arizona STATE BOARD OF NURSING VOL2 • N 3 • AUGUST 2007 3RD QUARTER O REGULATORY JOURNAL BOARD WEBSITE OPENS WINDOWS to Glass House The Fifth Annual CNA Educators Retreat: INSIDE THE CNA CLASSROOM PUBLISHED BY ARIZONA STATE BOARD OF NURSING 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3653 Phone: 602.889.5150 Main fax: 602.889.5155 CANDO fax: 602.889.5238 General e-mail: arizona@azbn.gov Website: www.azbn.gov GOVERNOR The Honorable Janet Napolitano Joey Ridenour, RN, MN EXECUTIVE DIRECTOR Judy Bontrager, RN, MN ASSOCIATE DIRECTOR/OPERATIONS VO L 2 • N O 3 • AU G U S T 2 0 0 7 3 R D Q UA R T E R 4 From the Executive Director: Board Website Opens Windows to Glass House 6 From the Board President: Communicating Freely 8 Staff Directory Valerie Smith, RN, MS ASSOCIATE DIRECTOR/INVESTIGATIONS 12 ASU College of Nursing & Healthcare Innovation Names First Helene Fuld Nursing Innovation Scholars Pamela Randolph, RN, MS ASSOCIATE DIRECTOR/EDUCATION & EVIDENCE BASED REGULATION BOARD MEMBERS Karen Hodges Hardy, RN, MSN PRESIDENT Theresa Crawley, CRNA, MSHSA VICE PRESIDENT Patricia A. Johnson, LPN SECRETARY Constance Woulard, RN, MSN MEMBER Denise Link, RNP, DNS, FNAP MEMBER Kathy Malloch, RN, MBA, PhD, FAAN MEMBER Steven T. Robertson, LPN, CHPLN MEMBER Kathryn L. Busby, J.D. PUBLIC MEMBER M. Hunter Perry PUBLIC MEMBER 14 16 Education Corner 2007 Licensure Renewal Update 17 Regulation Rundown 18 The 5th Annual CNA Educators Retreat: INSIDE THE CNA CLASSROOM 20 Crew Resource Management: Taking a Page from Aviation’s Logbook 22 AZ Associate Director Inducted to NCSBN Institue of Regulatory Excellence arizona EDITION 7 STATE BOARD OF NURSING REGULATORY JOURNAL 25 28 29 25 36 26 CREATED BY: Virginia Robertson, PRESIDENT vrobertson@pcipublishing.com Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 FOR ADVERTISING INFORMATION: Steve McPherson smcpherson@pcipublishing.com 501.221.9986 • 800.561.4686 www.thinkaboutitnursing.com This magazine is mailed quarterly to over 90,000 Arizona licensed nurses and reaches every nursing student, hospital administrator and nursing school administrator in the state Arizona Nurses Association Biennial Convention ASU Marks 50th Anniversary Disciplinary Actions AZBN Education Consultant Opportunity NCSBN Board of Directors name AZ Board Member as Area Director Performance Measurement for AzBN From the Executive Director & Staff JOEY RIDENOUR, RN, MN Board Website Opens Windows to Glass House Living with open meeting laws has prepared many regulatory boards to understand the “glass house rules.” The website has facilitated opening the shutters to the “glass house” and provides information that is easily available and without delay. By disclosing public information, when you need it 24 hours day, 7 days a week, AzBN facilitates our collective work to improve public protection. The overall goals and performance metrics of the AzBN www.azbn.gov website are: 1. Outreach: Key stakeholders and the public recognize and are familiar with online services. 2. Content Relevance: AzBN shares the right information. Staff understands what publications are valued & downloaded. 3. Access & Collaboration through Emails: Public emails are reviewed for themes and topic category to determine if information should be added for “Frequently Asked Questions.” The website most frequently accessed resources and information are: • Licensure & certification verification: During the day, there are as many as 140 employers from a number of states simultaneously utilizing on-line verification to verify current licensure of nurses and certified nursing assistants within five seconds. • Nurse Practice Act: Online access to the statutes and rules that govern Arizona nursing practice are available 24/7. In December 2006, the Nurse Practice Act Test became available. The NPA Test consists of 50 multiple choice questions to assist nursing students and nurses practicing in Arizona to better understand statutory requirements. In the past six months, approximately 3,000 have taken the test. • Applications: All applications and corresponding instructions to become licensed, certified, or to get Prescribing and Dispensing Privileges in Arizona are immediately available and may be downloaded. Approximately 4,363 downloads are completed monthly. • Advisory Opinions: These opinions regarding the functions of nursing are reviewed and changes are recommended to the Board on a regularly scheduled basis. • Complaints and Disciplinary Actions: Complaints received and Investigations in process, as well as disciplinary actions taken, are provided to the public. • My Services: During annual renewals for licensure, licensees are encouraged to renew online and update their personal profile, along with participating in a nursing workforce survey to address the nursing workforce demand and supply needs. AzBN wants to open the glass shutters further. Public documents should be easily available and shared electronically. Please let us know what information you regularly call to request or visit the Board offices to access. 4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL From the Board President KAREN HARDY, RN MSN Communicating Freely As I write this article over the Fourth of July holiday, much of the media is writing and speaking about what freedom means to us as Americans. One of these freedoms is freedom of speech. With every freedom comes responsibilities and choice. How we choose to communicate as healthcare providers is a professional choice we make every time we speak to each other, to physicians, patients, and families. Our choices in the way we communicate with anyone on the patient care team and with patients/families make a difference and are paramount to patient safety. What is not said in the healthcare setting is recognized as a safety issue. Every patient handoff increases the risk of losing a piece of the patients’ story and that places patients at risk. There are a multitude of publications, articles, and resources on effective communication techniques, especially for healthcare providers. One significant document/study, Silence Kills, The Seven Crucial Conversations for Healthcare (Maxfield, Grenny, McMillian, Patterson, & Switzler, 2005), examines the behavior of not speaking out about problems and issues in the healthcare setting. The article/study was written in 2005 and suggests that there are seven crucial conversations that people in healthcare fail to hold which contribute to errors (Maxfield et al.). Those seven crucial conversations are; broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect, and micromanagement (Maxfield et al.). The study builds on the Institute of Medicine (IOM) To Err is Human and the Joint Commissions suggestion that communication is the top contributor to sentinel events. According to the Silence Kills survey, over half of healthcare workers have witnessed adverse events based on the seven crucial conversations and they claim that the concerns have persisted for a year or more (Maxfield et al.). Others talk about the problem without any intention of solving the problem; they only talk with each other to find a way to work around the problem. Why are only a five to 15 percent minority of healthcare workers able to have these crucial conversations? The 85 percent who do not speak up regarding these issues fear retalia- 6 arizona STATE BOARD OF NURSING REGULATORY JOURNAL tion or simply do not have the skill or feel comfortable starting the conversation. The study reveals that it is possible to discuss serious concerns and succeed. People who are confident in their ability to have crucial conversations achieve positive outcomes for their patients, hospitals, and themselves. This seems to be counterintuitive, as most of those who don’t speak up believe that to do so would be disastrous (Maxfield et al.). What can we do to improve crucial conversations in our work environment? Vital Smarts lists the following strategies on their web site (Vital Smarts, 2005). You can access that site by going to www.silencekills.com. Establish a baseline-Survey your hospital to measure the seven crucial conversations by accessing the survey tool. Conduct Focus Group Interviews-Leaders learn of the obstacles using scripting and structure from. Focus on Problem areas-Use the survey to focus your efforts on high impact areas. Implement Training-Use leaders to teach and focus on the specific conversations. According to the latest Department of Labor statistics, there were 2.4 million nurses employed last year (U.S. Department of Labor, 2006, Para 1). Imagine the effect we could have on patient safety if more than 15 percent of nurses, as cited in the study, were comfortable having crucial conversations with each other and with patients (Maxfield et al., 2005). Patients expect and deserve a healing environment, free from the fear of not being safe while in a healthcare setting. Can we free patients from the fear that they will be subjected to an adverse event, unintended consequence, or medical error? Can we be free in our communication without the fear of retribution or retaliation? Who creates those environments…We do!! KAREN HARDY, RN MSN STAFF DIRECTORY ADMINISTRATION Joey Ridenour, RN, MN Executive Director 602.889.5200 jridenour@azbn.gov Judy Bontrager RN, MN Associate Director-Operations & Licensing 602.889.5204 jbontrager@azbn.gov Valerie Smith RN, MS Associate Director-Nursing Practice, Complaints & Investigations 602.889.5206 vsmith@azbn.gov Pamela Randolph RN, MS Associate Director Education & Evidenced Based Regulation 602.889.5209 prandolph@azbn.gov Lila Wiemann Administrative Assistant to the Executive Director 602.889.5202 lwiemann@azbn.gov Dolores Hurtado Assistant to Associate Director/Nursing Practice, Complaints & Investigations 602.889.5158 dhurtado@azbn.gov Thereasa Huff Assistant to Associate Director/Nursing Practice, Complaints & Investigations 602.889.5208 thuff@azbn.gov EDUCATION Karen Gilliland Administrative Assistant 602.889.5187 kgilliland@azbn.gov FISCAL SERVICES Randi Orchard Fiscal Services/GAO 602.889.5210 rorchard@azbn.gov Norma Salter Administrative Assistant Accounting Technician 602.889.5211 nsalter@azbn.gov HEARINGS Susan Barber, RN, MSN Nurse Practice ConsultantHearing Dept 602.889.5161 sbarber@azbn.gov Vicky Driver Admin. Assistant-Hearing Dept 602.889.5162 vdriver@azbn.gov INVESTIGATIONS NURSE PRACTICE CONSULTANTS Betty Nelson, RN, MS 602.889.5169 bnelson@azbn.gov Jeanine Sage, RN, MSN 602.889.5174 jsage@azbn.gov Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.889.5205 coates@azbn.gov Mary Rappoport, RN, MN 602.889.5184 mrappoport@azbn.gov ADVANCED PRACTICE Karen Grady, MS, RN, FNP, BC Advanced Practice/RN/LPN 602.889.5182 kgrady@azbn.gov Sister Rachel Torrez, RN, MS 602.889.5180 srachel@azbn.gov CANDO Connie Linck, RN, MN, CNAA, BC Nurse Consultant – CANDO 602.889.5156 clinck@azbn.gov 8 Olga Zuniga Administrative Secretary – Monitoring & CANDO 602.889.5157 ozuniga@azbn.gov Nan Twigg, RN, MSN 520.615.4945 ntwigg@azbn.gov Stephanie Nelson, RN, MS 602.889.5179 snelson@azbn.gov Sydney Munger, RN, MS 602.889.5186 smunger@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL SENIOR INVESTIGATORS Doug Parlin 602.889.5172 dparlin@azbn.gov Helen Tay CNA Exam/Endorsements 602.889.5189 htay@azbn.gov Frank Curatola 602.889.5159 fcuratola@azbn.gov Jene Martinez RN/LPN/CNA 602.889.5224 jmartinez@azbn.gov James Williams 602.889.5167 jwilliams@azbn.gov Jeanne Crain 602.889.5178 jbauer@azbn.gov Kirk Olson 602.889.5171 kolson@azbn.gov LEGAL SECRETARIES Barbara Melberg 602.889.5193 bmelberg@azbn.gov Dorothy Lindsey 602.889.5177 dlindsey@azbn.gov Esther Garcia 602.889.5173 egarcia@azbn.gov Trina Smith 602.889.5175 tsmith@azbn.gov INFORMATION TECHNOLOGY Cory Davitt Network Operations Director 602.889.5213 cdavitt@azbn.gov Paula Delphy RN/LPN Endorsements 602.889.5192 pdelphy@azbn.gov Rhonda Rogers CNA.Renewals 602.889.5188 rrogers@azbn.gov MAILROOM Derek Hardin 602.5215 dhardin@azbn.gov MONITORING Erica Bailey Senior Investigator 602.889.5160 ebailey@azbn.gov Brent Sutter Legal Secretary Monitoring & CANDO 602.889.5168 bsutter@azbn.gov RECEPTIONISTS Marlane Brosseau 602.889.5199 mbrosseau@azbn.gov Tawni Caito 602.889.5196 trowen@azbn.gov Adam Henriksen Information Technology Director/Webmaster 602.889.5231 ahenriksen@azbn.gov Susan Kingsland 602.889.5197 skingsland@azbn.gov LICENSING Becky Melton RN/LPN Exam 602.889.5190 baranyos@azbn.gov RECORDS Anne Parlin 602.889.5207 aparlin@azbn.gov Debbie Kunkle RN/LPN Renewals 602.889.5195 dkunkle@azbn.gov Donna Frye Fingerprints/Endorsements 602.889.5191 dfrye@azbn.gov ASU College of Nursing & Healthcare Innovation Names First Helene Fuld Nursing Innovation Scholars The Helene Fuld Health Trust, HSBC Bank USA, N.A. Trustee has awarded a $550,000 grant for baccalaureate nursing scholarships to the Arizona State University College of Nursing & Healthcare Innovation. ASU was one of only 11 nursing colleges to be awarded the grant. Scholarships are awarded for the senior year on a competitive basis to a select group of nursing students with the greatest potential for impact on the field of nursing. Recipients will be known as the Helene Fuld Nursing Innovation Scholars. Dr. Mary Killeen, associate dean for Academic Affairs, and Dr. Karen Saewert, director, RNBSN Program, spearheaded writing the grant application. The first two recipients of the scholarships are Catherine Brooks and Armida Cisneros-Silva, both of Phoenix. Brooks will graduate in fall 2007 and hopes to work 12 The Fuld Trust awards grants to leading nursing organizations and academic institutions which undertake innovative programs designed to develop and expand the profession and leadership skills of nursing students, faculty, and administrators. in labor and delivery with underserved populations, and ultimately become a certified nurse midwife. Cisneros-Silva, an RN who has an Associate Degree, works as an emergency room nurse at a local hospital. She is completing her Bachelor’s of Nursing Degree study at ASU and will graduate in summer 2007. Cisneros-Silva has demonstrated leadership potential and a passion for nursing with a focus on decreasing healthcare disparities for under- arizona STATE BOARD OF NURSING REGULATORY JOURNAL served populations. In 1935, Dr Leonhard Felix Fuld and his sister, Florentine, created a foundation in honor of their mother, Helene Shwab Fuld. Dr. Fuld developed his interest in supporting student nurses at a time when most nursing education was given in hospitalbased diploma programs. The Helene Fuld Health Trust is the nation's largest private funder devoted exclusively to nursing students and nursing education. The Fuld Trust awards grants to leading nursing organizations and academic institutions which undertake innovative programs designed to develop and expand the profession and leadership skills of nursing students, faculty, and administrators. The grant will be paid over three years creating a $500,000 scholarship endowment for baccalaureate nursing students enrolled at ASU College of Nursing & Healthcare Innovation. Over the same time frame, $50,000 will be made in installments to the school to begin financial assistance while endowment investments grow. Founded nearly 50 years ago, the College of Nursing & Healthcare Innovation has more than 1,800 students in its bachelor, master’s, and doctoral nursing degree and certificate programs and more than 7,640 alumni. The ASU nursing college also has one of the only four research centers for evidence-based practice at U.S. colleges of nursing and offers a unique interdisciplinary Master’s of Healthcare Innovation program. either inactivate the PAMELA RANDOLPH RN, MS license or enroll in a refresher course. A miniASSOCIATE DIRECTOR/EDUCATION survey of Arizona State AND EVIDENCE BASED REGULATION Board of Nursing approved refresher courses was conducted in early REFRESHER COURSES 2007 to gather enrollment and comple2006 tion data from calendar year 2006. The criteria for approval of a refresher Background course include: In 2003, the Arizona State Board of • A minimum of 40 hours of didactic Nursing implemented a requirement for instruction and 112 hours of super960 hours of nursing practice within the vised clinical practice for a licensed previous five years to renew a RN or LPN practical nurse program; license. Renewing nurses are asked to • A minimum of 80 hours of didactic sign a statement testifying that they pracinstruction and 160 hours of supertice and to provide the practice setting. vised clinical practice for a registered The Board interprets practice very broadnurse program; ly, consistent with the statutory defini• A planned and supervised clinical tions of professional and practical nursexperience that is consistent with ing (A.R.S.§ 32-1601) and includes noncourse goals and provides an opportupatient care activities such as consulting, nity for the student to demonstrate recruiting nurses, teaching, coordinating safe and competent application of procare, and supervision of nursing or nursgram content. The student may spend ing related services. Practice also up to 24 of the required clinical hours includes providing nursing services in a in a supervised lab setting; volunteer capacity and any employment • Instruction in current nursing care where the license is required or recomconcepts and skills including: mended. If a nurse does not have the o Nursing process; required hours of practice, the nurse may Education Corner Refresher Program Persons Completing 2006 John C. Lincoln RN Mohave Community College RN Refresher Mohave Community College PN Refresher SEVEN Health Care Academy RN and LPN Mesa Community College RN CNE Net RN CNE Net PN Northland Pioneer GateWay RN and PN Consolidated Learning Services Pima CTD LPN and RN TOTAL 14 4 12 Persons Withdrawing 2006 1 2 o Pharmacology, medication calculation, and medication administration; o Communication; o Critical thinking and clinical decision making; o Delegation, management, and leadership; and o Meeting psychosocial and physiological needs of clients. DATA COLLECTED Refresher courses approved by the Arizona State Board of Nursing were asked to provide information regarding their courses for calendar year 2006. The information requested included: • The number of persons who successfully completed your refresher in 2006 • The number of persons who dropped out of the refresher in 2006 • The number of persons who failed at least once in 2006 • The total 2006 enrollment If the total enrollment exceeded the number of persons in the other category, it was clarified that these students enrolled in 2006 but were continuing through to 2007, since many programs enroll students throughout the year. The responses are recorded below. Persons who failed at least once in 2006 Total Enrollment 2006 Students still enrolled 2006 0 5 5 27 0 8 (2 persons failed and re-enrolled) 2 1 1 7 3 21 2 1 29 5 12 9 4 2 64 7 0 0 0 7 0 0 0 0 0 28 9 4 3 71 9 0 0 1 0 7 10 147 2 13 35 0 0 7 27 38 248 (246 persons) 18 15 59 arizona STATE BOARD OF NURSING REGULATORY JOURNAL ANALYSIS In 2006, there were 248 enrollments in Arizona Board-approved refresher courses, representing at least 246 persons. Enrollment figures may be inflated due to the same person re-enrolling after a withdrawal or failure of the course. This is less than expected given the volume of calls related to the practice requirement received by the Board at each renewal period. These enrollments represent 1.9 percent of nurses renewing in 2006, (12,547 nurses renewed in 2006) 147 or 59 percent of students enrolling in 2006 successfully completed within the calendar year. Thirtyfive persons or 14 percent withdrew from the program before finishing. Approximately three percent of enrollments failed the course at least once. Of students enrolled, 59, or 24 percent, are continuing enrollment. CONCLUSIONS The practice requirement has caused less than two percent of renewing nurses to enroll in a refresher course. The majority of nurses entering a refresher course successfully complete the course. Approximately 17 percent of students do not complete either due to withdrawal or failure. Anecdotally, programs report that the successful refresher student has many years of nursing experience and left nursing for five to ten years because of another priority, such as care of a family member. Students that are at high risk for failure include those with very limited nursing experience, those who left nursing because of unhappiness with the job or profession (those reasons may still exist), and those that have a gap of ten or more years since they practiced. The following case illustrates a profile of a high-risk student: CASE STUDY Nurse A graduated from nursing school over 25 years ago. She worked for less than a year as a nurse, then returned to school and earned a master’s degree in counseling. She has continuously worked as a counselor in a mental-health setting for 25 years. She sought licensure in AZ but did CONTINUED ON PAGE 16 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15 2007 Licensure Renewal Update by Judy Bontrager, RN MN ASSOCIATE DIRECTOR/OPERATIONS AzBN sent post cards to notify nurses due for license renewal June 2007 that they had not yet renewed. Twenty-one percent of the post cards were returned without a forwarding address. Nurses were also notified of the need to renew through two email alerts, Thirty-five percent were returned due to bad email addresses. Your current mailing address as well as email address is critical to the Board being able to contact you regarding your renewal alert, as well as any other correspondence, such as the AzBN Regulatory Journal. Take two to three minutes to update your information at: www.azbn.gov, click on the gold star or My Services to add your email address, update your home address, or add the educational degree that you may have earned recently. In addition, while you are on the web page, you will see the current nursing licensure statistics for Arizona, the recent presentation that Joey Ridenour, Executive Director, gave to the 8th International Regulation Conference in Japan, the Nurse Practice Act Test that is now available online, a list of nurse imposter’s names, revised Advisory Opinions, and many other resources of interest. CONTINUED FROM PAGE 14 not qualify since she has not worked as a nurse for over 25 years. As required by the Board, she enrolled in a refresher course and requested a clinical experience in a psych-mental health clinic. Her performance in the didactic portion of the course was erratic with widely varying scores for tests and quizzes. She had difficulty with pharmacology and math calculations, but seemed to compensate and presented believable rationale for her performance. She was well liked by faculty and fellow students. She was placed in a psych mental health clinical setting and her preceptor noted several deficiencies in her nursing care. The preceptor stated that it appeared that she never really practiced nursing. She could not appropriately draw blood or administer an IM injection, despite repeated coaching and instruction. She also did not seem to be aware of her limitations. Although she was considered stellar in interviewing 16 patients and mastered the psychosocial aspects of patient care, she could never adequately demonstrate the nursing skills expected. She subsequently failed her clinical experience and was offered another clinical experience in a long-term care setting where basic nursing skills could be honed. She attended for a brief period, then decided not to seek licensure and dropped the program. A complaint was filed against the program for poor preparation of the student for clinical. The program made several changes to their policies and the Board dismissed the complaint in light of the remediation instituted by the program. 2006 Nursing Program Reports The 2006 Nursing Program Annual Report Analysis is now available on the AZBN website: www.azbn.gov under Resource/Educational Resources. Board Actions on Education Matters May 2007 arizona STATE BOARD OF NURSING REGULATORY JOURNAL o Granted Provisional Approval to Everest College to start an Associate Degree Nursing Program o Continued approval of the nursing program at Pima Community College West Campus with a report to the Board regarding potential rule violations and areas for improvement in 12 months; if, after 12 months, potential violations are not remedied or substantially improved, issue Notice of Deficiency for any remaining violations. o Set deadline for participating facilities to begin pilot study medication technician training and use at July 1, 2007, and October 1, 2007. o Approve applications for changes in program length at: Baptist Health Systems, Arizona Western College, and Northland Pioneer College. o Dismissed complaint against MCCDNP Rio Salado. Regulation RUNDOWN by Pamela Randolph RN, MS ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE BASED REGULATION Articles 1 and 4 Extensive revisions of Articles 4 (Regulation) and 1 (Definitions and Time-frames) are underway. A preliminary review was conducted by Board staff, Board members, Education Committee, and Scope of Practice Committee. After reviewing additional changes at the August 3, 2007, Education Committee meeting, a preliminary draft will be posted on the website for general public review and comment. A docket opening has been filed with the Secretary of State. The person to contact at the Board regarding rules is: Pamela Randolph 602-889-5209 e-mail: prandolph@azbn.gov Fax: 602-889-5155 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 The Fifth Annual CNA Educators Retreat: INSIDE THE CNA CLASSROOM FRIDAY, JANUARY 11, 2008 8 a.m. – 4:30 p.m. EXCITING NEW VENUE!! THE BLACK CANYON CONFERENCE CENTER 9440 N. 25TH AVENUE, PHOENIX, AZ The Fifth Annual CNA Educators Retreat: Inside the CNA Classroom will provide a unique opportunity to network with dedicated colleagues & learn innovative techniques that will inspire and motivate today's CNA. The AZBN Executive Panel and Event Speakers will provide updates and information on: • The Nurse Practice Act • CNA Certification • CNA Misconduct • The Med Tech Pilot Study • Diversity in the Classroom And Much More! "Excellent!" "SUPERB!!" "…enjoy networking & inspiration from others!" "I expected more and got more. Thank you!" -2007 Retreat Attendees Guest speaker, Janis McMillan, MSN, RN will discuss Professionalism in the CNA Classroom. Don't miss your opportunity to share an incredible learning experience with your colleagues! Submit your registration form NOW! Please look on page 34 for the registration form and sign up today! 18 arizona STATE BOARD OF NURSING REGULATORY JOURNAL CREW RESOURCE MANAGEMENT: TAKING A PAGE FROM AVIATION’S LOGBOOK By Maureen Dicker, MS, RN, CHE, Patient Safety Officer, U.S. Department of Veterans Affairs, Arizona The English poet Alexander Pope made no mistake when he penned the words “to err is human.” But what he didn’t say is that those errors may be minimized when the right procedures are put into place. That’s exactly what the aviation industry discovered when it developed a training concept called Crew Resource Management (CRM) to improve air safety. Now the healthcare industry is embracing that same concept to enhance patient safety. CRM dates back to 1979 when NASA researchers determined the majority of aviation accidents were caused by human error. They found these errors were often linked to breakdowns in communication, leadership, and decision-making. CRM training is designed to promote greater communication and teamwork to minimize human error and prevent undesired outcomes. Like professionals in the aviation industry, healthcare professionals work in an extremely complex environment with constant changes and interruptions. In the past, “junior” personnel have been reluctant to question the decisions of physicians or other staff members, even when they had a strong belief that something wasn’t right. CRM creates an atmosphere CRM DATES BACK TO 1979 WHEN NASA RESEARCHERS DETERMINED THE MAJORITY OF AVIATION ACCIDENTS WERE CAUSED BY HUMAN ERROR. THEY FOUND THESE ERRORS WERE OFTEN LINKED TO BREAKDOWNS IN COMMUNICATION, LEADERSHIP, AND DECISION-MAKING. that empowers all team members to communicate. They’re taught that their input is not only valued, but that it is essential to ensure patient safety. In Arizona, Carondelet Health Network has launched a CRM initiative designed to foster greater communication among physicians, registered nurses, surgical technicians, and other professionals involved in performing procedures. Healthcare teams conduct pre-operative briefings and postoperative debriefings for every procedure they perform. Carondelet is producing an educational video to demonstrate how to conduct these briefings and the critical role they play in patient safety. The Department of Veterans Affairs National Center for Patient Safety has implemented a CRM-based program called 20 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Medical Team Training (MTT). According to a recent report, one of the positive outcomes of MTT is that several VA facilities are able to avert potential adverse events, such as a wrong procedure by holding briefings and debriefings in the operating room (OR). Another significant benefit of CRM training is that it improves the workplace environment for employees. We all know how difficult it is to recruit and retain healthcare professionals. CRM can add to job satisfaction by helping healthcare staff members understand that their professionalism is valued and they’re an active member of the team. Like any new process, CRM requires changing ingrained habits and beliefs. As human beings, we get very comfortable with the way we do things. We need leaders who are willing to make the improvements necessary to change the culture of healthcare for CRM strategies to work. CRM training experts suggest piloting the program in one area of the hospital rather than trying to implement it across an entire organization at one time. A good place to start would be a high risk, high activity area, such as an emergency department, intensive care unit, or operating room. When the topic of CRM training was presented at the Arizona Hospital and Healthcare Association’s (AzHHA) Annual Patient Safety Conference in April, it was well received by our state’s chief nursing officers, patient safety officers, and the physicians who attended. It’s easy to understand why. At the end of the day, the patient outcomes are better, and that’s why we all went into healthcare in the first place. Mr. Pope may say that “to err is human,” but when healthcare professionals communicate to ensure patient safety, the outcome can be divine. Inaugural Fellows of the NCSBN Regulatory Institute Inducted Aug. 9, 2007 CHICAGO - The National Council of State Boards of Nursing, Inc. (NCSBN) inducted its inaugural group of Fellows of the NCSBN Regulatory Institute on Aug. 9, 2007, during the NCSBN Annual Meeting and Delegate Assembly held in Chicago. The Institute for Regulatory Excellence (IRE) began in 2004 with the purpose of providing boards of nursing with high quality regulatory education, expanding the body of knowledge related to regulation through research and scholarly work, developing the capacity of regulators to become expert leaders, and developing a network of regulators who collaborate to improve regulatory practices and outcomes. The IRE is a series of educational conferences held annually with the following topics rotated on a fouryear cycle: Public Protection/Role Congratulations to our very own Valerie Smith, Associate Director Nursing Practice & Investigations, for being inducted into the inaugural group of Fellows of the NCSBN Regulatory Institute 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Development of Nursing Regulators, Discipline, Competency and Evaluation/Remediation Strategies, and Organizational Structure/Behavior. The IRE Fellowship Program is a four-year program requiring attendance at the IRE conferences and the completion of scholarly works. Individuals who complete the NCSBN Fellowship Program requirements are called a Fellow of the NCSBN Regulatory Institute (FRE) and are entitled to use the initials FRE after their name in recognition of their accomplishment. The 2007 inaugural class of fellows are: • Pamela Ambush-Burris, MSN, RN, FRE, Director of Education & continued on Page 24 continued from Page 22 Licensure, Maryland Board of Nursing • Karla Bitz, MMGT, RN, FRE, Associate Director, North Dakota Board of Nursing • Gloria Damgaard, RN, MS, FRE, Executive Secretary, South Dakota Board of Nursing • Dorothy Fulton, MA, RN, FRE, Executive Director (retired), Alaska Board of Nursing • Julia George, RN, MSN, FRE, Associate Executive Director for Programs, North Carolina Board of Nursing • Randall Hudspeth, MS, APRNNP/CNS, FRE, Board Member, Idaho State Board of Nursing, Director of Professional Practice, Saint Alphonsus RMC • Lorinda Inman, MSN, RN, FRE, Executive Director, Iowa Board of Nursing • Constance Kalanek, PhD, RN, FRE, Executive Director, North Dakota Board of Nursing • Charlene Kelly, PhD, RN, FRE, Executive Director, Nursing and Nursing Support, Nebraska Department of Health and Human Services Regulation and Licensure Nursing and Nursing Support • Betty Sims, MSN, RN, FRE, Nurse Consultant, Texas Board Nursing (until June 2007) • Valerie Smith, MS, RN, FRE, Associate Director Nursing Practice & Investigations, Arizona State Board of Nursing • Margaret Walker, PhD, MBA, BSN, RN, FRE, Executive Director, New Hampshire Board of Nursing 24 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Arizona Nurses Association Biennial Convention The Arizona Nurses Association Biennial Convention will be held September 20-21, 2007, at the Scottsdale Plaza Resort, 7200 N. Scottsdale Road. The theme, "Sustaining Relationships by Building Bridges," provides for a variety of topics addressing clinical, nursing/professional, and leadership issues. The nationally known keynote speaker, Linda Shinn, MBA, RN, CAE, of Consensus Management Group will present "Building Bridges Through Building Your Brand." Other national speakers include Debbie Hatmaker, RN, PhD, President of the American Nurses Credentialing Center and Chief Program Officer of the Georgia Nurses Association, Ann Rogers, PhD, RN, FAAN, University of Pennsylvania School of Nursing, Carole Ann Cavouras, RN, MS, Labor Management Institute, and Marla Weston, PhD, RN. Register online at www.aznurse.org on the calendar of events page or call 480-831-0404 for more information. AZBN JOB OPENING Education Consultant Position There is an opening at the Arizona State Board of Nursing for a halftime education consultant to survey CNA programs throughout the state. This position requires a BSN and the ability to travel. A master’s degree and teaching experience is desired. The successful candidate will have excellent written and oral communication skills, knowledge of the nurse practice act, and effective time management skills. For more information, please contact Pamela Randolph RN, MS, Associate Director of Education and Evidencebased Regulation at 602-889-5209 or prandolph@azbn.gov. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 NCSBN elected new members to its Board of Directors during its 2007 Delegate Assembly. CHICAGO - The National Council of State Boards of Nursing (NCSBN) elected new members to its Board of Directors during its 2007 Delegate Assembly. Members representing the boards of nursing elected Area Directors for a two-year term and two Directors-at-Large for one-year terms. Those elected include: AREA DIRECTORS I. Kathy Malloch, PhD, MBA, RN, FAAN, Board member, Arizona Board of Nursing. Malloch was previously elected Director-at-Large on the NCSBN Board of Directors and was appointed Area l Director to fill a vacancy in 2006. She has served as Chair of the Practice Breakdown Advisory Panel and as a member of the Governance and Leadership Task 26 Force. A board member of the Arizona Board of Nursing since 1999, Malloch served three terms as President and was the Chair of the Education Committee and the Scope of Practice Committee. II. Betsy Houchen, RN, MS, JD, Executive Director, Ohio Board of Nursing. Houchen has participated in previous NCSBN Delegate Assemblies by serving as a delegate and alternate delegate. III. Julia George, RN, MSN, Associate Executive Director for Programs, North Carolina Board of Nursing. George has participated in the NCSBN Institute of Regulatory Excellence Fellowship Program, 2004 – 2007 and served on the NCSBN Resolutions Committee from 2002 – arizona STATE BOARD OF NURSING REGULATORY JOURNAL CONGRATULATIONS to Kathy Malloch elected NCSBN Board of Directors 2003 and the Practice, Regulation & Education Committee from 2003 – 2004. IV. Gino Chisari, MSN, RN, Deputy Executive Director, Massachusetts Board of Registration in Nursing. Chisari previously served as Directorat-Large on the NCSBN Board of Directors from 2006 – 2007. He was a member of the Practice Regulation and Education Committee from 2002 –2006, serving as chair for the past two years. He also served as Chair of the Nominations Committee in 2001 and 2003. ASU Marks 50th Anniversary Dear Nursing Colleague, September 22, 2007 marks the 50th Anniversary of Arizona State University College of Nursing & Healthcare Innovation. Your help and support is needed in “spreading the light” and making the anniversary year of 2007-2008 memorable. Please nominate a nursing professional colleague to be honored by the College at the Alumni Reception on October 19, 2007, sponsored by the ASU Alumni Association, Mayo Clinic Arizona, Scottsdale Healthcare System, Hospice of the Valley and the College of Nursing & Healthcare Innovation. The nomination and honoring of these individuals will highlight the mark they have made on nursing in our communities. These nominees need not be ASU graduates. The nomination form can be accessed through the anniversary webpage: http://nursing.asu.edu/anniversary, or can be submitted by letter by September 15, 2007. Describe accomplishments in areas such as a) Professional Contributions to Nursing, b) Clinical Expertise, and c) Exceptional Commitment to Patients and Families. Return nominations to Colleen Keller, Arizona State University, 500 North 3rd, Street, MC 3020, Phoenix, AZ 85004. As a commemorative of your participation in the alumni efforts, you will receive a specially designed ASU/CONHI 50th Anniversary pin to wear at the candle lighting session and at the other celebratory events throughout the year. Nominees and nominators will be special guests at the October 19 ceremony. We will ask the nominator to light a candle to honor his or her nominee, and your acknowledgement of our colleagues will light up the evening sky. Sincerely, Joey Ridenour • Colleen Keller • Bern Melnyk Debra Pendergast • Peggy Reiley • Susan Levine 28 arizona STATE BOARD OF NURSING REGULATORY JOURNAL *Not reported in previous Newsletter CNA DISCIPLINARY ACTION APRIL-MAY-JUNE 2007 EFFECTIVE DATE NAME 5/11/2007 Barton, Cherrie L 5/14/2007 Behr, Jerrod L 5/23/2007 Bidot Jr, Robert 5/15/2007 Bradley, Randolph 6/15/2007 Brown, Lois K 5/9/2007 Brown, Neilson D 3/27/2007* Bustamante, Pedro J 5/29/2007 Calvacca, Rebecca J 4/10/2007 Carnahan, Priscilla M 5/15/2007 Cody, Kimberlyn M 5/11/2007 Collins, Sabare A CERTIFICATE CNA498821803 CNA Applicant CNA1000012480 CNA Applicant CNA256283103 CNA Applicant CNA1000012147 CNA Applicant CNA1000012148 CNA Applicant CNA960829897 DISCIPLINE Revoked Certificate Denied Civil Penalty Certificate Denied Revoked Certificate Denied Stayed Suspension Certificate Denied Civil Penalty Certificate Denied Revoked 5/16/2007 5/24/2007 6/22/2007 5/11/2007 4/24/2007 4/17/2007 4/9/2007 Dela Cruz, Nathaniel A Dela Cruz, Nathaniel A Dodge, Debra L Ducheneaux, Trinna D Felkins, Penny R Franks, Ruth L Gamez, Latosha N CNA1000001909 CNA1000001909 CNA Applicant CNA999952874 CNA1000012192 CNA025781803 CNA999999026 Summary Suspension Voluntary Surrender Certificate Denied Revoked Stayed Revocation Voluntary Surrender Revoked 5/11/2007 6/12/2007 4/19/2007 4/17/2007 5/3/2007 5/2/2007 5/29/2007 4/25/2007 5/15/2007 5/15/2007 4/6/2007 Garcia, Graciela V Garcia, Mario C Gehl, Amy L Gibson, Jennifer L Gibson, Jennifer L Gomez, Erlinda R Guzman, Janet M Hanno, Gweniviere J Holyan, Chantelle C Hulse, Steven E Jackson, Lisa L CNA483982803 CNA Applicant CNA999987170 CNA1000012202 CNA1000012202 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999998326 Revoked Certificate Denied Stayed Revocation Stayed Revocation Revoked Certificate Denied Certificate Denied Certificate Denied Certificate Denied Certificate Denied Voluntary Surrender 5/2/2007 5/4/2007 5/3/2007 5/11/2007 5/16/2007 Jamison, Lacarol R Jimenez, Richard R Johnston, Nicole C Jordan, Jamie Lee, Edward W CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA1000010679 5/15/2007 5/18/2007 6/18/2007 5/11/2007 5/17/2007 5/16/2007 Lopez, Annette M Marley, Suna S Mendez, Stacey L Miranda, Rose M Modesitt, Barbara A Monroe, Deborah L CNA Applicant CNA803330441 CNA1000002773 CNA999950297 CNA Applicant CNA1000007471 Certificate Denied Certificate Denied Certificate Denied Certificate Denied Stayed Revocation w/Suspension Certificate Denied Civil Penalty Suspension Revoked Stayed Revocation Stayed Revocation 6/11/2007 4/20/2007 5/2/2007 5/15/2007 5/3/2007 4/5/2007 5/3/2007 3/9/2007* 4/7/2007 Monroe, Deborah L Moore, Shannon A Muaraga, Teherku T Overstolz, Ellen T Palacio, Serina M Patch, Adam L Peterson, Stephanie L Pietrzyk, Amanda E Ramirez, Cammie D CNA1000007471 CNA1000001272 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999988598 CNA1000012136 Revoked Stayed Revocation w/ Fine Certificate Denied Certificate Denied Certificate Denied Suspension Certificate Denied Suspension Civil Penalty VIOLATION(S) Failure to Follow Orders; Theft - Client; Failure to Cooperate Criminal Conviction; Drug Diversion - Self Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Violating Board Order Criminal Conviction-Misdemeanor; Leaving Duty Station Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction; Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Theft - Client; Fraud/Deceit; Failure to Cooperate Sex with Client; Sexual Abuse; Boundaries Sex with Client; Sexual Abuse; Boundaries Criminal Conviction-Misdemeanor; Alcohol Abuse Violating Board Order Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Failure to Follow Orders; Drug Related; Violating Board Order; Failure to Cooperate Violating Board Order Criminal Conviction-Misdemeanor; Alcohol Abuse Drug Abuse Criminal Conviction-Misdemeanor Violating Board Order Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction-Misdemeanor; Drug Abuse; Failure to Follow Orders Criminal Conviction Criminal Conviction-Misdemeanor; Drug Abuse Criminal Conviction-Misdemeanor Criminal Conviction Violating Board Order Criminal Conviction-Felony; Drug Abuse Physical Abuse Violating Board Order Violating Board Order Criminal Conviction; Drug Related; Drug Abuse Drug Abuse; Drug Diversion - Self; Failure to Follow Orders Violating Board Order Verbal Abuse; Mental Abuse; False Documentation Criminal Conviction-Felony Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction-Misdemeanor Boundaries Criminal Conviction; Obtaining Certificate by Fraud arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29 *Not reported in previous Newsletter *Not reported in previous Newsletter CNA DISCIPLINARY ACTION APRIL-MAY-JUNE 2007 EFFECTIVE DATE NAME 5/2/2007 Rogers, Constance J 12/15/2006* Romero, Norma C 11/17/2006* Ryan, Alan R 5/11/2007 Salomon, Gloria T 5/15/2007 Sanchez, Crystal 5/11/2007 Semien, Kenneth P CERTIFICATE CNA Applicant CNA560969103 CNA1000006875 CNA999996502 CNA Applicant CNA Applicant DISCIPLINE Certificate Denied Civil Penalty Voluntary Surrender Revoked Certificate Denied Certificate Denied 4/17/2007 5/15/2007 5/15/2007 5/11/2007 4/20/2007 4/30/2007 5/22/2007 6/5/2007 4/12/2007 5/3/2007 5/11/2007 5/1/2007 Shah, Lina R Siragusa, John Smith, Billie A Stemper, Jolene M Stewart, Adrienne A Teller Luna, Celestina L Teller Luna, Celestina L Valev, Galin S Vanderplas, Adrienne R Victery, Sheila M Voss, Betty J Waddell, Andrea L CNA1000007674 CNA994120803 CNA999949851 CNA999999848 CNA362271279 CNA517963803 CNA517963803 CNA1000009927 CNA999995508 CNA1000011799 CNA999994799 CNA753238803 Civil Penalty Certificate Denied Voluntary Surrender Revoked Suspension Stayed Revocation Revoked Revoked Suspension Revoked Revoked Civil Penalty 5/3/2007 5/11/2007 5/3/2007 5/8/2007 5/11/2007 Walker, Hilary J Walls, Annette L Whitney, Jean M Wirkus, Mindi S Ybarra, Christina R CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA999994706 Certificate Denied Certificate Denied Certificate Denied Certificate Denied Revoked 30 CONTINUED arizona STATE BOARD OF NURSING REGULATORY JOURNAL VIOLATION(S) Criminal Conviction-Felony; Failure to Cooperate Unsafe Practice; Failure to Maintain Minimal Standards Sexual Abuse; Failure to Follow Orders Theft - Employer; Misconduct; Violating Board Order Criminal Conviction-Misdemeanor Criminal Conviction-Felony; Obtaining Certificate by Fraud; Failure to Cooperate Unprofessional Conduct Criminal Conviction-Misdemeanor Violating Board Order Violating Board Order Violating Board Order Criminal Conviction-Drug Related; Boundaries Violating Board Order Violating Board Order Alcohol Abuse; Violating Board Order Violating Board Order Violating Board Order Criminal Conviction-Felony; Alcohol Abuse; Failure to Maintain Minimal Standards Criminal Conviction-Misdemeanor Misconduct; Obtaining Certificate by Fraud; Unprofessional Conduct Criminal Conviction-Misdemeanor Drug Related; Failure to Cooperate Drug Abuse; Violating Board Order *Not reported in previous Newsletter RN/LPN DISCIPLINARY ACTION APRIL – MAY - JUNE 2007 EFFECTIVE DATE 6/11/2007 NAME Aguilar, Mary Ann LICENSE LP038606 DISCIPLINE Voluntary Surrender 3/22/2007* Alford, Russell L. LP037250 Voluntary Surrender 3/27/2007* 5/11/2007 Alvarez, Edward A. Barden, Joelle S. Decree of Censure w/ Fine Revocation 5/4/2007 5/11/2007 5/4/2007 Behlers, Douglas D. Bidgood, Roberta A. Boulware, Ulysses RN135376 RN094761/LP028054/ CNA643102357 RN114544 LP015862 LP Exam 5/15/2007 5/22/2007 Bovio, Jo Ann L. Brandon, Mary D. 5/17/2007 4/18/2007 4/9/2007 3/12/2007* 5/17/2007 Buchter, Monique L. Butler, Madeline M. Cabanes, Michael A. Cain, Rose Marie Castillo, Lauramelia G. RN106431 RN063521/ AP1747 RN140809 RN134148 RN129150 RN142978 LP027835 5/7/2007 Castle, Brian M. RN145936 4/4/2007 5/11/2007 RN122942 RN085322 5/14/2007 4/9/2007 5/24/2007 2/23/2007* Cesek, Joy E. Chamberlain, Alexander Chea, Chandavy A. Clinton, Claire Cox, Angelena Dix, Gina L. Stayed Suspension w/ Probation Alcohol Abuse, Violating Board Order Revocation Violating Board Order License Denied Criminal Conviction-Misdemeanor, Sexual MisconductBoundaries, Sex with Client Decree of Censure Failure to Maintain Minimal Standards, Documentation Errors Stayed Revocation w/ Alcohol Abuse, Failure to Comply with Suspension Requirements of Impaired Nurse Program Civil Penalty Practicing without License Revocation Drug Abuse, Violating Board Order Revocation Violating Board Order Voluntary Surrender Drug Abuse Stayed Revocation with Violating Board Order Suspension Probation Criminal Conviction-Misdemeanor, Alcohol Abuse, Action in Another Jurisdiction Decree of Censure Misconduct-Breach of Confidentiality Reinstatement Denied Sexual Misconduct, Inability to Practice Safely LP040247 RN122081 LP Endorsement RN127066 Decree of Censure Probation License Denied Voluntary Surrender 1/29/2007* 5/10/2007 5/16/2007 Dorrell, Veonica D. Drezdon, Kurt G. Drommond, Louise A. Probation Civil Penalty Summary Suspension 5/11/2007 Eggleston, Deborah C. RN095499 RN129557 RN066851/ LP021966 LP041431 6/5/2007 5/16/2007 3/22/2007* 5/18/2007 Elmendorf, Bruce W. Faulkner, Rowena A. Fina, Audrey S. Fiocchi, Julio F. RN129546 RN128701 RN058439 LP043267 4/4/2007 Fischer, Linda S. RN082235 Revocation Probation Voluntary Surrender Stayed Revocation with Probation Decree of Censure 3/22/2007* Fitzgerald, Leslie A. Compact RN, WI 5/24/2007 Garcia, Yvonne A. RN106870 Voluntary Surrender Privilege to Practice Decree of Censure 5/15/2007 5/11/2007 Garn, Lindsey L. Garrett, Frances V. RN Endorsement LP028179 License Denied Revocation 3/27/2007* 5/11/2007 3/21/2007* Gavigan, Colleen P. Giles, Jennifer M. Glasgow, Angela D. LP043089 RN098773/LP031839 RN113587 Civil Penalty Revocation Stayed Revocation with Suspension Revocation VIOLATION(S) Drug Abuse, Presenting Illegal RX, Failure to Comply with Requirements of Impaired Nurse Program Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Practicing Beyond Scope, Drug Related Violating Board Order Unprofessional Conduct Unprofessional Conduct, Misconduct Unprofessional Conduct, Misconduct, Failure to Cooperate with Board Failure to Comply with Requirements of Impaired Nurse Program, Fraud, Deceit-Obtaining License Drug Use on Duty Criminal Conviction-Misdemeanor, Alcohol Abuse Failure to Maintain Minimal Standards, Unsafe Practice, Inability to Practice Safely Failure to Maintain Minimal Standards, Misconduct-Physical Abuse, Verbal Abuse Violating Board Order Criminal Conviction-Misdemeanor, Alcohol Abuse Failure to Comply with Requirements of Impaired Nurse Program Sexual Misconduct-Boundaries, Sex with Client Failure to Maintain Minimal Standards, Failure to Follow Orders, Failure to Supervise Failure to Comply with Requirements of Impaired Nurse Program, Fraud, Deceit-Obtaining License, Action in Another Jurisdiction Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Follow Orders Criminal Conviction-Misdemeanor Failure to Maintain Minimal Standards, Failure to Follow Orders, Failure to Cooperate with Board Practicing without License Violating Board Order Drug Abuse, Failure to Comply with Requirements of Impaired Nurse Program arizona STATE BOARD OF NURSING REGULATORY JOURNAL 31 *Not reported in previous Newsletter RN/LPN DISCIPLINARY ACTION APRIL – MAY - JUNE 2007 EFFECTIVE DATE 5/21/2007 4/18/2007 4/23/2007 4/4/2007 NAME Glasgow, Angela D. Gorow, Jeff A. Green, Rita B. Griffin, Jami L. LICENSE RN113587 RN046900 RN050204 RN145468 3/5/2007* Grothendick, Carole A. LP Endorsement 4/9/2007 5/23/2007 5/16/2007 Gunter, Willie E. Hall Jr., Joseph C. Hanks, Millicent L. LP033858 RN105256 RN118958 3/26/2007* Hatch, Mary K. RN066925/LP021103 5/11/2007 Hidenfelter, Sheri L. RN108679 5/14/2007 5/21/2007 Hommel, Mary O. Hood, Hope S. RN059534 RN073429 6/1/2007 5/11/2007 5/18/2007 3/13/2007* 5/16/2007 2/7/2007* 3/28/2007* Huff, Candace S. RN146535 Humberger, Amanda E. RN135840 Jackson, Neal C. RN110090/ CNA999976560 Jenson, Lisa A. RN110451 Kelly, Cynthia J. RN129237 Ko, Moonju Lee TRN144368 Lee, Kathy H. RN118656 5/11/2007 6/8/2007 5/16/2007 Lopez, Carol D. Lukasik, Mark E. Lynn, Karen J. RN090604 RN079854 RN128327/LP038607 Revocation Voluntary Surrender Decree of Censure 5/11/2007 Manning, Kyle J. Revocation 5/11/2007 4/2/2007 4/17/2007 Mannion, Kathleen B. Miller, Angela M. Morgan, Daniel S. RN075232/ CNA521654103 RN090217 RN114201/LP035034 RN096972 5/11/2007 Munsey, Charlaine E. RN090420/LP029154 2/6/2007* 2/6/2007* Nethercutt, Joan E. Nicholls, Tina C. RN102709 RN055952/LP018873 5/11/2007 5/3/2007 4/3/2007 5/21/2007 Nickels, Denise M. Niece, Patricia Nunes, Debbie Ohler, Allen M. RN090672/LP029319 Compact RN, TN LP031808 RN118488 5/3/2007 3/27/2007* 5/21/2007 Opuroku, Ezekiel T. Parson, Jena D. Pelzer, Daniel LP036460 RN144921/AP2642 RN085546/LP027677 3/6/2007* Perkins, Donna H. Compact RN, NC 5/29/2007 Perlman, Paul RN115820 32 DISCIPLINE Revocation Voluntary Surrender Decree of Censure Probation VIOLATION(S) Violating Board Order Alcohol Abuse, Violating Board Order Failure to Maintain Minimal Standards Criminal Conviction-Misdemeanor, Alcohol Related, Alcohol Abuse License Denied Criminal Conviction-Misdemeanor, Alcohol Related, Alcohol Abuse Decree of Censure withCivil Penalty Failure to Maintain Minimal Standards Voluntary Surrender Action in Another Jurisdiction Probation with Civil Penalty Failure to Follow Orders, Documentation Errors, Practicing without License Voluntary Surrender Failure to Assess, Inappropriate Delegation, Documentation Errors Revocation Failure to Follow Orders, Drug Diversion, Failure to Cooperate with Board Probation Failure to Maintain Minimal Standards Stayed Revocation with Suspension Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Civil Penalty Criminal Conviction-Misdemeanor Revocation Drug Abuse, Drug Diversion, Action in Another Jurisdiction Suspension Medication Errors, Misconduct, Violating Board Order Reinstatement withProbation Probation Civil Penalty Probation Revocation Revocation Voluntary Surrender Failure to Maintain Minimal Standards, Alcohol Abuse Failure to Maintain Minimal Standards, Alcohol Abuse Practicing without License Drug Abuse, Drug Related-Positive Drug Screen, Fraud, Deceit Violating Board Order Sexual Misconduct Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Supervise Violating Board Order Violating Board Order Drug Abuse, Violating Board Order Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Revocation Failure to Comply with Requirements of Impaired Nurse Program Decree of Censure Medication Errors, Practicing Beyond Scope Voluntary Surrender Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Revocation Violating Board Order Revocation-Privilege to Practice Drug Diversion Decree of Censure Practicing Beyond Scope Stayed Revocation with Suspension Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Revocation Violating Board Order Civil Penalty Practicing without License Stayed Revocation with Suspension Failure to Comply with Requirements of Impaired Nurse Program Revocation-Privilege to Practice Failure to Maintain Minimal Standards, Unprofessional Conduct, Misconduct-False Documentation Civil Penalty Criminal Conviction-Misdemeanor, Alcohol Abuse arizona STATE BOARD OF NURSING REGULATORY JOURNAL RN/LPN DISCIPLINARY ACTION APRIL – MAY - JUNE 2007 EFFECTIVE DATE 3/6/2007* NAME Pierce, Deborah M. LICENSE RN136819 DISCIPLINE Probation 4/6/2007 6/1/2007 5/11/2007 RN045144 RN078320/LP024669 RN110535 Voluntary Surrender Revocation Suspension RN088514 RN071694 Revocation Probation 5/7/2007 4/2/2007 5/24/2007 5/3/2007 5/1/2007 4/3/2007 Ratajczak, Sheila M. Rebel, Karen L. Reumann-Linam, Sharon K. Roberts, Vernon R. Ross Feeley, Suzanne P. Rosset, Lorrie L. Rudich, Ann Marie Rudisaile, Daren G. Ruiz, Angelica Sahadi, Barbara Sanchez, Jeanette N. 5/22/2007 6/4/2007 2/14/2007* Sandoval, Nadine L. Schmieder, Susan C. Schumacher, Amy L. RN066862/LP021969 RN075324 RN129916/LP036602 1/11/2007* 5/21/2007 5/18/2007 5/17/2007 5/10/2007 5/4/2007 5/11/2007 5/17/2007 Shields, Sean N. Shimp, Mona Lisa Simpson, Barry A. Smith, Shawn E. Soulik, Bareana T. Steele, Kim Taylor, Nancy A. Tishie, Maxine RN081753 LP041393 RN063242 RN134537 LP032393 RN095749 LP019308 RN132131 5/3/2007 3/27/2007* 3/14/2007* Vanderwaall, Kathy J. Vasquez, Martha A. Wallace, Michele K. RN086592/LP026986 RN117123 RN135041/LP039664 5/11/2007 White, Edward P. LP034324 4/26/2007 12/8/2006* 4/11/2007 4/17/2007 Wiley, Janel L. Willeford, Christina M. Williams, Brenda S. Williams, Marlo M. RN085689/LP027748 RN133982 RN054527/SN0674 RN128894 4/24/2007 Williams, Shirley T. LP024903 5/11/2007 5/16/2007 RN114964 LP041569 RN Endorsement RN126894 RN121062 RN126855 RN-LPN Discipline ACTION CLEARED APRIL-MAY-JUNE 2007 VIOLATION(S) Failure to Maintain Minimal Standards, Incompetent Practice, Alcohol Abuse Drug Abuse Drug Use on Duty, Drug Diversion, Violating Board Order Drug Abuse, Failure to Cooperate with Board Violating Board Order Failure to Maintain Minimal Standards, Incompetent Practice, Violating Board Order Summary Suspension Documentation Errors, Medication Errors, Drug Diversion Decree of Censure Inappropriate Delegation License Denied Criminal Conviction-Misdemeanor, Alcohol Abuse Civil Penalty Criminal Conviction-Misdemeanor Suspension/Indefinite Failure to Maintain Minimal Standards, Drug Related Decree of Censure with Civil Penalty Failure to Maintain Minimal Standards, Failure to Supervise Probation Misconduct Suspension/Indefinite Inability to Practice Safely Stayed Revocation with Suspension Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Voluntary Surrender Criminal Conviction-Felony Revocation Violating Board Order Voluntary Surrender Violating Board Order Probation Action in Another Jurisdiction Revocation Violating Board Order Suspension/Indefinite Violating Board Order Revocation Violating Board Order Decree of Censure Failure to Maintain Minimal Standards, Failure to Follow Orders, Medication Errors Revocation Violating Board Order Civil Penalty Practicing without License Stayed Revocation withSuspension Drug Abuse, Failure to Comply with Requirements of Impaired Nurse Program Revocation Unprofessional Conduct, Misconduct, Violating Board Order Probation Drug Abuse Decree of Censure Misconduct-Mental Abuse, Verbal Abuse Probation Misconduct-False Documentation, Fraudulent Billing Voluntary Surrender Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Probation Alcohol Abuse, Fraud, Deceit EFFECTIVE DATE NAME LICENSE 6/2/2007 Fromm, Marjorie B. LP011792 5/17/2007 Hartley-Cobb, Holli RN052454 5/16/2007 Lancaster, Marlena E. RN138461 3/27/2007* McGreger, Tina R. LP039558 5/17/2007 Pierson, Lynette D. LP041676 5/16/2007 Porter, Lynnette A. LP040933 5/16/2007 Rumsey, Chad E. RN123050 5/17/2007 Sharp, Christina E. RN127552 4/9/2007 Snell, Ninette D. RN070870 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 33 presents the The Fifth Annual CNA Educators Retreat: INSIDE THE CNA CLASSROOM An exciting and informative forum promoting the support of CNA Educators and their commitment toward continued improvement of nursing assistant education. Friday, January 11, 2008 8 a.m. – 4:30 p.m. At The Black Canyon Conference Center 9440 N. 25th Avenue, Phoenix Registration Fees: $70 per person before December 15, 2006 $85 per person after December 15, 2006 $100 per person on-site as space permits. See page 18 for more details Purchase Orders WILL NOT be accepted in lieu of payment. REGISTRATION FORM (Please use one form per registrant.) Registration Fee will include meals, snacks, and materials. Name: Facility/School/Affiliation: Address: City, State, Zip: For Registration Confirmation, please provide an E-Mail Address Below E-Mail Address: Business Phone: Mobile Phone: Purchase Orders WILL NOT be accepted in lieu of payment. Submit completed registration form and check or money order made payable to Arizona State Board of Nursing Attn: Fifth Annual CNA Educators Retreat 4747 North 7th Street, Suite 200 Phoenix, Arizona 85014-3653 34 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Arizona State Board of Nursing Governance Performance Measurement Investigative & Hearing Department Cycle Times JULY 2007 TARGET INDICATOR Cycle Time Investigative Reports to Board 6 months Cycle Time Hearing Dept Cases To Board 12 months 12 MONTHS AGO 6 MONTHS AGO THIS MONTH 7.1 months 6.3 months 6.8 months 18 months 15 months 7.5 months Education Outreach Metrics: Nurse Practice Act JULY 2007 INDICATOR Down Loads Nurse Practice Act Website Website Nurse Practice Act Test Takers 4 MONTHS AGO TARGET 5,000 month 15,214 2,642 for 4 500 month months 2 MONTHS AGO THIS MONTH 3,004 11,282 909 for 2 months 256 month YTD 4,642 or 663 month Licensing Program Metrics JULY 2007 INDICATOR Cycle Time Application Processing – Printing License 12 MONTHS AGO 6 MONTHS AGO THIS MEETING TARGET 2 days from 3 days 3 days 1.7 days time of application commpletion Online Licensure Renewal Metrics JULY 2007 INDICATOR Percentage Online Renewals Completed 36 TARGET 90% arizona STATE BOARD OF NURSING REGULATORY JOURNAL JUNE 2006 70% JANUARY-JUNE 2007 90%