A nurse licensed in Texas since 2014 was able to work in Arkansas because both states belong to the Interstate Nurse Licensure Compact. Through a staffing agency, the nurse signed a 13-week contract with a Little Rock hospital system and started work there on October 13, 2021, according to a letter from the Arkansas nursing board.

On January 12, 2022, the nurse's drug test results came back positive for fentanyl, and the hospital fired the nurse. The Arkansas State Board of Nursing subsequently sent a letter ordering the nurse to cease and desist practicing in Arkansas, citing unprofessional conduct.

A search of Nursys, the national database of nursing licensure and discipline, in October 2023 showed the nurse still barred from practice in Arkansas. The article reported the Arkansas history in connection with a separate criminal conviction in Texas involving prescriptions called in to a Wichita Falls pharmacy.