Regulatory journal / Arizona State Board of Nursing.

              arizona STATE BOARD OF NURSING REGULATORY JOURNAL 1
arizonaSTATE BOARD
OF NURSING
VOL 6 􀁴􇐠 NO2
AUGUST 2011 R E G U L A T O R Y J O U R N A L
SISTER
EVANGELISTA
RN#1, BOARD
MEMBER 1921 KATHY SCOTT
RN#125152, BOARD
PRESIDENT 2011
1921 - 2011
90 YEARS PHOTO IS COURTESY OF THE LOS ANGELES PROVINCE ARCHIVES
2 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
Phoenix Children’s Hospital is experiencing one of the most ambitious
periods of growth in its history as we staff our new 11-story patient tower. The
focal point of our $588 million expansion, it inspires our transformation into
a world class medical campus dedicated to the highest standards in children’s
health care. The new Phoenix Children’s Hospital encompasses our campus
and beyond with additions that include:
· 96 PICU/CVICU rooms
· 6,018-square-foot specialty and urgent care center
· Neuro-Newborn ICU
· 12 additional operating rooms
· An increase from 345 to 626 licensed beds by 2012
· 750-car parking garage for the exclusive use of
our employees
Phoenix Children’s Hospital employees enjoy unprecedented growth
opportunities, excellent salaries, and outstanding benefits effective the first of
the month after their start date.
For a complete list of open positions, please
visit our website:
www.phoenixchildrens.com
Equal Opportunity Employer
Opening Now!
Towering Opportunities …
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 3
arizona R E G U L A T O R Y J O U R N A L
PUBLISHED BY
ARIZONA STATE BOARD OF NURSING
4747 North 7th Street, Suite 200
Phoenix, AZ 85014-3655
Phone: 602.771.7800
Main fax: 602.771.7888
CANDO fax: 602.771.7882
General e-mail: arizona@azbn.gov
Website: www.azbn.gov
GOVERNOR
The Honorable Janice K. Brewer
Joey Ridenour, RN, MN, FAAN
EXECUTIVE DIRECTOR
Judy Bontrager, RN, MN
ASSOCIATE DIRECTOR/OPERATIONS
Valerie Smith, RN, MS, FRE
ASSOCIATE DIRECTOR/ INVESTIGATIONS/
COMPLIANCE
Pamela Randolph, RN, MS
ASSOCIATE DIRECTOR/EDUCATION &
EVIDENCE BASED REGULATION
BOARD MEMBERS
Kathy Scott, RN, MPA, PhD, FACHE
PRESIDENT
Kathy Malloch, PhD, MBA, RN, FAAN
VICE PRESIDENT
Patricia (Pat) Johnson, LPN
SECRETARY
Theresa (Terri) Berrigan, LPN
MEMBER
Leslie Dalton, MSN, RN
MEMBER
Lori A. Gutierrez, BS, RN-C, RAC-CT, CBN
MEMBER
Denise Link, RNP, PhD, CNE, FNAP
MEMBER
Randy Quinn, MSN, CRNA
MEMBER
Charleen Snider, BSN, RN
MEMBER
Kathryn L. Busby, JD
PUBLIC MEMBER
M. Hunter Perry
PUBLIC MEMBER
CREATED BY:
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Publishing Concepts, Inc.
14109 Taylor Loop Road
Little Rock, AR 72223
FOR ADVERTISING
INFORMATION:
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􀀕􁔀􀀐􁀀􀀑􁄀􀀎􀸀􀀒􁈀􀀒􁈀􀀑􁄀􀀎􀸀􀀙􁤀􀀙􁤀􀀘􁠀􀀖􁘀􀀀􀁳􇌀􀀀􀀘􁠀􀀐􁀀􀀐􁀀􀀎􀸀􀀕􁔀􀀖􁘀􀀑􁄀􀀎􀸀􀀔􁐀􀀖􁘀􀀘􁠀􀀖􁘀􀀀􀁅􄔀􀁘􅠀􀁔􅐀􀀎􀸀􀀀􀀑􁄀􀀑􁄀􀀔􁐠
24 AzBN Position Vacancy
Education Consultant:
Nursing Assistant Programs
25 CNA Disciplinary Actions
26 RN/LPN Disciplinary Actions
29 CNA Corner
This magazine is mailed 3 times a year to over 90,000
Arizona licensed nurses and reaches every nursing stu-dent,
hospital administrator and nursing school admin-istrator
in the state.
E D I T I O N 2 3
VOL 6 􀁴􇐠 NO2􀁴􇐠 AUGUST 2011
4 From the Executive Director
6􀀃􀌀􀀃􀌠 History of Regulation of
Arizona Nursing Education
8􀀃􀌀􀀃􀌲 2012 Ninth Annual CNA
Educators Retreat
Empowerment: Making
a Difference in Policy and
Practice Certified Nursing
Assistant Essay Competition
10 AzNA and AzBN:
The Partnership Continues
90 Years Later!
11􀀃􀌀􀀃􀌀􀀃􀍓 Staff Directory
12 St. Mary’s -First School
of Nursing in Arizona
14 Scope of Practice Committee
ThinkNurse.com
16 Position Paper on
Concurrent Accreditation/
Approval Site Vistis
20 Education Competency
Model Update
23 The First Annual Adda
Alexander Conference on
Patient Safety and Quality
STATE BOARD
OF NURSING
4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
From the Executive Director
JOEY RIDENOUR, RN, MN, FAAN
ARIZONA STATE BOARD OF NURSING 1921-2011
90TH ANNIVERSARY
During the early 1900s, state nurses associations were
organized for the sole purpose of seeking legislation to pass
nurse practice acts (NPA) in each state. The NPA’s were
merely registration acts or lists of trained nurses who volun-tarily
signed or registered to be recognized as a nurse. North
Carolina was the first state to enact a nursing practice act in
1903, and by 1923 all states had nurse practice acts in place.
The Arizona State Board of Nursing was created in 1921.
Historical information entered into the first book of minutes
from 1921-1923 you may find interesting are:
1. The first nurse to place her name on the register as “RN
# 1” was Sister M. Evangelista Weyand from St. Mary’s
Hospital School of Nursing, Tucson. (There are now over
71,000 RN’s in Arizona.)
2. Nurses coming from other states were to register within
a month, sign an affidavit they will remain in Arizona for
two years and pay a $10 fee.
3. The Arizona Board of Nurse Examiners (Arizona State
Board of Nursing) borrowed $259 from the Arizona State
Nurse’s Association to “put the board in operation.”
4. If the Board failed to repay the debt, the newly pur-chased
typewriter would become the property of the
Arizona Nurses Association and the Board would be
reported to the state.
5. First Secretary and full time staff member was paid
$2,000 year or $166 month.
6. The Secretary was instructed to contact California,
New York, Maryland and California and inform them
they were the only states in which reciprocity would be
established.
7. Superintendants of schools of nursing throughout the
state were sent a letter instructing them to adopt three
arm badges: white for graduate nurses, blue for under-graduate
nurses and red for practical nurses. Nurses
were to be instructed that they “must wear these badges
while in that institution.”
8. A.R.N. was the first title for nurses: Arizona Registered
Nurse.
9. Sister Evangelista was appointed Chairman of a com-mittee
to develop a list of questions for the October
1921 test. Board Members were assigned to submit
questions for the test.
10. Three schools of nursing were recommended to
add to the accreditation list of the American Nurse’s
Association: St. Mary’s Hospital School of Nursing,
Tucson; Arizona Deaconess Hospital School of Nursing
(Good Samaritan), Phoenix and St. Joseph’s Hospital
School of Nursing, Phoenix.
11. At end of fiscal year June 1923, the Board paid off the
debt to the Arizona Nurse’s Association with a remain-ing
balance of $25.65
“For what is the present, after all, but a growth out of the
past?”
-Walt Witman, American Poet
For over 90 years, nurse competency and patient safety
has been the “public good” of the Arizona State Board of
Nursing. In this edition of the AzBN Regulatory Journal,
Pam Randolph provides a historical over view of the evolu-tion
of nursing education in Arizona. The Executive Director
or the Arizona Nurses Association, Robin Schaffer, also pro-vides
historical AzNA information as the organization was
formed for the sole purpose of enacting the Nurse Practice
Act. Also featured is the history of St. Mary’s (Carondolet)
as the first school of nursing in Arizona. Special thanks to
those in our history who pioneered patient safety and to
nurses today who create new ways for making patients safe.
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 5
6 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
BY PAMELA RANDOLPH RN, MS,
ASSOCIATE DIRECTOR OF EDUCATION AND EVIDENCE-BASED REGULATION
HISTORY OF REGULATION OF
Arizona Nursing Education
As the Arizona State Board of Nursing
(Board) celebrates its 90th year, it seems
an appropriate time to examine the Board
history in regulating nursing programs.
In the 1860’s, before the existence of the
Board, nursing in the United States was
organized around the “Nightingale Model”
which relied on student nurses to staff
hospital units. Despite a web search of
Cumulative Index to Nursing and Allied
Health Literature (CINAHL), a discernable
curriculum was not found and the so-called
“model” appears to be a compilation of the
principles found in Nightingale’s famous
work, Notes on Nursing. Nightingale believed
in establishing a patient care environment
to promote healing. She advocated a
rigorous hands-on training program ac-companied
by scientific knowledge, which
is considered the foundation of modern
nursing. Student nurses were expected to
do laundry, prepare meals and clean rooms
in addition to caring for patients. They
worked 10-12 hour shifts, 7 days a week.
As hospitals adopted this “model”, due to
Nightingale’s statistical analysis showing
improved outcomes, inconsistencies and
inequities in nursing training became ap-parent.
Some nursing “programs” consist-ed
of as little as 6 months of bedside train-ing.
The movement to regulate nursing
sprang from these inconsistencies. In 1901,
North Carolina was the first state to pass
a licensure law for nurses. The first actual
nursing course in the United States was
established by Adelaide Nutting at Johns
Hopkins Hospital, also in 1901. The first
collegiate nursing program was established
in 1909.
In 1921, the Arizona State Board of Nurs-ing
was established for the purposes of
registering trained nurses and overseeing
nursing education programs. One of the
first nursing programs to be accredited by
the newly established Board was St. Mary’s
School of Nursing in Tucson, founded in
1914. The director of that program, Sister
Evangelista Weyand, was also one of the
first members of the Board of Nursing.
Sister Weyand is the first licensed nurse in
Arizona holding nursing license #1. Sister
Weyand was assigned the task of establish-ing
the first curriculum standards in 1922.
That year Arizona had 3 hospital-based
schools of nursing: St. Mary’s Hospital
(later Carondelet), Tucson; St. Joseph’s
Hospital, Phoenix; and Arizona Deaconess
Hospital, Phoenix (later Good Samaritan
Hospital). Minutes of early Board meetings
suggest that there was political pressure
for the Board to approve nursing programs.
Governor Hunt (Arizona’s first governor) at-tended
one meeting to question the Board
on their decision to withdraw accreditation
from a program that reportedly did not
fully prepare graduates for floor duties.
A perusal of the minutes of the Board
from 1945-1950 reveals that the Board
remained intimately involved in the educa-tion
of students. During the war years
it was not uncommon for a student to
transfer from one nursing program to an-other.
The Board minutes are replete with
entries detailing each transfer student’s full
academic record and the hours the Board
determined appropriate for a student to
transfer to the receiving program. I am
happy to report that today, this function
falls under the authority and responsibil-ity
of the program. Prior to 1950, Board
members personally visited clinical sites
and programs and made recommenda-tions
for improvement. In 1945 the Board
petitioned the Governor to hire the first
education consultant. That year was also
notable for the adoption of a national test
pool exam for licensure administered by
the National League for Nursing. This
exam was the precursor to the NCLEX®
examination administered today. Prior to
that time, each state board administered
its own exam, usually drafted by the board
members themselves. In 1947 the Board
held it first meeting of educational pro-gram
directors. After 5 years of request-ing
an education staff position, the Board
hired its first “Education Supervisor”, Lucia
Allyn, in 1950.
Nationally, an additional recognition
mechanism for programs that exceed mini-mum
requirements of a regulatory board
was developed by the National League for
Nursing in 1952. This was the forerunner
to the current National League for Nurs-ing
Accrediting Commission (NLNAC), an
accreditation held by a majority of asso-ciate
degree programs in Arizona. With
the advent of accreditation, the Board
changed its educational oversight process
from “accreditation” to “approval”. In 1983,
state laws (A.R.S. §32-1644) were enacted
to enable to Board to recognize national
accreditation. In 1998, the Commission on
Collegiate Nursing Education (CCNE) was
established by the American Association
of Colleges of Nursing (AACN) to accredit
baccalaureate and higher degree nursing
programs. Recently (May, 2011), the Board
adopted a position paper, “Concurrent ac-creditation/
approval site visits”, available
at www.azbn.gov/Education and in this
issue.
Today the Board oversees 31 RN and
8 LPN programs. Registered nursing
programs in Arizona include both private
and public, for profit and not-for-profit,
and baccalaureate, associate degree and
master’s entry all hosted by either nation-ally
or regionally accredited institutions.
The Board also oversees approximately 130
Nursing Assistant programs, 20 advanced
practice programs at 5 universities, 3
medication technician programs and 12
refresher programs. In the early 2000’s the
education function at the Board became
organized into a department with a consul-tant
for C.N.A. programs and an Education
Program Administrator (formerly Education
continued on page 8 >>>
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 7
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8 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
Consultant). An Administrative Assistant
keeps records, maintains correspondence,
facilitates state-wide meetings, manages
renewals and supports the department. In
February, 2007, the position of Associate
Director of Education and Evidence-based
Regulation was established.
Over the years, it has become apparent
that some issues in education are timeless.
Board minutes dating back nearly a century
contain references to nursing shortages
and the need to produce more nurses, lack
of qualified faculty, lack of sufficient clinical
placements, programs failing to adequately
prepare students for practice and how to
best accredit new programs. The Board
role in nursing education has evolved
from overseeing day-to-day program
decisions to establishing and enforcing
evidence-based standards for education.
Throughout its first 90 years the Board has
diligently sought to promote excellence in
education. Today the Education Depart-ment
strives to assist programs in attain-ing
and maintaining best practices that
promote safe and effective care by gradu-ate
nurses.
Education Corner
Board Actions – Educational Programs
March 2011
􀁳􇌀􀀀 􀀲􃈀􀁅􄔀􀁖􅘀􀁉􄤀􀁅􄔀􀁗􅜀􀁅􄔀􀁄􄐀􀀀􀁓􅌀􀁉􄤀􀁔􅐀􀁅􄔀􀀀􀁖􅘀􀁉􄤀􀁓􅌀􀁉􄤀􀁔􅐀􀀀􀁒􅈀􀁅􄔀􀁐􅀀􀁏􄼀􀁒􅈀􀁔􅐀􀀀􀁁􄄀􀁎􄸀􀁄􄐀􀀀􀁖􅘀􀁏􄼀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁴
that Maricopa Skills Center file a
report in 6 months to verify resolution
of deficiencies.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁈􄠀􀁁􄄀􀁎􄸀􀁇􄜀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀀀􀁌􄰀􀁅􄔀􀁎􄸀􀁇􄜀􀁔􅐀􀁈􄠀􀀀􀁏􄼀􀁆􄘀􀀀􀁍
Maricopa Skills Center PN Program.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁉􄤀􀁎􄸀􀁃􄌀􀁒􅈀􀁅􄔀􀁁􄄀􀁓􅌀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀀀􀁐􅀀􀁒􅈀􀁅􄔀􀀍􀴀􀁌􄰀􀁉􄤀􀁃􄌀􀁅􄔀􀁎􄸭-
sure enrollment at Grand Canyon
University.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁈􄠀􀁁􄄀􀁎􄸀􀁇􄜀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀀀􀁌􄰀􀁅􄔀􀁎􄸀􀁇􄜀􀁔􅐀􀁈􄠀􀀀􀁏􄼀􀁆􄘀􀀀􀁂
Brookline College BSN Program for
the purpose of admitting generic stu-dents.
􀁳􇌀􀀀 􀀣􂌀􀁏􄼀􀁎􄸀􀁔􅐀􀁉􄤀􀁎􄸀􀁕􅔀􀁅􄔀􀁄􄐀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁉􄤀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀁁􄄀􀁌􄰀􀀀􀁁􄄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁁􄄀􀁌􄰀􀀀􀁏􄼀􀁆􄘀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁐
Pima Medical Institute-Tucson RN
Program.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁁􄄀􀁄􄐀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁏􄼀􀁆􄘀􀀀􀁓􅌀􀁔􅐀􀁕􅔀􀁄􄐀􀁅􄔀􀁎􄸀􀁔􅐀􀁓􅌀􀀀􀁔􅐀􀁏􄼀􀀀􀁉
ITT Technical Institute.
􀁳􇌀􀀀 􀀤􂐀􀁉􄤀􀁓􅌀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁅􄔀􀁄􄐀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁌􄰀􀁁􄄀􀁉􄤀􀁎􄸀􀁔􅐀􀀀􀁁􄄀􀁇􄜀􀁁􄄀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀀀􀁇
Gateway Community College Nursing
Program.
May 2011
􀁳􇌀􀀀 􀀲􃈀􀁅􄔀􀁓􅌀􀁔􅐀􀁏􄼀􀁒􅈀􀁅􄔀􀁄􄐀􀀀􀁆􄘀􀁕􅔀􀁌􄰀􀁌􄰀􀀀􀁁􄄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁁􄄀􀁌􄰀􀀀􀁏􄼀􀁆􄘀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀀭􂴀􀁏􄼀􀁈􄠀􀁁􄄀􀁖􅘀􀁅􄔀􀀀􀁃
Community College RN Program.
􀁳􇌀􀀀 􀀧􂜀􀁒􅈀􀁁􄄀􀁎􄸀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁐􅀀􀁏􄼀􀁓􅌀􀁁􄄀􀁌􄰀􀀀􀁁􄄀􀁎􄸀􀁄􄐀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁉􄤀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀁁􄄀􀁌􄰀􀀀􀁡
approval to Mohave Community
College PN Program with a report in
12 months.
􀁳􇌀􀀀 􀀲􃈀􀁅􄔀􀁎􄸀􀁅􄔀􀁗􅜀􀁅􄔀􀁄􄐀􀀀􀁁􄄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁁􄄀􀁌􄰀􀀀􀁔􅐀􀁏􄼀􀀀􀀧􂜀􀁁􄄀􀁔􅐀􀁅􄔀􀁗􅜀􀁁􄄀􀁙􅤀􀀀􀁃
Community College Fast Track
Licensed Practical Nursing Program.
􀁳􇌀􀀀 􀀲􃈀􀁅􄔀􀁎􄸀􀁅􄔀􀁗􅜀􀁅􄔀􀁄􄐀􀀀􀁁􄄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁁􄄀􀁌􄰀􀀀􀁔􅐀􀁏􄼀􀀀􀀣􂌀􀁁􄄀􀁒􅈀􀁒􅈀􀁉􄤀􀁎􄸀􀁇􄜀􀁔􅐀􀁏􄼀􀁎􄸀􀀀􀁃
College RN Program with a Letter of
Concern.
􀁳􇌀􀀀 􀀧􂜀􀁒􅈀􀁁􄄀􀁎􄸀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁏􄼀􀁎􄸀􀁔􅐀􀁉􄤀􀁎􄸀􀁕􅔀􀁅􄔀􀁄􄐀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁉􄤀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀁁􄄀􀁌􄰀􀀀􀁡
approval of ITT Technical Institute RN
Program with a report in 6 months.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁅􄔀􀁔􅐀􀁅􄔀􀁎􄸀􀁃􄌀􀁙􅤀􀀀􀁍􄴀􀁏􄼀􀁄􄐀􀁅􄔀􀁌􄰀􀀀􀁕􅔀􀁐􅀀􀁄􄐀􀁁􄄀􀁔􅐀􀁅􄔀􀀀􀁦
for publication.
􀁳􇌀􀀀 􀀡􂄀􀁐􅀀􀁐􅀀􀁒􅈀􀁏􄼀􀁖􅘀􀁅􄔀􀁄􄐀􀀀􀁁􄄀􀁍􄴀􀁅􄔀􀁎􄸀􀁄􄐀􀁅􄔀􀁄􄐀􀀀􀁐􅀀􀁏􄼀􀁌􄰀􀁉􄤀􀁃􄌀􀁙􅤀􀀚􁨀􀀀􀀮􂸀􀁕􅔀􀁒􅈀􀁓􅌀􀁉􄤀􀁎􄸀􀁇􄜀􀀀􀁐
Program Expansion when under
Provisional Approval.
􀁳􇌀􀀀 􀀡􂄀􀁄􄐀􀁏􄼀􀁐􅀀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁐􅀀􀁏􄼀􀁓􅌀􀁉􄤀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁐􅀀􀁁􄄀􀁐􅀀􀁅􄔀􀁒􅈀􀀀􀁏􄼀􀁎􄸀􀀀􀁃
Concurrent Accreditaiton/Approval
site visits.
􀁳􇌀􀀀 􀀤􂐀􀁉􄤀􀁓􅌀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁌􄰀􀁁􄄀􀁉􄤀􀁎􄸀􀁔􅐀􀀀􀁁􄄀􀁇􄜀􀁁􄄀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀀀􀀦􂘀􀁒􅈀􀁅􄔀􀁄􄐀􀀀􀀧􂜀􀀎􀸀􀀀􀁁
Acosta Job Corps Nursing Assistant
Training Program
􀁳􇌀􀀀 􀀤􂐀􀁉􄤀􀁓􅌀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁌􄰀􀁁􄄀􀁉􄤀􀁎􄸀􀁔􅐀􀀀􀁁􄄀􀁇􄜀􀁁􄄀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀀀􀁓
Scottsdale Community College.
The 2012 Ninth Annual CNA Educators
Retreat will be held on January 13, 2012 at
the Desert Willow Conference Center in
Phoenix, Arizona. Empowerment in Prac-tice
will be the theme for this exciting event.
Program planners have been diligently
working on an educational forum that will
provide information, tools and strategies for
educators to be empowered and to teach
CNAs to be empowered in practice.
Certified Nursing Assistants are invited
to submit an essay discussing empower-ment
in practice, sharing an experience in
which he/she spoke up and made a differ-ence
in practice and/or patient safety. Win-ners
of the competition will attend the CNA
Educators Retreat at no cost and participate
in the panel presentation and breakout ses-sions.
CONTEST RULES
􀁳􇌀􀀀 􀀳􃌀􀁕􅔀􀁂􄈀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀁓􅌀􀀀􀁍􄴀􀁕􅔀􀁓􅌀􀁔􅐀􀀀􀁂􄈀􀁅􄔀􀀀􀁆􄘀􀁒􅈀􀁏􄼀􀁍􄴀􀀀􀁃􄌀􀁅􄔀􀁒􅈀􀁔􅐀􀁉􄤀􀁬􆰀􀁅􄔀􀁄􄐀􀀀􀁮
nursing assistants active, in good
standing and currently in CNA prac-tice
􀁳􇌀􀀀 􀀥􂔀􀁓􅌀􀁓􅌀􀁁􄄀􀁙􅤀􀁓􅌀􀀀􀁓􅌀􀁕􅔀􀁂􄈀􀁍􄴀􀁉􄤀􀁔􅐀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁆􄘀􀁏􄼀􀁒􅈀􀀀􀁃􄌀􀁏􄼀􀁎􄸀􀁓􅌀􀁉􄤀􀁄􄐀􀁅􄔀􀁒􅈀􀁁􄄀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁭
must be prepared by the CNA and be
original work
􀁳􇌀􀀀 􀀯􂼀􀁎􄸀􀁌􄰀􀁙􅤀􀀀􀁏􄼀􀁎􄸀􀁅􄔀􀀀􀁓􅌀􀁕􅔀􀁂􄈀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁐􅀀􀁅􄔀􀁒􅈀􀀀􀁐􅀀􀁅􄔀􀁒􅈀􀁓􅌀􀁏􄼀􀁎􄸀
􀁳􇌀􀀀 􀀳􃌀􀁕􅔀􀁂􄈀􀁍􄴀􀁉􄤀􀁓􅌀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁄􄐀􀁅􄔀􀁁􄄀􀁄􄐀􀁌􄰀􀁉􄤀􀁎􄸀􀁅􄔀􀀀􀁉􄤀􀁓􅌀􀀀􀀳􃌀􀁅􄔀􀁐􅀀􀁔􅐀􀁅􄔀􀁍􄴀􀁂􄈀􀁅􄔀􀁒􅈀􀀀􀀑􁄀􀀌􀰀􀀀􀀲
2011
SUBMISSION REQUIREMENTS
􀂇􈜠 Essays must be at least 500 words,
but not exceed 750 words
􀁳􇌀􀀀 􀀥􂔀􀁓􅌀􀁓􅌀􀁁􄄀􀁙􅤀􀁓􅌀􀀀􀁍􄴀􀁕􅔀􀁓􅌀􀁔􅐀􀀀􀁂􄈀􀁅􄔀􀀀􀁔􅐀􀁙􅤀􀁐􅀀􀁅􄔀􀁄􄐀􀀌􀰀􀀀􀁄􄐀􀁏􄼀􀁕􅔀􀁂􄈀􀁌􄰀􀁅􄔀􀀀􀁳
spaced, Microsoft Word format
􀁳􇌀􀀀 􀀥􂔀􀁎􄸀􀁔􅐀􀁒􅈀􀁉􄤀􀁅􄔀􀁓􅌀􀀀􀁍􄴀􀁕􅔀􀁓􅌀􀁔􅐀􀀀􀁉􄤀􀁎􄸀􀁃􄌀􀁌􄰀􀁕􅔀􀁄􄐀􀁅􄔀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁃􄌀􀁁􄄀􀁎􄸀􀁄􄐀􀁉􄤀􀁄􄐀􀁁􄄀􀁔􅐀􀁅􄔀􀀇􀜀􀁓􅌀􀀀􀁦
full name, certification number,
contact information (e-mail address,
daytime telephone number, and
physical address)
􀁳􇌀􀀀 􀀥􂔀􀁎􄸀􀁔􅐀􀁒􅈀􀁉􄤀􀁅􄔀􀁓􅌀􀀀􀁁􄄀􀁒􅈀􀁅􄔀􀀀􀁔􅐀􀁏􄼀􀀀􀁂􄈀􀁅􄔀􀀀􀁓􅌀􀁕􅔀􀁂􄈀􀁍􄴀􀁉􄤀􀁔􅐀􀁔􅐀􀁅􄔀􀁄􄐀􀀀􀁂􄈀􀁙􅤀􀀀􀁕
US mail to AZBN, 4747 N. 7th
Street, Phoenix, AZ 85014, Attn:
CNA Educators Retreat Essay
Competition
JUDGING
Entries will be reviewed and evaluated by
Board staff and members of the 2012 Ninth
Annual CNA Educators Retreat Planning
Committee. Essays will be judged accord-ing
to the following criteria: organization/
format; development; style; and grammar/
spelling. Winners of the competition will be
notified by November 1, 2011.
The Arizona State Board of Nursing
reserves the right to reject any entry that
is not in compliance with the rules and
requirements outlined above. Contest win-ners
agree to allow the Arizona State Board
of Nursing to post their essays on the AZBN
website and use their names and essays in
future educational programs or events.
2012 Ninth Annual CNA Educators Retreat
Empowerment: Making a Difference in Policy and Practice
Certified Nursing Assistant Essay Competition
<<< continued from page 6
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9
Grand Canyon University: Preparing Nurses for
Today’s Dynamic Healthcare Settings
Grand Canyon University has been providing outstanding nursing education for over 25 years
GCU’s College of Nursing has enjoyed a reputation for academic excellence for more than 25 years with clinical partners regarding the
University’s nursing training as among the very best. With a curriculum that fuses academic and clinical rigor with Christian values, GCU prepares
knowledgeable, skilled and caring nursing professionals with the ability to meet the challenges of today’s rapidly changing healthcare settings.
Get started today!
866.859.8164 | gcu.edu/aznurse
Grand Canyon University is regionally accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools. (800-621-7440; http://www.ncahlc.org/)
10 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
1917-1921
In 1917 most of the western states had
already organized state nurses associa-tions.
Nurses coming to Arizona from
other states felt they need an organization
to discuss common interests. Between
1917 and 1919, three separate Graduate
Nurses Groups were formed representing
Maricopa, Pima and Cochise Counties. On
December 3, 1919 in Tucson, 42 gradu-ate
nurses representing the three County
Groups met and voted to organize the
Arizona State Nurses Association (ASNA).
The main objective of ASNA was to raise
the standards of nursing in Arizona.
In order to fulfill the organization’s
main objective the ASNA officers agreed
that a state registration for qualified nurs-es
was needed. Between 1919 and 1921
the ASNA legislative committee worked
on preparing the Nurse Practice Act. The
Nurse Practice Act Bill was presented to
the State Legislature and nurses from
around the state were asked to contact
their legislators urging them to pass the
bill. On the last day of the legislative
session in June, 1921, the bill was still not
heard so ASNA took action!
Edith Snowden, Chairman of ASNA’s
Committee on Legislation, with some of
her committee members went to the Leg-islative
Chambers to see what could be
done. Miss Snowden said in an interview
“We went into the balcony with bags of
peanuts, jelly beans and popcorn to ward
off the pangs of hunger. We sent word
down to the Chairman of the Legislature
that we were prepared to stay until our Bill
was passed. The legislators looked in our
direction several times to see if we meant
what we said. Finally at 2 A.M. the Bill was
passed!” (Shields, 1970).
The first Arizona Nurse Practice Act
became law on June 9, 1921. On June 14,
1921, the Arizona State Board of Nurse
Examiners was organized in Governor
Campbell’s office at the Capitol Building
in Phoenix. Because the newly organized
State Board of Nurse Examiners had no
money, the ASNA Board of Directors voted
to charge each ASNA member $2.00 to
defray expenses for initial equipment such
as a typewriter.
1921-1969
Between 1921 and 1969, Nurse Practice
Act amendments (as needed) were written
by the ASNA Committee on Legislation
with assistance from the Executive Sec-retary
of the State Board of Nursing who
was an advisor to ASNA’s committee on
legislation. Once the amendments were
written, they were approved by the ASNA
Board of Directors and the General As-sembly
before they were presented to the
Legislature. According to ASNA historical
data, ASNA absorbed the cost of neces-sary
legal counsel and public relations
because “a nurse practice act protects
nurses as well as the public” (Shields,
1970).
1970-2011
In the early 1970s, Arizona state offices
and various organizations multiplied
and not only the nurses, but the public
became confused among all the state
names. Because ASNA was a nonprofit
organization and not a state agency, the
ASNA Board of Director in 1973 approved
the name change to Arizona Nurses As-sociation
(AzNA).
In the last few decades ethical and
legal concerns have focused the roles of
professional associations and the pub-lic
responsibilities of regulatory boards.
AzNA is the principal voice of nursing in
the state on issues as varied as workplace
advocacy, scope of practice and profes-sional
growth. It has also actively sought
to engage policy makers to expand access
to healthcare for all Arizonans. Through-out
their 90-year relationship, the Arizona
State Board of Nursing and AzNA have
worked closely on issues related to nurs-ing
practice. During the ongoing revisions
to the Nurse Practice Act, AzNA continues
to collaborate with AzBN to ensure that
the public is protected and that nursing
practice is enhanced. AzNA has worked
with AzBN to provide clarity by request-ing
Advisory Opinions. In addition, many
AzNA members have served in various
AzBN Board appointed positions through-out
history.
AzNA congratulates the Arizona State
Board of Nursing on their 90 year birth-day!
References:
Shields, H. White Caps in the Desert, 1970,
Arizona Nurses Association
Miller, B.K., Editor. Arizona Nurses Association:
1970-2002, A Historical Report.
AZNA AND AZBN: THE PARTNERSHIP CONTINUES 90 YEARS LATER!
BY ROBIN SCHAEFFER, MSN, RN, CNE
EXECUTIVE DIRECTOR, ARIZONA NURSES ASSOCIATION
Outstanding Opportunity
for ED Manager
Copper Queen Community Hospital has an
outstanding opportunity in beautiful Bisbee,
AZ to lead a Level 4 Trauma Status ED that
houses multiple TeleMedicine Programs and
coordinates a Fast Track Triage Center.
Manager will provide administrative
direction and development of staff, and
oversee/develop standards of care.
Free health insurance for
individual and family, with competitive
salary and dynamic work environment.
AZ license req, BSN with 2-5 years of
clinical experience in ER Nursing, with ACLS, PALS,
and CPR certification. Must be in possession of or
actively seeking CEN Certification and/or
advanced trauma training.
Email résumé in confidence to:
erodriguez@cqch.org or
fax to (520) 432-5082
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11
STAFF DIRECTORY
ADMINISTRATION
Joey Ridenour, RN, MN, FAAN
Executive Director
602.771.7801
jridenour@azbn.gov
Judy Bontrager RN, MN
Associate Director - Operations &
Licensing
602.771.7802
jbontrager@azbn.gov
Valerie Smith RN, MS, FRE
Associate Director
Investigations/Compliance
602.771.7804
vsmith@azbn.gov
Pamela Randolph RN, MS
Associate Director Education &
Evidenced Based Regulation
602.771.7803
prandolph@azbn.gov
Lila Wiemann
Administrative Assistant to the
Executive Director and Associate
Director Investigations/Compliance
602.771.7806
lwiemann@azbn.gov
Cristina Oates
Administrative Assistant to Associate
Director Operations/Licensing
602.771.7805
coates@azbn.gov
CANDO
Judy Pendergast, RN, JD
Nurse Consultant – CANDO
602.771.7864
jpendergast@azbn.gov
Olga Zuniga
Administrative Secretary –
CANDO & Monitoring
602.771.7865
ozuniga@azbn.gov
COMPLAINTS-INTAKE
Dolores Hurtado, Senior
Investigator
Complaints-Intake Triage
Coordinator
Nurse Consultant
602.771.7845
dhurtado@azbn.gov
Jennifer McWilliams
Legal Assistant
602.771.7831
jmcwilliams@azbn.gov
EDUCATION
Debra McGinty, RN, PhD
Education Program Administrator
602.771.7877
dmcginty@azbn.gov
Lila Van Cuyk, RN, BSN
Nurse Practice Consultant/
CNA Programs
602.771.7857
lvancuyk@azbn.gov
Karen Gilliland
Administrative Assistant
602.771.7856
kgilliland@azbn.gov
FISCAL SERVICES
Randi Orchard
Fiscal Services Manager
602.771.7810
rorchard@azbn.gov
Norma Salter
Accounting Technician
602.771.7809
nsalter@azbn.gov
HEARINGS
Susan Barber, RN, MSN
Nurse Practice Consultant
602.771.7851
sbarber@azbn.gov
Llysia Gauntt
Legal Secretary
602.771.7852
lgauntt@azbn.gov
Deborah Richards, JD
Senior Investigator
602.771.7850
drichards@azbn.gov
INVESTIGATIONS
Janeen Dahn, MS, FNP-C
Advanced Practice Nurse Consultant
602.771.7814
jdahn@azbn.gov
Jeanine Sage, RN, MSN
Nurse Practice Consultant
602.771.7815
jsage@azbn.gov
Karen Grady, MS, RN, FNP, BC
Nurse Practice Consultant
602.771.7821
kgrady@azbn.gov
Mary Rappoport, RN, MN
Nurse Practice Consultant
602.771.7816
mrappoport@azbn.gov
Nikki Austin, RN, JD
Nurse Practice Consultant
602.771.7819
naustin@azbn.gov
Pat Midkiff, RN, MN
Nurse Practice Consultant
pmidkiff@azbn.gov
Sister Rachel Torrez, RN, MS
Nurse Practice Consultant
602.771.7818
srachel@azbn.gov
Susan Perkins, RN, MSN
Nurse Practice Consultant
602.771.7813
sperkins@azbn.gov
Teddylen Guffey,MHSA, RN,LNCC
Nurse Practice Consultant
602.771.7811
tguffey@azbn.gov
V. Ann Schettler, RN, MHL, CLNC
Nurse Practice Consultant
602.771.7812
aschettler@azbn.gov
Bonnie Richter
Senior Investigator
602.771.7828
brichter@azbn.gov
Dirk VandenBerg, Sr.
Senior Investigator
602.771.7817
Doug Parlin
Senior Investigator
602.771.7822
dparlin@azbn.gov
Kirk Olson
Senior Investigator
602.771.7824
kolson@azbn.gov
Ron Lester
Senior Investigator
602.771.7825
rlester@azbn.gov
Linda Monas
Senior Investigator
602.771.7826
lmonas@azbn.gov
Lynda Hemann, PhD, LISAC
Senior Investigator
602.771.7827
lhemann@azbn.gov
Barbara Melberg
Legal Secretary
602.771.7840
bmelberg@azbn.gov
Dorothy Lindsey
Legal Secretary
602.771.7841
dlindsey@azbn.gov
Trina Smith
Legal Secretary
602.771.7844
tsmith@azbn.gov
Vicky Driver
Administrative Assistant
602.771.7842
vdriver@azbn.gov
INFORMATION
TECHNOLOGY
Adam Henriksen
602.771.7807
ahenriksen@azbn.gov
Cory Davitt
602.771.7808
cdavitt@azbn.gov
Steven Curtain
602.771.7820
scurtain@azbn.gov
LICENSING
Becky Melton
RN/LPN Exam
602.771.7830
bmelton@azbn.gov
Donna Frye
RN/LPN Renewals
602.771.7833
dfrye@azbn.gov
Erica Hernandez
CNA Renewals
602.771.7836
ehernandez@azbn.gov
Helen Tay
CNA Exam/Endorsements
602.771.7832
htay@azbn.gov
Monica Ortiz
Exam Tech
602.771.7831
mortiz@azbn.gov
Paula Delphy
RN/LPN Endorsements
602.771.7834
pdelphy@azbn.gov
Lisa Youtsey
Exam Tech
602.771.7835
lyoutsey@azbn.gov
MAILROOM
Debra Kunkle
602.771.7876
dkunkle@azbn.gov
MONITORING
Tammi Bymers, RN, MSN
Nurse Practice Consultant
602.771.7862
tbymers@azbn.gov
Esther Garcia
Legal Assistant
602.771.7861
egarcia@azbn.gov
Brent Sutter
Legal Secretary
Monitoring & CANDO
602.771.7860
bsutter@azbn.gov
RECEPTIONISTS
Madelyn Emerson
602.771.7871
memerson@azbn.gov
Nancy Davis
602.771.7872
ndavis@azbn.gov
Susan Kingsland
602.771.7873
skingsland@azbn.gov
RECORDS
Anne Parlin
602.771.7875
aparlin@azbn.gov
12 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
ST. MARY’S - FIRST SCHOOL OF NURSING IN ARIZONA
1880s
The Southern Pacific Railroad arrives
in Tucson a month before the dedication
of the 12-bed St. Mary’s Hospital on April
24, 1880. The first 11 patients arrive a
week later In 1882, Bishop Salpointe sells
St. Mary’s to the Sisters for $20,000 and
the promise that it retain its name and
remain a hospital for 99 years. During
that year a second story is added,
doubling the capacity of the hospital.
Construction of another addition is
begun on the north side of the faculty.
By 1884, the hospital accommodates
50 patients. In 1891, George Goodfellow,
M.D., a pioneer in treating gunshot
wounds and abdominal surgery, moves
from Tombstone to Tucson. A room
is set aside at St. Mary’s specifically
for surgical operations. During the
mid-1880s, the Sisters build a 24-bed
isolation cottage. The cottage receives
the growing number of tubercular
patients seeking the benefits of Tucson’s
sunshine.
1890s
In 1893, Sister Fidelia McMahon is
named superintendent of St. Mary’s, a
position she will hold for 27 years. That
same year, the Sisters open their first
convent on hospital grounds. The two-story
structure includes a chapel and
parlor on the first floor and dormitories
and washrooms on the second. The
Sisters convert their old adobe convent
into an orphanage.
1900s
In 1900, to care for the growing
numbers of tubercular patients, Dr.
Hiram W. Fenner designs and oversees
the construction of a two-story circular
sanatorium at St. Mary’s Hospital. Known
as the “Round Building”, the sanatorium
is designed so that each room opens
onto a shaded porch, allowing patients
easy access to the therapeutic climate.
In 1903, a surgical suite is created on
St. Mary’s first floor containing operating,
sterilizing and preparation rooms and a
large emergency room.
In 1907, St. Mary’s Hospital and
Convent receive electricity. The first
month’s bill is $19.40.
St. Mary’s opens the Nursing School
in 1914 with classrooms, dorms and a
two-and-a-half-year-long curriculum.
Sisters Francis de Sales Fuller and
Mary Evangelista Weyand prepare the
curriculum and organize the teaching
faculty.
The United States enters World War I
in 1917. The Sisters offer the hospital as
a place to care for wounded soldiers.
In 1918, Tucsonans find themselves
caught in the grip of a global influenza
epidemic. Barbara Pateh, a recent
nursing school graduate, recounts,
“strong young men died from it and
there was nothing we could do. We
fed them hot broth and cared for their
needs.”
The X-ray Department opens in a little
room off the lobby of the hospital’s north
wing in 1918.
1920s
In 1921, three physicians at St. Mary’s
are certified as Fellows of the American
College of Surgeons: Drs. Meade Clyne,
Joel I. Butler and George E. Dodge.
These are the first certified physicians at
the hospital.
The Fifth Arizona Legislature on June
9, 1921, passes an act empowering the
governor to appoint a State Board of
Nursing Examiners. Sister Evangelista is
named to the board and is honored by
the state when they license her as “R.N.
No. 1” of the State of Arizona.
St. Mary’s Nursing School is formally
accredited in 1922. The sacrifices made
by the Sisters to care for the sick are
dramatically revealed to Tucsonans on
Sunday, March 15, 1925, when a fire in the
convent chapel exposes their humble
living conditions.
A $25,000 fund-raising campaign led
by businessman Herbert Drachman,
author Harold Bell Wright and Bishop
Daniel Gercke is completed by 1927. A
new convent and chapel is designed by
Merritt H. Starkweather and built by A.
C. Jacobson. The convent is dedicated
January 30, 1927. The chapel is named
St. Catherine’s to honor the mother of
Thomas E. Murray, Jr., a benefactor of
the Sisters. It is dedicated December 7,
1928.
In 1928, St. Mary’s is accredited by the
American College of Surgeons, the first
national group to set hospital standards.
That year, 1,971 patients are cared for,
1,139 operations are performed and 80
births are recorded at the hospital.
1930s
Precious hospital income is lost in
1930 when the Southern Pacific Railroad
opens its own facility on Congress Street
and closes its St. Mary’s clinic.
In 1931, Chester Reynolds, M.D., is St.
Mary’s first intern. In spite of looming
financial problems, two stories are
added to the North Wing, increasing
the hospital’s capacity to 185 beds and
20 bassinets. The American Medical
Association (AMA) approves St. Mary’s
medical residency program after the
hospital opens a medical library in 1933
with an adjoining large conference room,
morgue and autopsy room. During
1935, 3,036 patients are admitted, 1,688
Founded by the Sisters of St. Joseph of Carondelet, the congregation was
originally established in France. The Sisters came to the United States in
1836 to serve the diocese in Carondelet, Missouri. In 1870, seven Sisters of St.
Joseph traveled from San Diego to Tucson to open a school. In 1880, the Sisters
opened St. Mary’s Hospital, Arizona’s first hospital. In 1961, they opened St.
Joseph’s Hospital to provide services for Tucson’s growing east side. The Sisters
of St. Joseph of Carondelet began managing Holy Cross in 1981 and assumed
ownership in 1987.
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13
operations are performed and 169
babies are born. Hospital rates range
from $15 a day for a suite to $3 a day for
a bed in the ward. Private duty nurses
now work a 12-hour shift instead of a 20-
hour shift.
In October 1936, Sisters at the hospital
may wear white habits and veils instead
of full length, heavy black serge habits
and starched coverall aprons.
St. Mary’s School of Nursing gains
national recognition in May 1936, when
Helen Clark Doyle is selected by United
Airlines out of 3,000 candidates as the
American Nurses Association’s “Perfect
Nurse”. The dedication ceremony for
the four-story South Wing is broadcast in
1939 over Tucson’s radio station, KTUC.
Designed by Roy Place, the wing adds
50 beds, 11 for the first pediatric unit.
In May, the nursing school graduates
Arizona’s first two male registered
nurses. St. Mary’s is the only general
hospital in Tucson to survive the Great
Depression.
1940s
In 1940, Clark & Company Heating
and Cooling installed the first cabinet
air conditioners in the hospital’s surgical
suites and nursery. The operating rooms
begin a blood transfusion program.
By 1942, with the U.S. entering
World War II, more than half of St.
Mary’s physicians and nurses enlist for
military duty. The Federal Government
organizes the Cadet Nursing Corps and
students’ tuition and expenses are paid
-- a first for the hospital.
St. Mary’s nine-story Central Services
Building opens in 1951, bringing the
hospital bed total to 375. The Nursery
Department adds 18 incubators to assist
premature infants.
1950s
The polio epidemic sweeps the
U.S. between 1942 and 1956. In 1952,
St. Mary’s is designated as a national
diagnostic and treatment facility. That
year, more than 330 polio patients are
treated.
In 1953, St. Mary’s reports 2,500 live
births with no maternal deaths.
The first use of nuclear medicine in
Arizona is performed when St. Mary’s
doctors use a radioactive isotope to
diagnose and treat a thyroid disorder.
In 1959, St. Mary’s acquires a heart-lung
machine and surgeons perform
Arizona’s first open heart surgery on an
8-year-old girl. Tucson’s first artificial
kidney machine is set up at the hospital.
From 1950 to 1960, Tucson’s
population grows from 88,700 to more
than 210,000. Facing an acute hospital
bed shortage, Tucson Medical Center
and St. Mary’s share a fund-raising
campaign and set funds aside for a new
eastside hospital.
1960s
In 1962, the hospital opens the
Critical Care Unit and trains its first
cardiac arrest team who respond to the
summons of “Emergency, Dr. Stillheart!”
With little need for a tuberculosis
sanatorium, the “Round Building” at St.
Mary’s is torn down in 1965. St. Mary’s
School of Nursing’s last class graduates
in May, 1966, joining the ranks of nearly
900 alumnae
1970s
In the spring of 1977, the old nursing
school and St. Mary’s South Annex are
torn down. In 1978, the old convent is
demolished to make room for additional
hospital expansion.
1980s
In December 1980, St. Mary’s is one of
the first hospitals in the United States to
open a Hospice unit. In 1981, the Sisters
are asked by the Diocese of Tucson
to run what, at the time, was called St.
Joseph’s Hospital in Nogales, AZ, on
behalf of the Minim Sisters.
St. Mary’s is honored by the American
Academy of Nursing in 1982 as one of
the nation’s 14 “magnet” hospitals for
excellence. The Sisters’ hospitals in
southern Arizona join with others across
the U.S. to form the Health Care Corp. of
the Sisters of St. Joseph of Carondelet.
In 1983, St. Mary’s and St. Joseph’s
hospitals in Tucson merge, sharing their
management services and supplies.
St. Mary’s develops its Nurse Case
Management Program and Home Health
Services in 1984.
In 1987, the Sisters purchase the
Nogales hospital and name it Carondelet
Holy Cross Hospital. Carondelet Holy
Family Center opens near St. Mary’s for
adults who need skilled nursing care.
1990 And Beyond
In 1994, The Healthy Seniors Program,
a $5 million nationally-funded Medicare
research project, is launched through
Carondelet’s Community Nursing
Organization for residents in Pima
and Santa Cruz counties. The statue
of the Virgin Mary and Infant Christ is
commissioned from Italy to grace the
new main entrance of the hospital.
Carondelet Home Health expands its
array of services and opens a new office
and medical equipment showroom.
After a 17-year break in services,
obstetrics returns to St. Mary’s in 1995
with the opening of a 19-bed, 22-bassinet
Maternal/Newborn Unit. The 125th
anniversary of the arrival of the Sisters
of St. Joseph of Carondelet to Tucson is
celebrated. In its 26th year of operation,
a major renovation of the hospital’s Burn
Unit is launched to enhance inpatient
and outpatient services.
Today, Carondelet St. Mary’s Hospital,
part of Carondelet Health Network,
remains the flagship for southern
Arizona’s oldest and largest not-for-profit
health care provider. Carondelet
Health Network is part of the Carondelet
Health System, a nationwide network of
hospitals operated by the Sisters of St.
Joseph of Carondelet, which in addition
to Arizona, have health care services in
New York, Minnesota, Georgia, Idaho,
Washington, California, Missouri, Kansas
and Wisconsin.
References:
Carondelet Health Network, Carondelet
History (undated) Retrieved from http://
www.carondelet.org/home/about-carondelet/
carondelet-history.aspx.
St. Mary’s is honored by the American Academy of Nursing in 1982 as one
of the nation’s 14 “magnet” hospitals for excellence. The Sisters’ hospitals
in southern Arizona join with others across the U.S. to form the Health Care
Corp. of the Sisters of St. Joseph of Carondelet.
14 arizona STATE BOARD OF NURSING RegulatoRy JouRnal
Introduction
“Scope of Practice” (SOP) is a term
used to define the actions, practices
or procedures that are permitted for a
specific profession. The Board of Nursing
receives many calls each day asking about
the scope of practice of a Registered
Nurse (RN) or an Licensed Practical Nurse
(LPN) such as:
o Is it within the SOP for an RN to
insert a peripheral IV into the exter-nal
jugular?
o Is it within the SOP for an LPN to
administer parental nutrition?
o Can an RN remove transvenous and
epicardial temporary pacemaker
wires?
o Can an RN perform a flexible sig-moidoscopy
for screening purposes?
Current Committee Membership
2011-2013
Board Member Co Chairs:
Pat Johnson, LPN
Kathy Scott, RN, MPA, PhD, FACHE
Board Staff
Joey Ridenour, RN, MN, Executive Director
Judy Bontrager, RN, MN
Tammi Bymers, RN, MSN
Amy Haycraft, RN, MS. ANP
Carolyn Lohmann, RN, BSN, CRN
Christina Trifanoff, RN, MSN
Keata Bhakta, RN, MSN
Lesley Eastman, RN, BSN
Chu Jun Fryson, MSN
Marlene Eriacho, MBA, BSN, RN
Crystal Bennett, RN, MN, DNSc
Nadine Lendzion, RN, MN, CNRN, COCN
Denise Miller, RN, BSN
Nancy Baumhover, MSN, RN, CCRN, CNE
Francisco Saenz, RN, MSN, MBA, HCM
Peggy Hampton, RN, BSN
James Yale III, RN, BSN
Robin Kirschner, RN, EdD,CRN, CPAN
Jason Lin, RN, CEN, CCRN, CFRN
Rolland Arnold, RN, MSN
Jody Coolman, RNC-OB, BSN
Theresa Frimel, MSN, RN, CNE
Judy Irvin, RN, JD
Thomas Kraus, RN, BSN
Karla Baning, RN, ACNP, MSN. CCRN
SOP Committee Goals
o To review and revise current advi-sory
opinions. Currently there are 66
advisory opinions available on the
board’s website. There have been
approximately 19,000-20,000 “hits” to
the advisory opinions on the web site
in the past 6 months
o To respond to the changing health
care environment by addressing SOP
issues and developing advisory opin-ions
when appropriate. A recent
example of this is the development
of an advisory opinion on Medical
Esthetic Procedures Performed by
Licensed Nurses.
o To discuss and deliberate on SOP
issues that are submitted to the
Board, and then make recommenda-tions
to the Board. A nurse, facility,
or another regulatory agency may
address a letter to the Board request-ing
the SOP committee review their
request about a certain practice and
develop an advisory opinion. This
involves sub committees of the SOP
committee reviewing existing litera-ture,
doing research on community,
local, and national Standards of
Care; reviewing guidelines and advi-sory
opinions written by other state
boards of nursing, obtaining opin-ions/
statements from professional
organizations; determining necessary
education, etc.
How to become a SOP member
RN/LPN’s who have an interest in
volunteering to become a part of the SOP
committee can submit their resume to
Judy Bontrager, RN, MN at jbontrager@
azbn.gov . The next time for committee
changes will be in March, 2013.
NURSING FACULTY
POSIT ONS AVAILABLE
The University of A izona, College of Nursing is seeking clini-cal
scholars to support our educational mission.
Visit www.uacareertrack.com for additional information,
mi imum qualificat ons and to apply.
To apply go to: www uacareertrack.com
and refer o job numbe 46896, 46551,
46381, 45437 and 45412.
The University of Arizona is an EEO/AA Employer – M/W/D/V.
Nursing
Faculty
Pos tions
Available
Reviews of applications will continue until positions are filled.
Scope of Practice Committee
By JUDy BONTRAGER RN MN
AssOciAtE DiREctOR
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15
Nurses
Nurse Managers
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Explore opportunities at
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Text RNJobs to 447363 [HireMe] for
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EOE/AA/M/F/D/V
Rural Health Network Project Director, full time. Executive lead position for
the Tohona O’odham Health Services Network Grant.
Rural Health Network, Project Assistant, part time (3/4). Coordinate activities
to support the Tohono O’odham Health Services Network.
Education Coordinator. Develop, organize and directs educational programs
per federal, state and local standards and regulations.
All positions include:
Housing on Location (based on availability)
13 Paid Holidays
PTO Benefits
Medical/Dental Insurance
Long Term Disability
401(K)
Committed to Attracting, Developing
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Join our professional team and make a positive difference within
an organization that values excellence and compassionate care.
EEO
For details:
Caroldene Garcia (520) 361-1800
cegarcia@toltc.org
For additional detail, visit:
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- Lee Olitzky, Director, Tohono O’odham Nursing Care Authority
Position Opportunities - Tohono O’odham Nursing Care Authority:
Position Opportunity – Archie Hendricks Sr. Skilled Nursing Facility
School of Nursing
University of Nevada, Las Vegas
UNLV is an Equal Opportunity Affirmative Action educator and
employer committed to achieving excellence through diversity.
School of Nursing Faculty Positions Available
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Med-Surgical and Psychiatric Nursing
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Position details & application process
http://hrsearch.unlv.edu
UNLV is a thriving urban research institution
BSN, MSN (Nurse Practitioner/Nurse Educator), DNP & PhD programs
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16 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
Background
The Arizona State Board of Nursing
(Board) is the legally authorized entity
in Arizona to set standards for nursing
education programs (ARS § 1606 (B)(1)).
The Board is also required to recognize
national nursing accrediting bodies. Under
A.R.S. § 32-1644 (C), the Board has limited
authority over nursing programs accredited
by national nursing accrediting agencies
recognized by the Board (NLNAC, CCNE).
That authority may only be exercised if the
Board receives a complaint, the program
falls below Board standards in rule, or the
program’s accreditation is lost or has lapsed.
In order to exercise appropriate and
minimal effective regulation of nationally
accredited programs and to determine
whether the program conforms to regulatory
standards as required in A.R.S. § 32-1644
(C), the Board engages in concurrent
accreditation/approval site visits with the
national nursing accrediting agency. The
Board uses the same self-study provided
to the accrediting agency as the basis for
the visit. The Board also investigates any
program that is the subject of a complaint
related to violation of a rule or that falls
below NCLEX passing standards.
Differences and Similarities
Goals of Approval/Accreditation
Boards of nursing and accrediting
bodies have different missions and
expectations of nursing programs. An
accrediting agency’s mission and purpose
is to promote sound educational practices.
The Commission on Collegiate Nursing
Education (CCNE) describes its role as
“serving the public interest by assessing
and identifying programs that engage in
effective educational practices” (CCNE,
2010). The National League for Nursing
Accrediting Commission (NLNAC) “supports
the interests of nursing education, nursing
practice, and the public by the functions of
accreditation.” NLNAC further recognizes
a regulatory role in its statement that, “the
monitoring of certificate, diploma, and
degree offerings is tied closely to state
examination and licensing rules, and to
the oversight of preparation for work in the
profession” (NLNAC, 2010). Accreditation
processes are voluntary and fees are
collected to support the accrediting agency.
Nursing accrediting agencies evaluate
a program’s adherence to standards as
an indication of the quality of a nursing
program by reviewing the program’s self
assessment, expected outcomes and plans
for improvement. The minimum or initial
accreditation period is 5 years, with a typical
period for re-accreditation of 8-10 years.
In contrast, the Arizona State Board
of Nursing has the overarching mission
of protection of the public health, safety
and welfare through the regulation of
licensees, certificate holders and nursing
education programs. Part of accomplishing
this mission is the statutory authority and
responsibility to set minimum standards for
nursing education in rule (A.R.S. §32-1606 (B)
(1)) as well as recognize national accrediting
agencies. All nursing programs are given
an opportunity to provide input into the
regulatory standards and consequently held
to the same standards. In order to recognize
nationally accredited programs, the approval
period set by the Board is matched to the
accreditation approval period. The self-study
prepared for the accreditation visit
is accepted in lieu of a self study based on
Board rules. Nationally accredited programs
are not re-evaluated until the next scheduled
accreditation site visit if no deficiencies
are found or complaints are received.
However, it is rare that a program does not
have at least one potential deficiency on
reaccreditation. Many of these deficiencies
are minor and readily rectified. Once
potential or actual deficiencies are resolved,
programs are not routinely revisited until the
next scheduled accreditation site visit.
The National Council of State Boards of
Nursing (2004) notes that Board approval is
a mandatory process related to permission
for a nursing program to operate by
meeting essential educational standards.
Accreditation in most jurisdictions
remains voluntary and focuses on program
excellence. Approval processes are generally
carried out by governmental agencies
while accreditation is conducted by private
agencies with peer reviewers.
Standards
Consistent with its mission, Board
regulations focus on safety indicators and
practices of a nursing program. There are
many areas of mutual interest such as:
evidence of an effective evaluation plan,
sufficient authority vested in the nursing
program administrator, utilization of
qualified faculty and sufficient resources
to operate the program. Consistent with
its mission, the Board has additional
regulations requiring programs to evaluate
protection of patient safety as part of the
evaluation plan and implement policies
to ensure both students and faculty are
physically and mentally able to provide safe
nursing care. There are differing standards
for curriculum in that the Board requires
evidence of level objectives and measurable
learning outcomes for each class session
whereas the accrediting standards lack
this specificity. Additional standards of
accrediting bodies that are not addressed
in Board rules include opportunities for
students and faculty to participate in
campus governance, the integration of liberal
education, provision of original transcripts of
faculty, security of student documents and
student loan default rates. Some standards,
while similar to those of accrediting bodies,
are interpreted and enforced differently. For
example, despite having standards related
to clinical activities, NLNAC accredits one
program that has no instructed clinical
practice.
Follow-up
Most concurrently conducted Board
approval/accreditation visits result in
reports that cite similar areas of strength
and/or concern. Following the visit, the
Board provides opportunities for the
POSITION PAPER ON CONCURRENT
ACCREDITATION/APPROVAL SITE VISITS
(Adopted by the Board on 5/25/2011)
JANICE BREWER JOEY RIDENOUR
GOVERNOR EXECUTIVE DIRECTOR
continued on page 18 >>>
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17
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18 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
You’ve put years of hard work, education
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􀂇􈜀􀀳􃌀􀁈􄠀􀁕􅔀􀁌􄰀􀁑􅄀􀁄􄐀􀁗􅜀􀁄􄐀􀁏􄼀􀀒􁈀􀀪􂨀􀁜􅰀􀁑􅄀􀀃􀌀􀀶􃘀􀁈􄠀􀁕􅔀􀁙􅤀􀁌􄰀􀁆􄘀􀁈􄠀􀁖􅘀
􀂇􈜀􀀨􂠀􀁐􅀀􀁈􄠀􀁕􅔀􀁊􄨀􀁈􄠀􀁑􅄀􀁆􄘀􀁜􅰀􀀃􀌀􀀧􂜀􀁈􄠀􀁓􅌀􀁄􄐀􀁕􅔀􀁗􅜀􀁐􅀀􀁈􄠀􀁑􅄀􀁗􅜀
􀂇􈜀􀀬􂰀􀀦􂘀􀀸􃠀􀀏􀼀􀀃􀌀􀀦􂘀􀀹􃤀􀀬􂰀􀀦􂘀􀀸􃠀􀀏􀼀􀀃􀌀􀀦􂘀􀀹􃤀􀀲􃈀􀀵􃔀
􀂇􈜀􀀰􃀀􀁈􄠀􀁇􄜀􀀒􁈀􀀶􃘀􀁘􅠀􀁕􅔀􀁊􄨀􀀒􁈀􀀷􃜀􀁈􄠀􀁏􄼀􀁈􄠀
􀂇􈜀􀀶􃘀􀁘􅠀􀁕􅔀􀁊􄨀􀁌􄰀􀁆􄘀􀁄􄐀􀁏􄼀􀀃􀌀􀀶􃘀􀁈􄠀􀁕􅔀􀁙􅤀􀁌􄰀􀁆􄘀􀁈􄠀􀁖􅘠
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programs to correct any errors of fact and
remedy any potential deficiencies. Beyond
that, it is current Board practice to allow
previously approved programs 6-8 months
without formal notice to remedy potential
deficiencies. During this time Board staff is
available, without cost to the program, to
provide consultation, program education
and verify compliance. The predominant
mechanism whereby accrediting bodies
monitor compliance is self reports by
programs usually within two years. On rare
occasions, the accrediting agency will re-visit
the program to verify compliance. If the
program is deficient in only a few areas, no
follow-up report or visit is required by the
accrediting agency.
Site visitors
Accrediting agencies rely on volunteer
site visitors to make determinations of
compliance with standards. Although
all trained in a similar manner, results of
program review vary depending on the site
visit team interpretation of the standards.
For example, eight formerly consolidated
programs were visited within 6 months of
each other. All 8 self studies were similar
and areas of deficiency were nearly identical
across programs, however the results
and recommendations from site visitors
differed for each program. Dedicated Board
staff, thoroughly versed on regulation,
concurrently reviewed the programs and
found 2 common potential deficiencies of
all 8 programs. These deficiencies were
remedied by the programs within the 6
month time-frame allotted by the Board.
Findings
The dissemination of the findings differs
between the Board and the accrediting
agency. The Board’s actions are formal
and available to the public. The public is
informed on the Board’s website when a
school is issued a formal notice of deficiency
or discipline. When a program has been
granted a period to correct potential
deficiencies, that information is noted in the
Board minutes and available to the public.
In contrast, the results of an accreditation
survey are confidential and not available to
the public or governmental agencies.
Board Position
It is important for the Board to
collaborate with accreditation bodies to
support safe and effective preparation of
nurses (NCSBN, 2004). The Arizona State
Board of Nursing is strongly committed
to the approval process as an integral yet
separate part of the accreditation review
to ensure that a nationally accredited
nursing program is maintaining standards.
Most Arizona programs view the current
oversight provided by the Board as
appropriate. The Commitment to Ongoing
Regulatory Excellence (CORE) project under
the direction of the National Council of
State Boards of Nursing provides nursing
regulatory boards with data from both
internal and external stakeholders to identify
best practices and use benchmarking
strategies for Boards of Nursing. Arizona
specific data from the 2007 report that AZ
nursing programs rated the effectiveness of
Board functions in the area of promotion
of quality in nursing programs and
responsiveness to innovation in education
as very effective (all were above 3.5 on a 4.0
scale). The helpfulness of the Board on
educational issues was also rated highly
(3.8 of a possible 4.0). 84% of program
respondents rated the Board as having
adequate regulation of nursing programs
with 10% of respondents opining that the
Board over-regulated nursing programs
and 5% thought the Board under regulated
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19
nursing programs. (Randolph, 2009).
The Board is committed to supporting
programs to achieve their outcomes while
ensuring public safety to students and
consumers of healthcare.
􀂇􈜀􀀃􀍒 Resources: With local follow-up and
monitoring by the Board of Nursing,
many programs are able to secure
additional essential resources such
as private faculty offices, support
personnel and additional faculty to
enhance program integrity and positive
program outcomes. Board staff can
better direct educational offerings to
all programs that address common
deficiencies. For example, when
deficiencies were noted in curriculum
development, Board staff provided free
workshops for faculty in rural programs;
at the most recent Statewide Educator’s
Meeting a featured speaker presented
information on effective evaluation
plans.
􀁳􇌀􀀀􀁃 Consultation: Board staff may be
consulted at any time in the process
at no charge regarding any potential
deficiencies or questions related to the
site visit.
􀁳􇌠 Background Information: If requested,
Board staff can provide site visitors with
an overall history of the program and
the Arizona environment as it relates
to nursing education including issues
such as faculty and clinical availability.
􀁳􇌀􀀀􀁅 Efficiency: In using the single
accreditation self study rather than
two separate self studies, the program
conserves time and resources.
􀁳􇌀􀀀􀁍 Mutual Learning: Board staff, site
visitors and program leaders learn from
each other regarding best practices
and innovative methods, differing state
regulations, and alternate practices—all
programs in the state benefit from the
dissemination of this knowledge by
Board staff.
The Board of Nursing endorses
concurrent site visits as the best process to
support quality of educational programs and
protect the health, safety and welfare of the
public while minimizing disruption and costs
to educational programs. Board staff will
continue to seek innovations to streamline
the accreditation/approval process so that
Arizona’s nursing education practices are
evidence-based indicators of excellence.
Innovations to improve the process of
concurrent visits include:
􀁳􇌀􀀀 􀀩􂤀􀁎􄸀􀁃􄌀􀁒􅈀􀁅􄔀􀁁􄄀􀁓􅌀􀁅􄔀􀁄􄐀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁍􄴀􀁕􅔀􀁎􄸀􀁉􄤀􀁃􄌀􀁁􄄀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁗􅜀􀁉􄤀􀁔􅐀􀁈􄠀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁇􄜀􀁒􅈀􀁁􄄀􀁍􄴀􀀀􀁡
administration regarding the goals and
requirements for the visit, especially
if there has been a recent change in
nursing program administrator
􀁳􇌀􀀀 􀀥􂔀􀁘􅠀􀁐􅀀􀁌􄰀􀁏􄼀􀁒􅈀􀁅􄔀􀀀􀁏􄼀􀁐􅀀􀁐􅀀􀁏􄼀􀁒􅈀􀁔􅐀􀁕􅔀􀁎􄸀􀁉􄤀􀁔􅐀􀁉􄤀􀁅􄔀􀁓􅌀􀀀􀁗􅜀􀁉􄤀􀁔􅐀􀁈􄠀􀀀􀁎􄸀􀁁􄄀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀁁􄄀􀁌􄰀􀀀􀁡
accreditation teams to divide workload
and share results
References
Commission on Collegiate Nursing Education
(CCNE). (2010). CCNE accreditation. Retrieved
from http://www.aacn.nche.edu/Accreditation/
index.htm
National Council of State Boards of Nursing
(NCSBN). (2004). White paper on the state
of the art of approval/accreditation processes in
Boards of Nursing. Retrieved from https://www.
ncsbn.org/Final_11_05_Approval_White_Paper.
pdf
NLNAC (undated). About NLNAC. Retrieved
from http://nlnac.org/About%20NLNAC/
AboutNLNAC.htm#MISSION
Randolph, P. (2009). Education corner: CORE
report education. Arizona State Board of
Nursing Regulatory Journal, 4(4), 16-17.
Retrieved from http://www.azbn.gov/Documents/
Newsletters/2009/Journal%204th%20
Quarter%202009.pdf
􀀺􃨀􀁌􄰀􀁗􅜀􀁋􄬀􀀃􀌀􀁉􄤀􀁄􄐀􀁆􄘀􀁌􄰀􀁏􄼀􀁌􄰀􀁗􅜀􀁌􄰀􀁈􄠀􀁖􅘀􀀃􀌀􀁌􄰀􀁑􅄀􀀃􀌀􀀦􂘀􀁒􅈀􀁗􅜀􀁗􅜀􀁒􅈀􀁑􅄀􀁚􅨀􀁒􅈀􀁒􅈀􀁇􄜀􀀏􀼀􀀃􀌀􀀩􂤀􀁏􄼀􀁄􄐀􀁊􄨀􀁖􅘀􀁗􅜀􀁄􄐀􀁉􄤀􀁉􄤀 􀀃􀌀􀁄􄐀􀁑􅄀􀁇􄜀􀀃􀌀􀀶􃘀􀁈􄠀􀁇􄜀􀁒􅈀􀁑􅄀􀁄􄐀􀀏􀼀􀀃􀌀
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􀁋􄬀􀁈􄠀􀁄􄐀􀁏􄼀􀁗􅜀􀁋􄬀􀁆􄘀􀁄􄐀􀁕􅔀􀁈􄠀􀀃􀌀􀁓􅌀􀁕􅔀􀁒􅈀􀁙􅤀􀁌􄰀􀁇􄜀􀁈􄠀􀁕􅔀􀀃􀌀􀁌􄰀􀁑􅄀􀀃􀌀􀀱􃄀􀁒􅈀􀁕􅔀􀁗􅜀􀁋􄬀􀁈􄠀􀁕􅔀􀁑􅄀􀀃􀌀􀁄􄐀􀁑􅄀􀁇􄜀􀀃􀌀􀀦􂘀􀁈􄠀􀁑􅄀􀁗􅜀􀁕􅔀􀁄􄐀􀁏􄼀􀀃􀌀􀀤􂐀􀁕􅔀􀁌􄰀􀁝􅴀􀁒􅈀􀁑􅄀􀁄􄐀􀀑􁄀􀀃􀌀
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􀁕􅔀􀁈􄠀􀁌􄰀􀁐􅀀􀁅􄔀􀁘􅠀􀁕􅔀􀁖􅘀􀁈􄠀􀁐􅀀􀁈􄠀􀁑􅄀􀁗􅜀􀀃􀌀􀁄􄐀􀁑􅄀􀁇􄜀􀀃􀌀􀁐􅀀􀁘􅠀􀁆􄘀􀁋􄬀􀀃􀌀􀁐􅀀􀁒􅈀􀁕􅔀􀁈􄠀􀀄􀐀
􀀷􃜀􀁒􅈀􀀃􀌀􀁏􄼀􀁈􄠀􀁄􄐀􀁕􅔀􀁑􅄀􀀃􀌀􀁐􅀀􀁒􅈀􀁕􅔀􀁈􄠀􀀃􀌀􀁄􄐀􀁅􄔀􀁒􅈀􀁘􅠀􀁗􅜀􀀃􀌀􀁒􅈀􀁓􅌀􀁓􅌀􀁒􅈀􀁕􅔀􀁗􅜀􀁘􅠀􀁑􅄀􀁌􄰀􀁗􅜀􀁌􄰀􀁈􄠀􀁖􅘀􀀃􀌀􀁄􄐀􀁗􅜀􀀃􀌀􀀱􃄀􀀤􂐀􀀫􂬀􀀃􀌀
􀁄􄐀􀁑􅄀􀁇􄜀􀀃􀌀􀁗􅜀􀁋􄬀􀁈􄠀􀀃􀌀􀁆􄘀􀁒􅈀􀁐􅀀􀁐􅀀􀁘􅠀􀁑􅄀􀁌􄰀􀁗􅜀􀁌􄰀􀁈􄠀􀁖􅘀􀀃􀌀􀁗􅜀􀁋􄬀􀁄􄐀􀁗􅜀􀀃􀌀􀁚􅨀􀁈􄠀􀀃􀌀􀁖􅘀􀁈􄠀􀁕􅔀􀁙􅤀􀁈􄠀􀀏􀼀􀀃􀌀􀁓􅌀􀁏􄼀􀁈􄠀􀁄􄐀􀁖􅘀􀁈􄠀􀀃􀌀
􀁙􅤀􀁌􄰀􀁖􅘀􀁌􄰀􀁗􅜀􀀃􀌀􀁚􅨀􀁚􅨀􀁚􅨀􀀑􁄀􀁑􅄀􀁄􄐀􀁋􄬀􀁈􄠀􀁄􄐀􀁏􄼀􀁗􅜀􀁋􄬀􀀑􁄀􀁆􄘀􀁒􅈀􀁐􅀀􀀒􁈀􀁆􄘀􀁄􄐀􀁕􅔀􀁈􄠀􀁈􄠀􀁕􅔀􀁖􅘀􀀑􁄀􀀃􀌀
􀀭􂴀􀁒􅈀􀁘􅠀􀁕􅔀􀁑􅄀􀁈􄠀􀁜􅰀􀀃􀌀􀁗􅜀􀁒􅈀􀀃􀌀􀁄􄐀􀀃􀌀􀁓􅌀􀁏􄼀􀁄􄐀􀁆􄘀􀁈􄠀􀀃􀌀􀁚􅨀􀁋􄬀􀁈􄠀􀁕􅔀􀁈􄠀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀
􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀀃􀌀􀁆􄘀􀁄􄐀􀁕􅔀􀁌􄰀􀁑􅄀􀁊􄨀􀀃􀌀􀁆􄘀􀁒􅈀􀁐􅀀􀁈􄠀􀁖􅘀􀀃􀌀􀁑􅄀􀁄􄐀􀁗􅜀􀁘􅠀􀁕􅔀􀁄􄐀􀁏􄼀􀁏􄼀􀁜􅰀􀀑􁄀
􀀳􃌀􀁄􄐀􀁗􅜀􀁌􄰀􀁈􄠀􀁑􅄀􀁗􅜀􀁖􅘀􀀃􀌀􀀤􂐀􀁕􅔀􀁈􄠀􀀃􀌀􀀲􃈀􀁘􅠀􀁕􅔀􀀃􀌀􀀳􃌀􀁘􅠀􀁕􅔀􀁓􅌀􀁒􅈀􀁖􅘀􀁈􄠀
􀂇􈜀􀀃􀌀 􀀦􂘀􀁏􄼀􀁌􄰀􀁑􅄀􀁌􄰀􀁆􄘀􀁄􄐀􀁏􄼀􀀃􀌀􀀰􃀀􀁄􄐀􀁑􅄀􀁄􄐀􀁊􄨀􀁈􄠀􀁕􅔀􀀐􁀀􀀃􀌀􀀦􂘀􀀦􂘀􀀸􃠀
􀂇􈜀􀀃􀌀 􀀦􂘀􀁏􄼀􀁌􄰀􀁑􅄀􀁌􄰀􀁆􄘀􀁄􄐀􀁏􄼀􀀃􀌀􀀰􃀀􀁄􄐀􀁑􅄀􀁄􄐀􀁊􄨀􀁈􄠀􀁕􅔀􀀐􁀀􀀃􀌀􀀦􂘀􀀹􃤀􀀬􂰀􀀦􂘀􀀸􃠀
􀂇􈜀􀀃􀌀 􀀦􂘀􀁏􄼀􀁌􄰀􀁑􅄀􀁌􄰀􀁆􄘀􀁄􄐀􀁏􄼀􀀃􀌀􀀰􃀀􀁄􄐀􀁑􅄀􀁄􄐀􀁊􄨀􀁈􄠀􀁕􅔀􀀐􁀀􀀃􀌀􀀰􃀀􀁈􄠀􀁇􄜀􀀒􁈀􀀶􃘀􀁘􅠀􀁕􅔀􀁊􄨀
􀂇􈜀􀀃􀌀 􀀧􂜀􀁌􄰀􀁕􅔀􀁈􄠀􀁆􄘀􀁗􅜀􀁒􅈀􀁕􅔀􀀐􁀀􀀃􀌀􀀳􃌀􀁈􄠀􀁇􄜀􀁖􅘀􀀒􁈀􀀳􃌀􀁈􄠀􀁕􅔀􀁌􄰀􀁑􅄀􀁄􄐀􀁗􅜀􀁄􄐀􀁏􄼀
􀂇􈜀􀀃􀌀 􀀳􃌀􀁖􅘀􀁜􅰀􀁆􄘀􀁋􄬀􀁌􄰀􀁄􄐀􀁗􅜀􀁕􅔀􀁌􄰀􀁆􄘀􀀃􀌀􀀰􃀀􀁈􄠀􀁑􅄀􀁗􅜀􀁄􄐀􀁏􄼀􀀃􀌀􀀫􂬀􀁈􄠀􀁄􄐀􀁏􄼀􀁗􅜀􀁋􄬀􀀃􀌀􀀱􃄀􀀳􃌀
􀂇􈜀􀀃􀌀 􀀵􃔀􀀱􃄀􀀐􁀀􀀃􀌀􀀦􂘀􀀹􃤀􀀬􂰀􀀦􂘀􀀸􃠀
􀂇􈜀􀀃􀌀 􀀷􃜀􀁕􅔀􀁄􄐀􀁘􅠀􀁐􅀀􀁄􄐀􀀃􀌀􀀱􃄀􀁘􅠀􀁕􅔀􀁖􅘀􀁈􄠀􀀃􀌀􀀳􃌀􀁕􅔀􀁄􄐀􀁆􄘀􀁗􅜀􀁌􄰀􀁗􅜀􀁌􄰀􀁒􅈀􀁑􅄀􀁈􄠀􀁕􅔀
􀂇􈜀􀀃􀌀 􀀦􂘀􀁏􄼀􀁌􄰀􀁑􅄀􀁌􄰀􀁆􄘀􀁄􄐀􀁏􄼀􀀃􀌀􀀰􃀀􀁄􄐀􀁑􅄀􀁄􄐀􀁊􄨀􀁈􄠀􀁕􅔀􀀐􁀀􀀃􀌀􀀦􂘀􀁄􄐀􀁗􅜀􀁋􄬀􀀃􀌀􀀯􂼀􀁄􄐀􀁅􄔀
􀂇􈜀􀀃􀌀 􀀧􂜀􀁌􄰀􀁕􅔀􀁈􄠀􀁆􄘀􀁗􅜀􀁒􅈀􀁕􅔀􀀐􁀀􀀃􀌀􀀶􃘀􀁈􄠀􀁑􅄀􀁌􄰀􀁒􅈀􀁕􅔀􀀃􀌀􀀯􂼀􀁌􄰀􀁉􄤀􀁈􄠀􀁖􅘀􀁗􅜀􀁜􅰀􀁏􄼀􀁈􄠀􀁖􅘀􀀃􀌀􀀥􂔀􀁈􄠀􀁋􄬀􀁄􄐀􀁙􅤀􀁌􄰀􀁒􅈀􀁕􅔀􀁄􄐀􀁏􄼀􀀃􀌀􀀫􂬀􀁈􄠀􀁄􄐀􀁏􄼀􀁗􅜀􀁋􄬀
􀂇􈜀􀀃􀌀 􀀱􃄀􀁈􄠀􀁒􅈀􀁑􅄀􀁄􄐀􀁗􅜀􀁄􄐀􀁏􄼀􀀃􀌀􀀱􃄀􀁘􅠀􀁕􅔀􀁖􅘀􀁈􄠀􀀃􀌀􀀳􃌀􀁕􅔀􀁄􄐀􀁆􄘀􀁗􅜀􀁌􄰀􀁗􅜀􀁌􄰀􀁒􅈀􀁑􅄀􀁈􄠀􀁕􅔀
20 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
In 2003, the Arizona State Board
of Nursing adopted and published a
framework adapted from the work of
the Kentucky Education Mobility Task
Force (2001) to inform nurses and the
public about the abilities and functions
of nurses at different educational levels.
The model is currently published on
the Board website (AZBN, 2003) and
defines competencies within three roles
of nursing: Provider of Care, Manager of
Care, and Member of Profession. The
purpose of the model is to identify
professional levels of nursing based on
educational preparation and to clarify
differences in nursing roles within the
profession. The model illustrates, for
example, competencies of a nurse with
an associate degree in nursing are
significantly different than those of a
nurse with a master’s degree.
In August 2010, the Education
Advisory Committee recommended
the competency model be reviewed
to determine if it should be updated
or retired. A subcommittee formed to
conduct a review of the Commission
on Collegiate Nursing Education
baccalaureate and master’s competencies
(AACN, 1996; AACN, 2006), examine
relevant evidence available in the
literature and acquire opinions
from content experts in the nursing
community. The subcommittee elected
to begin its work using the Education
Competencies Model recently published
by the National League for Nursing (NLN,
2010).
Description of Model
The model is an integrated set of
competencies illustrating the complexity
of nursing education. Competencies
achieved by graduates demonstrate
progressively greater responsibilities and
performance expectations. Dimensions of
nursing education are summarized within
five broad program outcomes:
1. Competency is the foundation
for clinical performance and the
validation of nursing practice
essential for patient safety and
quality care.
2. Nurses must use their skills and
knowledge to enhance human
flourishing for their patients, their
communities, and themselves.
3. Nurses should demonstrate sound
nursing judgment.
4. Nurses should continually develop
their professional identity.
5. Nurses must approach all issue and
problems with a spirit of inquiry.
The model is consistent with the
Quality and Safety Education for Nurses
(QSEN) Competencies as members of
the NLN Competency Workgroup were
founding authors of the QSEN model.
While concerns regarding safety can be
found throughout the model, particular
concentration is evident within the
dimension of clinical nursing judgment.
Model Alterations and Rationale
The subcommittee critically reviewed
the language and structure of NLN
Education Competencies Model resulting
in the following significant changes:
Levels of Education
Certified Nursing Assistant and
Certified Medication Assistant roles were
added to the model to provide the public
with descriptive competencies and clarify
distinctions between these preliminary
levels of preparation. Descriptions
of outcomes were informed by the
Arizona Nurse Practice Act and Board
consultants.
Nursing Practice
Subcommittee members felt the
dimension of nursing practice needed to
be fully articulated within a regulatory
model to benefit nurses and the public.
Nursing practice outcomes explicate the
levels of practice associated with levels
of educational preparation. Content
experts in doctoral and advance practice
programs were consulted to review these
additions to the model.
Scope of Influence
The scope of direction and
responsibility within the doctoral practice
level was enlarged to include healthcare
professionals rather than the self-limiting
realm of nurses provided in the NLN
model. Nurses in leadership positions
require skills in judgment, identity, and
inquiry in providing supervision and
leadership for healthcare providers across
diverse disciplines.
Use of the Model
Adoption of the model will provide
a reference for the Board to further
develop scope of practice rules and
advisory opinions. The publication and
dissemination of the model from a
regulatory perspective will:
􀁳􇌀􀀀 􀀤􂐀􀁅􄔀􀁌􄰀􀁉􄤀􀁎􄸀􀁅􄔀􀁁􄄀􀁔􅐀􀁅􄔀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁅􄔀􀁔􅐀􀁅􄔀􀁎􄸀􀁃􄌀􀁉􄤀􀁅􄔀􀁓􅌀􀀀􀁆􄘀􀁏􄼀􀁒􅈀􀀀􀁌􄰀􀁅􄔀􀁖􅘀􀁅􄔀􀁌􄰀􀁓􅌀􀀀􀁯
of nursing education from nursing
assistant through doctoral level
􀁳􇌀􀀀 􀀳􃌀􀁕􅔀􀁍􄴀􀁍􄴀􀁁􄄀􀁒􅈀􀁉􄤀􀁚􅨀􀁅􄔀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁆􄘀􀁅􄔀􀁓􅌀􀁓􅌀􀁉􄤀􀁏􄼀􀁎􄸀􀁁􄄀􀁌􄰀􀀀􀁏􄼀􀁕􅔀􀁔􅐀􀁃􄌀􀁏􄼀􀁍􄴀􀁅􄔀􀁓􅌀􀀀􀁷
while integrating nationally
recognized competency and nursing
education models
􀁳􇌀􀀀 􀀢􂈀􀁅􄔀􀀀􀁅􄔀􀁁􄄀􀁓􅌀􀁉􄤀􀁌􄰀􀁙􅤀􀀀􀁁􄄀􀁃􄌀􀁃􄌀􀁅􄔀􀁓􅌀􀁓􅌀􀁉􄤀􀁂􄈀􀁌􄰀􀁅􄔀􀀀􀁔􅐀􀁏􄼀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁐􅀀􀁕􅔀􀁂􄈀􀁌􄰀􀁉􄤀􀁃􄌀􀀀􀁡
and prospective nursing students
􀁳􇌀􀀀 􀀰􃀀􀁒􅈀􀁏􄼀􀁖􅘀􀁉􄤀􀁄􄐀􀁅􄔀􀀀􀁃􄌀􀁌􄰀􀁁􄄀􀁒􅈀􀁉􄤀􀁬􆰀􀁃􄌀􀁁􄄀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁔􅐀􀁏􄼀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁓􅌀􀁐􅀀􀁅􄔀􀁃􄌀􀁔􅐀􀁉􄤀􀁖􅘀􀁅􄔀􀀀􀁳
students, nurses and the public of
the complex functions and abilities
of nurses by educational levels
􀁳􇌀􀀀 􀀤􂐀􀁅􄔀􀁍􄴀􀁏􄼀􀁎􄸀􀁓􅌀􀁔􅐀􀁒􅈀􀁁􄄀􀁔􅐀􀁅􄔀􀀀􀁃􄌀􀁏􄼀􀁎􄸀􀁔􅐀􀁉􄤀􀁎􄸀􀁕􅔀􀁉􄤀􀁔􅐀􀁙􅤀􀀀􀁏􄼀􀁆􄘀􀀀􀁡
administrative rules and statutes of
the Arizona State Board of Nursing
􀁳􇌀􀀀 􀀤􂐀􀁅􄔀􀁍􄴀􀁏􄼀􀁎􄸀􀁓􅌀􀁔􅐀􀁒􅈀􀁁􄄀􀁔􅐀􀁅􄔀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀁈􄠀􀁅􄔀􀁒􅈀􀁅􄔀􀁎􄸀􀁔􅐀􀀀􀁖􅘀􀁁􄄀􀁌􄰀􀁕􅔀􀁅􄔀􀀀􀁡
and contribution of all educational
levels within nursing to support the
health and well-being of individuals,
families and groups within the
context of safe, competent nursing
care.
EDUCATION COMPETENCY MODEL
UPDATE
EDUCATION ADVISORY
SUBCOMMITTEE MEMBERS
SALLY DOSHIER, EDD, RN, CNE
J. CAROLYN MCCORMIES, RN, MS, FNP-C
DEBRA MCGINTY, RN PHD
BRENDA MORRIS, EDD, RN, CNE
BRIAN STEWART, MSN, BFA, RN
continued on page 22 >>>
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21
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Abrazo Health Care Hospitals Offer:
􀀰􃀀􀀁􀄀􀀌􀰀􀀤􂐀􀀢􂈀􀀥􂔀􀀛􁬀􀀩􂤀􀀟􁼀􀀩􂤀􀀟􁼀􀀫􂬀􀀛􁬀􀀁􀄀􀀔􁐀􀀗􁜀􀀡􂄀􀀗􁜀􀀧􂜀􀀟􁼀􀀛􁬀􀀨􂠀 􀀰􃀀􀀁􀄀􀀑􁄀􀀛􁬀􀀚􁨀􀀟􁼀􀀙􁤀􀀗􁜀􀀡􂄀􀀇􀜀􀀍􀴀􀀛􁬀􀀣􂌀􀀩􂤀􀀗􁜀􀀡􂄀􀀇􀜀􀀖􁘀􀀟􁼀􀀨􂠀􀀟􁼀􀀤􂐀􀀣􂌀􀀁􀄀􀀐􁀀􀀣􂌀􀀨􂠀􀀪􂨀􀀧􂜀􀀗􁜀􀀣􂌀􀀙􁤀􀀛􁬀
􀀰􃀀􀀁􀄀􀀕􁔀􀀪􂨀􀀟􁼀􀀩􂤀􀀟􁼀􀀤􂐀􀀣􂌀􀀁􀄀􀀓􁌀􀀛􁬀􀀟􁼀􀀢􂈀􀀘􁠀􀀪􂨀􀀧􂜀􀀨􂠀􀀛􁬀􀀢􂈀􀀛􁬀􀀣􂌀􀀩􂤀 􀀰􃀀􀀁􀄀􀀎􀸀􀀗􁜀􀀧􂜀􀀣􂌀􀀛􁬀􀀚􁨀􀀁􀄀􀀕􁔀􀀟􁼀􀀢􂈀􀀛􁬀􀀁􀄀􀀒􁈀􀀜􁰀􀀜􁰀􀀁􀄀􀀃􀌀􀀎􀸀􀀕􁔀􀀒􁈀􀀄􀐀
􀀰􃀀􀀁􀄀􀀊􀨀􀀈􀠀􀀉􀤀􀀃􀌀􀀠􂀀􀀄􀑅
Exciting career and advancement opportunities await
you throughout our health care network.
Please apply online at: www.abrazohealth.com
􀀎􀸀􀀦􂘀􀀪􂨀􀀗􁜀􀀡􂄀􀀁􀄀􀀒􁈀􀀥􂔀􀀥􂔀􀀤􂐀􀀧􂜀􀀩􂤀􀀪􂨀􀀣􂌀􀀟􁼀􀀩􂤀􀀮􂸀􀀁􀄀􀀎􀸀􀀢􂈀􀀥􂔀􀀡􂄀􀀤􂐀􀀮􂸀􀀛􁬀􀀧􂝐
Pima Community College
􀀳􃌀􀁌􄰀􀁛􅬀􀀃􀌀􀀼􃰀􀁚􅨀􀀃􀌀􀀻􃬀􀁙􅤀􀁈􄠀􀁐􅀀􀁕􅔀􀀃􀌀􀁀􄀀􀁖􅘀􀁜􅰀􀀃􀌀􀁍􄴀􀁖􅘀􀁙􅤀􀀃􀌀􀁈􄠀􀀃􀌀􀀷􃜀􀁙􅤀􀁖􅘀􀁔􅐀􀁐􅀀􀁚􅨀􀁐􅀀􀁕􅔀􀁎􄸀􀀃􀌀􀀪􂨀􀁈􄠀􀁙􅤀􀁌􄰀􀁌􄰀􀁙􅤀􀀃􀌀
􀁐􅀀􀁕􅔀􀀃􀌀􀀯􂼀􀁌􄰀􀁈􄠀􀁓􅌀􀁛􅬀􀁏􄼀􀀃􀌀􀀰􃀀􀁕􅔀􀁍􄴀􀁖􅘀􀁙􅤀􀁔􅐀􀁈􄠀􀁛􅬀􀁐􅀀􀁖􅘀􀁕􅔀􀀃􀌀􀀻􃬀􀁌􄰀􀁊􄨀􀁏􄼀􀁕􅔀􀁖􅘀􀁓􅌀􀁖􅘀􀁎􄸀􀁠􆀀􀀈􀡎
NO
COST*
Pima is offering short-term training for
well-paying jobs in the growing electronic
health care records industry.
Take that next
step today!
- Convenient, Internet-based
- Guided self study
- Course is Grant Funded*
*Eligibility Requirements Apply
For more information and to apply:
www.pima.edu/
announcements/201104/HiTech.shtml
For questions, contact Cathy Lee at (520)
206.7272 or hitech@pima.edu
www.pima.edu
Funded through U.S. Department of Health
and Human Services, Office of the National Coordinator for
Health Information Technology.
22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
Certified
Nursing
Assistant
Certified
Medication
Assistant
Licensed
Practical
Nurse
Associate
Degree Nurse
Bachelors
Degree Nurse
Masters
Degree Nurse
Doctoral
Research
Doctoral
Practice
Human
Flourishing
Demonstrate
ethical and
professional
behaviors
that maintain
patients’ rights
and support
personal
and patient
development
toward self-actualization.
Exhibit caring
behaviors
respecting the
dignity and
preferences of
patients in the
long term care
setting.
Promote the
human dignity,
integrity, self-determination,
and personal
growth of pa-tients,
oneself,
and members
of the health
care team.
Advocate for
patients and
families in ways
that promote their
self-determination,
integrity, and
ongoing growth as
human beings.
Incorporate the
knowledge and
skills learned
in didactic and
clinical courses
to help patients,
families, and
communities
continually
progress toward
fulfillment
of human
capacities.
Function as
a leader and
change agent
in one’s area
of practice
to create
systems that
promote human
flourishing.
Design and
implement research
that promotes
human flourishing
of the nurse,
nursing profession,
patients, families,
communities,
populations, and
systems.
Systematically
synthesize
evidence from
nursing and other
disciplines and
translate this
knowledge to
promote human
flourishing within
the organizational
culture.
Clinical
Nursing
Judgment
Organize and
safely provide
quality care
based on an
established plan
of care under
the direction and
supervision of a
professional or
practical nurse.
Adhere to
prescribed
medication
administration
methods,
functioning
within the
limits of state
laws in a safe,
competent
manner.
Apply nursing
principles to
provide safe,
effective,
quality care
and promote
health for
patients, and
families.
Make judgments
in practice,
substantiated with
evidence, that
integrate nursing
science in the
provision of safe,
quality care and
that promote the
health of patients
within a family
and community
context.
Make judgments
in practice,
substantiated
with evidence,
that synthesize
nursing science
and knowledge
from other
disciplines in the
provision of safe,
quality care and
that promote
the health
of patients,
families, and
communities
Make
judgments
in one’s area
of practice
that reflect
a scholarly
critique
of current
evidence
from nursing
and other
disciplines and
the capacity to
identify gaps
in knowledge
and formulate
research
questions.
Provide leadership
in designing and
implementing
research that
expands the
evidence
underlying nursing
practice and
strengthens nurses’
ability to make
judgments
Systematically
synthesize
evidence from
nursing and
other disciplines
and translate
this knowledge
to enhance
nursing practice
and the ability
of healthcare
providers to make
judgments in
practice.
Professional
Identity
Identify essential
functions of one’s
role within the
healthcare team
and how personal
strengths and
standards of
conduct influence
provision of
quality care
and promotion
of safety and
health.
Identify
essential
functions
within the
long term care
team and the
allowable acts,
conditions and
restrictions
governing
medication
administration.
Assess how
one’s personal
strengths and
values affect
one’s identity
as a practical
nurse and one’s
contributions
as a member of
the health care
team.
Implement one’s
role as a nurse in
ways that reflect
integrity, respon-sibility,
ethical
practices, and an
evolving identity
as a nurse commit-ted
to evidence-based
practice,
caring, advocacy,
and safe, quality
care for diverse
patients within a
family and com-munity
context.
Express one’s
identity as a
nurse through
actions that
reflect integrity,
a commitment to
evidence-based
practice, caring,
advocacy, and
safe, quality
care for diverse
patients,
families, and
communities;
and a willingness
to provide
leadership in
improving care.
Implement
one’s area
of practice
in ways that
foster best
practices,
promote the
personal and
professional
growth of
oneself
and others,
demonstrate
leadership,
promote
positive change
in people and
systems, and
advance the
profession.
Implement one’s
role as a research
scholar committed
to a spirit of inquiry,
the systematic
investigation of
nursing-related
problems, and
the dissemination
of research
findings, in a
manner informed
by a sense of
responsibility to
shape a preferred
future for our
profession.
As a nurse-scholar,
seek
ways to translate
research findings
into practice, and
help design and
implement changes
in healthcare
practice and health
policy that will best
serve a diverse
population and a
diverse healthcare
workforce.
This model is not intended to define
the legal scope of practice for any level
of nursing. As nursing practice evolves,
the model will be updated to encompass
the increasing complexity of nursing
knowledge and changes in health care
delivery systems.
References:
American Association of College of Nursing
(AACN). (2008) The essentials of baccalaure-ate
education for professional nursing practice.
Washington, D.C.: Author.
American Association of College of Nursing
(AANC). (1996). The essentials of master’s
education for advance practice nursing. Wash-ington,
D.C.: Author.
Arizona State Board of Nursing (2003). Arizona
State Board of Nursing competency model.
Retrieved from http://www.azbn.gov/Docu-ments/
education/Competency%20Model%20
Integrated.pdf
Kentucky Nursing Education Mobility Task
Force (2001). Nursing education in Ken-tucky.
Louisville, KY: Kentucky Mobility
Task Force.
National League for Nursing. (2010). Outcomes
and competencies for graduates of practical/
vocational, diploma, associate degree, bac-calaureate,
master’s, practice doctorate, and
research doctorate programs in nursing. New
York, NY: Author.
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23
Certified
Nursing
Assistant
Certified
Medication
Assistant
Licensed
Practical
Nurse
Associate
Degree Nurse
Bachelors
Degree Nurse
Masters
Degree Nurse
Doctoral
Research
Doctoral
Practice
Spirit of
Inquiry
Update and
refine skills
through inservice
or educational
training to
acquisition of
tasks that pose
minimal risk to the
patient and for
which the results
are reasonably
predictable.
Frequently
consults
pharmaceutical
sources
to update
knowledge of
medications
to assure safe
and competent
practice.
Question
the basis
for nursing
actions,
considering
research,
evidence,
tradition,
patient
preferences
and needs,
to ensure
patient safety,
competent
nursing
practice, and
contribute to
positive patient
outcomes.
Examine the
evidence that
underlies clinical
nursing practice
to challenge
the status
quo, question
underlying
assumptions, and
offer new insights
to improve the
quality of care for
patients, families,
and communities.
Act as an
evolving
scholar who
contributes to
the development
of the science of
nursing practice
by identifying
questions in
need of study,
critiquing
published
research, and
using available
evidence as a
foundation to
propose creative,
innovative, or
evidence-based
solutions to
clinical practice
problems
Contribute to
the science of
nursing in one’s
area of practice
by analyzing
underlying
disparities in
knowledge
or evidence;
formulating
research
questions; and
systematically
evaluating
the impact on
quality when
evidence-based
solutions
to nursing
problems are
implemented.
Engage in the
science of
discovery by
designing and
implementing
research studies
and disseminating
findings to improve
nursing practice,
nursing education,
or the delivery of
nursing services.
Disseminate
practice-based
knowledge by
engaging in
practice with
an open mind,
systematically
studying the
practice of
other healthcare
providers,
and reviewing
extant research
to formulate
evidence-based
proposals
enhancing nursing
practice, nursing
education, or
the delivery
of healthcare
services.
Nursing
Practice
Demonstrates
proficiency to
perform nursing
care tasks
according to
clear, exact,
and unchanging
directions that
do not require
assessment,
interpretation, or
decision-making.
Performs nursing
assistive and
medication
administrative
tasks under the
supervision of a
professional or
practical nurse
as allowed by
state law.
Incorporate
nursing
knowledge
to contribute
to the data
collection,
planning,
treatments,
and evaluation
of client care
under the
supervision
of the
professional
nurse.
Incorporate
nursing knowledge
to assess, plan,
deliver, and
evaluate nursing
care within the
context of the
multidisciplinary
team in health
care settings.
Integrate nursing
knowledge,
science and
research
to assess,
plan, deliver,
evaluate, and
manage nursing
care within
the context
of the inter-professional
team in diverse
settings of
healthcare
delivery.
Function as
a leader and
change agent
in practice
and education,
substantiated
with evidence
to assess,
plan, deliver,
administrate,
and evaluate
nursing care.
Design, implement,
and disseminate
research that
informs nursing
practice and
nursing knowledge.
Systematically
synthesize
evidence from
nursing and other
disciplines and
translate into the
administration,
delivery and
evaluation of
patient care.
The Arizona Organization of Nurse Executives, The
Arizona Nurses Association, The Arizona Hospital &
Healthcare Association and the Arizona State Board
of Nursing are proud to present
The First Annual Alexander Conference on
Patient Safety and Quality
Register Post-Reform Realities
A New Context for Care, Quality, Safety and
the Culture of Practice
Tim Porter O’Grady, DM, EdD, ScD(h), FAAN, Senior Partner,
Tim Porter-O’Grady Associates, Inc.
Dr. Tim Porter-O’Grady has been involved in health care for 40
years and has held roles from staff nurse to senior executive in a
variety of health care settings. Tim is currently senior partner of an
international healthcare consulting firm in Atlanta specializing in
health futures, organizational innovation, conflict and change, as well
as complex health service delivery models (www.tpogassociates.
com). He is noted for his work on shared governance models, clinical
leadership, conflict, innovation, complex systems, and health futures.
This program will specifically focus on leadership decision-making
and accountability and the role of the nurse leader in providing the
context for decision-making leadership and follow through in both
reformed and transformed age for healthcare. The focus will reflect
the requisite of nurse leader in formatting nursing systems and
practice as leadership recalibrate its immediate future of health
service and clinical practice.
Group discounts for this event are available.
More Information
AzONE
1850 E. Southern Ave., Ste. 1
Tempe, Arizona 85282
480.831.0404
www.azoneonline.org
mary@aznurse.org
THE FIRST ANNUAL - ADDA ALEXANDER CONFERENCE ON PATIENT SAFETY AND QUALITY
24 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
With the pending retirement of Lila Van Cuyk, there will be an opening at the Arizona
State Board of Nursing for an education consultant to survey nursing assistant programs.
This half-time position requires a minimum of a BSN, experience in either teaching adults
or long term care and the ability to travel throughout the state. A master’s degree is
preferred. The successful candidates will have excellent written and oral communication
skills, knowledge of the nurse practice act, and effective time management skills. For more
information, please contact Pamela Randolph RN, MS, Associate Director of Education and
Evidence-based Regulation at 602-771-7803 or prandolph@azbn.gov.
AzBN POSITION VACANCY
EDUCATION CONSULTANT:
NURSING ASSISTANT PROGRAMS
Making a Difference By
Serving Those Who Serve
NOW Hiring RNs
For The Following!
CM Supervisor
ECHO Program
Health Coach-Behavioral
Health (Depression/Anxiety)
Clinical Communicator
(Technical writing)
Quality Study Coordinator -
Quality Management
For details please see our
website at www.triwest.com
TriWest Healthcare Alliance provides access to quality
health care for 2.7 million members of America’s
military family in the 21-state TRICARE West
Region. Visit the website for a company overview and
highlights of our benefi ts.
We are proud to be an Equal Opportunity Employer
providing a smoke-free, drug-free environment. Applicants
must be able to pass a drug test and a DoD-mandated
background investigation.
www.triwest.com
URAC
Education Management Corporation
(EDMC) is the parent company of BMC
BMC-Phoenix (RN Program):
· Nursing Clinical Coordinator
· Full-time Nursing Faculty
· Adjunct Nursing Faculty
*MSN Required
BMC-Tucson (LPN Program):
· Nursing Administrator
· Full-time Nursing Faculty
· Adjunct Nursing Faculty
*MSN Required. For Adjunct, BSN
accepted, but MSN strongly preferred
Apply online at:
www.edmc.edu/careers/jobpostings.aspx
Join our team! BMC offers a
competitive salary and
benefit package.
Nurse Faculty
Opportunities at
Brown Mackie College
Come join our Nurse Practitioner teams in Arizona!
We invite you to explore the rewarding opportunities with one of the largest NP group practices in the
state of Arizona. INSPIRIS employs over 50 full time and part time nurse practitioners in a variety of
clinical settings. The INSPIRIS clinical model is built around proactive, preventative care; early, aggres-sive
care in the appropriate location; and Advance Care Planning that identifies and supports patient
centered care.
Our patients are the chronically ill --- those with complex medical needs. Clinical settings include
nursing homes, assisted living centers, group homes, and individual homes.
You will have the unique experience of having a panel of patients assigned to you yet working with a
team of nurse practitioners and nurse care managers under the supervision of another very experi-enced
nurse practitioner. INSPIRIS offers autonomy in your practice, flexibility in your work week, and
clinical challenges that will help you grow in your expertise as a nurse practitioner.
“The practice you had in mind all along”
We provide competitive pay, generous benefits including medical, dental, vision, life and
long-term disability insurance, three weeks of vacation, 9 paid holidays, 401K plan, mileage
reimbursement and continuing education reimbursement. Certified nurse practitioner, Masters
Degree required; FNP, ANP or GNP; Active, unencumbered nursing license.
To learn more about our opportunities direct inquiries and resumes to:
Kathy Rudman / 310-903-3460 / kathy.rudman@inspiris.com
www.inspiris.com
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25
CNA DISCIPLINARY ACTION
FEBRUARY – MARCH – APRIL - MAY 2011
EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE
2/4/2011 Abdi, Hidig N. CNA1000002480 Revoked
3/9/2011 Adams, Michael A. CNA Applicant Certificate Denied
4/27/2011 Allen, Consuela S. CNA999988500 Certificate Denied
2/4/2011 Anderson, Laura M. CNA1000022128 Revoked
4/7/2011 Arrieta, Berna A. CNA1000028434 Decree of Censure
2/4/2011 Attson, Tamara L. CNA999994216 Revoked
3/24/2011 Avila, Josephine CNA393836803 Civil Penalty
3/4/2011 Bailey, Vicki L. CNA999948995 Revoked
9/15/2010* Ball, Damian R. CNA1000004780 Revoked
5/31/2011 Bartalos, Robin L. CNA1000007381 Voluntary Surrender
3/4/2011 Bartell, Robin G. CNA Applicant Certificate Denied
2/4/2011 Begay, Priscilla M. CNA288189103 Revoked
4/25/2011 Bell, Willie C. CNA1000019500 Stayed Revocation w/Suspension
5/13/2011 Bilal, Hatim H. CNA Applicant Certificate Denied
2/11/2011 Bopape, Lesedi B. CNA1000027848 Civil Penalty
3/18/2011 Campos Lopez, Martha E. CNA Applicant Certificate Denied
5/11/2011 Capistran, Matthew J. CNA1000022388 Revoked
4/29/2011 Carter, Phillip D. CNA Applicant Certificate Denied
6/7/2011 Chavez, Patti J. CNA999991634 Stayed Revocation w/Suspension
3/3/2011 Clark-chavez, Alfred J. CNA393169353 Stayed Revocation
2/25/2011 Coles, Jessica D. CNA1000011666 Revoked
3/4/2011 Collins, Joann M. CNA850064641 Renewal Denied
2/4/2011 Collins, Raymond CNA1000003963 Revoked
3/24/2011 Conlon, Ana H. CNA1000005198 Revoked
9/15/2010* Cook, Jakki J. CNA1000020801 Revoked
3/9/2011 Crace, Rachael D. CNA Applicant Certificate Denied
5/24/2011 Curtis, Karen A. CNA999996315 Voluntary Surrender
2/4/2011 Cusseaux, Alisa A. CNA1000027718 Civil Penalty
5/6/2011 Dakai, Louis F. CNA598819504 Revoked
3/10/2011 Duenas, Isabel J. CNA Applicant Certificate Denied
2/12/2011 Ekren, Elizabeth L. CNA1000005080 Civil Penalty
3/11/2011 Emery Enriquez, Angela M. CNA1000014069 Revoked
2/22/2011 Francisco, Phoebe A. CNA999999726 Stayed Suspension
5/5/2011 Fuller, Coty D. CNA Applicant Certificate Denied
5/4/2011 Garcia, Linda CNA999949180 Renewal Denied
2/21/2011 Garrett, Nicole S. CNA1000027941 Civil Penalty
2/4/2011 Goode, Brenda L. CNA1000012067 Revoked
5/6/2011 Grijalva, Jessica M. CNA1000022225 Revoked
2/17/2011 Grijalva, Tracie A. CNA1000016447 Voluntary Surrender
2/4/2011 Gutierrez, Maria R. CNA1000011519 Revoked
2/25/2011 Guyer II, David L. CNA Applicant Certificate Denied
3/2/2011 Hamilton, Brenda J. CNA680738983 Civil Penalty
2/19/2011 Hanson, Sheryll L. CNA1000023915 Civil Penalty
3/2/2011 Hernandez Jr, Inez CNA Applicant Certificate Denied
3/11/2011 Hill, Geneva CNA326952247 Revoked
3/11/2011 Irving, Katherine A. CNA999950173 Revoked
3/11/2011 Jenkins, Shujuan T. CNA1000011754 Revoked
5/5/2011 Johnson, Jermyn J. CNA1000028002 Revoked
4/1/2011 Johnson, Meagan P. CNA1000000303 Decree of Censure
2/25/2011 Jones, Annette CNA Applicant Certificate Denied
2/4/2011 Jose, Demetria L. CNA1000004417 Revoked
2/4/2011 Khan, Sharon F. CNA999946884 Revoked
5/9/2011 Lape, Toni D. CNA Applicant Stayed Revocation
12/7/2010* Lucona, Cheryl H. CNA Applicant Certificate Denied
2/7/2011 Luna Guerrero, Jose O. CNA1000027857 Civil Penalty
4/21/2011 Maloney, Stella CNA854036803 Stayed Suspension
3/18/2011 Martin, Edwin R. CNA Applicant Certificate Denied
5/4/2011 Martin, Ryan D. CNA Applicant Certificate Denied
2/4/2011 Martinez, Jose R. CNA999991056 Revoked
5/12/2011 Martinez, Leonardo F. CNA Applicant Certificate Denied
3/11/2011 Matson, Tracy H. CNA999995046 Revoked
3/16/2011 McCoy, Michael R. CNA Applicant Certificate Denied
3/23/2011 Mena Sanchez, Jonathan CNA Applicant Certificate Denied
4/11/2011 Morales, Gloria CNA348742733 Decree of Censure with Civil Penalty
2/4/2011 Morendo, Shauna R. CNA1000008265 Revoked
4/12/2011 Murrieta Canez, Amanda C. CNA1000016595 Decree of Censure
5/13/2011 Nez, Sherilene A. CNA Applicant Certificate Denied
5/6/2011 Nordstrom, Paul N. CNA999947598 Revoked
3/11/2011 Nyman, Nina M. CNA1000007267 Revoked
4/4/2011 Oda, Heather F. CNA Applicant Certificate Denied
5/5/2011 Olivares, Daniel G. CNA999999428 Revoked
3/11/2011 Oneill, Harmony H. CNA999997613 Revoked
2/24/2011 Orduno, Lillian M. CNA999991848 Decree of Censure with Civil Penalty
5/25/2011 Parcel, Dorothy J. CNA999990354 Decree of Censure
3/11/2011 Patton, Tiffany D. CNA999995229 Revoked
4/29/2011 Peralta, Leroy CNA Applicant Certificate Denied
2/3/2011 Peter, Dalia F. CNA Applicant Certificate Denied
4/13/2011 Pickett, Ted H. CNA1000006319 Voluntary Surrender
3/18/2011 Pizano, Jackie A. CNA Applicant Certificate Denied
3/18/2011 Presley, Ventress L. CNA Applicant Certificate Denied
3/23/2011 Quraan, Mallick A. CNA Applicant Certificate Denied
4/6/2011 Reed, Ryan K. CNA1000028380 Stayed Revocation
5/25/2011 Richardson, Merlene CNA921914103 Decree of Censure
3/16/2011 Roberts, Lacy R. CNA Applicant Certificate Denied
1/6/2011* Salcido, Yesenia CNA1000028129 Civil Penalty
3/11/2011 Sanfilippo, Paula CNA1000011992 Suspension
*Not reported in previous Journal
continued >>>
26 arizona STATE BOARD OF NURSING RegulatoRy JouRnal
cna diSciPlinaRy action continued
FEBRUARy – MARCH – APRIL - MAy 2011
Cna discipline - ACTION CLEARED FEBRUARy, MARCH, APRIL, MAy 2011
EFFEctivE DAtE NAME licENsE
3/16/2011 Hill, Enika C. CNA999951121
2/22/2011 Mailboy, Vivian CNA1000011881
3/30/2011 Miranda, Diana Y. CNA999995576
2/13/2011 Stevens, Suzanne C. CNA1000021011
3/22/2011 Wells, Laura J. CNA410147824
4/21/2011 Wooten, Celeste P. CNA999950504
EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE
4/7/2011 Abejero, Madeleen A. LP Endorsement License Denied
2/25/2011 Agboola, Althea M. LP038729/CNA100130103 Stayed Revocation with Suspension
4/28/2011 Aliff, Ruby D. RN Endorsement License Denied
3/2/2011 Allen, Tonya L. RN136991 Probation
2/3/2011 Anzalaco, Vincent J. LP036426 Revocation
5/4/2011 Atonna, Patrick W. RN Exam License Denied
3/21/2011 Aunquoe, Karen L. RN083176/LP026104 Probation
3/9/2011 Austin, Kattie L. RN Endorsement License Denied
3/11/2011 Baker, Ashley A. RN043001 Revocation
6/6/2011 Baker, Callie RN126644 Decree of Censure
4/18/2011 Barcher, Michael J. RN Endorsement License Denied
4/21/2011 Bartholme, Kathryn L. RN093994 Decree of Censure
3/24/2011 Bartlett, Wilhelmina M. RN145576 Summary Suspension
3/24/2011 Baumer, John J. RN126319 Reissuance Denied
5/25/2011 Bertoldo, Ola R. LP030654/CNA982593103 Civil Penalty
2/9/2011 Blankenship, Gerald D. RN116999 Civil Penalty
2/22/2011 Bostick, Claudia LP043836 Decree of Censure
5/5/2011 Bounds, Jo A. RN097382/LP031052/ Revocation
CNA598910641
5/25/2011 Bowers, Lorraine H. LP029856/CNA230186717 Decree of Censure
4/19/2011 Boyd, Richard O. RN098682/CNA200313377 Reissuance with Stayed Revocation Probation
3/11/2011 Boyer, Timothy L. RN124471 Revocation
5/5/2011 Bradley, Lynn B. RN040502 Decree of Censure
2/1/2011 Bruneel, Michele M. RN166950 Civil Penalty
5/5/2011 Caicedo, Lisa L. RN114652 Stayed Revocation with Probation
5/25/2011 Caicedo, Lisa L. RN114652 Probation
3/11/2011 Caldwell, Madeline RN076272 Revocation
3/11/2011 Carter, Gina L. RN092529/ Revocation
CNA529058869
4/27/2011 Chavez, John E. RN144529 Voluntary Surrender
4/1/2011 Christianson, Laura J. RN076329 Stayed Suspension with Probation
2/1/2011 Coates, Janice M. RN103753 Voluntary Surrender
5/23/2011 Cole, Ryan RN142804 Voluntary Surrender
2/17/2011 Coleman, Patricia A. RN081223 Voluntary Surrender
2/3/2011 Conlon, Roxanne R. RN048895 Revocation
2/5/2011 Copeland, Dawn M. RN120149 Probation
*Not reported in previous Journal
EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE
2/4/2011 Sayer, Michelle D. CNA716098713 Revoked
3/30/2011 Servantez, Steffenie A. CNA Applicant Certificate Denied
3/18/2011 Spotten, James C. CNA Applicant Certificate Denied
5/3/2011 Stevens, Julie L. CNA1000028567 Stayed Revocation
4/8/2011 Taylor, Terry L. CNA Applicant Civil Penalty
3/11/2011 Tejada, Katie L. CNA1000013791 Suspension
3/4/2011 Thomas, Lashawn CNA999987242 Stayed Revocation
3/16/2011 Thompson, Angela M. CNA Applicant Certificate Denied
4/4/2011 Turner, Michelle M. CNA Applicant Certificate Denied
3/31/2011 Ulrich, Sean M. CNA1000028313 Civil Penalty
5/6/2011 Valenzuela, Cristina M. CNA1000009740 Revoked
4/11/2011 Walker, Patrick L. CNA1000028480 Civil Penalty
2/7/2011 Walley, Louise A. CNA1000009037 Decree of Censure
2/3/2011 Wegleitner, Dulce C. CNA Applicant Certificate Denied
3/11/2011 Wilkinson, Paige N. CNA1000019756 Revoked
2/4/2011 Williams, Anita B. CNA1000019612 Revoked
3/9/2011 Williams, Robert J. CNA Applicant Certificate Denied
2/4/2011 Wise, Kyle A. CNA1000019434 Revoked
5/6/2011 Yazzie, Christine A. CNA1000005046 Civil Penalty
3/11/2011 Yazzie, Lisa A. CNA1000002459 Revoked
3/30/2011 Yocupicio, Richard A. CNA Applicant Certificate Denied
Rn/lPn diSciPlinaRy action
FEBRUARy – MARCH – APRIL - MAy 2011
*Not reported in previous Journal
continued >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 27
EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE
4/13/2011 Craig, Marlene E. RN168071 Probation
3/11/2011 Croom, Charisse Y. RN146350/LP042967/ Revocation
CNA1000003618
3/1/2011 Delos-santos, Debrah A. RN131245 Probation
3/2/2011 Dia, Lapriel L. RN140133 Decree of Censure
6/3/2011 Distefano, Julie D. LP039767 Revocation
3/9/2011 Ebuen, Sylvia R. RN088219 Stayed Revocation with Probation
5/5/2011 Ehlers, John V. RN098283 Revocation
3/16/2011 Engesser, Amber M. RN136287/LP040498/ Voluntary Surrender
CNA999994211
3/8/2011 Evans, Carrie F. Compact, RN - CO RN184836 Voluntary Surrender-Privilege to Practice
6/1/2011 Forcier, Kathleen E. LP039866/CNA277017394 Revocation
3/11/2011 Foth, Allan W. RN146861 Revocation
6/9/2011 Gallo, Michele M. RN035809/AP0096 Decree of Censure
6/2/2011 Gardner, Malikha V. RN168507 Decree of Censure
5/13/2011 Grey, Lynn M. RN125780 Voluntary Surrender
3/23/2011 Hall, Gwendolyn L. RN026024/AP0244 Probation
5/5/2011 Handt, Wendy J. RN138813 Decree of Censure
2/4/2011 Haskins, Laurie A. RN134758/LP040032 Revocation
4/11/2011 Helms-Ratliff, Sandra K. LP011879 Voluntary Surrender
5/5/2011 Hicks, Barry LP042063 Revocation
3/11/2011 Hinkle, Mark A. Compact, RN - MO RN135943 Revocation-Privilege to Practice
2/20/2011 Huckaby, Lynmarie L. RN150936 Decree of Censure
2/3/2011 Huebner, Russell J. RN138242 Revocation
5/4/2011 Hutchins, Jay J. LP047387 Probation
2/28/2011 Jackson, Michelle S. RN161996/LP045318 Probation
3/9/2011 Johnson, Carma J. RN Endorsement License Denied
4/13/2011 Johnson-Swanson, Debra A. RN059424 Probation
4/12/2011 Jones, Jessica S. RN145379 Voluntary Surrender
5/5/2011 Jordon, Melvin L. RN130699 Revocation
3/23/2011 Judge, Leigh A. RN101337 Stayed Suspension with Probation
2/28/2011 Kalush, Joseph D. RN142512/AP2566 Civil Penalty
5/5/2011 Kegley, Amber J. RN151207/LP042906/ Revocation
CNA1000006924
2/3/2011 Kelly, Ann M. RN086705 Revocation
2/3/2011 Kelly, Stephen M. RN083407 Revocation
5/17/2011 Kibler, Ramona M. RN062310 Stayed Revocation with Suspension
4/19/2011 Kincade, Pamela A. RN079852 Probation
3/23/2011 Klein, Kimberly M. RN103355 Probation
3/11/2011 Koffler, Olivia L. RN155733 Revocation
5/5/2011 Kopecky, Anne M. LP045030 Revocation
3/11/2011 Krickovich, Carrie A. LP043263 Revocation
3/11/2011 Kulp, Karen L. RN135128 Revocation
5/24/2011 Kulyk, Sonia RN122120 Probation
5/5/2011 Lackey, Terri J. RN119687 Revocation
5/1/2011 Lambert, Jeff J. RN155863 Decree of Censure
4/28/2011 Lauricella, Joseph C. RN139205 Voluntary Surrender
3/11/2011 Lee, Vicki K. RN131699 Revocation
3/11/2011 Loyde, Theresa J. RN155936 Revocation
3/4/2011 Mackin, Deborah L. RN107956 Revocation
5/11/2011 Maloney, Jeffrey R. RN095109 Revocation
5/25/2011 Manganelli, Tammy E. RN118422/AP3222 Probation with Fine
3/11/2011 Martin, Stacy L. LP034335 Revocation
3/14/2011 McClain, Colleen RN133007 Stayed Revocation with Probation
6/2/2011 McFaddin, Dena R. RN168540 Civil Penalty
3/11/2011 McQueen, Bonnie L. RN090111 Voluntary Surrender
5/5/2011 Millsap-Smith, Carolyn L. LP033934 Stayed Revocation with Probation
2/3/2011 Minshall, Stephanie L. RN133062 Revocation
5/5/2011 Mitchell, Lori A. LP036552 Revocation
5/3/2011 Morris, Craig A. RN127668 Stayed Revocation with Probation
3/4/2011 Mullany, Rose A. TRN085183 Revocation
2/11/2011 Nelson, Stephanie M. RN141676 Civil Penalty
2/3/2011 Nelson, Teri A. LP044240 Revocation
2/11/2011 Nevarez-Kells, Loretta J. RN047854/AP0192 Probation
5/25/2011 Nichols, Richard L. RN000099091/LP031647 Decree of Censure
2/3/2011 Nickerson, Jennifer A. RN126917 Revocation
3/1/2011 Nielson, Barbara J. RN144498 Probation
2/3/2011 Norris, Matthew J. RN129636 Revocation
3/11/2011 Oneal, Mary A. RN128457 Voluntary Surrender
3/24/2011 Pacheco, Melissa G. RN118541 Suspension
6/13/2011 Pack, Kathleen A. RN106977 Voluntary Surrender
2/4/2011 Peguero, Natalie M. RN139267 Stayed Revocation with Suspension
5/31/2011 Peguero, Natalie M. RN139267 Revocation
5/25/2011 Pesch, Tara M. LP038386/ Decree of Censure
CNA999952037
3/1/2011 Peworski, Charles R. RN094660 Decree of Censure with Fine
2/3/2011 Polk, Antonia D. RN149043 Revocation
4/27/2011 Purser, Nicole E. RN122422 Decree of Censure
3/30/2011 Race, David M. RN Endorsement Civil Penalty
2/1/2011 Rees, Douglas M. RN142998 Voluntary Surrender
RN/LPN DISCIPLINARY ACTION
FEBRUARY – MARCH – APRIL - MAY 2011
*Not reported in previous Journal
28 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
RN/LPN DISCIPLINARY ACTION CONTINUED
FEBRUARY – MARCH – APRIL - MAY 2011
EFFECTIVE DATE NAME LICENSE
6/14/2011 Allen, Bryan K. RN081433/LP016930
6/14/2011 Allen, Sandra E. RN118216
6/1/2011 Bolton, Barbara L. RN044058
5/26/2011 Boyd, Anne P. RN088106
3/3/2011 Caley, Joann O. RN133413
3/23/2011 Collazo, Linda C. LP043667/CNA1000009092
2/14/2011 Davies, James C. LP039894
6/6/2011 Ewing, Deana RN106682
3/30/2011 Fulcher, Jeanne D. RN037765/AP0022
3/7/2011 Hagglund, Marjorie R. RN078065
3/30/2011 Jones, Evan E. RN140947/CNA1000005084
6/1/2011 Kramer Jr., Mike RN094894
4/25/2011 Lehne, Jamie R. RN135957
5/4/2011 Mason, Priscilla RN085502/LP027667
6/16/2011 Muir, Bryan K. LP044840
2/23/2011 Turner, Louis C. RN112365
4/20/2011 Wallace, Michele K. RN135041/LP039664
RN-LPN - ACTION CLEARED
*Not reported in previous Journal
EFFECTIVE DATE NAME LICENSE DISCIPLINE
6/3/2011 Backman, Daniel E. RN065323 Reinstatement Reissuance of RN license, conditional upon completion of RN
with Probation Refresher Course Program
4/11/2011 Eller, Elizabeth A. RN165490 Probation Completed terms of Suspension, converted license to Probation
3/24/2011 Kyer, Juliana H. LP033724 Reinstatement with Reissuance of LPN license, conditional upon successful
Stayed Revocation completion of Refresher Course Program
Probation
2/26/2011 Somerlik, Miloslava LP031393 Stayed Revocation Completed terms of Stayed Revocation Suspension, license
with Probation converted to Stayed Revocation Probation
RN-LPN - UPDATED LICENSURE STATUS FEBRUARY – MARCH
APRIL - MAY 2011
FEBRUARY – MARCH - APRIL - MAY 2011
EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE
2/1/2011 Reeves, Christine L. RN125837 Voluntary Surrender
2/3/2011 Ricafort, Marianito Jr. RN140045 Revocation
3/11/2011 Rojas, Jill K. LP041227 Revocation
4/18/2011 Romero, Blaine M. RN161537/LP045371/ Civil Penalty
CNA999996773
2/11/2011 Rupert, Melissa G. LP042694/CNA999950476 Decree of Censure
2/26/2011 Rutherford, Lajuane E. RN162498 Probation
4/8/2011 Sangalang, Richard LP041835 Voluntary Surrender
3/7/2011 Santa Cruz, Sarah A. RN157505 Probation
3/31/2011 Scarbeary, Lisa K. RN161148 Stayed Revocation with Suspension
2/4/2011 Schwab, Kyle C. RN129021 Decree of Censure
5/25/2011 Scoe, Carole J. RN140100 Decree of Censure
3/31/2011 Smail, Glenda J. RN145380 Voluntary Surrender
6/16/2011 Small, Charles C. RN128770 Probation
3/23/2011 Smith, Barbara R. RN135381 Suspension
5/16/2011 Smith, Beverly J. RN094754 Civil Penalty
5/18/2011 Smith, Shanin D. RN145276 Voluntary Surrender
4/20/2011 Smith, Sheila K. RN107880 Civil Penalty
2/4/2011 Sonne, Hilda A. RN047379 Decree of Censure
2/3/2011 Sprouse, James K. LP041108 Revocation
5/23/2011 Stanisauskis, Donna L. RN129832 Decree of Censure
2/25/2011 Stehle, Heidi L. LP040399 Probation
2/3/2011 Thompkins, Ursula M. RN125036 Revocation
3/11/2011 Thompson, Carol A. RN090693/LP029393/ Probation
CNA296365103
3/14/2011 Thompson, Conscience D. LP041380/CNA1000001835 Voluntary Surrender
2/2/2011 Tipps, Lynda M. RN123264 Voluntary Surrender
6/2/2011 Tolliver, Joe A. LP040272 Revocation
3/4/2011 Tuck, Debora L. RN086567 Probation
2/3/2011 Vallejo, Linda Y. LP026856 Revocation
2/3/2011 Wallace, David R. RN145925 Revocation
3/11/2011 Whatley, Clara J. RN143381 Revocation
5/25/2011 Wood, Heather L. RN100912 Stayed Revocation with Probation
4/5/2011 Woodard, Grace L. RN141772 Voluntary Surrender
3/4/2011 Yandell, Julie D. TRN165059 Revocation
3/23/2011 Zerbel, Ashley M. RN158213/LP044459/ Summary Suspension
CNA1000007430
arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29
New Process for C.N.A. Programs
Due to enhancements at D&S
Diversified Technologies and the need for
increased efficiency in the processing of
C.N.A. Exam Applications, the following
changes are being implemented as of July
1, 2011.
􀁳􇌀􀀀 􀀡􂄀􀁌􄰀􀁌􄰀􀀀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀁒􅈀􀁕􅔀􀁃􄌀􀁔􅐀􀁏􄼀􀁒􅈀􀁓􅌀􀀀􀁓􅌀􀁈􄠀􀁏􄼀􀁕􅔀􀁌􄰀􀁄􄐀􀀀􀁅􄔀􀁎􄸀􀁔􅐀􀁅􄔀􀁒􅈀􀀀􀁓􅌀􀁔􅐀􀁕􅔀􀁄􄐀􀁅􄔀􀁎􄸀􀁔􅐀􀀀􀁩
information online with D&S
Diversified Technologies at https://
www.dandsdiversifiedtech.com/AZ/
AZCNA_Startup.html upon enrollment
of the student—this information
will be used to populate the D&S
Testing Application, the Certificate of
Completion and the Board Application.
􀁳􇌀􀀀 􀀵􃔀􀁐􅀀􀁏􄼀􀁎􄸀􀀀􀁃􄌀􀁏􄼀􀁍􄴀􀁐􅀀􀁌􄰀􀁅􄔀􀁔􅐀􀁉􄤀􀁏􄼀􀁎􄸀􀀀􀁏􄼀􀁆􄘀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁃􄌀􀁏􄼀􀁕􅔀􀁒􅈀􀁓􅌀􀁅􄔀􀀌􀰀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁩
instructor will enter the passing
information on the D&S website for
those students who meet the AZBN
requirements for certification. DO
NOT ENTER COURSE COMPLETION
DATA BEFORE THE FINAL COURSE
REQUIREMENTS ARE MET.
􀁳􇌀􀀀 􀀴􃐀􀁈􄠀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀁒􅈀􀁕􅔀􀁃􄌀􀁔􅐀􀁏􄼀􀁒􅈀􀀀􀁗􅜀􀁏􄼀􀁕􅔀􀁌􄰀􀁄􄐀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀁎􄸀􀀀􀁄􄐀􀁏􄼀􀁗􅜀􀁎􄸀􀁌􄰀􀁏􄼀􀁁􄄀􀁄􄐀􀀀􀁡
and print 2-3 copies of each graduates
certificate of completion; one copy for
the Board application, one copy for the
student’s records and one copy for the
program, unless electronic records are
kept.
􀁳􇌀􀀀 􀀴􃐀􀁈􄠀􀁅􄔀􀀀􀁉􄤀􀁎􄸀􀁓􅌀􀁔􅐀􀁒􅈀􀁕􅔀􀁃􄌀􀁔􅐀􀁏􄼀􀁒􅈀􀀀􀁗􅜀􀁉􄤀􀁌􄰀􀁌􄰀􀀀􀁁􄄀􀁌􄰀􀁓􅌀􀁏􄼀􀀀􀁐􅀀􀁒􅈀􀁉􄤀􀁎􄸀􀁔􅐀􀀀􀁁􄄀􀁎􄸀􀁄􄐀􀀀􀁰
provide a copy of each student’s pre-populated
Application for Certification
by Exam, instructing students to
provide the additional required
information and to send to the Board
􀁳􇌀􀀀 􀀧􂜀􀁒􅈀􀁁􄄀􀁄􄐀􀁕􅔀􀁁􄄀􀁔􅐀􀁅􄔀􀁓􅌀􀀀􀁏􄼀􀁒􅈀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀀀􀁐􅀀􀁒􅈀􀁏􄼀􀁇􄜀􀁒􅈀􀁁􄄀􀁍􄴀􀀀􀁓􅌀􀁈􄠀􀁏􄼀􀁕􅔀􀁌􄰀􀁄􄐀􀀀􀁔􅐀􀁈􄠀􀁅􄔀􀁎􄸀􀀀􀁡
arrange for testing with D&S Diversified
Technologies.
For any questions and technical
assistance in using the D&S website,
please contact D&S personnel who are
ready and willing to assist in any way they
can. For questions on the application
process at the Board, please contact
Judy Bontrager at jbontrager@azbn.gov.
Fingerprint cards can be ordered through
our website www.azbn.gov or by e-mailing
dkunkle@azbn.gov.
C.N.A Retreat
Please reserve January 13th for the 2012
Ninth Annual CNA Educators Retreat.
The meeting location has changed to
the Desert Willow Conference Center
in Phoenix, Arizona. Desert Willow is
the sister facility of the Black Canyon
Conference Center, so participants can
expect the same attention to quality.
This year’s theme is “Empowerment in
Practice.” Please invite nursing assistant
students and nursing assistants to submit
an essay in this year’s essay contest. An
announcement and submission guidelines
are in this issue and posted on the Board
website www.azbn.gov. Registrations will
be accepted after July 1, 2011.
Tips on Measuring Fluid Intake
Measuring Fluid Intake is a challenge
for candidates in the manual skills exam.
From January through June this year, only
76% per cent of the 660 candidates who
had this skill on their state test passed.
Fluid Intake vies with Blood Pressure (75%)
for lowest pass rate.
The three major errors in Fluid Intake:
1. Recording the amount left in the
container rather than the amount that is
consumed by the resident.
2. Trying to determine the precise amount
for each of the three containers, rather
than estimating amounts.
3. Not recording the total intake on the
I&O sheet
Tips for successfully obtaining the uid
intake:
1. Determine the size of the container?
At the testing there will only be 120
ml and 240 ml containers. There will
be 3 containers. The amount in each
container is preset by the test observer,
but different candidates will get
different amounts.
2. The expected answer is to be in ml. not
ounces.
3. The expected answer is what is
consumed, not what is left in the glass.
4. There is no graduate available for
measuring. The candidates must
estimate.
5. The Board is asking them to estimate
to the nearest ¼, ½ or ¾, E.g. ¼ of 120
ml = 30 ml. Do not have them try to
estimate the precise amount, E.g. 37 ml.
6. Candidates must add the three
amounts together, then write the total
on the I&O sheet provided. If they only
record the total on their worksheet, that
will not count.
7. The candidate must be within 30 ml of
the correct answer to pass.
8. The correct total is a bolded item in
the state test and the student will
automatically fail their skills test. if the
total is incorrect.
Farewell to Lila Van Cuyk
Lila Van Cuyk RN, BSN, Education
Consultant for C.N.A. Programs, plans to
retire in November. Over the past 4 years,
Lila has cheerfully and diligently surveyed
programs and promoted excellence in
nursing assistant education. Lila has
been a valued member of our team, always
willing to take on a new challenge with
conscientious attention to detail. She has
cheerfully worked with all types of C.N.A.
programs, offering her assistance freely.
Faced with physical challenges, Lila rarely
missed work and never complained. Lila
has been a student advocate for fair and
equitable testing and has contributed to
changes in the C.N.A. exam and exam
process. She will be remembered fondly
as a role model and inspiration for all of
us. Happy Retirement Lila!
CNA CORNER
BY PAMELA RANDOLPH RN, MS, ASSOCIATE DIRECTOR EDUCATION
AND EVIDENCE BASED REGULATION
LILA VAN CUYK, RN, BSN, EDUCATION CONSULTANT
30 arizona STATE BOARD OF NURSING REGULATORY JOURNAL
NURSING BOARD
COMPLAINT?
Kelly J. McDonald, RN, JD
EXPERIENCED, AGGRESSIVE
TRIAL LAWYER
REPRESENTING AZ NURSES
SINCE 1998
FREE CONSULT FLAT FEES
480-922-1010
kelly@aznurselaw.com
Go to www.aznurselaw.com to learn
more about your rights at the State
Board of Nursing
Complaints
and discipline
matters
Over 30 years experience
Terry F. Hall,
Attorney at Law
817 North Second Street
􀀰􃀀􀁈􄠀􀁏􄼀􀁅􄔀􀁎􄸀􀁉􄤀􀁘􅠀􀀌􀰀􀀀􀀡􂄀􀀺􃨀􀀀􀀘􁠀􀀕􁔀􀀐􁀀􀀐􁀀􀀔􁐶
602 258 1771
􀀖􁘀􀀐􁀀􀀒􁈀􀀀􀀒􁈀􀀕􁔀􀀘􁠀􀀀􀀑􁄀􀀗􁜀􀀗􁜀􀀙􁤀􀀀􀁆􄘀􀁁􄄀􀁘􅡔
Terry.Hall@azbar.org
“Leading the Way” in “Changing Lives One Student at a Time”
COURSE OFFERING:
Nursing Assistant Classes
Phlebotomy technician
Caregiver training
CPR and First Aid
IV certification for LPN’s
Caregiver CEU’s and Manager CEU’s
10640 N. 28th Dr., Bldg C-107 and A-103
Phoenix, AZ 85029
Tel