A former nurse at the University of Wisconsin (UW) Hospital and Clinics in Madison, who allegedly diverted pain medication for personal use, might be linked to a cluster of infections among patients in the units where she worked, UW officials say.
In May 2014, staff noticed a larger than average number of patients infected with the bacterium Serratia marcescens, the hospital said in a statement. “Further investigation showed that in five patients, the infectious agent was genetically identical. One of those patients died.”
S. marcescens is a well-established source of healthcare infections and outbreaks. In the UW investigation, staff identified that four of the five patients with the genetically identical infection had received pain medication from units where ex-nurse Stefanie A. Jones worked. “Later, a connection between Ms. Jones and [a] fifth patient was identified, leading the hospital to contact the police, district attorney, licensing board and other regulatory agencies with their findings,” UW Hospital said in the statement. “All patients or their families have been notified.”
The hospital declined an interview request from AHC Media, publisher of Same-Day Surgery, but documents cited by a Wisconsin newspaper indicate that police took biological samples from the 31-year-old nurse looking for S. marcescens. Jones is accused of diverting morphine and hydromorphone from syringes intended for patients at the hospital more than 40 times between October and March 2014, the newspaper reported.1 The drugs were replaced with water or saline. In a bizarre twist, one of the patients infected with Serratia, the “connection” cited by UW, is Jones’ father.
According to police, Nasia Safdar, MD, medical director of infection control at UW Hospital, told police investigators that Jones was likely to have been the host of the Serratia and gave it to her father while caring for him. Safdar said it was possible the nurse contaminated the syringes with Serratia while refilling them and placing them back into drug-dispensing machines.
- Treleven E. Warrant: Nurse who stole morphine investigated for patient infection death. Wisconsin State J Dec. 25, 2014. Accessed at http://bit.ly/1C8h7Vi.