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Damji, Salma Sadrudin (May 15, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacist of British Columbia (the “College”) conducted an investigation into the practice of Salma Sadrudin Damji (the “Registrant”), pursuant to section 33(4) of the Health Professions Act (“HPA”), 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 HPA.

  2. Effective date: May 15, 2019

  3. Name of registrant: Salma Sadrudin Damji

  4. Location of Practice: Vancouver, BC

  5. Admissions and Acknowledgements:

    Between January 2013 and January 2018, using a prescription pad from a medical clinic, the Registrant falsified prescriptions using three patient names and two physician names. The falsified prescriptions resulted in over sixty-two transactions processed on PharmaNet. The medications for these transactions were all Schedule I drugs, which required authorized prescriptions.

    The Registrant used the names and forged the signatures of two physicians as prescribers on these falsified prescriptions, all without the knowledge, consent or authorization of these physicians. The Registrant inappropriately used personal health information and created inaccurate PharmaNet records for the involved patients. By doing so, the Registrant placed the three patients whose name she used at risk of harm, in case their PharmaNet records ever needed to be accessed for legitimate reasons.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that include (but not limited to) the following:

    1. To suspend her registration as a pharmacist for a total of 90 days (May 22, 2019 to August 20, 2019);

    2. To not be pharmacy manager, director, and/or owner of a pharmacy, shareholder in a corporation that owns a pharmacy, and a preceptor for pharmacy students for a period of three years (August 21, 2019 to August 20, 2022);
       
    3. To write apology letters to persons affected by her conduct;

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

    5. To pay a fine of $1,000.

  7. Rationale:

    The Inquiry Committee considered that in this case, in addition to the serious misconduct, the Registrant placed herself and others at significant risk of harm, inappropriately used personal information, and created inaccurate PharmaNet records. Her actions were a serious contravention of standards in the Code of Ethics, and compromised the public’s trust in the pharmacy profession as a whole.

    The Inquiry Committee therefore determined that the Registrant required serious remediation and deterrence regarding her conduct. After also considering significant mitigating factors, the Inquiry Committee considered the terms of the Consent Agreement appropriate to protect the public, as well as send a clear message of deterrence to the profession.

Nekoi Panah, Davood (May 2, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (“the College”) conducted an investigation into the practice of Davood Nekoi Panah (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).

    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: May 2, 2019

  3. Name of registrant: Davood Nekoi Panah

  4. Location of Practice: North Vancouver, BC

  5. Admissions and Acknowledgements:

    Between December 16, 2016 and March 3, 2017, while the Registrant was pharmacy owner, pharmacy manager, and pharmacist at a pharmacy, the following pharmacy practice issues and contraventions of legislation occurred:

    1. He provided monetary incentives to a patient;

    2. He did not provide adequate pharmacist/patient consultation for refill medications;
       
    3. He dispensed Schedule I medication without having an authorized prescription;

    4. He dispensed Schedule I medication in a manner that was not authorized in the prescription;
       
    5. He dispensed Schedule I medications in unlabelled or inappropriately labelled prescription containers;

    6. He was directly involved in processing inaccurate and non-current transactions on PharmaNet; and

    7. He did not take reasonable steps to confirm the identity of patients before dispensing medication to these patients.
       
  6. Disposition:

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

    1. To suspend his registration as a pharmacist for 60 consecutive days commencing September 4, 2019;

    2. To not be a pharmacy manager and preceptor for a period of two years from the date that his suspension ends;
       
    3. To pay a fine in the amount of $10,000.00;

    4. To successfully complete and pass an ethics course for healthcare professionals;
       
    5. To successfully complete and pass the “BC Pharmacy Manager Training Program” offered by the British Columbia Pharmacy Association;

    6. To appear before the Inquiry Committee for a verbal reprimand; and

    7. To thoroughly review and read legislation and standards of practice relevant to the conduct to which this matter relates, and thereafter submit a Declaration of Understanding regarding the legislation and standards of practice reviewed and read.
       
  7. Rationale:

    The Inquiry Committee considered that the Registrant consistently contravened practice standards, knowingly neglected his basic duties as a pharmacist, and knowingly committed or allowed actions that were unethical and could potentially endanger patient health. The totality of his conduct was serious and demonstrated a breach of trust.

    Although this was the first instance the Registrant’s practice has been reviewed by the Inquiry Committee, based on his conduct in this case the Inquiry Committee considered it appropriate that the terms of the Consent Agreement not only be remedial, but also one that serves as a significant deterrent and sends a clear message to both the profession and the public that the College does not tolerate this type of conduct.

Akhnouh, Patrick Kamal (Apr 11, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Patrick Kamal Akhnouh (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 11, 2019

  3. Name of registrant: Patrick Kamal Akhnouh

  4. Location of Practice: Langley, BC

  5. Admissions and Acknowledgements:

    On October 4th, 2018, the Registrant dispensed and administered the incorrect vaccination to a patient. The Registrant learned of the error the same day and altered the patient’s PharmaNet record to reflect the correct vaccination, thereby making the patient’s PharmaNet record inaccurate. The Registrant did not inform the patient or the documented prescriber of the error at this time. The error was later self discovered by the patient and reported to the Registrant.

    After initiation of the College’s investigation into this matter, the Registrant again altered the patient’s PharmaNet record to reflect what had actually been dispensed to the patient.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that include (but are not limited to) the following:

    1. To make significant procedural changes to his pharmacy practice;

    2. To re-take and successfully complete the Practical Administration of Injections for B.C. Pharmacists Workshop;
       
    3. To not perform or administer injections until the Practical Administration of Injections for B.C. Pharmacists Workshop has been successfully completed;To not perform or administer injections until the Practical Administration of Injections for B.C. Pharmacists Workshop has been successfully completed;

    4. To complete and successfully pass an ethics course for healthcare professionals; and
       
    5. To pay a fine of $500.

  7. Rationale:

    The Inquiry Committee considered that in this case, the Registrant placed his patient at significant risk of harm when he altered the patient’s PharmaNet record and did not inform the patient or his prescriber of the error. His actions were a serious contravention of standards in the Code of Ethics, and likely would compromise the public’s trust in the pharmacy profession as a whole.

    The Inquiry Committee therefore determined the Registrant’s conduct to be serious, and that the Registrant required both remediation and deterrence in order to come into compliance. The Inquiry Committee considered the terms of the Consent Agreement appropriate to protect the public, as well as to send a clear message of deterrence to the profession.

Pharmacist Registrant 21 (Mar 29, 2019)

The Inquiry Committee has removed all limits and conditions from the pharmacist registrant’s registration, pursuant to a report and recommendation from the Registrant’s physician.


June 10, 2018
(March 29, 2019 - Limits and Conditions Removed)

The Inquiry Committee, pursuant to section 36(1) of the Health Professions Act, has reached a new Agreement with the pharmacist registrant to amend certain terms in the Agreement of May 1, 2017. The pharmacist registrant is now no longer subject to medical monitoring. All other limits and conditions will remain as part of the new Agreement for a minimum of six months, after which the Registrant’s medical condition may be reassessed. The Registrant has also agreed to begin a gradual return to work. 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.


May 1, 2017
(June 10, 2018 - Limits and Conditions Updated)

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on July 27, 2016. 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. Strictly adhering to the Registrant's routine medical monitoring program with the institution currently involved in his care and remaining on the monitoring program for a period of 12 months;

  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. The Registrant will not process and/or otherwise prepare any prescriptions that require access to the narcotic safe. In dispensing such prescriptions, the Registrant will only be involved in the intake, final check and pharmacist/patient counseling in accordance with the HPA Bylaws;

  8. The Registrant will be restricted from acting in 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. The Registrant will notify the College, in writing or via e-mail, 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 12 months from the date of execution of the Agreement, following which the Registrant may submit information or documentation, including independent medical assessments, to support removing any or all of the above limits and conditions. 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.


July 27, 2016
(May 1, 2017 – 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 July 27, 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 s. 39.3(4) of the Health Professions Act.


February 27, 2015
(July 27, 2016 – Registration Suspended)

The Inquiry Committee has reinstated pharmacist registrant’s registration which had previously been suspended for an indefinite period on July 23, 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. Strictly adhering to his routine medical monitoring program with the institution currently involved in the Registrant's care and remaining on the monitoring program for a period of 3 years;

  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. The Registrant will not process and/or otherwise prepare any prescriptions that require access to the narcotic safe. In dispensing such prescriptions, the Registrant will only be involved in the intake, final check and pharmacist/patient counseling in accordance with the HPA Bylaws;

  8. The Registrant will be restricted from acting in 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. The Registrant will notify the College, in writing or via e-mail, 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 from the date of execution of the Agreement, following which the Registrant will be assessed by a physician to determine whether or not continuation of monitoring is necessary. 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.


JULY 23, 2014
(FEBRUARY 27, 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 the registration as a pharmacist, effective July 23, 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 s. 39.3(4) of the Health Professions Act.

Pharmacist Registrant 32 (Mar 22, 2019)

The Inquiry Committee has reinstated the pharmacist registrant’s registration which had previously been suspended for an indefinite period on March 24, 2017.


March 24, 2017
(March 22, 2019 - Registration reinstated)

The Inquiry Committee, pursuant to Section 36 of the Health Professions Act, has reached an agreement with pharmacist registrant to suspend the registrant’s registration as a pharmacist effective March 24, 2017. The agreement remains in effect until further notice. The Inquiry Committee considers the agreement necessary to protect the public. The registrant's name has been withheld, pursuant to 39.3(4) of the Health Professions Act.

Christensen, Kayle Henry (Feb 19, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacist of British Columbia (the “College”) conducted an investigation into the practice of Kayle Henry Christensen (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: February 19, 2019

  3. Name of registrant: Kayle Henry Christensen

  4. Location of Practice: Dawson Creek, BC

  5. Admissions and Acknowledgements:

    Between September 2014 and June 2018, the Registrant took unauthorized medications for his own personal use, from the pharmacy for which he was the pharmacy manager. The medications taken included, but were not limited to, 16,000 tablets of a narcotic drug substance and 10,000 tablets of a controlled drug substance, both of which require an authorized prescription.

    The Registrant did not process or bill these medications on PharmaNet and these medications were reportedly not provided to any other persons. The Registrant altered and adjusted the pharmacy’s inventory records to ensure the losses would go unnoticed.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that include (but not limited to) the following:

    1. To suspend his registration as a pharmacist for a total of 90 days from October 16, 2019 to January 12, 2020;

    2. To not be pharmacy manager of a pharmacy, and a preceptor for pharmacy students for a period of three years from January 13, 2020 to January 13, 2023;
       
    3. In relation to narcotic and controlled drugs, to not place and receive orders, destroy expired inventory, or have signing authority relating to the ordering of such substances for a period of three years from January 13, 2020 to January 13, 2023;

    4. To complete and successfully pass an ethics course for healthcare professionals; and
       
    5. To pay a fine of $1,500.
       
  7. Rationale:

    The Inquiry Committee considered that in this case, in addition to the serious misconduct, the Registrant placed himself and his patients at significant risk of harm when he took unauthorized medications for personal use and continued to practice in the capacity of a pharmacist. His actions were a serious contravention of standards in the Code of Ethics, and compromised the public’s trust in the pharmacy profession as a whole.

    The Inquiry Committee therefore determined that the Registrant required serious remediation and deterrence regarding his conduct. After also considering significant mitigating factors, the Inquiry Committee considered the terms of the Consent Agreement appropriate to protect the public, as well as send a clear message of deterrence to the profession.

Pharmacist Registrant 38 (Feb 1, 2019)

The Inquiry Committee has removed all limits and conditions from the pharmacist registrant’s registration, pursuant to a report and recommendation from the registrant’s physician.


September 5, 2018
(Feb 1, 2019 – Limits and conditions removed)

The Inquiry Committee has reached an agreement with the pharmacist registrant to amend one of the terms in the Agreement of August 2, 2018. While the pharmacist registrant is still limited to working in a pharmacy for no more than four hours a day, the Registrant can now work up to eight hours up to two days per week, if necessary to ensure sufficient pharmacist staff levels.


August 2, 2018
(September 5, 2018 - Limits and Conditions Updated)

The Inquiry Committee, pursuant to s. 32.2(4)(b)(i) of the Health Professions Act, has reached an agreement with the pharmacist registrant to place limits and conditions on the Registrant’s pharmacy practice, pending further disposition of the Inquiry Committee. The pharmacist registrant will be limited to working in a pharmacy for no more than four hours a day and must work with another pharmacy staff member at all times. The Inquiry Committee considers this agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to s. 39.3(4) of the Health Professions Act.

Yang, Hao (“David”) (Jan 29, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Hao “David” Yang (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: January 29, 2019

  3. Name of registrant: Hao “David” Yang

  4. Admissions and Acknowledgements:

    On April 12, 2018, the Registrant was issued a Violation Ticket for contravening s. 77(1)(c) of the Liquor Control and Licensing Act, in that he allowed three females under the age of majority to consume or possess liquor in or at a place under his control (a hotel room booked under his name). The Registrant admitted that he knew the three females were not yet 19 and that he bought and supplied some of the alcohol found in the hotel room.

  5. Disposition:

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

    1. To suspend his registration as a pharmacist for a total of 14 days, commencing January 31, 2019;

    2. To successfully complete and pass an ethics course for healthcare professionals; and
       
    3. To have a Letter of Reprimand placed permanently on his registration record.
       
  6. Rationale:

    The Inquiry Committee considered that in this case, the Registrant did not act conscientiously, ethically, or with integrity. Rather, he participated in and condoned unethical and illegal behavior, in contravention of standards in the Code of Ethics. His actions could undermine patient trust in registrants and society’s trust in the pharmacy profession.

    The Inquiry Committee therefore considered the Registrant’s conduct to be serious, and that the Registrant required both remediation and deterrence in order to come into compliance. 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.

Ito, Yoshitomo (Jan 24, 2019)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the practice of Yoshitomo Ito (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: January 24, 2019

  3. Name of registrant: Yoshitomo Ito

  4. Location of Practice: Victoria, BC

  5. Admissions and Acknowledgements:

    Between April 2013 and December 2017, the Registrant falsified prescriptions for 18 individuals, including himself. These falsified prescriptions resulted in 208 transactions processed on PharmaNet, all which were for medications that required an authorized prescription. The majority of medications involved were controlled medications.

    The Registrant used the names and forged the signatures of eight different physicians as prescribers on these prescriptions, all without the knowledge, consent, and/or authorization of these physicians.

    In addition to billing PharmaCare for these transactions, the Registrant also billed third party insurance plans for payment of the transactions, which he knew to be false or misleading claims.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that include (but not limited to) the following:

    1. To suspend his registration as a pharmacist for a total of 180 days;

    2. To not be a pharmacy manager and/or director of a pharmacy, and a preceptor for pharmacy students for period of five years from the date that his suspension ends;
       
    3. In relation to narcotic and controlled drugs, to not place and receive orders, and to not have signing authority relating to the ordering of such substances for a period of five years from the date that his suspension ends;

    4. To successfully complete and pass an ethics course for healthcare professionals;
       
    5. To pay a $2000.00 fine; 
       
    6. To appear before the Inquiry Committee for a verbal reprimand; and
       
    7. To write letters of apology to persons affected by his conduct. 
       
  7. Rationale:

    The Inquiry Committee considered that in this case, in addition to the serious misconduct, the Registrant placed himself and others at significant risk of harm when he provided unauthorized medications for personal use, inappropriately used personal information, and created inaccurate PharmaNet records. His actions were a serious contravention of standards in the Code of Ethics, and compromised the public’s trust in the pharmacy profession as a whole.

    The Inquiry Committee therefore determined that the Registrant required serious remediation and deterrence regarding his conduct. After also considering mitigating factors, the Inquiry Committee considered the terms of the Consent Agreement appropriate to protect the public, as well as send a clear message of deterrence to the profession.

Zanotto , Aaron Ariel Glaser (Jan 23, 2019)

The Inquiry Committee has reviewed subsequent information and determined that the extraordinary suspension imposed on the registration of Aaron Ariel Glaser Zanotto pending completion of an investigation is no longer necessary to protect the public.  Therefore, pursuant to s. 35(4) of the Health Professions Act, on January 23, 2019 the Inquiry Committee cancelled the extraordinary suspension of the registration of Mr. Zanotto. Mr. Zanotto is now able to practice pharmacy in the province of British Columbia without any limits or conditions. 


July 20, 2018
(January 23, 2019 - Registration Reinstated)

Pursuant to section 35(1)(b) of the Health Professions Act, effective July 20, 2018, the Inquiry Committee has directed an extraordinary suspension of the registration of registrant Aaron Ariel Glaser Zanotto pending completion of an investigation. The registrant will not be able to practice pharmacy in the province of British Columbia while his registration is suspended. The Inquiry Committee considered the extraordinary suspension necessary to protect the public.

While practicing as a pharmacist, the registrant allegedly made online postings, the contents of which may be regarded as reflecting harm and a risk to the public.

Note: Suspensions ordered by the Inquiry Committee under section 35(1)(b) of the Health Professions Act 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.

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