№ lp_2_3_68307
File format: docx
Character count: 3403
File size: 21 KB
This document is a consent agreement that resolves a disciplinary complaint against a pharmacist, outlining the terms of a reprimand without the need for a formal hearing.
Year:
2023
Region / City:
Suffolk County, Massachusetts
Topic:
Disciplinary action for a licensed pharmacist
Document Type:
Consent Agreement
Organization / Institution:
Massachusetts Board of Registration in Pharmacy
Author:
Massachusetts Board of Registration in Pharmacy
Target Audience:
Licensee (Dean Wahlstrom), legal entities, relevant boards
Period of Validity:
Expires 12/31/2024
Approval Date:
11/02/2023
Amendment Date:
None
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Note:
Date of Issuance
The purpose of this reprimand is to bring to your attention, the ongoing deficiencies in your conduct and/or performance. The intent is to define for you the seriousness of the situation so t:
Lateness Unexcused absences Stopping work before the designated time Inappropriate conduct of poor judgment that may interfere with another employee’s work Failure to follow established leave request procedures/policies Disregard of stated Department uniform and staff identification procedures and policies Failure to follow timekeeping procedures, as required (e.g. swiping timecard, etc.) Violation of stated rules, procedures, policies or regulations Failure to maintain satisfactory working relationships to include unprofessional or improper conduct or behavior in the performance of duties Failure to perform or poor performance of job duties, to include failing to follow instructions or maintain established standards of workmanship of productivity Failure to inform the supervisor when leaving the workstation, without justification Failure to follow notification/call-in procedure Excessive use of University telephone, email, or internet for personal matters Other
Year:
2020
Region / City:
Massachusetts
Subject:
Pharmacy Disciplinary Action
Document Type:
Agreement
Institution:
Massachusetts Board of Registration in Pharmacy
Author:
Massachusetts Board of Registration in Pharmacy
Target Audience:
Pharmacy Licensee
Period of Action:
Effective Date: 8/13/2020
Approval Date:
8/13/2020
Date of Changes:
None
Description:
Agreement regarding the reprimand of CVS # 719 due to violations of pharmacy regulations during an inspection in 2019.
Year:
2021
Region / City:
Massachusetts
Subject:
Pharmacy Regulation
Document Type:
Consent Agreement
Organization / Institution:
Massachusetts Board of Registration in Pharmacy
Author:
Massachusetts Board of Registration in Pharmacy
Target Audience:
Pharmacy Licensees
Period of Action:
From 3/26/2021
Approval Date:
3/26/2021
Amendment Date:
None
Note:
Year
Subject:
Employee Discipline
Document Type:
Reprimand Form
Year:
2026
Region / City:
Not specified
Subject:
Employee attendance and disciplinary procedures
Document Type:
Official memorandum / company policy
Organization:
Company Human Resources Department
Author:
Supervisor (unspecified)
Intended Audience:
Employees of the company
Effective Period:
Ongoing
Date Issued:
Not specified
Date of Employee Acknowledgment:
Not specified
Relevant Procedures:
Attendance reporting, tardiness, excused and unexcused absences, disciplinary actions, documentation requirements
Note:
File Number
Region / City:
Delaware, New Castle County, Kent County, Sussex County
Theme:
Guardianship, Consent Affidavit
Document Type:
Legal Affidavit
Authority / Institution:
The Family Court of the State of Delaware
Author:
Affiant
Target Audience:
Parents and guardians involved in custody and guardianship matters
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
Not applicable
Region / City:
Not applicable
Subject:
Research ethics and manuscript submission
Document Type:
Submission Template
Organization / Institution:
Not applicable
Author:
Not applicable
Target Audience:
Researchers, Authors submitting manuscripts
Period of validity:
Not applicable
Approval Date:
Not applicable
Date of Changes:
Not applicable
Year:
2020
Region / City:
United Kingdom
Topic:
Patient consent, publication, medical materials
Document Type:
Consent Form
Organization:
British Association of Dermatologists
Author:
Not specified
Target Audience:
Health professionals, researchers, clinicians
Period of validity:
N/A
Approval Date:
April 2020
Modification Date:
N/A
Context:
Consent form for patients or their representatives to allow the British Association of Dermatologists to use medical materials in publications, ensuring anonymity and outlining the terms of usage.
Year:
2016
Region / City:
Wisconsin
Topic:
Background Check Consent
Document Type:
Form
Organization / Institution:
Wisconsin Department of Administration
Author:
Wisconsin Department of Administration
Target Audience:
Job applicants in Wisconsin
Effective Period:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Note:
Year
Topic:
Vaccination Consent
Document Type:
Consent Form
Target Audience:
Patients, Healthcare Providers
Year:
2023
Region / City:
Dublin, Ireland
Topic:
Research Ethics, Consent Forms, Health Research
Document Type:
Consent Form
Author:
Joint SJH / TUH Research Ethics Committee
Target Audience:
Researchers, Study Participants
Approval Date:
Not specified
Modification Date:
Not specified
Note:
Year
Topic:
Informed consent for research participation
Document Type:
Consent Form
Institution:
Saint Francis University
Author:
[Insert name(s) of investigator(s)]
Target Audience:
Research subjects
Year:
2026
Region / City:
Massachusetts
Topic:
Medical License Sanction
Document Type:
Consent Order
Organization / Institution:
Board of Registration in Medicine
Author:
Ellen Hilsinger, M.D., Thomas Bright, Esq., Rachel N. Shute, Esq., Booker T. Bush, M.D.
Target Audience:
Medical Professionals, Legal Counsel, Regulatory Bodies
Effective Period:
Not specified
Approval Date:
13th January 2026
Modification Date:
Not specified
Year:
2023
Region / City:
University of Kentucky
Subject:
Research Study Participation
Document Type:
Consent Form
Institution:
University of Kentucky
Author:
Research Team
Target Audience:
Potential research participants
Study Duration:
Variable (hours, days, months, years)
Approval Date:
Not specified
Modification Date:
Not specified
Note:
Year
Topic:
Research Ethics, Consent Forms
Document Type:
Guidance
Organization / Institution:
UWE Research Ethics Office
Target Audience:
Researchers, Ethics Committees
Year:
2014
Region / City:
United States
Subject:
Research ethics, IRB review process
Document type:
Checklist
Author:
Not specified
Target audience:
IRB members, Designated Reviewer, researchers
Period of validity:
Ongoing
Approval date:
3/25/14
Amendment date:
11/1/2024
Note:
Year
Region / City:
Buffalo, NY
Topic:
Research Study Consent
Document Type:
Informed Consent Form
Institution:
University at Buffalo
Author:
University at Buffalo Research Compliance
Target Audience:
Research Participants
Year:
2016
Region / City:
United States
Topic:
Electronic Informed Consent (eIC)
Document Type:
Guidance
Agency / Institution:
Office for Human Research Protection (OHRP), Food and Drug Administration (FDA)
Author:
Office for Human Research Protection (OHRP), FDA
Target Audience:
Researchers, IRBs, Clinical Investigators, and Study Participants
Period of Validity:
Ongoing
Approval Date:
December 2016
Date of Revisions:
Not specified
Year:
2018
Region / City:
United States
Theme:
Cancer prevention, clinical trials
Document Type:
Template
Organ / Institution:
National Cancer Institute (NCI), National Institutes of Health (NIH)
Author:
NCI
Target Audience:
Researchers, clinical trial participants
Period of Validity:
Ongoing
Approval Date:
January 19, 2018
Date of Changes:
N/A