Regulatory journal / Arizona State Board of Nursing.

              VOL1   NO1   MARCH 2006 1ST QUARTER

arizona

STATE BOARD OF NURSING

REGULATORY JOURNAL

NursingRegulation

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CASE STUDY: License Verification is Critical

PUBLISHED BY ARIZONA STATE BOARD OF NURSING 1651 E. Morten Avenue, Suite 210 Phoenix, AZ 85020 Phone: 602.889.5150 Main fax: 602.889.5155 CANDO fax: 602.889.5238 General e-mail: arizona@azbn.gov Website: www.azbn.gov GOVERNOR

V O L 1   N O1   M A R C H 2 0 0 6 1 ST Q U A R T E R

4 f reoxm ctuhtei v e d i r e c t o r e 6 from the president 8 staff directory 9 education corner 11 R e g u l a t i o n
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The Honorable Janet Napolitano Joey Ridenour, RN, MN
EXECUTIVE DIRECTOR

Judy Bontrager, RN, MN
ASSOCIATE DIRECTOR/OPERATIONS

Valerie Smith, RN, MS
ASSOCIATE DIRECTOR/INVESTIGATIONS BOARD MEMBERS

Kathy Malloch, PhD., MBA, RN
PRESIDENT

Theresa Crawley, CRNA, MSHSA
VICE PRESIDENT

13 s p e c i a l
announcement

Karen Hodges Hardy, RN, MSN
SECRETARY

Trista Campbell, RN, BSN
MEMBER

14 C h a n g e s o n
Pictured on the Front Cover, the AZBN Board Members: (from left to right) Kathy Busby, Karen Hardy, Kathy Malloch, Pat Johnson, Judy Rich, Trista Campbell. Absent: Theresa Crawley, Steve Robertson

the Horizon

Patricia A. Johnson, LPN
MEMBER

Judith F. Rich, RN, MSN
MEMBER

Steven T. Robertson, LPN
MEMBER

Kathryn L. Busby, J.D.
PUBLIC MEMBER EDITION 1

arizona
C R E AT E D BY:

15 O n l i n e R e n e w a l o f
License/Certificate

STATE BOARD OF NURSING
19 C a s e S t u d y : L i c e n s e
Ve r i f i c a t i o n i s C r i t i c a l

REGULATORY JOURNAL

Virginia Robertson, PRESIDENT vrobertson@pcipublishing.com Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223
F O R ADVERTISING I N F O R M AT I O N :

24 C N A D i s c i p l i n a r y
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26 R N D i s c i p l i n a r y
Action

from the executive director JOEY RIDENOUR, RN, MN

2006 marks the 85th ANNIVERSARY OF NURSING REGULATION in Arizona.
2 0 0 6 brings six significant changes to the Arizona State Board of Nursing.
F i r s t : The Board's quarterly edition of the Arizona State Board of Nursing Newsletter has transitioned to a journal format. The new format also has a new name: Arizona State Board of Nursing  Regulatory Journal. We continue to seek newsworthy topics that meet the mission of the Board to protect the public. Your article suggestions and ideas are welcomed. S e c o n d : For the first time in the Boards 85 year history, we have designed a build out for a new office location based on staff roles and functions. The new office location will be at 4747 North 7th Street, Suite 200, Phoenix, Arizona. An open house will be held in June 2006 to coincide with AzBN's 85th Anniversary Celebration. Updates on the move will be made available on the Board's website. T h i r d : Continual enhancement of the Board's website is to give you information and resources 24/7. The over arching goal is that if you do visit the Board of Nursing office, it is for other reasons other than the application process or accessing other resource documents. Let us know what additional resources you need made available on the web. F o u r t h : Chemical Dependency continues to be the number one concern reported to the Board of Nursing in 2005. To help you better understand the physical and behavioral warning signs of chemical dependency, you are encouraged to access a new online course entitled: Confronting Colleague Chemical Dependency. The new self paced online course from National Council of State Boards of Nursing, Learning Extension (www.learningext.com) describes the roles of colleague, employers, alternative programs and the Board of Nursing in preventing and/or managing the potentially lethal effects of this problem. The course is designed for nurses in every practice setting and at all levels from student nurse to doctorate. Let us know if the course gave you the necessary knowledge about what to do should you suspect a colleague in being chemically dependent. F i f t h : Want to publicly acknowledge and thank the Board and staff for making significant strides in assuring protection of the public. The average number of complaints/self reports is approximately 135 a month and the number has remained constant for the past five years.

1995

2005

Average Investigative Cycle Time Average Temporary License & License Renewal Cycle Times Average Bi-Monthly Cases to Board Average Hearing Cases to Board

18 months 14 days 25 days 62 cases 4 cases

6.6 months 5 days 48-72 hours 244 cases 18 cases

S i x t h : The Board received funding in FY 2006 to conduct research related to establishing and maintaining a database on nursing supply and demand. The goal is to assure that the State of Arizona has adequate and appropriately educated nursing workforce to meet the healthcare needs of its citizens. It has been my pleasure to have been appointed to this position for the past ten years. I take even greater pleasure contemplating how we may continue to make significant changes to better serve you and the public in the future.

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arizona STATE BOARD OF NURSING REGULATORY JOURNAL

REACH RECRUIT RETAIN

from the president KATHY MALLOCH PHD, MBA, RN

T h e need for evidence to support good decision making is no secret  
especially in Arizona where numerous efforts are underway in educating and supporting nurses to become competent in evidence-based practice. The Arizona State Board of Nursing is one of the agencies dedicated to not only making decisions based on evidence, but also to providing information about the work of nursing to the public. Two areas contribute specifically to this work. First, the dedication of board resources/ funding to advance the collection of meaningful data from Arizona nurses to better understand the supply, location, competencies, and future needs for the Arizona community. Funding for a full-time data analysis position is currently being advertised and recruited for. Work in this area is expected to begin in the first quarter on 2006. The second source of data is the website (www.azbn.org) for the Arizona State Board of Nursing. These data are available to the public and can be requested through Joey Ridenour, Executive Director (jridenour@azbn.org). Over the last few years, significant efforts have been made to improve the functionality and friendliness of the board website. Today, the average number of hits each month to the azbn.org website is 2,712,701! In 2005 the lowest number of hits occurred in December at 1.2 million and the highest number of hits, 4.6 million occurred in July. To say the least, it is gratifying that the site is being used. Examples of download activity for the month of November 2005 included: Nurse Practice Act 11,493 Newsletters 5,087 Endorsement packets 4,483 Visitors to the online renewal page for the month of November 2005 were 69,628! Recently, data specific to inquiries about pain management guidelines was used by the executive director to testify before a special legislative task force on Chronic Disease and Pain Management. The frequently asked questions regarding pain management and range orders are downloaded approximately 100-150 times a month. Board members and board staff are committed to supporting evidence-based decision making and the collection of data that will support the advancement of nursing in Arizona. Please contact us if you have suggestions or requests for data from the website.

THE ARIZONA STATE BOARD OF NURSING MAGAZINE SCHEDULE
  May 2006   August 2006   November 2006

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1-800-561- 4686
Our State Board magazines are directly mailed to every licensed nurse in the following states   one million and growing!

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Kathy Malloch, President ARIZONA STATE BOARD OF NURSING

www.thinkaboutitnursing.com
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arizona STATE BOARD OF NURSING REGULATORY JOURNAL

STAFF DIRECTORY
ADMINISTRATION Joey Ridenour, RN, MN Executive Director 602.889.5200 jridenour@azbn.gov Judy Bontrager RN, MN Associate Director-Operations & Licensing 602.889.5204 jbontrager@azbn.gov Valerie Smith RN, MS Associate Director-Nursing Practice, Complaints & Investigations 602.889.5206 vsmith@azbn.gov Lila Wiemann Administrative Assistant to the Executive Director 602.889.5292 lwiemann@azbn.gov Dolores Hurtado Assistant to Associate Director/Nursing Practice, Complaints & Investigations 602.889.5158 dhurtado@azbn.gov Thereasa Huff Assistant to Associate Director/Nursing Practice, Complaints & Investigations 602.889.5208 thuff@azbn.gov Mary Palmer Administrative Assistant to Associate Director/Operations & Licensing 602889.5205 mpalmer@azbn.gov ADVANCED PRACTICE Karen Grady, MS, RN, FNP BC , Advanced Practice/RN/LPN 602-889-5182 kgrady@azbn.gov CANDO Suanne Smith, RN, MS Nurse Consultant - CANDO 602-889-5156 ssmith@azbn.gov Olga Zuniga Administrative Secretary   Monitoring & CANDO 602.889.5157 ozuniga@azbn.gov

EDUCATION Pamela Randolph RN, MS Education Consultant/Educational Programs RN/LPN 602.889.5209 prandolph@azbn.gov Rose Wilcox, RN Education Programs CNA 602-889-5176 rwilcox.@azbn.gov FISCAL SERVICES Diane Serra Business Manager 602-889-5210 dserra@azbn.gov Norma Salter Accounting Technician 602-889-5211 nsalter@azbn.gov HEARINGS Susan Barber, RN, MSN Nurse Practice ConsultantHearing Dept 602-889-5151 sbarber@azbn.gov Debra Blake Legal Assistant 602-889-5183 dblake@azbn.gov Vicky Driver Admin. Assistant-Hearing Dept 602-889-5162 vdriver@azbn.gov INVESTIGATIONS NURSE PRACTICE CONSULTANTS Betty Nelson, RN, MS 602-889-5169 bnelson@azbn.gov Jeanine Sage, RN, MSN 602-889-5174 jsage@azbn.gov Mary Rappoport, RN, MN 602-889-5184 mrappoport@azbn.gov Nan Twigg, RN, MSN 602.889-5185 ntwigg@azbn.gov Pat Midkiff, RN, MN 602.889-5179 pmidkiff@azbn.gov Sister Rachel Torrez, RN, MS 602-889-5180 srachel@azbn.gov

Sydney Munger, RN, MS 602-889-5186 smunger@azbn.gov SENIOR INVESTIGATORS Duncan "Cory" Polak 602-889-5172 cpolak@azbn.gov James Williams 602-889-5167 jwilliams@azbn.gov Jeanne Bauer 602-889-5178 jbauer@azbn.gov Kirk Olson 602-889-5171 kolson@azbn.gov Ronald "Ron" Lester 602-889-5159 rlester@azbn.gov LEGAL SECRETARIES Barbara Ritenour 602-889-5193 britenour@azbn.gov Dorothy Lindsey 602-889-5177 dlindsey@azbn.gov Esther Garcia 602-889-5173 egarcia@azbn.gov Karen Gilliland 602-889-5187 kgilliland@azbn.gov Trina Smith 602-889-5175 tsmith@azbn.gov INFORMATION TECHNOLOGY Cory Davitt Network Operations Director 602-889-5213 cdavitt@azbn.gov Adam Henriksen Information Technology Director/Webmaster 602-889-5231 ahenriksen@azbn.gov LICENSING Becky Aranyos RN/LPN Exam 602-889-5190 baranyos@azbn.gov Debbie Kunkle RN/LPN Renewals 602-889-5195 dkunkle@azbn.gov

Cristina Oates RN/LPN Endorsements 602-889-5191 coates@azbn.gov Donna Frye Advance Practice   School Nurses 602-889-5194 dfrye@azbn.gov Helen Tay CNA Exam/Endorsements 602-889-5189 htay@azbn.gov Paula Delphy RN/LPN Endorsements 602-889-5192 pdelphy@azbn.gov Rhonda Rogers CNA-Renewals 602-889-5188 rrogers@azbn.gov MAILROOM Rita Kelly-Sierra 602-889-5215 rkelly@azbn.gov MONITORING Erica Bailey Senior Investigator 602-889-5160 ebailey@azbn.gov Pamm Wiggin, RN, JD Nurse Consultant 602-889-5170 pwiggin@azbn.gov Brent Sutter Legal Secretary Monitoring & CANTO 602-889-5168 bsutter@azbn.gov RECEPTIONISTS Athena Santos Receptionist 602-889-5196 asantos@azbn.gov Marlane Brosseau Receptionist 602-889-5199 mbrosseau@azbn.gov Susan Kingsland Recpetionist 602-889-5224 skingsland@azbn.gov RECORDS Charlotte Seechoma Records Room 602-889-5217 cseechoma@azbn.gov

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education corner
PAMELA RANDOLPH RN, MS EDUCATION CONSULTANT c l i n i c a l instruction
Delivering clinical instruction to nursing students has created many opportunities and challenges for Arizona nursing programs. Nursing is a unique educational program because clinical experiences comprise a significant portion of the program. In addition, unlike most health care programs that use an apprentice model, nursing clinical experience is always under the supervision of the program faculty. The average number of hours a student spends caring for patients is 743 in an associate degree program and 968 in a baccalaureate program. The majority of these hours are in an acute care setting. There is no current agreed-upon standard for measuring the quality of a clinical experience. Quality indicators include the complexity of the patients the student is caring for, the responsibilities of the student, and the supervision provided by the faculty. Clinical faculty members take a lead role in and are responsible for teaching students in the clinical setting. While the nurse on the unit is invaluable as a role-model and patient-care expert, the primary teacher in the clinical setting is the designated faculty member. Faculty members directly observe students caring for patients to provide guidance, verify learning, and correct potential errors. Clinical faculty members are constantly monitoring students during the clinical rotation and have an awareness of both the learning needs of the student and the health care needs of the assigned patient or patients. They also keep meticulous documentation of student performance There is a shortage of clinical faculty in Arizona. The minimum requirements to be a clinical faculty in an RN program include an unencumbered RN license, a BSN, and three years of patient care experience. Many faculty members report that teaching students is both stimulating and rewarding. To obtain more information about clinical teaching, contact your local nursing program.

e d u c a t i o n committee
The Education Committee advises the Board on nursing educational matters. The next meetings of the Education Committee are:   February 10, 2006   April 21, 2006 Meetings start at 9:30 a.m. and conclude when business is finished. All meetings are held at 1651 E. Morten, Ste. 210, Phoenix, AZ unless otherwise noted in the agenda. Agendas and minutes of past meetings posted on the website: www.azbn.gov. Dates and times are subject to change up to 24 hours before the meeting. Contact Pamela Randolph at 602-889-5209 (prandolph@azbn.gov) or Karen Gilliland at 602-889-5187 (kgilliland@azbn.gov) to obtain further information regarding the meetings.

b o a r d actions on e d u c a t i o n matters
November 2005   Approved guidelines for CNS portfolio project   Renewed approval of LPN program at Maricopa Skill Center   Approved program change for Pima Community College--increase enrollment and new site   Approved program change for Eastern Arizona College--increase enrollment and new site   Approved Case Western Reserve University to conduct clinical classes in AZ   Issued Notice of Deficiency to Coconino Community College   Approved written test plan and revised guidelines for facilities for the Pilot Study Medication Technician Project

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Regulation
2 0 0 5 was a very active year
for rulemaking. Article 2, which addresses criteria for approval of RN, PN, and Refresher Programs, was updated to include: distance learning criteria; specific clinical experiences that must be included in a nursing program; and clarifying language for curriculum, policies, resources, and administrative oversight. One rule in the Regulation section (R4-19-403, Unprofessional Conduct) was revised. This rule details those acts that the Board considers unprofessional conduct. A charge of unprofessional conduct, if proven true, can lead to discipline on a nurse's license. Acts considered unprofessional conduct were revised to specifically include failure to maintain professional boundaries and engaging in dual relationships with patients; making a false statement on an employment application; and not notifying the Board if the nurse is charged with a felony or misdemeanor. Since no rule can include all possible acts a person may engage in that are unsafe, "any conduct or practice that is or might be harmful or dangerous to the health of a patient or the public," continues to be the definition of unprofessional conduct. The Board may determine other acts that are unprofessional conduct, under this definition. Article 5, (Advanced and Extended Nursing Practice) was completely revised. Changes include incorporating criteria for specialty areas of nurse practitioner (NP) and clinical nurse specialist (CNS) practice; incorporating a one-year opportunity for a CNS to gain certification without a certifying exam and a one-year opportunity for a nurse with a master's degree in nursing to complete a portfolio project in lieu of completing a CNS program; modifica-

b y Pamela Randolph RN, MS

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Assistant (Article 8) were also extensively amended. These rules were first approved in 2000. Some of the changes include: more specific criteria for nursing assistant programs, particularly in the area of curriculum; the ability of the

tion and clarification of prescribing and dispensing for nurse practitioners; updated criteria for CNS and NP programs; and defining Certified Registered Nurse Anesthetist Scope of Practice. The rules for Certified Nursing

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Board to approve an initial application for a nursing assistant program without a site visit; and the ability of the Board to renew a program without an on-site visit. Requirements for licensure were also amended to include a practice requirement of 160 hours every 2 years, which will be implemented for CNAs renewing on or after July 1, 2006. Future rulemaking planned for 2006 includes:   Amendments to Article 2 to incorporate a process for rescinding approval to an out-of-state nursing program that does not substantially meet Board standards;   Amendments to Article 5 to extend the waiver of certification for clinical nurse specialists practicing in the area of maternal/infant health or women's health since there is no certification exam.   Extensive revisions of Articles 4 (Regulation) and 1 (Definitions and Time-frames) are also planned. Please watch the Board website for more information. The person to contact at the Board regarding rules is: Pamela Randolph Nurse Practice Consultant 602-889-5209 e-mail: prandolph@azbn.gov Fax: 602-889-5155

Nursing Board Moving to a New Location
The office will be relocating to 4747 North 7th Street, Suite 200 Phoenix, AZ 85014 Updates will be available on the Arizona State Board of Nursing website. Please use our web services at www.azbn.gov for renewals, downloading applications and verifications

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Special Announcement
WOMEN'S HEALTH NURSE PRACTITIONER

The National Certification Corporation (NCC), the only group that offers a certification examination for women's health nurse practitioners has announced: - 2006 is the last year that any WHNP or OB GYN NP who graduated from a certificate program will be permitted to sit for the NCC WHNP exam. Beginning in 2007, NCC will only accept graduate programs that meet specified accreditation requirements. For more information go to www.nccnet.org, go to Nurse Practitioner exams, download a registration catalogue/2005 Newsletter pg10.

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CHANGES ON THE HORIZON
FOR NOTIFICATION OF YOUR RENEWAL

When Your License Or Certificate Is Due For Renewal...
Post cards will no longer be sent to licensees/certificate holders reminding them of their renewal date. We will however continue to publish reminders in the Arizona State Board of Nursing's Journal If you have provided the Board with a valid email address, you will receive an email reminder 2-3 months before your date of renewal. UPDATE your email address and/or other demographic information in the data base by going to www.azbn.gov and then to "My Services" to update your information. Your Username is your license or certificate number. All RNs/LPNs/CNAs can renew on line except a person with a status of inactive, lapsed, probation, suspended, or revoked license/certificate.

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J u d y Bontrager, RN, MN, Associate Director of Operations

OnLine Renewal of LICENSE/CERTIFICATE
If your RN/LPN license is due for renewal on 6/30/06, or your CNA certificate is due for renewal now or within the next 6 months, you can go online to www.azbn.gov and renew it today. Renewal applicants may renew up to 6 months prior to their expiration date. Benefits to YOU of Renewing Online:   FAST, EASY and EFFICIENT   Available 24 hours per day   renew anywhere, anytime   Process takes less than 10 minutes   You can print out a verification of your renewal process   You will get an E-mail verifying your payment was received   Fewer errors with online renewal   Records updated immediately Renew online by going to www.azbn.gov:   Enter your license number and PIN (if you have forgotten your PIN, you may obtain it while you are online   Enter the information requested   Enter your Visa or MasterCard information   RN/LPN's   A license will be mailed to you within 5 days after you entered your renewal   CNA's   Your renewal will occur within 5 days after we receive your completed Proof of Employment form. You can fax or mail us that form.

If you do not have access to a computer, you can send a written request to ASBN for a renewal application. Another great feature of our online services is that you can go online at anytime and update your home address, mailing address, temporary address, contact information (such as your home/work/mobile phone number), your email address, other states of licensure, educational degrees earned, national specialty certifications you have obtained, and employment information. Additional demographic/professional information such as principal fields of employment, type of nursing position you are working, etc. is being collected to assist individuals working on nursing shortage issues. Please take a moment and go to www.azbn.gov to check and update your demographic information.

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D e b r a Blake, Hearing Department/Paralegal & Valerie Smith, MS, RN, Associate Director - Nursing Practice, Complaints & Investigations

CASE STUDY: License Verification is Critical
Licensure verification by prospective employers is critical to ensure the safety of clients, residents, and patients. Verifying the licensure or certificate status with the Board of Nursing provides the most current status of an individual's license/certificate as well as provides information related to prior complaint and disciplinary history. When a complaint or self-report is received in the agency, it is reviewed to determine jurisdiction. Upon determining that the Board has jurisdiction, the status of the license/certificate or application is updated to reflect that a "Complaint/Self Report" has been received, and an investigator is assigned to the investigation. Notification letters are sent to the subject of the complaint ("the respondent" or the "applicant"). The respondent/applicant is made aware of the allegations and is requested to respond to the complaint and investigative findings. The findings from the investigation are summarized in an investigative report and placed on the Board meeting agenda for the Board's review and decision. Both the respondent and complainant are notified of the board meeting date. Until and unless allegations of violating the Nurse Practice Act have been proven by the Board following the investigation and discipline is in effect, the ability to work as a nurse or CNA is unrestricted, as long as the license or certificate remains active. However, applicants cannot be issued a license/certificate until the conclusion of the investigation and approval by the Board and therefore may not work in a capacity requiring nursing licensure or certification. Possible Board decisions and actions include: Dismissal, Non-disciplinary Action, Disciplinary Action, and Administrative Violations. (See chart on Page below.) Once the case has been reviewed by the Board and a decision made, the

Dismissal Non-Disciplinary

D i s m i s s a l - Evidence does not support that there has been a violation of the Nurse Practice Act. Letter of Concern A letter from the Board expressing concern that a licensee, certificate holder or applicant may have been engage in questionable conduct that is considered low risk or harm to the public. tion with any disciplinary action for a violation of the Nurse Practice Act. Decree of Censure - This is an official discipline by the Board that the RN or LPN's conduct violated the Nurse Practice Act but does not represent a continued risk to the patient/public. Probation - This action allows the RN/LPN to continue working during the period of probation subject to compliance with the terms and conditions. During the period of probation the nurse must be supervised in their practice and complete certain requirements which are aimed at remediation or rehabilitation. Suspension   A RN, LPN, or CNA who has been suspended may not practice during the period of suspension. A person who has been suspended has terms and conditions which must be fulfilled during the period of suspension, before being allowed to resume practice. Examples of terms and conditions may include completing a refresher course, psychological or substance abuse treatment in addition to other requirements. Revocation - This action prohibits the nurse/certificate holder from practicing for a minimum of five years, pursuant to A.A.C. R4-19-404. When a license/certificate has been revoked, the applicant for reinstatement must provide detailed information to the Board that the reason for revocation no longer exists and that the issuance of a license/certificate would no longer threaten the public health or safety. The individual whose license/certificate has been revoked may not practice or otherwise indicate to the public that they hold a license/certificate. Denial - A person (applicant) who has been denied a license/certificate may not practice and is not eligible to reapply to the Board for a period of five years. Voluntary Surrender - A Consent Agreement has been signed in which an APRN, RN, LPN, CNA has voluntarily surrendered their license or certificate.

Disciplinary Actions Civil Penalty - A monetary fine issued by the Board, not to exceed $1,000, given singly or in combina-

Administrative Vi o l a t i o n s

Administrative Penalty -- A penalty/fine given to a licensee or certificate holder who has worked on an expired license/certificate, or failed to notify the Board of an address change within 30 days. It is not reportable to NCSBN or other national data centers.

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licensee/certificate holder's record is updated to reflect the outcome of the Board's decision. For discipline to be final and in effect, a person must either consent to the discipline as voted upon by the Board by signing a "Consent Agreement" or if not signed, the person has had an opportunity for a hearing. Hearings are conducted at the Office of Administrative Hearings and the person conducting the Hearing is an

Administrative Law Judge. The Administrative Law Judge recommends "Findings of Fact, Conclusions of Law and Order" and transcripts of the Hearing are reviewed by the Board Members prior to voting on the appropriate actions to be taken. If discipline is determined to be appropriate by the majority of the Board Members, a "Board Order" is entered as the final decision. Some individuals that are under

investigation or who have discipline pending on their certificate or license, may choose not to disclose on the employment application or in the interview that they have an active complaint against their license/certificate or that there license/certificate has been subject to disciplinary action. The Board's on-line licensure verification provides potential employers and the public with 24 hour access to the licensure status and history. C a s e Study: Nurse B was issued a practical nursing license by endorsement by the Arizona State Board of Nursing in October 1998. She had previously been licensed as a practical nurse by the State of Illinois in 1985. A complaint was received by Board staff alleging Nurse B reported to a meeting with her registry, impaired by substances in February 2004. Paramedics responded and transported Nurse B to a medical center for evaluation and treatment. A complaint was filed with the Board alleging that Nurse B may have an active substance impairment which may place patients at risk or harm. Nurse B's license status was changed to "self report/complaint received" and her case was assigned to an investigator. During the Board's investigation, Nurse B disclosed that she had been in recovery for twenty-two years, attended AA meetings, but had never undergone treatment. She also disclosed that she had recently purchased narcotics in Mexico for leg pain. Following the completion of the investigation, Nurse B's case was reviewed by the Board and the Board voted to offer Nurse B a Consent Agreement for an indefinite suspension of her license pending a relapse/recovery and a neuropsychological evaluation by a Board approved psychologist. Following the completion of any resulting treatment recommendations, Nurse B's license was to be placed on probation for 36 months c o n t i n u e d on page 22

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c o n t i n u e d from page 20 with terms and conditions. Nurse B signed the Consent Agreement and it became effective at that time, rendering her license status as "suspended". Subsequently, Nurse B failed to comply with the terms of her Consent Agreement when she failed to provide proof of successfully completing the required neuropsychological evaluation and treatment(s). As a result of her failure to comply with the terms of the suspension, the Board issued Notice of Charges. Nurse B failed to respond and a "Motion to Deem Allegations Admitted" was presented to the Board at its September 2005 meeting. The Board voted to Deem the Allegations Admitted and revoked Nurse B's license. In the days just prior to the September 2005 Board meeting, a sec-

ond complaint was received regarding Nurse B from her employer who reported she had been terminated for sleeping on the job. Nurse B was working as a home health caregiver, a position which did not require nursing licensure or certification. Nurse B was assigned to a client's home and when the relief

caregiver arrived as scheduled, the client was awake but Nurse B was asleep and could not be roused. Nurse B was immediately sent for a drug screen which was positive for alcohol with a blood alcohol level of 0.15. When Board staff spoke with the Director of Nursing at the home health facility, it was discovered that Nurse B falsified her employment application by indicating that her work history was that of a non-licensed home healthcare worker. Nurse B failed to disclose that she was a licensed (but suspended) nurse and the facility failed to verify her employment history. Her failure to disclose her licensure may have been an effort to avoid licensure verification and disclosure that her license had been suspended by the Board. Confirming prior employment history may have provided an opportunity for her employer to identify the fraudulent application as well as her suspension of her nursing license related to prior job related substance impairment, information important to know in protecting patients from unsafe practitioners. Subsequently, this same employer completed licensure verification on all of their non-licensed home healthcare staff and identified a second employee whose license had been suspended by the Board just five

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(5) days prior to her employment application with the facility.   Licensure/certification verification is quick and easy using the on-line option offered at www.azbn.gov. Licenses/certificates may be verified by entering the individual's name, license number, or social security number. If verifying by name, you must have the correct spelling and should always confirm with additional information if more than one person is licensed under the same name.   Recent discipline information is published in the quarterly Arizona State Board of Nursing newsletters as another mechanism for informing employers, potential employers and the public. Current and past newsletter are available on the Board's website at www.azbn.gov

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C N A DISCIPLINARY ACTION OCTOBER   NOVEMBER   DECEMBER 2005 (NEWSLETTER FEB/MAR/APR 2006) EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/15/2005 Adrianson, Janee A. CNA Applicant Certificate Denied 11/7/2005 Aguilar, Mary G. CNA516662803 Revocation/Non-voluntary 10/12/2005 Ashley, Marella Q. CNA892580297 Civil Penalty 1/4/2006 Askey, JoLynn CNA976606641 Revocation/Non-voluntary 12/16/2005 Ball, Jamie J. CNA1000005416 Suspension 11/29/2005 Barnes, Clifford L. CNA1000007766 Civil Penalty 12/27/2005 Bass, Lucy L. CNA244497103 Certificate Denied 10/14/2005 Bazata, Michele J. CNA Applicant Certificate Denied 7/20/2005* Begay, Earl L. CNA356102353 Certificate Denied 11/18/2005 12/20/2005 12/14/2005 12/27/2005 11/17/2005 12/23/2005 11/15/2005 11/9/2005 11/7/2005 11/8/2005 10/14/2005 11/7/2005 12/12/2005 12/29/2005 11/8/2005 10/6/2005 10/4/2005 10/23/2005 11/22/2005 11/7/2005 9/22/2005* 11/7/2005 11/7/2005 11/7/2005 9/6/2005* 11/9/2005 9/12/2005* 12/20/2005 1/4/2006 1/4/2006 11/22/2005 10/26/2005 12/31/2005 11/7/2005 10/6/2005 12/5/2005 11/28/2005 11/7/2005 12/16/2005 11/7/2005 12/20/2005 6/4/2005* 11/15/2005 8/29/2005* 11/8/2005 11/17/2005 10/21/2005 1/4/2006 9/20/2005* Billings, Tina G. CNA Applicant Certificate Denied Civil Penalty Suspension Certificate Denied Civil Penalty Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Stayed Suspension Cleared Certificate Denied Stayed Revocation Stayed Suspension Cleared Stayed Revocation Stayed Suspension Cleared Revocation/Non-voluntary Civil Penalty Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Suspension with Fine Certificate Denied Stayed Suspension Suspension Revocation/Non-voluntary Revocation/Non-voluntary Voluntary Surrender Civil Penalty Civil Penalty Certificate Denied Civil Penalty Civil Penalty Civil Penalty Revocation/Non-voluntary Civil Penalty Revocation/Non-voluntary Suspension Civil Penalty Certificate Denied Revocation/Non-voluntary Certificate Denied Civil Penalty Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied

*Not reported in previous Newsletter

Bojorquez, Amanda A. CNA1000007950 Brown, James E. CNA999950341 Bullock, Lori L CNA Applicant Castellanos, Maria Del CNA031732713 Rosario Castillo, Gilbert R. CNA Applicant Chavez, Joshua E. Chew, Jeremy B. Contreras, Zaith W. Corlis, Chris J. Corral, Heather L. Cota, Kelli D. Covarrubias, Sara Cowan, Emily R. Crepeau, Jena C. Daily, Juanita D. DeCosta, Christina Dorame, Bianca Edwards, Gary M. Encinas, Benjamin M. Falzon, Olga Fennell, Karen L. Fimbres, Ana Forrest, Tiffany M. Fortner, Christie M. Fowler, Neal Fredericks, Marcy L. Fredericks, Marcy L. Frye, Larry C. Garcia, Martina R. Garner, Curt D. Gilbreth, Kimberlie A. Gonzalez, Beatriz Goodenough, Mark A. Grantier, Tina L. Griffin, Ronald A. Harker, Lorraine K. Harris, Jennifer Henderson, Vivian L. Hernandez, Maida J. Hernandez, Norma J. Hewitt, Lindsey J. Holahan, Justin M. Hoskie, Evangeline E. Ibarra, Maggie J. Infante, Mapy Del Rosario Jackett, Debra A. Jackson, Yevette Johnson, Terrence D. CNA Applicant CNA Applicant CNA999950335 CNA Applicant CNA Applicant CNA1000000526 CNA999989960 CNA1000004128 CNA Applicant CNA999992388 CNA999987677 CNA1000003805 CNA1000004055 CNA999952400 CNA1000007238 CNA367290803 CNA1000001125 CNA1000000138 CNA999996290 CNA Applicant CNA1000007080 CNA1000007080 CNA974881103 CNA1000000458 CNA999998297 CNA999991481 CNA999991710 CNA Applicant CNA1000007391 CNA734064441 CNA100007735 CNA999949431 CNA999989400 CNA1000000773 CNA999947410 CNA1000005929 CNA Applicant CNA040339103 CNA Applicant CNA999987857 CNA999011989 CNA470342919 CNA Applicant

VIOLATION(S) Criminal Conviction-Misdemeanor; Alcohol Abuse False Documentation; Fraud/Deceit Criminal Conviction-Misdemeanor Failure to Follow Orders; Theft - Client; Fraudulent Billing Violating Board Order Criminal Conviction-Misdemeanor; Drug Related; Criminal Conviction-Felony; Misdemeanor Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Alcohol Abuse Criminal Conviction-Misdemeanor; Drug Related; Failure to Cooperate; Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor; Violating Board Order Criminal Conviction-Misdemeanor; Alcohol Abuse Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor; Alcohol Abuse; Failure to Cooperate Criminal Conviction-Drug Related; Failure to Cooperate Criminal Conviction-Misdemeanor; Against Person Obtaining Certificate by Fraud Criminal Conviction-Against Property; Drug Related; Failure to Cooperate Criminal Conviction-Misdemeanor; Drug Related Criminal Conviction-Felony; Misdemeanor; Failure to Cooperate Violating Board Order Misconduct; Failure to Cooperate Drug Related Drug Use on Duty Criminal Conviction-Felony; Theft - Employer; Failure to Cooperate Criminal Conviction-Misdemeanor Theft - Client; Failure to Cooperate; Misconduct Drug Abuse; Violating Board Order Drug Abuse; Fraud/Deceit; Theft - Client Drug Abuse; Drug Use on Duty; Failure to Cooperate Criminal Conviction-Drug Related; Obtaining Certificate by Fraud; Unprofessional Conduct Drug Related Violating Board Order Violating Board Order Drug Abuse; Drug Use on Duty; Violating Board Order Failure to Follow Orders; Misconduct Physical Abuse; Verbal Abuse Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor; Alcohol Abuse; Theft Employer Criminal Conviction-Drug Related; Obtaining Certificate by Fraud Failure to Follow Orders; Leaving Duty Station; Physical Abuse Criminal Conviction-Felony; Misdemeanor; Alcohol Abuse Criminal Conviction-Felony; Misdemeanor; Drug Related; Failure to Cooperate Unprofessional Conduct; Neglect; Physical Abuse; Failure to Cooperate Violating Board Order Criminal Conviction-Drug Related; Misconduct Criminal Conviction-Misdemeanor Violating Board Order Criminal Conviction-Drug Related; Fraud/Deceit; Failure to Cooperate Obtaining Certificate by Fraud Violating Board Order Fraudulent Billing; Failure to Renew Criminal Conviction-Misdemeanor; Sexual Misconduct;

24

arizona STATE BOARD OF NURSING REGULATORY JOURNAL

CNA DISCIPLINARY ACTION OCTOBER   NOVEMBER   DECEMBER 2005 (NEWSLETTER FEB/MAR/APR 2006) EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 9/21/2005* Kee, Cherilyn C. CNA668905353 Civil Penalty 11/18/2005 Keeton, John A. CNA Applicant Certificate Denied 10/22/2005 11/7/2005 12/16/2005 11/7/2005 12/2/2005 11/7/2005 12/15/2005 11/15/2005 11/18/2005 12/14/2005 11/8/2005 7/22/2005* 8/29/2005* 12/15/2005 11/8/2005 11/22/2005 10/27/2005 9/21/2005* 5/31/2005* 11/7/2005 1/4/2006 10/31/2005 10/7/2005 11/15/2005 12/13/2005 12/13/2005 10/14/2005 10/4/2005 1/4/2006 12/2/2005 12/15/2005 11/7/2005 11/7/2005 11/7/2005 12/23/2005 10/14/2005 10/10/2005 11/7/2005 10/27/2005 11/7/2005 9/20/2005* 8/29/2005* 10/5/2005 1/4/2006 9/14/2005* 1/4/2006 9/2/2005* 11/16/2005 1/4/2006 11/17/2005 10/3/2005 10/25/2005 10/18/2005 8/10/2005* 8/30/2005* 12/12/2005 11/15/2005 CNA757833103 CNA Applicant CNA1000004279 CNA131718641 CNA999998532 CNA999989760 CNA Applicant Landsperger, Deborah J. CNA Applicant Latimore, Denna C. CNA Applicant Lee, Rena M. CNA971721103 Linn, Amber F. CNA Applicant Manning, Vivian Z. CNA Applicant Mariles, Monica L. CNA1000002555 McKenzie, Michele M.CNA1000005622 Milliron, Thomas E. CNA Applicant Muchoki, Paul K. CNA1000004200 Neff, Jonathan D. CNA1000007491 Nez, Beverlee CNA Applicant Okamura, Stephanie L.CNA1000005875 Ostrowski, Pinkie D. CNA700315607 Pena, Angela CNA999949369 Pena, Janet L. CNA Applicant Pesqueira, Yvonne F. CNA897760803 Pfister, Michelle J. CNA Applicant Quinonez, Alexander CNA999948304 Raftery, Connie S. CNA620029803 Ray, Elizabeth J. CNA Applicant Reese, Joseph M. CNA999999946 Reideman, Antionette CNA999994179 Rendon, Luis R. CNA077868803 Reynolds, David L. CNA1000005266 Rist, Cassy L. CNA1000004459 Roberts, Timothy E. CNA1000000424 Ruiz, Maria Saenz, Valerie C. Schmidt, Keri L. Sherry, Kenneth R. Sierra, Diane K. Smith, Billie A. Smith, Cherie C. Smith, Darrin N. Smith, Jerome I. Soliz, Belena G. Spratley, Douglas K. Staats, Debra A. Stanton, Sheila Taguipour-Doyle, Dawn Tamayo, Celia Thrailkill, Patricia A. Thunder Hawk, Norma J. Uesele, Melissa L. Vannoy, Bonnie K. Villareal, Seth S. Walker, Robert A. Williams, Sheryll A. Yellowhair, Lekisha R. Young, Penny L. CNA999999379 CNA Applicant CNA Applicant CNA658179086 CNA372361803 CNA999949851 CNA999992604 CNA Applicant CNA243163737 CNA1000007540 CNA999993859 CNA037661103 CNA999992874 CNA393133103 CNA9999988066 CNA814818369 CNA Applicant CNA971491103 CNA108003703 CNA999993871 CNA1000006674 CNA Applicant CNA Applicant CNA999997561 Kennedy, Heather M. Khaaladan, Aum A. Kinney, Diana P. Kolasinski, Joldie K. Koroma, Zainab Y. Krugh, Rosa M Lambert, Jeff J. Stayed Suspension Cleared Certificate Denied Suspension Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Certificate Denied Certificate Denied Suspension Certificate Denied

*Not reported in previous Newsletter

VIOLATION(S) Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Obtaining Certificate by Fraud; Failure to Cooperate

Physical Abuse; Boundaries; Sexual Abuse Violating Board Order Failure to Follow Orders; Verbal Abuse; Failure to Cooperate Violating Board Order Alcohol Abuse Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction-Against Person Violating Board Order Drug Related; Failure to Cooperate; Criminal ConvictionMisdemeanor Certificate Denied Criminal Conviction-Misdemeanor; Failure to Cooperate Revocation/Non-voluntary Violating Board Order Suspension Violating Board Order Certificate Denied Unprofessional Conduct; Drug Related; Failure to Cooperate Stayed Revocation Sexual Misconduct (Inappropriate Touching) Civil Penalty Criminal Conviction Certificate Denied Criminal Conviction-Misdemeanor; Failure to Cooperate Stayed Suspension Failure to Maintain Minimal Standards; Physical Abuse Revocation/Non-voluntary Failure to Follow Orders; Drug Abuse Revocation/Non-voluntary Criminal Conviction-Misdemeanor; Drug Abuse Stayed Revocation Criminal Conviction-Misdemeanor Civil Penalty Practicing Beyond Scope Certificate Denied Criminal Conviction-Misdemeanor; Alcohol Abuse Revocation/Non-voluntary Violating Board Order Civil Penalty Failure to Maintain Minimal Standards Certificate Denied Criminal Conviction-Misdemeanor; Drug Abuse Voluntary Surrender Unsafe Practice; Failure to Follow Orders Revocation/Non-voluntary False Documentation; Theft - Client; Leaving Duty Station Revocation/Non-voluntary Violating Board Order Suspension Violating Board Order Suspension/Stayed Revocation Drug Abuse; Violating Board Order Revocation/Non-voluntary Failure to Follow Orders; Physical Abuse; Verbal Abuse; Violating Board Order Revocation/Non-voluntary Failure to Follow Orders; Leaving Duty Station; Violating Board Order Certificate Denied Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Failure to Cooperate Certificate Denied Criminal Conviction-Misdemeanor; Drug Related; Drug Abuse Voluntary Surrender Verbal Abuse Revocation/Non-voluntary Criminal Conviction-Misdemeanor; Failure to Cooperate Suspension Physical Abuse; Alcohol Abuse Revocation/Non-voluntary Criminal Conviction-Felony Certificate Denied Criminal Conviction-Misdemeanor; Failure to Cooperate Revocation/Non-voluntary Violating Board Order Civil Penalty Criminal Conviction-Drug Related; Failure to Cooperate Revocation/Non-voluntary Criminal Conviction-Misdemeanor; Physical Abuse; Failure to Cooperate Voluntary Surrender Physical Abuse; Verbal Abuse Revocation/Non-voluntary Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Failure to Cooperate Voluntary Surrender Criminal Conviction-Felony Stayed Revocation Cleared Revocation/Non-voluntary Certificate Denied Civil Penalty Civil Penalty Voluntary Surrender Civil Penalty Certificate Denied Civil Penalty Voluntary Surrender Failure to Maintain Minimal Standards; Fraud/Deceit Criminal Conviction-Misdemeanor; Alcohol Abuse; Failure to Cooperate Drug Related Verbal Abuse Failure to Maintain Minimal Standards; Leaving Duty Station; Failure to Cooperate Criminal Conviction-Misdemeanor; Alcohol Abuse Physical Abuse; Verbal Abuse Criminal Conviction-Misdemeanor Failure to Maintain Minimal Standards; Practicing Beyond Scope; False Documentation; Verbal Abuse; Drug Related

arizona STATE BOARD OF NURSING REGULATORY JOURNAL

25

R N / L P N DISCIPLINARY ACTION OCTOBER   NOVEMBER   DECEMBER 2005 (NEWSLETTER FEB/MAR/APR 2006) EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/16/2005 Alderson, Margaret A. RN073411 Probation 12/17/2005 Andresen, Jennifer S. RN118217 Probation Completed 10/26/2005 Arney, Karen M. RN087197 Revocation/Non-Voluntary 4/27/2005* Ashton-Olson, Carol M. LP033532 Voluntary Surrender 11/23/2005 Babineau, Marsha RN041113 Voluntary Surrender 3/30/2005* 11/21/2005 10/24/2005 12/13/2005 11/23/2005 9/23/2005* 12/1/2005 11/7/2005 11/7/2005 11/7/2005 4/27/2005* 12/15/2005 12/20/2005 11/15/2005 Balfour, Mary K. Balzer, Sherry S. Bannon, Leanne E. Barton, Marvin Behm, Lisa R. Bell, Deborah L. Bertsch, Brenda R. Blankenship, Rebecca S. Blue, Tasha K. Brockway, Elisabeth Brown, Carroline Burkart, Philip D. Butler, Linda J. Caldwell, Deena L. RN041917 RN024839 RN000099193 RN124273 RN130910 RN059489 RN088670 LP022732 RN125083 LP012898 RN090127 RN051551 RN087807 RN099838/ LP030577 RN107806 RN116816

*Not reported in previous Newsletter

VIOLATION(S) Medication Errors

Violating Board Order Alcohol Abuse Drug Abuse, Failure to Comply with Requirements of Impaired Nurse Program Voluntary Surrender Drug Abuse, Violating Board Order Probation Sexual Misconduct-Boundaries Stayed Revocation w/Probation Drug Diversion Probation Criminal Conviction-Misdemeanor, Alcohol Abuse, Violating Board Order Probation Completed Stayed Revocation w/Probation Alcohol Abuse Voluntary Surrender Inability to Practice Safely Revocation/Non-Voluntary Violating Board Order Revocation/Non-Voluntary Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Voluntary Surrender Failure to Maintain Minimal Standards, Failure to Follow Orders Voluntary Surrender Misconduct involving a patient Voluntary Surrender Violating Board Order Decree of Censure Unprofessional Conduct, Misconduct-Leaving Duty Station Probation Criminal Conviction-Misdemeanor, Drug Abuse Revocation/Non-Voluntary Decree of Censure Drug Diversion, Failure to Cooperate with Board Failure to Maintain Minimal Standards, Failure to Follow Orders, Misconduct-Leaving Duty Station DX Errors (APRN) Failure to Maintain Minimal Standards, Unsafe Practice, Documentation Errors Failure to Maintain Minimal Standards, Drug Related, Fraud, Deceit-Obtaining License Criminal Conviction-Felony, Criminal Conviction-Misdemeanor Drug Abuse Criminal Conviction-Misdemeanor, Misconduct-Theft - Client Drug Related-Other Practicing Beyond Scope Drug Abuse, Drug Use on Duty Misdemeanor Drug Abuse, Drug Diversion Drug Diversion Failure to Follow Orders, Documentation Errors, Medication Errors Unsafe Practice, Documentation Errors, Alcohol Abuse Drug Abuse, Drug Diversion, Failure to cooperate Violating Board Order Violating Board Order Criminal Conviction-Misdemeanor, Unsafe Practice, Failure to Follow Orders Failure to Maintain Minimal Standards Action in Another Jurisdiction Positive Drug Screen Failure to Maintain Minimal Standards, Failure to Follow Orders, Documentation Errors Sexual Misconduct-Boundaries Practicing Beyond Scope Violating Board Order Violating Board Order Criminal Conviction-Misdemeanor, Alcohol Abuse, Failure to Cooperate with Board Violating Board Order Unsafe Practice, Misconduct-Verbal Abuse Drug Abuse, Drug Use on Duty, Drug Diversion Misconduct-Verbal Abuse Violating Board Order

11/7/2005 Chesik, Joanne 11/15/2005 Contreras, Victoria 11/16/2005 Cordes, Elizabeth A. 12/13/2005 Corrick, Andrea M. 11/22/2005 Cowan, Phillip S. 11/18/2005 Custodio, Emelita J. 11/7/2005 12/28/2005 11/21/2005 12/2/2005 11/16/2005 11/16/2005 11/22/2005 4/27/2005* 10/15/2005 11/22/2005 11/16/2005 11/7/2005 5/18/2005* 11/30/2005 9/7/2005* 12/2/2005 12/5/2005 10/13/2005 12/18/2005 11/16/2005 10/2/2005 12/13/2005 11/16/2005 9/6/2005* 11/7/2005 12/15/2005 11/8/2005 12/2/2005 11/26/2005 9/2/2005* D'Amore, Robert S. Danhauser, Helen L. Davis, Janie M. Dean, Chauntel D. Dellinger, Karen R. Dubravcic, Phillip C.

RN113534 Probation Completed RN059639/AP0226 Decree of Censure RN120015 Voluntary Surrender RN Endorsement Applicant LP019442 License Denied Revocation/Non-Voluntary Voluntary Surrender Decree of Censure Decree of Censure Probation Probation Voluntary Surrender Voluntary Surrender Decree of Censure Voluntary Surrender Probation Completed Revocation/Non-Voluntary Revocation/Non-Voluntary Voluntary Surrender Suspension/Indefinite Decree of Censure Suspension/Indefinite Probation Decree of Censure Probation Decree of Censure Revocation/Non-Voluntary License Denied Suspension w/Fine Revocation/Non-Voluntary Voluntary Surrender Voluntary Surrender Probation Completed Decree of Censure Voluntary Surrender

LP034662 LP036929 RN049524 LP032279 LP041460 CNA1000003054 Eason, Walter D. RN131442 Ellis, Beth L. RN045971 Erdmier, Bobbie A. RN076446 Evans, Marsha M. RN043234 Fagen, Judith M. RN000099546/ AP0266 Farney, Frances A. LP038128 Fluet, Charlene H. RN025534 Foley-Perdue, Cherie K. RN117240 Furnas-Woolman, RN066887 Angela S. Garmon, Susan L. RN104108 Gundlach, Ginette G. RN130469 Gutierrez, Theodore R. RN066910 LP011527 Hartland, Janice L. RN084730 Hartung, Terese M. Hastings, Foy L. Hawkins, Dorothy L. Hayden, Joyce E. Herstein, Sara J. Hodson, Kathleen S. Hong, Duck H. Horsmann, Robert E. Isaacson, Kenneth L. Jackson, Karen C. Johnson, Carla D. RN122075 RN101835 LP031102 LP Endorsement Applicant RN105847/ LP030215 RN111871 RN041765 RN062763 RN064857 LP012467 RN070949

26

arizona STATE BOARD OF NURSING REGULATORY JOURNAL

R N / L P N DISCIPLINARY ACTION OCTOBER   NOVEMBER   DECEMBER 2005 (NEWSLETTER FEB/MAR/APR 2006) EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/7/2005 Johnson, Carmen J. LP029439 Revocation/Non-Voluntary 12/2/2005 Jurow, James RN107786/ Decree of Censure with Fine AP0075 7/20/2005* Keegan, Debra H. RN100640 Decree of Censure 12/13/2005 Kelley, Jeneane L. RN124817 Voluntary Surrender 11/18/2005 Kemmer, Sarah R. 12/14/2005 Kilgore, Gina 10/3/2005 King, Isabel D. 2/28/2005* Klaproth, Jill 12/12/2005 Kotapka, Merrick 10/26/2005 Kubicsek, Kathy I. 12/1/2005 Lenyard, Sylvia E. 11/15/2005 Lerner, Jo Marie 12/13/2005 Leute, Aimee M. 12/1/2005 11/17/2005 12/13/2005 11/7/2005 Lopez, Blaine C. Lyons, Sandi L. Macias, Fernando F. Macias, Fernando F. RN046605 LP028293 LP023072 RN Endorsement Applicant RN110660 RN107256 RN088219 RN117295 RN132306 LP041505 RN111185 RN120416 RN120416 Compact Nurse RN091147/ LP013847 RN Endorsement Applicant RN057440 RN086443/ CNA522112803 RN108244/ AP1032/AP1033 RN130471 RN111309/ LP034945/ CNA160532803 RN120053 RN079755/ LP026049 RN066511 Probation Suspension License Renewal Denied License Denied Decree of Censure Revocation/Non-Voluntary Decree of Censure Probation Probation Probation w/Fine Probation Completed Revocation/Non-Voluntary Stayed Revocation w/Suspension Revocation-Privilege to Practice Voluntary Surrender License Denied Probation Revocation/Non-Voluntary Stayed Revocation w/Suspension Probation Completed Voluntary Surrender Revocation/Non-Voluntary Revocation/Non-Voluntary Voluntary Surrender License Denied Applicant Probation Voluntary Surrender Probation Completed Voluntary Surrender Suspension Decree of Censure Probation Completed

*Not reported in previous Newsletter

VIOLATION(S) Criminal Conviction-Misdemeanor, Drug Related, Drug Diversion Misconduct Related to Prescribing Criminal Conviction-Misdemeanor, Against Person Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Unsafe Practice, Documentation Errors, Practicing Beyond Scope Violating Board Order Failure to Follow Orders, Practicing Beyond Scope, Action in Another Jurisdiction Criminal Conviction-Misdemeanor, Drug Abuse, Drug Diversion Failure to Maintain Minimal Standards, Failure to Assess, Failure to Intervene Alcohol Abuse, Violating Board Order Failure to Maintain Minimal Standards Failure to Maintain Minimal Standards, Failure to Follow Orders, Misconduct-False Documentation Fraud, Deceit-Obtaining License, Criminal Conviction Drug Related, Theft Related Misconduct, Alcohol Abuse, Practicing without License Violating Board Order Drug Abuse, Failure to Comply with Requirements of Impaired Nurse Program Drug Abuse, Drug Use on Duty, Inability to Practice Safely Requested to surrender license while under Board Order Criminal Conviction-Misdemeanor, Alcohol Abuse Drug Abuse Alcohol Abuse, Violating Board Order Inability to Practice Safely, Violating Board Order, Failure to Cooperate with Board Failure to Maintain Minimal Standards, Misconduct Fraud, Deceit, Failure to Cooperate with Board Violating Board Order Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Criminal Conviction-Misdemeanor, Alcohol Related Medication Errors Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Follow Orders Criminal Conviction-Misdemeanor, Alcohol Abuse Drug Abuse, Violating Board Order Drug Related

10/26/2005 Maddox, Melissa S. 12/16/2005 Magdelena, Emily B. 10/21/2005 Mancini, Christina G. 10/14/2005 Martino, Frank P. 12/2/2005 May, Mickey L. 11/16/2005 McKinion, Robbin L. 10/19/2005 Mejia, John M. 12/13/2005 Miranda, Joyce V. 11/7/2005 Moses, Vallie L. 8/23/2005* Mott, Elizabeth S. 11/18/2005 Muggli, Robert H. 12/9/2005

Niambele, Issoufou A. RN Endorsement RN125632 LP016469 RN125649 RN111948 LP035308/ CNA386721103 LP019194 RN071918

11/2/2005 Nichols, Shenna A. 9/12/2005* Nipper, Sue C. 11/17/2005 O'Brien, Robert W. 11/8/2005 OConnell, Alan D. 11/7/2005 Pablo, Hester K.

7/26/2005* Pepper, Carol 11/17/2005 Philips-Anderson, Angela K. 10/19/2005 Pickering, Margarita S. RN094281 11/9/2005 Pickett, Diane E. RN130632 11/29/2005 Plate, Sandra E. 12/14/2005 10/27/2005 4/20/2005* 11/1/2005 Rasmussen, Lee A. Rayborn, Ronald C. Rizzo, Michelle M. Roarick, Kathleen E. RN106914

11/16/2005 Rodman, Annie M. 9/2/2005* Rojas, Jill K.

RN103921 LP028339 RN123530 RN118916/ LP032101 RN094835/ AP1618 LP041227

Stayed Revocation w/Probation Unsafe Practice, Medication Errors Decree of Censure Failure to Maintain Minimal Standards, Failure to Follow Orders, Documentation Errors Stayed Revocation Alcohol Abuse, Failure to Comply with Requirements of w/Suspension Impaired Nurse Program Decree of Censure with Fine Misconduct-Breach of Confidentiality, Drug Diversion Voluntary Surrender Failure to Maintain Minimal Standards Revocation/Non-Voluntary Practicing without License, Violating Board Order Probation Failure to Maintain Minimal Standards, Misconduct-False Documentation Voluntary Surrender TX Errors (APRN), Fraud, Deceit Probation Criminal Conviction, Unprofessional Conduct, Fraud, DeceitObtaining License

28

arizona STATE BOARD OF NURSING REGULATORY JOURNAL

R N / L P N DISCIPLINARY ACTION OCTOBER   NOVEMBER   DECEMBER 2005 (NEWSLETTER FEB/MAR/APR 2006) EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/17/2005 Roney, Douglas P. LP027706 Decree of Censure 10/21/2005 Ryan, Colleen S. TRN120180 Revocation/Non-Voluntary 12/9/2005 Sachs, David P. RN107889/ Decree of Censure AP1770 11/23/2005 Sanchioni, Sharon RN113199 Decree of Censure 11/21/2005 Schubkegel, Jennifer J. RN126813/ Probation Completed LP039130 10/1/2005 Sdao, Susan G. RN122882 Decree of Censure 10/6/2005 Sotelo, Rebecca RN073675 Voluntary Surrender 11/16/2005 10/24/2005 12/2/2005 11/29/2005 10/17/2005 Southard, Angela M. Spirk, Katherine Stow, Patricia B. Taylor, Gwenyth M. Traynor, Marilyn A. LP039068 LP033501 LP020417 RN097345 RN085636 Probation Completed Decree of Censure Voluntary Surrender Decree of Censure Revocation/Non-Voluntary Probation Decree of Censure License Denied Probation Completed Probation Voluntary Surrender Probation Voluntary Surrender Probation Probation Suspension/Indefinite Probation Revocation/Non-Voluntary Probation

*Not reported in previous Newsletter

VIOLATION(S) Positive Drug Screen Violating Board Order RX Errors (APRN) Misconduct-False Documentation Unsafe Practice Writing Illegal RX, Failure to Renew, Violating State/Federal Statutes/Rules Unsafe Practice, Failure to Follow Orders Drug Abuse, Violating Board Order Failure to Maintain Minimal Standards Violated Board Order, Medication Errors, Failure to Maintain Minimal Standards Failure to Assess, Failure to Supervise, Inappropriate Delegation Misconduct, Action in Another Jurisdiction Criminal Conviction-Misdemeanor Misconduct Criminal Conviction-Felony, Drug Diversion Practicing Beyond Scope (APRN) Failure to Maintain Minimal Standards Criminal Conviction-Misdemeanor, Alcohol Abuse, Failure to Report Violations Drug Related Unsafe Practice, Documentation Errors, Inability to Practice Safely Alcohol Abuse Unsafe Practice, Inability to Practice Safely Criminal Conviction-Misdemeanor

4/26/2005* Unruh, Autumn M. 12/5/2005 Valenti, Carl T. 10/4/2005 Vertz, Charlette M. 11/17/2005 11/2/2005 11/17/2005 9/10/2005* 10/28/2005 6/29/2005* 7/14/2005* 11/22/2005 11/16/2005 11/7/2005 10/3/2005

LP037617 RN076817 RN Endorsement Applicant Walsh, Colleen T. RN111358/SNO495 Walters, Phyllis G. RN105226 Waters, Amy M. RN056685 Webber, Beverly M. RN087510/ AP0565 Weissenfels, Patricia G. RN100730 Wheat, Jon M. RN120488 Williams, Cynthia F. Williams, Kathy B. Wood, Lorie S. Woods, Caren L. Youngreen, Susan A. RN054806 LP028430 RN053359 RN120475 RN131707

arizona STATE BOARD OF NURSING REGULATORY JOURNAL

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  Does the website have direct contact information to the staff at the AZ Board of Nursing? Yes. On the Arizona Board of Nursing website: www.azbn.gov you can email any staff member directly by clicking on contact, and then clicking on staff directory. The directory also provides each staff member 's telephone number.   How long do I have to let the Board know if I change my address? You have 30 days to change your address. You can do the address update by going to www.azbn.gov and then to "My Services" and update your information.   My license was stolen. How do I get another one? Download a form from www.azbn.gov and mail to AzBN. Access the AzBN Home Page, click on resources, then applications, then "other form downloads" click on Name/Address change/Duplicate License or Certificate/or CNA document. Print out the form and mail the information surrounding the loss of the license/certificate to AzBN. The fee for a duplicate license/certificate is: $10 for RN/LPN's and $5. for CNA's.   I am moving to another state which needs verification of my Arizona license. How can I obtain the verification? Verification is done online at www.nursys.com. All your Az licensure information is maintained in a national database called NURSYS at the National Council of State Boards of Nursing. The new state may access your AZ information by paying the fee to NURSYS.   I need to change my last name due to a marriage/ divorce. How do I get the name changed with the Board? Download a form from www.azbn.gov and mail information to AzBN within 30 days of the change. Go to www.azbn.gov and click on resources, then applications, then under "other form downloads" click on Name/Address change/Duplicate License or Certificate/or CNA document. You must also provide a copy of the official documentation verifying your previous name (such as a social security card, marriage license, or birth certificate) as well as your new/current name (such as a marriage license or divorce decree).   What are the advantages to renewing online as opposed to sending in a paper application? Convenience and speed of processing. The process takes a few minutes on www.azbn.gov as opposed to time required to complete a paper application and mailing the application. The second

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Frequently Asked Questions from Phone Callers

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J u d y Bontrager, RN, MN, Associate Director of Operations
advantage is speed of processing. For RN/LPN's, your license is renewed instantly if you meet the requirements for renewal, and a printed license is mailed to you within 3-5 days as opposed to 7 10 days through the mail. For CNA's, your renewal will occur within 5 days after you mail/fax the completed proof of employment form.   Who can renew on line? All RN's/LPN's/CNA's can renew on line except persons with a status of inactive, lapsed, probation, suspended, or revoked licenses.   When can I renew my license? You may renew your license up to 6 months prior to the date for renewal printed on the license. Example: If you are due for renewal on 6/30/06, you can renew your license on 1/02/06 and you will be renewed until 6/30/10.   How can I pay my renewal fees? Credit card or check. You can pay on line with a credit card or you may download the application and mail the completed form with a cashier 's check, money order, or personal check made payable to the Arizona State Board of Nursing. (Personal checks must have your name and address printed on the check.)   How can I provide verification that the renewal occurred before the expiration date? When renewing online, print a confirmation receipt for your records. Employers may also verify licensure or certification 24/7 by accessing: www.azbn.gov .   What activities qualify an RN/LPN to meet the 960 hours practice requirement within the past five year for renewal? Any function of nursing performed as an employee or volunteer that is within the legal scope of nursing practice. In addition to direct/bedside nursing, such activities as teaching nursing, supervision of care, consulting, clinical experience in a nursing program, serving as a volunteer with a nursing organization or in health screenings will also qualify as practice. In most cases, caring for family members would not qualify. Call 602-889-5209 or 602889-5204 if there are questions related to care of family members.   Is there a practice requirement for Certified Nursing Assistants to renew their certificate? Effective July 1, 2006, CNA's will have to show proof of employment for 160 hours when they renew.

Arizona Nurses Association Proudly Sponsors

N U R S E S LOBBY DAY
March 23, 2006 Arizona State Capitol 1700 West Washington, Grand Canyon Room Phoenix, AZ 85007 For more Information & Registration call Debbie Wood at 480.831.0404 ext 101 or visit their website at www.aznurse.org
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arizona STATE BOARD OF NURSING REGULATORY JOURNAL