SUPPLEMENT/CONTINUATION

Fentanyl syringes in her pocket. During one of these blocks, I observed Dr. Fitzgerald setting up for the block while another R.N. assisted her. I observed Dr. Fitzgerald draw up the Fentanyl and place the syringe In her pocket. The assisting R.N. had her back to Dr. Fitzgerald at this time. I then observed Dr. Fitzgerald take a different syringe from the opposite pocket and use it for the block. Three syringes with leftover solution were kept and labeled. I again spoke with Dr. L. regarding my concerns. Dr. L. and myself met with Dr. T., the Medical Director, and Sherry C., Nursing Service, to share my concerns and concerns from other employees in positions regarding this matter and a possible problem. All syringes were given to Dr. T. at this time for analysis.”

The following is a synopsis of a letter dated November 30, 1992 from L. E. T.,

 M.D., who is Director of Medical Affairs at Carondelete St. Mary’s Hospital and on the

Arizona Board of Medical Examiners. The letter was addressed to Mark S.,

Associate Director of the Arizona Board of Medical Examiners reference Janis

Fitzgerald, M.D.

“This Is in followup to our discussion this morning about our suspicion that Dr. Janis Fitzgerald might be an impaired physician. Over the last few weeks, It has been reported that Dr. Fitzgerald has seemed agitated and left for the bathroom. And upon her return, seemed to be remarkably calm. Additionally, several nurses in the Post-Anesthesia Care Unit observed her drawing up Fentanyl, pocketing the filled syringes, and producing a different syringe from a different pocket and using It’s contents for administration to the patient. Of interest Is that Dr. Fitzgerald had an indwellIng catheter for the administration

 of long-term antibiotics for a chronic foot infection. This catheter was only just recently removed. We are concerned that Dr. Fitzgerald might be impaired

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