An Osage Beach, Mo., nurse pleaded guilty in federal court to illegally obtaining fentanyl from a hospital for his own use. Charles Welch Jr., 65, waived his right to a grand jury and pleaded guilty to a federal information that charges him with one count of obtaining a controlled substance by misrepresentation. Welch, a certified registered nurse anesthetist at Lake Ozark Anesthesia, primarily provided anesthesia services at Lake Regional Hospital in Osage Beach. Welch was responsible for preparing various medications for use in daily medical procedures. By pleading guilty, Welch admitted that he stole fentanyl from the automated dispensing cabinets located in the hospital’s operating rooms from approximately July 1 through Aug. 21, 2023. Welch specifically pleaded guilty to fraudulently obtaining a vial of fentanyl which was for use in a medical procedure, by scanning the fentanyl to generate a label that Welch affixed to a syringe he had previously filled with saline, thus concealing the true contents of the syringe and enabling Welch to divert the fentanyl for his personal use.
On Aug. 16, 2023, during a routine restock of an automated dispensing cabinet, a pharmacy technician discovered a vial of midazolam and a syringe filled with a liquid and a “hydromorphone” label affixed to the syringe in a drawer used to temporarily store medications for procedures. The pharmacy technician alerted the hospital’s director of pharmacy that the drugs had been left in the drawer. The director of pharmacy reviewed footage from surveillance cameras and witnessed Welch remove a vial of fentanyl and place the vial in his pocket. Welch then placed a fentanyl label on a syringe that he had previously filled with saline. During the same transaction, surveillance footage also captured Welch remove a carpuject of hydromorphone, place it in his shirt pocket, and affix a “hydromorphone” label onto a syringe which Welch had previously filled with saline. The director of pharmacy then reviewed all the hospital’s available security footage, which went back 14 days, and identified other transactions where Welch exhibited similar conduct.
