ARIZONA PRESORTED STANDARD MAIL U.S. POSTAGE PAID Grundy Center, IA 50638 Permit No. 18 STATE BOARD OF NURSING NEWSLETTER QUARTERLY CIRCULATION APPROXIMATELY 74,000 TO ALL RN’S, LPN’S, CNA’S AND STUDENT NURSES IN ARIZONA The Official Publication of the Arizona State Board of Nursing 1651 East Morten Avenue, Suite 210, Phoenix, Arizona 85020-4316 Volume 4, No. 3 August, September, October 2003 Are there Nurse Imposters in Arizona? By Suanne Smith, RN, MS Nurse Practice Consultant From January 1, 2003 through June 30, 2003, the Arizona State Board of Nursing (ASBN) sent five Cease and Desist letters to individuals who represented themselves as nurses. All of them worked in healthcare facilities in Arizona and four provided hands-on patient care. None of them had nursing licenses in the state of Arizona. The cases outlined below show that vigilance is required by all members of the healthcare organization when hiring new employees. (See article on "Are You Sure You Are Hiring a Nurse?" located on page 1 of this newsletter.) 1. Gail S. completed an application for a quality management position at a Phoenix hospital. On the application, she stated that her educational preparation for the position was a BSN and MSN from universities in Wyoming and Illinois. Gail used "RN" and "MSN" after her name on the title of her resume. After Gail started working, the VP for Patient Care Services requested to see Gail’s RN license after it was determined that Gail had not provided the facility with a copy of her license. Gail presented a copy of a RN license from a nurse who had just applied for a job at the facility. She had altered the license with her name, address and signature. When the license was verified at ASBN, the license belonged to another RN, not Gail S. 2. Carla M. was hired as a behavioral health technician at a Phoenix hospital. Approximately one month later, she was promoted to LPN and worked at this hospital as a LPN for over one year. She resigned her position at the Phoenix hospital and accepted a LPN position at a long-term care facility. The Director of Nursing (DON) of the long-term care facility requested to see her license and Carla stated that she was "being reviewed" by ASBN because of a theft by her roommate. The DON then called ASBN and was told that Carla did not have a LPN license in Arizona. 3. Gayle M. had a RN license from Texas (a compact state), but her primary residence was in Louisiana. Gayle began employment with a travel nurse agency and worked as a RN at a Tucson hospital, since she said she was told by the agency that she could work on her Texas license. The agency found out that her Texas license was valid in Texas only as her primary residence was in Louisiana. The agency reported Gayle to ASBN for working in Arizona without a current Arizona or Texas multistate license. 4. Nancy V. had a current RN license from Wisconsin, a compact state. Previously, Nancy’s RN license from Arizona had been revoked in May 1997. In August 2002, Nancy requested reinstatement of her Arizona license but the Board denied the request in January 2003. Nancy was hired by the local office of a national traveling nurse agency in March 2003 and began her employment as a traveler RN at a Mesa hospital, using her Wisconsin license. An RN at the Mesa hospital reported Nancy to ASBN when the RN read in the ASBN newsletter that the Board had denied reinstatement of Nancy’s RN license. The reporting RN was told that a RN or LPN, who has been denied the privilege of a RN or LPN license in Arizona, cannot practice nursing in Arizona with a multistate license from another compact state. 5. Andrew K. was employed by a national staffing agency as a LPN and was sent to work as a LPN to a long-term care facility at Safford. Andrew signed time cards, Shift Count Narcotic Records, Patient’s Narcotic Records for morphine and hydrocodone/APAP, and a patient’s nurses’ notes using LPN after his signature. The DON at the long-term facility reported Andrew to the staffing agency personnel as Andrew would not show the DON his LPN license. An individual from the staffing agency tried to verify Andrew’s license with ASBN and was told that Andrew was not licensed in Arizona. Upon review of Andrew’s employment record, Andrew attended a certificate nursing assistant program and a basic emergency medical science program in 2000 – 2001. Because the people involved in the above cases did not have a current nursing license in Arizona, the Board did not have any jurisdiction over them. The Board issued a Cease and Desist letter to each of them informing them that they had violated the Nurse Practice Act (NPA) by representing them- Future of Licenses and Certifications In February 2003, there was an article published statewide that recommended the Arizona Legislature eliminate mandatory licensure for RNs and LPNs. This article provides another view on the 10 to 20 year debate whether voluntary certification of nurses may have more relevance than licensure. If you have any comments that you want to share with the Board, please contact Joey Ridenour at jridenour@azbn.org. Today, states use three mechanisms for regulating nurses and allied health professionals: 1.) licensure, the most restrictive form of regulation, makes it illegal to practice a profession without meeting state imposed standards; 2.) certification, granting title protection to persons meeting predetermined standards (those without the title may perform the care, but may not use the title) and 3.) registration, the least restrictive form of regulation, requiring individuals to file their names, addresses and qualifications with a government agency before practicing.1 This article provides another view on the debate for the past 10 years that certification of nurses may have more of an relevance in the future than licensure. Empirical studies relating to licensing to quality of care were also reviewed to determine what, if any, research is available to influence the licensure public policy and evidenced based nursing regulation. Licensure and Certification Defined The power of the state legislature is to provide for the general welfare of its people through statutes and regulations that will protect them from the consequences of incompetence or deception and fraud. The compelling reason for requiring licensure as a legislative mandate is to legally regulate a recognized profession for the purpose of a public good. The general public by itself lacks the information and expertise necessary to determine if certain occupations or professionals Impostors, cont. on pg. 5 Director, cont. on pg. 9 Nursing Shortage in State Spawns Rise in Impostors Reprinted with permission by Phoenix Newspaper, Inc Charles Kelly The Arizona Republic Safeguards The Arizona State Board of Nursing urges employers who suspect there’s a problem with nurse credentials to: • Verify licensing before letting an employee work. • Call the board’s 24-hour verification line, 602-3318111 Ext. 510 To defeat an impostor using someone else’s name and registration number, call in the job seeker’s Social Security number. • Make a job seeker show his or hers original license, not a copy. Alterations on an original will be more obvious. For five years, Josephine Limon worked diligently as a registered nurse at a Phoenix-area hospital. Later, colleagues at John C. Lincoln Hospital- Deer Valley would praise her, saying she was competent, compassionate and knowledgeable. The only problem was, Limon was not a registered nurse. In fact she wasn’t a licensed nurse at all. Her credentials as a practical nurse had expired in 1986, and she hadn’t renewed it, according to Maricopa County Superior Court records. Still, she worked at the hospital and a treatment center for five years. Limon was a nurse impostor, one of a small but disturbing number of health workers in Arizona who fake or over- From the Executive Director state their credentials as nurses. The Arizona State Board of Nursing logged seven impostors in each of the past two years, a big jump from the previous years. In 1996, for instance, only one case was discovered. No patients have been harmed in recent years by impostors, but the possibility is always there, said Valerie Smith, the board’s associate director in charge of investigations. "We have low numbers, but there’s high risk for high harm," said Smith, adding that the upsurge in fraud is national and appears to be linked to the shortage of nurses. She sits on a committee of the National Council of State Boards of Nursing and in December was part of a conference call by regulators representing 25 states who expressed worry about increasing problems with impostors. "What seemed to be the general consensus… was the fact that we have a nursing shortage (and) it is bringing these people out of the woodwork, Smith said. Competition has driven salaries up, making fakery more attractive, she said, and employers desperate for help may be careless in hiring. The Arizona board rarely runs across out-and -out impostors, ones with no nursing training at all. The typical impostor has some training but claims credentials he or she does not have. Shortage, cont. on pg. 21 By Joey Ridenour, RN, MN Index: Nurse Impostors ............................1, 5 Advisory Opinion ..............................6 AzNA Convention 2003 ..................10 Education Corner ............................13 Approved Nursing Education Programs ..........................................15 Regulation Rundown ......................17 Nursing Assistant Programs..........19 Legislative Update............................22 Disciplinary Action ..........................23 • PAGE 2 • ARIZONA STATE BOARD OF NURSING NEWSLETTER GOVERNOR The Honorable Janet Napolitano BOARD MEMBERS Kathy Malloch, PhD., MBA, RN President Alice Gagnaire, RN, MSHA Vice President Barbara O’Connor, LPN Secretary Trista Campbell, RN, BSN Member Theresa Crawley, CRNA, MSHSA Member Richard Elward, LPN Member Marla Moore, RN, BSN, MA Member Gregory Y. Harris Public Member Beverly Ogden Public Member A UG, SEPT, OCT 2003 BOARD OF NURSING CONTACT NUMBERS MAIN LINE: FAX: e-MAIL: HOME PAGE: (602) 331-8111 (602) 906-9365 arizona@azbn.org http://www.azboardofnursing.org ADMINISTRATION Joey Ridenour RN, MN Judy Bontrager RN, MN Valerie Smith RN, MS Lila Wiemann Executive Director Associate Director - Operations Associate Director/Nursing Practice Administrative Assistant to the Executive Director 602-331-8111 x125 602-331-8111 x143 602-331-8111 x145 602-331-8111 x168 jridenour@azbn.org jbontrager@azbn.org vsmith@azbn.org lwiemann@azbn.org CHEMICAL DEPENDENCE / CANDO Patricia Reeder RN, MS, Ed.S. Nurse Consultant-CANDO Dolores Hurtado Legal Secretary - Monitoring & CANDO Olga Zuniga Administrative Secretary - Monitoring & CANDO 602-331-8111 x138 602-331-8111 x123 602-331-8111 x148 preeder@azbn.org dhurtado@azbn.org ozuniga@azbn.org EDUCATION Pamela Randolph RN, MS, CPNP Meredith Fountain Consultant, Educational Programs RN/LPN/CNA Administrative Assistant-Education 602-331-8111 x139 602-331-8111 x133 prandolph@azbn.org mfountain@azbn.org FISCAL SERVICES Diane Serra Norma Salter Business Manager Accounting Technician 602-331-8111 x192 602-331-8111 x130 dserra@azbn.org nsalter@azbn.org HEARINGS Susan Barber RN, MSN Vicky Driver Nurse Practice Consultant-Hearing Department Adm. Asst./Hearing Department 602-331-8111 x126 602-331-8111 x132 sbarber@azbn.org vdriver@azbn.org CNA CNA Advanced Practice/RN/LPN RN/LPN RN/LPN/Southern AZ RN/LPN RN/LPN RN/LPN Applicants RN/LPN 602-331-8111 x116 602-331-8111 x127 602-331-8111 x190 602-331-8111 x226 520-615-4945 602-331-8111 x119 602-331-8111 x141 602-331-8111 x114 602-331-8111 x149 bnelson@azbn.org jsage@azbn.org kgrady@azbn.org mrappoport@azbn.org ntwigg@azbn.org pmidkiff@azbn.org srachel@azbn.org ssmith@azbn.org smunger@azbn.org RN/LPN CNA RN/LPN CNA CNA 602-331-8111 x196 602-331-8111 x191 602-331-8111 x227 602-331-8111 x153 602-331-8111 x151 jball@azbn.org jbauer@azbn.org lbrown@azbn.org ppavlina@azbn.org vjohansen@azbn.org CNA CNA CNA 602-331-8111 x115 602-331-8111 x117 602-331-8111 x150 kolson@azbn.org mvannier@azbn.org vcervantes@azbn.org Board Minutes Investigations CNA Investigations CNA Investigations New Complaints/CNA Investigations 602-331-8111 x140 602-331-8111 x146 602-331-8111 x225 602-331-8111 x146 602-331-8111 x122 bjones@azbn.org bloar@azbn.org dlindsey@azbn.org egarcia@azbn.org tberry@azbn.org INFORMATION TECHNOLOGY Loren B. Cobb Cory Davitt Information Services Director Network Administrator 602 367-6743 (602) 331-8111 x173 LICENSING Becky Aranyos Brent Sutter Donna Frye Heather Aranyos Lorraine Silas Rhonda Rogers Yvonne Godinez RN/LPN Exam RN/LPN Renewals Advanced Practice – School Nurses CNA Exam/Endorsements RN/LPN Endorsements CNA-Renewals CNA Exam/Endorsements 602-331-8111 x142 602-331-8111 x129 602-331-8111 x188 602-331-8111 x154 602-331-8111 x167 602-331-8111 x121 602-331-8111 x195 baranyos@azbn.org bsutter@azbn.org dfrye@azbn.org haranyon@azbn.org lsila@azbn.org rrogers@azbn.org ygodinez@azbn.org MAILROOM Rita Kelly-Sierra Mail Room 602-331-8111 x147 rkelly@azbn.org MONITORING Stephanie Nelson RN, MS Dolores Hurtado Nurse Consultant Monitoring Legal Secretary - Monitoring 602-331-8111 x135 602-331-8111 x123 snelson@azbn.org dhurtado@azbn.org RECEPTIONISTS Athena Sanchez Jennifer Butler Cristina Oates-Lopez Receptionist Receptionist Receptionist 602-331-8111 x144 602-331-8111 x144 602-331-8111 x144 asanchez@azbn.org jbutler@azbn.org coates-lopez@azbn.org RECORDS Charlotte Seechoma Records Room 602-331-8111 x194 cseechoma@azbn.org 602-331-8111 x156 arizona@azbn.org INVESTIGATIONS Nurse Practice Consultants Betty Nelson RN, MS Jeanine Sage RN, MSN Karen Grady MS, RN, FNP, BC Mary Rappoport RN, MN Nancy "Nan" Twigg RN, MS Pat Midkiff, RN, MN Sister Rachel Torrez RN, MS Suanne Smith RN, MS Sydney Munger RN, MS Senior Investigators James (Jim) Ball Jeanne Bauer Lorraine Brown Pat Pavlina, RN, BS Vicki Johansen Legal Assistants Kirk Olson Melissa Vannier Vikki Cervantes Legal Secretaries Barbara Jones Becky Loar Dorothy Lindsey Esther Garcia Thereasa Berry ADDRESS CHANGE AND APPLICATION REQUESTS Receptionist lcobb@azbn.org cdavitt@azbn.org AUG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 3 • • PAGE 4 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 Nurse Impersonation Results in Felony Convictions by Sister M. Rachel Torrez RN, MS, Nurse Practice Consultant Case #1 Janet Schultz had recently moved to the state of Arizona and decided she wanted to work as a nurse in the state. She had seen an advertisement in the newspaper for a registered nurse for an Assisted Living Facility and thought this might be just the place. The facility was not large, and the owners did not live in town but visited the facility from time to time. She would be alone a great deal of the time. This seemed to be the right place. Janet Schultz completed an application on September 1, 2000 indicating that she had graduated from Glendale Community College in 1967. Her application indicated that she had worked private duty nursing in the past. Janet Schultz was hired. On October 1, 2000 she signed an agreement with the facility as an independent contractor. She signed her name Janet Schultz RN, and had business cards printed with RN after her name. Everything seemed to be in place except for the fact that the owners were more astute than she had anticipated. They soon began to question some of her decisions, and in fact her nursing judgment. The concerns were great enough that the owners hired a private investigator. Within a short time the private investigator was able to discover that Janet Schultz had a social security number that did not match the RN number she was using. The Board of Nursing showed an active license for the real RN, but not for the imposter Janet Schultz. The imposter Janet Schultz had a different social security number and had presented a nursing license to her employers that did not belong to her. Fortunately the owners of the Assisted Living Facility reported Janet Schultz to the Board of Nursing. She denied that she had told them she was a nurse and also denied that she had ever given anybody one of her business cards, even though she had signed the contract with RN after her name. The Board of Nursing staff conducted a complete investigation. It was determined that the Arizona State Board of Nursing had never issued a nursing license to the imposter Janet Schultz. Janet Schultz was sent a Cease and Desist Letter by the Arizona State Board of Nursing, and was reported to the office of the Attorney General. The office of the Attorney General prosecuted the case, and Janet Schultz was convicted of Criminal Impersonation, a class 6 undesignated Felony in violation of A.R.S. 13-2006, and 2001. She pled guilty and was sentenced to: • 2 years probation • Restitution of all fines and fees. • 100 hours of community service • Inability to work as a caregiver. It is unclear if she served any jail time. Case #2 Julie Young was hired by Dr. X as a nurse to assist him in his private office practice. She told the physician she had graduated from one of the local universities and was continuing her education to become a Nurse Practitioner. Dr. X hired Julie Young as an RN and worked in his office for several years, all the time signing her name with RN after it. After several years in the office she told Dr. X she would be taking the Nurse Practitioner Boards. A few months later she announced she had passed the boards for a Nurse Practitioner, but because the Board of Nursing was so far behind in their work, she would not be issued a Certificate for the Nurse Practitioner for at least six months. After six months had lapsed Dr. X insisted that she provide him with the Nurse Practitioner certificate. At this point Julie Young decided to resign. At no time had Dr. X or anyone else checked with the Board of Nursing to confirm if Julie Young had a current valid license in the state of Arizona. When Dr. X was completing her file after her resignation, he suspected that she might have lied to him about her Arizona nursing license. Julie Young had signed numerous documents using RN and Nurse Practitioner (NP) after her name while caring for patients in the office. Julie Young had performed simple biopsies; assisted patients with medications, written prescriptions for them, and assisted in other related nursing duties. Julie Young was reported to the Board of Nursing. The Board of Nursing staff conducted a complete investigation. It was determined that the Arizona State Board of Nursing had never issued Julie Young a nursing license. Julie Young was sent a Cease and Desist letter by the Arizona State Board of Nursing, and reported to the office of the Attorney General. The office of the Attorney General prosecuted the case and Julie Young was convicted of Unlawful Practice of Nursing a class 6 undesignated Felony in violation of A.R.S. Sections 32-1667, 1666, 1601, 13-701, 702, 707, 801, and 802. She pled guilty and was sentenced to: • 3 years supervised probation • Pay restitution and all court fees. It is unclear if she served any jail time. Lessons to be learned: • All employers should insist on seeing the original • • • • • nursing license/certificate versus a photocopy from any licensed or certified individual. It is acceptable for an employer to copy the original license/certificate to place in the employees file. The word "copy" should be written across the photocopied license/certificate. Employers should verify all nursing licenses/certificates with the State Board of Nursing, who issued the license/certificate, to assure that the license/certificate is active and in good standing. On-line verification now available by e-mail to verify@azbn.org. (refer to On-line Verification instructions in this issue or go to our Web site at www.azboardofnursing.org) Employer’s policies should be reviewed to assure a consistent procedure is followed to check that a professional nurse/certificate holder has a valid and active license in the state of Arizona, or another Compact state. (see Verification Contact clip-out in this issue) The nurse’s signature on the original license/certificate should match the nurse’s actual signature. Examine the original license for any signs of alterations. If an employer has any questions, contact a Nurse Consultant at the Board of Nursing for consultation and advise regarding these matters. SAMPLE OF CEASE AND DESIST LETTER Dear The Board of Nursing has received information that you have been representing yourself as a nurse. Pursuant to A.R.S. § 32-1666(A)(1), (2) and (3): (A) It is unlawful for a person not licensed under this chapter or not holding a temporary license to: (1) Practice or offer to practice professional or practical nursing in this state; (2) Represent or use any title, abbreviation, letters, figures, sign, card or device to indicate that the person or any other person is a registered, graduate or professional nurse; (3) Represent or use any title, abbreviation, letters, sign, card or device to indicate that he or any other person is a licensed practical nurse. Pursuant to A.R.S. § 1667 (3): A person is guilty of a class 6 felony who uses in connection with that person’s name any designation tending to indicate or imply that the person is a graduate, registered or professional nurse or a licensed practical nurse if that person is not currently licensed under this chapter. The Arizona Board of Nursing demands that you immediately cease and desist implying to the public of Arizona that you are a nurse. Be advised that the Board may turn your case over to the appropriate law enforcement agency and proceed with criminal action in a court of law. If you have any questions regarding our investigation of the complaint, please contact (Consultant/Investigator) , at 331-8111, ext. Sincerely, Joey Ridenour, R.N., M.N. Executive Director AUG, SEPT, OCT 2003 Impostors, cont. from pg. 1 selves as nurses. The NPA statutes, regarding nurse impostors, are located on our Web site, www.azboardofnursing.org, and are printed below. Arizona Revised Statutes (A.R.S.) § 32-1666 (A)(1), (2) and (3): (A) It is unlawful for a person not licensed or certified under this chapter to: (1) Practice or offer to practice professional or practical nursing in this state; (2) Represent or use any title, abbreviation, letters, figures, sign, card or device to indicate that the person or any other person is a registered, graduate or professional nurse; (3) Represent or use any title, abbreviation, letters, sign, card or device to indicate that he or any other person is a licensed practical nurse or certified nursing assistant. A.R.S. § 1667(2): A person is guilty of a class 6 felony who engages in any conduct prohibited in section 32-1666. A.R.S. § 1636 “Use of title or abbreviation by professional nurse,” the law states: “Only a person who holds a valid and current license to practice professional nursing in this state or in a part state pursuant to section 32-1668 may use the title “nurse,” “registered nurse,” “graduate nurse” or “professional nurse,” or the abbreviation “R.N.” A.R.S. § 1641 “Use of title by practical nurse,” the law states that "only a person who holds a valid and current license to practice as a licensed practical nurse in the state or in a party state as defined in section 32-1668 may use the title “nurse,” “licensed practical nurse,” “practical nurse” or the abbreviation “L.P.N.” All individuals who represent themselves as nurses are reported to the Arizona Attorney General for prosecution. The Nurse Practice Act states, anyone representing him or herself, as a RN or LPN is guilty of a class 6 felony. ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 5 • • PAGE 6 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 Advisory Opinion By Karen Grady, MS, RN, FNP, BC Advanced Practice Consultant At the June 2003 Board meeting the Board approved the following Advisory Opinion regarding Nurse Practitioner Roles and Functions: ADVISORY OPINION NURSE PRACTITIONER DESCRIPTION OF ROLES AND FUNCTIONS • Nurse Practitioners are registered nurses who have acquired the formal education, extended knowledge base and clinical skills beyond the registered nurse level to practice in an advanced role as direct health care providers. • Nurse Practitioners may perform additional skills for which they have been prepared through postgraduate education and training. • Nurse Practitioners are authorized to practice by the Board via their registered nurse licensure and advanced practice certification in a specialty area. • Nurse Practitioners provide health care services to individuals, families, and groups according to their practice specialty. • Nurse Practitioners utilize critical judgment in the performance of comprehensive health assessments, differential medical diagnosis including ordering, conducting, and interpreting diagnostic and laboratory tests, and the prescribing of pharmacologic and non-pharmacologic treatments in the direct management of acute and chronic illness and disease. • Nurse Practitioners provide care, including but not limited to admission, management of care, discharge and follow up, in ambulatory, acute, long term and other health care settings. • Nurse Practitioners serve in multiple roles, including but not limited to, direct providers of care, health care researchers, consultants, and educators. • Nurse Practitioners may work in independent practice. • Nurse Practitioners work collaboratively with other health care professionals when appropriate. RATIONALE: Per A.R.S. § 32-1601(15), a nurse practitioner is a professional nurse (RN) who is certified by the board and has an expanded scope of practice within a specialty area (e.g., family, pediatric, acute care, adult, etc.) that includes: • Assessing clients, synthesizing and analyzing data and understanding and applying principles of health care at an advanced level; • Managing the physical and psychosocial health status of clients; • Analyzing multiple sources of data, identifying alternative possibilities as to the nature of a health care problem and selecting, implementing and evaluating appropriate treatment; • Making independent decisions in solving complex client care problems; • Diagnosing, performing diagnostic and therapeutic procedures, prescribing, administering and dispensing therapeutic measures, including legend drugs, medical devices and controlled substances within the scope of registered nurse practitioner practice on meeting the requirements established by the board; • Recognizing the limits of the nurse's knowledge and experience, planning for situations beyond the nurse's knowledge and expertise and consulting with or referring clients to other health care providers when appropriate; • Delegating to a medical assistant pursuant to section 32-1456; • Performing additional acts that require education and training as prescribed by the board and that are recognized by the nursing profession as proper to be performed by a nurse practitioner. Per A.A.C. R4-19-505, in addition to the scope of practice permitted a professional nurse, a nurse practitioner may perform the following acts in collaboration with a physician: 1. Examine a patient and establish a medical diagnosis by client history, physical examination, and other criteria; 2. Admit a patient into a health care facility; 3. Order, perform, and interpret laboratory, radiographic, and other diagnostic tests; 4. Identify, develop, implement, and evaluate a plan of care for a patient to promote, maintain, and restore health; 5. If authorized under R4-19-507, prescribe and dispense medications; and 6. Refer to and consult with appropriate health care professionals. Per A.A.C. R4-19-101, "Collaborate" is defined as to establish a relationship for consultation or referral with one or more licensed physicians on an as-needed basis. Direct or on-site supervision of the activities of a registered nurse practitioner by the collaborating physician is not required. GENERAL REQUIREMENTS A nurse practitioner is certified by the board as a nurse practitioner; has completed a nurse practitioner education program approved or recognized by the board; if applying for certification on or after January 1, 2001, has a master of science degree in nursing or a master’s degree in a health-related area; and if applying for certification after July 1, 2004, holds national certification from a national certifying body recognized by the board or provides proof of competence if a certifying examination is not available. (A.R.S. § 321601(15); R4-19-504 (B) ) REFERENCES Scope and Standards of Advanced Practice Registered Nursing, American Nurses Association, 1996. Scope of Practice for Nurse Practitioners, American Academy of Nurse Practitioners, 1998. A.R.S. § 32-1601(15) A.A.C. R4-19-101 A.A.C. R4-19-505 This advisory opinion can be accessed and printed off of the ASBN Web-site, www.azboardofnursing.org. Select Advisory Opinions from the menu then select Nurse Practitioner Description of Roles and Functions. If you have any questions about advanced practice or the Advanced Practice Committee, please call Karen Grady at (602) 331-8111 ext. 190, or e-mail at kgrady@azbn.org. AUG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 7 • Advanced Practice Corner By Karen Grady, MS, RN, FNP, BC Advanced Practice Consultant Advanced Practice Committee Highlights The Advanced Practice Committee held meetings on May 9, 2003 and June 27, 2003. The next Committee meeting is scheduled for Friday, August 22, 2003, at the Board office, and is open to the public. Recent Advisory Opinions The Committee recently completed work on the Advisory Opinion, Nurse Practitioner Description of Roles and Functions, which was approved by the Board at the June 2003 Board meeting. The Opinion is published in this newsletter, and can also be accessed to print via the ASBN Web site, www.azboardofnursing.org, select Advisory Opinions, select Nurse Practitioner Description of Roles and Functions. Current Issues The Committee is currently assisting with the revision of Article 5 of the Rules of the Nurse Practice Act, related to Advanced Nursing Practice. The entire Article is being revised and updated to reflect the statutory changes enacted in May of 2002, including scope of practice for NP, Open Public Workshop Article 3. Licensing CNS, and National Certification requirements. Proposed rules for CRNA scope of practice are also being drafted. The proposed Article 5 Rules will be published in this newsletter for your comments prior to further discussion by this Committee and the Laws & Rules Committee. Future Topics Future topics will include discussion of guidelines for the use of controlled substances for the treatment of chronic pain patients, inconsistencies in intergovernmental regulations, and exploration of "sunrise" issues. Prescribing and Dispensing A nurse practitioner’s P&D authority is limited to the scope of practice of the practitioner. For example, it would be outside scope for a pediatric nurse practitioner to prescribe for an adult even if a co-worker, friend, or family member. In addition, failure to document an examination and treatment provided would fall below the standard of practice and could be considered a violation of the Nurse Practice Act. If you have any questions about Advanced Practice or the Committee, please call Karen Grady at (602) 331-8111 ext. 190, or e-mail at kgrady@azbn.org The Arizona State Board of Nursing cordially invites the publice to an open meeting to make comments and suggestions on the proposed changes to Article 3, available on our website at www.azboardofnursing.org. Date: Thursday, August 14, 2003 Time: 9 a.m. Location: Arizona State Board of Nursing Board Room 1651 E. Morten Ste. 210 Phoenix, AZ 85020 If you are unable to attend the meeting and/or would like to comment or suggest changes in advance of the meeting, please send your proposed changes in writing to: Pamela Randolph 1651 E. Morten Ste. 210 Phoenix, AZ 85020 602-331-8111 ext. 139 E-mail: prandolph@azbn.org Fax: 602-906-9365 • PAGE 8 • ARIZONA STATE BOARD OF NURSING NEWSLETTER On-Line Verification Instructions To verify RN/LPN/CNA licensure or certification and Temporary licensure for RNs & LPNs ON-Line, follow the instructions below: 1. Send e-mail To: verify@azbn.org 2. Leave the subject line blank. 3. List all the RN/LPN/CNA numbers OR the Social Security# (do not use hyphens in ss#) For Temporary RNs or LPNs use the TRN+digits or TLP+digits Examples: License or Certificate numbers Social Security Number RN +6 or 9 digits 111223333 (all numbers, no hyphens) LP + 6 digits CNA + 9 digits TRN + 6 digits TLP + 6 digits 4. Do not type statements or comments; type only license, certificate or social security 5. You may verify as many individuals as you like. numbers. Results will be returned quickly and will give you the following information: Name of the licensee or certificate holder License, or certificate number Renewal date Date license or certificate was originally issued on The status of the license or certificate Whether or not the individual has been fingerprinted by ASBN (Fingerprinting was not required until January 1, 1999) Whether or not the nurse has Multi-State privileges NOTE: If you are verifying a temporary RN or LPN number and the response you receive says that it is not found, try eliminating the "T" from the TRN or TLP and resend (they may have already received their permanent license). If you have questions or experience problems, please call 602-331-8111. AUG, SEPT, OCT 2003 AUG, SEPT, OCT 2003 Director, cont. from pg. 1 have the necessary qualifications to provide competent care. The practice acts that govern a profession are adopted pursuant to police powers reserved to the states by the 10th Amendment of the United States Constitution, by which states may regulate professions in the interest of protecting the health, safety and welfare. Once the legislature has passed a licensure law, it becomes illegal for any person not licensed to engage in activities of the licensed profession. The nursing profession has been legally regulated since the early 1900s. Legislation enacted in each state designated nursing as a profession and also created an administrative body in the form of a board to act as the regulator. Generally, the enabling legislation is known as the Nurse Practice Act, which empowered the regulatory boards to carry out the following mandates: 1.) establish criteria for effective initial assessment of competence for licensure to safely practice, 2.) determine the authority of the board to effectively and efficiently carry out its purpose, 3.) specify authority to discipline licensees found to have engaged in wrongdoing or to have violated the practice act, 4.) provide the board authority to set standards of practice through the promulgation of regulations and rule and, 5.) approve nursing programs as a prerequisite to licensure. Many variations of governing boards exist among the 61 Boards of Nursing to carry out the mandates of the Nurse Practice Act. Most nursing boards are semi-autonomous and fund their operating expenses from licensing revenues. Other boards operate under a centralized governing department referred to as an umbrella structure that regulates many professions. The non-umbrella or umbrella hierarchy impacts the regulatory functions, control of revenue, expenditures and licensees impacted by the nurse practice act. Conversely, voluntary certification programs are established to provide a professional with an additional credential, which distinguishes them from others in the profession. The voluntary certification does not create additional legal rights for the professional or obligations necessary to practice. A public protection relationship is incidental. Licensure on the other hand, is a public process, legislatively mandated and a prerequisite to practice. Because a "license is bestowed by a public body-a board- the legal protections placed on the process are heightened and subject to rigid constitutional, statutory, and regulatory scrutiny."2 These due process rights are strictly enforced by legislative authority granted to the board to deny an individual the right to enter the profession and to remove the existing property rights to the licensure. The mounting pressure to attain licensure for the various occupations became so great in the 1970s that the Federal Department of Health and Human Resources called for a moratorium on the licensing additional allied health workers. At about the same time, some of the lead- ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 9 • ers within the health occupations began to consider certification as an alternative to licensure. It must also be emphasized that the qualifications that determine eligibility for licensure are premised on minimum competence on entry into the profession. A legislative determination sets the threshold of safe practice, not the higher, specialized threshold for advanced certification. If the alternative process of certification resulted in consumers restricting themselves to certified nurses, such a process may be more restrictive than licensure. Some nurse may elect, for personal reasons, not to sit for the certification exams. Therefore, some practitioners who are not certified may, in fact have competence equal to or greater than that of some certified practitioners. Thus, there is no easy or dependable way for the public to be sure of a non-certified nurse’s level of competence. "Being certified may be considered a positive indicator, but not being certified is not necessarily a negative one."3 Violators of certification requirements cannot be prosecuted for practicing without certification, since there are not specific laws covering voluntary certification. The certification agency may have copyrighted symbols, which may result in prosecution of those who do not have authorized use of the credential. In addition, the work by private certification entities is unlikely to be sufficient to protect the public from nurses who are impaired or who practice incompetently.4 State Boards of Nursing are more likely to be able to bar nurses from practice faster than market processes can. Research Research on licensing as a public policy to prevent incompetent or unscrupulous providers from serving the public is relatively new, and dating for the most part from 1977. Of the 26 research studies, each of which were found to be flawed due to questionable peer review procedures, conflicting quality data and assumptions and methods the researchers themselves questioned. Despite the crudeness of the measures used, the findings overall confirm the conventional wisdom that "the more entry into a profession is restricted, the more likely it is that those who get in will be well regarded by their peers and behave in ways designed to maintain that regard."5 Three studies suggest a positive association between licensing and quality. Future of Licensure and Certification Given the information presented, it is evident licensure will play an important role in the near future. The distinction between licensure and certification is that the former will focus most on distinctions within the mainstream of nurses while the latter will focus on nurses who are outliers. Despite the advances within the certifying bodies, they are unlikely to play a role in the initial granting of the privilege to practice nursing. To dispense with educational requirements would mean a substantial period in which a practitioner would provide care before a judgment on competence could be made. One could argue that increased ability to assess practice means that the initial criteria could be relaxed, but patients may be exposed to more high risk or harm behaviors than with current entry requirements. In addition, certifying bodies are unlikely prepared to protect the public from nurses who are impaired or who practice incompetently. Despite the due process requirements of licensure, the Board of Nursing is more likely to be able to bar impaired nurses from practice faster than market processes. In summary, it is difficult to conceive of a society in which so many matters of enormous consequence related to licensure – matters of life and death - would not be safeguarded by the work of Boards of Nursing. The public expects the state to protect them from unsafe practitioners through mandated licensure and not through a voluntary credentialing mechanism whereby violators of certification cannot be prosecuted for incompetence. REFERENCES 1. Blevins, Sue A. December 15, 1995. The medical monopoly: protecting consumers or limiting competition, Cato Policy Analysis No. 246. 2. Schoon, Craig C.and Smith, I. Leon, (2000). The licensure and certification mission, chapter 6, Dale Atkinson, legal issues in licensure policy. New York: Professional Examination. 3. Schoon, Craig C., Smith, I. Leon, (2000). The licensure and certification mission, chapter 7, Benjamin Shimberg, the role that licensure plays in society. New York: Professional Examination. 4. Ginsberg, Paul and Moy, Ernest. Physician licensure & quality of care-the role of information technology. Cato Policy Analysis 5. Gross, Stanely. December 9, 1986. Professional licensure and quality: the evidence, Cato Policy Analysis No. 79. • PAGE 10 • ARIZONA STATE BOARD OF NURSING NEWSLETTER Mark your Calendars! Arizona Nurses Association Student Nurses Association of Arizona Convention 2003 September 18-20 • Prescott Resort and Casino Arizona Nursing Connections: Experts in Our Own Backyard. To stay competent, knowledgeable and marketable, we need to keep absorbing information and more importantly understand how to apply it. What better opportunity to gain knowledge, than to share with expert nurses from right here in our own backyard? Although educational opportunities come in many shapes and forms today— from audio conferencing to Web-based training—AzNA’s Biennial Convention will offer some distinct advantages. Strategizing - From meetings to educational sessions to exhibitors there will be a plethora of opportunities to obtain valuable information and determine the future of nursing in Arizona. Through reference hear- ings and business meetings, convention participants format the direction of AzNA for the upcoming two years, and as a result, powerfully influence nursing in Arizona. Strategies for addressing the nursing shortage and workplace issues will be presented, debated, and voted upon. Networking - Most importantly, convention offers the opportunity to network with nurses and student nurses from around the state. Convention is a wonderful time to reconnect with old acquaintances, interact with nursing leaders, meet new colleagues, and gain inspiration from the enthusiasm of student nurses. New Pre-Convention Workshop – Come up to the Prescott Resort a day early and join Paulla Eldridge and Joan Gustafson for a pre-convention workshop on September 17. "Colleagues in Action: Powerful Communication in the Workplace" will provide powerful communication skills. AUG, SEPT, OCT 2003 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 11 • Convention 2003 Registration Form Name ____________________________________________________________ Address ______________________________City ______State ____Zip ______ Home Phone ( ) ____________W - ( ) ______________E- ________________ Hotel Accommodations - Call before August 18 Prescott Resort 928-776-1666 $109 per night Early Registration (before September 2, 2003) Fees include meals *banquet not included Please circle applicable dollar amount Pre-Convention Workshop Full 3 Day Convention Thursday Friday Saturday AzNA Member $99 $239 $99 $139 $99 Non-Member $129 $339 $129 $169 $129 Entry level, unemployed student $69 $149 $69 $69* $69 Late Registration (after September 2, 2003) Fees include meals *banquet not included Please circle applicable dollar amount Pre-Convention Workshop Full 3 Day Convention Thursday Friday Saturday AzNA Member $149 $289 $114 $154 $114 Non-Member $179 $389 $144 $184 $144 Entry level, unemployed student $84 $164 $84 $84* $84 Registration amount enclosed $_________ Guest/Sponsor Information ___ Guest Tickets, Banquet/Auction -(quantity) ____ x $40 each ___ Sponsor a student: price listed above -(quantity) __ ____ x $____ Breakout Sessions Guest/sponsor amount enclosed $_________ Friday, September 19 Place an “X” in the breakout session (see schedule) in each Saturday, September 20 Place an “X” in the breakout session (see schedule) in each Breakout Breakout A B C D 1:00 p.m. 9:45 a.m. 2:00 p.m. 11:45 a.m. A B C D Payment Information: Total due $____________ Please make checks payable to the Arizona Nurses Association and mail with registration to: AzNA • 1850 E. Southern Ave., Ste. 1 • Tempe, AZ 85282 Credit card authorization: _____________________________________________________ _______________________ credit card # exp. date signature Questions? Phone: 480-831-0404 Fax: 480-839-4780 debby@aznurse.org www.aznurse.org • PAGE 12 • ARIZONA STATE BOARD OF NURSING NEWSLETTER Nurses Have the Opportunity to Help Develop the NCLEX® Examination The National Council of State Boards of Nursing (NCSBN) is responsible for developing the NCLEX-RN® and NCLEX-PN® licensing examinations by utilizing contributions from nurse clinicians and educators. NCSBN encourages all nurses to become involved in the development of the exams by participating in the item (question) development program. Qualifications for participation are listed below. Serving on an NCLEX® item writing or review panel is an excellent opportunity to network with nurses from across the country, contribute to continuing excellence in nursing practice, and build new skills that are useful for professional growth. Item development sessions are held throughout the year and include the item writing and item review panels. Item writing panelists are responsible for creating new test items that may later appear on one of the exams. Item review panelists examine both newly created and older items to help decide if the items are current and relevant to entrylevel nursing practice. All item development panels are held in Chicago, Illinois, and generally last 3-4 consecutive days. Panelists stay downtown in a deluxe hotel surrounded by the shopping and theater districts. Most travel and food expenses are covered and new panelists receive more than 30 CEUs for their participation. For more information about the NCLEX item development program or to receive an application for the item development panels please call the NCSBN item development hotline at 312-525-3775 or visit our Web site at www.ncsbn.org. ITEM WRITERS Item writers create the multiple-choice questions, or items, used for the NCLEX‚ examination. To qualify, you must be: ITEM REVIEWERS Item reviewers review the items that are created by item writers. To qualify, you must be: 1) Currently licensed in the jurisdiction where you practice. 2) A registered nurse (RN) with a master’s or higher degree (for NCLEX-RN‚ exam) or a licensed practical/vocational nurse (LPN/VN) or RN (for NCLEXPN‚ exam.) 3) Responsible for teaching basic/undergraduate students in the clinical area OR currently employed in clinical nursing practice AND working directly with nurses who have entered practice within the last 12 months. LPN/VNs who plan to take the NCLEX-RN examination within two years of service with NCSBN do not qualify for participation. 1) Currently licensed in the jurisdiction where you practice. 2) An RN (for NCLEX-RN‚ exam) or an LPN/VN or RN (for NCLEX-PN‚ exam.) 3) Currently employed in clinical nursing practice AND working directly with nurses who have entered nursing practice during the past 12 months. LPN/VNs who plan to take the NCLEX-RN examination within two years of service with NCSBN do not qualify for participation. AUG, SEPT, OCT 2003 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 13 • • Education Corner • Pamela Randolph RN, MS, CPNP 202(A)(6)—secretarial support to assist the administrator and faculty. C.N.A. Instructor Meeting The Board will organize a statewide meeting for C.N.A. instructors, coordinators and other interested educators. Last year several C.N.A. instructors attended a meeting on changes to the C.N.A. minimum competencies and reported that they benefited from the opportunity to meet other instructors and dialogue with the Board staff. Several people requested that another meeting for C.N.A. instructors be held. Therefore, with the help of A.S.U. student Sarah Van Holten, RN, who is doing her Leadership/Management practicum at the Board, the Board has planned an exciting workshop geared to C.N.A. instructors. Please save the date, November 21, 2003 for a C.N.A. Educator’s Retreat at the Phoenix Mountain Preserve Reception Center in Phoenix. The program will feature noted C.N.A. textbook author, Sheila Sorrentino. Dr. Sorrentino now resides in Arizona and therefore, we are able to offer this quality workshop at the cost of $50 (early registration) including continental breakfast and lunch. Topics include curriculum development, putting power in policies, delegation, and stories from the Board. Although the meeting will focus on C.N.A. programs, other interested parties are also invited to attend. Information will be mailed to the C.N.A. programs, appear on the Web site www.azboardofnursing.org, and be published in the newsletter. Program Complaints The Board has received an increase in complaints against all types of educational programs— RN, PN and C.N.A. Some examples of complaints that, if substantiated, violate Board rules are: *Having a C.N.A. supervise a clinical group of C.N.A. students under the supervision of the RN. This is outside the scope of practice of a C.N.A. and violates C.N.A. program rules for instructor in a C.N.A. program. Only RNs can teach nursing knowledge and skills. *Charging C.N.A. students in a facility program for the manual skills and written exam. This is a violation of the Code of Federal Regulations and Board rules for C.N.A. programs. *Having a clinical group that exceeds the 1:10 instructor to student ratio in an RN program. Nursing programs must maintain a 1:10 instructor to student ratio in clinical experiences. *Proposing to hire faculty with an associate degree in nursing to teach in an LPN program. Faculty in an LPN program must have a minimum of a BSN degree. *Requiring C.N.A. students in a facility-based program to sign a contract to work for a minimum of 6 months or pay back the training costs. This is a violation of the Code of Federal Regulations and Board rules for C.N.A. programs *A college based C.N.A. program providing their certificate of completion to graduates of a non-approved high school program. Operating a nursing or nurse assistant program that is not approved by the Board is a violation of statute and a Class 6 Felony. All persons teaching in RN and PN programs should be familiar with the Education Rules in Article 2. All persons teaching or coordinating a C.N.A. program should be familiar with the C.N.A. program rules in Article 8. Any questions about changes or practices in a program that appear to violate the letter or spirit of the law should be directed to the Education Consultant before making a decision to proceed. The rules may be found on the Board Web site: www.azboardofnursing.org under Nurse Practice Act/Rules. Education Committee Meetings: Meetings of the Education Committee are open to the public. Meeting dates have been set for August 29, 2003 and October 10, 2003. Board Actions on Education Programs April 24, 25, 26, 2003 Approved new C.N.A. programs at: Copper Mountain Inn—Globe Horizon Health Care Institute at Holy Cross—Nogales Valley Health Care—Tucson Arizona Western College Issued Notice of Deficiency to Arizona Western College for violation of R4-19- SouthWest Skill Center/Estrella Mountain Community College Accepted interim report from SouthWest Skill Center and revised consent agreement to allow enrollment of students according to program plan. June 11,12,13, 2003 Approved new C.N.A. programs at: Gateway CC – EVIT - Phoenix Medical Services Company - Scottsdale Mohave High in Partnership with Mohave CC – Bullhead City Central Arizona College Approved the nursing program at Central Arizona College under the following conditions: 1. The Board consultant participate in and file a report on the 2004 NLNAC accreditation site visit, and 2. The program submits documentation that the college Governing Board accepts the faculty-load policy as presented to the Education Committee. Pima Community College Center for Training and Development LPN Program: Issued a Notice of Deficiency for violations of R4-19-202 (A)(2)(3)(5) and (7) (program resources) with 18 months to correct. In addition to the plan of correction required in R4-19-211, the program shall: 1. Submit a report on the progress remedying deficiencies within 9 months of the date on the Notice of Deficiencies, and 2. Submit a second report on correction of the deficiencies before the expiration of the period of correction. The Board shall schedule and conduct a comprehensive site visit with a report to the Board following the receipt of the second program report. Northern Arizona University Continued investigation and ordered comprehensive site visit with a report to the Board for the September 17 Board meeting. Northland Pioneer College Approved request to add 10 credit hours to the nursing program. Gateway Fast Track LPN Program Approved request to open a site at the East Valley Institute of Technology (high school). • PAGE 14 • ARIZONA STATE BOARD OF NURSING NEWSLETTER Sanctioned Programs Open Letter of Gratitude FACILITY CITY BEGIN DATE END DATE COMMENTS Beverly Healthcare Shadow Mountain Chinle Nursing Home Chris Ridge Village Esperanza Glendale Care Center Infinia at Foothills (formerly Foothills Manor) Infinia at Show Low (formerly Pueblo Norte Nursing) Life Care Center of Paradise Valley Sunbridge Park Villa Scottsdale Chinle Phoenix Phoenix Glendale Phoenix 04/30/03 12/18/01 10/03/01 04/11/03 12/11/01 08/23/01 04/30/05 12/18/03 10/03/03 04/11/05 12/11/03 08/23/03 Show Low 11/13/01 11/13/03 Phoenix Tucson 09/23/02 11/16/01 09/23/04 11/16/03 Waiver currently in effect Waiver currently in effect Scope of Practice Committee Call for LPN Members By Judy Bontrager, RN, MN The SCOPE OF PRACTICE COMMITTEE is currently recruiting for LPNs interested in serving on the committee for the May 03-05 term. There have recently been 2 unanticipated vacancies. The committee has a rich & diverse membership which includes staff nurses, administrators and faculty members from the various agencies & health care settings throughout the state. Examples of the work product of the committee are found in the Advisory Opinions on the ASBN website: www.azboardofnursing.org The current goals of the SCOPE OF PRACTICE COMMITTEE are to: 1. Review and revise current advisory opinions. 2. Respond to the changing health care environment A UG, SEPT, OCT 2003 by addressing scope of practice issues and developing advisory opinions when appropriate. 3. Discuss and deliberate scope of practice issues when requested and make recommendations to the Board regarding specific issues. The committee meets 4 times per year, usually in February, May, September and December. The meetings are held from 10 am – 3 pm in the Board Room at 1651 E. Morten Avenue in Phoenix. If you are a LPN who is interested in applying to serve on the SCOPE OF PRACTICE COMMITTEE, please submit your resume to Suanne Smith, RN at Arizona State Board of Nursing, 1651 E. Morten, Suite 210, Phoenix, Arizona, 85020 by August 31, 2003. Telephone interviews will be conducted in September. The Board will appoint the members at their September 2003 Board Meeting. I would like to say thank you to the Arizona State Board of Nursing for your assistance with my dissertation, with which I recently received my PhD in Counseling from the University of New Mexico. I am especially grateful to all the nurses who participated in the study. I was impressed with your willingness to share your experiences, and appreciate the time you spent in the interviews last year. The dissertation is available through the University of New Mexico and is entitled "Substance abuse and nurses: A study of completers and non-completers in an alternative diversion program." I successfully defended in May 2003 with distinction. Thank you to all the recovering nurses who made this possible. Sincerely, Nancy Darbro, PhD, RN Coordinator, N.M. Diversion Program. AUG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 15 • Nursing Education Programs Approved by the Arizona State Board of Nursing PRACTICAL NURSING Estrella Mountain Community College/ Charles Whitehead, MS, RN SouthWest Skill Center Director 3000 N. Dysart Rd Phone: (623) 535- 2700 Avondale AZ 85323 Provisional approval: Jan. 03 Maricopa Skill Center 1245 E. Buckeye Road Phoenix, AZ 85034-4101 Barbara Fierro, MSN, RN Health Occupations Phone: (602) 238-4367 Pima Community College – CTD Health Occupational Programs 5901 South Calle Santa Cruz Tucson, AZ 85709-6370 Emelia Lewis, B.S.N., RN Coordinator, Health Occupation Phone: (520) 206-5113 (program sites at Tucson Medical Center; Kino Hospital and Health South) GateWay Community College Fast Track PN Program 108 N. 40th Street Phoenix, AZ 85034 (Metro-Tech and campus sites) Cathy Lucius, MS, RN Director, Nursing Division Phone: (602) 392-5025 Provisional approval 4/17/02 ASSOCIATE DEGREE MULTIPLE EXIT *Arizona Western College Mary Rhona Francoeur, RN, MSN PO Box 929 Director, Nursing and Allied Health Yuma, AZ 85364 Phone: (928) 317-6049 *Central Arizona College 8470 North Overfield Road Coolidge, AZ 85228 Paula Calcaterra, MSN, RN Director of Nursing Phone: (520) 426-4331 *Cochise College 4190 W. Highway 80 Douglas, AZ 85607-6190 Sue Macdonald, MSN, RN Director of Nursing & Health Technology Phone (520) 364-7943 Coconino Community College 1800 S. Lone Tree Rd Flagstaff, AZ 86001-2701 Jacqueline Waggoner, MS, RN Director of Nursing (928) 527-9978 Provisional approval (2003) Eastern Arizona College Mayuree Sozanski, D.N Sc., RN 3714 W. Church Street Director of Nursing & Allied Health Thatcher, AZ 85552-0769 Phone: (928) 428-8396 *Maricopa Community College District Nursing Program Five community colleges and six sites: Gateway Community College 108 N. 40th Street Phoenix, AZ 85034 Cathy Lucius, MS, RN Director, Nursing Division Phone: (602) 392-5025 Glendale Community College 6000 W. Olive Avenue Glendale, AZ 85302 Lucy Flaaten, PhD, RN Chair, Department of Nursing Phone: (623) 845-3209 Mesa Community College 1833 E. Southern Avenue Mesa, AZ 85202 Myrna Eshelman, MS, RN Chair, Nursing Program Phone: (480) 461-7106 MCC/Boswell Center 13101 N. 103rd Avenue Sun City, AZ 85351 Paulette Compton, RN, MS, Director, Nursing Program Phone: (623) 974-7835 Fax: (623) 974-7891 Phoenix College 1202 W. Thomas Road Phoenix, AZ 85013 Margaret Souders, MS, RNC, CNS Chair, Department of Nursing Phone: (602) 285-7119 Rio Salado College 2323 W. 14th St. Tempe AZ 85281 www.rio.maricopa.edu Anne McNamara Ph.D, RN Faculty Chair, Nursing LPN to A.D.N. Only Scottsdale Community College 9000 E. Chaparral Road Scottsdale, AZ 85256-2699 Nellie Nelson, MSN, RN, CARN Chair, Division of Health Sciences Phone: (480) 423-6232 Mohave Community College Linda Riesdorph, MSN, RN 1977 W. Acoma Director, Nursing Program Lake Havasu City, AZ 86403 Phone: (928) 505-3378 Sites in Kingman, Bullhead City & Colorado City FAX: (928) 505-3369 Northland Pioneer College PO Box 610 Holbrook, AZ 86025-0610 Campus Sites at Show Low and Winslow Barbara T. Ballard, MS, RN Director, Department of Nursing Phone: (928) 532-6133 Programs, cont. on pg. 16 • PAGE 16 • ARIZONA STATE BOARD OF NURSING NEWSLETTER Programs, cont. from pg. 15 *Pima Community College 2202 W. Anklam Road Tucson, AZ 85709 Marie Barrentine, MS, RN Director of Nursing Phone: (520) 206-6661 *Yavapai College Lynn Nugent, PhD, RN 1100 E. Sheldon Street Division Chair, Allied Health, Nursing, Prescott, AZ 86301 Phone: (928) 776-2247 Campus sites in Prescott and on Verde Campus in Clarkdale BACCALAUREATE DEGREE *Arizona State University Barbara Durand, Ph.D., RN College of Nursing Dean, College of Nursing Tempe, AZ 85287-2602 Phone: (480) 965-3244 (Spring, 2004) Campus sites in Tempe and ASU West in Glendale *Northern Arizona University PO Box 15035 Flagstaff, AZ 86001 (Spring, 2009) Judith Sellers, DNSc., RN, FNP Chair, Department of Nursing Phone: (928) 523-2671 *University of Arizona PO Box 210203 Tucson, AZ 85721 (Spring, 2002) Marjorie Isenberg, DNSc, RN, FAAN Dean, College of Nursing Phone: (520) 626-6152 *Grand Canyon University PO Box 11097, 3300 W. Camelback Road Phoenix, AZ 85061 (Fall 2005 ) Cynthia Russell, DNSc, RN, CS Dean, College of Nursing Phone: (602) 589-2730 *University of Phoenix College of Health Sciences & Nursing 4615 E. Elwood Street Phoenix, AZ 85040 Beth Patton, MN, MA, RN College of Health Sciences & Nursing Phone: (480) 557-1751 (RN to BSN; LPN to BSN programs) *Old Dominion University @ Steve Parker Yavapai College Site Director 1100 E. Sheldon St. #6148 Phone: (928) 445-4616 Prescott, AZ 86301 BSN Completion Only *Accredited by the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) MASTERS DEGREE IN NURSING *Arizona State University Barbara Durand, Ph.D., RN Tempe, AZ 85287-2602 Dean, College of Nursing Phone: (480) 965-3244 *Northern Arizona University PO Box 15035 Flagstaff, AZ 86001 Judith Sellers, Ph.D., RN, FNP Chair, Department of Nursing Phone: (520) 523-2671 *University of Arizona Tucson, AZ 85721 Marjorie Isenberg, DNSc., RN, FAAN Dean, College of Nursing Phone: (520) 626-6152 *University of Phoenix Center for Nursing Leadership 4615 E. Elwood Street Phoenix, AZ 85040 Beth Patton, MN, MA, RN Department of Nursing Phone: (602) 966-7400 *Old Dominion University Yavapai College 1100 E. Sheldon St. Prescott, AZ 86301 Steve Parker (Site Director) Phone: (480) 445-4616 NURSE PRACTITIONER PROGRAMS APPROVED BY THE ARIZONA STATE BOARD OF NURSING Master’s Programs A. Arizona State University - Tempe, Arizona 1. Adult Nurse Practitioner 2. Family Nurse Practitioner 3. Obstetric/Gynecological Nurse Practitioner/Woman’s Health 4. Pediatric Nurse Practitioner 5. Psychiatric/Mental Health Nurse Practitioner 6. Neonatal Nurse Practitioner 7. Acute Care Nurse Practitioner B. University of Arizona - Tucson, Arizona 1. Family Nurse Practitioner 2. Geriatric/Adult Nurse Practitioner 3. Psychiatric/Mental Health Nurse Practitioner C. Northern Arizona University - Flagstaff, Arizona 1. Family Nurse Practitioner D. University of Phoenix - Phoenix, Arizona 1.Obstetric/Gynecological Nurse Practitioner/Woman’s Health 2. Family Nurse Practitioner E. Grand Canyon University—Phoenix, Arizona 1. Family Nurse Practitioner—online (program has not admitted students) Post Master’s Program A. Arizona State University - Tempe, Arizona 1. Family Nurse Practitioner 2. Mental Health/Psychiatric Nurse Practitioner A UG, SEPT, OCT 2003 AUG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 17 • Regulation Rundown by Pamela Randolph RN, MS, CPNP Current Rule Activity Article 3. A draft of the proposed rule making and an explanation of the proposed practice requirement is published on the Board Web site under proposed rules. The public is invited to an open meeting to make comment, or suggestions to the draft on Thursday, August 14, 2003, at 9 a.m. (see notice in this newsletter). Written comments will also be accepted before the meeting. Please direct comments to Pamela Randolph. Article 5. Advanced Practice Nursing. Both Education and Advanced Practice Committees are in the process of reviewing and suggesting changes in the draft of these rules. The Arizona Medical Board, Pharmacy Board, Osteopathic Board and other interested entities will also be reviewing these proposed rules. A proposed rule making will be published in a future newsletter. It is anticipated that an open workshop will be scheduled in the future. Future Rule Activity Article 4. Regulation. The Board anticipates that rule making will begin by December 2003. The Scope of Practice, Education, and Chemical Dependency Committees will participate in reviewing drafts of the rule. Article 1. Definitions and Time-Frames. The Board will need to amend these rules to be consistent with other rule making changes over the past 2 years. Article 2. Arizona Professional and Practical Nursing Programs. The Education Committee will be discussing possible changes to program rules at their August 29, 2003 meeting. The person to contact at the Board regarding rules is: Pamela Randolph Nurse Practice Consultant 1651 E. Morten Suite 210 Phoenix, AZ 85020 602-331-8111 ext 139 e-mail: prandolph@azbn.org • PAGE 18 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 Proposed Practice Requirement Article 3: Questions & Answers 1. Do other Boards of Nursing have a practice requirement? The proposed requirement of the Arizona Board is similar to requirements of other Boards of Nursing: Oregon (960 hours in 5 years), West Virginia PN (200 hours in 2 years), Maryland (1,000 hours in 5 years), Nebraska (500 hours in 5 years plus continuing education), and Mississippi and Pennsylvania (no specified hours). 2. Did the Board examine any research to support the proposed practice requirement? The Board examined Evaluating the Effectiveness of Continuing Education Mandates, National Council of State Boards of Nursing, Jan. 03, a study that shows that nurses view active practice as the largest contributor to their current abilities. This study can be obtained from the National Council of State Boards of Nursing. For more information, you may access their Web site, www.ncsbn.org and visit the publications section. 3. What if a nurse does not meet the practice requirement? Licensees and applicants that do not meet the requirement may apply for and receive a temporary license to complete a nurse refresher course or place their licenses on inactive status without a fee. 4. How will the Board enforce this standard? The Board will require each applicant to provide information on their practice. All licensees are required to verify the truth of the information on their application for initial license or renewal. If the Board receives a complaint on the licensee and it is discovered that the applicant falsified the information, the licensee is subject to action on the license that may include a civil penalty, a decree of censure, probation, suspension or revocation of the license. 5. What about new graduates that have not had any practice? New graduates must be licensed within two years of graduation or they will be required to complete a refresher course upon passing NCLEX®. Because of the steep learning curve for new graduates as they enter practice, new graduates that do not receive an opportunity to practice within two years are considered by the Board to be in a vulnerable position. The Board has determined that an update of knowledge and skills is necessary after two years of non-practice for these individuals. 6. What is the practice requirement? The Board is proposing that licensees practice in some manner for at least 960 hours every five years, either as an employee or volunteer, to renew or obtain licensure. This equates to 24 weeks of fulltime practice every five years. 7. Why is the Board proposing a practice requirement at this time? Currently, the Board requires an applicant to complete a refresher course if the license was inactive for five or more years and the applicant did not show evidence of active practice in the application. The proposed practice requirement extends the current rule to licensed nurses and provides for the specific amount of practice to ensure that all nurses are current in their practice. 8. What activities qualify as practice? In the proposed rule, "practice" is interpreted liberally. Any job or position that requires or recommends an RN or LPN license would meet the criteria as will any activity performed as an employee or volunteer that is within the legal scope of nursing practice. In addition to bedside nursing, such activities as teaching nursing, supervising care, consulting, clinical experience in a nursing program, serving as a volunteer with a nursing organization or volunteering in health screenings will also qualify as practice. Caring for family members would not qualify. 9. What is in the legal scope of RN and LPN practice? The legal scope of practice is detailed in statute ARS §32-1601(13) and (12) which are reprinted below. "Professional nursing" (RN) includes the following: (a) Diagnosing and treating human responses to actual or potential health problems. (b) Assisting individuals and groups to maintain or attain optimal health by implementing a strategy of care to accomplish defined goals and evaluating responses to care and treatment. (c) Assessing the health status of individuals and groups. (d) Establishing a nursing diagnosis. (e) Establishing goals to meet identified health care needs. (f) Prescribing nursing interventions to implement a strategy of care. (g) Delegating nursing interventions to others who are qualified to do so. (h) Providing for the maintenance of safe and effective nursing care that is rendered directly or indirectly. (i) Evaluating responses to interventions. (j) Teaching nursing knowledge and skills. (k) Managing and supervising the practice of nursing. (l) Consulting and coordinating with other health care professionals in the management of health care. (m) Performing additional acts that require education and training as prescribed by the board and that are recognized by the nursing profession as proper to be performed by a professional nurse. "Practical nursing" includes the following activities that are performed under the supervision of a physician or a registered nurse: (a) Contributing to the assessment of the health status of individuals and groups. (b) Participating in the development and modification of the strategy of care. (c) Implementing aspects of the strategy of care within the nurse's scope of practice. (d) Maintaining safe and effective nursing care that is rendered directly or indirectly. (e) Participating in the evaluation of responses to interventions. (f) Delegating nursing activities within the scope of practice of a practical nurse. (g) Performing additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a practical nurse. 10. What is the exact wording of the proposed rule? R4-19-312 Practice Requirement A. The Board shall not issue a license or renew the license of an applicant who does not meet the applicable requirements in subsections (B), (C), and (D) of this Section. B. An applicant for licensure by endorsement or renewal shall complete a nursing program or practice nursing at the applicable level of licensure for a minimum of 960 hours in the five years before the date on which the application is received. This requirement is satisfied if the applicant verifies that the applicant has: 1. Completed a nursing education program and obtained a degree, or an advanced practice certificate in nursing within the past 5 years; 2. Practiced for a minimum of 960 hours within the past 5 years where the nurse: a. Worked for compensation or as a volunteer, as a licensed nurse, and performed one or more acts under A.R.S. § 32-1601(13) for a registered nurse or A.R.S. § 32-1601(12) for a practical nurse; or b. Held a position for compensation or as a volunteer that required or recommended, in the job description, the level of licensure being sought or renewed; or c. Engaged in clinical practice as part of an RN-BSN, masters, doctoral, or nurse practitioner program. C. An applicant for licensure by examination, who is a graduate of a nursing program located in the U.S or its territories, shall complete a pre-licensure nursing program within 2 years of the date of licensure. Exam applicants who were previously licensed in a foreign jurisdiction shall meet the applicable requirements of subsections (B) or (D). D. A licensee or applicant who fails to satisfy the requirements of subsections (B) or (C), shall submit evidence of satisfactory completion of a Board-approved refresher program that meets the requirements in A.A.C. R4-19214. The Board may issue a temporary license stamped "for refresher course only" to any applicant who meets all requirements of this Article except subsections (B) or (C) of this Section and provides evidence of applying for enrollment in a Board-approved refresher program. A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 19 • Nursing Assistant Programs: Current Approved Program List - June 13, 2003 Facility Apache Junction Health Care Center Apache Junction (480) 983-0700 Arizona Eastern Star Phoenix (602) 954-9178 Beatitudes Campus of Care Phoenix (602) 995-2611 Beverly Healthcare Shadow Mountain Scottsdale (480) 860-1766 Bryans Extended Care Phoenix (602) 870-6060 Capri Care Center Phoenix (602) 944-1574 Casa Del Mar Nursing & Rehabilitation Center, Sunbridge Scottsdale (480) 994-1333 Catalina Health Care Center Tucson (520) 795-9574 Chandler Health Care Center Chandler (480) 899-6717 Christian Care Nursing Center Phoenix (602) 861-3241 Chula Vista Nursing Home Mesa (480) 832-3903 Citadel Care Center Mesa (480) 832-5555 Copper Mountain Inn Globe (928) 425-5721 Desert Cove Nursing Center Chandler (480) 899-0641 Desert Life Rehabilitation and Care Center Tucson (520) 297-8311 Devon Gables Health Care Center Tucson (520) 296-6181 East Mesa Care Center, Sunbridge Mesa (480) 832-8333 Evergreen Sun City Sun City (623) 933-0022 Evergreen Valley Health & Rehab Center Mesa (480) 832-5160 Gardens Rehab & Care Center, The Kingman (928) 719-0718 Gila River Indian Care Center Laveen (520) 430-3813 Good Shepherd Retirement Community Peoria (623) 875-0100 Handmaker's Jewish Services for the Aging Tucson (520) 881-2323 Havasu Nursing Center Lake Havasu (928) 453-1500 Heather Glen Care Center Glendale (623) 842-4025 Infinia at Camp Verde, formerly Arbors Healthcare Camp Verde (928) 567-5253 Infinia at Flagstaff Flagstaff (928) 779-6931 Kachina Point Healthcare Sedona (928) 284-1000 Kivel Campus of Care Phoenix (602) 956-3110 La Canada Care Center Tucson (520) 797-1191 La Colina Health Care Tucson (520) 294-0005 Lake Hills Inn Lake Havasu City (928) 505-5552 Laurel Mesa Health Care Center aka East Valley Medical & Rehab. Center Mesa (480) 833-4226 Life Care Center at South Mountain Phoenix (602) 243-2780 Life Care Center of North Glendale Glendale (602) 843-8433 Life Care Center of Scottsdale Scottsdale (480) 860-6396 Life Care Center of Tucson Tucson (520) 575-0900 Marriott's Forum Pueblo Norte Scottsdale (480) 948-5800 Mi Casa Nursing Center Mesa (480) 981-0687 Mountain View Care Center Tucson (520) 797-2600 Mountain View Manor Prescott (928) 778-4837 Northern Cochise Nursing Home Willcox (520) 384-3541 Payson Care Center Payson (520) 474-6896 Phoenix Mountain Nursing Center Phoenix (602) 996-5200 Plaza Del Rio Care Center Peoria (623) 933-7722 Prescott Samaritan Village Prescott (928) 778-2450 Prescott Valley Samaritan Center Prescott Valley (928) 775-0045 Quiburi Mission Benson (520) 586-2372 Ridgecrest Health Care, FKA Grancare Medical Center of Paradise Valley Phoenix (602) 482-6671 Safford Care Center:Infinia Safford (520) 428-4910 Scottsdale Heritage Court Scottsdale (480) 949-5400 SilverRidge Village Bullhead City (928) 763-1404 Southern Arizona Veteran's Administration Medical Center Tucson (520) 792-1450 Sun Grove Village Care Center Peoria (623) 566-0642 The Peaks Flagstaff (928) 774-7160 Valley Health Care Tucson (520) 296-2306 Village Green Healthcare Center Phoenix (602) 264-5274 Hospital Pima Community College @ Holy Cross Hospital Tucson (520) 206-5140 Independent Academy for Caregiving - Chapter Classroom American Red Cross Phoenix (602) 336-6660 Academy for Caregiving @ East Valley Service CenterAmerican Red Cross Phoenix (602) 336-6660 Academy for Caregiving @ Goodwill Industries American Red Cross Phoenix (602) 336-6600 Academy for Caregiving @ Humanities & Science Phoenix (602) 336-6660 Academy for Caregiving @ Pioneer Home Prescott Phoenix (602) 336-6660 Academy for Caregiving at East Mesa Care Center American Red Cross Phoenix (602) 336-6660 Academy for Caregiving at Sun Health Phoenix (602) 336-6660 Banker's NA Program at Desert Highlands Kingman (928) 716-3035 Caring Connection PRECEPTOR COURSE (520) 398-2090 Caring Connection, The Amado (520) 398-2090 Direct Care Giver Association Tucson (520) 325-4870 Dynamic Registry Nursing Assistant Program Glendale (623) 435-9000 Fred G. Acosta Job Corps Tucson (520) 792-3015 Horizon Health Care Inst @ Wickenburg Regional Med Center - Wickenburg AZ Sierra Vista (520) 417-2955 Horizon Health Care Inst. @ Las Fuentes - Care Center, Prescott Sierra Vista (520) 417-2955 Horizon Health Care Institute Sierra Vista (520) 417-2955 Horizon Health Care Institute @ Holy Cross - Nogales Sierra Vista (520) 417-2955 Horizona Health Care Inst. @ Infinia of Douglas Sierra Vista (520) 417-2955 Medical Services Company Scottsdale (480) 860-9552 Phoenix Shanti Group Phoenix (602) 279-0008 Referral for Senior Adult Assistance Mesa (480) 835-7679 Reflections Behavior Health Tucson (520) 297-3872 Saunders Asso. @ Chinle Nursing Home Chinle (920) 739-4653 The River CNA Program @ Silver Ridge Village Bull Head (928) 763-1404 List, cont. on pg. 20 • PAGE 20 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 List, cont. from pg. 19 Tuba City Regional Health Care NA Program Tuba City (928) 283-2524 Yuma Private Industry Council - Palm View Rehab & Care Center Yuma (520) 344-5529 Yuma Private Industry Council @ Life Care Center Yuma (520) 329-0990 Yuma Private Industry Council at La Mesa Rehabilitation and Care Center Yuma (520) 329-0990 Yuma Private Industry Council at Yuma Nursing Center Yuma (520) 329-0990 School Arizona Western College Yuma (928) 726-1000 AWC Nursing Assistant at La Paz Parker Buckeye Union High School CNA Training Program Buckeye (623) 386-9719 Cactus High School CNA Program Glendale (623) 412-5000 Centennial High School Peoria (623) 412-4445 Central Arizona College - Signal Peak Campus Apache Junction (480) 288-4017 Central Arizona College - Signal Peak Campus/NUR121 Apache Junction (480) 288-4017 Central Arizona College @ Casa Grand UHS Apache Junction (480) 288-4017 Central Arizona College @ Santa Cruz High School Apache Junction (480) 288-4017 Central Arizona College Aravaipa Campus Apache Junction (480) 288-4017 Central Arizona College Superstition Mtn Campus Apache Junction (480) 288-4017 Cochise College @ St. David High School Douglas (520) 417-4016 Cochise College Douglas Douglas (520) 364-7943 Cochise College-Douglas Outreach Program Sierra Vista (520) 364-7943 Cochise College-Sierra Vista Sierra Vista (520) 364-7943 Coconino Community College Flagstaff (928) 527-1222 Coconino Community College/Page (928) 645-3987 Coconino High School Flagstaff (928) 522-6140 College America CNA Program Flagstaff (928) 526-0763 Cortez High School Glendale District Phoenix (602) 993-6826 Dysart High School El Mirage (623) 876-7000 Dysart HS @ Southwest Skill Center Avondale (623) 535-2772 East Valley Institute of Technology Mesa (480) 461-4052 Eastern Arizona College - Thatcher Thatcher (520) 428-8389 Flagstaff High School Flagstaff (928) 773-8135 Gateway CC - EVIT Phoenix (602) 286-8529 Gateway Community College Phoenix (602) 392-5025 Gila County Community College Dist. - Globe Globe (928) 425-8481 Gila County Community College Dist. - Rim Country Payson (928) 468-8039 Glendale Community College Glendale (623) 845-3264 Globe High School Globe (602) 425-3211 International Institute of the Americas Phoenix (623) 849-8208 Lamson College Scottsdale (480) 898-7000 Maricopa Skill Center Phoenix (602) 238-4300 Mesa Community College Mesa (480) 461-7106 Mesa Community College/Boswell Sun City (623) 974-7837 Metro Tech Phoenix (602) 271-2600 Miami High School Miami (928) 425-3271 Mingus Union High School Cottonwood (928) 634-7531 Mohave Community College - North Campus Colorado City (928) 875-2831 Mohave Community College-Bullhead City Bullhead City (928) 855-7812 Mohave Community College-Kingman Kingman (928) 855-7812 Mohave Community College-LHC Lake Havasu City (928) 855-7812 Mohave High in Partnership w/Mohave Comm. College Bullhead City (928) 763-0288 Northern Pioneer College NAT 101 White Mountain Campus High School Holbrook (928) 532-6133 Northern Pioneer College NAT 101 WMC 8 Week Course Holbrook (928) 532-1633 Northland Pioneer College, NAT 101 5 wk Little Colorado Campus Holbrook (928) 289-4678 Northland Pioneer, Nat 101 Video Holbrook (928) 352-6133 Northwest Education Ctr Glendale (623) 845-4000 Page High School Page (928) 608-4144 Paradise Valley Community College Phoenix (602) 787-7288 Paradise Valley High School fka Paradise Valley Unified School District Phoenix (602) 867-5554 Phoenix College Phoenix (602) 285-7133 Phoenix Job Corps Center Phoenix (602) 254-5921 Pima Community College (CTD)/Desert Vista Tucson (520) 295-5113 Pima Community College CTD @ Tucson Medical Center Tucson (520) 206-5113 Pima Community College CTD @ Carondolet Tucson (520) 206-5113 Pima Community College-West Campus - NRA 101 Tucson (520) 206-6661 Pima Community College-West-NRS104 Tucson (520) 206-6661 Pima Medical Institute/Mesa Mesa (480) 898-9898 Precision High School Phoenix (602) 453-3661 Saguaro High School Scottsdale (480) 443-7200 Scottsdale Community College Scottsdale (480) 423-6000 Southwest Skill Center @ Estrella Mtn. CC Avondale (623) 535-2772 Sunnyslope High School and Bryans Extended Care Partnership Phoenix (602) 870-6060 Thunderbird - Greenway CNA Program Nursing Assistant Program Glendale (602) 588-5775 Tucson College Tucson (520) 296-3261 Yavapai Community College-Prescott Prescott (928) 778-2450 Yavapai Community College-Verde Campus Clarksdale (928) 445-7300 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 21 • Shortage, cont. from pg. 1 Their acts undermine the faith of the public in all nurses, said Suanne Smith, a nurse practice consultant who investigates impostors for the State Board of Nursing. This year, the board has confirmed two impostor cases. On September 30, 2002, board records say, Gail Shannon began work as director of quality management for the Maricopa Integrated Health System. The job didn’t require a nursing license, and her typical duties would not have included hands-on patient care. Even so, she claimed to have a bachelor’s and master’s degrees. She also claimed to be a registered nurse. Later, board records say, she submitted a copy of a license she’d taken from someone else and altered. Suanne Smith said Shannon resigned under pressure January 21. A representative of MIHS, citing confidentiality concerns, declined to comment on Shannon. However, Adda Alexander, vice president for patient services, said credentials are verified before orientation for any employee who will work hands- on with patients. Alexander also said that during severe nurse shortages, hospitals know nurse impostors increase and are extracareful to check qualifications. "I think every hospital is being supervigilant," Alexander said. In the second case confirmed this year, Carla Moore, who held no nursing license, represented herself as a licensed practical nurse while working at Desert Haven Nursing Center in Phoenix from November 11, 2002, to January 16, 2003, board records say. Furthermore, she’d worked as a licensed practical nurse at St. Luke’s Behavioral Health Center from Oct. 28, 2001, to Nov. 23, 2002, after first being hired as a non- licensed clinician, a St. Luke’s spokesman said. To get the LPN job, she presented a copy of a nursing license that apparently wasn’t valid, the spokesman said. A spokesman for Desert Haven declined to comment. Efforts to reach Shannon and Moore for comment were unsuccessful. The board recently sent Moore a letter telling her to stop misrepresenting herself. Suanne Smith said impostors sometimes don’t know they are committing a crime, but such a misrepresentation is typically a Class 6 felony. That’s the least -serious felony but carries a penalty of a year in prison. Sometimes the state prosecutes. That’s what happened to Limon, now 53. In 1999, she pleaded guilty to forgery, a class 4 felony, for faking her RN license and was sentenced to four years’ probation, 150 hours of community service and two months in jail. Eventually, the jail term was deleted. She was ordered to pay her former employers $18,424, part of the extra pay she got as a result of her fraud. In another criminal prosecution, Janet Mary Schultz, now 64, of Sun City, was sentenced to two years’ probation last July. She pleaded guilty to criminal impersonation, having passed herself off as an RN while working for the Regal Assisted Living Center, a care home, from Sept. 1, to Dec. 23, 2000. A spokeswoman for Regal declined to comment, as did Schultz and Limon. Fortunately, no patients were harmed by Limon or Schultz, but in Limon’s case, Assistant Attorney General B. Scott Wolfram asserted she had posed a risk. It’s a scary thought to think of what may have happened if the chips were ever down and a patient needed to rely on an authentic registered nurse’s knowledge and skills," Wolfram wrote in his sentencing recommendation. Susan Fuchs, public relations coordinator for the John C. Lincoln Health Network, said that when the network took over Phoenix General Hospital in 1997, a year before Limon’s fraud was discovered, it had no reason to doubt her credentials. The network has stringent policies for checking nurses’ credentials, Fuchs said. Limon, her pre-sentence report says, asserted she "changed her certificate to upgrade her qualifications to receive the level of recognition she thought she deserved" and didn’t know her behavior was criminal. Fake – Nurse cases The Arizona State Board of Nursing says cases of impostor nurses are on the rise. Seven women in each of the past two years were cited for fake credentials. Before that, the yearly numbers were as follows: one in 1996, two in 1997, four in 1998, one in 1999 and four in 2000. The board concluded the cases of these seven " nurse impostors" in 2002: • A 28-year –old Fort Mohave woman who, while working for the Mohave Walk-In Clinic, misrepresented herself as a " graduate nurse" while still in training. Later she graduated from Mohave Community College in Kingman and was licensed as a registered nurse, though she was fined $50 for her infraction. • A 51-year old Phoenix women who, while working at Arizona Surgical Hospital, carried business cards saying she was a registered nurse when she wasn’t. • A 40-year-old Prescott Valley woman who, while working for a Prescott- area physician, used the initials RN (registered nurse) after her signature on three patients’ medical records forms. • A Tucson woman, age unknown, with no nursing training at all, applied to a nursing registry saying she was an "RN/caregiver" in an effort to get home nursing jobs. • A 61-year old Phoenix woman called a Phoenix laboratory canceling a physician’s order for a urinalysis on a patient. She represented herself as a registered nurse, though she wasn’t. The woman was a friend of the family of that patient. • A 30-year- old Sun City West woman, a licensed practical nurse employed by Maricopa Medical Center/ Maricopa Integrated Health Care System, passed out business cards asserting she was a registered nurse. She had not finished her nursing education at that time but later was given an RN license. • A Paradise Valley woman worked from Sept. 21, 2000, to Nov. 14, 2001, as a school nurse for the Scottsdale Unified School District. She held an expired registered- nurse license in another state but was not licensed in Arizona. When the district asked for proof that she was an RN licensed by Arizona, she couldn’t provide it and was fired. • PAGE 22 • ARIZONA STATE BOARD OF NURSING NEWSLETTER Legislative Update: Mandatory Reporting By Joey Ridenour, RN, MN, Executive Director, ASBN HB 2361, effective, September 15, 2003, requires that licensed or certified health professionals and individuals with pending applications who have been charged with a felony or a misdemeanor involving moral turpitude to report these charges to their respective board within ten days of the charge. All of the Boards have their own statues and rules regarding licensure, unprofessional conduct and disciplinary actions. The majority of the Boards’ statues and rules define a felony or a misdemeanor involving moral turpitude as a act of unprofessional conduct and allows the Boards to take disciplinary action including revocation or suspension of the offending professional’s license. The Boards investigate complaints of unprofessional conduct that are submitted by individuals of the public, health care entities or other health care professionals. The majority of Boards also require upon initial application or renewal of a license for the applicant to report any convic- tions of felonies or misdemeanor involving moral turpitude; the Board then reserves the right to deny or restrict a license based on these facts. The renewal cycle for licensure ranges from one to four years, allowing some professionals to continue to practice uninvestigated by the board after being arrested or convicted of a felony or a misdemeanor involving moral turpitude. HB inserts language into the general health professional statues that makes the professional responsible for reporting any charges of felonies or misdemeanors involving moral turpitude within ten days of the charge. This allows the respective Board to take appropriate and timely action. Provisions • Requires that a health professional that has been charged with a felony or a misdemeanor involving moral turpitude report these charges to their regulatory board within ten days. • Requires that an applicant for licensure or certification that has been charged with a felony or a misdemeanor involving moral turpitude report these chargers to their regulatory board within ten days. A UG, SEPT, OCT 2003 Nursing Community Mourns the Death of Pioneer, Audrey Rath Submitted by: Martha Fay, NP Arizona Nurses lost a great leader with the passing of Audrey Rath in April. Audrey served her country as a Captain in the United States Air Force, and was buried with full military honors at the National Memorial Cemetery in Cave Creek. Audrey started the first Pediatric ICU at Tucson Medical Center, and went on to be involved with groundbreaking research in the field of pediatric hypertension at the University of Arizona in Tucson. She also received her Masters Degree in Nursing from the U of A, going on to be forever a "Wildcat Fan". Audrey and her husband John moved to Phoenix in 1980 so that she could take a position at the Arizona State Board of Nursing to start a brand new field here called "advanced practice nursing". She continued in her service to the state by working at the Arizona State Board of Nursing for the next 20 years. Most of that time Audrey worked in the area of advanced practice and in the last few years was responsible for the licensing department. Audrey had a vision of what Nurse Practitioner practice in Arizona could be like, and she lived to see that vision fulfilled. Despite obstacles, she never let others who objected to an expanded role for nursing practice get in the way of the goal. Arizona is not known for being "first" in too many areas, except when it comes to Nurse Practitioner practice. This is because of Audrey-her hard work, tenacity, and vision made it all possible for all NPs to practice the way we do today. Audrey was businesslike but compassionate. Many Nurse Practitioners’ feel, as do I that we owe our present and future success to Audrey’s work and what she accomplished during her years at the Board and her influence on Nurse Practitioner scope of practice. She was a dignified person who enjoyed life’s simple pleasures. I was very fortunate to have known such a great lady who left her mark on the nursing community in Arizona. She will be missed by us all, but the fruits of her work will ripen for many years to come. The writer is a former member of the Arizona State Board of Nursing A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 23 • RN/LPN DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE * Not reported in previous Newsletter DISCIPLINE VIOLATIONS 3/26/2003* ALVES, ROBERT P. RN057915 Suspension Drug Abuse Alcohol Abuse, Failure to Comply w/Requirements/Impaired Nurse Program Drug Abuse Unsafe Practice, Failure to Follow Orders, Failure to Intervene Failure to Maintain Minimal Standards, Unsafe 6/7/2003 4/25/2003 ANAST, SUSAN E. ANDERSON, ROBERT J. RN104284 RN097856 Probation Decree of Censure 4/26/2003 ARBOGAST, JULIE G. RN059828 Decree of Censure 3/5/2003* BABB, LINDA A. RN044931 Revocation/Non-Voluntary 6/12/2003 6/12/2003 6/10/2003 4/4/2003 BAKER, COLLETTE S. BALBOUR, MARY K. BARNET, DONNA L. BAZUA, ANGELICA RN088345 RN041917 RN092978 RN070040 Probation Completed Suspension Revocation/Non-Voluntary Suspension 4/25/2003 4/23/2003 6/11/2003 4/24/2003 BEARDSLEE, GORDON R. BENNETT, PAULINE W. BOLTON, BARBARA L. BREWER, TERESA R. RN065973 LP022196 RN044058 RN11870 Probation Completed Revocation/Non-Voluntary Suspension Probation 6/4/2003 BURNS, BRIAN A. RN102162 Voluntary Surrender 3/18/2003* BURNS, RAELA M. RN050421 Decree of Censure 3/20/2003* 3/22/2003* BUTLER, PAMELA D. CAMPBELL, CHARLES M. LP027571 LP037121 Suspension Decree of Censure 5/21/2003 3/7/2002* 5/6/2003 CARTER, VALERIE J. CASTRO, ROSE T. CHASE, CAROLYN J. LP019735 RN069632 LP021014 Stayed Revocation w/Probation Revocation Voluntary Surrender 4/25/2003 5/15/2003 6/17/2003 4/23/2003 CHRISTIANSEN, NANCY A. CHURCHILL, AMY S. COLE, JACQUES P. COMLY, JILL M. RN054319 RN087327; AP1299 RN123221 RN076438 Revocation/Non-Voluntary Probation Probation Stayed Revocation w/Suspension 6/27/2003 5/8/2003 3/24/2003* 6/6/2003 6/27/2003 3/6/2003* 3/5/2003* 4/11/2003 5/21/2003 COMLY, JILL M. CRUZ, SHIRLEY H. CUESTA, ANSELMO C. DAVIS, BONNIE M. DAVIS, BONNIE M. DEBRUYN, DEBORAH A. ELIE, NETTIE J. ELY, KELLY K. FERGUSON, KATHLEEN D. RN076438 LP004442 RN097695 RN095934 RN095934 LP ENDORSEMENT APPLICANT RN060809 RN063864 RN078117 Revocation/Non-Voluntary Decree of Censure Probation Stayed Revocation w/Probation Revocation/Non-Voluntary License Denied Decree of Censure Probation Voluntary Surrender 6/27/2003 5/8/2003 FIGUEROA, ABRAHAM J. FRITZ, EARLENE W. RN091133 RN033016 Revocation/Non-Voluntary Stayed Revocation w/Probation Practice, Failure to maintain narcotic records & narcotic. Count Failure to Maintain Minimal Standards, Failure to Assess, Failure to Intervene Drug Abuse, Fraud, Deceit-Other Violating Board Order Alcohol Abuse, Failure to Comply w/ Requirements/ Impaired Nurse Program Failure to Assess, Failure to Intervene Documentation Errors, Wastage Errors, Drug Use on Duty Failure to Maintain Min. Standards, Failure to Assess, Failure to Intervene, Unsafe Practice, Medication Errors Unsafe Practice, Positive Drug Screen, Failure to Comply w/Requirements/Impaired Nurse Program Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Assess Leaving Duty Station, Drug Abuse Unsafe Practice, Documentation Errors, Practicing Beyond Scope Violating Board Order Felony, Drug Abuse Drug Abuse, Drug Diversion – Self, Failure to Comply w/Requirements/Impaired Nurse Program Drug Abuse, Drug Diversion – Self, Violating Board Order Writing Illegal RX, Documentation Errors Action in Another Jurisdiction Drug Abuse, Failure to Comply w/Requirements Impaired Nurse Program, Failure to Follow Orders Drug Abuse, Violating Board Order Practicing Beyond Scope Misdemeanor, Alcohol related Stayed Revocation/Suspension Completed Violating Board Order Drug Abuse, Alcohol Abuse, Drug Use on Duty Failure to Assess Positive Urine Drug Screen Drug Abuse, Failure to Comply w/ Requirements, Impaired Nurse Program Alcohol Abuse, Violating Board Order Drug Abuse, Violating Board Order RN/LPN Disciplinary Action, cont. on pg. 24 • PAGE 24 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 RN/LPN Disciplinary Action, cont. from pg. 23 RN/LPN DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE * Not reported in previous Newsletter DISCIPLINE VIOLATIONS 4/3/2003 GILLILAND, NATHAN L. LP030895 Voluntary Surrender Drug Abuse, Drug Diversion – Self, Failure to Comply w/Requirements, Impaired Nurse Program 5/16/2003 4/24/2003 5/9/2003 3/25/2003* 5/7/2003 3/31/2003* 6/30/2003 4/30/2003 GILSON, ASHLEY A. GLERUP, KATHRYN A. GREEN, JAMES L. GRIFFIN, ANISSA C. GRIFFIN, ANISSA C. GULLETT, LORRIE A. GUTIERREZ, TONI R. HAND, ALLISON K. RN108617 RN114784 LP026603 RN103812 RN103812 LP037186 LP029908 RN117438 Probation Completed Revocation/Non-Voluntary Stayed Revocation w/Suspension Stayed Suspension w/Probation Suspension Decree of Censure Probation Completed Suspension 6/5/2003 6/6/2003 6/12/2003 5/15/2003 4/25/2003 4/23/2003 4/23/2003 HERON, JOHN D. HILL, CANDANCE HOSKINS, VICKY IANNOLI, JESS E. IRVINE, KAREN L. IWUNZE, EUNICE C. JAMES, CARLA G. LP034472 LP022614 RN067967 RN115489 RN064005 LP032436 LP028772 Stayed Revocation w/Probation Revocation/Non-Voluntary Revocation/Non-Voluntary Probation Probation Completed Decree of Censure Revocation/Non-Voluntary 5/27/2003 4/25/2003 5/28/2003 JARDINE, JON D. JOHNSON-SWANSON, DEBRA A. JOHNSTONE, LINDA T. LP034742 RN059424 RN075203 Revocation/Non-Voluntary Probation Probation 3/7/2003* 3/7/2003* KELLY, MICHAEL H. KERR, KRISTIN RN091603 RN094160 Revocation Revocation 6/20/2003 3/28/2003* 4/21/2003 3/27/2003* 3/7/2003* KOUTSIMBAS, VIRGINIA M. LALLY, LESLIE A. LANGE, JENNIFER J. LARRIVEE, MICHELLE A. LEONHARDT, DAVID G. RN EXAM APPLICANT RN109879 LP029067 RN094434 LP028944 License Denied Probation Decree of Censure Stayed Revocation w/Probation Revocation/Non-Voluntary 3/5/2003* 3/7/2003* 3/7/2003* LEWIS, CAROLYN A. MAHANA, LARRY M. MARBLE, NANCY O. RN089105 RN055977 LP022726 Revocation/Non-Voluntary Revocation Revocation 6/12/2003 MATHEWS, ROBIN J. LP034092 Revocation/Non-Voluntary 3/6/2003* 6/12/2003 6/10/2003 4/24/2003 McVICKER, CHERI R. MEIDINGER, JOEL A. MENDOZA, DAVID C. MOZDZIESC, DALE A. LP ENDORSEMENT APPLICANT RN089239 RN035526 RN079882 License Denied Probation Completed Suspension Probation 3/31/2003* 3/5/2003* MULLANE, JAMES P. MULLEN, WAYNE P. RN116292 LP034134 Probation Revocation/Non-Voluntary Felony, Against Property Alcohol Abuse, Violating Board Order Unsafe Practice, Drug Abuse Drug Diversion - Self Violating Board Order Failure to Follow Orders, Practicing Beyond Scope Drug Abuse, Failure to Comply w/ Requirements, Impaired Nurse Program, Violating Board Order Violating Board Order Unprofessional Conduct, Failed to respond Mental Abuse, Physical Abuse, Misconduct-Other Abandonment Practicing Beyond Scope, Drug Diversion – Failure to respond to Board Violating Board Order Misdemeanor, Theft – Employer, Fraud/Deceit Failure to Maintain Minimal Standards, Documentation Errors, Failure to follow policy Felony, Drug Related, Other Drug Screen Positive, Drug Diversion, Failure to Comply w/Requirements, Impaired Nurse Program Action in Another Jurisdiction Misdemeanor, Alcohol Abuse Unprofessional Conduct, Theft - Employer Drug Abuse, Drug Diversion, Presenting Illegal RX Failure to Comply w/Requirements/Impaired Nurse Program, Drug Related-Other Drug Related, Violating Board Order Drug Abuse Drug Screen Positive, Alcohol Abuse, Violating Board Order Drug Abuse, Drug Diversion, Failure to Comply w/Requirements, Impaired Nurse Program Misdemeanor, Drug Abuse, Practicing w/out License Alcohol Abuse, Violating Board Order Failure to Maintain Minimal Standards, Documentation Errors Drug Abuse, Positive Urine Drug Screen Documentation Errors, Drug Diversion, Violating Board Order RN/LPN Disciplinary Action, cont. on pg. 25 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 25 • RN/LPN Disciplinary Action, cont. from pg. 24 RN/LPN DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE 4/22/2003 3/7/2003* 4/24/2003 MYLES, JANICE A. PAIGE, ROBERT PATTERSON, VICTORIA S. LP024222 RN070640 LP024077 Revocation/Non-Voluntary Revocation Decree of Censure DISCIPLINE 4/9/2003 PIERCE, STEVEN L. RN075295 Probation 5/12/2003 4/25/2003 3/11/2003* 6/24/2003 3/16/2003* 3/7/2003* POLYAK, JUDY D. PRICE, TRACY I. PROCTOR, ELLINOR N. QUALLS, TERESA J. REMMERS, JANICE L. RIDLEY, BILLIE M. RN105378 LP037467 RN087248 RN088399 LP029569 LP007903 Probation Probation Completed Decree of Censure Probation Completed Probation Decree of Censure 4/3/2003 4/23/2003 6/12/2003 3/7/2003* 3/7/2003* 12/16/2002* 4/23/2003 4/24/2003 5/7/2003 5/3/2003 4/3/2003 RIEFFEL, DONALD W. ROSS, BEN D. ROSS, KIMBERLY S. RYAN, DEBORA A. SAMPSON, CECILIA F. SCHROEDER, REBECCA P. SENGBUSCH, DONNA J. SHELBY, MARY D. SIMS, SHEILA Y. SKINNER, KAREN A. SMITH, RUTH L. RN035034 LP033813 RN000099467 LP032191 LP031484 RN053816 RN105751 RN085600 RN099043 RN057594 LP012691 Voluntary Surrender Suspension Probation Completed Revocation Revocation Decree of Censure Revocation/Non-Voluntary Voluntary Surrender Probation Stayed Revocation w/Probation Voluntary Surrender 4/25/2003 3/24/2003* SPENCE, ELAINE E. SUARES, DONNA B. RN ENDORSEMENT APPLICANT LP022299 Probation Decree of Censure 4/10/2003 SULENTA, CLARA A. RN108289 Probation 5/9/2003 6/12/2003 6/12/2003 3/16/2003* THOMPSON, REBECCA G. TRIPI, PAMELA J. WEAVER, PAUL M. WEDLAKE, SALLY A. LPN ENDORSEMENT APPLICANT LP035661 RN064013 LP023549 Probation Revocation/Non-Voluntary Probation Completed Probation 4/24/2003 WESTON, PAMELA K. LP012978 Revocation/Non-Voluntary 4/30/2003 ZICCARDI, CLAUDIA A. RN096703 Probation * Not reported in previous Newsletter VIOLATIONS Theft – Client, Fraud/Deceit Sexual Misconduct Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Follow Orders Failure to Maintain Minimal Standards, Documentation Errors Drug Abuse, Drug Diversion, Theft - Employer Failure to Assess, Failure to Intervene Failure to Maintain Minimal Standards, Drug Abuse Failure to Follow Orders, Documentation Errors, Medication Errors Positive Drug Screen, Alcohol Abuse Violating Board Order Abandonment, Practicing w/o License Violating Board Order, Failed to cooperate Practicing Beyond Scope Drug Abuse, Inability to Practice Safely Drug Abuse Violating State/Federal Statutes Stayed Revocation/Suspension Completed Failure to Maintain Minimal Standards, Documentation Errors, Medication Errors Drug Diversion, Action in Another Jurisdiction Failure to Maintain Minimal Standards, Failure to Follow Orders, Medication Errors Unsafe Practice, Failure to Maintain Minimal Standards, Drug Abuse Alcohol Abuse, Presenting Illegal RX Alcohol Abuse, Drug Related, Violating Board Order Failure to Maintain Minimal Standards, False Documentation, Action in Another Jurisdiction Medication Errors, False Documentation, Drug Related-Other Drug Related, Fraud, Deceit-Obtaining License • PAGE 26 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 CNA DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE DISCIPLINE 3/7/2003 Alcaraz, Cassandra M. CNA Applicant Certificate Denied 4/22/2003 3/7/2003 Anderson, Cheri D. Antol, Alexis J CNA999992912 CNA999950442 Revocation/Non-voluntary Revocation/Non-voluntary 1/23/2003 4/23/2003 4/22/2003 Baca, Dennis Baker, Robert D. Barela, Patricia D CNA Applicant CNA Applicant CNA999988898 Certificate Denied Certificate Denied Revocation/Non-voluntary 3/7/2003 Barreda, Carol A CNA426996103 Revocation/Non-voluntary 2/13/2003 Berchman, Nellie CNA026439103 Civil Penalty 5/27/2003 3/10/2003 4/22/2003 6/11/2003 1/23/2003 6/11/2003 4/22/2003 1/22/2003 Berchman, Nellie Bowers, Asha Paris Bowling, Robin L. Bowman, Elizabeth M Bridges, Crystal L. Brooks, Ryan St. Patrick Brown, Arnette M Brown, David J CNA026439103 CNA999987197 CNA193063213 CNA865024641 CNA Applicant CNA999950979 CNA239669013 CNA997341441 Suspension Suspension Cleared Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary 4/22/2003 4/24/2003 Brown, Demetria L. Brown, Michael S. CNA999987127 CNA Applicant Revocation/Non-voluntary Certificate Denied 4/22/2003 3/7/2003 Bylas, Elena K. Caldwell, James R. CNA121699103 CNA Applicant Revocation/Non-voluntary Certificate Denied 6/4/2003 4/22/2003 1/23/2003 4/24/2003 Cantrell, Jack C Carlson, Cathy G Carpenter, Debra J. Castro, Rebecca CNA489551403 CNA974056783 CNA168808489 CNA Applicant Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Certificate Denied 4/24/2003 Caswell, Tina CNA Applicant Certificate Denied 6/11/2003 4/4/2003 4/22/2003 1/16/2003 3/7/2003 Chase, Nevena Chavez, Frances R. Coleman, Lynn A Craig, Joy Lynn Crewdson, Kim R. CNA418996803 CNA856096103 CNA158288803 CNA999952261 CNA Applicant Revocation/Non-voluntary Civil Penalty Revocation/Non-voluntary Suspension Cleared Certificate Denied 3/7/2003 Criswell, Stephanie A. CNA Applicant Certificate Denied * Not reported in previous Newsletter VIOLATIONS Misdemeanor; Failure To Maintain Minimal Standards; Practicing w/o a Certificate Felony; Drug Related; Fraud/Deceit-Prescription Fraud Writing Illegal RX; Drug Related; Inability To Practice Safely Misdemeanor; Drug Related Felony Criminal Conviction; Failure To Maintain Minimal Standards; Failure To Follow Orders Criminal Conviction Against Property; Theft Client; Misconduct Failure To Maintain Minimal Standards; Failure To Follow Orders Violating Board Order Felony; Obtaining Certificate By Fraud Practicing Beyond Scope; Alcohol Abuse Misdemeanor; Failure To Maintain Minimal Standards Felony; Physical Abuse; Mental Abuse Misdemeanor; Drug Related Criminal Conviction Against Property; Criminal Conviction; Drug Related Failure To Maintain Minimal Standards; Theft Employer Criminal Conviction Against Person; Unprofessional Conduct Alcohol Abuse; Drug Related Misdemeanor; Criminal Conviction; Failure To Cooperate Felony Failure To Maintain Minimal Standards; Physical Abuse Felony; Drug Related Criminal Conviction-Arrest/Drug Related; Failure To Maintain Minimal Standards; Unprofessional Conduct; Drug Use On Duty Criminal Conviction Against Person; Failure To Cooperate; Criminal Conviction-Alcohol Related Drug Use On Duty; Violating Board Order Unsafe Practice; Failure to Cooperate Sex With Client; Violating Board Order Criminal Conviction-Drug Offenses; Drug Abuse; Obtaining Certificate By Fraud Misdemeanor; Fraud/Deceit; Failure To Cooperate CNA Disciplinary Action, cont. on pg. 27 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 27 • CNA Disciplinary Action, cont. from pg. 26 CNA DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE DISCIPLINE 3/7/2003 Damper, Lori S. CNA Applicant Certificate Denied 4/24/2003 3/7/2003 4/23/2003 Davenport, Penny S. Day, Serene N. Debourgh, Rebecca M. CNA Applicant CNA Applicant CNA Applicant Certificate Denied Certificate Denied Certificate Denied 3/7/2003 2/28/2003 3/10/2003 Dietz, Maria T Dixon, Meagan E. Dooyen, Juanita A CNA999952664 CNA999997647 CNA524441353 Revocation/Non-voluntary Civil Penalty Revocation/Non-voluntary 2/12/2003 3/7/2003 6/4/2003 6/11/2003 Downs,Jr, Gregory R. Duderstadt, Stephanie R. Ehrenberg, Rowena A Enriquez, Javier F CNA674623103 CNA Applicant CNA999994810 CNA999951633 Civil Penalty Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary 3/10/2003 3/7/2003 3/19/2003 4/24/2003 4/24/2003 Espinoza, Sheila M Farrell, Samantha Fisher, Lorna Fortenberry, Je Taun Francisco, Tynnia CNA999990001 CNA Applicant CNA999997658 CNA Applicant CNA Applicant Revocation/Non-voluntary Certificate Denied Civil Penalty Certificate Denied Certificate Denied 3/7/2003 4/22/2003 4/22/2003 4/22/2003 6/4/2003 4/22/2003 Franczak, Todd A. Frederick, Lisa M. Fretwell, Jessicah M Friedberg, Barbara J. Gallardo, Yolanda G Garcia, Cassandra CNA Applicant CNA549091803 CNA190458739 CNA829617366 CNA304539803 CNA999990293 Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary Revocation/Non-voluntary 4/24/2003 4/22/2003 3/10/2003 Glynn, Korri M. Gonzales, Angelica M. Gonzales, Sandra L CNA Applicant CNA384643441 CNA675790803 Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary 4/22/2003 Gonzalez, Roger L CNA853741961 Revocation/Non-voluntary 4/24/2003 3/7/2003 Grissett, Reggie, L Gue, Vicki J CNA Applicant CNA558166103 Certificate Denied Revocation/Non-voluntary 4/22/2003 Guerrero, Maria G CNA999988829 Revocation/Non-voluntary 3/7/2003 Hachez, Matthew L. CNA Applicant Certificate Denied 4/24/2003 Harris, Michelle L. CNA872453304 Civil Penalty 3/7/2003 Hawley, Judith E. CNA Applicant Certificate Denied * Not reported in previous Newsletter VIOLATIONS Criminal Conviction-Drug Related; Criminal Conviction-Against Person; Felony Warrant; Obtaining Certificate by Fraud Misdemeanor; Fraud/Deceit Drug Related; Obtaining Certificate By Fraud Felony; Criminal Conviction-Theft Related; Obtaining Certificate By Fraud; Failure To Cooperate Felony; Theft Client; Fraud/Deceit (Forgery) Misdemeanor; Drug Related; Alcohol Related Leaving Duty Station; Violating Board Order, Alcohol Related Leaving Duty Station; Verbal Abuse; Misconduct Misconduct/Theft; Failure To Cooperate Drug Abuse; Drug Related; Violating Board Order Failure To Maintain Minimal Standards; Misconduct (Neglect); Violating Board Order Drug Related (Positive UDS); Failure To Cooperate Misdemeanor; Against Property; Failure To Cooperate Misdemeanor; Sexual Misconduct Misdemeanor (Theft Related); Failure To Cooperate Criminal Conviction Against Person; Against Property; Failure To Cooperate Failure To Cooperate; Misconduct Drug Related; Violating Board Order Criminal Conviction; Violating Board Order Alcohol Abuse; Drug Related Felony; Against Property; Theft Client Failure To Maintain Minimal Standards; Failure To Follow Orders; Violating Board Order Misconduct; Drug Related Alcohol Related; Violating Board Order Criminal Conviction Against Person; Criminal Conviction-Alcohol Related; Failure To Respond Criminal Conviction-Drug Related, Alcohol Related, Obtaining Certificate By Fraud Misconduct; Fraud/Deceit Drug Related; Violating Board Order; Failure To Cooperate Failure To Maintain Minimal Standards; Drug Related (Positive UDS For Cocaine); Failed To Respond Misdemeanor; Criminal Conviction-Alcohol Related; Failure To Cooperate Failure To Maintain Minimal Standards; Neglect; Leaving Duty Station Felony; Obtaining Certificate By Fraud; Action In Another Jurisdiction CNA Disciplinary Action, cont. on pg. 28 • PAGE 28 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 CNA Disciplinary Action, cont. from pg. 27 CNA DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE DISCIPLINE 3/7/2003 Helker, Katie L. CNA Applicant Certificate Denied 4/6/2003 4/22/2003 3/18/2003 6/4/2003 Holmes, Michelle B. Holt, Valerie C Huggins, Elizabeth Lauren Huyghue, Clara CNA999997859 CNA999950730 CNA999997695 CNA999946802 Civil Penalty Revocation/Non-voluntary Suspension Revocation/Non-voluntary 4/24/2003 Ibanez, Eva Anita CNA Applicant Certificate Denied 6/4/2003 3/7/2003 3/7/2003 3/7/2003 3/7/2003 Iozia, Mark Jackson, Daniel J. Jackson, Yvette James(Carney, Ingram), Charsena S. James, Regina CNA170423103 CNA Applicant CNA Applicant CNA Applicant CNA Applicant Revocation/Non-voluntary Certificate Denied Certificate Denied Certificate Denied Certificate Denied 5/26/2003 2/20/2003 3/14/2003 4/22/2003 3/7/2003 Janssen, Trudi Jenkins, Patricia M. Jennings, Mary C. Jessie, Sabrina M Joiner, Brandon C CNA999991592 CNA027538803 CNA125313896 CNA999992309 CNA999949549 Civil Penalty Civil Penalty Civil Penalty Revocation/Non-voluntary Revocation/Non-voluntary 3/30/2003 Karle, Dennis J. CNA Applicant Civil Penalty 3/20/2003* 6/11/2003 Keith, Lynda M. Kelly, Judy U. CNA141458353 CNA999987140 Stayed Suspension Revocation/Non-voluntary 1/23/2003 3/7/2003 Kelly, Michael A. Kowalski, Shana M CNA Applicant CNA876740441 Certificate Denied Revocation/Non-voluntary 3/5/2003 3/7/2003 Kozlowski, Karie L Lara, Lydia V. CNA999989311 CNA Applicant Revocation/Non-voluntary Certificate Denied 3/23/2003 3/7/2003 3/7/2003 Lee, Chong M. Little, Ricky D. Lopez, Brian J CNA Applicant CNA Applicant CNA156141936 Civil Penalty Certificate Denied Revocation/Non-voluntary 3/1/2003 4/17/2003 3/7/2003 3/7/2003 Lynn, Amber Lytle, Joanne Machado, Clarence E. Madrigal, Guadalupe A. CNA999997437 CNA466494641 CNA Applicant CNA Applicant Civil Penalty Voluntary Surrender Certificate Denied Certificate Denied 3/14/2003 3/7/2003 1/23/2003 Manuel, Jermaine P Manzanedo, Raul Martin, Lisa D. CNA999989286 CNA Applicant CNA Applicant Revocation/Non-voluntary Certificate Denied Certificate Denied 3/7/2003 3/7/2003 Martinez(Coty), Susan A. Mauch, Durand D. CNA Applicant CNA Applicant Certificate Denied Certificate Denied * Not reported in previous Newsletter VIOLATIONS Criminal Conviction; Drug Related; Obtaining Certificate By Fraud Misdemeanor; Against Property Failure To Maintain Minimal Standards; Verbal Abuse Misdemeanor; Drug Related Misdemeanor; Against Property; Misconduct (Financial Exploitation) Misdemeanor; Unsafe Practice; Drug Related (Under Influence Of Controlled Substance While On Duty) Drug Related;Violating Board Order Alcohol Related; Failure To Cooperate Misdemeanor; Against Person; Failure To Cooperate Criminal Conviction Against Person; Against Property Misdemeanor; Criminal Conviction; Failure To Cooperate Physical Abuse; Verbal Abuse False Documentation; Fraud/Deceit Fraud/Deceit Drug Related (UDS Positive); Failed To Respond Drug Related; Drug Use On Duty; Drug Related (UDS Positive) Failure To Maintain Minimal Standards; Failure To Cooperate Criminal Conviction-Alcohol Related; Alcohol Abuse Failure To Maintain Minimal Standards; Verbal Abuse; Misconduct (Neglect) Felony; Obtaining Certificate By Fraud Failure To Maintain Minimal Standards; False Documentation; Practicing Without Certificate Drug Related (Positive UDS); Failed To Respond Misdemeanor; Criminal Conviction-Drug Related; Theft Employer; Failure To Cooperate Misconduct Criminal Conviction Criminal Conviction-Alcohol Related; Drug Related (Positive UDS); Obtaining Certificate By Fraud Fraud/Deceit Boundaries, Misconduct Obtaining Certificate By Fraud Misdemeanor; Drug Abuse; Alcohol Abuse; Obtaining Certificate By Fraud; Failure To Cooperate Drug Abuse; Drug Related (Positive UDS) Misdemeanor; Against Person Misdemeanor (Alcohol Related); Unprofessional Conduct; Failure To Cooperate Against Person; Against Property; Other Misdemeanor; Against Person; Failure To Cooperate CNA Disciplinary Action, cont. on pg. 29 A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 29 • CNA Disciplinary Action, cont. from pg. 28 CNA DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE DISCIPLINE 6/11/2003 Maynard, Melodie A CNA999991528 Revocation/Non-voluntary 4/24/2003 4/24/2003 Mcgarry, Letticia Mcgowan, Ickoy CNA Applicant CNA Applicant Certificate Denied Certificate Denied 1/23/2003 3/1/2003 4/24/2003 3/7/2003 3/11/2003 4/24/2003 3/18/2003 3/14/2003 Melendez, Anna L. Menges, Loraine Minnie, Alina Munoz, Loretta Newell, Rebecca E Ohlinger, Heather A. Olivarez, Carmen M. Oliveira, Christine Marie CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999989368 CNA Applicant CNA141118103 CNA999988029 Certificate Denied Certificate Denied Certificate Denied Certificate Denied Revocation/Non-voluntary Certificate Denied Civil Penalty Civil Penalty 3/7/2003 3/7/2003 3/20/2003 3/10/2003 Orisakeye, Mohammed J. Parise, Paul Patel, Chaitan N. Payne, Beatrice L. CNA Applicant CNA Applicant CNA520202249 CNA149151963 Certificate Denied Certificate Denied Civil Penalty Revocation/Non-voluntary 4/22/2003 4/24/2003 3/1/2003 6/11/2003 Pecoraro, Angela Perkins, Joycelyn Yvette Peterson, Angela M. Petty, Annmarie CNA931573906 CNA Applicant CNA Applicant CNA200354813 Revocation/Non-voluntary Certificate Denied Certificate Denied Revocation/Non-voluntary 1/23/2003 3/7/2003 Ramirez, Rosemary A Red Horse, Saundra L. CNA Applicant CNA Applicant Certificate Denied Certificate Denied 4/24/2003 3/10/2003 5/1/2003 Reed, Tanoka Rivera, Daniel C Roberson, Liesel CNA Applicant CNA999952818 CNA803787203 Certificate Denied Revocation/Non-voluntary Stayed Suspension 3/7/2003 3/7/2003 3/6/2003 6/11/2003 4/22/2003 1/23/2003 1/23/2003 4/22/2003 3/7/2003 3/11/2003 4/25/2003 5/25/2003 6/11/2003 Robledo, Shannon L Roden, Stacey M Rodgers, Venita E. Rodriguez, Armando Rodriguez, Florentino Romo, Rhonda K. Ruiz, Sylvia D. Salvage, Bruce Sanchez, Albert Sanchez, Ivan Sanchez, Rhonda J. Sanchez, Rhonda J. Schatz, John F CNA641335237 CNA Applicant CNA765843969 CNA999948315 CNA999990202 CNA Applicant CNA Applicant CNA715722103 CNA036202353 CNA Applicant CNA999947758 CNA999947758 CNA879886573 Revocation/Non-voluntary Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Certificate Denied Revocation/Non-voluntary Revocation/Non-voluntary Civil Penalty Suspension Suspension Cleared Revocation/Non-voluntary 4/22/2003 Schwartz, Danette D CNA225363103 Revocation/Non-voluntary * Not reported in previous Newsletter VIOLATIONS Drug Related; Failure To Maintain Minimal Standards; Practicing Beyond Scope Physical Abuse; Misconduct; Failure To Cooperate Misdemeanor; Failure To Maintain Minimal Standards; Failure To Cooperate Against Person; Alcohol Abuse Theft Employer; Verbal Abuse; Leaving Duty Station Unprofessional Conduct Criminal Conviction-Against Person; Alcohol Abuse Verbal Abuse Unprofessional Conduct; Drug Related Misconduct False Documentation; Fraudulent Billing; Failure To Maintain Minimal Standards Felony; Misdemeanor; Obtaining Certificate By Fraud Physical Abuse; Verbal Abuse; Failure To Cooperate Misconduct; Physical Abuse Criminal Conviction Against Property; Criminal Conviction-Alcohol Related Felony; Obtaining Certificate By Fraud Misdemeanor; Criminal Conviction; Drug Abuse Misdemeanor; Fraud/Deceit Criminal Conviction Against Property; Failure To Maintain Minimal Standards; Fraud/Deceit Felony; Misdemeanor; Drug Related Criminal Conviction-Active Warrant/Alcohol Related; Failure To Maintain Minimal Standards; Failure To Cooperate Misdemeanor; Against Person; Failure To Cooperate Drug Related (Positive UDS) Misdemeanor, Unprofessional Conduct-Boundary issues; Leaving Duty Station Theft Client; Theft Employer; Fraud/Deceit (Forgery) Felony; Against Property; Failure To Cooperate Felony; Theft Client; Other Misdemeanor; Drug Abuse; Drug Related, Positive UDS Felony; Against Property Drug Related; Drug Abuse Drug Related Drug Related Positive UDS; Violating Board Order Failure To Follow Orders; Mental Abuse; Verbal Abuse Practicing Without Certificate Verbal Abuse Failure To Maintain Minimal Standards; Verbal Abuse; Failure To Cooperate Criminal Conviction-Alcohol Related; Drug Related CNA Disciplinary Action, cont. on pg. 30 • PAGE 30 • ARIZONA STATE BOARD OF NURSING NEWSLETTER A UG, SEPT, OCT 2003 CNA Disciplinary Action, cont. from pg. 29 CNA DISCIPLINARY ACTION April - June 2003 DATE NAME LICENSE DISCIPLINE 3/6/2003 3/7/2003 3/27/2003 2/26/2003 3/14/2003 Sendaj, Theresa Lynn Small, Barbara A Smith, Barbara Joanne Sneezy, John M. Stafford, Ralph CNA Applicant CNA999949587 CNA999990837 CNA999997488 CNA999995244 Certificate Denied Revocation/Non-voluntary Stayed Suspension Civil Penalty Revocation/Non-voluntary 3/7/2003 3/20/2003 3/5/2003 3/12/2003 5/8/2003 5/18/2003 2/16/2003 4/16/2003 3/28/2003* 3/7/2003 Stephens, Scott G. Street, Sylvia J. Tanner, Thomas Tapia, Carolyn K. Taylor, Tracy Thomas, Bernette L. Thorson, Stephanie M. Tucker-Villa, Cheryl Tuttle, Shannon Villa, Jose L. CNA894368103 CNA949103580 CNA Applicant CNA999950141 CNA999998138 CNA986669937 CNA999988123 CNA109030103 CNA072508813 CNA Applicant Revocation/Non-voluntary Civil Penalty Certificate Denied Civil Penalty Civil Penalty Suspension Civil Penalty Suspension Stayed Suspension Certificate Denied 4/24/2003 Vine, Porter CNA Applicant Certificate Denied 4/24/2003 1/23/2003 4/14/2003 4/22/2003 3/7/2003 Washington (Jackson), Nettie J. Wheatley, Payton M Widener, Tamara L. Wiggins, Jackie S. Williams, Orlando CNA Applicant CNA999951614 CNA999993619 CNA240458620 CNA Applicant Certificate Denied Revocation/Non-voluntary Civil Penalty Revocation/Non-voluntary Certificate Denied 1/23/2003 9/11/2002 3/1/2003 Wilson, Audrey L. Woods, Charles A. Wren, Erica D. CNA Applicant CNA Exam Applicant CNA Applicant Certificate Denied Certificate Denied Certificate Denied 4/24/2003 Wriden, Ricky Elijah CNA453704173 Renewal Denied * Not reported in previous Newsletter VIOLATIONS Felony; Misdemeanor (Alcohol Related); Fraud/Deceit Verbal Abuse Criminal Conviction; Alcohol Abuse Misdemeanor Drug Abuse; Drug Related (UDS Positive); Violating Board Order Violating Board Order Misconduct Criminal Conviction-Alcohol Related Verbal Abuse Misconduct Misdemeanor; Against Property; Theft Client Drug Related Alcohol Abuse Failure to Maintain Minimal Standards; Boundaries Misdemeanor; Criminal Conviction-Alcohol Related; Failure To Cooperate Misdemeanor; Obtaining Certificate By Fraud; Failure To Cooperate Misdemeanor; Alcohol Abuse; Failure To Cooperate Unsafe Practice; Failure To Follow Orders Verbal Abuse Theft Client; Misconduct; Failure To Cooperate Misdemeanor; Against Person; Criminal ConvictionMore Than One; Fraud/Deceit Misconduct; Drug Related Felony; Drug Abuse; Obtaining Certificate By Fraud Criminal Conviction Against Person; Unsafe Practice; Theft Employer Failure to Maintain Minimal Standards; Obtaining Certificate by Fraud; Failure to Cooperate A UG, SEPT, OCT 2003 ARIZONA STATE BOARD OF NURSING NEWSLETTER • PAGE 31 • • PAGE 32 • ARIZONA STATE BOARD OF NURSING NEWSLETTER AUG, SEPT, OCT 2003