Morristown nurse certificate revoked for operating clinic withou

Morristown nurse certificate revoked for operating clinic without proper certification

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A Morristown registered nurse’s APN certification was revoked by the Tennessee Board of Nursing for unprofessional conduct, as well as reports that she continued to treat patients at her owned practice for pain management without a certificate.

According to a State of Tennessee Department of Health consent order, Michelle D. Cate, RN/APN, who has been practicing since August 25, 1999, had her license revoked after purchasing a practice in Bulls Gap in May 2012 and continued patient treatment without a license.

Cate reportedly bought Main Street Family Practice, which was once known as Tennessee Pain Consultants (TPC) in Morristown.

According to the order, TPC was a certified pain management clinic, and Main Street Family Practice reportedly continued to treat the same patient population as a pain management clinic without a pain management clinic certificate.

Cate told Department of Health Investigators that 51 percent or more of her patients were receiving pain management services and were being given or prescribed opiods, benzodiazepines, barbiturates, or carisoprodol for more than 90 days in a 12-month period.

She reportedly did not apply or possess a pain management certificate and the practice was shutdown on Dec. 19.

According to the consent order, Cate listed a doctor as her supervising physician, but the physician had resigned and had not been reviewing any records of Cate’s since October 2012. The doctor also reportedly filed a cease and desist letter to Cate to formally saying that he was not her supervisor.

Cate reportedly prescribed her patients a combination of opiods and benzodiazepines, as well as schedule II substances without justification, according to the consent order.

She also was said to have not discussed or counseled her patients on the risks and potential addiction to the controlled substances.

The Board revoked her license for “unprofessional conduct; has violated or attempted to violate, directly or indirectly, or assisted in or abetted the violation of or conspired to violate any provision of this chapter or any lawful order of the board issued pursuant thereto; failure to file a notice and formulary with the board; overprescribing or prescribing in a manner inconsistent with Rules 1000-04-.08 and -.09; and engaging in acts of dishonesty which relate to the practice of nursing.”

Along with a revoked APN certification, Cate’s registered nurse license was placed on probation for not less than three years and was assessed $1,400 civil penalty, plus costs not to exceed $5,000.

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