Arizona State Board of Nursing newsletter: Volume 4, No. 2, May, June, July 2003 |
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STATE BOARD OF NURSING NEWSLETTER
QUARTERLY CIRCULATION APPROXIMATELY 74,000 TO ALL RN'S, LPN'S, CNA'S AND STUDENT NURSES IN ARIZONA
ARIZONA
From the Executive Director
by Joey Ridenour, RN, MN In this Newsletter you will find a joint position statement by the Arizona Organization of Nurse Executives and Arizona Nurses Association entitled: "Position StatementState Board of Nursing Reserves and Consolidation of Regulatory Boards." The position statement is dispassionate and factual. Both the Arizona Nurse Executives and Arizona Nurses Association are convinced that the "sweeping of Board Funds" and "consolidation of regulatory boards" is not in the best interest of the state. We all recognize the fiscal difficulties of the State of Arizona, and as a result, are open to alternative solutions. If you would like additional information on these issues, please let us know. If you have an opinion about the position statement, we respectfully request you contact those that may influence decisions on both the "sweeping of the fund balance" and the "consolidation of the regulatory boards."
On-Line Verification Now Available
Arizona State Board of Nursing (ASBN) is pleased to announce the implementation of ON-LINE VERIFICATION. To verify RN/LPN/CNA licensure or certification online, follow the instructions below: 1. e-mail To: verify@azbn.org 2. Leave the Subject line blank 3. List all the RN/LPN/CNA numbers OR the Social Security# (do not use hyphens in ss#) Examples: License or Certificate numbers RN +6 or 9 digits LP + 6 digits CNA + 9 digits Social Security Number 111223333 4. Do not type statements or comments; type only license, certificate or social security numbers. 5. You may verify as many individuals as you like. Results will be returned quickly and will give you the following information: Name of the licensee or certificate holder License, or certificate number Renewal date Date license or certificate was originally issued on The status of the license or certificate Whether or not the individual has been fingerprinted by ASBN Whether or not the nurse has Multi-State privileges If you have questions or experience problems please call 602.331.8111.
PRESORTED STANDARD MAIL U.S. POSTAGE PAID Grundy Center, IA 50638 Permit No. 18
The Official Publication of the Arizona State Board of Nursing
1651 East Morten Avenue, Suite 210, Phoenix, Arizona 85020-4316 Volume 4, No. 2 May, June, July 2003
Arizona Organization of Nurse Executives and Arizona Nurse's Association
Arizona Organization of Nurse Executives Position Statement Regarding the Arizona State Board of Nursing Reserves and Consolidation of Regulatory Boards Summary: The Arizona Nurses Association and the Arizona Organization of Nurse Executives oppose the sweeping of the fund balance / reserves of the Arizona State Board of Nursing. Although opposed, these associations recognize the fiscal difficulties of the State of Arizona, and as a result, are open to alternative solutions, which ultimately reserve the long-term integrity of the fund balance. In addition, the Arizona Nurses Association and the Arizona Organization of Nurse Executives oppose consolidating the regulatory boards. Both the Joint Legislative Budget Committee and Governor's Office of Strategic Budgeting & Planning recommendations would negatively impact the Board of Nursing's ability to protect the public as well as increase fees for licensees. Sweeping the fund reserves from licensing fees from RNs and LPNs will result in the regulated population paying more into the general fund than others who are not regulated. In essence, the tax burden for nurses will be disproportionately higher than that of the general population. In addition, sweeping of the reserves is estimated to result in an increase in licensing fees in order to pay for the expenses of licensing and disciplining those who may be a threat to the public as early as July 2004. Furthermore, consolidation of regulatory board operations has not resulted in promised economies of scale (Report on Texas Health Regulatory Programs, 2000). Larger consolidated boards are associated with more management levels and increased bureaucracy. In addition, other states' experiences with umbrella or consolidated board have shown an increase in the time to process investigations and a reduction in disciplinary actions per licensee. Without sufficient funds to support the Board of Nursing activities, processing of applications and investigations will be slowed. In the midst of a shortage, new nurses applications will not be processed in a timely manner. In addition, slowed investigations can increase harm to the public. Background/Rationale: Health care regulatory agencies are in a unique position regarding the budget deficit facing Arizona. Revenue for the Board of Nursing comes from persons who pay a licensing fee, not from taxpayer contributions, in order to maintain the functions of the regulatory board to protect the public from unsafe or incompetent nurses and certified nursing assistants. As a 90/10 Agency, 90% of the revenue is used for operating expenses and l0% or approximately $500,000 a year is deposited in the general fund. Additionally, approximately $300,000 a year is paid for the services of the Attorney General and Human Resources. As is true with other health regulatory agencies and businesses, the Board of Nursing reserves a fund balance to cover expenses for 6-12 months in the future. Approximately 70% of the annual expenditures of the Board of Nursing, or $2,577,355, are for investigations, monitoring those on probation and hearings regarding allegations or determinations of violations of the Nurse Practice Act. During the past two years the Board has reviewed approximately actions 150 cases per month. The Board of Nursing licenses approximately 52,000 Registered Nurses, 10,000 Licensed Practical Nurses and certifies approximately 20,000 Certified Nursing Assistants for a total of 82,000 individuals. During the past two years, the Board has reviewed approximately actions 150 cases per month. Since fiscal year 2001: investigations have resulted in 429 applicants being denied licensure/certification, mostly due to past criminal histories that were determined to have high risk or harmful behaviors that put the public at risk. approximately 575 individuals have been revoked for voluntarily surrendered their license or certificate due to felony convictions, drug abuse, unsafe practice or unprofessional conduct which puts the public at risk or resulted in high harm with negative patient outcomes including deaths. According to research, independent boards have definite advantages in public protection over centralized boards including: administrative efficiency due to fewer management levels versus those created in centralized agencies less bureaucracy for the public to deal with ability to hire staff at the appropriate level and salary increased ownership for regulatory outcomes increased ability to make decisions without political pressure from the agency better control by the legislative check s and balances greater control over allocation of funds and reduced potential for subsidizing other regulated professions reduced cost and cycle times in completing investigations as cases do not have to compete for the investigator's limited times would be the case if investigating cased from may different agencies
Index:
Advisory Opinions ............................5 Advanced Practice Corner..............11 Education Corner ............................12 NCLEX ................................................13 Nurse Imposter Case Studies ........16 Disciplinary Action ..........................20 Regulation Rundown ......................27 Nursing Assistant Program List....28
PAGE 2 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
GOVERNOR The Honorable Janet Napolitano BOARD MEMBERS Kathy Malloch, PhD, MBA, RN President Ruth Eskesen, PhD, RN Vice President Barbara O'Connor, LPN Secretary Trista Campbell, RN, BSN Member Marla Embry, RN, BSN, MA Member Alice Gagnaire, RN, MSHA Member Gregory Y. Harris, Public Member Public Member Lisa Hyatt, LPN Member Beverly Ogden, Public Member Public Member
M AY, J U N E , J U LY 2003
BOARD OF NURSING CONTACT NUMBERS
MAIN LINE: FAX: e-MAIL: HOME PAGE: (602) 331-8111 (602) 906-9365 arizona@azbn.org http://www.azboardofnursing.org
Executive Director Associate Director - Operations Associate Director/Nursing Practice Administrative Assistant to the Executive Director Legal Secretary to the Associate Directors 602-331-8111 x125 602-331-8111 x143 602-331-8111 x145 602-331-8111 x168 602-331-8111 x166 602-331-8111 x138 602-331-8111 x123 602-331-8111 x148 602-331-8111 x139 602-331-8111 x133 602-331-8111 x192 602-331-8111 x130 602-331-8111 x126 602-331-8111 x132 jridenour@azbn.org jbontrager@azbn.org vsmith@azbn.org lwiemann@azbn.org lmoran@azbn.org preeder@azbn.org dhurtado@azbn.org ozuniga@azbn.org prandolph@azbn.org mfountain@azbn.org dserra@azbn.org nsalter@azbn.org sbarber@azbn.org vdriver@azbn.org
ADMINISTRATION Joey Ridenour RN, MN Judy Bontrager RN, MN Valerie Smith RN, MS Lila Wiemann Louise Moran
CHEMICAL DEPENDENCE / CANDO Patricia Reeder RN, MS, Ed.S. Nurse Consultant-CANDO Dolores Hurtado Legal Secretary - Monitoring & CANDO Olga Zuniga Administrative Secretary - Monitoring & CANDO EDUCATION Pamela Randolph RN, MS, CPNP Meredith Fountain FISCAL SERVICES Diane Serra Norma Salter HEARING Susan Barber RN, MSN Vicky Driver INVESTIGATIONS Nurse Practice Consultants Betty Nelson RN, MS Jeanine Sage RN, MSN Karen Grady MS, RN, FNP, BC Mary Rappoport RN, MN Nancy "Nan" Twigg RN, MS Pat Midkiff, RN, MN Sister Rachel Torrez RN, MS Suanne Smith RN, MS Sydney Munger RN, MS Senior Investigators James (Jim) Ball Jeanne Bauer Lorraine Brown Pat Pavlina, RN, BS Vicki Johansen Legal Assistants Kirk Olson Melissa Vannier Raymond Peltier Vikki Cervantes Legal Secretaries Barbara Jones Becky Loar Dorothy Lindsey Esther Garcia Shirley North Thereasa Berry INFORMATION TECHNOLOGY Loren B. Cobb Cory Davitt LICENSING Becky Aranyos Brent Sutter Donna Frye Heather Aranyos Lorraine Silas Rhonda Rogers Yvonne Godinez MAILROOM Josie Johnson Rita Kelly-Sierra MONITORING Stephanie Nelson RN, MS Dolores Hurtado RECEPTIONISTS Athena Sanchez Jennifer Butler Cristina Oates-Lopez RECORDS Charlotte Seechoma Consultant, Educational Programs RN/LPN/CNA Administrative Assistant-Education Business Manager Accounting Technician Nurse Practice Consultant-Hearing Department Adm. Asst./Hearing Department
CNA CNA Advanced Practice/RN/LPN RN/LPN RN/LPN/Southern AZ RN/LPN RN/LPN RN/LPN Applicants RN/LPN RN/LPN CNA RN/LPN CNA CNA CNA CNA CNA CNA Board Minutes CNA Investigations CNA Investigations CNA Investigations RN/LPN/AP Investigations New Complaints/CNA Investigations Information Services Director Network Administrator RN/LPN Exam RN/LPN Renewals Advanced Practice School Nurses CNA Exam/Endorsements RN/LPN Endorsements CNA-Renewals CNA Exam/Endorsements Mail Room Mail Room Nurse Consultant Monitoring Legal Secretary - Monitoring Receptionist Receptionist Receptionist Records Room
602-331-8111 x116 602-331-8111 x127 602-331-8111 x190 602-331-8111 x226 520-615-4945 602-331-8111 x119 602-331-8111 x141 602-331-8111 x114 602-331-8111 x149 602-331-8111 x196 602-331-8111 x191 602-331-8111 x227 602-331-8111 x153 602-331-8111 x151 602-331-8111 x115 602-331-8111 x117 602-331-8111 x250 602-331-8111 x150 602-331-8111 x140 602-331-8111 x146 602-331-8111 x225 602-331-8111 x146 602-331-8111 x193 602-331-8111 x122 602 367-6743 (602) 331-8111 x173 602-331-8111 x142 602-331-8111 x129 602-331-8111 x188 602-331-8111 x154 602-331-8111 x167 602-331-8111 x121 602-331-8111 x195 602-331-8111 x177 602-331-8111 x147 602-331-8111 x135 602-331-8111 x123 602-331-8111 x144 602-331-8111 x144 602-331-8111 x144 602-331-8111 x194 602-331-8111 x156
bnelson@azbn.org jsage@azbn.org kgrady@azbn.org mrappoport@azbn.org ntwigg@azbn.org pmidkiff@azbn.org srachel@azbn.org ssmith@azbn.org smunger@azbn.org jball@azbn.org jbauer@azbn.org lbrown@azbn.org ppavlina@azbn.org vjohansen@azbn.org kolson@azbn.org mvannier@azbn.org rpeltier@azbn.org vcervantes@azbn.org bjones@azbn.org bloar@azbn.org dlindsey@azbn.org egarcia@azbn.org snorth@azbn.org tberry@azbn.org lcobb@azbn.org cdavitt@azbn.org baranyos@azbn.org bsutter@azbn.org dfrye@azbn.org haranyon@azbn.org lsila@azbn.org rrogers@azbn.org ygodinez@azbn.org jjohnson@azbn.org rkelly@azbn.org snelson@azbn.org dhurtado@azbn.org asanchez@azbn.org jbutler@azbn.org coates-lopez@azbn.org cseechoma@azbn.org arizona@azbn.org
ADDRESS CHANGE AND APPLICATION REQUESTS Receptionist
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 3 GE
PAGE 4 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
M AY, J U N E , J U LY 2003
Arizona Organization of Nurse Executives and Arizona Nurse's Association
Facts on State Board of Nursing Reserves:
Revenue for the Board of Nursing comes from persons who pay a licensing fee, not from taxpayer contributions. As a 90/10 Agency, 90% of the revenue is used for operating expenses and l0% or approximately $500,000 a year is deposited in the general fund. Additionally, approximately $300,000 a year is paid for the services of the Attorney General and Human Resources. As a result, over $800,000 a year from licensing fees is deposited into the General Fund. As is true with other health regulatory agencies and businesses, the Board of Nursing reserves a fund balance to cover expenses for 6-12 months in the future. Approximately 70% of the annual expenditures of the Board of Nursing is for investigations, monitoring those on probation and hearings regarding allegations, or determinations of violations of the Nurse Practice Act. Approximately 30% of the Board's remaining expenditures are for licensing and other operating expenses. The Board of Nursing licenses approximately 52,000 Registered Nurses, 10,000 Licensed Practical Nurses and certifies approximately 20,000 Certified Nursing Assistants for a total of 82,000 individuals. During the past two years the Board has reviewed approximately actions 150 cases per month. Since fiscal year 2001: o investigations have resulted in 429 applicants being denied licensure/certification, mostly due to past criminal histories that were determined to have high risk or harmful behaviors that put the public at risk. o approximately 575 individuals have been revoked for voluntarily surrendered their license or certificate due to felony convictions, drug abuse, unsafe practice or unprofessional conduct which puts the public at risk or resulted in high harm with negative patient outcomes including deaths. If the reserves were swept as proposed, in FY 2004 there would be a deficit in the fund balance. Depletion of the fund balance is estimated to increase the licensing fees as early as July 2004 in order to pay for the expenses of licensing and disciplining those who may be a threat to the public. Facts on Regulatory Board Consolidation: Consolidation of regulatory boards may not result in the anticipated benefits. Consolidated boards may loose administrative efficiency by requiring more levels of management than those of centralized boards. This also increases the bureaucracy for the public to encounter. Independent boards appear to resolve two times the number of investigative cases on a timelier basis as well as take more total disciplinary actions per licensee than boards that are subordinate to centralized agencies. The costs and cycle times in investigations are reduced in independent boards. Cases do not have to compete for the investigators' limited time as would be the case if investigating cases from many different agencies.
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 5 GE
Advisory Opinion
Prehospital Nursing
DATE APPROVED: 9/88 REVISED DATE: 1/91, 7/95, 01/02, 3/03 The Pre-hospital nurse provides care in first responder and interfacility transport situations which are under the aegis of the Emergency Medical System and a base hospital/physician. It is within the Scope of Practice of a Registered Nurse (RN) to function within the pre-hospital environment if the following requirements are met: I. General Requirements A. Written policy and procedures and contracts between the base hospital/physician and the employer are maintained by the employer/agency. B. Only RNs who have satisfactorily completed an instructional program and have had supervised clinical practice are allowed to practice in a prehospital setting. C. Documentation of satisfactory completion of the instructional program, supervised clinical practice, and clinical competency verification is on file with the employer. D. The pre-hospital nurse provides nursing care, and functions under the direction of an administrative base hospital/medical physician through policies, procedures, medical protocols and/or standing orders to maintain appropriate and effective levels of care for the patient. II. The education and training of an RN in the prehospital environment goes beyond the knowledge base of the emergency medical technician (EMT), intermediate emergency medical technician (IEMT), and certified emergency paramedic (CEP). A pre-hospital nurse curriculum builds on general nursing knowledge and experience and proceeds with further specialized knowledge, skills, qualifications, and clinical competencies in specific areas. The Board of Nursing and Department of Health Services recognize the following guideline for obtaining the knowledge and training for pre-hospital nursing. The educational curriculum is administered or obtained through an education department or entity and is taught by qualified instructors. The Course of Instruction is to include but not be limited to: A. Anatomy and physiology of medical disease and trauma processes of body systems. B. Assessment treatment and evaluation of interventions. C. Procedures for initiation of or provision of additional life support therapies or interventions. D. Documentation. E. Pharmacology. F. Extrication techniques. G. Invasive/non-invasive techniques and interventions. H. Field radio and telemetry communication. I. Scene Control and safety guidelines. J. Patient stabilization procedures. K. Transportation of patients. L. Triage and disaster management. M. Agencies, law and rules governing the pre-hospital environment. N. Hazardous materials/hazardous conditions. O. Infection control guidelines. P. Use of specialized equipment for the transport environment. Q. Nursing Care responsibilities. RATIONALE Registered Nurses generally are not (may or may not be) certified as emergency medical technicians or paramedics but are otherwise qualified through educational preparation, experience and clinical competence to practice in this arena. These nurses have acquired training and skill in such areas as caring for unstable neonates, high risk obstetrical patients, seriously ill and injured adults and children having potential life threatening conditions. This practice is within the scope of a Registered Nurse. REFERENCES Cummings, R. O. (Ed.) (2001) Advanced cardiac life support provider manual. Dallas: American Heart Association. Chameides L., & Hazinski M.F. (Eds.) (1997) Pediatric advanced life support. Dallas: American Heart Association. Emergency Nurses Association (1995). National standard guidelines for prehospital nursing curriculum. Park Ridge, IL: Author. Emergency Nurses Association/National Flight Nurses Association (1998). Role of the registered nurse in the prehospital environment: Position statement. Des Plaines, IL: Author. Emergency Nurses Association (2000). Trauma nursing core course (provider) manual (5th Ed.). Des Plaines, IL: Author. Semonin-Holleran, R. (1994). Prehospital nursing. St. Louis, MO: Mosby Yearbook. Semonin-Holleran, R. (1996). Flight nursing: Principles & practices. (2nd Ed.). St. Louis, MO: Mosby. Kentucky State Board of Nursing, 312 Wittington Parkway, Suite 300, Louisville, Kentucky
PAGE 6 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
M AY, J U N E , J U LY 2003
Advisory Opinion
Apheresis in the Out-patient Setting
DATE APPROVED: 03/03 It is within the Scope of Practice for a Licensed Practical Nurse (LPN) to perform Apheresis in an outpatient setting if the following criteria are met The role of the LPN in Apheresis is a role delegated by the Registered Nurse (RN) I. General Requirements A. The LPN functions under the supervision of an RN who is physically present in the facility. B. The LPN has successfully completed an organized program of study on Apheresis, including didactic and supervised clinical practice. C. The LPN has successfully completed an instructional program on intravenous therapy and medication skills (either in their AZ LPN core curriculum or at an organized course of instruction). D. Documentation of satisfactory completion of the instructional programs and supervised practice is on file with the employer. E. Documentation of annual reviews of competency, including the methods used for conducting outcome reviews. II. The following competencies are within the Scope of Practice of the Licensed Practical Nurse: A. Administration of a topical anesthetic for the purpose of providing client comfort while initiating IV access. B. Initiation of the Apheresis procedure. C. Inspection and evaluation of the access site D. Performing vascular access site care. E. Monitoring and recording the Apheresis procedure. F. Observation of changes in the client's status. G. Reporting findings to the RN. H. Adjusting the Apheresis procedure according to the client's needs, at the direction of the physician. I. Monitoring anticoagulation medication associated with the Apheresis procedure. J. Flushing of central venous ports and alteration of fluid rates as ordered. K. Discontinuing the Apheresis procedure. Rationale To provide: (1) guidelines for practice changes related to the LPN working in the outpatient facility and , (2) protection of the public. References 2001, Fresenius HemoCare, Inc. AS104 Therapeutic Plasma Exchange Training Manual. www.gambrobct.com
Epidural Analgesia by Nurse Anesthetist
DATE APPROVED: 01/03 It is within the scope of practice of a Nurse Anesthetist to provide epidural analgesia without the presence of a physician. If anesthesia is to be administered through the epidural, physician presence is required per A.R.S. 321661. GENERAL REQUIREMENTS The Nurse Anesthetist must meet the educational requirements of A.R.S. 32-1661 (A), completion of a nationally accredited program in the science of anesthesia. Rationale Nurse Anesthetists are qualified to provide epidural analgesia. There is a clinical distinction between the administration of epidural analgesia and epidural anesthesia. Because A.R.S. 32-1661 requires physician presence during the administration of anesthesia, and not analgesia, physician presence is not required for a Nurse Anesthetist to administer epidural analgesia. References Qualifications and Capabilities of the Certified Registered Nurse Anesthetist, American Association of Nurse Anesthetists, 1999. Scope and Standards for Nurse Anesthesia Practice, American Association of Nurse Anesthetists, 1996. A.R.S. 32-1661 A.A.C. R4-19-513
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 7 GE
Advisory Opinion
Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block
DATE APPROVED: 01/03 Registered nurses who do not meet the educational requirements of A.R.S. 32-1661, completion of a nationally accredited program in the science of anesthesia, may assist a licensed provider by administering anesthetic agents in situations where the licensed provider is present but unable to personally inject the anesthetic agent because the provider is performing these critical tasks for the patient: airway management or placement of a peripheral nerve block requiring the use of both hands. For the administration of sedation, see Conscious Sedation For Diagnostic And Therapeutic Procedures and Deep Sedation. GENERAL REQUIREMENTS 1. A written policy and procedure is maintained by the employer. The written policy and procedure shall specify the required emergency equipment and medications that must be immediately available to the patient receiving any medication classified as an anesthetic agent. This shall include any and all emergency equipment and medication required to regain and /or maintain the patient's cardiac and respiratory state. These policies and procedures are readily available within the unit where the activity shall occur. 2. The registered nurse is required to have the same knowledge base for the anesthetic agents administered as for any other medication that the registered nurse administers. This knowledge base includes, but is not limited to: A. Assessment and monitoring of the patient receiving the medication. B. Dosing, effects, side effects, and contraindications for each drug to be administered. C. Potential complications of each drug and/or combination of drugs. D. Recognizing emergency situations and instituting appropriate nursing interventions. RATIONALE Anesthetic agents are commonly used to facilitate emergent intubation. To require the licensed provider who is managing the patient's airway to leave the airway in order to administer the anesthetic agent compromises patient safety. Similarly, placement of certain types of peripheral nerve blocks may require both hands of the provider to place the needle and keep it in place. To require the provider to use one of their hands to administer the anesthetic agent could again compromise the safety of the patient. Per A.R.S. 32-1601 (13) (m), it is within the scope of practice of the registered nurse to perform additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a professional nurse. A survey of state boards of nursing reflected that assisting licensed providers with anesthetic agent administration was accepted practice for registered nurses in 16 of 22 states who responded to the survey. REFERENCES Registered Nurse Administration of Medications Classified as Anesthetic Agents, Declaratory Ruling 20021, Maryland Board of Nursing, 2002. Advisory Opinion #27, South Carolina Board of Nursing, 2002. Role of RN Administering IV Push Medications during Rapid Sequence Intubation, Declaratory Ruling, Wyoming State Board of Nursing, 2002. Advisory Ruling/Injection of Anesthetic Agents to Produce Anesthesia Following Placement of the Needle by the Physician, Maine State Board of Nursing, 1993. A.R.S. 32-1661 A.R.S. 32-1601(13)(m)
PAGE 8 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
M AY, J U N E , J U LY 2003
Advisory Opinion
Intrauterine Pressure Catheters
DATE APPROVED: 11/02 REVISED DATE: 3/03 It is NOT within the scope of practice for a Registered Nurse to insert an intrauterine pressure catheter. Rationale: During the process of insertion, the catheter could perforate the placenta or the uterus, both of which are lifethreatening situations. References: Arkansas State Board of Nursing South Dakota State Board of Nursing Nebraska State Board of Nursing Virginia State Board of Nursing
The Role of the Registered Nurse in Assessing Patient/Client Conditions
DATE APPROVED: 4/99 REVISED DATE: 02/02, 3/03 It is within the Scope of Practice for a Registered Nurse (RN) to*: (1.) assess patients, recognize the potential for, or existence or absence of an immediate life threatening condition or active labor: (2.) initiate appropriate nursing intervention and care; (3.) report findings to an appropriately licensed individual; and (4.)pursuant to orders, when such orders are required, implement care, treatments, medication administration, and either discharge the patient or perform ongoing assessment for either stabilization and/or transfer of the patient if the following requirements are met: General Requirements A. Written policy, procedures and protocols regarding the RN's responsibilities in assessing patient conditions including the potential for or existence of an immediate life threatening condition and instituting appropriate nursing actions are developed and maintained by the agency/employer. B. Only RNs who have satisfactorily demonstrated competency in the area of practice in the clinical setting are allowed to perform such functions. These competencies include but are not limited to: knowledge of anatomy and physiology pertinent to the area of practice in the clinical setting, knowledge of indications of clinical conditions specific to the area of clinical expertise that have potential for or presence of actual life threatening condition, knowledge of parameters for assessing patient conditions and the presence of potential or existent life threatening conditions, knowledge of nursing interventions pertinent to clinical conditions of the area of clinical practice, and knowledge of parameters for reporting the findings of assessments and findings of life threatening conditions. C. Documentation of supervised clinical practice and competency is on file with the agency/employer. *While this Advisory Opinion is not limited to any particular nursing service, setting or specialty, examples of the types of assessments that RN's may perform include: Assessment of the presence or absence of labor including fetal heart tones, the regularity and duration of uterine contractions, cervical dilation and effacement, fetal station, and status of uterine membranes, i.e. ruptured, or intact. Assessment of risk of suicide or homicide, disorientation, and risk of assaultive behavior to self or others. Rationale: To ensure consistency and competency in performing physical assessments. Reference: Techiniques in Clinical Nursing, Addison Wesley, 1999 The Lippincott Manual of Nursing Practice, Seventh Edition, 2000
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 9 GE
Advisory Opinion
Conscious Sedation for Diagnostic and Therapeutic Procedures
DATE APPROVED: 7/90 REVISED DATE: 7/91, 4/96, 10/97, 2/01, 3/01, 6/01, 1/03 For the purposes of this advisory opinion, conscious sedation is defined as follows: Conscious sedation: a medically controlled state of depressed consciousness, induced to allow the patient to tolerate procedures, that (1) allows protective reflexes and cardiovascular function to be maintained; (2) retains the patient's ability to maintain a patent airway independently and continuously; and (3) permits appropriate response by the patient to tactile stimulation or verbal command, eg., "open your eyes." It is within the Scope of Practice of a Registered Nurse to administer medications* to provide conscious sedation for the purposes of diagnostic or therapeutic procedures. To provide conscious sedation, the following criteria must be met: I. General Requirements A. A written policy and procedure is maintained by the employer. 1. Administration of medications must be ordered by a provider licensed in this state to prescribe such medications. The licensed provider responsible for the treatment of the patient and/or prescription of drugs for sedation must be competent to use such techniques, to provide the level of monitoring provided in these requirements, and to manage complications of these techniques. The licensed provider responsible for the treatment of the patient and/or prescription of drugs for sedation must be present in the room from the time the medication is initiated through the completion of the procedure, and must be readily available in the facility to assume care of the patient during the post-procedure period. 2. The employer has identified medications allowed for conscious sedation, preferably by an interdisciplinary committee, including nurses. 3. A pre-sedation health assessment must be performed for each patient by a licensed provider and the administering registered nurse to determine that the patient is an appropriate candidate for conscious sedation. The health assessment should include, but is not limited to, age and weight, health history, focused physical examination including vital signs, auscultation of the heart and lungs, evaluation of the airway, physical status evaluation, and any necessary pre-procedure laboratory testing. Each patient is reevaluated immediately prior to conscious sedation. 4. Monitoring of the patient's electrocardiogram, oxygenation, blood pressure, and ventilation are maintained throughout the procedure and recovery. 5. For patients who receive IV medications, patent intravenous access is maintained from the beginning of IV medication administration until the patient meets discharge criteria. For patients receiving oral sedative medication, for conscious sedation, an open IV line is optional. 6. The licensed provider who uses sedation and the administering registered nurse must have immediately available the facilities, personnel, and equipment to manage emergency situations. Provisions for maintaining and suctioning the airway, for administering oxygen and Cardio-pulmonary resuscitation are available. A protocol for access to back-up emergency services shall be clearly identified, with an outline of the procedures necessary for immediate use. For non-hospital facilities, an emergency assist system and ready access to ambulance service should be established. 7. During induction and administration of conscious sedation, the registered nurse responsible for monitoring the patient's airway and level of consciousness may not leave the patient unattended or engage in other tasks that compromise continuous monitoring. 8. There shall be sufficient numbers of personnel to do the procedure and monitor the patient. B. The registered nurse administering the medication and/or monitoring the patient receiving the medication shall have successfully completed an instructional program and supervised clinical practice, and shall have documented evidence of course completion in Advanced Cardiac Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation Program or a substantially equivalent educational program. C. Documentation of satisfactory completion of the instructional program, supervised clinical practice, current competency, and ACLS/PALS/NRP or equivalent program is on file with the employer. II. Course of Instruction is to include, but not be limited to: A. Anatomy and physiology of the respiratory and central nervous system. Physiology of the four levels of sedation and anesthesia; including minimal sedation, moderate sedation, deep sedation and anesthesia. B. Indications and contraindications to conscious sedation. C. Potential adverse reactions of conscious sedation. D. Specific considerations, including but not limited to: 1. Pharmacologic properties of each of the allowable drugs. 2. Airway management to include oxygen delivery, transport, and uptake, and an understanding of oxygen delivery devices. 3. Emergency management. 4. Use of monitoring devices. 5. Techniques of administration and termination of drugs. 6. Assessment of level of consciousness and physiological response to the drug. 7. Cardiac arrhythmia recognition. E. Nursing care responsibilities, including but not limited to, assessment, monitoring, and documentation. III. In addition to medications that meet the requirements for conscious sedation, the registered nurse may also administer dissociative agents (such as Ketamine Hydrochloride) in accordance with the provisions of I and II of this Advisory Opinion. *Medications may include those classified as anesthetic agents, but are not to be administered to provide anesthesia as in A.R.S. 32-1661, except as provided in the Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block Advisory Opinion, or to provide deep sedation except as provided in the Deep Sedation Advisory Opinion. References: 1. Standards and Intent for Sedation and Anesthesia Care of the Joint Commission. Revisions to Anesthesia Care Standards Comprehensive Accreditation Manuals for Hospitals, effective January 1, 2001. 2. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists, American Society of Anesthesiology, 1996. 3. Position Statement from the American Association of Nurse Anesthetists Qualified Providers of Conscious Sedation, Revised June, 1996. 4. Considerations for Policy Guidelines for RN's Engaged in the Administration of Conscious Sedation, from American Association of Nurse Anesthetists. Revised June, 1996. 5. Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures (RE9252), American Academy of Pediatrics, June, 1992. 6. Stapczynski Letter/Advisory Opinion on the Administration of Ketamine Hydrochloride, Kentucky Board of Nursing, 2002. 7. Position Statement on the Role of Registered Nurses (RNs) in the Administration of IV Conscious Sedation During Short Term Therapeutic, Diagnostic or Surgical Procedures, Massachusetts Board of Nursing, November, 1999. 8. Endorsement of Position Statement on the Role of the Registered Nurse (RN) in the Management of Patients Receiving IV Conscious Sedation for ShortTerm Therapeutic, Diagnostic, or Surgical Procedures, American Nurses Association, 1991. 9. Conscious Sedation, California Board of Registered Nursing, 1995.
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Advisory Opinion
Sheath Removal, Placement of Mechanical Compression Devices & Deployment of Vascular Closure Devices
DATE APPROVED: 1/90 REVISED DATE: 7/02, 3/03 It is not within the Scope of Practice for a Registered Nurse to deploy suture mediated closure devices. It is within the Scope of Practice for a Registered Nurse to remove Intravascular (arterial or venous) sheaths and apply manual compression or mechanical c o m p r e s s i o n devices and deploy vascular closure devices for hemastasis, if the following requirements are met: I. General Requirements A. Written policies and procedures are maintained by the agency/employer. B. Physician's order is obtained and a physician is r e a d i l y available to manage complications r e l a t e d to deployment of vascular closure devices. C. Only RNs who have satisfactorily completed an instructional program and have supervised clinical practice with return demonstration are allowed to remove sheaths, apply manual compression or mechanical compression devices and deploy vascular closure devices. D. Documentation of satisfactory completion of an instructional program and supervised clinical practice is on file with the agency/employer. E. A periodic educational/competency validation mechanism is developed, and documentation of the successful demonstration of knowledge, skills, and abilities is on file for each nurse performing the procedures II. Course of instruction which provides didactic and classroom instruction, followed by supervised clinical practice that includes but is not limited to: A. Anatomy and physiology related to femoral artery, vein, nerves and groin area structures. B. Indications and contraindications of compression devices and deployment of vascular closure devices. C. Demonstrated knowledge of potential adverse reactions and management of complications. D. Technique of sheath removal, application of compression devices and deployment of vascular closure devices. E. Sterile technique. F. Cognitive and psychomotor skills necessary to deploy vascular closure devices. G. Legal ramifications of deploying vascular closure device, including the RN's responsibility and liability in the event of untoward reaction or lifethreatening complications. H. Supervised clinical practice with a minimum of six (6) successful deployments, three (3) which will be patients undergoing diagnostic catherizations, and three (3) which will be patients undergoing interventional cardiac procedures while on anticoagulant therapy. I. Nursing care responsibilities Rationale The guiding principle for this opinion is that sheath removal, manual compression, the use of mechanical compression devices, and deployment of vascular closure devices can be safely performed by a registered nurse with specialized training, skills, and knowledge. References A. American Journal of Nursing 1992, 92: 34-37 B. Arkansas State Board of Nursing, January 14, 1999, Little Rock, AR. C. Critical Care Nurse, 16(2): 32-6, 1996, April. D. Kentucky Board of Nursing, Deployment of Extravascular Collagen Plugs by Registered Nurses, Louisville, Kentucky: 1998, April. Opinion statement. E. Kentucky Board of Nursing, Removal of Arterial & Venous Sheaths by Registered Nurses, Louisville, Kentucky: 1992, April. Opinion Statement. F. South Carolina Board of Nursing, September, 2000. Advisory Opinion #38.
Supervision of Licensed Practical Nurse by Registered Nurses
DATE APPROVED: 12/87 REVISED DATE: 10/06, 2/01, 3/01, 12/02, 3/03 R4-19-101 "Supervision" means the direction, and periodic consultation, provided to an individual to whom a nursing task or patient care activity_ The Registered Nurse (RN) is responsible and accountable for the determination of the type of supervision required of the Licensed Practical Nurse (LPN) for those functions that can be legally performed by the LPN. The LPN is responsible to perform within the LPN scope of practice as defined by ARS 32-1601 (12). When, in the judgment of the RN, the client's state is unstable/unpredictable and rapid change may be anticipated, supervision of the LPN is achieved when the RN is physically present and is able to readily intervene in the care of the client. When, in the judgment of the RN, the client's state is stable/predictable and rapid change is not anticipated, supervision of the LPN under the supervision of a physician or a RN may be achieved without the physical presence of the RN. In this instance, the RN or licensed health care provider must be readily available by telephone/beeper. This does not preclude the fact that the RN is responsible for monitoring the care of all clients. The functions that can be legally performed by the LPN under the supervision of a physician or a RN in accordance with ARS 32-1601 (12) include: a) Contributing to the assessment of the health status of individuals and groups. b) Participating in the development and modification of the strategy of care. c) Implementing aspects of the strategy of care within the nurse's scope of practice. d) Maintaining safe and effective nursing care that is rendered directly or indirectly. e) Participating in the evaluation of responses to interventions. f) Delegating nursing activities within the scope of practice of a practical nurse. g) Performing additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a practical nurse. RATIONALE: To clarify the supervision requirements between RN and LPN. REFERENCE: Arizona Nurse Practice Act: ARS 32-1601 (12) (13).
Stress Testing: Pharmacological
DATE APPROVED: 7/95 REVISED DATE: 7/02, 3/03 When a physician is present it is within the scope of practice of a Registered Nurse to administer intravenous medications for the purposes of pharmacological cardiac stress testing as an alternative to physical stress testing. Rationale In many patients with coronary artery disease, clinical symptoms may only become evident when the heart is stressed. Reference Critical Care Nursing Diagnosis and Management, Third edition, 1998, pg. 429-430.
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A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 11 GE
Advanced Practice Corner
by Karen Grady, MS, RN, FNP, BC Advanced Practice Consultant Advanced Practice Committee Highlights The Advanced Practice Committee held meetings on January 17, 2003 and March 14, 2003. The next Committee meeting is scheduled for Friday, May 9, 2003. The meetings are open to the public and are held at the Board office at 9:30 a.m. on the second Friday of every other month. The Committee is advisory in nature and makes recommendations to the Board regarding advanced practice issues. Membership Committee members are advanced practice nurses who are appointed by the Board for a 2-year term. Reappointments and new appointments to the Committee were made in April 2003. Advanced practice nurses interested in a Committee appointment may submit their curriculum vitae for consideration for future openings. Recent Advisory Opinions The Committee recently completed work on three advisory opinions that were approved by the Board in January: Epidural Analgesia by Nurse Anesthetist; Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block; and Conscious Sedation for Diagnostic and Therapeutic Procedures. The Advisory Opinions are printed in this newsletter and in addition, may be viewed on our Web site, www.azboardofnursing.org, by selecting Advisory Opinions option on the menu. Current Issues In order to facilitate patient access to health care services that can be provided by nurse practitioners, the Committee is currently drafting an Advisory Opinion that delineates for the public the functions and scope of nurse practitioner practice. Future Topics In future meetings, the Committee will be discussing inconsistencies in state regulations that affect advanced practice, and will be exploring possible solutions. The Committee will also be providing input into the revision of Article 5 of the Nurse Practice Act. If you have any questions about advanced practice or the Committee, please call Karen Grady at (602) 331-8111 ext. 190, or e-mail at kgrady@azbn.org.
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Education Corner
by Pamela Randolph RN, MS, CPNP, Nurse Practice Consultant Non Approved Nursing Education Programs It has come to the attention of Board staff that there are educational programs promising persons education in nursing but not approved or accredited by a recognized licensing authority. Two recent examples are: * A distance based nurse assistant course that offers participants a "new career." This course contains no clinical or "hands on" nursing. It contains a statement in small print that the program is only meant to "serve as an introduction or enhancement of the theoretical knowledge and...not intended as a substitute for licensing and/or certification requirements." This program charges $449. * A distance-learning university located in the Caribbean offers education in a variety of fields. The institution is not accredited by an organization recognized by the U.S. Department of Education. An applicant submitted a transcript indicating that a nursing program was completed but the applicant and Board staff were unable to locate an NCLEX code. Calls to the registrar's office, located in a suite in Minnesota, were unanswered. The Minnesota Board denied knowledge of the program and the program's Web site did not indicate that it offered a nursing program. This university charges $500 per semester. Both these applicants did not complete an approved program. The person that graduated from the program located in the Caribbean may be able to qualify as a foreign candidate if he/she can demonstrate meeting criteria for graduates of foreign nursing programs. The nurse assistant applicant does not qualify for certification. Lessons for consumers: When considering a nursing program, ask about accreditation of the parent institution. Most institutions offering nursing programs are regionally accredited by an organization recognized by the U.S. Department of Education. All institutions offering approved programs in Arizona are regionally accredited. Additionally, the nursing program may be nationally accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Ask about approval of the program by the Board of Nursing in the jurisdiction where you are located. A Board of Nursing will generally approve programs in their jurisdiction that lead to licensure in that state without additional education or experience. This approval is generally recognized by other states. If the program is based in another country, graduates must meet the criteria for graduates of foreign nursing programs, even if the education was delivered to the US via distance learning. Ask the program if graduates meet criteria for a Commission on Graduates of Foreign Nursing Schools (CGFNS) Certificate. Contact graduates that were licensed in the U.S. to verify the information. Ask about graduate's success on the licensing exam (NCLEX). Beware of programs that offer no clinical experience or validation of clinical skills. If you are not satisfied with the answers, contact this consultant at 602-331-8111 ext. 139. A list of Arizona based approved program is available on the Board Web site: at www.azboardofnursing.org Exam Committee News The Exam Committee of the National Council of State Boards of Nursing oversees the NCLEX® examination process including item development, examination security, psychometrics, examination administration and quality assurance to ensure consistency with the Member Boards' need for examinations. This consultant has been appointed to a 2-year teem on the committee. There are 10 members of the committee representing Boards of Nursing in Vermont, Pennsylvania, California VN, Nebraska, Arkansas, Louisiana PN, Massachusetts, Florida, Iowa and Arizona. The activities of the Exam Committee this year include: * Reviewing the practice analysis data and making recommendations on changes to the NCLEX test plan * Conducting research on why persons that graduate from a nursing program do not take the exam * Reviewing selected exam items * Reviewing innovative/alternative item formats (see FAQ's on innovative items in this newsletter) * Overseeing the change in test vendor from Chauncey to NCS Pearson * Developing mechanisms to compare the equivalency of NCLEX-RN to the Spanish language Puerto Rican nursing licensure exam * Individual members chair the item review subcommittee Board Actions on Education Programs January 22-24 Board Meeting Approved new C.N.A. program at: Gila County Community College District--Payson Granted approval to Maricopa Community College District Nursing Program for a LPN to A.D. nursing program site at Rio Salado Community College Granted provisional approval to Coconino Community College for a nursing program pending submission of revised level objectives and the names and qualifications of the faculty for the first year of operation at least 45 days before classes are offered. Granted the request by University of Arizona to offer an accelerated partnership program. Tabled request from Mohave Community College to offer a Paramedic to RN program. Granted request by Yavapai College to increase nursing hours. Reviewed investigative report on Northern Arizona University Nursing Program and required the program to submit a quarterly reports with a site visit in September 2003. Reviewed investigative report on SouthWest Skill Center/Estrella Mountain Community College and offered consent agreement for violations of A.R.S. 32-1666(B) and A.A.C. R4-19-207 (D) with terms limiting admissions to the program and requiring reports to the Board. The program signed the agreement. March 5-7 Board meeting Approved new C.N.A. Programs at: College America--Flagstaff Gila County Community College District--Globe Received reports from SouthWest Skill Center/Estrella Mountain Community College and Northern Arizona University Approved level objectives submitted by Coconino Community College
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Frequently Asked Questions: Alternative NCLEX® Item Formats
The current NCLEX® examination program implemented computer adaptive testing as its administration modality in 1994. As part of the continuous quality improvement of the program, the National Council of State Boards of Nursing, Inc. (NCSBN) continually considers how to best measure entry-level nurse competence. In view of this commitment, the NCSBN is currently developing and researching items using alternative formats. 1. What is an alternative item format? An alternative item format is an examination item that takes advantage of technology and uses a format other than standard, four-option, multiple-choice items to assess candidate ability. Alternative item formats may include multiple-choice items that require a candidate to select more than one response, fill-in-the-blank items, or items asking a candidate to identify an area on a picture or graphic. Any item formats, including standard multiple-choice items, may include charts, tables or graphic images. Figures 1 through 3 represent some of the types of items that will be administered to candidates. Updated information on the NCLEX examination is posted on the NCSBN website ncsbn.org and is presented in the candidate bulletin. 2. How do alternative items differ from the current standard multiple-choice items? Some of the new items present four or more response options, but, unlike the standard multiple-choice items, the new items require the candidates to select more than one option. Another format is the new fill-in-the-blank items which require candidates to type in the answer to the quesFigure 1 tion instead of selecting from among a set of four options. 3. How will alternative items improve the measurement of entry-level nursing ability? It is anticipated that alternative items will allow candidates to demonstrate their entry-level nursing competence in ways that are different from the standard multiple-choice items. In addition, some nursing content areas and competencies may be assessed more readily and authentically with alternative items. For example, the item in Figure 1 requires the candidate to perform a calculation without the benefit of selecting the answer from among four answer options. The ability to calculate is more readily assessed with this type of item than with a standard multiple-choice item. Similarly, the item in Figure 3 more accurately and directly assesses the skills needed for practice as compared to using a multiple-choice item. Use of alternative items is anticipated to improve the assessment of entry-level nursing practice. 4. When will these item formats be administered on NCLEX examinations? These item formats may be administered to candidates after April 2003. 5. How are alternative items being developed? The same rigorous process that is used to develop the standard multiple-choice NCLEX items is being used to develop the alternative items. Item writers from across the country who meet the stringent NCSBN criteria are selected to attend item writing sessions and write items based on item pool needs. As with standard multiple-choice items, each item must be validated in at least two approved nursing textbooks or references. 6. How is the item scoring criteria being developed and validated? As with the current process, nursing content experts from across the country review all the items. These content experts evaluate the items to determine the correct and acceptable answer based on their clinical expertise. In addition, these experts assess the item for currency, accuracy, scope of practice and entry-level practice. 7. Will the NCLEX-RN® and NCLEX-PN® Test Plans be followed for alternative items? The development of the alternative items is based on the current NCLEX-RN® Test Plan and NCLEX-PN® Test Plan. The addition of alternative items will not change the test plan or the length of the test. 8. Will the items be pretested? Yes. As with the standard items, the alternative items are pretested before becoming part of the operational, or `scored' part of the examinations in order to gather statistical information about the items. As with multiple-choice items, these alternative items have to meet NCSBNs stringent statistical criteria. 9. Will alternative items replace the current NCLEX® items? The alternative items will be added to the current NCLEX-RN" and NCLEX-PN" items pools; they will not replace the items that are in the current NCLEX examinations. 10. How is examinee performance scored on alternative items? Alternative items are scored either right or wrong: there is no use of partial credit in the scoring of these items. 11. How much time will be needed to answer alternative items? Based on cognitive processing theory, it is anticipated that some of the items will take less time and some will take more time than the standard multiple-choice items. Currently it is estimated that candidates require between 60 and 70 seconds per multiple-choice item. Information about length of time it takes to respond to an item is collected and used by the Examination Committee and staff to make decisions about each item. 12. Will the implementation of alternative items affect candidate pass rates? These items formats will not affect candidate pass rates. These items have a calibrated difficulty level just like standard multiple-choice items, and, as such, will be counted just like standard items when computing a candidate's final competence estimate. Figure 2
Next Generation NCLEX® Items
Hot Spot
Figure 3 13. Will the candidate fee increase with the addition of alternative items? The candidate fee will not increase based on the use of alternative item formats.
FAQ, cont. on pg. 14
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FAQ, cont. from pg. 13
14. Will the addition of alternative items affect the timeline for delivering NCLEX-RN® and NCLEX-PN® results to candidates and boards of nursing? Use of alternative item types will not affect the operational processes for delivering results to candidates and boards of nursing. 15. What will need to be done to assist the nursing community to prepare for these types of items? NCSBN has a commitment to keep the nursing community informed and will continue to supply updated information about alternative items research study on our website http://www.ncsbn.org. 16. What is being done to prepare candidates to understand alternative item types? The NCSBN Web site, as well as the NCLEX® Examination Candidate Bulletin, provides candidates information regarding alternative item types. An addition to the current tutorial will explain new item types to the candidates. Should you have any questions about the new NCLEX examination item formats, please contact NCSBN Testing Services by phone at: 312.787.6555, ext. 470 via e-mail: nclexinfo@ncsbn.org.
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86.7%
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A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 15 GE
86.7%
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A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 17 GE
Verification Contacts for Compact States
ARIZONA: To verify an Arizona License by phone, call 602.331.8111, and follow the menu options by pressing 1, then select the option you wish to verify by. You will need to know the individual's social security number or license or certificate number. To obtain on-line verification, send an email to verify@azbn.org using only the RN/LPN/CNA number or social security number without hyphens or spaces. LEAVE THE SUBJECT LINE BLANK ARKANSAS: To verify an Arkansas license over the phone, interstate compact states may contact Margie Brauer at 501.686.2708 or Margie.brauer@mail.state.ar.us (first) or call our telephone voice response system at 501.682.2200. This automated system will provide licensure verification using a license number. DELAWARE: Call 302.739.4522 IDAHO: Call 208.334.3110 , press "0" and speak to anyone, or press 2 for their automated voice system, or fax request to 208.334.3262 IOWA: To verify an Iowa license over the phone, call the main telephone line at 515.281.3255 and press 2. The Automated Network of Nurse Information will provide licensure verification from a license number or a social security number. On-line verification is available at www.state.ia.us/nursing MAINE: Call 207.287.1133, press "0". Speak with anyone to verify. Online verification www.maine.gov/boardofnursing. MARYLAND: To verify a Maryland license over the phone, call 410.585.1900 and press "0". Online verification www.mbon.org. MISSISSIPPI: Call 601.987.6858 for verifications. NEBRASKA: Call 402.471.4376 for verifications or use their web site: www.hhs.state.ne.us./lis/lis.asp. NORTH CAROLINA: The NC website verification information system includes a statement when the licensee has the multistate privilege to practice by virtue of NC being his/her primary state of residence. To access this verification information you need the SSN or certificate number of the licensee. Website is www.ncbon.org. To verify a NC license by phone, contact Angela Ellis at 919.782.3211, ext. 259 or Barbara Powell @ ext 245 SOUTH DAKOTA: To verify a South Dakota license over the phone, call 605.362.2760, or online www.state.sd.us./dcr/nursing. TEXAS-RN: Call 512.305.7400 press "0" and anyone will verify or auto verification 512.305.7400, press 1 for RN and AP. TEXAS-VN: Call 512.350.8100, press "1" for phone verification. Call 512.350.8100, press "0" and ask for Licensing Department for verbal verification. UTAH: To verify a Utah license please call 801.530.6628, press "0" and ask for Nursing. On-line verification available at www.dopl.utah.gov. WISCONSIN: On-Line Verifications are available from the WI Department of Regulation and Licensing's website at http://www.drl.state.wi.us. Just click on "business and Professional License Lookup" for detail information. The verifications are JCAHO approved and you are able to print directly from our website. Phone verification available at 608.266.2112
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Chemical Dependency Committee Call for Members
The Chemical Dependency Committee is seeking individuals interested in serving as a member on the CD Advisory Committee. Qualified applicants should have experience in the treatment and/or recovery monitoring of chemically dependent individuals. A letter of interest along with a current resume may be sent to: Arizona State Board of Nursing Attention: Stephanie Nelson, RN MS Monitoring Department 1651 E. Morten Avenue, Suite 210 Phoenix, AZ 85020
Chemical Dependency Committee Highlights
by Stephanie Nelson, RN, MS Nurse Practice Consultant, Monitoring On January 25, 2003 the Chemical Dependency committee held a workshop, "Management Interventions with the Impaired Nurse" to provide current information regarding issues of impairment: recognizing the signs and symptoms, intervening and returning to work. The feedback from the workshop was positive and it was recommended that the workshop be held again. On February 20, 2003 the Chemical Dependency Committee discussed the following: Establishing guidelines for nurses in Monitoring that have been prescribed narcotic analgesia and continue to practice nursing. Options being considered to determine if a nurse is safe to practice are: a Neuropsychological evaluation, independent Medical evaluation, limit access to narcotics, and pain management contracts. How to monitor Nurse Practitioner's with prescribing and dispensing privileges that are currently on probation or participating in the CANDO program. Review of the policy for urine drug screening and how to address CANDO/Monitoring participants that have been non-compliant. Review of the key restrictions policy for CANDO/ Monitoring participants. The Committee will continue to work on these issues and provide guidance to the Board on regulatory management of the impaired/chemically dependent nurses. The next scheduled meetings are: June 19, 2003, August 14, 2003, October 16, 2003, and December 4, 2003. All meetings are open to the public. If you would like further information about the committee, please contact Stephanie Nelson at 602-331-8111 Ext. 135 or Valerie Smith at Ext. 145.
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RN/LPN DISCIPLINARY A C T I O N
January - March 2003
DATE
1/13/2003 12/13/2002* 2/25/2003 11/8/2002* 11/8/2002* 1/16/2003 12/13/2002* 3/6/2003 3/10/2003 1/6/2003 12/13/2002* 3/13/2003 1/7/2003 1/24/2003 3/11/2003 1/3/2003 3/2/2003 2/19/2003 11/6/2002* 11/8/2002* 2/18/2003 12/13/2002* 1/28/2003 12/13/2002* 2/12/2003 2/14/2003 11/6/2002* 12/5/2002* 1/4/2003 1/2/2003 1/9/2003 * Not reported in previous Newsletter
NAME
ALLOCCO, PAMELA P. ANDREWS, GINNY M. ARIAS, KERRY L. ATNIP, DAISY K. AVILA, MONICA L. BALDWIN, (ADNEY) SALLIE BARNES, HOLLY H. BLACKMOUNTAIN, AURIAH G. BOLTON, RYAN W. BUBACK, VICKIE L. BULLOCK, CARRIE CAMPBELL, PAIGE M. CAMPOS, ROBIN L. CARDONA, CYNTHIA L. CARRIZOSA, LORRAINE CHIARAMONTE, EVELYN CHRISTIANSEN, NANCY A. CLARKE, EARL F. COHEN, SCOTT E. CORNELIUS, TIMOTHY B. COUCH, JOANN C. DAVIS, DEBRA A. DIFRANK, JULIE A. DOOLEY, HEIDI B. DYSINGER, ANN E. ERNST, ALYCIA S. FARLESS, TINA M. FARMER, ROBIN S. FARMER, ROBIN S. FIGUEROA, ABRAHAM J. FISHER, CHARLES E.
LICENSE
LP014205 RN040049 RN106871 LP ENDORSEMENT APPLICANT LP ENDORSEMENT APPLICANT RN069275 RN ENDORSEMENT APPLICANT LP021563 RN106954 RN077833 (Suspension Completed) LP ENDORSEMENT APPLICANT RN101495
DISCIPLINE
Decree of Censure Revocation/Non-Voluntary Voluntary Surrender License Denied License Denied Voluntary Surrender License Denied Probation Completed Probation Probation License Denied Voluntary Surrender
VIOLATIONS
Positive Urine Drug Screen Failure to Renew, Violating Board Order Drug Use on Duty, Writing Illegal RX, Failure to Comply w/Requirements/Impaired Nurse Program Unsafe Practice, Alcohol Abuse Misdemeanor, Theft Unsafe Practice, Drug Abuse, Alcohol Abuse Misdemeanor, Criminal Conviction-Other, Drug Abuse, Sexual Abuse Documentation Errors, Medication Errors, Wastage Errors Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Fraud, Deceit-Obtaining License, Action in Another Jurisdiction, Practicing without License Drug Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Misdemeanor, Alcohol Abuse Misdemeanor, More than one DUI, Action in Another Jurisdiction Documentation Errors, Medication Errors, Violating Board Order Drug Abuse, Drug Diversion Self, Violating Board Order Criminal Conviction, Theft - Employer Documentation Errors, Medication Errors, Drug Abuse, Action in Another Jurisdiction Sexual Abuse, Unprofessional Conduct Misdemeanor, Drug Related, Drug Abuse Drug Abuse, Drug Use on Duty, Fraud, Deceit-Fraudulent Documentation Unsafe Practice, Failure to Follow Orders, Medication Errors Alcohol Abuse, Fraud, Deceit-Obtaining License, Positive Urine Drug Screen while on duty Failure to Maintain Minimal Standards, Other (APRN) Unsafe Practice, Failure to Assess, Failure to Intervene Medications Errors, Drug Abuse, Alcohol Abuse Alcohol Abuse, Drug Screen Positive, Failure to Comply w/Requirements/Impaired Nurse Program Alcohol Abuse, Violating Board Order Alcohol Abuse, Violating Board Order Unsafe Practice, Failure to Follow Orders, Failure to Assess
LP033594 Decree of Censure RN ENDORSEMENT APPLICANT License Denied RN117328 LP033383 RN054319 LP038286 RN100950 RN EXAM APPLICANT RN087159 RN069636 RN048633 RN100963 RN111109/AP1157 RN101841 LP032333 RN101328 RN101328 RN091133 RN038082 Probation Completed Voluntary Surrender Stayed Revocation w/Suspension Probation Revocation/Non-Voluntary License Denied Probation Revocation/Non-Voluntary Decree of Censure Probation Decree of Censure Decree of Censure Revocation/Non-Voluntary Stayed Revocation w/Suspension Revocation/Non-Voluntary Stayed Revocation w/Suspension Voluntary Surrender
RN/LPN Disciplinary Action, cont. on pg. 21
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RN/LPN Disciplinary Action, cont. from pg. 20
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 21 GE
RN/LPN DISCIPLINARY A C T I O N
O c t o b e r - December 2002
DATE
2/18/2003 1/10/2003 2/18/2003 * Not reported in previous Newsletter
NAME
FRENCH, GINA M. GEE, NANCY S. GILMAN, SCOTT C.
LICENSE
RN086974 RN072687 RN111097
DISCIPLINE
Probation Completed Probation Completed Voluntary Surrender
VIOLATIONS
Drug Use on Duty, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Misdemeanor, Criminal Conviction-Drug Related, Drug Abuse Violating Board Order Failure to Assess, Failure to Intervene, Failure to Supervise Alcohol Abuse, Reinstatement Drug Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Unsafe Practice, Failure to Assess Positive Drug Screen Violating Board Order Drug Abuse, Drug Diversion-Self, Drug DiversionOthers, Writing Illegal RX, Presenting Illegal RX, Executing Inappropriate Order Misdemeanor, Theft, Failure to Cooperate Failure to Follow Orders, Failure to Assess, Failure to Intervene Unsafe Practice Drug Abuse, Writing Illegal RX Failure to Maintain Minimal Standards, Unprofessional Conduct Felony, Misdemeanor, Other-Theft, Drug Abuse Incompetent Practice Unsafe Practice, Failure to Maintain Minimal Standards Failure to Maintain Minimal Standards, Unsafe Practice, False Documentation, Documentation Errors, Medication Errors Failure to Maintain Minimal Standards, Failure to Intervene Drug Abuse, Reinstatement Failure to Assess, TX Errors (APRN) Failure to Comply w/Requirements/Impaired Nurse Program, Fraud, Deceit-Obtaining Employment, Failure to Maintain Minimal Standards, Alcohol Abuse Action in Another Jurisdiction Unsafe Practice, Executing Inappropriate Orders, Practicing Beyond Scope
3/6/2003 1/16/2003 2/25/2003 3/6/2003 12/31/2002* 1/14/2003 3/4/2003 2/24/2003 2/15/2003 1/23/2003 2/10/2003
GRIMES, JAMIE A. GROUX, DEBROAH L. GUNN, DIANNE HAMM, ELIZABETH A. HANDY, IVY M. HANSON, MARGARET E. HOKE, SANDRA K. HOLMES, LINDA L. HUTCHINSON, DENISE L. ISAACS, BARBARA J. JARDINE, JON D.
LP031709 LP026835 RN044712 RN112057 RN102740 RN038800 RN100893 RN054433 RN100514 LP017916 LP034742
Probation Completed Probation Voluntary Surrender Probation Completed Decree of Censure Reinstatement w/Probation Stayed Revocation w/Probation Decree of Censure Probation Stayed Suspension w/Probation Suspension
12/13/2002* 3/5/2003 2/13/2003 2/18/2003 1/30/2003 1/23/2003 2/13/2003 11/28/2002*
JOHNSON, TARA L. JONES, KAREN A. KELLOGG, HELEN D. KERCE, CHERYL M. KNOTT, BARBARA M. KOUNKEL, JOY I. KOVALCIK, SHANNON MARY LACZNY, BRIDGIT A.
LP ENDORSEMENT APPLICANT RN090538 LP009565 RN054550/AP0834 LP008454
License Denied Decree of Censure Decree of Censure Voluntary Surrender Decree of Censure
RN ENDORSEMENT APPLICANT License Denied RN111951 Probation LP030082 Decree of Censure
2/4/2003 1/20/2003 2/25/2003 12/23/2002* 3/4/2003
LEE, JEONG H. LIND, SHARI A. LOWELL, STEPHANIE H. MANHEIMER, LUCITA MANIS, BRISA L.
RN109542 RN080709 RN051299/AP0062 LP037269 RN110806
Probation Reinstatement w/ Probation Decree of Censure Probation Completed Stayed Revocation w/Suspension
11/8/2002* 12/10/2002*
MARCUM, SARAH E. MARINETTE, PAUL
RN ENDORSEMENT APPLICANT License Denied LP029315 Probation
RN/LPN Disciplinary Action, cont. on pg. 22
PAGE 22 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
RN/LPN Disciplinary Action, cont. from pg. 21
M AY, J U N E , J U LY 2003
RN/LPN DISCIPLINARY A C T I O N
January - March 2003
DATE
1/10/2003 2/19/2003 2/25/2003 11/6/2002* 11/6/2002* 2/20/2003 2/15/2003 12/26/2002* 2/27/2003 2/4/2003 1/20/2003 12/20/2002* * Not reported in previous Newsletter
NAME
McCARTT JR, SAMUEL T. McCORMICK, KELLY A. MICCIA, ANTHONY C. MOORE, JEREMY A. MORPHEW, LISA K. MOSHER, ELIZABETH A. MOSS, MARY W. MOURNING-RUIZ, ANGELA MURRAY, TRACY F. NAVARRO, CYNTHIA I. PAGE, STEPHANIE L. PARKER, LES P.
LICENSE
RN115283 RN121929 RN079914 LP035178 RN089026 RN017401 RN075287 RN049932 RN120023 RN121804 RN090090 RN103137
DISCIPLINE
Probation Completed Probation Voluntary Surrender Revocation/Non-Voluntary Revocation/Non-Voluntary Voluntary Surrender Probation Decree of Censure Probation Probation Decree of Censure Stayed Revocation w/Suspension
VIOLATIONS
1/30/2003 2/11/2003 12/13/2002* 2/5/2003 3/2/2003 1/6/2003 11/6/2002* 1/9/2003 10/16/2002* 12/13/2002* 1/9/2003 11/8/2002* 1/24/2003 3/6/2003 1/17/2003 1/11/2003 11/8/2002* 11/6/2002* 12/19/2002* 1/23/2003
PARKER, LES P. PEARSON, KATHERINE C. PRIESTER, JOLYN K. PULLIAM, DEBORAH J. REED, LARRAINE E. REYES, DIANN B. REYNOLDS, JANA L. RICE, LINDA JO RICHARDSON, MARLA V. ROZENZHAK, ZINAIDA SAIMO, CYBELE E. SILVA, LINDA J. SOUZA, BRIAN A. STRUSE, MARILYN J. STUCKLESS, JENNIFER M. TELFORD, WENDELL T. THOMAS, DEBRA A. TINSTON, JOAN A. TURNEY, BARBARA A. VOLK, NANCY J.
RN103137/LP032722 LP002856 RN083637 RN118922 RN089438 RN098670 LP027218 LP035475 RN089714 RN ENDORSEMENT APPLICANT LP034051 RN ENDORSEMENT APPLICANT
Revocation/Non-Voluntary Decree of Censure Revocation/Non-Voluntary Revocation/Non-Voluntary Decree of Censure Decree of Censure Revocation/Non-Voluntary Voluntary Surrender Decree of Censure License Denied Voluntary Surrender License Denied
RN ENDORSEMENT APPLICANT License Denied RN087488 RN091401 RN034482 LP ENDORSEMENT APPLICANT Probation Completed Revocation/Non-Voluntary Probation License Denied
Failure to Maintain Minimal Standards Practicing Beyond Scope Alcohol Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Felony, Against Person Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Alcohol Abuse Criminal Conviction-Completed Court Diversion Program, Drug Abuse, Alcohol Abuse Failure to Maintain Minimal Standards Alcohol Abuse, Positive pre-employment drug screen Misdemeanor, Theft - Employer Failure to follow policy Drug Abuse, Drug Use on Duty, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Violating Board Order Failure to Follow Orders, Practicing Beyond Scope Documentation Errors, Drug Diversion Self, Violating Board Order Violating Board Order Failure to Maintain Minimal Standards, Documentation Errors Failure to Assess, Failure to Intervene, Failure to Supervise Drug Abuse, Presenting Illegal RX, Failure to Comply w/Requirements/Impaired Nurse Program Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Failure to Assess, Failure to Intervene Misdemeanor, Theft Violating Board Order Failure to Maintain Minimal Standards, Documentation Errors, False Documentation Felony, Misdemeanor, Disorderly Conduct/Prostitution Conviction, Alcohol Abuse Drug Abuse, Violating Board Order Drug Abuse, Violating Board Order Misdemeanor, Alcohol Abuse, Failure to cooperate with the Board Action in Another Jurisdiction Drug Abuse, Violating Board Order Fraud, Deceit-Obtaining License, Documentation Errors, Unsafe Practice, Fraud, Deceit-Obtaining Employment Unsafe Practice, Failure to Follow Orders, Medication Errors
RN ENDORSEMENT APPLICANT License Denied RN061038 Voluntary Surrender RN080809 Reinstatement Denied
3/1/2003
WALSH, COLLEEN T.
RN111356
Decree of Censure
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 23 GE
C N A DISCIPLINARY A C T I O N
January - March 2003
Date
12/13/2002 1/23/2003 12/13/2002 11/7/2002 11/7/2002 12/13/2002 1/23/2003 1/4/2003 2/21/2003 12/13/2002 1/23/2003 11/6/2002 9/13/2002 11/7/2002 3/17/2003 12/14/2002 1/13/2003 12/13/2002 12/13/2002 11/7/2002 11/7/2002 11/7/2002 12/13/2003 11/6/2002 11/6/2002 11/7/2002 1/23/2003 1/23/2003 2/24/2003 9/13/2002 1/13/2003 2/11/2003 11/6/2002 12/13/2002 11/7/2002 12/13/2002 Employer
* Not reported in previous Newsletter
Name
Aguilar, Anthony David Alcorta, Edward Morales Allen, Kenneth L. Antikiewic, Daniel s. Antonio, Althea Arrowsmith, Amy Ann Austin, Patika Arnetta Banks, Latonia R. Barrett, Cathleen Barszcz, Alice Dorothy Begay, Kathleen Bencomo, Raymond Bernardo, Antonia M. Blake, Elizabeth Bolton, Helena Bolton, Helena M. Bowers, Asha Paris Brzezniak, David J. Carl, Cynthia L. Carlen, Chelsea Catalano, Thomas M. Cessna, Tarish N. Chase, Barbera M. Christie, Loretta A. Combs, Marian Cook, Summer E. Coons, Buster Cornell, Annette Coronado, Gabriela Cotton, Lindsey L. Craig, Joy Lynn Datingaling, Josephine Daum, Sandra K. Davis, Jennifer R. Delgado, Reynaldo G. Denning, Leonard J.
Certificate
CNA Applicant CNA Applicant CNA Applicant CNA999952022 CNA Applicant CNA Applicant CNA Applicant CNA267364641 CNA Applicant CNA Applicant CNA Applicant CNA587980803 CNA Applicant CNA Applicant CNA999987935 CNA999987935 CNA999987197 CNA798213466 CNA999949065 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA284476441 CNA659428103 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999952261 CNA Applicant CNA194371969 CNA Applicant CNA Applicant CNA Applicant
D iscipline
Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Civil Penalty Civil Penalty Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Suspension Civil Penalty Suspension Revocation/Non-voluntary Revocation/Court Ordered Certificate Denied Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Civil Penalty Certificate Denied Suspension Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied
V iolation(s)
Drug Related Misdemeanor; Failure to Maintain Minimal Standards; Alcohol Abuse; Failure to cooperate Felony; Theft - Client; Violating State/Federal Statutes/Rules Felony; Misdemeanor; Obtaining Certificate by Fraud Felony; Alcohol Abuse Misdemeanor; Drug Related; Failure to Practice Safely Misdemeanor; Sexual Misconduct-Multiple prostitution arrest Failure to Follow Orders; Leaving Duty Station Misdemeanor; Alcohol Abuse Theft - Client; Misconduct Misdemeanor; Criminal Conviction; Failure to cooperate with the Board Misdemeanor; Alcohol Abuse; Violating Board Order Fraud/Deceit; Failure to cooperate Misdemeanor; Alcohol Abuse Violating Board Order Physical Abuse Violating Board Order Felony; Misdemeanor Felony; Theft - Client; Theft - Employer; Drug Abuse Drug Related; Fraud/Deceit; Failure to cooperate Drug Related Felony; Misdemeanor Misdemeanor; Criminal Conviction; Alcohol Abuse Felony Action in Another Jurisdiction; Failed to notify board of address change Misdemeanor Misdemeanor; Alcohol Abuse; Failure to cooperate Misdemeanor; Criminal Conviction; Failure to cooperate Misdemeanor; Drug Related Felony; Misdemeanor Violating Board Order Criminal Conviction; Misconduct; Fraud/Deceit Felony; Misdemeanor Felony; Obtaining Certificate by Fraud; Failure to cooperate Misdemeanor; Obtaining Certificate by Fraud False Documentation; Theft - Client; Theft -
CNA Disciplinary Action, cont. on pg. 24
PAGE 24 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
CNA Disciplinary Action, cont. from pg. 23
M AY, J U N E , J U LY 2003
CNA DISCIPLINARY ACTION, cont.
January - March 2003
Date
2/12/2003 12/28/2002 12/13/2002 1/23/2003 11/7/2002 11/6/2002 9/13/2002 1/23/2003 1/23/2003 12/13/2002 1/23/2003 1/24/2003 11/20/2002 7/25/2002 2/16/2003 1/23/2003 1/10/2003
* Not reported in previous Newsletter
Name
Downs, Gregory R. Encinas, Benjamin M. Evans, Tracy Fernandez, Caroline Fitzgerald, Brenda L. Fitzgerald, Dawn Forrer, Valerie Galaviz, Marcelo A. Getzen, David M. Gillett, Ward D. Goode, Carol S. Greenwald, Keri Virginia Hance, Maria A. Hand, Danya C. Hanus, Carrie Harris, Andrea May Heller, Kimba S.
Certificate
CNA674623103 CNA999952400 CNA Applicant CNA Applicant CNA Applicant CNA595467103 CNA Applicant CNA Applicant CNA Applicant CNA999949379 CNA Applicant CNA999997034 CNA800890413 CNA999995245 CNA999997356 CNA Applicant CNA471153696
D iscipline
Civil Penalty Civil Penalty Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Civil Penalty Civil Penalty Suspension Civil Penalty Certificate Denied Civil Penalty
V iolation(s)
Leaving Duty Station; Verbal Abuse; Misconduct False Documentation Alcohol Abuse Misdemeanor; Obtaining Certificate by Fraud; Action in Another Jurisdiction Misdemeanor; Against Person Misdemeanor; Against Person; Practicing without License Misdemeanor; Drug Related Misdemeanor; Failure to cooperate Felony; Misdemeanor; Alcohol Abuse Misdemeanor; Against Person; Drug Abuse Misdemeanor; Drug Related; Failure to cooperate Misdemeanor Verbal Abuse Drug Abuse Misdemeanor Drug Abuse; Sale of Drugs Failure to Maintain Minimal Standards; Obtaining Certificate by Fraud; Practicing without certificate Verbal Abuse; Misconduct; Failed to respond to Board Unprofessional Conduct; Leaving Duty Station; Misconduct Misdemeanor; Drug Abuse Misdemeanor; Against Person; Criminal Conviction; Drug Related; Fraud/Deceit; Failing to cooperate Failure to Maintain Minimal Standards; Unsafe Practice Physical Abuse; Verbal Abuse; Drug Related Failure to Maintain Minimal Standards; Criminal Conviction-Other alcohol related; Failure to cooperate with Board Alcohol Abuse Misdemeanor; Drug Related Misdemeanor; Failure to cooperate Failure to Maintain Minimal Standards; Physical Abuse; Violating Board Order Drug Abuse; Alcohol Abuse Felony; Drug Related Misdemeanor; Against Person; Failure to cooperate Drug Abuse; Drug Related Misdemeanor; Failure to Maintain Minimal Standards Theft - Client; Misconduct; Fraud/Deceit; Failure to cooperate during investigation; Verbal Abuse; Misconduct; Fraud/Deceit; Failing to respond to board
11/6/2002 1/10/2003 11/7/2002 11/7/2002
Herington, Julie A. Hernandez, Maria D. Hines, Rhonda M. Hodges, Jahmal A.
CNA960407543 CNA769795803 CNA Applicant CNA Applicant
Revocation/Non-voluntary Civil Penalty Certificate Denied Certificate Denied
12/19/2002 11/6/2002 11/7/2002
Hodgman, Susie Y. Huckaby, Antonette Jackowick, Laura B.
CNA202028103 CNA487260803 CNA Applicant
Civil Penalty Revocation/Non-voluntary Certificate Denied
6/7/2002 11/6/2002 9/12/2002 12/13/2002 11/6/2002 11/6/2002 1/23/2003 11/6/2002 1/23/2003 12/13/2002 11/6/2002
Jim, Clara Johnson, Shannon D. Joseph, Leah J. Kessler, David J. Kirkwood, Kristine L. Knapp, April B. Koch, Richard A. Kueneman, Barbara Grace Lemart, Betty Lois Lopez, Angie M. Lucchesi, Gail S.
CNA Applicant CNA999949432 CNA Applicant CNA999950202 CNA327313773 CNA705708809 CNA Applicant CNA999953478 CNA Applicant CNA084858803 CNA515341609
Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary
CNA Disciplinary Action, cont. on pg. 25
M AY, J U N E , J U LY 2003 MA
CNA Disciplinary Action, cont. from pg. 24
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 25 GE
C N A DISCIPLINARY ACTION, cont.
January - March 2003
Date
1/23/2003 11/6/2002 1/23/2003 11/7/2002 11/7/2002 7/16/2002 11/7/2002 12/26/2002 11/7/2002 11/6/2002 12/13/2002 11/6/2002 12/13/2002 9/12/2002 11/7/2002
* Not reported in previous Newsletter
Name
Macmillan, Jessie P. Mantalaba, Norma P. Martinez, Michelle D. Mason, Thomas Mayer, Joseph P. McElroy, Alba D. Mclain, Tomi B. Meshake, Mary Elizabeth Miksell, Corey Mills, Janice M. Mills, Sullivan Minatrea, William Morneweg, Laura S. Mullins, Carla J. O'Neal, Al Maurice
Certificate
CNA Applicant CNA572741341 CNA Applicant CNA Applicant CNA Applicant CNA999989078 CNA Applicant CNA9999953411 CNA Applicant CNA563967103 CNA Applicant CNA620027337 CNA Applicant CNA Applicant CNA Applicant
D iscipline
Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Suspension Certificate Denied Civil Penalty Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied
V iolation(s)
Obtaining Certificate by Fraud; Failure to cooperate Action in Another Jurisdiction Misdemeanor; Theft - Employer Felony; Drug Related; Sale of Drugs Misdemeanor; Drug Related; Failure to cooperate with board Incompetent Practice; False Documentation Misdemeanor Physical Abuse; Verbal Abuse; Alcohol Abuse Misdemeanor; Failure to Cooperate Misdemeanor; Drug Related; Drug Abuse Felony; Misdemeanor; Drug Abuse False Documentation; Leaving Duty Station; Drug Abuse Felony Misdemeanor; Criminal Conviction; Obtaining Certificate by Fraud Misdemeanor; Failure to Maintain Minimal Standards; Sale of Drugs; Violating State/Federal Statutes/Rules Misdemeanor; Fraud/Deceit Misdemeanor; Alcohol Abuse; Obtaining Certificate by Fraud Alcohol and assault related arrests; Failure to cooperate Violating Board Order Verbal Abuse; Fraud/Deceit Misdemeanor; Alcohol Related, Drug Related; Failure to cooperate Violating Board Order Misdemeanor Neglect Failure to Maintain Minimal Standards; Failure to cooperate; Other-positive drug screen Writing Illegal RX; Presenting Illegal RX; Obtaining Other Credential; Fraud/Deceit DUI more than 1; Failure to Maintain Minimal Standards; Failure to cooperate with the investigation; Misdemeanor; Against Property; Drug Abuse Felony; Unsafe Practice; Obtaining Certificate by Fraud Felony; Misdemeanor; Drug Related; Criminal Conviction Leaving Duty Station; Alcohol Abuse Felony; Drug Related Misdemeanor; Obtaining Certificate by Fraud; Failure to cooperate Misdemeanor; Drug Related
2/11/2003 11/6/2002 1/23/2003 11/6/2002 12/13/2002 12/13/2002 1/13/2003 12/23/2002 12/13/2002 11/7/2002
Odoms, April D. Ohoro, Cheryl D. Oliver, Danielle R. Orozco, George M. Osetek, Margaret M. Patel, Vinodrai M. Peaches, Geniece M. Pedrego, Francine M. Peralta, Marie A. Phillips, Anthony
CNA999997283 CNA781862103 CNA Applicant CNA329881103 CNA999948398 CNA Applicant CNA999995235 CNA999996731 CNA999991357 CNA Applicant
Civil Penalty Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Suspension Civil Penalty Civil Penalty Certificate Denied
11/6/2002 1/23/2003
Pickering, Joanne M. Pulliam, Jacquelyn R.
CNA999947929 CNA Applicant
Revocation/Non-voluntary Certificate Denied
1/29/2003 9/11/2002 12/13/2002 11/6/2002 11/6/2002 11/6/2002 2/12/2003
Recio, Amanda H. Redus, Sheronda Y. Reyes, Claudia Reyes, Edwin Roberson, Ellick Roberts, Sheila A. Robertson, Colin D.
CNA999947924 CNA082439237 CNA Applicant CNA847773246 CNA561057614 CNA999947400 CNA Applicant
Revocation/Non-voluntary Revocation/Court Ordered Certificate Denied Revocation/Court Ordered Revocation/Court Ordered Revocation/Non-voluntary Civil Penalty
CNA Disciplinary Action, cont. on pg. 26
PAGE 26 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
CNA Disciplinary Action, cont. from pg. 25
M AY, J U N E , J U LY 2003
C N A DISCIPLINARY ACTION, cont.
January - March 2003
Date
7/18/2002 11/7/2002 11/7/2002 11/7/2002 3/17/2003 12/27/2002 2/7/2003 9/13/2002 1/23/2003
* Not reported in previous Newsletter
Name
Robinson, Betty J. Robinson, Erlinda Robles, Tanica Rodriquez, Patricia Rogers, Brian F. Rohling, Laura L. Romero, Gabriel R. Ross, Adam Sainval, Yvette
Certificate
CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999996373 CNA835824441 CNA999997225 CNA Applicant CNA Applicant
D iscipline
Certificate Denied Certificate Denied Certificate Denied Certificate Denied Suspension Civil Penalty Civil Penalty Certificate Denied Certificate Denied
V iolation(s)
Felony Felony; Drug Abuse; Obtaining Certificate by Fraud Misdemeanor; Theft - Employer; Alcohol Abuse; Fraud/Deceit; Felony; Theft Employer Violating Board Order False Documentation; Failure to cooperate Misdemeanor; Alcohol Abuse Criminal Conviction; Failure to cooperate Failure to Maintain Minimal Standards; Adjudication Mentally Ill; Failure to cooperate Drug Abuse Criminal Conviction; Alcohol Abuse Misdemeanor; Drug Abuse Failure to Maintain Minimal Standards Criminal Conviction Failure to Maintain Minimal Standards; Misd. Alcohol related; Failure to cooperate Physical Abuse False Documentation Misdemeanor; Criminal Conviction Drug Abuse; Alcohol Abuse Misdemeanor; Criminal Conviction; Fraud/Deceit Misdemeanor; Misconduct; Failure to cooperate with the investigation Theft - Employer; Failure to Renew Drug Related; Obtaining Certificate by Fraud; Failure to respond Drug Abuse; Fraud/Deceit; Felony Failure to Maintain Minimal Standards; False Documentation; Fraudulent Billing Felony; Misdemeanor Felony; Obtaining Certificate by Fraud Drug Abuse; Failure to cooperate Felony; Drug Use on Duty; Drug Related Misdemeanor; Fraud/Deceit; Failure to cooperate Drug Abuse; Drug Use on Duty Unsafe Practice; Misconduct Misdemeanor; Criminal Conviction; Alcohol Abuse; Failure to cooperate
6/28/2002 1/15/2003 11/7/2002 9/13/2002 1/27/2003 11/7/2002 11/19/2002 1/13/2003 2/13/2003 11/6/2002 9/13/2002 1/23/2003 12/17/2002 11/6/2002 12/13/2002 2/26/2003 11/7/2002 11/7/2002 11/6/2002 11/6/2002 12/13/2002 12/13/2002 12/30/2002 1/23/2003
Salas, Angela A. Shepherd, Ronetta A. Shepherd, Vanessa M. Sigler, Teresa A. Skatvold, Kimberly J. Smith, Lisa D. Thomas, Elvera Valtierra, Doris F. Verdugo, Renee Vida, Gretchen A. Villareal, Letticia Wagner, Jeri Lynn Warr, Don Wasserman, Jaymie R. Weaver, Deanna E. Whipple, Julia J. White, Lori Kay Wilcox, Joan C. Williams, Heather Williams, Nyla S. Williams, Verona T. Wood, Robert A. Yazzie, Helena R. Yazzie, Ivalou
CNA999990735 CNA549255349 CNA Applicant CNA Applicant CNA999997055 CNA Applicant CNA999990626 CNA918195803 CNA Applicant CNA089045459 CNA Applicant CNA Applicant CNA999989800 CNA999950009 CNA236967103 CNA180102353 CNA Applicant CNA Applicant CNA Applicant CNA999952378 CNA879254103 CNA563701046 CNA762942353 CNA Applicant
Voluntary Surrender Civil Penalty Certificate Denied Certificate Denied Civil Penalty Certificate Denied Revocation/Court Ordered Civil Penalty Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Certificate Denied
M AY, J U N E , J U LY 2003 MA
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 27 GE
Regulation Rundown
by Pamela Randolph RN, MS, CPNP, Nurse Practice Consultant Current Rule Activity Articles 6 and 7 Rules on Practice and Procedure and Public Participation These articles were identified for change and updating in the five-year rule review. A docket and proposed rules were filed with the Secretary of State on June 28, 2002. An oral proceeding was held on August 23, 2002, at 9 a.m. in the Board offices. No persons testified. The final rule was approved by the Board and was submitted to the Governor 's Regulatory Review Council on September 16, 2002. Due to some changes that are not substantial, the rule was delayed but will be heard at the Governor's Regulatory Review Council (GRRC) on April 1, 2003, and should be effective some time in June. Future Rule Activity Article 3. Licensure. The Scope of Practice Committee reviewed three drafts of this future rulemaking. The Education Committee will review a second draft of the rule at their March meeting. Work and revision is almost completed and a courtesy review by GRRC had been requested. Anyone wishing to view a draft to offer input may contact me at prandolph@azbn.org. Article 5. Advanced Practice Nursing. Work is commencing on a preliminary draft that will be reviewed by the Advanced Practice Committee at their next meeting in May. Article 4. Regulation. The Board anticipates that rulemaking will begin by December 2003. The Scope of Practice, Education, and Chemical Dependency Committees will participate in reviewing drafts of the rule. The person to contact at the Board regarding rules is: Pamela Randolph Nurse Practice Consultant 1651 E. Morten Suite 210 Phoenix, AZ 85020 602-331-8111 ext 139 e-mail: prandolph@azbn.org
Nurse Aide Program Sanctions Currently In Effect
FACILITY Chinle Nursing Home Chris Ridge Village Infinia at Foothills (formerly Foothills Manor) Glendale Care Center Life Care Center of Paradise Valley Meadow Park Care Center Plaza Healthcare Scottsdale Infinia at Show Low (formerly Pueblo Norte Nursing) Sabino Canyon Nursing & Rehab Tucson Sunbridge Park Villa Tucson 04/27/01 11/16/01 04/27/03 11/16/03 Show Low Prescott 05/24/01 05/17/01 11/13/01 05/24/03 05/17/03 11/13/03 Glendale Phoenix 12/11/01 09/23/02 12/11/03 09/23/04 Waiver currently in effect CITY Chinle Phoenix Phoenix BEGIN DATE 12/18/01 10/03/01 08/23/01 END DATE 12/18/03 10/03/03 08/23/03 COMMENTS Waiver currently in effect
Visit us on the web at
www.azboardofnursing.org
PAGE 28 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA
M AY, J U N E , J U LY 2003
Arizona State Board of Nursing
Nursing Assistant Programs Current Approved Program List -- March 2003
Facility Apache Junction Health Care Center Arizona Eastern Star Beatitudes Campus of Care Beverly Healthcare Shadow Mountain Bryans Extended Care Capri Care Center Casa Del Mar Nursing & Sunbridge Rehabilitation Center Catalina Care Center, Sunbridge Chandler Health Care Center Christian Care Nursing Center Chula Vista Nursing Home Citadel Care Center Desert Cove Nursing Center Desert Life Rehabilitation and Care Center Devon Gables Health Care Center East Mesa Care Center, Sunbridge Gardens Rehab & Care Center, The Gila River Indian Care Center Good Shepherd Retirement Community Handmaker's Jewish Services for the Aging Havasu Nursing Center Heather Glen Care Center Infinia at Camp Verde, formerly Arbors Healthcare Infinia at Flagstaff Kachina Point Healthcare Kivel Campus of Care La Canada Care Center La Colina Health Care Lake Hills Inn Las Flores Nursing Center Laurel Mesa Health Care Ctr aka East Valley Medical & Rehab. Center Life Care Center at South Mountain Life Care Center of North Glendale Life Care Center of Scottsdale Life Care Center of Tucson Marriott's Forum Pueblo Norte Mi Casa Nursing Center Mountain View Care Center Mountain View Manor Northern Cochise Nursing Home Payson Care Center Phoenix Mountain Nursing Center Plaza Del Rio Care Center Prescott Samaritan Village Prescott Valley Samaritan Center Quiburi Mission Ridgecrest Health Care, FKA Grancare Medical Center of Paradise Valley Safford Care Center: Infinia Scottsdale Heritage Court SilverRidge Village Southern Arizona Veteran's Administration Medical Center Springdale Village CNA Training Program Sun Grove Village Care Center The Peaks Village Green Healthcare Center Westview Manor Apache Junction Phoenix Phoenix Scottsdale Phoenix Phoenix Scottsdale Tucson Chandler Phoenix Mesa Mesa Chandler Tucson Tucson Mesa Kingman Laveen Peoria Tucson Lake Havasu Glendale Camp Verde Flagstaff Sedona Phoenix Tucson Tucson Lake Havasu City Mesa Mesa (480) 983-0700 (602) 954-9178 (602) 995-2611 (480) 860-1766 (602) 870-6060 (602) 944-1574 (480) 994-1333 (520) 795-9574 (480) 899-6717 (602) 861-3241 (480) 832-3903 (480) 832-5555 (480) 899-0641 (520) 297-8311 (520) 296-6181 (480) 832-8333 (928) 719-0718 (520) 430-3813 (623) 875-0100 (520) 881-2323 (928) 453-1500 (623) 842-4025 (928) 567-5253 (928) 779-6931 (928) 284-1000 (602) 956-3110 (520) 797-1191 (520) 294-0005 (928) 505-5552 (480) 832-5160 (480) 833-4226 Hospital Pima Community College @ Holy Cross Hospital Independent Academy for Caregiving - Chapter Classroom American Red Cross Academy for Caregiving @ East Valley Service Center American Red Cross Academy for Caregiving @ Goodwill Industries American Red Cross Academy for Caregiving @ Humanities & Science Academy for Caregiving @ Pioneer Home Prescott Academy for Caregiving at East Mesa Care Center American Red Cross Academy for Caregiving at Sun Health Banker's NA Program at Desert Highlands Caring Connection, The Direct Care Giver Association Dynamic Registry Nursing Assistant Program Fred G. Acosta Job Corps Horizon Health Care Inst @ Wickenburg Regional Med Center - Wickenburg AZ Horizon Health Care Inst. @ Las Fuentes Care Center, Prescott Horizon Health Care Institute Horizon Health Care AZ Pioneer Home Horizon Health Care Inst. @ Infinia of Douglas Phoenix Shanti Group Referral for Senior Adult Assistance Reflections Behavior Health Saunders Assoc. @ Chinle Nursing Home The Caring Connection PRECEPTOR COURSE The River CNA Program @ Silver Ridge Village Tuba City Regional Health Care NA Program Yuma Private Industry Council Palm View Rehab & Care Center Yuma Private Industry Council @ Life Care Center Yuma Private Industry Council at La Mesa Rehabilitation and Care Center Yuma Private Industry Council at Yuma Nursing Center School Arizona Institute of Business and Technology - Intl. Institute of Americas Arizona Western College AWC Nursing Assistant at La Paz Buckeye Union High School CNA Training Program Cactus High School, CNA Program Centennial High School Central Arizona College - Signal Peak Campus Central Arizona College - Signal Peak Campus/NUR121 Central Arizona College @ Casa Grand UHS Central Arizona College @ Santa Cruz High School Central Arizona College Aravaipa Campus Central Arizona College Superstition Mtn Campus Cochise College @ St. David High School Cochise College Douglas Cochise College, Nur 122 Cochise College/Benson Outreach Cochise College-Douglas Outreach Program Tucson (520) 206-5140
Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Kingman Amado Tucson Glendale Tucson Sierra Vista Sierra Vista Sierra Vista Sierra Vista Sierra Vista Phoenix Mesa Tucson Chinle AMADO Bull Head Tuba City Yuma Yuma Yuma Yuma Phoenix Yuma Parker Buckeye Glendale Peoria Apache Junction Apache Junction Apache Junction Apache Junction Apache Junction Apache Junction Douglas Douglas Douglas, Benson Sierra Vista
(602) 336-6660 (602) 336-6660 (602) 336-6600 (602) 336-6660 (602) 336-6660 (602) 336-6660 (602) 336-6660 (928) 716-3035 (520) 398-2090 (520) 325-4870 (623) 435-9000 (520) 792-3015 (520) 417-2955 (520) 417-2955 (520) 417-2955 (520) 417-2955 (520) 417-2955 (602) 279-0008 (480) 835-7679 (520) 297-3872 (920) 739-4653 (520) 398-2090 (928) 763-1404 (928) 283-2524 (520) 344-5529 (520) 329-0990 (520) 329-0990 (520) 329-0990 (623) 849-8208 (928) 726-1000 (623) 386-9719 (623) 412-5000 (623) 412-4445 (480) 288-4017 (480) 228-4017 (480) 288-4017 (480) 288-4017 (480) 288-4017 (480) 288-4404 (520) 417-4016 (520) 364-7943 (520) 417-4016 (800) 966-7943 (520) 364-7943
Phoenix Glendale Scottsdale Tucson Scottsdale Mesa Tucson Prescott Wilcox Payson Phoenix Peoria Prescott Prescott Valley Benson Phoenix
(602) 243-2780 (602) 843-8433 (480) 860-6396 (520) 575-0900 (480) 948-5800 (480) 981-0687 (520) 797-2600 (928) 778-4837 (520) 384-3541 (520) 474-6896 (602) 996-5200 (623) 933-7722 (928) 778-2450 (928) 775-0045 (520) 586-2372 (602) 482-6671
Safford Scottsdale Bullhead City Tucson Mesa Peoria Flagstaff Phoenix Sun City
(520) 428-4910 (480) 949-5400 (928) 763-1404 (520) 629-6787 (480) 981-8844 (623) 566-0642 (928) 774-7160 (602) 264-5274 (623) 933-0022
Programs, cont. on pg. 29
M AY, J U N E , J U LY 2003 MA
Programs, cont. from pg. 28
Cochise College-Sierra Vista Coconino Community College Coconino Community College/Page Coconino High School College America CNA Program Cortez High School Glendale District Dysart High School Dysart HS @ Southwest Skill Center East Valley Institute of Technology Eastern Arizona College - Thatcher Flagstaff High School Gateway Community College Gila County Community College Dist. - Globe Gila County Community College Dist. - Rim Country Glendale Community College Globe High School Lamson College Maricopa Skill Center Mesa Community College Mesa Community College/Boswell Metro Tech Miami High School Mingus Union High School Mohave Community College - North Campus Mohave Community College-Bullhead City Mohave Community College-Kingman Mohave Community College-LHC Northern Pioneer College NAT 101 White Mountain Campus High School Northern Pioneer College NAT 101 WMC
A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 29 GE
8 Week Course Northland Pioneer College - Springerville High School Northland Pioneer College, NAT 101 LLC 5 WK Northland Pioneer, Nat 101 Video, Northwest Education Ctr NPC - Hopi Center Page High School Paradise Valley Community College Paradise Valley High School fka Paradise Valley Unified School District Peoria High School, C.N.A. Program Phoenix College Phoenix Job Corps Center Pima Community College CTD @ Tucson Medical Center Pima Community College CTD @ Carondolet Pima Community College/Desert Vista Pima Community College-West-NRS101 Pima Community College-West-NRS104 Pima Medical Institute/Mesa Pimeria Alta Green Valley Precision High School Saguaro High School Scottsdale Community College Southwest Skill Center @ Estrella Mtn. CC Sunnyslope High School and Bryans Extended Care Partnership Thunderbird - Greenway CNA Program Nursing Assistant Program Tucson College Yavapai Community College-Prescott Yavapai Community College-Verde Campus Holbrook Holbrook Holbrook Glendale Holbrook Page Phoenix Phoenix PEORIA Phoenix Phoenix Tucson Tucson Tucson Tucson Tucson Mesa Green Valley, Phoenix, Scottsdale Scottsdale Avondale Phoenix Glendale Tucson Prescott Clarksdale (928) 352-6133 (928) 289-4678 (928) 352-6133 (623) 845-4000 (928) 532-6133 (928) 608-4144 (602) 787-7288 (602) 867-5554 (623) 486-6300 (602) 285-7133 (602) 254-5921 (520) 206-5113 (520) 206-5113 (520) 295-5113 (520) 206-4500 (520) 206-6661 (480) 898-9898 (520) 339-0135 (602) 453-3661 (480) 443-7200 (480) 423-6000 (623) 535-2772 (602) 870-6060 (602) 588-5775 (520) 296-3261 (928) 778-2450 (928) 445-7300
Sierra Vista Flagstaff PAGE Flagstaff Flagstaff Phoenix El Mirage Avondale Mesa Thatcher Flagstaff Phoenix Globe Payson Glendale Globe Scottsdale Phoenix Mesa Sun City Phoenix Miami Cottonwood Colorado City Bullhead City Kingman Lake Havasu City Holbrook Holbrook
(520) 364-7943 (928) 527-1222 (928) 645-3987 (928) 522-6140 (928) 526-0763 (602) 993-6826 (623) 876-7000 (623) 535-2772 (480) 461-4052 (520) 428-8389 (928) 773-8135 (602) 392-5025 (928) 425-8481 (928) 468-8039 (623) 845-3264 (602) 425-3211 (480) 898-7000 (602) 238-4300 (480) 461-7106 (623) 974-7837 (602) 271-2650 (928) 425-3271 (928) 634-7531 (928) 875-2831 (928) 855-7812 (928) 855-7812 (928) 855-7812 (928) 532-6133 (928) 532-1633
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Object Description
| Rating | |
| TITLE | Newsletter / Arizona State Board of Nursing. |
| CREATOR | Arizona. State Board of Nursing. |
| SUBJECT | Arizona. State Board of Nursing--Periodicals; Nursing--Arizona--Periodicals; |
| Browse Topic |
Government and politics Science and technology |
| DESCRIPTION | This title contains one or more publications. Quarterly publication. |
| Language | English |
| Publisher | Arizona. State Board of Nursing. |
| Material Collection |
State Documents |
| Source Identifier | NUR 1.3:N 38 |
| Location | 18671407 |
| REPOSITORY | Arizona State Library, Archives and Public Records--Law and Research Library. |
Description
| TITLE | Arizona State Board of Nursing newsletter: Volume 4, No. 2, May, June, July 2003 |
| DESCRIPTION | 32 pages (PDF version). File size: 1102.312 KB. |
| TYPE | Text |
| Acquisition Note | Publication or link to publication sent to reports@lib.az.us |
| RIGHTS MANAGEMENT | Copyright to this resource is held by the creating agency and is provided here for educational purposes only. It may not be downloaded, reproduced or distributed in any format without written permission of the creating agency. Any attempt to circumvent the access controls placed on this file is a violation of United States and international copyright laws, and is subject to criminal prosecution. |
| DATE ORIGINAL | [2003] |
| Time Period |
2000s (2000-2009) |
| ORIGINAL FORMAT | Born Digital |
| DIGITAL IDENTIFIER | Newsletter%20May%202003.pdf |
| DIGITAL FORMAT | PDF (Portable Document Format) |
| REPOSITORY | Arizona State Library, Archives and Public Records--Law and Research Library. |
| File Size | 1102.312 KB |
| Full Text | STATE BOARD OF NURSING NEWSLETTER QUARTERLY CIRCULATION APPROXIMATELY 74,000 TO ALL RN'S, LPN'S, CNA'S AND STUDENT NURSES IN ARIZONA ARIZONA From the Executive Director by Joey Ridenour, RN, MN In this Newsletter you will find a joint position statement by the Arizona Organization of Nurse Executives and Arizona Nurses Association entitled: "Position StatementState Board of Nursing Reserves and Consolidation of Regulatory Boards." The position statement is dispassionate and factual. Both the Arizona Nurse Executives and Arizona Nurses Association are convinced that the "sweeping of Board Funds" and "consolidation of regulatory boards" is not in the best interest of the state. We all recognize the fiscal difficulties of the State of Arizona, and as a result, are open to alternative solutions. If you would like additional information on these issues, please let us know. If you have an opinion about the position statement, we respectfully request you contact those that may influence decisions on both the "sweeping of the fund balance" and the "consolidation of the regulatory boards." On-Line Verification Now Available Arizona State Board of Nursing (ASBN) is pleased to announce the implementation of ON-LINE VERIFICATION. To verify RN/LPN/CNA licensure or certification online, follow the instructions below: 1. e-mail To: verify@azbn.org 2. Leave the Subject line blank 3. List all the RN/LPN/CNA numbers OR the Social Security# (do not use hyphens in ss#) Examples: License or Certificate numbers RN +6 or 9 digits LP + 6 digits CNA + 9 digits Social Security Number 111223333 4. Do not type statements or comments; type only license, certificate or social security numbers. 5. You may verify as many individuals as you like. Results will be returned quickly and will give you the following information: Name of the licensee or certificate holder License, or certificate number Renewal date Date license or certificate was originally issued on The status of the license or certificate Whether or not the individual has been fingerprinted by ASBN Whether or not the nurse has Multi-State privileges If you have questions or experience problems please call 602.331.8111. PRESORTED STANDARD MAIL U.S. POSTAGE PAID Grundy Center, IA 50638 Permit No. 18 The Official Publication of the Arizona State Board of Nursing 1651 East Morten Avenue, Suite 210, Phoenix, Arizona 85020-4316 Volume 4, No. 2 May, June, July 2003 Arizona Organization of Nurse Executives and Arizona Nurse's Association Arizona Organization of Nurse Executives Position Statement Regarding the Arizona State Board of Nursing Reserves and Consolidation of Regulatory Boards Summary: The Arizona Nurses Association and the Arizona Organization of Nurse Executives oppose the sweeping of the fund balance / reserves of the Arizona State Board of Nursing. Although opposed, these associations recognize the fiscal difficulties of the State of Arizona, and as a result, are open to alternative solutions, which ultimately reserve the long-term integrity of the fund balance. In addition, the Arizona Nurses Association and the Arizona Organization of Nurse Executives oppose consolidating the regulatory boards. Both the Joint Legislative Budget Committee and Governor's Office of Strategic Budgeting & Planning recommendations would negatively impact the Board of Nursing's ability to protect the public as well as increase fees for licensees. Sweeping the fund reserves from licensing fees from RNs and LPNs will result in the regulated population paying more into the general fund than others who are not regulated. In essence, the tax burden for nurses will be disproportionately higher than that of the general population. In addition, sweeping of the reserves is estimated to result in an increase in licensing fees in order to pay for the expenses of licensing and disciplining those who may be a threat to the public as early as July 2004. Furthermore, consolidation of regulatory board operations has not resulted in promised economies of scale (Report on Texas Health Regulatory Programs, 2000). Larger consolidated boards are associated with more management levels and increased bureaucracy. In addition, other states' experiences with umbrella or consolidated board have shown an increase in the time to process investigations and a reduction in disciplinary actions per licensee. Without sufficient funds to support the Board of Nursing activities, processing of applications and investigations will be slowed. In the midst of a shortage, new nurses applications will not be processed in a timely manner. In addition, slowed investigations can increase harm to the public. Background/Rationale: Health care regulatory agencies are in a unique position regarding the budget deficit facing Arizona. Revenue for the Board of Nursing comes from persons who pay a licensing fee, not from taxpayer contributions, in order to maintain the functions of the regulatory board to protect the public from unsafe or incompetent nurses and certified nursing assistants. As a 90/10 Agency, 90% of the revenue is used for operating expenses and l0% or approximately $500,000 a year is deposited in the general fund. Additionally, approximately $300,000 a year is paid for the services of the Attorney General and Human Resources. As is true with other health regulatory agencies and businesses, the Board of Nursing reserves a fund balance to cover expenses for 6-12 months in the future. Approximately 70% of the annual expenditures of the Board of Nursing, or $2,577,355, are for investigations, monitoring those on probation and hearings regarding allegations or determinations of violations of the Nurse Practice Act. During the past two years the Board has reviewed approximately actions 150 cases per month. The Board of Nursing licenses approximately 52,000 Registered Nurses, 10,000 Licensed Practical Nurses and certifies approximately 20,000 Certified Nursing Assistants for a total of 82,000 individuals. During the past two years, the Board has reviewed approximately actions 150 cases per month. Since fiscal year 2001: investigations have resulted in 429 applicants being denied licensure/certification, mostly due to past criminal histories that were determined to have high risk or harmful behaviors that put the public at risk. approximately 575 individuals have been revoked for voluntarily surrendered their license or certificate due to felony convictions, drug abuse, unsafe practice or unprofessional conduct which puts the public at risk or resulted in high harm with negative patient outcomes including deaths. According to research, independent boards have definite advantages in public protection over centralized boards including: administrative efficiency due to fewer management levels versus those created in centralized agencies less bureaucracy for the public to deal with ability to hire staff at the appropriate level and salary increased ownership for regulatory outcomes increased ability to make decisions without political pressure from the agency better control by the legislative check s and balances greater control over allocation of funds and reduced potential for subsidizing other regulated professions reduced cost and cycle times in completing investigations as cases do not have to compete for the investigator's limited times would be the case if investigating cased from may different agencies Index: Advisory Opinions ............................5 Advanced Practice Corner..............11 Education Corner ............................12 NCLEX ................................................13 Nurse Imposter Case Studies ........16 Disciplinary Action ..........................20 Regulation Rundown ......................27 Nursing Assistant Program List....28 PAGE 2 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA GOVERNOR The Honorable Janet Napolitano BOARD MEMBERS Kathy Malloch, PhD, MBA, RN President Ruth Eskesen, PhD, RN Vice President Barbara O'Connor, LPN Secretary Trista Campbell, RN, BSN Member Marla Embry, RN, BSN, MA Member Alice Gagnaire, RN, MSHA Member Gregory Y. Harris, Public Member Public Member Lisa Hyatt, LPN Member Beverly Ogden, Public Member Public Member M AY, J U N E , J U LY 2003 BOARD OF NURSING CONTACT NUMBERS MAIN LINE: FAX: e-MAIL: HOME PAGE: (602) 331-8111 (602) 906-9365 arizona@azbn.org http://www.azboardofnursing.org Executive Director Associate Director - Operations Associate Director/Nursing Practice Administrative Assistant to the Executive Director Legal Secretary to the Associate Directors 602-331-8111 x125 602-331-8111 x143 602-331-8111 x145 602-331-8111 x168 602-331-8111 x166 602-331-8111 x138 602-331-8111 x123 602-331-8111 x148 602-331-8111 x139 602-331-8111 x133 602-331-8111 x192 602-331-8111 x130 602-331-8111 x126 602-331-8111 x132 jridenour@azbn.org jbontrager@azbn.org vsmith@azbn.org lwiemann@azbn.org lmoran@azbn.org preeder@azbn.org dhurtado@azbn.org ozuniga@azbn.org prandolph@azbn.org mfountain@azbn.org dserra@azbn.org nsalter@azbn.org sbarber@azbn.org vdriver@azbn.org ADMINISTRATION Joey Ridenour RN, MN Judy Bontrager RN, MN Valerie Smith RN, MS Lila Wiemann Louise Moran CHEMICAL DEPENDENCE / CANDO Patricia Reeder RN, MS, Ed.S. Nurse Consultant-CANDO Dolores Hurtado Legal Secretary - Monitoring & CANDO Olga Zuniga Administrative Secretary - Monitoring & CANDO EDUCATION Pamela Randolph RN, MS, CPNP Meredith Fountain FISCAL SERVICES Diane Serra Norma Salter HEARING Susan Barber RN, MSN Vicky Driver INVESTIGATIONS Nurse Practice Consultants Betty Nelson RN, MS Jeanine Sage RN, MSN Karen Grady MS, RN, FNP, BC Mary Rappoport RN, MN Nancy "Nan" Twigg RN, MS Pat Midkiff, RN, MN Sister Rachel Torrez RN, MS Suanne Smith RN, MS Sydney Munger RN, MS Senior Investigators James (Jim) Ball Jeanne Bauer Lorraine Brown Pat Pavlina, RN, BS Vicki Johansen Legal Assistants Kirk Olson Melissa Vannier Raymond Peltier Vikki Cervantes Legal Secretaries Barbara Jones Becky Loar Dorothy Lindsey Esther Garcia Shirley North Thereasa Berry INFORMATION TECHNOLOGY Loren B. Cobb Cory Davitt LICENSING Becky Aranyos Brent Sutter Donna Frye Heather Aranyos Lorraine Silas Rhonda Rogers Yvonne Godinez MAILROOM Josie Johnson Rita Kelly-Sierra MONITORING Stephanie Nelson RN, MS Dolores Hurtado RECEPTIONISTS Athena Sanchez Jennifer Butler Cristina Oates-Lopez RECORDS Charlotte Seechoma Consultant, Educational Programs RN/LPN/CNA Administrative Assistant-Education Business Manager Accounting Technician Nurse Practice Consultant-Hearing Department Adm. Asst./Hearing Department CNA CNA Advanced Practice/RN/LPN RN/LPN RN/LPN/Southern AZ RN/LPN RN/LPN RN/LPN Applicants RN/LPN RN/LPN CNA RN/LPN CNA CNA CNA CNA CNA CNA Board Minutes CNA Investigations CNA Investigations CNA Investigations RN/LPN/AP Investigations New Complaints/CNA Investigations Information Services Director Network Administrator RN/LPN Exam RN/LPN Renewals Advanced Practice School Nurses CNA Exam/Endorsements RN/LPN Endorsements CNA-Renewals CNA Exam/Endorsements Mail Room Mail Room Nurse Consultant Monitoring Legal Secretary - Monitoring Receptionist Receptionist Receptionist Records Room 602-331-8111 x116 602-331-8111 x127 602-331-8111 x190 602-331-8111 x226 520-615-4945 602-331-8111 x119 602-331-8111 x141 602-331-8111 x114 602-331-8111 x149 602-331-8111 x196 602-331-8111 x191 602-331-8111 x227 602-331-8111 x153 602-331-8111 x151 602-331-8111 x115 602-331-8111 x117 602-331-8111 x250 602-331-8111 x150 602-331-8111 x140 602-331-8111 x146 602-331-8111 x225 602-331-8111 x146 602-331-8111 x193 602-331-8111 x122 602 367-6743 (602) 331-8111 x173 602-331-8111 x142 602-331-8111 x129 602-331-8111 x188 602-331-8111 x154 602-331-8111 x167 602-331-8111 x121 602-331-8111 x195 602-331-8111 x177 602-331-8111 x147 602-331-8111 x135 602-331-8111 x123 602-331-8111 x144 602-331-8111 x144 602-331-8111 x144 602-331-8111 x194 602-331-8111 x156 bnelson@azbn.org jsage@azbn.org kgrady@azbn.org mrappoport@azbn.org ntwigg@azbn.org pmidkiff@azbn.org srachel@azbn.org ssmith@azbn.org smunger@azbn.org jball@azbn.org jbauer@azbn.org lbrown@azbn.org ppavlina@azbn.org vjohansen@azbn.org kolson@azbn.org mvannier@azbn.org rpeltier@azbn.org vcervantes@azbn.org bjones@azbn.org bloar@azbn.org dlindsey@azbn.org egarcia@azbn.org snorth@azbn.org tberry@azbn.org lcobb@azbn.org cdavitt@azbn.org baranyos@azbn.org bsutter@azbn.org dfrye@azbn.org haranyon@azbn.org lsila@azbn.org rrogers@azbn.org ygodinez@azbn.org jjohnson@azbn.org rkelly@azbn.org snelson@azbn.org dhurtado@azbn.org asanchez@azbn.org jbutler@azbn.org coates-lopez@azbn.org cseechoma@azbn.org arizona@azbn.org ADDRESS CHANGE AND APPLICATION REQUESTS Receptionist M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 3 GE PAGE 4 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Arizona Organization of Nurse Executives and Arizona Nurse's Association Facts on State Board of Nursing Reserves: Revenue for the Board of Nursing comes from persons who pay a licensing fee, not from taxpayer contributions. As a 90/10 Agency, 90% of the revenue is used for operating expenses and l0% or approximately $500,000 a year is deposited in the general fund. Additionally, approximately $300,000 a year is paid for the services of the Attorney General and Human Resources. As a result, over $800,000 a year from licensing fees is deposited into the General Fund. As is true with other health regulatory agencies and businesses, the Board of Nursing reserves a fund balance to cover expenses for 6-12 months in the future. Approximately 70% of the annual expenditures of the Board of Nursing is for investigations, monitoring those on probation and hearings regarding allegations, or determinations of violations of the Nurse Practice Act. Approximately 30% of the Board's remaining expenditures are for licensing and other operating expenses. The Board of Nursing licenses approximately 52,000 Registered Nurses, 10,000 Licensed Practical Nurses and certifies approximately 20,000 Certified Nursing Assistants for a total of 82,000 individuals. During the past two years the Board has reviewed approximately actions 150 cases per month. Since fiscal year 2001: o investigations have resulted in 429 applicants being denied licensure/certification, mostly due to past criminal histories that were determined to have high risk or harmful behaviors that put the public at risk. o approximately 575 individuals have been revoked for voluntarily surrendered their license or certificate due to felony convictions, drug abuse, unsafe practice or unprofessional conduct which puts the public at risk or resulted in high harm with negative patient outcomes including deaths. If the reserves were swept as proposed, in FY 2004 there would be a deficit in the fund balance. Depletion of the fund balance is estimated to increase the licensing fees as early as July 2004 in order to pay for the expenses of licensing and disciplining those who may be a threat to the public. Facts on Regulatory Board Consolidation: Consolidation of regulatory boards may not result in the anticipated benefits. Consolidated boards may loose administrative efficiency by requiring more levels of management than those of centralized boards. This also increases the bureaucracy for the public to encounter. Independent boards appear to resolve two times the number of investigative cases on a timelier basis as well as take more total disciplinary actions per licensee than boards that are subordinate to centralized agencies. The costs and cycle times in investigations are reduced in independent boards. Cases do not have to compete for the investigators' limited time as would be the case if investigating cases from many different agencies. M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 5 GE Advisory Opinion Prehospital Nursing DATE APPROVED: 9/88 REVISED DATE: 1/91, 7/95, 01/02, 3/03 The Pre-hospital nurse provides care in first responder and interfacility transport situations which are under the aegis of the Emergency Medical System and a base hospital/physician. It is within the Scope of Practice of a Registered Nurse (RN) to function within the pre-hospital environment if the following requirements are met: I. General Requirements A. Written policy and procedures and contracts between the base hospital/physician and the employer are maintained by the employer/agency. B. Only RNs who have satisfactorily completed an instructional program and have had supervised clinical practice are allowed to practice in a prehospital setting. C. Documentation of satisfactory completion of the instructional program, supervised clinical practice, and clinical competency verification is on file with the employer. D. The pre-hospital nurse provides nursing care, and functions under the direction of an administrative base hospital/medical physician through policies, procedures, medical protocols and/or standing orders to maintain appropriate and effective levels of care for the patient. II. The education and training of an RN in the prehospital environment goes beyond the knowledge base of the emergency medical technician (EMT), intermediate emergency medical technician (IEMT), and certified emergency paramedic (CEP). A pre-hospital nurse curriculum builds on general nursing knowledge and experience and proceeds with further specialized knowledge, skills, qualifications, and clinical competencies in specific areas. The Board of Nursing and Department of Health Services recognize the following guideline for obtaining the knowledge and training for pre-hospital nursing. The educational curriculum is administered or obtained through an education department or entity and is taught by qualified instructors. The Course of Instruction is to include but not be limited to: A. Anatomy and physiology of medical disease and trauma processes of body systems. B. Assessment treatment and evaluation of interventions. C. Procedures for initiation of or provision of additional life support therapies or interventions. D. Documentation. E. Pharmacology. F. Extrication techniques. G. Invasive/non-invasive techniques and interventions. H. Field radio and telemetry communication. I. Scene Control and safety guidelines. J. Patient stabilization procedures. K. Transportation of patients. L. Triage and disaster management. M. Agencies, law and rules governing the pre-hospital environment. N. Hazardous materials/hazardous conditions. O. Infection control guidelines. P. Use of specialized equipment for the transport environment. Q. Nursing Care responsibilities. RATIONALE Registered Nurses generally are not (may or may not be) certified as emergency medical technicians or paramedics but are otherwise qualified through educational preparation, experience and clinical competence to practice in this arena. These nurses have acquired training and skill in such areas as caring for unstable neonates, high risk obstetrical patients, seriously ill and injured adults and children having potential life threatening conditions. This practice is within the scope of a Registered Nurse. REFERENCES Cummings, R. O. (Ed.) (2001) Advanced cardiac life support provider manual. Dallas: American Heart Association. Chameides L., & Hazinski M.F. (Eds.) (1997) Pediatric advanced life support. Dallas: American Heart Association. Emergency Nurses Association (1995). National standard guidelines for prehospital nursing curriculum. Park Ridge, IL: Author. Emergency Nurses Association/National Flight Nurses Association (1998). Role of the registered nurse in the prehospital environment: Position statement. Des Plaines, IL: Author. Emergency Nurses Association (2000). Trauma nursing core course (provider) manual (5th Ed.). Des Plaines, IL: Author. Semonin-Holleran, R. (1994). Prehospital nursing. St. Louis, MO: Mosby Yearbook. Semonin-Holleran, R. (1996). Flight nursing: Principles & practices. (2nd Ed.). St. Louis, MO: Mosby. Kentucky State Board of Nursing, 312 Wittington Parkway, Suite 300, Louisville, Kentucky PAGE 6 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Advisory Opinion Apheresis in the Out-patient Setting DATE APPROVED: 03/03 It is within the Scope of Practice for a Licensed Practical Nurse (LPN) to perform Apheresis in an outpatient setting if the following criteria are met The role of the LPN in Apheresis is a role delegated by the Registered Nurse (RN) I. General Requirements A. The LPN functions under the supervision of an RN who is physically present in the facility. B. The LPN has successfully completed an organized program of study on Apheresis, including didactic and supervised clinical practice. C. The LPN has successfully completed an instructional program on intravenous therapy and medication skills (either in their AZ LPN core curriculum or at an organized course of instruction). D. Documentation of satisfactory completion of the instructional programs and supervised practice is on file with the employer. E. Documentation of annual reviews of competency, including the methods used for conducting outcome reviews. II. The following competencies are within the Scope of Practice of the Licensed Practical Nurse: A. Administration of a topical anesthetic for the purpose of providing client comfort while initiating IV access. B. Initiation of the Apheresis procedure. C. Inspection and evaluation of the access site D. Performing vascular access site care. E. Monitoring and recording the Apheresis procedure. F. Observation of changes in the client's status. G. Reporting findings to the RN. H. Adjusting the Apheresis procedure according to the client's needs, at the direction of the physician. I. Monitoring anticoagulation medication associated with the Apheresis procedure. J. Flushing of central venous ports and alteration of fluid rates as ordered. K. Discontinuing the Apheresis procedure. Rationale To provide: (1) guidelines for practice changes related to the LPN working in the outpatient facility and , (2) protection of the public. References 2001, Fresenius HemoCare, Inc. AS104 Therapeutic Plasma Exchange Training Manual. www.gambrobct.com Epidural Analgesia by Nurse Anesthetist DATE APPROVED: 01/03 It is within the scope of practice of a Nurse Anesthetist to provide epidural analgesia without the presence of a physician. If anesthesia is to be administered through the epidural, physician presence is required per A.R.S. 321661. GENERAL REQUIREMENTS The Nurse Anesthetist must meet the educational requirements of A.R.S. 32-1661 (A), completion of a nationally accredited program in the science of anesthesia. Rationale Nurse Anesthetists are qualified to provide epidural analgesia. There is a clinical distinction between the administration of epidural analgesia and epidural anesthesia. Because A.R.S. 32-1661 requires physician presence during the administration of anesthesia, and not analgesia, physician presence is not required for a Nurse Anesthetist to administer epidural analgesia. References Qualifications and Capabilities of the Certified Registered Nurse Anesthetist, American Association of Nurse Anesthetists, 1999. Scope and Standards for Nurse Anesthesia Practice, American Association of Nurse Anesthetists, 1996. A.R.S. 32-1661 A.A.C. R4-19-513 M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 7 GE Advisory Opinion Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block DATE APPROVED: 01/03 Registered nurses who do not meet the educational requirements of A.R.S. 32-1661, completion of a nationally accredited program in the science of anesthesia, may assist a licensed provider by administering anesthetic agents in situations where the licensed provider is present but unable to personally inject the anesthetic agent because the provider is performing these critical tasks for the patient: airway management or placement of a peripheral nerve block requiring the use of both hands. For the administration of sedation, see Conscious Sedation For Diagnostic And Therapeutic Procedures and Deep Sedation. GENERAL REQUIREMENTS 1. A written policy and procedure is maintained by the employer. The written policy and procedure shall specify the required emergency equipment and medications that must be immediately available to the patient receiving any medication classified as an anesthetic agent. This shall include any and all emergency equipment and medication required to regain and /or maintain the patient's cardiac and respiratory state. These policies and procedures are readily available within the unit where the activity shall occur. 2. The registered nurse is required to have the same knowledge base for the anesthetic agents administered as for any other medication that the registered nurse administers. This knowledge base includes, but is not limited to: A. Assessment and monitoring of the patient receiving the medication. B. Dosing, effects, side effects, and contraindications for each drug to be administered. C. Potential complications of each drug and/or combination of drugs. D. Recognizing emergency situations and instituting appropriate nursing interventions. RATIONALE Anesthetic agents are commonly used to facilitate emergent intubation. To require the licensed provider who is managing the patient's airway to leave the airway in order to administer the anesthetic agent compromises patient safety. Similarly, placement of certain types of peripheral nerve blocks may require both hands of the provider to place the needle and keep it in place. To require the provider to use one of their hands to administer the anesthetic agent could again compromise the safety of the patient. Per A.R.S. 32-1601 (13) (m), it is within the scope of practice of the registered nurse to perform additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a professional nurse. A survey of state boards of nursing reflected that assisting licensed providers with anesthetic agent administration was accepted practice for registered nurses in 16 of 22 states who responded to the survey. REFERENCES Registered Nurse Administration of Medications Classified as Anesthetic Agents, Declaratory Ruling 20021, Maryland Board of Nursing, 2002. Advisory Opinion #27, South Carolina Board of Nursing, 2002. Role of RN Administering IV Push Medications during Rapid Sequence Intubation, Declaratory Ruling, Wyoming State Board of Nursing, 2002. Advisory Ruling/Injection of Anesthetic Agents to Produce Anesthesia Following Placement of the Needle by the Physician, Maine State Board of Nursing, 1993. A.R.S. 32-1661 A.R.S. 32-1601(13)(m) PAGE 8 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Advisory Opinion Intrauterine Pressure Catheters DATE APPROVED: 11/02 REVISED DATE: 3/03 It is NOT within the scope of practice for a Registered Nurse to insert an intrauterine pressure catheter. Rationale: During the process of insertion, the catheter could perforate the placenta or the uterus, both of which are lifethreatening situations. References: Arkansas State Board of Nursing South Dakota State Board of Nursing Nebraska State Board of Nursing Virginia State Board of Nursing The Role of the Registered Nurse in Assessing Patient/Client Conditions DATE APPROVED: 4/99 REVISED DATE: 02/02, 3/03 It is within the Scope of Practice for a Registered Nurse (RN) to*: (1.) assess patients, recognize the potential for, or existence or absence of an immediate life threatening condition or active labor: (2.) initiate appropriate nursing intervention and care; (3.) report findings to an appropriately licensed individual; and (4.)pursuant to orders, when such orders are required, implement care, treatments, medication administration, and either discharge the patient or perform ongoing assessment for either stabilization and/or transfer of the patient if the following requirements are met: General Requirements A. Written policy, procedures and protocols regarding the RN's responsibilities in assessing patient conditions including the potential for or existence of an immediate life threatening condition and instituting appropriate nursing actions are developed and maintained by the agency/employer. B. Only RNs who have satisfactorily demonstrated competency in the area of practice in the clinical setting are allowed to perform such functions. These competencies include but are not limited to: knowledge of anatomy and physiology pertinent to the area of practice in the clinical setting, knowledge of indications of clinical conditions specific to the area of clinical expertise that have potential for or presence of actual life threatening condition, knowledge of parameters for assessing patient conditions and the presence of potential or existent life threatening conditions, knowledge of nursing interventions pertinent to clinical conditions of the area of clinical practice, and knowledge of parameters for reporting the findings of assessments and findings of life threatening conditions. C. Documentation of supervised clinical practice and competency is on file with the agency/employer. *While this Advisory Opinion is not limited to any particular nursing service, setting or specialty, examples of the types of assessments that RN's may perform include: Assessment of the presence or absence of labor including fetal heart tones, the regularity and duration of uterine contractions, cervical dilation and effacement, fetal station, and status of uterine membranes, i.e. ruptured, or intact. Assessment of risk of suicide or homicide, disorientation, and risk of assaultive behavior to self or others. Rationale: To ensure consistency and competency in performing physical assessments. Reference: Techiniques in Clinical Nursing, Addison Wesley, 1999 The Lippincott Manual of Nursing Practice, Seventh Edition, 2000 M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 9 GE Advisory Opinion Conscious Sedation for Diagnostic and Therapeutic Procedures DATE APPROVED: 7/90 REVISED DATE: 7/91, 4/96, 10/97, 2/01, 3/01, 6/01, 1/03 For the purposes of this advisory opinion, conscious sedation is defined as follows: Conscious sedation: a medically controlled state of depressed consciousness, induced to allow the patient to tolerate procedures, that (1) allows protective reflexes and cardiovascular function to be maintained; (2) retains the patient's ability to maintain a patent airway independently and continuously; and (3) permits appropriate response by the patient to tactile stimulation or verbal command, eg., "open your eyes." It is within the Scope of Practice of a Registered Nurse to administer medications* to provide conscious sedation for the purposes of diagnostic or therapeutic procedures. To provide conscious sedation, the following criteria must be met: I. General Requirements A. A written policy and procedure is maintained by the employer. 1. Administration of medications must be ordered by a provider licensed in this state to prescribe such medications. The licensed provider responsible for the treatment of the patient and/or prescription of drugs for sedation must be competent to use such techniques, to provide the level of monitoring provided in these requirements, and to manage complications of these techniques. The licensed provider responsible for the treatment of the patient and/or prescription of drugs for sedation must be present in the room from the time the medication is initiated through the completion of the procedure, and must be readily available in the facility to assume care of the patient during the post-procedure period. 2. The employer has identified medications allowed for conscious sedation, preferably by an interdisciplinary committee, including nurses. 3. A pre-sedation health assessment must be performed for each patient by a licensed provider and the administering registered nurse to determine that the patient is an appropriate candidate for conscious sedation. The health assessment should include, but is not limited to, age and weight, health history, focused physical examination including vital signs, auscultation of the heart and lungs, evaluation of the airway, physical status evaluation, and any necessary pre-procedure laboratory testing. Each patient is reevaluated immediately prior to conscious sedation. 4. Monitoring of the patient's electrocardiogram, oxygenation, blood pressure, and ventilation are maintained throughout the procedure and recovery. 5. For patients who receive IV medications, patent intravenous access is maintained from the beginning of IV medication administration until the patient meets discharge criteria. For patients receiving oral sedative medication, for conscious sedation, an open IV line is optional. 6. The licensed provider who uses sedation and the administering registered nurse must have immediately available the facilities, personnel, and equipment to manage emergency situations. Provisions for maintaining and suctioning the airway, for administering oxygen and Cardio-pulmonary resuscitation are available. A protocol for access to back-up emergency services shall be clearly identified, with an outline of the procedures necessary for immediate use. For non-hospital facilities, an emergency assist system and ready access to ambulance service should be established. 7. During induction and administration of conscious sedation, the registered nurse responsible for monitoring the patient's airway and level of consciousness may not leave the patient unattended or engage in other tasks that compromise continuous monitoring. 8. There shall be sufficient numbers of personnel to do the procedure and monitor the patient. B. The registered nurse administering the medication and/or monitoring the patient receiving the medication shall have successfully completed an instructional program and supervised clinical practice, and shall have documented evidence of course completion in Advanced Cardiac Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation Program or a substantially equivalent educational program. C. Documentation of satisfactory completion of the instructional program, supervised clinical practice, current competency, and ACLS/PALS/NRP or equivalent program is on file with the employer. II. Course of Instruction is to include, but not be limited to: A. Anatomy and physiology of the respiratory and central nervous system. Physiology of the four levels of sedation and anesthesia; including minimal sedation, moderate sedation, deep sedation and anesthesia. B. Indications and contraindications to conscious sedation. C. Potential adverse reactions of conscious sedation. D. Specific considerations, including but not limited to: 1. Pharmacologic properties of each of the allowable drugs. 2. Airway management to include oxygen delivery, transport, and uptake, and an understanding of oxygen delivery devices. 3. Emergency management. 4. Use of monitoring devices. 5. Techniques of administration and termination of drugs. 6. Assessment of level of consciousness and physiological response to the drug. 7. Cardiac arrhythmia recognition. E. Nursing care responsibilities, including but not limited to, assessment, monitoring, and documentation. III. In addition to medications that meet the requirements for conscious sedation, the registered nurse may also administer dissociative agents (such as Ketamine Hydrochloride) in accordance with the provisions of I and II of this Advisory Opinion. *Medications may include those classified as anesthetic agents, but are not to be administered to provide anesthesia as in A.R.S. 32-1661, except as provided in the Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block Advisory Opinion, or to provide deep sedation except as provided in the Deep Sedation Advisory Opinion. References: 1. Standards and Intent for Sedation and Anesthesia Care of the Joint Commission. Revisions to Anesthesia Care Standards Comprehensive Accreditation Manuals for Hospitals, effective January 1, 2001. 2. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists, American Society of Anesthesiology, 1996. 3. Position Statement from the American Association of Nurse Anesthetists Qualified Providers of Conscious Sedation, Revised June, 1996. 4. Considerations for Policy Guidelines for RN's Engaged in the Administration of Conscious Sedation, from American Association of Nurse Anesthetists. Revised June, 1996. 5. Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures (RE9252), American Academy of Pediatrics, June, 1992. 6. Stapczynski Letter/Advisory Opinion on the Administration of Ketamine Hydrochloride, Kentucky Board of Nursing, 2002. 7. Position Statement on the Role of Registered Nurses (RNs) in the Administration of IV Conscious Sedation During Short Term Therapeutic, Diagnostic or Surgical Procedures, Massachusetts Board of Nursing, November, 1999. 8. Endorsement of Position Statement on the Role of the Registered Nurse (RN) in the Management of Patients Receiving IV Conscious Sedation for ShortTerm Therapeutic, Diagnostic, or Surgical Procedures, American Nurses Association, 1991. 9. Conscious Sedation, California Board of Registered Nursing, 1995. PAGE 10 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Advisory Opinion Sheath Removal, Placement of Mechanical Compression Devices & Deployment of Vascular Closure Devices DATE APPROVED: 1/90 REVISED DATE: 7/02, 3/03 It is not within the Scope of Practice for a Registered Nurse to deploy suture mediated closure devices. It is within the Scope of Practice for a Registered Nurse to remove Intravascular (arterial or venous) sheaths and apply manual compression or mechanical c o m p r e s s i o n devices and deploy vascular closure devices for hemastasis, if the following requirements are met: I. General Requirements A. Written policies and procedures are maintained by the agency/employer. B. Physician's order is obtained and a physician is r e a d i l y available to manage complications r e l a t e d to deployment of vascular closure devices. C. Only RNs who have satisfactorily completed an instructional program and have supervised clinical practice with return demonstration are allowed to remove sheaths, apply manual compression or mechanical compression devices and deploy vascular closure devices. D. Documentation of satisfactory completion of an instructional program and supervised clinical practice is on file with the agency/employer. E. A periodic educational/competency validation mechanism is developed, and documentation of the successful demonstration of knowledge, skills, and abilities is on file for each nurse performing the procedures II. Course of instruction which provides didactic and classroom instruction, followed by supervised clinical practice that includes but is not limited to: A. Anatomy and physiology related to femoral artery, vein, nerves and groin area structures. B. Indications and contraindications of compression devices and deployment of vascular closure devices. C. Demonstrated knowledge of potential adverse reactions and management of complications. D. Technique of sheath removal, application of compression devices and deployment of vascular closure devices. E. Sterile technique. F. Cognitive and psychomotor skills necessary to deploy vascular closure devices. G. Legal ramifications of deploying vascular closure device, including the RN's responsibility and liability in the event of untoward reaction or lifethreatening complications. H. Supervised clinical practice with a minimum of six (6) successful deployments, three (3) which will be patients undergoing diagnostic catherizations, and three (3) which will be patients undergoing interventional cardiac procedures while on anticoagulant therapy. I. Nursing care responsibilities Rationale The guiding principle for this opinion is that sheath removal, manual compression, the use of mechanical compression devices, and deployment of vascular closure devices can be safely performed by a registered nurse with specialized training, skills, and knowledge. References A. American Journal of Nursing 1992, 92: 34-37 B. Arkansas State Board of Nursing, January 14, 1999, Little Rock, AR. C. Critical Care Nurse, 16(2): 32-6, 1996, April. D. Kentucky Board of Nursing, Deployment of Extravascular Collagen Plugs by Registered Nurses, Louisville, Kentucky: 1998, April. Opinion statement. E. Kentucky Board of Nursing, Removal of Arterial & Venous Sheaths by Registered Nurses, Louisville, Kentucky: 1992, April. Opinion Statement. F. South Carolina Board of Nursing, September, 2000. Advisory Opinion #38. Supervision of Licensed Practical Nurse by Registered Nurses DATE APPROVED: 12/87 REVISED DATE: 10/06, 2/01, 3/01, 12/02, 3/03 R4-19-101 "Supervision" means the direction, and periodic consultation, provided to an individual to whom a nursing task or patient care activity_ The Registered Nurse (RN) is responsible and accountable for the determination of the type of supervision required of the Licensed Practical Nurse (LPN) for those functions that can be legally performed by the LPN. The LPN is responsible to perform within the LPN scope of practice as defined by ARS 32-1601 (12). When, in the judgment of the RN, the client's state is unstable/unpredictable and rapid change may be anticipated, supervision of the LPN is achieved when the RN is physically present and is able to readily intervene in the care of the client. When, in the judgment of the RN, the client's state is stable/predictable and rapid change is not anticipated, supervision of the LPN under the supervision of a physician or a RN may be achieved without the physical presence of the RN. In this instance, the RN or licensed health care provider must be readily available by telephone/beeper. This does not preclude the fact that the RN is responsible for monitoring the care of all clients. The functions that can be legally performed by the LPN under the supervision of a physician or a RN in accordance with ARS 32-1601 (12) include: a) Contributing to the assessment of the health status of individuals and groups. b) Participating in the development and modification of the strategy of care. c) Implementing aspects of the strategy of care within the nurse's scope of practice. d) Maintaining safe and effective nursing care that is rendered directly or indirectly. e) Participating in the evaluation of responses to interventions. f) Delegating nursing activities within the scope of practice of a practical nurse. g) Performing additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a practical nurse. RATIONALE: To clarify the supervision requirements between RN and LPN. REFERENCE: Arizona Nurse Practice Act: ARS 32-1601 (12) (13). Stress Testing: Pharmacological DATE APPROVED: 7/95 REVISED DATE: 7/02, 3/03 When a physician is present it is within the scope of practice of a Registered Nurse to administer intravenous medications for the purposes of pharmacological cardiac stress testing as an alternative to physical stress testing. Rationale In many patients with coronary artery disease, clinical symptoms may only become evident when the heart is stressed. Reference Critical Care Nursing Diagnosis and Management, Third edition, 1998, pg. 429-430. M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 11 GE Advanced Practice Corner by Karen Grady, MS, RN, FNP, BC Advanced Practice Consultant Advanced Practice Committee Highlights The Advanced Practice Committee held meetings on January 17, 2003 and March 14, 2003. The next Committee meeting is scheduled for Friday, May 9, 2003. The meetings are open to the public and are held at the Board office at 9:30 a.m. on the second Friday of every other month. The Committee is advisory in nature and makes recommendations to the Board regarding advanced practice issues. Membership Committee members are advanced practice nurses who are appointed by the Board for a 2-year term. Reappointments and new appointments to the Committee were made in April 2003. Advanced practice nurses interested in a Committee appointment may submit their curriculum vitae for consideration for future openings. Recent Advisory Opinions The Committee recently completed work on three advisory opinions that were approved by the Board in January: Epidural Analgesia by Nurse Anesthetist; Anesthetic Agents Administered by Registered Nurses for Limited Purposes: Airway Management or Peripheral Nerve Block; and Conscious Sedation for Diagnostic and Therapeutic Procedures. The Advisory Opinions are printed in this newsletter and in addition, may be viewed on our Web site, www.azboardofnursing.org, by selecting Advisory Opinions option on the menu. Current Issues In order to facilitate patient access to health care services that can be provided by nurse practitioners, the Committee is currently drafting an Advisory Opinion that delineates for the public the functions and scope of nurse practitioner practice. Future Topics In future meetings, the Committee will be discussing inconsistencies in state regulations that affect advanced practice, and will be exploring possible solutions. The Committee will also be providing input into the revision of Article 5 of the Nurse Practice Act. If you have any questions about advanced practice or the Committee, please call Karen Grady at (602) 331-8111 ext. 190, or e-mail at kgrady@azbn.org. PAGE 12 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Education Corner by Pamela Randolph RN, MS, CPNP, Nurse Practice Consultant Non Approved Nursing Education Programs It has come to the attention of Board staff that there are educational programs promising persons education in nursing but not approved or accredited by a recognized licensing authority. Two recent examples are: * A distance based nurse assistant course that offers participants a "new career." This course contains no clinical or "hands on" nursing. It contains a statement in small print that the program is only meant to "serve as an introduction or enhancement of the theoretical knowledge and...not intended as a substitute for licensing and/or certification requirements." This program charges $449. * A distance-learning university located in the Caribbean offers education in a variety of fields. The institution is not accredited by an organization recognized by the U.S. Department of Education. An applicant submitted a transcript indicating that a nursing program was completed but the applicant and Board staff were unable to locate an NCLEX code. Calls to the registrar's office, located in a suite in Minnesota, were unanswered. The Minnesota Board denied knowledge of the program and the program's Web site did not indicate that it offered a nursing program. This university charges $500 per semester. Both these applicants did not complete an approved program. The person that graduated from the program located in the Caribbean may be able to qualify as a foreign candidate if he/she can demonstrate meeting criteria for graduates of foreign nursing programs. The nurse assistant applicant does not qualify for certification. Lessons for consumers: When considering a nursing program, ask about accreditation of the parent institution. Most institutions offering nursing programs are regionally accredited by an organization recognized by the U.S. Department of Education. All institutions offering approved programs in Arizona are regionally accredited. Additionally, the nursing program may be nationally accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Ask about approval of the program by the Board of Nursing in the jurisdiction where you are located. A Board of Nursing will generally approve programs in their jurisdiction that lead to licensure in that state without additional education or experience. This approval is generally recognized by other states. If the program is based in another country, graduates must meet the criteria for graduates of foreign nursing programs, even if the education was delivered to the US via distance learning. Ask the program if graduates meet criteria for a Commission on Graduates of Foreign Nursing Schools (CGFNS) Certificate. Contact graduates that were licensed in the U.S. to verify the information. Ask about graduate's success on the licensing exam (NCLEX). Beware of programs that offer no clinical experience or validation of clinical skills. If you are not satisfied with the answers, contact this consultant at 602-331-8111 ext. 139. A list of Arizona based approved program is available on the Board Web site: at www.azboardofnursing.org Exam Committee News The Exam Committee of the National Council of State Boards of Nursing oversees the NCLEX® examination process including item development, examination security, psychometrics, examination administration and quality assurance to ensure consistency with the Member Boards' need for examinations. This consultant has been appointed to a 2-year teem on the committee. There are 10 members of the committee representing Boards of Nursing in Vermont, Pennsylvania, California VN, Nebraska, Arkansas, Louisiana PN, Massachusetts, Florida, Iowa and Arizona. The activities of the Exam Committee this year include: * Reviewing the practice analysis data and making recommendations on changes to the NCLEX test plan * Conducting research on why persons that graduate from a nursing program do not take the exam * Reviewing selected exam items * Reviewing innovative/alternative item formats (see FAQ's on innovative items in this newsletter) * Overseeing the change in test vendor from Chauncey to NCS Pearson * Developing mechanisms to compare the equivalency of NCLEX-RN to the Spanish language Puerto Rican nursing licensure exam * Individual members chair the item review subcommittee Board Actions on Education Programs January 22-24 Board Meeting Approved new C.N.A. program at: Gila County Community College District--Payson Granted approval to Maricopa Community College District Nursing Program for a LPN to A.D. nursing program site at Rio Salado Community College Granted provisional approval to Coconino Community College for a nursing program pending submission of revised level objectives and the names and qualifications of the faculty for the first year of operation at least 45 days before classes are offered. Granted the request by University of Arizona to offer an accelerated partnership program. Tabled request from Mohave Community College to offer a Paramedic to RN program. Granted request by Yavapai College to increase nursing hours. Reviewed investigative report on Northern Arizona University Nursing Program and required the program to submit a quarterly reports with a site visit in September 2003. Reviewed investigative report on SouthWest Skill Center/Estrella Mountain Community College and offered consent agreement for violations of A.R.S. 32-1666(B) and A.A.C. R4-19-207 (D) with terms limiting admissions to the program and requiring reports to the Board. The program signed the agreement. March 5-7 Board meeting Approved new C.N.A. Programs at: College America--Flagstaff Gila County Community College District--Globe Received reports from SouthWest Skill Center/Estrella Mountain Community College and Northern Arizona University Approved level objectives submitted by Coconino Community College M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 13 GE Frequently Asked Questions: Alternative NCLEX® Item Formats The current NCLEX® examination program implemented computer adaptive testing as its administration modality in 1994. As part of the continuous quality improvement of the program, the National Council of State Boards of Nursing, Inc. (NCSBN) continually considers how to best measure entry-level nurse competence. In view of this commitment, the NCSBN is currently developing and researching items using alternative formats. 1. What is an alternative item format? An alternative item format is an examination item that takes advantage of technology and uses a format other than standard, four-option, multiple-choice items to assess candidate ability. Alternative item formats may include multiple-choice items that require a candidate to select more than one response, fill-in-the-blank items, or items asking a candidate to identify an area on a picture or graphic. Any item formats, including standard multiple-choice items, may include charts, tables or graphic images. Figures 1 through 3 represent some of the types of items that will be administered to candidates. Updated information on the NCLEX examination is posted on the NCSBN website ncsbn.org and is presented in the candidate bulletin. 2. How do alternative items differ from the current standard multiple-choice items? Some of the new items present four or more response options, but, unlike the standard multiple-choice items, the new items require the candidates to select more than one option. Another format is the new fill-in-the-blank items which require candidates to type in the answer to the quesFigure 1 tion instead of selecting from among a set of four options. 3. How will alternative items improve the measurement of entry-level nursing ability? It is anticipated that alternative items will allow candidates to demonstrate their entry-level nursing competence in ways that are different from the standard multiple-choice items. In addition, some nursing content areas and competencies may be assessed more readily and authentically with alternative items. For example, the item in Figure 1 requires the candidate to perform a calculation without the benefit of selecting the answer from among four answer options. The ability to calculate is more readily assessed with this type of item than with a standard multiple-choice item. Similarly, the item in Figure 3 more accurately and directly assesses the skills needed for practice as compared to using a multiple-choice item. Use of alternative items is anticipated to improve the assessment of entry-level nursing practice. 4. When will these item formats be administered on NCLEX examinations? These item formats may be administered to candidates after April 2003. 5. How are alternative items being developed? The same rigorous process that is used to develop the standard multiple-choice NCLEX items is being used to develop the alternative items. Item writers from across the country who meet the stringent NCSBN criteria are selected to attend item writing sessions and write items based on item pool needs. As with standard multiple-choice items, each item must be validated in at least two approved nursing textbooks or references. 6. How is the item scoring criteria being developed and validated? As with the current process, nursing content experts from across the country review all the items. These content experts evaluate the items to determine the correct and acceptable answer based on their clinical expertise. In addition, these experts assess the item for currency, accuracy, scope of practice and entry-level practice. 7. Will the NCLEX-RN® and NCLEX-PN® Test Plans be followed for alternative items? The development of the alternative items is based on the current NCLEX-RN® Test Plan and NCLEX-PN® Test Plan. The addition of alternative items will not change the test plan or the length of the test. 8. Will the items be pretested? Yes. As with the standard items, the alternative items are pretested before becoming part of the operational, or `scored' part of the examinations in order to gather statistical information about the items. As with multiple-choice items, these alternative items have to meet NCSBNs stringent statistical criteria. 9. Will alternative items replace the current NCLEX® items? The alternative items will be added to the current NCLEX-RN" and NCLEX-PN" items pools; they will not replace the items that are in the current NCLEX examinations. 10. How is examinee performance scored on alternative items? Alternative items are scored either right or wrong: there is no use of partial credit in the scoring of these items. 11. How much time will be needed to answer alternative items? Based on cognitive processing theory, it is anticipated that some of the items will take less time and some will take more time than the standard multiple-choice items. Currently it is estimated that candidates require between 60 and 70 seconds per multiple-choice item. Information about length of time it takes to respond to an item is collected and used by the Examination Committee and staff to make decisions about each item. 12. Will the implementation of alternative items affect candidate pass rates? These items formats will not affect candidate pass rates. These items have a calibrated difficulty level just like standard multiple-choice items, and, as such, will be counted just like standard items when computing a candidate's final competence estimate. Figure 2 Next Generation NCLEX® Items Hot Spot Figure 3 13. Will the candidate fee increase with the addition of alternative items? The candidate fee will not increase based on the use of alternative item formats. FAQ, cont. on pg. 14 PAGE 14 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA FAQ, cont. from pg. 13 14. Will the addition of alternative items affect the timeline for delivering NCLEX-RN® and NCLEX-PN® results to candidates and boards of nursing? Use of alternative item types will not affect the operational processes for delivering results to candidates and boards of nursing. 15. What will need to be done to assist the nursing community to prepare for these types of items? NCSBN has a commitment to keep the nursing community informed and will continue to supply updated information about alternative items research study on our website http://www.ncsbn.org. 16. What is being done to prepare candidates to understand alternative item types? The NCSBN Web site, as well as the NCLEX® Examination Candidate Bulletin, provides candidates information regarding alternative item types. An addition to the current tutorial will explain new item types to the candidates. Should you have any questions about the new NCLEX examination item formats, please contact NCSBN Testing Services by phone at: 312.787.6555, ext. 470 via e-mail: nclexinfo@ncsbn.org. M AY, J U N E , J U LY 2003 86.7% M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 15 GE 86.7% PAGE 16 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 17 GE Verification Contacts for Compact States ARIZONA: To verify an Arizona License by phone, call 602.331.8111, and follow the menu options by pressing 1, then select the option you wish to verify by. You will need to know the individual's social security number or license or certificate number. To obtain on-line verification, send an email to verify@azbn.org using only the RN/LPN/CNA number or social security number without hyphens or spaces. LEAVE THE SUBJECT LINE BLANK ARKANSAS: To verify an Arkansas license over the phone, interstate compact states may contact Margie Brauer at 501.686.2708 or Margie.brauer@mail.state.ar.us (first) or call our telephone voice response system at 501.682.2200. This automated system will provide licensure verification using a license number. DELAWARE: Call 302.739.4522 IDAHO: Call 208.334.3110 , press "0" and speak to anyone, or press 2 for their automated voice system, or fax request to 208.334.3262 IOWA: To verify an Iowa license over the phone, call the main telephone line at 515.281.3255 and press 2. The Automated Network of Nurse Information will provide licensure verification from a license number or a social security number. On-line verification is available at www.state.ia.us/nursing MAINE: Call 207.287.1133, press "0". Speak with anyone to verify. Online verification www.maine.gov/boardofnursing. MARYLAND: To verify a Maryland license over the phone, call 410.585.1900 and press "0". Online verification www.mbon.org. MISSISSIPPI: Call 601.987.6858 for verifications. NEBRASKA: Call 402.471.4376 for verifications or use their web site: www.hhs.state.ne.us./lis/lis.asp. NORTH CAROLINA: The NC website verification information system includes a statement when the licensee has the multistate privilege to practice by virtue of NC being his/her primary state of residence. To access this verification information you need the SSN or certificate number of the licensee. Website is www.ncbon.org. To verify a NC license by phone, contact Angela Ellis at 919.782.3211, ext. 259 or Barbara Powell @ ext 245 SOUTH DAKOTA: To verify a South Dakota license over the phone, call 605.362.2760, or online www.state.sd.us./dcr/nursing. TEXAS-RN: Call 512.305.7400 press "0" and anyone will verify or auto verification 512.305.7400, press 1 for RN and AP. TEXAS-VN: Call 512.350.8100, press "1" for phone verification. Call 512.350.8100, press "0" and ask for Licensing Department for verbal verification. UTAH: To verify a Utah license please call 801.530.6628, press "0" and ask for Nursing. On-line verification available at www.dopl.utah.gov. WISCONSIN: On-Line Verifications are available from the WI Department of Regulation and Licensing's website at http://www.drl.state.wi.us. Just click on "business and Professional License Lookup" for detail information. The verifications are JCAHO approved and you are able to print directly from our website. Phone verification available at 608.266.2112 PAGE 18 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Chemical Dependency Committee Call for Members The Chemical Dependency Committee is seeking individuals interested in serving as a member on the CD Advisory Committee. Qualified applicants should have experience in the treatment and/or recovery monitoring of chemically dependent individuals. A letter of interest along with a current resume may be sent to: Arizona State Board of Nursing Attention: Stephanie Nelson, RN MS Monitoring Department 1651 E. Morten Avenue, Suite 210 Phoenix, AZ 85020 Chemical Dependency Committee Highlights by Stephanie Nelson, RN, MS Nurse Practice Consultant, Monitoring On January 25, 2003 the Chemical Dependency committee held a workshop, "Management Interventions with the Impaired Nurse" to provide current information regarding issues of impairment: recognizing the signs and symptoms, intervening and returning to work. The feedback from the workshop was positive and it was recommended that the workshop be held again. On February 20, 2003 the Chemical Dependency Committee discussed the following: Establishing guidelines for nurses in Monitoring that have been prescribed narcotic analgesia and continue to practice nursing. Options being considered to determine if a nurse is safe to practice are: a Neuropsychological evaluation, independent Medical evaluation, limit access to narcotics, and pain management contracts. How to monitor Nurse Practitioner's with prescribing and dispensing privileges that are currently on probation or participating in the CANDO program. Review of the policy for urine drug screening and how to address CANDO/Monitoring participants that have been non-compliant. Review of the key restrictions policy for CANDO/ Monitoring participants. The Committee will continue to work on these issues and provide guidance to the Board on regulatory management of the impaired/chemically dependent nurses. The next scheduled meetings are: June 19, 2003, August 14, 2003, October 16, 2003, and December 4, 2003. All meetings are open to the public. If you would like further information about the committee, please contact Stephanie Nelson at 602-331-8111 Ext. 135 or Valerie Smith at Ext. 145. M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 19 GE PAGE 20 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 RN/LPN DISCIPLINARY A C T I O N January - March 2003 DATE 1/13/2003 12/13/2002* 2/25/2003 11/8/2002* 11/8/2002* 1/16/2003 12/13/2002* 3/6/2003 3/10/2003 1/6/2003 12/13/2002* 3/13/2003 1/7/2003 1/24/2003 3/11/2003 1/3/2003 3/2/2003 2/19/2003 11/6/2002* 11/8/2002* 2/18/2003 12/13/2002* 1/28/2003 12/13/2002* 2/12/2003 2/14/2003 11/6/2002* 12/5/2002* 1/4/2003 1/2/2003 1/9/2003 * Not reported in previous Newsletter NAME ALLOCCO, PAMELA P. ANDREWS, GINNY M. ARIAS, KERRY L. ATNIP, DAISY K. AVILA, MONICA L. BALDWIN, (ADNEY) SALLIE BARNES, HOLLY H. BLACKMOUNTAIN, AURIAH G. BOLTON, RYAN W. BUBACK, VICKIE L. BULLOCK, CARRIE CAMPBELL, PAIGE M. CAMPOS, ROBIN L. CARDONA, CYNTHIA L. CARRIZOSA, LORRAINE CHIARAMONTE, EVELYN CHRISTIANSEN, NANCY A. CLARKE, EARL F. COHEN, SCOTT E. CORNELIUS, TIMOTHY B. COUCH, JOANN C. DAVIS, DEBRA A. DIFRANK, JULIE A. DOOLEY, HEIDI B. DYSINGER, ANN E. ERNST, ALYCIA S. FARLESS, TINA M. FARMER, ROBIN S. FARMER, ROBIN S. FIGUEROA, ABRAHAM J. FISHER, CHARLES E. LICENSE LP014205 RN040049 RN106871 LP ENDORSEMENT APPLICANT LP ENDORSEMENT APPLICANT RN069275 RN ENDORSEMENT APPLICANT LP021563 RN106954 RN077833 (Suspension Completed) LP ENDORSEMENT APPLICANT RN101495 DISCIPLINE Decree of Censure Revocation/Non-Voluntary Voluntary Surrender License Denied License Denied Voluntary Surrender License Denied Probation Completed Probation Probation License Denied Voluntary Surrender VIOLATIONS Positive Urine Drug Screen Failure to Renew, Violating Board Order Drug Use on Duty, Writing Illegal RX, Failure to Comply w/Requirements/Impaired Nurse Program Unsafe Practice, Alcohol Abuse Misdemeanor, Theft Unsafe Practice, Drug Abuse, Alcohol Abuse Misdemeanor, Criminal Conviction-Other, Drug Abuse, Sexual Abuse Documentation Errors, Medication Errors, Wastage Errors Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Fraud, Deceit-Obtaining License, Action in Another Jurisdiction, Practicing without License Drug Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Misdemeanor, Alcohol Abuse Misdemeanor, More than one DUI, Action in Another Jurisdiction Documentation Errors, Medication Errors, Violating Board Order Drug Abuse, Drug Diversion Self, Violating Board Order Criminal Conviction, Theft - Employer Documentation Errors, Medication Errors, Drug Abuse, Action in Another Jurisdiction Sexual Abuse, Unprofessional Conduct Misdemeanor, Drug Related, Drug Abuse Drug Abuse, Drug Use on Duty, Fraud, Deceit-Fraudulent Documentation Unsafe Practice, Failure to Follow Orders, Medication Errors Alcohol Abuse, Fraud, Deceit-Obtaining License, Positive Urine Drug Screen while on duty Failure to Maintain Minimal Standards, Other (APRN) Unsafe Practice, Failure to Assess, Failure to Intervene Medications Errors, Drug Abuse, Alcohol Abuse Alcohol Abuse, Drug Screen Positive, Failure to Comply w/Requirements/Impaired Nurse Program Alcohol Abuse, Violating Board Order Alcohol Abuse, Violating Board Order Unsafe Practice, Failure to Follow Orders, Failure to Assess LP033594 Decree of Censure RN ENDORSEMENT APPLICANT License Denied RN117328 LP033383 RN054319 LP038286 RN100950 RN EXAM APPLICANT RN087159 RN069636 RN048633 RN100963 RN111109/AP1157 RN101841 LP032333 RN101328 RN101328 RN091133 RN038082 Probation Completed Voluntary Surrender Stayed Revocation w/Suspension Probation Revocation/Non-Voluntary License Denied Probation Revocation/Non-Voluntary Decree of Censure Probation Decree of Censure Decree of Censure Revocation/Non-Voluntary Stayed Revocation w/Suspension Revocation/Non-Voluntary Stayed Revocation w/Suspension Voluntary Surrender RN/LPN Disciplinary Action, cont. on pg. 21 M AY, J U N E , J U LY 2003 MA RN/LPN Disciplinary Action, cont. from pg. 20 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 21 GE RN/LPN DISCIPLINARY A C T I O N O c t o b e r - December 2002 DATE 2/18/2003 1/10/2003 2/18/2003 * Not reported in previous Newsletter NAME FRENCH, GINA M. GEE, NANCY S. GILMAN, SCOTT C. LICENSE RN086974 RN072687 RN111097 DISCIPLINE Probation Completed Probation Completed Voluntary Surrender VIOLATIONS Drug Use on Duty, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Misdemeanor, Criminal Conviction-Drug Related, Drug Abuse Violating Board Order Failure to Assess, Failure to Intervene, Failure to Supervise Alcohol Abuse, Reinstatement Drug Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Unsafe Practice, Failure to Assess Positive Drug Screen Violating Board Order Drug Abuse, Drug Diversion-Self, Drug DiversionOthers, Writing Illegal RX, Presenting Illegal RX, Executing Inappropriate Order Misdemeanor, Theft, Failure to Cooperate Failure to Follow Orders, Failure to Assess, Failure to Intervene Unsafe Practice Drug Abuse, Writing Illegal RX Failure to Maintain Minimal Standards, Unprofessional Conduct Felony, Misdemeanor, Other-Theft, Drug Abuse Incompetent Practice Unsafe Practice, Failure to Maintain Minimal Standards Failure to Maintain Minimal Standards, Unsafe Practice, False Documentation, Documentation Errors, Medication Errors Failure to Maintain Minimal Standards, Failure to Intervene Drug Abuse, Reinstatement Failure to Assess, TX Errors (APRN) Failure to Comply w/Requirements/Impaired Nurse Program, Fraud, Deceit-Obtaining Employment, Failure to Maintain Minimal Standards, Alcohol Abuse Action in Another Jurisdiction Unsafe Practice, Executing Inappropriate Orders, Practicing Beyond Scope 3/6/2003 1/16/2003 2/25/2003 3/6/2003 12/31/2002* 1/14/2003 3/4/2003 2/24/2003 2/15/2003 1/23/2003 2/10/2003 GRIMES, JAMIE A. GROUX, DEBROAH L. GUNN, DIANNE HAMM, ELIZABETH A. HANDY, IVY M. HANSON, MARGARET E. HOKE, SANDRA K. HOLMES, LINDA L. HUTCHINSON, DENISE L. ISAACS, BARBARA J. JARDINE, JON D. LP031709 LP026835 RN044712 RN112057 RN102740 RN038800 RN100893 RN054433 RN100514 LP017916 LP034742 Probation Completed Probation Voluntary Surrender Probation Completed Decree of Censure Reinstatement w/Probation Stayed Revocation w/Probation Decree of Censure Probation Stayed Suspension w/Probation Suspension 12/13/2002* 3/5/2003 2/13/2003 2/18/2003 1/30/2003 1/23/2003 2/13/2003 11/28/2002* JOHNSON, TARA L. JONES, KAREN A. KELLOGG, HELEN D. KERCE, CHERYL M. KNOTT, BARBARA M. KOUNKEL, JOY I. KOVALCIK, SHANNON MARY LACZNY, BRIDGIT A. LP ENDORSEMENT APPLICANT RN090538 LP009565 RN054550/AP0834 LP008454 License Denied Decree of Censure Decree of Censure Voluntary Surrender Decree of Censure RN ENDORSEMENT APPLICANT License Denied RN111951 Probation LP030082 Decree of Censure 2/4/2003 1/20/2003 2/25/2003 12/23/2002* 3/4/2003 LEE, JEONG H. LIND, SHARI A. LOWELL, STEPHANIE H. MANHEIMER, LUCITA MANIS, BRISA L. RN109542 RN080709 RN051299/AP0062 LP037269 RN110806 Probation Reinstatement w/ Probation Decree of Censure Probation Completed Stayed Revocation w/Suspension 11/8/2002* 12/10/2002* MARCUM, SARAH E. MARINETTE, PAUL RN ENDORSEMENT APPLICANT License Denied LP029315 Probation RN/LPN Disciplinary Action, cont. on pg. 22 PAGE 22 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA RN/LPN Disciplinary Action, cont. from pg. 21 M AY, J U N E , J U LY 2003 RN/LPN DISCIPLINARY A C T I O N January - March 2003 DATE 1/10/2003 2/19/2003 2/25/2003 11/6/2002* 11/6/2002* 2/20/2003 2/15/2003 12/26/2002* 2/27/2003 2/4/2003 1/20/2003 12/20/2002* * Not reported in previous Newsletter NAME McCARTT JR, SAMUEL T. McCORMICK, KELLY A. MICCIA, ANTHONY C. MOORE, JEREMY A. MORPHEW, LISA K. MOSHER, ELIZABETH A. MOSS, MARY W. MOURNING-RUIZ, ANGELA MURRAY, TRACY F. NAVARRO, CYNTHIA I. PAGE, STEPHANIE L. PARKER, LES P. LICENSE RN115283 RN121929 RN079914 LP035178 RN089026 RN017401 RN075287 RN049932 RN120023 RN121804 RN090090 RN103137 DISCIPLINE Probation Completed Probation Voluntary Surrender Revocation/Non-Voluntary Revocation/Non-Voluntary Voluntary Surrender Probation Decree of Censure Probation Probation Decree of Censure Stayed Revocation w/Suspension VIOLATIONS 1/30/2003 2/11/2003 12/13/2002* 2/5/2003 3/2/2003 1/6/2003 11/6/2002* 1/9/2003 10/16/2002* 12/13/2002* 1/9/2003 11/8/2002* 1/24/2003 3/6/2003 1/17/2003 1/11/2003 11/8/2002* 11/6/2002* 12/19/2002* 1/23/2003 PARKER, LES P. PEARSON, KATHERINE C. PRIESTER, JOLYN K. PULLIAM, DEBORAH J. REED, LARRAINE E. REYES, DIANN B. REYNOLDS, JANA L. RICE, LINDA JO RICHARDSON, MARLA V. ROZENZHAK, ZINAIDA SAIMO, CYBELE E. SILVA, LINDA J. SOUZA, BRIAN A. STRUSE, MARILYN J. STUCKLESS, JENNIFER M. TELFORD, WENDELL T. THOMAS, DEBRA A. TINSTON, JOAN A. TURNEY, BARBARA A. VOLK, NANCY J. RN103137/LP032722 LP002856 RN083637 RN118922 RN089438 RN098670 LP027218 LP035475 RN089714 RN ENDORSEMENT APPLICANT LP034051 RN ENDORSEMENT APPLICANT Revocation/Non-Voluntary Decree of Censure Revocation/Non-Voluntary Revocation/Non-Voluntary Decree of Censure Decree of Censure Revocation/Non-Voluntary Voluntary Surrender Decree of Censure License Denied Voluntary Surrender License Denied RN ENDORSEMENT APPLICANT License Denied RN087488 RN091401 RN034482 LP ENDORSEMENT APPLICANT Probation Completed Revocation/Non-Voluntary Probation License Denied Failure to Maintain Minimal Standards Practicing Beyond Scope Alcohol Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Felony, Against Person Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Alcohol Abuse Criminal Conviction-Completed Court Diversion Program, Drug Abuse, Alcohol Abuse Failure to Maintain Minimal Standards Alcohol Abuse, Positive pre-employment drug screen Misdemeanor, Theft - Employer Failure to follow policy Drug Abuse, Drug Use on Duty, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Violating Board Order Failure to Follow Orders, Practicing Beyond Scope Documentation Errors, Drug Diversion Self, Violating Board Order Violating Board Order Failure to Maintain Minimal Standards, Documentation Errors Failure to Assess, Failure to Intervene, Failure to Supervise Drug Abuse, Presenting Illegal RX, Failure to Comply w/Requirements/Impaired Nurse Program Drug Abuse, Drug Diversion Self, Failure to Comply w/Requirements/Impaired Nurse Program Failure to Assess, Failure to Intervene Misdemeanor, Theft Violating Board Order Failure to Maintain Minimal Standards, Documentation Errors, False Documentation Felony, Misdemeanor, Disorderly Conduct/Prostitution Conviction, Alcohol Abuse Drug Abuse, Violating Board Order Drug Abuse, Violating Board Order Misdemeanor, Alcohol Abuse, Failure to cooperate with the Board Action in Another Jurisdiction Drug Abuse, Violating Board Order Fraud, Deceit-Obtaining License, Documentation Errors, Unsafe Practice, Fraud, Deceit-Obtaining Employment Unsafe Practice, Failure to Follow Orders, Medication Errors RN ENDORSEMENT APPLICANT License Denied RN061038 Voluntary Surrender RN080809 Reinstatement Denied 3/1/2003 WALSH, COLLEEN T. RN111356 Decree of Censure M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 23 GE C N A DISCIPLINARY A C T I O N January - March 2003 Date 12/13/2002 1/23/2003 12/13/2002 11/7/2002 11/7/2002 12/13/2002 1/23/2003 1/4/2003 2/21/2003 12/13/2002 1/23/2003 11/6/2002 9/13/2002 11/7/2002 3/17/2003 12/14/2002 1/13/2003 12/13/2002 12/13/2002 11/7/2002 11/7/2002 11/7/2002 12/13/2003 11/6/2002 11/6/2002 11/7/2002 1/23/2003 1/23/2003 2/24/2003 9/13/2002 1/13/2003 2/11/2003 11/6/2002 12/13/2002 11/7/2002 12/13/2002 Employer * Not reported in previous Newsletter Name Aguilar, Anthony David Alcorta, Edward Morales Allen, Kenneth L. Antikiewic, Daniel s. Antonio, Althea Arrowsmith, Amy Ann Austin, Patika Arnetta Banks, Latonia R. Barrett, Cathleen Barszcz, Alice Dorothy Begay, Kathleen Bencomo, Raymond Bernardo, Antonia M. Blake, Elizabeth Bolton, Helena Bolton, Helena M. Bowers, Asha Paris Brzezniak, David J. Carl, Cynthia L. Carlen, Chelsea Catalano, Thomas M. Cessna, Tarish N. Chase, Barbera M. Christie, Loretta A. Combs, Marian Cook, Summer E. Coons, Buster Cornell, Annette Coronado, Gabriela Cotton, Lindsey L. Craig, Joy Lynn Datingaling, Josephine Daum, Sandra K. Davis, Jennifer R. Delgado, Reynaldo G. Denning, Leonard J. Certificate CNA Applicant CNA Applicant CNA Applicant CNA999952022 CNA Applicant CNA Applicant CNA Applicant CNA267364641 CNA Applicant CNA Applicant CNA Applicant CNA587980803 CNA Applicant CNA Applicant CNA999987935 CNA999987935 CNA999987197 CNA798213466 CNA999949065 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA284476441 CNA659428103 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999952261 CNA Applicant CNA194371969 CNA Applicant CNA Applicant CNA Applicant D iscipline Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Civil Penalty Civil Penalty Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Suspension Civil Penalty Suspension Revocation/Non-voluntary Revocation/Court Ordered Certificate Denied Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Civil Penalty Certificate Denied Suspension Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied V iolation(s) Drug Related Misdemeanor; Failure to Maintain Minimal Standards; Alcohol Abuse; Failure to cooperate Felony; Theft - Client; Violating State/Federal Statutes/Rules Felony; Misdemeanor; Obtaining Certificate by Fraud Felony; Alcohol Abuse Misdemeanor; Drug Related; Failure to Practice Safely Misdemeanor; Sexual Misconduct-Multiple prostitution arrest Failure to Follow Orders; Leaving Duty Station Misdemeanor; Alcohol Abuse Theft - Client; Misconduct Misdemeanor; Criminal Conviction; Failure to cooperate with the Board Misdemeanor; Alcohol Abuse; Violating Board Order Fraud/Deceit; Failure to cooperate Misdemeanor; Alcohol Abuse Violating Board Order Physical Abuse Violating Board Order Felony; Misdemeanor Felony; Theft - Client; Theft - Employer; Drug Abuse Drug Related; Fraud/Deceit; Failure to cooperate Drug Related Felony; Misdemeanor Misdemeanor; Criminal Conviction; Alcohol Abuse Felony Action in Another Jurisdiction; Failed to notify board of address change Misdemeanor Misdemeanor; Alcohol Abuse; Failure to cooperate Misdemeanor; Criminal Conviction; Failure to cooperate Misdemeanor; Drug Related Felony; Misdemeanor Violating Board Order Criminal Conviction; Misconduct; Fraud/Deceit Felony; Misdemeanor Felony; Obtaining Certificate by Fraud; Failure to cooperate Misdemeanor; Obtaining Certificate by Fraud False Documentation; Theft - Client; Theft - CNA Disciplinary Action, cont. on pg. 24 PAGE 24 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA CNA Disciplinary Action, cont. from pg. 23 M AY, J U N E , J U LY 2003 CNA DISCIPLINARY ACTION, cont. January - March 2003 Date 2/12/2003 12/28/2002 12/13/2002 1/23/2003 11/7/2002 11/6/2002 9/13/2002 1/23/2003 1/23/2003 12/13/2002 1/23/2003 1/24/2003 11/20/2002 7/25/2002 2/16/2003 1/23/2003 1/10/2003 * Not reported in previous Newsletter Name Downs, Gregory R. Encinas, Benjamin M. Evans, Tracy Fernandez, Caroline Fitzgerald, Brenda L. Fitzgerald, Dawn Forrer, Valerie Galaviz, Marcelo A. Getzen, David M. Gillett, Ward D. Goode, Carol S. Greenwald, Keri Virginia Hance, Maria A. Hand, Danya C. Hanus, Carrie Harris, Andrea May Heller, Kimba S. Certificate CNA674623103 CNA999952400 CNA Applicant CNA Applicant CNA Applicant CNA595467103 CNA Applicant CNA Applicant CNA Applicant CNA999949379 CNA Applicant CNA999997034 CNA800890413 CNA999995245 CNA999997356 CNA Applicant CNA471153696 D iscipline Civil Penalty Civil Penalty Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Civil Penalty Civil Penalty Suspension Civil Penalty Certificate Denied Civil Penalty V iolation(s) Leaving Duty Station; Verbal Abuse; Misconduct False Documentation Alcohol Abuse Misdemeanor; Obtaining Certificate by Fraud; Action in Another Jurisdiction Misdemeanor; Against Person Misdemeanor; Against Person; Practicing without License Misdemeanor; Drug Related Misdemeanor; Failure to cooperate Felony; Misdemeanor; Alcohol Abuse Misdemeanor; Against Person; Drug Abuse Misdemeanor; Drug Related; Failure to cooperate Misdemeanor Verbal Abuse Drug Abuse Misdemeanor Drug Abuse; Sale of Drugs Failure to Maintain Minimal Standards; Obtaining Certificate by Fraud; Practicing without certificate Verbal Abuse; Misconduct; Failed to respond to Board Unprofessional Conduct; Leaving Duty Station; Misconduct Misdemeanor; Drug Abuse Misdemeanor; Against Person; Criminal Conviction; Drug Related; Fraud/Deceit; Failing to cooperate Failure to Maintain Minimal Standards; Unsafe Practice Physical Abuse; Verbal Abuse; Drug Related Failure to Maintain Minimal Standards; Criminal Conviction-Other alcohol related; Failure to cooperate with Board Alcohol Abuse Misdemeanor; Drug Related Misdemeanor; Failure to cooperate Failure to Maintain Minimal Standards; Physical Abuse; Violating Board Order Drug Abuse; Alcohol Abuse Felony; Drug Related Misdemeanor; Against Person; Failure to cooperate Drug Abuse; Drug Related Misdemeanor; Failure to Maintain Minimal Standards Theft - Client; Misconduct; Fraud/Deceit; Failure to cooperate during investigation; Verbal Abuse; Misconduct; Fraud/Deceit; Failing to respond to board 11/6/2002 1/10/2003 11/7/2002 11/7/2002 Herington, Julie A. Hernandez, Maria D. Hines, Rhonda M. Hodges, Jahmal A. CNA960407543 CNA769795803 CNA Applicant CNA Applicant Revocation/Non-voluntary Civil Penalty Certificate Denied Certificate Denied 12/19/2002 11/6/2002 11/7/2002 Hodgman, Susie Y. Huckaby, Antonette Jackowick, Laura B. CNA202028103 CNA487260803 CNA Applicant Civil Penalty Revocation/Non-voluntary Certificate Denied 6/7/2002 11/6/2002 9/12/2002 12/13/2002 11/6/2002 11/6/2002 1/23/2003 11/6/2002 1/23/2003 12/13/2002 11/6/2002 Jim, Clara Johnson, Shannon D. Joseph, Leah J. Kessler, David J. Kirkwood, Kristine L. Knapp, April B. Koch, Richard A. Kueneman, Barbara Grace Lemart, Betty Lois Lopez, Angie M. Lucchesi, Gail S. CNA Applicant CNA999949432 CNA Applicant CNA999950202 CNA327313773 CNA705708809 CNA Applicant CNA999953478 CNA Applicant CNA084858803 CNA515341609 Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary CNA Disciplinary Action, cont. on pg. 25 M AY, J U N E , J U LY 2003 MA CNA Disciplinary Action, cont. from pg. 24 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 25 GE C N A DISCIPLINARY ACTION, cont. January - March 2003 Date 1/23/2003 11/6/2002 1/23/2003 11/7/2002 11/7/2002 7/16/2002 11/7/2002 12/26/2002 11/7/2002 11/6/2002 12/13/2002 11/6/2002 12/13/2002 9/12/2002 11/7/2002 * Not reported in previous Newsletter Name Macmillan, Jessie P. Mantalaba, Norma P. Martinez, Michelle D. Mason, Thomas Mayer, Joseph P. McElroy, Alba D. Mclain, Tomi B. Meshake, Mary Elizabeth Miksell, Corey Mills, Janice M. Mills, Sullivan Minatrea, William Morneweg, Laura S. Mullins, Carla J. O'Neal, Al Maurice Certificate CNA Applicant CNA572741341 CNA Applicant CNA Applicant CNA Applicant CNA999989078 CNA Applicant CNA9999953411 CNA Applicant CNA563967103 CNA Applicant CNA620027337 CNA Applicant CNA Applicant CNA Applicant D iscipline Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Suspension Certificate Denied Civil Penalty Certificate Denied Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied V iolation(s) Obtaining Certificate by Fraud; Failure to cooperate Action in Another Jurisdiction Misdemeanor; Theft - Employer Felony; Drug Related; Sale of Drugs Misdemeanor; Drug Related; Failure to cooperate with board Incompetent Practice; False Documentation Misdemeanor Physical Abuse; Verbal Abuse; Alcohol Abuse Misdemeanor; Failure to Cooperate Misdemeanor; Drug Related; Drug Abuse Felony; Misdemeanor; Drug Abuse False Documentation; Leaving Duty Station; Drug Abuse Felony Misdemeanor; Criminal Conviction; Obtaining Certificate by Fraud Misdemeanor; Failure to Maintain Minimal Standards; Sale of Drugs; Violating State/Federal Statutes/Rules Misdemeanor; Fraud/Deceit Misdemeanor; Alcohol Abuse; Obtaining Certificate by Fraud Alcohol and assault related arrests; Failure to cooperate Violating Board Order Verbal Abuse; Fraud/Deceit Misdemeanor; Alcohol Related, Drug Related; Failure to cooperate Violating Board Order Misdemeanor Neglect Failure to Maintain Minimal Standards; Failure to cooperate; Other-positive drug screen Writing Illegal RX; Presenting Illegal RX; Obtaining Other Credential; Fraud/Deceit DUI more than 1; Failure to Maintain Minimal Standards; Failure to cooperate with the investigation; Misdemeanor; Against Property; Drug Abuse Felony; Unsafe Practice; Obtaining Certificate by Fraud Felony; Misdemeanor; Drug Related; Criminal Conviction Leaving Duty Station; Alcohol Abuse Felony; Drug Related Misdemeanor; Obtaining Certificate by Fraud; Failure to cooperate Misdemeanor; Drug Related 2/11/2003 11/6/2002 1/23/2003 11/6/2002 12/13/2002 12/13/2002 1/13/2003 12/23/2002 12/13/2002 11/7/2002 Odoms, April D. Ohoro, Cheryl D. Oliver, Danielle R. Orozco, George M. Osetek, Margaret M. Patel, Vinodrai M. Peaches, Geniece M. Pedrego, Francine M. Peralta, Marie A. Phillips, Anthony CNA999997283 CNA781862103 CNA Applicant CNA329881103 CNA999948398 CNA Applicant CNA999995235 CNA999996731 CNA999991357 CNA Applicant Civil Penalty Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Suspension Civil Penalty Civil Penalty Certificate Denied 11/6/2002 1/23/2003 Pickering, Joanne M. Pulliam, Jacquelyn R. CNA999947929 CNA Applicant Revocation/Non-voluntary Certificate Denied 1/29/2003 9/11/2002 12/13/2002 11/6/2002 11/6/2002 11/6/2002 2/12/2003 Recio, Amanda H. Redus, Sheronda Y. Reyes, Claudia Reyes, Edwin Roberson, Ellick Roberts, Sheila A. Robertson, Colin D. CNA999947924 CNA082439237 CNA Applicant CNA847773246 CNA561057614 CNA999947400 CNA Applicant Revocation/Non-voluntary Revocation/Court Ordered Certificate Denied Revocation/Court Ordered Revocation/Court Ordered Revocation/Non-voluntary Civil Penalty CNA Disciplinary Action, cont. on pg. 26 PAGE 26 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA CNA Disciplinary Action, cont. from pg. 25 M AY, J U N E , J U LY 2003 C N A DISCIPLINARY ACTION, cont. January - March 2003 Date 7/18/2002 11/7/2002 11/7/2002 11/7/2002 3/17/2003 12/27/2002 2/7/2003 9/13/2002 1/23/2003 * Not reported in previous Newsletter Name Robinson, Betty J. Robinson, Erlinda Robles, Tanica Rodriquez, Patricia Rogers, Brian F. Rohling, Laura L. Romero, Gabriel R. Ross, Adam Sainval, Yvette Certificate CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999996373 CNA835824441 CNA999997225 CNA Applicant CNA Applicant D iscipline Certificate Denied Certificate Denied Certificate Denied Certificate Denied Suspension Civil Penalty Civil Penalty Certificate Denied Certificate Denied V iolation(s) Felony Felony; Drug Abuse; Obtaining Certificate by Fraud Misdemeanor; Theft - Employer; Alcohol Abuse; Fraud/Deceit; Felony; Theft Employer Violating Board Order False Documentation; Failure to cooperate Misdemeanor; Alcohol Abuse Criminal Conviction; Failure to cooperate Failure to Maintain Minimal Standards; Adjudication Mentally Ill; Failure to cooperate Drug Abuse Criminal Conviction; Alcohol Abuse Misdemeanor; Drug Abuse Failure to Maintain Minimal Standards Criminal Conviction Failure to Maintain Minimal Standards; Misd. Alcohol related; Failure to cooperate Physical Abuse False Documentation Misdemeanor; Criminal Conviction Drug Abuse; Alcohol Abuse Misdemeanor; Criminal Conviction; Fraud/Deceit Misdemeanor; Misconduct; Failure to cooperate with the investigation Theft - Employer; Failure to Renew Drug Related; Obtaining Certificate by Fraud; Failure to respond Drug Abuse; Fraud/Deceit; Felony Failure to Maintain Minimal Standards; False Documentation; Fraudulent Billing Felony; Misdemeanor Felony; Obtaining Certificate by Fraud Drug Abuse; Failure to cooperate Felony; Drug Use on Duty; Drug Related Misdemeanor; Fraud/Deceit; Failure to cooperate Drug Abuse; Drug Use on Duty Unsafe Practice; Misconduct Misdemeanor; Criminal Conviction; Alcohol Abuse; Failure to cooperate 6/28/2002 1/15/2003 11/7/2002 9/13/2002 1/27/2003 11/7/2002 11/19/2002 1/13/2003 2/13/2003 11/6/2002 9/13/2002 1/23/2003 12/17/2002 11/6/2002 12/13/2002 2/26/2003 11/7/2002 11/7/2002 11/6/2002 11/6/2002 12/13/2002 12/13/2002 12/30/2002 1/23/2003 Salas, Angela A. Shepherd, Ronetta A. Shepherd, Vanessa M. Sigler, Teresa A. Skatvold, Kimberly J. Smith, Lisa D. Thomas, Elvera Valtierra, Doris F. Verdugo, Renee Vida, Gretchen A. Villareal, Letticia Wagner, Jeri Lynn Warr, Don Wasserman, Jaymie R. Weaver, Deanna E. Whipple, Julia J. White, Lori Kay Wilcox, Joan C. Williams, Heather Williams, Nyla S. Williams, Verona T. Wood, Robert A. Yazzie, Helena R. Yazzie, Ivalou CNA999990735 CNA549255349 CNA Applicant CNA Applicant CNA999997055 CNA Applicant CNA999990626 CNA918195803 CNA Applicant CNA089045459 CNA Applicant CNA Applicant CNA999989800 CNA999950009 CNA236967103 CNA180102353 CNA Applicant CNA Applicant CNA Applicant CNA999952378 CNA879254103 CNA563701046 CNA762942353 CNA Applicant Voluntary Surrender Civil Penalty Certificate Denied Certificate Denied Civil Penalty Certificate Denied Revocation/Court Ordered Civil Penalty Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Certificate Denied M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 27 GE Regulation Rundown by Pamela Randolph RN, MS, CPNP, Nurse Practice Consultant Current Rule Activity Articles 6 and 7 Rules on Practice and Procedure and Public Participation These articles were identified for change and updating in the five-year rule review. A docket and proposed rules were filed with the Secretary of State on June 28, 2002. An oral proceeding was held on August 23, 2002, at 9 a.m. in the Board offices. No persons testified. The final rule was approved by the Board and was submitted to the Governor 's Regulatory Review Council on September 16, 2002. Due to some changes that are not substantial, the rule was delayed but will be heard at the Governor's Regulatory Review Council (GRRC) on April 1, 2003, and should be effective some time in June. Future Rule Activity Article 3. Licensure. The Scope of Practice Committee reviewed three drafts of this future rulemaking. The Education Committee will review a second draft of the rule at their March meeting. Work and revision is almost completed and a courtesy review by GRRC had been requested. Anyone wishing to view a draft to offer input may contact me at prandolph@azbn.org. Article 5. Advanced Practice Nursing. Work is commencing on a preliminary draft that will be reviewed by the Advanced Practice Committee at their next meeting in May. Article 4. Regulation. The Board anticipates that rulemaking will begin by December 2003. The Scope of Practice, Education, and Chemical Dependency Committees will participate in reviewing drafts of the rule. The person to contact at the Board regarding rules is: Pamela Randolph Nurse Practice Consultant 1651 E. Morten Suite 210 Phoenix, AZ 85020 602-331-8111 ext 139 e-mail: prandolph@azbn.org Nurse Aide Program Sanctions Currently In Effect FACILITY Chinle Nursing Home Chris Ridge Village Infinia at Foothills (formerly Foothills Manor) Glendale Care Center Life Care Center of Paradise Valley Meadow Park Care Center Plaza Healthcare Scottsdale Infinia at Show Low (formerly Pueblo Norte Nursing) Sabino Canyon Nursing & Rehab Tucson Sunbridge Park Villa Tucson 04/27/01 11/16/01 04/27/03 11/16/03 Show Low Prescott 05/24/01 05/17/01 11/13/01 05/24/03 05/17/03 11/13/03 Glendale Phoenix 12/11/01 09/23/02 12/11/03 09/23/04 Waiver currently in effect CITY Chinle Phoenix Phoenix BEGIN DATE 12/18/01 10/03/01 08/23/01 END DATE 12/18/03 10/03/03 08/23/03 COMMENTS Waiver currently in effect Visit us on the web at www.azboardofnursing.org PAGE 28 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 Arizona State Board of Nursing Nursing Assistant Programs Current Approved Program List -- March 2003 Facility Apache Junction Health Care Center Arizona Eastern Star Beatitudes Campus of Care Beverly Healthcare Shadow Mountain Bryans Extended Care Capri Care Center Casa Del Mar Nursing & Sunbridge Rehabilitation Center Catalina Care Center, Sunbridge Chandler Health Care Center Christian Care Nursing Center Chula Vista Nursing Home Citadel Care Center Desert Cove Nursing Center Desert Life Rehabilitation and Care Center Devon Gables Health Care Center East Mesa Care Center, Sunbridge Gardens Rehab & Care Center, The Gila River Indian Care Center Good Shepherd Retirement Community Handmaker's Jewish Services for the Aging Havasu Nursing Center Heather Glen Care Center Infinia at Camp Verde, formerly Arbors Healthcare Infinia at Flagstaff Kachina Point Healthcare Kivel Campus of Care La Canada Care Center La Colina Health Care Lake Hills Inn Las Flores Nursing Center Laurel Mesa Health Care Ctr aka East Valley Medical & Rehab. Center Life Care Center at South Mountain Life Care Center of North Glendale Life Care Center of Scottsdale Life Care Center of Tucson Marriott's Forum Pueblo Norte Mi Casa Nursing Center Mountain View Care Center Mountain View Manor Northern Cochise Nursing Home Payson Care Center Phoenix Mountain Nursing Center Plaza Del Rio Care Center Prescott Samaritan Village Prescott Valley Samaritan Center Quiburi Mission Ridgecrest Health Care, FKA Grancare Medical Center of Paradise Valley Safford Care Center: Infinia Scottsdale Heritage Court SilverRidge Village Southern Arizona Veteran's Administration Medical Center Springdale Village CNA Training Program Sun Grove Village Care Center The Peaks Village Green Healthcare Center Westview Manor Apache Junction Phoenix Phoenix Scottsdale Phoenix Phoenix Scottsdale Tucson Chandler Phoenix Mesa Mesa Chandler Tucson Tucson Mesa Kingman Laveen Peoria Tucson Lake Havasu Glendale Camp Verde Flagstaff Sedona Phoenix Tucson Tucson Lake Havasu City Mesa Mesa (480) 983-0700 (602) 954-9178 (602) 995-2611 (480) 860-1766 (602) 870-6060 (602) 944-1574 (480) 994-1333 (520) 795-9574 (480) 899-6717 (602) 861-3241 (480) 832-3903 (480) 832-5555 (480) 899-0641 (520) 297-8311 (520) 296-6181 (480) 832-8333 (928) 719-0718 (520) 430-3813 (623) 875-0100 (520) 881-2323 (928) 453-1500 (623) 842-4025 (928) 567-5253 (928) 779-6931 (928) 284-1000 (602) 956-3110 (520) 797-1191 (520) 294-0005 (928) 505-5552 (480) 832-5160 (480) 833-4226 Hospital Pima Community College @ Holy Cross Hospital Independent Academy for Caregiving - Chapter Classroom American Red Cross Academy for Caregiving @ East Valley Service Center American Red Cross Academy for Caregiving @ Goodwill Industries American Red Cross Academy for Caregiving @ Humanities & Science Academy for Caregiving @ Pioneer Home Prescott Academy for Caregiving at East Mesa Care Center American Red Cross Academy for Caregiving at Sun Health Banker's NA Program at Desert Highlands Caring Connection, The Direct Care Giver Association Dynamic Registry Nursing Assistant Program Fred G. Acosta Job Corps Horizon Health Care Inst @ Wickenburg Regional Med Center - Wickenburg AZ Horizon Health Care Inst. @ Las Fuentes Care Center, Prescott Horizon Health Care Institute Horizon Health Care AZ Pioneer Home Horizon Health Care Inst. @ Infinia of Douglas Phoenix Shanti Group Referral for Senior Adult Assistance Reflections Behavior Health Saunders Assoc. @ Chinle Nursing Home The Caring Connection PRECEPTOR COURSE The River CNA Program @ Silver Ridge Village Tuba City Regional Health Care NA Program Yuma Private Industry Council Palm View Rehab & Care Center Yuma Private Industry Council @ Life Care Center Yuma Private Industry Council at La Mesa Rehabilitation and Care Center Yuma Private Industry Council at Yuma Nursing Center School Arizona Institute of Business and Technology - Intl. Institute of Americas Arizona Western College AWC Nursing Assistant at La Paz Buckeye Union High School CNA Training Program Cactus High School, CNA Program Centennial High School Central Arizona College - Signal Peak Campus Central Arizona College - Signal Peak Campus/NUR121 Central Arizona College @ Casa Grand UHS Central Arizona College @ Santa Cruz High School Central Arizona College Aravaipa Campus Central Arizona College Superstition Mtn Campus Cochise College @ St. David High School Cochise College Douglas Cochise College, Nur 122 Cochise College/Benson Outreach Cochise College-Douglas Outreach Program Tucson (520) 206-5140 Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Kingman Amado Tucson Glendale Tucson Sierra Vista Sierra Vista Sierra Vista Sierra Vista Sierra Vista Phoenix Mesa Tucson Chinle AMADO Bull Head Tuba City Yuma Yuma Yuma Yuma Phoenix Yuma Parker Buckeye Glendale Peoria Apache Junction Apache Junction Apache Junction Apache Junction Apache Junction Apache Junction Douglas Douglas Douglas, Benson Sierra Vista (602) 336-6660 (602) 336-6660 (602) 336-6600 (602) 336-6660 (602) 336-6660 (602) 336-6660 (602) 336-6660 (928) 716-3035 (520) 398-2090 (520) 325-4870 (623) 435-9000 (520) 792-3015 (520) 417-2955 (520) 417-2955 (520) 417-2955 (520) 417-2955 (520) 417-2955 (602) 279-0008 (480) 835-7679 (520) 297-3872 (920) 739-4653 (520) 398-2090 (928) 763-1404 (928) 283-2524 (520) 344-5529 (520) 329-0990 (520) 329-0990 (520) 329-0990 (623) 849-8208 (928) 726-1000 (623) 386-9719 (623) 412-5000 (623) 412-4445 (480) 288-4017 (480) 228-4017 (480) 288-4017 (480) 288-4017 (480) 288-4017 (480) 288-4404 (520) 417-4016 (520) 364-7943 (520) 417-4016 (800) 966-7943 (520) 364-7943 Phoenix Glendale Scottsdale Tucson Scottsdale Mesa Tucson Prescott Wilcox Payson Phoenix Peoria Prescott Prescott Valley Benson Phoenix (602) 243-2780 (602) 843-8433 (480) 860-6396 (520) 575-0900 (480) 948-5800 (480) 981-0687 (520) 797-2600 (928) 778-4837 (520) 384-3541 (520) 474-6896 (602) 996-5200 (623) 933-7722 (928) 778-2450 (928) 775-0045 (520) 586-2372 (602) 482-6671 Safford Scottsdale Bullhead City Tucson Mesa Peoria Flagstaff Phoenix Sun City (520) 428-4910 (480) 949-5400 (928) 763-1404 (520) 629-6787 (480) 981-8844 (623) 566-0642 (928) 774-7160 (602) 264-5274 (623) 933-0022 Programs, cont. on pg. 29 M AY, J U N E , J U LY 2003 MA Programs, cont. from pg. 28 Cochise College-Sierra Vista Coconino Community College Coconino Community College/Page Coconino High School College America CNA Program Cortez High School Glendale District Dysart High School Dysart HS @ Southwest Skill Center East Valley Institute of Technology Eastern Arizona College - Thatcher Flagstaff High School Gateway Community College Gila County Community College Dist. - Globe Gila County Community College Dist. - Rim Country Glendale Community College Globe High School Lamson College Maricopa Skill Center Mesa Community College Mesa Community College/Boswell Metro Tech Miami High School Mingus Union High School Mohave Community College - North Campus Mohave Community College-Bullhead City Mohave Community College-Kingman Mohave Community College-LHC Northern Pioneer College NAT 101 White Mountain Campus High School Northern Pioneer College NAT 101 WMC A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 29 GE 8 Week Course Northland Pioneer College - Springerville High School Northland Pioneer College, NAT 101 LLC 5 WK Northland Pioneer, Nat 101 Video, Northwest Education Ctr NPC - Hopi Center Page High School Paradise Valley Community College Paradise Valley High School fka Paradise Valley Unified School District Peoria High School, C.N.A. Program Phoenix College Phoenix Job Corps Center Pima Community College CTD @ Tucson Medical Center Pima Community College CTD @ Carondolet Pima Community College/Desert Vista Pima Community College-West-NRS101 Pima Community College-West-NRS104 Pima Medical Institute/Mesa Pimeria Alta Green Valley Precision High School Saguaro High School Scottsdale Community College Southwest Skill Center @ Estrella Mtn. CC Sunnyslope High School and Bryans Extended Care Partnership Thunderbird - Greenway CNA Program Nursing Assistant Program Tucson College Yavapai Community College-Prescott Yavapai Community College-Verde Campus Holbrook Holbrook Holbrook Glendale Holbrook Page Phoenix Phoenix PEORIA Phoenix Phoenix Tucson Tucson Tucson Tucson Tucson Mesa Green Valley, Phoenix, Scottsdale Scottsdale Avondale Phoenix Glendale Tucson Prescott Clarksdale (928) 352-6133 (928) 289-4678 (928) 352-6133 (623) 845-4000 (928) 532-6133 (928) 608-4144 (602) 787-7288 (602) 867-5554 (623) 486-6300 (602) 285-7133 (602) 254-5921 (520) 206-5113 (520) 206-5113 (520) 295-5113 (520) 206-4500 (520) 206-6661 (480) 898-9898 (520) 339-0135 (602) 453-3661 (480) 443-7200 (480) 423-6000 (623) 535-2772 (602) 870-6060 (602) 588-5775 (520) 296-3261 (928) 778-2450 (928) 445-7300 Sierra Vista Flagstaff PAGE Flagstaff Flagstaff Phoenix El Mirage Avondale Mesa Thatcher Flagstaff Phoenix Globe Payson Glendale Globe Scottsdale Phoenix Mesa Sun City Phoenix Miami Cottonwood Colorado City Bullhead City Kingman Lake Havasu City Holbrook Holbrook (520) 364-7943 (928) 527-1222 (928) 645-3987 (928) 522-6140 (928) 526-0763 (602) 993-6826 (623) 876-7000 (623) 535-2772 (480) 461-4052 (520) 428-8389 (928) 773-8135 (602) 392-5025 (928) 425-8481 (928) 468-8039 (623) 845-3264 (602) 425-3211 (480) 898-7000 (602) 238-4300 (480) 461-7106 (623) 974-7837 (602) 271-2650 (928) 425-3271 (928) 634-7531 (928) 875-2831 (928) 855-7812 (928) 855-7812 (928) 855-7812 (928) 532-6133 (928) 532-1633 PAGE 30 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 M AY, J U N E , J U LY 2003 MA A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER PAGE 31 GE PAGE 32 A R I Z O N A STAT E BOA R D OF NURSING NEWSLETTER GE ARIZONA M AY, J U N E , J U LY 2003 |
