

    In determining an appropriate disposition for the Former Registrant, the Inquiry Committee considered the Former Registrant’s report of feeling pressured by her employer (the pharmacy owner) to commit these actions, and that she personally did not stand to gain financially from what occurred.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession. Inappropriate access and use of personal health information compromises the public’s trust in the pharmacy profession as a whole. At all times, registrants must uphold legislative requirements and ethical obligations to appropriately access, use and protect personal health information.

Drenic-Stojanovic, Drena (Dec 30, 2020)

Nature of Action: Pursuant to section 35(1)(a) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”), effective December 30, 2020, the Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) has made an order to impose limits and conditions on the pharmacy practice of the registrant Drena Drenic-Stojanovic (the “Registrant”) during the investigation into the Registrant’s practice, as follows:

  1. The Registrant shall not be involved in any way in the preparation, compounding, manipulation and/or dispensing of injectable and/or sterile products to patients/clients or health care providers/prescribers for office use;
  2. The Registrant shall not act as a pharmacy manager or owner;
  3. The Registrant shall not act as a preceptor to students or be responsible for the supervision of other staff and/or registrants;
  4. The Registrant must work under the direct supervision of another registrant acceptable to College staff; and
  5. The Registrant must inform any employer of these limits and conditions of her practice and provide it with a copy of this decision.

The Inquiry Committee considered this action necessary to protect the public.

Reasons: While practising as a pharmacist, it is alleged that the Registrant did not comply with the applicable legislation and standards of practice required to compound sterile preparations. While practising as a pharmacist, it is alleged that the Registrant distributed compounded sterile preparations from an unlicensed pharmacy.

Note: Limits and conditions ordered by the Inquiry Committee under section 35(1)(a) of the HPA are made to protect the public during an investigation or pending a hearing of the Discipline Committee. Orders made under this section relate to matters which are and remain unproven unless admitted by a registrant or determined by the Discipline Committee.

Pharmacist Registrant 45 (Dec 23, 2020)

The Inquiry Committee has reinstated pharmacist registrant’s registration, which had previously been suspended for an indefinite period on October 20, 2020. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4) of the Health Professions Act


October 20, 2020
(December 23, 2020 - Registration Reinstated)

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective October 20, 2020. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.

Pharmacist Registrant 48 (Dec 18, 2020)

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective December 18, 2020. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.

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