arizona vol5 • No1 MARCH 2010 state board of nursing Regulatory Journal SCOPE OF SCOPE OF PRACTICE LAWS ARE YOUR “Limits & Privileges” National Overview What is scope of practice? • Activities that an individual practitioner is legally permitted to perform within a profession. • The legal framework defines and controls the delivery of services, the settings and parameters of professional activities. WHAT IS THE SCOPE & COMPETENCIES OF CERTIFIED NURSING ASSISTANTS? Provide Assessment Data Unlicensed Assistive Personnel Activities of Daily Living Safety and Emergency Procedures • Vital Signs • Height and Weight • I and O’s • Bathing • Skin Care • Toileting • Oral Care • Infection Control • CPR Practice WHY SHOULD YOU BE CONCERNED ABOUT SCOPE OF PRACTICE LAWS? Health Profession’s Boards Implement Laws Through Regulation State Legislatures Enact Scope of Practice Laws “Limits & Privileges” Establish Minimum Qualifications for Licensure, License/Certify Practitioners, Investigate complaints and discipline violators Significant liability issues created when practicing outside your scope of practice; may be personally held accountable SCOPE OF PRACTICE: LPN Activities Contributing to Assessment Maintaining Safe and Effective Nursing Care Delegating Activities Within Scope of Practice Activities Performed Under Supervision of RN or Physician Participating Development Strategy of Care SCOPE OF PRACTICE: RN Implementing Strategy of Care Taught to identify normal from abnormal in body systems and to identify changes in patient conditions & report to RN or MD for further “full assessment” Legally Accountable Decisions and Nursing Care Received Diagnosing and Prescribing Interventions and Treatments Evaluating Responses to Care Comprehensive Assessment Health Status Volunteer Opportunity for the Measuring Competency With Simulation arizona STATE BOARD OF NURSING Regulatory Journal 1 Because They Want To Be Like you. Phoenix Children’s Hospital is the only specialty children’s hospital in Arizona and due to our rapid expansion, we’re poised to become one of the foremost pediatric hospitals in the nation. Now is the perfect time to get in on the ground floor of our growing, thriving organization where opportunities for personal and professional development will continue for years to come! For a complete list of our open positions and details regarding our expansion, please visit our website. We make your transition to our team 100% painless with paid interview expenses and up to $5,000 for relocation expenses! We offer excellent salaries and, effective the first day of the month after your start date, www.phoenixchildrens.com 2 arizona STATE BOARD OF NURSING Regulatory Journal outstanding benefits including 401(k) with immediate match and up to $5,250 in tuition reimbursement. EOE Published by Arizona State Board of Nursing 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3655 Phone: 602.771.7800 Main fax: 602.771.7888 CANDO fax: 602.771.7882 General e-mail: arizona@azbn.gov Website: www.azbn.gov GOVERNOR The Honorable Janice K. Brewer Joey Ridenour, RN, MN, FAAN Executive Director Judy Bontrager, RN, MN Associate Director/Operations vol 5• N o 1• M arch 2010 4 6 8 From the Executive Director From the B oard President Staff D irectory 9 Valerie Smith, RN, MS, FRE Associate Director/ Investigations/ Compliance Pamela Randolph, RN, MS Associate Director/Education & Evidence Based Regulation BOARD MEMBERS Kathy Malloch, PhD, MBA, RN, FAAN President Denise Link, RNP, PhD, CNE, FNAP Vice President Kathy Scott, RN, MPA, PhD, FACHE Secretary Theresa (Terri) Berrigan, LPN Member E. Gary Gum, MSN, RN, FCN Member Patricia (Pat) Johnson, LPN Member Kathryn L. Busby, JD Public Member M. Hunter Perry PUBLIC Member Registered Nurse Practitioner (RNP) Practicing in an Acute Care Setting 15 16 17 18 19 21 RNs/LPNs: Less than One Month to Renew Scope of Practice Ghost Arizona State Board of Nursing Job Opening Education Corner Volunteers Needed 2011 Eighth Annual CNA Educators Retreat arizona edition 1 7 state board of nursing Regulatory Journal 22 26 Created By: Virginia Robertson, PUBLISHER 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 CNA Disciplinary Actions RN/LPN Disciplinary Actions 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 STATE BOARD OF NURSING Regulatory Journal 3 F r om the E x e c ut i v e Directo r Joey Ridenour, RN, MN, FAAN Scope of Practice Laws Are Your Limits and Privileges The 2010 edition of the Arizona State Board of Nursing Regulatory Journal is about understanding and therefore making the right decisions about scopes of practice. Healthcare education and practice today share common skills and procedures with other professions, and therefore no one profession has a completely unique scope of practice that does not overlap with others. Six healthcare regulatory organizations in a document entitled Changes in Healthcare Professions’ Scope of Practice: Legislative Considerations1 believe that scope of practice changes should reflect the evolution of abilities of each healthcare discipline that better protects the public and enhances the consumers’ access to competent healthcare services. In painting a picture about “scope of practice,” the background is the timeless black and white based on the legislation that enacted the Nurse Practice Act as well as the underpinnings of the “heart of all health professions regulation.” The “limits and privileges” are the red boundaries in which the practitioner is legally permitted to perform. The “so why should you be concerned about scope of practice laws” is the yellow, in that you need to proceed with caution if you do not understand the liability issues created when you practice outside your scope of practice, and the employer holds the nurse personally accountable for practicing outside the scope of practice. Three different shades of blue are used to compare and contrast the “scope and competencies of CNAs, LPNs and RNs”. “What are the RN defining terms as related to independent and dependents functions” are colored green to symbolize the ability to move forward on independent functions when competence has been demonstrated. Finally, the “Advisory Opinions” are contemporary gray to represent the evolving practice of nursing. Also in this edition on page 9, Pam Randolph, RN, MSN, shares the recently approved new scope of practice for the registered nurse practitioner (RNP) practicing in an acute care setting. Dr. Kathy Malloch, Board President, provides a more global perspective on scopes of practice and challenges for the future on page 6. Let us know if you have any questions or comment regarding any topic area in the Journal. Joey Ridenour, RN, MN, FAAN Executive Director 1 4 arizona STATE BOARD OF NURSING Regulatory Journal https://www.ncsbn.org/ScopeofPractice.pdf RN Opportunities exist for: RN - Coordinator - Liver Transplant RN - Dermatology RN - General Surgery - Surgical Services RN - Pre-op/PACU - Surgical Services RN with Nuclear Tech Certification and more.... SCOTTSDALE PHOENIX This is an excellent time to join a top-rated organization for a new adventure in nursing. As a nurse at Mayo Clinic, you will join a team whose vision is to provide the best nursing care in the world. Our nurses have access to leading-edge technology and an electronic medical record to assist in caring for their patients. 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Mayo Clinic conducts reference checks; drug testing is required of all new hires. arizona STATE BOARD OF NURSING Regulatory Journal 5 F r om the B oa r d Pr e sid en t Kathy Malloch, PhD, MBA, RN, FAAN Scope of Practice: Challenges for the future As the world turns, so too does the scope of practice for clinicians. New evidence, increasing technology, less than acceptable quality and a very costly healthcare system necessarily require professionals to review and revise scopes of practice to assure that the licensed groups are meeting the needs of society. Recent discussions have addressed shifting accountabilities specific to the scope of the medication technician, the registered nurse, and the advanced practice nurse. As the needs of the population increase, new advances and evidence emerge, and evaluations are implemented, more challenges to shift the scope of care-giving practices across the continuum will emerge. As most of us know or have experienced, the discussions about shifting scope often begin quite benignly, and then move quickly to issues of turf and concerns about patient safety. Consider the medication technician role evolution. Concerns about safe medication administration from non-licensed, minimally trained caregivers arose quickly. Medication administration was the purview of the licensed registered or practical nurse. Yet, the community need for the administration of routine medications in residential facilities and skilled nursing homes was significant and not always being met. Personally, I struggled with this recommendation. I could not support medication administration by a non-licensed person. I didn’t have any evidence, it just didn’t feel right; and I truly believed it was not a safe practice. In spite of my feelings, the plan to pilot the use of a carefully crafted medication technician role went forward. It was during the pilot testing phase that my dad was a resident in a nursing home. For over four years, I watched the licensed practical nurse administer the same five medications in the morning and the same four medications in the evening. There was no need for a licensed nurse to be doing this technical, repetitive task – my dad needed licensed nurses to observe, support and assure an effective plan of care was in place. I soon became a strong supporter of the medication technician based on observations and outcomes over a four year time span. This fresh look at patient care at the point of service events provided new information so that I am now able to support for the shift in the scope of practice from registered nurses to medication technicians. The issues of scope change are not limited to the nursing discipline. Issues with providers (nurse, physician, naturopath, podiatrists, and optometrists) are also increasingly common. In a recent publication of The American Medical Association, efforts to push back on expansions of scope of practice (http:// www.ama-assn.org/amednews/2010/01/18/prl20118.htm) and hopes to protect physician practice scope as the means to patient quality were noted. Questions such as these are posed regularly: • Should optometrists perform surgery and prescribe medications? 6 arizona STATE BOARD OF NURSING Regulatory Journal • Should naturopaths become licensed? • Should chiropractors perform invasive procedures? Can they perform manipulations under anesthesia? • Who should diagnose, treat and manage pain? • Who should be able to do invasive procedures, prescribe medications, diagnosis and treat, patients with chronic pain? The American Medical Association has recommended model legislation for states to establish scope-of-practice review panels to evaluate plans by non-physician health professionals who wish to expand their practice. The panels would be composed of various regulatory board officials, university experts and other health care advisers to help lawmakers understand the underlying medical, educational and public interest considerations. Hopefully, such panels would include all of the regulated professions providing patient care and not be limited to physician providers. Nurses, pharmacists, psychologists, chiropractors, therapists and naturopaths all have good input for this important discussion. The challenges to scope should not be viewed as anomalous events; rather scope analysis should be an ongoing discussion among colleagues providing patient care. None of us should shy away from the need for healthy dialogue. As new ideas are proposed, I would hope that each professional consider the following questions about the proposed changes AND the resistance being encountered. 1. How widespread is the issue that is being addressed by the proposed scope change? 2. Is there evidence to support the change in other states? 3. Will the change increase access to care? 4. Will the change increase the quality of care? 5. How will the cost of care be affected? 6. How will the proposed change be integrated into the current scope of practice? Is there education in nursing programs (or whichever discipline is involved) currently? 7. Is the change consistent with the principles of the practice act? For sure, scope of practice will be forever challenging for all health professions as the new evidence emerges and the needs of society change. Thanks again for the opportunity to serve as your president. Kathy Malloch, PhD, MBA, RN, FAAN Board President Profession Support Personnel We Provide the Following Professionals: If Medical support is what you are searching for, look no further than Concentric Healthcare Solutions. RN’s, TELE, MED, SURG, L&D, or CNA’s LPN’s PT/PTA’s need, then Concentric has your solution. 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Call today! 480.444.7800 arizona STATE BOARD OF NURSING Regulatory Journal 7 Staff Directory ADMINISTRATION Joey Ridenour, RN, MN, FAAN Executive Director 602.771.7801 jridenour@azbn.gov Judy Bontrager RN, MN Associate Director - Operations & Licensing 602.771.7802 jbontrager@azbn.gov FISCAL SERVICES Randi Orchard Fiscal Services Manager 602.771.7810 rorchard@azbn.gov Valerie Smith RN, MS, FRE Associate Director Investigations/Compliance 602.771.7804 vsmith@azbn.gov Norma Salter Accounting Technician 602.771.7809 nsalter@azbn.gov Pamela Randolph RN, MS Associate Director Education & Evidenced Based Regulation 602.771.7803 prandolph@azbn.gov Lila Wiemann Administrative Assistant to the Executive Director and Associate Director Investigations/Compliance 602.771.7806 lwiemann@azbn.gov Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.771.7805 coates@azbn.gov CANDO Connie Linck, RN, MN Nurse Consultant – CANDO 602.771.7864 clinck@azbn.gov Olga Zuniga Administrative Secretary – Monitoring & CANDO 602.771.7865 ozuniga@azbn.gov HEARINGS Susan Barber, RN, MSN Nurse Practice ConsultantHearing Dept 602.771.7851 sbarber@azbn.gov Vicky Driver Admin. Assistant-Hearing Dept 602.771.7852 vdriver@azbn.gov Deborah Richards, JD Senior Investigator 602.771.7850 drichards@azbn.gov INVESTIGATIONS NURSE PRACTICE CONSULTANTS Angela Hill, RN, BSN 602.771.7811 ahill@azbn.gov Betty Nelson, RN, MS 602.771.7813 bnelson@azbn.gov Janeen Dahn, MS, FNP-C Advanced Practice Nurse Consultant 602.771.7814 jdahn@azbn.gov Complaints-Intake Karen Grady, MS, RN, FNP, BC Complaints-Intake Triage Coordinator - Advanced Practice Nurse Consultant 602.771.7821 kgrady@azbn.gov Jeanine Sage, RN, MSN 602.771.7815 jsage@azbn.gov Jene Martinez Triage Secretary 602.771.7829 jmartinez@azbn.gov Pat Midkiff, RN, MN 602.771.7827 pmidkiff@azbn.gov EDUCATION Karen Gilliland Administrative Assistant 602.771.7856 kgilliland@azbn.gov 8 Lila Van Cuyk, RN, BSN Nurse Practice Consultant/ CNA Programs 602.771.7857 lvancuyk@azbn.gov Mary Rappoport, RN, MN 602.771.7816 mrappoport@azbn.gov Sister Rachel Torrez, RN, MS 602.771.7818 srachel@azbn.gov Stephanie Nelson, RN, MS 602.771.7819 snelson@azbn.gov arizona STATE BOARD OF NURSING Regulatory Journal Tammi Bymers, RN, MSN 602.771.7820 tbymers@azbn.gov V. Ann Schettler, RN, MHL, CLNC 602.771.7812 aschettler@azbn.gov SENIOR INVESTIGATORS Doug Parlin 602.771.7822 dparlin@azbn.gov Kirk Olson 602.771.7824 kolson@azbn.gov Ron Lester 602.771.7825 rlester@azbn.gov Tim Chafey, RN 602.771.7817 tchafey@azbn.gov LEGAL SECRETARIES Barbara Melberg 602.771.7840 bmelberg@azbn.gov Dorothy Lindsey 602.771.7841 dlindsey@azbn.gov Esther Garcia 602.771.7842 egarcia@azbn.gov Trina Smith 602.771.7844 tsmith@azbn.gov INFORMATION TECHNOLOGY Cory Davitt Network Operations Director 602.771.7808 cdavitt@azbn.gov Adam Henriksen Information Technology Director/ Webmaster 602.771.7807 ahenriksen@azbn.gov LICENSING Becky Melton RN/LPN Exam 602.771.7830 bmelton@azbn.gov Donna Frye Fingerprints/Endorsements 602.771.7831 dfrye@azbn.gov Helen Tay CNA Exam/Endorsements 602.771.7832 htay@azbn.gov Jennifer McWilliams RN/LPN Renewals 602.771.7833 jmcwilliams@azbn.gov Paula Delphy RN/LPN Endorsements 602.771.7834 pdelphy@azbn.gov Rhonda Rogers CNA Renewals 602.771.7835 rrogers@azbn.gov MAILROOM Debra Kunkle 602.771.7876 dkunkle@azbn.gov MONITORING Michelle Mills, RN, MA Nurse Practice Consultant 602.771.7862 mmills@azbn.gov Dolores Hurtado Legal Assistant 602.771.7861 dhurtado@azbn.gov Brent Sutter Legal Secretary Monitoring & CANDO 602.771.7860 bsutter@azbn.gov RECEPTIONISTS Hazel Degrate 602.771.7870 hdegrate@azbn.gov Marlane Brosseau 602.771.7871 mbrosseau@azbn.gov Nancy Davis 602.771.7872 ndavis@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov REGISTERED NURSE PRACTITIONER (RNP) PRACTICING IN AN ACUTE CARE SETTING Adopted by the Board 11/19/09 Background Registered nurse practitioner (RNP) education has progressed beyond the apprentice model of “see one, do one, teach one” (Swenson, 2006). It is no longer acceptable to substitute registered nursing experience and physician oversight for a formal nurse practitioner program consisting of didactic and clinical study informed by national standards. Authority to practice does not flow from a physician’s license (Swenson, 2006) but from a rigorous credentialing process that includes verification of appropriate educational preparation including supervised clinical practice and competency testing at the advanced practice level. Similar to other professions, the scope of registered nurse practitioner practice is based upon the didactic and clinical education obtained in a basic RNP program (Klein, 2008). RNP Education Registered nurse practitioner education has evolved into a system consisting of advanced core and focused specialty courses. This educational model prepares graduates for advanced nursing practice as direct care providers within a focused population of care (also known as specialty area). RNP education does not follow the medical model; therefore, RNPs do not readily fit into the process used by facilities to credential physicians and medical residents. Care must be taken in credentialing the RNP to ensure full utilization of scope of practice based on the RNP’s training, practice setting and education (Kleinpell, Hrvanak and Hinch, 2008). Administrators are challenged with ensuring that appropriate mechanisms exist to credential and privilege RNPs within the institution appropriate to their scope of practice (Kleinpell, Hravnak and Hinch, 2008). The primary component of the RNP ability to practice is their licensure and recognition through national certification in an established population area of practice (Klein 2008). In Arizona prior to July 1, 2004, not all nurse practitioners were required to hold national certification, but all have been through a review of their education for consistency with their assigned specialty population as part of the qualification for state board certification; state board certification is required for practice in Arizona. Population is not only defined by diagnosis, gender, and age, but also by acuity and type of care needed. There are two broad categories of RNP preparation: primary care with didactic and clinical education focused on health promotion, disease prevention and treatment of patients primarily in ambulatory and community settings; and acute care with didactic and clinical education focused on the management of patients with complex acute, critical and chronic health conditions primarily in acute care (hospital) settings (NONPF 2002, 2004). Within primary care, RNP practice is further specialized to a population of care (pediatric, adult, gerontology, family, women’s health, etc.). Acute care RNP specialties are currently limited to neonatal, pediatric and adult. Additional nurse practitioner specialty areas of preparation include adult or family psychiatric and mental health nurse practitioner and certified nurse midwife. The educational preparation and practice in these populations of care include management of clients in both primary and acute care settings. Additional Competencies and Overlapping Scopes of Practice An individual RNP may enhance their competencies by learning additional skills/procedures within their scope of practice through additional didactic education and supervised clinical practice as specified in A.A.C. R4-19-208 (C). For example, since primary care of infants is within their scope of practice, a pediatric or family nurse practitioner could perform a circumcision after obtaining and demonstrating this competency through completion of a formal didactic and clinical instruction course. In contrast, an adult RNP, even after completion of the same course, could not perform circumcisions because care of infants is outside the scope of adult nurse practitioner practice. While the Board recognizes that there is some overlap in scopes of practice between specialties, an individual may not expand scope to a different specialty without completing a basic NP program in that specialty. For example, a pediatric nurse practitioner may be qualified to follow some patients into young adulthood before transitioning their care to an adult or family practitioner, overlapping with Adult/FNP scope, and a family nurse practitioner may be qualified to treat common, self-limited depression or anxiety, overlapping with psychiatric nurse practitioner scope; but neither is qualified to practice within the full scope of the others’ specialty area. RNPs in Acute Care Settings Due to recent limits regarding the use of physician residents, acute care facilities have sought to hire nurse practitioners to fill “hospitalist” roles with scant attention as to whether the educational preparation of the NP is consistent with the role. For example, an FNP with some pediatric ICU experience as an RN was believed to be qualified to take an acute care pediatric NP position in the pediatric intensive care unit. While the Board does not limit the employment setting of the NP, the role within that setting must be consistent with the formal education and scope of the NP’s education, certification and specialty. “An RNP shall only provide health care services within the nurse practitioner’s scope of practice for which the RNP is educationally prepared and for which competency has been established and maintained” (A.A.C. R4-19508 C). According to the National Organization of Nurse Practitioner Faculties (2004), the acute care RNP “practices in any setting in which patient care requirements include complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high acuity care” (pg. 13). Acute care nurse practitioners receive “highly focused education that includes psychomotor skill assessment and evaluation in many complex procedures. They are prepared to manage complex unstable patients similar to those managed by hospitalists” (Klein, 2008, pg 277). Therefore, it is the position of the Board that an RNP who provides acute care services cannot exceed the limits of the advanced practice specialty area. Sole and independent management of the care of complex unstable patients in an acute care setting, including but not limited to an intensive care unit, is in the exclusive domain of the nurse practitioner who has completed an approved acute care nurse practitioner program. A primary care nurse practitioner may have a role in assisting or directing management of the acute care patient as long as the aspect of care is within the limits continued >>> arizona STATE BOARD OF NURSING Regulatory Journal 9 Sierra Vista Regional Health Center, is looking to employ the talent of a FAMILY NURSE PRACTITIONER for our NEW Sonoita Family Health Center For a current list of open positions, and to complete an online application, visit www.svrhc.org. C RISTAL R IVERA , P ROFESSIONAL R ECRUITER 520.417.3123 or cristal.rivera@svrhc.org Celebrating over 30 years of premier service, Life Care Centers of America continues to be a renowned network of over 260 skilled nursing and long-term care facilities in 28 states. It is our goal to promote independence and improve the quality of life or our residents. We are seeking healthcare professionals who share in our philosophy “Life Matters.” RNs • LPNs • CNAs We are dedicated in serving the following cities throughout Arizona! Chandler • Glendale • Globe • Mesa • Payson • Peoria • Phoenix Prescott • Scottsdale • Sierra Vista • Tucson • Yuma We reward our associates with career growth opportunities, competitive compensation and full benefits packages! Please submit resume with salary requirements to: Erin O’Clair, Division Director of Human Resources Erin_O’Clair@LCCA.com - Toll Free: 888.606.5595 - Fax: 480.296.2601 To learn more please visit: www.LCCA.com life matters That’s not just our goal. It’s our privilege. <<< continued from previous page of their specialty and role of nurse practitioner certification. Role of Primary Care RNPs in Acute Care Settings There is a role for the primary care NP in an acute care facility if the role is consistent with the educational preparation and certification of the NP. The primary care NP may admit his/her own patients and manage referrals to appropriate specialties, as it is within scope for a primary care NP to facilitate transitions between health care settings and to provide continuity of care for individuals and family members. Patients admitted to an acute care facility will benefit from the inclusion of a primary care RNP on the health care team to assist in the management of some aspects of care consistent with the primary care RNP’s scope of practice. Primary care RNP preparation focuses on management of health promotion, disease prevention, and ongoing care of individuals and families (Klein, 2008). The National Organization of Nurse Practitioner Faculties (2002) describes the primary nurse practitioner role in managing and negotiating health care delivery systems as one of “overseeing and directing the delivery of clinical services within an integrated system of health care” (pg. 20, 24, 28, 33, 38). A hospital-based primary care RNP could coordinate care between specialty physicians, plan the patient’s discharge, order and review results of diagnostic tests, initiate referrals, advocate for the patient, and monitor the patient’s progress through the system. An acute exacerbation of a chronic illness could be managed by a primary care NP if the nature of the person’s exacerbation is manageable in an ambulatory setting. If an exacerbation of a chronic illness is such that the person is unstable or critically ill, then that person’s care team should include someone with acute care credentials, at least until the situation is under control and stable. Summary In summary, the RNP is expected to utilize appropriate judgment to determine if a specific role or procedure within a patient care situation is within the scope of practice that he or she is educationally prepared to provide. “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,” (ARS continued >>> 10 arizona STATE BOARD OF NURSING Regulatory Journal Shine in the Valley of the Sun. BASK IN BRIGHT OPPORTUNITIES WITH BANNER HEALTH. At Banner Health, we want to help add sparkle to your career by offering development programs, ongoing education, state-of-theart facilities, cutting-edge technologies, comprehensive benefits and more. We are committed to supporting your hard work and dedication by providing an engaging work environment and growth opportunities. We will make a difference in your life so you can make a difference in the lives of others. Find bright opportunities by calling 1-866-377-5627 or visit: www.BannerHealth.com ALASKA ARIZONA CALIFORNIA COLORADO NEBRASKA NEVADA WYOMING EOE/AA Banner Health supports a drug-free work environment. arizona STATE BOARD OF NURSING Regulatory Journal 11 <<< continued from previous page § 32-1606 (17) (d)(vi)) are part of the legal scope and responsibilities of all registered nurse practitioners. Experience as an RN, on-the-job training, having a physician sign off orders, and the personal comfort of the RNP are not a sound basis for accepting an assignment or role beyond the RNP’s scope of practice. Questions and Answers 1. Can a primary care nurse practitioner treat hospital patients as long as they are not in the ICU? The primary care RNP’s role in any setting must be within their scope of practice consistent with their educational preparation. An oft-quoted caveat is that the RNP can treat any condition in an acute care setting that they could treat in an office setting. While this may have some practical applicability, it will not cover the RNP for practicing outside his/her scope. The condition that led to the patient’s hospital admission may influence the treatment of even the simplest condition. For example, an RNP may be very competent at treating urinary tract infections (UTI) in an office setting. However, when a patient is admitted to the hospital with a diagnosis of dehydration, diarrhea and acute renal failure and subsequently develops a UTI, that patient needs a different treatment approach than an ambulatory client with an episodic illness. The primary care RNP’s educational preparation and supervised clinical practice did not include this content. Therefore, absent additional formal training, independent management of this particular patient’s UTI would be considered outside the scope of primary care nurse practitioner practice. 2. How does my experience as an RN expand my RNP scope of practice? Your experience as an RN may give you some familiarity with a particular patient population but does not determine your scope of practice as a nurse practitioner. Your RNP scope is based on the didactic education and clinical practice obtained in your RNP program. 3. Can a primary care RNP write hospital orders? The Nurse Practice Act allows for primary care RNPs to write orders for hospitalized patients within their scope and limits of the specialty area. Employers may choose to be more restrictive than the nurse practice act, but they cannot be less restrictive. RNPs who choose to practice in those more restrictive environments must discuss any concerns they NORTHERN ARIZONA UNIVERSITY College of Health and Human Services Assistant/Associate Professor and Assistant Clinical Professors School of Nursing Salaries are very competitive. The School of Nursing seeks innovative, enthusiastic individuals who have a passion for nursing and a desire to build strong nursing education programs. Openings include: 1 Assistant/Associate Professor, 1 Assistant Clinical Professor on the Flagstaff Mountain Campus, 1 Assistant Clinical Professor in Yuma, Arizona and 1 Assistant Clinical Professor in Tucson, Arizona. The programs include traditional, accelerated, RN to BSN and American Indian Reservation based students as well as master’s degree programs with a specialty in Family Nurse Practitioner, Nursing Education, and Nurse Generalist. Experience as a Nurse Practitioner is preferred. 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Minorities, veterans and individuals with disabilities are strongly encouraged to apply. 12 arizona STATE BOARD OF NURSING Regulatory Journal have about practice policies that are more restrictive than the NPA with the facility administration. 4. Can a primary care RNP perform invasive procedures? The Board does not maintain a list of approved procedures. In general, primary care RNPs may only perform primary care procedures within the limits of their scope and the demonstrated and evaluated competency of the RNP. First and foremost, the patient and procedure must be appropriate to the RNP scope of practice. The condition necessitating the procedure must be one that the RNP is educationally and experientially prepared to manage. The RNP must have demonstrated and evaluated competency in the procedure. Consistent with A.A.C. R4-19-508 (C), education should consist of formal didactic learning and supervised documented clinical practice as prescribed by an accrediting body, accredited university, or professional association. Finally, the RNP must be able to recognize and manage complications including emergencies that would result from the procedure. If the patient’s acuity level requires an invasive procedure and management in an acute care setting, this suggests that the sole management of the patient is beyond the scope of practice of the primary care RNP. 5. If a procedure is illegal in Arizona, but legal in other states, is it within the scope of practice for an RNP to perform the procedure in Arizona? No, the Board’s authority to regulate nursing practice comes from legislatively enacted statutes. The broad scope of RNP practice is contained in the statutory definition of registered nurse practitioner (see ARS § 32-1606 (15) below). If the legislature subsequently prohibits an RNP from performing an activity, for whatever reason, that activity is clearly outside the legal scope of practice. 6. Does scope of practice change based on the scarcity of acute care RNP programs and graduates in Arizona? No. Scope of practice is based on formal education and supervised clinical practice within the basic RNP program. The scarcity of appropriate programs for training acute care nurse practitioners does not allow others without that training to assume the role. 7. Can a primary care RNP who successfully completes life-support education (ACLS, PALS or NRP) run a code in a hospital? An RN (including NP) may provide care consistent with the recognized guidelines of the organization offering the life-support course. The provider with the highest level of training and proficiency in resuscitative procedures should direct the code. 8. I completed an acute care nurse practitioner program before there was a recognized specialty or exam so was certified as an adult NP. What is my scope of practice? The Board recognizes that with emerging specialty populations, there is often confusion and occasionally inconsistent certification due to lack of a certification exam or approval of the specialty. RNP scope of practice is based on the didactic and clinical education obtained in the basic RNP program. Prior to the emergence of the acute care specialty, some pediatric NP programs may have contained both a primary and acute care focus, and some adult NP programs may have included either a primary or acute care track. Graduates of programs that included an acute care focus or track may qualify for acute care certification, and their educational preparation would support acute care practice. For consistency, the Board would advise that graduates pass the acute care national certifying exam (if qualified) and seek additional Board certification. The Board recognizes that not all graduates of these programs will qualify for the exam, especially if the program was not part of a graduate degree program. Applicable Regulations ARS § 32-1606 Definitions 15. “Registered nurse practitioner” means a professional nurse who: (a) Is certified by the board. (b) Has completed a nurse practitioner education program approved or recognized by the board. (c) 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 exam is not available. (d) Has an expanded scope of practice within a specialty area that includes: (i) Assessing clients, synthesizing and analyzing data, and understanding and applying principles of health care at an advanced level. (ii) Managing the physical and psychosocial health status of clients. (iii) Analyzing multiple sources of data, identifying alternative possibilities as to the nature of a health care problem and selecting, implementing and evaluating appropriate treatment. (iv) Making independent decisions in solving complex client care problems. (v) 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. (vi) 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. (vii) Delegating to a medical assistant pursuant to section 32-1456. (viii) Performing additional acts that require education and training as continued >>> To learn more about nursing and allied health employment opportunities at Havasu Regional Medical Center visit our website at havasuregional.com heart HIRING THE O F O U R H O S P I TA L Join Havasu Regional Name’s) Medical Center’s Join (Hospital talented talented team of team healthcare of healthcareprofessionals serving our community. professionals serving the (City Name) community. INSERT HOSPITAL LOGO arizona STATE BOARD OF NURSING Regulatory Journal 13 <<< continued from previous page prescribed by the Board and that are recognized by the nursing profession as proper to be performed by a nurse practitioner. ARS § 32-1606 B. The board shall: 12. Adopt rules establishing those acts that may be performed by a registered nurse practitioner in collaboration with a licensed physician. R4-19-508. Scope of Practice of a Registered Nurse Practitioner A. An RNP shall refer a patient to a physician or another health care provider if the referral will protect the health and welfare of the patient and consult with a physician and other health care providers if a situation or condition occurs in a patient that is beyond the RNP’s knowledge and experience. B. In addition to the scope of practice permitted a registered nurse, a registered nurse practitioner, under A.R.S. §§ 32-1601(15) and 32-1606(B)(12), may perform the following acts within the limits of the specialty area of certification: 1. Examine a patient and establish a medical diagnosis by client history, physical examination, and other criteria; 2. For a patient who requires the services of a health care facility: a. Admit the patient to the facility, b. Manage the care the patient receives in the facility, and c. Discharge the patient from the facility; 3. Order and interpret laboratory, radiographic, and other diagnostic tests, and perform those tests that the RNP is qualified to perform; 4. Identify, develop, implement, and evaluate a plan of care for a patient to promote, maintain, and restore health; 5. Perform therapeutic procedures that the RNP is qualified to perform; 6. Prescribe treatments; 7. If authorized under R4-19-511, prescribe and dispense drugs and devices; and 8. Perform additional acts that the RNP is qualified to perform. C. An RNP shall only provide health care services within the nurse practitioner’s scope of practice for which the RNP is educationally prepared and for which competency has been established and maintained. Educational preparation means academic Come find your place 2 shine! coursework or continuing education activities that include both theory and supervised clinical practice. References Klein, T. (2008) Credentialing the nurse practitioner in your workplace: Evaluating scope for safe practice. Nursing Administration Quarterly. 52 (4) 273-278. Kleinpell, R., Hravnak, M., & Hinch, B. (2008) Developing an advanced practice nursing credentialing model for acute care facilities. Nursing Administration Quarterly. 52 (4) 279-287. Swenson, D. (2006) Advanced registered nurse practitioners: Standards of care and the law. Journal of Legal Nurse Consulting. 17 (4) 3-6. The National Organization of Nurse Practitioner Faculties (2002). Nurse Practitioner Primary Care Competencies in Specialty Areas; Adult, Family, Gerontological, Pediatric, and Women’s Health. Available at www.nonpf.org. Accessed July 2,2009. The National Organization of Nurse Practitioner Faculties (2004). Acute Care Nurse Competencies. Available at www. nonpf.org. Accessed July 7, 2009. • Complex Case Mgr (RN/NP-CCM Pref.) High $60’s/year • Prior Authorization (PA/NP/RN/LPN-CCM) Mid $60’s/year • QM Delegation & Oversight (RN/LPN) Low-Mid $60’s/year • Hospice Clinical Director, Cntrl. Phx. (DOE) $80K+/year • Case Mgr, Hospice Hm Visits, E Valley (RN) to $69K/year • LPN Triage- Pulmonary Exp. $19--$24 hour DOE REGISTERED NURSES Join our growing team of caring professionals at Aurora Behavioral. RNs to work in free-standing 90-bed psychiatric hospital in Glendale. Successful candidates must have psychiatric experience and be able to pass background check and fingerprinting. Aurora offers competitive compensation and benefits package and shift differential. Pool positions also available. Apply at lauramiller@aurorabehavioral.com or fax to 623-344-4451 Aurora Behavioral Health System 6015 W. Peoria Avenue, Glendale, Arizona 85302 Fax: 623-344-4451 lauramiller@aurorabehavioral.com www.aurorabehavioral.com aplace2shine.com • 623-215-7488 14 arizona STATE BOARD OF NURSING Regulatory Journal RN/LPNs: LESS THAN ONE MONTH TO RENEW If Your License is Due For Renewal on APRIL 1 Q How many nurses are due to renew their license by April 1, 2010? A There are still approximately 16,000 licensed nurses that are due for renewal by APRIL 1, 2010. As you read in the September 2009 Arizona State Board of Nursing Regulatory Journal, the due for renewal date for RN/LPNs has changed from June 30 to April 1, in the year that you are due to renew. If your paper license shows a renewal date of 6/30/10, please note that the renewal date has been changed to April 1, 2010. Q What are the changes since I last renewed my license? Q What documentation must I submit for proof of citizenship/lawful presence? Q What is the fastest way to renew and get my license? A Two years ago, the Board implemented ARS 1-504 (HB2467), requiring ALL applicants to provide Board with satisfactory documentation demonstrating each applicant’s citizenship, alien status, legal residency, or lawful presence in the United States. Documentation needs to be submitted to the Board only once, unless it is a time limited document. A The most frequently received/acceptable documents are a copy of your birth certificate OR a copy of your U.S. passport, even if it is expired. A copy of your Social Security card or driver’s license is NOT acceptable. A complete list of the acceptable documents can be found on the Board’s web site at www.azbn.gov, click on New Proof of Citizenship or Nationality Requirements, then click on Statement of Citizenship and Alien Status Form. Your license will not be renewed until the documentation is received. A Check your paper license to see if it says you are due to renew June 30, 2010; if yes, the date has been changed to APRIL 1, 2010. • Renew online right away. Go to www.azbn.gov and click on “my services” • Mail in, or scan and e-mail in, the cover sheet (found on the Web site under New Proof of Citizenship or Nationality Requirements) AND a copy of your documentation. This can be done before or after you renew on line. • Remind nurses that you work with about the change in the renewal date so they will not be late in renewing. • Go to the website and click on “License Verification” to see when your license is renewed. arizona STATE BOARD OF NURSING Regulatory Journal 15 “Scope of Practice Ghost” By Judy Bontrager, RN, MN Associate Director, Operations & Licensing Changes in health care delivery are occurring in health care organizations throughout the nation in response to health care needs of society, technical advancements, and the expansion of scientific knowledge. These changes frequently lead to role confusion and questions about the Scope of Practice of the RN and LPN. A recent nurse’s blog, on one of the nursing web sites, was about the “Scope of Practice Ghost.” The nurse stated they had read the Nurse Practice Act about eight times and also had “looked through every inch of the Board of Nursing’s website” and could not find references to the scope of practice (SOP) except in the SOP committee minutes. So what three “Ghost Busters” are available to Arizona nurses? 1.) The first source to be referenced is the Nurse Practice Act. The Nurse Practice Act broadly defines the scope of practice for a LPN, RN, CNS, and NP in the statutes under definitions found in ARS 32-1601. The LPN has seven activities under their scope of practice, and the RN has thirteen. The rules further define the scope of practice for a CNA (R4-19-813), an LPN (R4-19-401), an RN (4-19-402), a CNS (R4-19-514), a NP (R4-19-508) and a CRNA (R4-19-516). 2.) A second way to understand scope of practice is through Arizona Revised Statute §32-1606 (2) that states the Board may publish advisory opinions regarding registered and practical nursing practice and nursing education. An advisory opinion adopted by the Board is a contemporary interpretation by the Board of what the law requires. While an advisory opinion is not law, it is more than a recommen- dation and is an official opinion of the Arizona Board of Nursing regarding the practice of nursing. 3.) The Board of Nursing has multiple requests each day from nurses, health care facilities, managed care entities, and other regulatory agencies for information about the RN and LPN scope of practice. Because of the frequency of the calls, the Board established a separate telephone number to address scope of practice questions at 602-771-7880. When nurses call into the Board with practice questions, specific questions are considered: • Is the practice permitted by Arizona Nurse Practice Act? • Is the practice precluded under any other law, rule, or policy? • Is the act supported by the standards of nursing practice or scope of practice statements from professional nursing organizations, or is there other research data in nursing and health related literature? • If needed, has the nurse completed special education to possess the ap- The pay, the benefits, the bonus, the caring, the opportunity is yours with... RNs! RNs! RNs! You’re invited to join our dynamic registry. Health Temp, Arizona’s largest and most respected agency offers: • Top Wages • Block Assignments • Daily Pay • Local Assignments • Sign On Bonus • Statewide Assignments • Direct Deposit • Priority Contract • Credit Union • Individual Insurance All RN Areas Available. Call 602-234-1944, 520-577-9088 or 800-486-8367 for additional info. w w w. h e a l t h t e m p . c o m 16 arizona STATE BOARD OF NURSING Regulatory Journal propriate knowledge? • Is there documented evidence of the competency and skill? • Would a reasonable and prudent nurse perform the act? • Is the nurse prepared to respond to any untoward consequences of action? Who develops and makes recommendations to the Board regarding advisory opinions? The Arizona State Board of Nursing Scope of Practice Committee is composed of 22 members appointed by the Board of Nursing. The committee has a diverse membership, including staff nurses, administrators and faculty members, which represent various urban and rural health care settings throughout the state. RN and LPNs submit resumes to the Board for consideration of this appointment. The selected individuals serve for a two-year term and may request reappointment for a second term. The Scope of Practice committee meeting is open to the public. If you have an interest in serving on the SOP committee, submit your resume to Judy Bontrager, AZ State Board of Nursing, 4747 N. 7th Street, Suite #200, Phoenix, AZ 85014. The next selection of members will be in March, 2011. In summary, the rapid changes in health care delivery frequently lead to questions about scope of practice for the RN and LPN. The Nurse Practice Act, the Board approved advisory opinions, or a call to the Board’s scope of practice line are ways to find information to address questions. You’ve arrived. Arizona State Board of Nursing Job Opening: NURSE PRACTICE CONSULTANT and JD RN Nurse Practice Consultant Position There is an opening at the Arizona State Board of Nursing for a full-time nurse practice consultant and a JD RN Nurse Practice Consult Position. The primary duties of this position are to investigate allegations of nurse practice act violations by licensed nurses. The position requires a Master’s Degree in nursing or related field. The successful candidates will have excellent written and oral communication skills, the ability to objectively obtain and analyze information, knowledge and applicability of the nurse practice act including scope of practice and standards of care, and effective time management skills. For more information, please contact Valerie Smith, RN, MS, FRE, Associate Director, Investigations and Compliance, at 602-771-7804 or vsmith@azbn.gov. You’ve put years of hard work, education and training into establishing a great career for yourself. Your compassion and commitment to quality caring have placed you among the best in the profession. Now it’s time to enjoy the incomparable rewards of a career with Yavapai Regional Medical Center in Prescott, Arizona. The acuity and advanced technology are just what you’re used to. But living here is far beyond the expected. Please apply now for future openings in: •Cath Lab/Angio Suite •Perinatal/Gyn Services •Emergency Department •ICU, CVICU, CVOR •Med/Surg/Tele •Surgical Services To take the first step, visit us online at: www.yrmc.org. If you are a qualified candidate for any of these positions, please apply online or e-mail resumes to VIPCareerNetwork@yrmc.org. For further information, contact our recruiter at 877-976-9762. Two great hospitals. One caring spirit. arizona STATE BOARD OF NURSING Regulatory Journal 17 EDUCATION CORNER By Pamela Randolph, RN, MS Associate Director Education and Evidence Based Regulation NURSING PROGRAM PLANNING IN ARIZONA The Education Advisory Committee, a non-binding advisory body to the Arizona State Board of Nursing, has expressed concern that the rapid expansion and proliferation of nursing programs in Arizona may not result in high quality and adequate numbers of registered nurses in the future. Some observations that prompted the committee’s concern are: • The continued low ratio of BSN to AD grads in Arizona • The low completion rates for RN to BSN programs • Increased the number of nurses serving rural and other underserved areas For a complete copy of the paper, please visit our website at http://www.azbn.gov/documents/education and click on Nursing Program Expansion Fact Sheet. • Continued shortages of qualified, competent faculty Board Actions on Education Matters November 2009 • Shortages of available clinical placements for students in medical-surgical acute care, psych-mental health, pediatrics and maternity. • Discontinue offering the CNA exam in Spanish and allow English Language Learners to bring a translation dictionary to the exam The Committee believes that the nursing shortage will become more evident and critical as the economy recovers. Nurses will be required to care for patients from increasingly diverse cultural backgrounds presenting with multiple co-morbidities in addition to a growing elderly population with unique health care demands. • A Notice of Deficiency was issued to Central Arizona College RN Program for failure to implement their evaluation plan, a violation of R4-19-201(I). In order to examine evidence to determine if there is a need for planning, Board staff reviewed multiple sources of information describing nursing work force needs and health issues facing Arizona. They also examined data related to the current supply of nurses and employment opportunities. Based on the evidence gathered, a paper supporting the need for planned nursing program expansion was crafted. The Committee concluded that our population would be better served if Arizona: • A Notice of Deficiency was issued to East Valley Institute of Technology for failure to provide an effective curriculum, a violation of R4-19-206, and the Board restricted admissions to the program until the program was granted full Board approval. • Approved the proposal from Brown-Mackie College to offer an associate degree RN program • Approved request by Grand Canyon University to increase the length of their basic BSN program • Lifted the deficiency status from University of Phoenix LPN to BSN program • Increased the proportion of nurses prepared at the baccalaureate level for initial licensure to enhance patient outcomes and provided a future pipeline for faculty for all programs • Approved the proposal from Brookline College to offer an accelerated generic BSN program • Reduced barriers and increased early access to BSN completion programs and developed strategies to decrease attrition in BSN completion programs • Granted continuing approval with a report in six months on potential deficiencies of the Associate Degree RN programs with optional PN at: January 2010 • Increased capacity in public pre-licensure RN programs o Mesa Community College • Encouraged nursing program curriculum reforms including: care of vulnerable populations; cultural competence; care of aging clients; integration of EBP, pathophysiology and technology into nursing courses; and nursing courses based on traditional populations of care o Phoenix College • Increased nurses prepared at the graduate level in programs focusing on teaching and advanced practice, particularly CNS 18 • Increased the proportion of Hispanic/Latino and male nurses to better reflect the population demographics of the state arizona STATE BOARD OF NURSING Regulatory Journal o Estrella Mountain Community College o GateWay Community College • Approved the Acute Care Nurse Practitioner Program at Grand Canyon University. • Dismissed a complaint against Excelsior College • Approved revisions to the CNA Manual Skills Exam VOLUNTEERS NEEDED Reach for the PEAK of your career. The Arizona State Board of Nursing is seeking volunteer RNs to participate in “Measuring Competency with Simulation,” a study funded by National Council of State Boards of Nursing (NCSBN) in partnership with Arizona State University, College of Nursing and Health Innovation, and Scottsdale Community College Nursing Program. The study partners are seeking recently licensed RNs (initial license in last 3 years) to engage in highfidelity simulated care of medical-surgical patients. The Board is also seeking subject matter experts who possess a BSN or higher, 3 years experience in medicalsurgical nursing, and experience evaluating the nursing care of others. If you are interested in either of these unique opportunities to participate in this landmark study, please contact Carol Frazier at 480425-6909. For additional information visit the Board website www.azbn.gov under Education/NCSBN Simulation Grant. You will at Scottsdale Healthcare, located in Scottsdale, Arizona! With two of our hospitals, Scottsdale Healthcare Shea Medical Center and Scottsdale Healthcare Osborn Medical Center, achieving Magnet status — we are an outstanding place to grow your career! Our third and newest facility, Scottsdale Healthcare Thompson Peak Hospital is the Valley’s first and only hospital north of the Loop 101 freeway. At each of our three facilities, you’ll experience advanced technology, supportive management and exceptional opportunities for professional development. Registered Nurses Our nurses enjoy: working for an employer who gives back to their local community, flexible work schedules, lift-assisted environment, excellent compensation and benefits package, on-site childcare services and tuition assistance. Relocation is available for specific positions. To learn more about us and our opportunities, visit: www.shc.org/employment EOE/AA M/F/D/V Arizona State Board of Nursing Newsletter “ I love working at a caring community 02/13/2010 hospital where the patients and staff is very quickly becoming 1950296-PHPC36080 connect like family. the employer of choice in the west. As the premier provider of SCOHEA Avalon Health Care “ WA Debi 5.125” Johnson,xRN 4.875” healthcare in Arizona, California, Hawaii, Washington, and Utah, Patient Care has always been a top priority here. We are always Adrianna Join a Team that Values Its Staff!Pasquale v.1looking for likeminded individuals who can continue our tradition of providing excellent quality of care, and who would like to grow Come see the difference. with us as we continue to build our service alliance! At Casa Grande Regional Medical Center (CGRMC), our 187-bed state-of-the-art medical facility is a place you can call home. We’re also here for our nurses, providing them with a teamwork environment where they are valued and appreciated. RNs Our affiliated facilities employ licensed registered, practical nurses, and certified nurse aids in addition to leadership and support positions. We provide competitive pay and excellent benefits. Come join our exciting, fulfilling and caring environment!! For more information and to apply, please visit our website at www.AvalonHCI.com. BENEFITS INCLUDE: • Market leading salaries • Excellent benefits package • Sign-on bonuses • No hassle commute UT CA AZ We are conveniently located between Phoenix and Tucson in Casa Grande. If you would like to be a part of our team, please fax your resume to (520) 381-6615. HI Call us toll free at (866) 890-3588 www.casagrandehospital.com EOE arizona STATE BOARD OF NURSING Regulatory Journal 19 Clinical Excellence in Telephonic Nursing AA/EOE To learn more and apply online. visit our website http://www.carewisehealth.com/corp/about/careers.stm Empower your intellect and critical thinking skills Make a difference as a SHPS’ RN-Disease Manager We are actively seeking experienced Disease Management RNs at our Scottsdale, AZ site. Take advantage of a chance to practice a higher level of nursing and proactively improve your patient’s health. How do you build tHe instincts to make life-and-deatH decisions witHout endangering lives? Put nurses into real-life situations, like those in our new Nursing Simulation Lab. Our faculty use high- and medium-fidelity simulators to help nurses develop critical thinking, communication and teamwork skills in a fully immersive learning environment. The role of nursing professionals in the area of health policy continues to grow, as nurses offer an informed perspective based on their direct delivery of health care to diverse populations. Making health systems work better for patients requires more than clinical skill, yet few nurses have the education or background to teach, research or implement health policy initiatives. Recognizing the need to increase the number of nurses who are educated specifically to develop and influence health policy, the University of New Mexico College of Nursing established the Robert Wood Johnson Foundation Doctor of Philosophy with a concentration in Health Policy. The program aims to prepare doctoral-level nurses to become leaders in health policy at the local, state and national levels through their research and advocacy. It particularly targets those from underserved populations in the Southwest, including Hispanics and Native Americans. Annually, the program offers generous financial support for full-time study to three doctoral students. The financial support provided by the program includes tuition, health insurance, living expenses, resources for computers, books and travel. For More Information making nurses more confident and caring. nursing center | PHoenix camPus PHoenix.edu/arizona For more information about the RWJF Ph.D. in Nursing with a concentration in Health Policy, visit our Web site at www.nursinghealthpolicy.org, write to us at CON-RWJF@salud.unm.edu or call (505) 272-4578. Additional information can also be found by visiting: University of New Mexico College of Nursing http://hsc.unm.edu/consg. MSC 09 5350 1 University of New Mexico Albuquerque, NM 87131-0001 The Bachelor of Science in Nursing and Master of Science in Nursing programs are accredited by the Commission on Collegiate Nursing Education (www.aacn.nche.edu). © 2010 University of Phoenix, Inc. All rights reserved. LE1707 20 arizona STATE BOARD OF NURSING Regulatory Journal Arizona State Board of Nursing 2011 Eighth Annual CNA Educators Retreat Safety First By Karen Gilliland Administrative Assistant-Education Certified Nursing Assistant Essay Competition Safety First will be the theme for the upcoming 2011 Eighth Annual CNA Educators Retreat. Program planners are already working on designing an educational forum that will provide information, tools and strategies for educators to teach safety in CNA practice. One of the highlights of the 2011 program will be a CNA Panel Presentation! The Arizona State Board of Nursing is inviting certified nursing assistants to submit a short essay discussing their experience in practice and patient safety. Winners of the competition will attend the CNA Educators Retreat at no cost and participate in the panel presentation. RULES • Submissions must be from certified nursing assistants active and in good standing currently in CNA practice • Essays submitted for consideration must be prepared by the CNA and be original work • Only one submission per person • Submissions must be received no later than May 1, 2010 REQUIREMENTS • Essays must not exceed 500 words • Essays must be typed, double spaced, Microsoft Word format • Entries must include the candidates full name, certification number, and contact information (e-mail address, daytime telephone number, and physical address) • Entries may be submitted electronically to kgilliland@azbn.gov or by US mail to AZBN, 4747 N. 7th St., Phoenix, AZ 85014, Attn: CNA Educators Retreat Essay Competition JUDGING Entries will be reviewed and evaluated by Board staff and members of the 2011 Eighth Annual CNA Educators Retreat Planning Committee. Winners of the competition will be notified by July 1, 2010. The Arizona State Board of Nursing reserves the right to reject any entry that is not in compliance with the rules and requirements outlined above. Contest winners agree to allow the Arizona State Board of Nursing to post their essays on the AZBN website and use their names and essays in future educational programs or events. The Path to Excellence Starts Here! Northern Arizona Healthcare is the largest healthcare provider in Northern and Central Arizona. We are dedicated to providing our communities with the highest quality care available and achieve this mission by utilizing the most advanced technology to assist our staff and encouraging our patients to take an active role in their treatment. With more that 200 beds, Flagstaff Medical Center is the only state-designated Level I Trauma Center in Northern Arizona. FMC provides state-of-the-art healthcare that includes open heart surgeries, bariatric services, the only PICU in Northern Arizona and a wide variety of out-patient services. Verde Valley Medical Center is 99-bed hospital with 3 satellite locations in the Verde Valley. VVMC is the only location in the Verde Valley to provide patients with on-site angioplasty and stent placement services. We currently have opportunities for experienced RNs on our Med/Surg unitswhich are equipped with 24/7 telemetry monitoring capabilities. To learn more about opportunities at NAH and the communities that we serve, please visit www.nahealth.com/careers. arizona STATE BOARD OF NURSING Regulatory Journal 21 CNA Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 *Not reported in previous Journal effective date name certificate discipline violation(s) 12/29/2009 Adams, Allison P. CNA Applicant Certificate Denied Criminal Conviction 11/30/2009 Alcott, Shirley CNA838818353 Decree of Censure Patient Abuse 11/25/2009 Alvarez, Michelle A. CNA999999078 Voluntary Surrender Alcohol or Other Substance Abuse 1/4/2010 Anderson, Felicia M. CNA999991250 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 1/4/2010 Baltazar, Alvin D. CNA1000011829 Revoked Failure to Meet Licensing Board Reporting Requirements; Violation of Federal or State Statutes, Regulation or Rules; Misappropriation of Patient Property or Other Property 12/28/2009 Begay, Letonya CNA1000011484 Civil Penalty Criminal Conviction; Negligence 10/26/2009 Bellesia, Nicole A. CNA Applicant Suspension Failure to Cooperate With Board Investigation 10/21/2009 Benedict, Ashley A. CNA Applicant Certificate Denied Deferred Adjudication ; Failure to Cooperate; Violation of Federal or State Statutes, Regulation or Rules 11/6/2009 Beuerle, Ashley M. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 12/4/2009 Bizzell, Delbert W. CNA1000003591 Civil Penalty Failure to Comply with Health & Safety Requirements 1/4/2010 Board Watson, Montoyia S. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation; Failure to Comply with Health & Safety Requirements 12/7/2009 Bruns, Timothy J. CNA1000022595 Civil Penalty Criminal Conviction 1/4/2010 Bryant, Lashawnda D. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 1/19/2010 Cabanila, Shirley M. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation; Fraud/ Deceit or Material Omission in Obtaining License or Credentials 11/18/2009 Capistran, Matthew J. CNA1000022388 Stayed Revocation Criminal Conviction 1/4/2010 Casillas, John C. CNA999952129 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 9/15/2009* Cassano, Maria Hilaria G. CNA1000006503 Stayed Revocation Patient Abuse 11/6/2009 Chambers, Carol J. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 10/26/2009 Coles, Jessica D. CNA1000011666 Stayed Revocation Criminal Conviction; Alcohol or Other Substance Abuse 9/15/2009* Cooper, Wilson CNA Applicant Certificate Denied Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 12/31/2009 Crabtree, Nadia C. CNA1000018420 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 11/5/2009 Crittenden, Jonathan W. CNA999987191 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 11/6/2009 Daniels, Apryl L. CNA Applicant Certificate Denied Violation of Federal or State Statutes, Regulation or Rules; Failure to Cooperate With Board Investigation 11/5/2009 Danison, Renee S. CNA648499173 Revoked Alcohol or Other Substance Abuse 11/18/2009 Darius, Geralda C. CNA1000007692 Stayed Revocation Patient Neglect; Substandard or Inadequate Care; Failure to Disclose 11/17/2009 Davis, Diana L. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 11/5/2009 De La Garza, Daniel CNA1000012063 Revoked Sexual Misconduct 1/19/2010 Dennis, Erica M. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 9/30/2009* Dickerson, Johnny G. CNA Applicant Certificate Denied Alcohol or Other Substance Abuse; Sexual Misconduct; Failure to Cooperate With Board Investigation 1/4/2010 Didley, Brandy L. CNA999952491 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 11/5/2009 Dockendorf, Joy E. CNA806973641 Revoked Alcohol or Other Substance Abuse 11/6/2009 Duff, Traci L. CNA1000004447 Revoked Alcohol or Other Substance Abuse; Violation of or Failure to Comply with Licensing Board Order 12/17/2009 Esquer, Melissa CNA1000011602 Stayed Revocation Patient Abuse; Substandard or Inadequate Care; Misappropriation of Patient Property or Other Property 12/28/2009 Estrada, Joseph M. CNA Applicant Certificate Denied Violation of Federal or State Statutes, Regulation or Rules 10/9/2009 Fahey, Michaelene E. CNA1000017250 Civil Penalty Conflict of Interest 1/4/2010 Fehrenbacher, Linda R. CNA999996366 Revoked Alcohol or Other Substance Abuse 12/30/2009 Flory, Doyle J. CNA999996721 Voluntary Surrender Non-Sexual Dual Relationship or Boundary Violation 10/25/2009 Forbes, Michael L. CNA442805873 Civil Penalty Exploiting a Patient for Financial Gain 11/18/2009 Gardiner, Kaifai CNA999993663 Civil Penalty Negligence 10/27/2009 Gonzalez, Angel J. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 11/5/2009 Gorman, Alverta M. CNA992283103 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 1/19/2010 Graham, Andrea A. CNA999953240 Renewal Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes; Negligence 1/4/2010 Griswold, Diane R. CNA1000000075 Revoked Alcohol or Other Substance Abuse 9/29/2009* Haslam, Osman S. CNA Applicant Certificate Denied Narcotics Violation or Other Violation of Drug Statutes; Criminal Conviction 9/29/2009* Henley, Patricia M. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 1/4/2010 Hernandez, Candelario CNA999951153 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 10/30/2009 Hernandez, Estella I. CNA Applicant Certificate Denied Patient Abuse; Patient Neglect 10/15/2009 Hoffman, Marian M. CNA555452910 Voluntary Surrender Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 10/28/2009 Hoskie, Johnelle L. CNA Applicant Certificate Denied Criminal Conviction 11/18/2009 Howard, Maria E. CNA999948222 Civil Penalty Alcohol or Other Substance Abuse 1/4/2010 Huffman, Carolyn J. CNA1000000030 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 1/19/2010 Jimerson, Brandy L. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 11/29/2009 Jones, Daniel CNA233878943 Decree of Censure Unauthorized Dispensing of Medication 1/4/2010 Kasper, David B. CNA999999804 Revoked Criminal Conviction 10/1/2009 Kelly, Shannon M. CNA1000005568 Civil Penalty Patient Abuse; Failure to Disclose; Narcotics Violation or Other Violation of Drug Statutes 10/6/2009 Kieffer, Calli J. CNA1000021792 Civil Penalty Criminal Conviction 9/30/2009* Kreutzer, Aimee L. CNA Applicant Certificate Denied Deferred Adjudication; Failure to Cooperate With Board Investigation 10/28/2009 Lange, Vena M. CNA Applicant Certificate Denied Failure to Cooperate With Board Investigation; Criminal Conviction 12/1/2009 Lee, Linda F. CNA933654537 Stayed Revocation Patient Abuse; Failure to Comply with Health & Safety Requirements 1/4/2010 Lee, Marilyn CNA740058353 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 12/18/2009 Lee, Wendy J. CNA1000013334 Revoked Patient Abuse; Filing False Reports or Falsifying Records; Patient Neglect 10/19/2009 Le-uh, Monica B. CNA1000005458 Civil Penalty Patient Abuse; Patient Neglect; Failure to Disclose 7/23/2009* Livingston, Ashley M. CNA1000007754 Stayed Suspension Failure to Meet Licensing Board Reporting Requirements; Criminal Conviction 10/2/2009 Livingston, Ashley M. CNA1000007754 Suspension Violation of or Failure to Comply with licensing Board Order; Drug Screening Violation 9/25/2009* Longfield, Brandy L. CNA Applicant Certificate Denied Criminal Conviction 1/4/2010 Longtin, Justin D. CNA999997209 Revoked Sexual Misconduct 1/19/2010 Lucio, Gloria A. CNA Applicant Certificate Denied Failure to Cooperate With Board Investigation; Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 9/25/2009* Malual, Khoor L. CNA999995846 Revoked Criminal Conviction; Patient Abandonment 12/22/2009 March, Journey L. CNA Applicant Certificate Denied Criminal Conviction; Alcohol or Other Substance Abuse; Failure to Cooperate With Board Investigation 1/15/2010 Marks, Chester B. CNA Applicant Certificate Denied Criminal Conviction 9/25/2009* Marquez, Rhesha A. CNA Applicant Certificate Denied Violation of Federal or State Statutes, Regulation or Rules; Failure to Cooperate With Board Investigation; Criminal Conviction 11/2/2009 Mazanec, Jeri CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 22 arizona STATE BOARD OF NURSING Regulatory Journal arizona STATE BOARD OF NURSING Regulatory Journal 23 CNA Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 effective date name Continued certificate discipline violation(s) 11/6/2009 Mcgarry, Leticia M. CNA Applicant Certificate Denied Criminal Conviction 12/6/2009 Mcgee, Deanna L. CNA1000022867 Civil Penalty Criminal Conviction 9/30/2009* Mcguire, Felicia S. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 11/5/2009 Mejorado, Luis G. CNA952426417 Revoked Unable to Practice Safely by Reasons of Physical Illness or Impairment; Violation or Failure to Comply with Licensing Board Order 12/14/2009 Miller, Myrna J. CNA031312803 Stayed Revocation Non-Sexual Dual Relationship or Boundary Violation; Patient Abuse 9/25/2009* Mitchell, Gloria J. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 12/15/2009 Moore, Estella CNA562187103 Civil Penalty Submitting False Claims 1/4/2010 Moore, Latanya T. CNA1000006086 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 1/4/2010 Nguyen, Bao Q. CNA1000007053 Revoked Patient Abuse 1/15/2010 Nield, Margaret M. CNA999947516 Decree of Censure Patient Abuse; Patient Neglect 12/24/2009 Oross, Amanda D. CNA Applicant Certificate Denied Criminal Conviction; Fraud/Deceit or Material Omission in Obtaining License or Credentials; Alcohol or Other Substance Abuse 1/4/2010 Ortiz, Luis A. CNA285720103 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 1/4/2010 Palmer, Dorine F. CNA999991919 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 12/22/2009 Pennie, Stephanie M. CNA1000018195 Revoked Violation of or Failure to Comply with licensing Board Order; Drug Screening Violation 10/27/2009 Pinder, Elizabeth T. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 9/30/2009* Powell, Mary L. CNA999992085 Civil Penalty Patient Abuse 11/18/2009 Price, Kaytie Lee CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 1/4/2010 Pryor, Amanda A. CNA1000008302 Revoked Alcohol or Other Substance Abuse 1/19/2010 Rasmusson, Emily M. CNA Applicant Certificate Denied Failure to Cooperate With Board Investigation; Criminal Conviction; Alcohol or Other Substance Abuse 1/4/2010 Rhymes, Hillary M. CNA1000002775 Revoked Alcohol or Other Substance Abuse; Criminal Conviction 10/30/2009 Rivera, Lucia D. CNA999996598 Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 10/27/2009 Roady, Craig C. CNA Applicant Certificate Denied Criminal Conviction 9/29/2009* Robinson, Marina R. CNA200151627 Stayed Revocation Patient Abuse 11/3/2009 Rondon, Danis K. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 1/19/2010 Rowan, Dannie L. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 11/28/2009 Rowley, Christine A. CNA1000022606 Civil Penalty Criminal Conviction 10/1/2009 Salazar, Dorsey M. CNA1000008470 Revoked Violation of or Failure to Comply with licensing Board Order; Drug Screening Violation 1/19/2010 Sandoval, Robert W. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 10/8/2009 Sandstedt, Michelle L. CNA Applicant Certificate Denied Criminal Conviction; Fraud/Deceit or Material Omission in Obtaining License or Credentials; Failure to Cooperate With Board Investigation 11/5/2009 Santos-flores, Oscar A. CNA1000013929 Revoked Violation of Federal or State Statutes, Regulation or Rules 1/4/2010 Schilousky, Ronda L. CNA999948761 Revoked Criminal Conviction; Fraud; Substandard or Inadequate Care 1/4/2010 Schroeder, Bonnie A. CNA999991083 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction Looking for Something New? VA NURSING “The VA is dedicated to improving the health of the served veteran population by providing primary care, extended care and related social support services in an integrated healthcare delivery system.” Benefits • 13-26 days paid annual (vacation/personal) leave each year, depending on years of service or position held (RNs earn 26 days) • 13 days sick leave per year (accrued) • 15 days paid annual military leave per year • 3 Tiered Retirement System (FERS) • Choice of Group Health Insurance options • Term Life Insurance options • Shift/weekend differentials • Education Assistance Programs • Continuing Education in a teaching environment • Transfer opportunities and more… You Dreamed of Being a Nurse. Now Become the Nurse You Dreamed of Being. Earn Your RN to BSN Online! RNs: Get 30 Credits Free! Contacts: Marietta Stites BSN, RN Nurse Recruiter 602-277-5551 ext 3108 marietta.stites@va.gov fax- 602-212-2089 24 arizona STATE BOARD OF NURSING Regulatory Journal Call 800-571-4934 JacksonvilleU.com/PC One of “America’s Best Colleges” U.S. News & World Report © 2009 All Rights Reserved. Made Available by University Alliance®– The Nation’s Leading Universities Online. SC: 191734zj1 | MCID: 2742 CNA Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 effective date name Continued certificate discipline violation(s) 12/23/2009 Snyder, Vicki J. CNA908311769 Stayed Revocation Patient Abuse w/Civil Penalty 1/4/2010 Solis, Ofelia CNA999995144 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 7/1/2009* Sombrero, Andrew L. CNA1000006857 Civil Penalty Failure to Meet Licensing Board Reporting Requirements; Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 10/9/2009 Sorensen, Desiree A. CNA1000021829 Civil Penalty Criminal Conviction 9/25/2009* Spann, Bryan L. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 1/4/2010 Spicer, Crystal L. CNA999998226 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 12/10/2009 Stephens, Chivonne D. CNA1000014396 Decree of Censure Patient Neglect; Patient Abuse 8/21/2009* Stephens, Rosalind L. CNA1000006528 Stayed Revocation Failure to Provide Medically Reasonable and/or Necessary Items or w/Civil Penalty Services; Filing False Reports or Falsifying Records 10/16/2009 Stewart, Denise K. CNA1000022223 Civil Penalty Deferred Adjudication; Criminal Conviction 10/28/2009 Thacker, Samantha V. CNA Applicant Certificate Denied Fraud/Deceit or Material Omission in Obtaining License or Credentials 10/6/2009 Thomas, Wilma T. CNA704099803 Civil Penalty Failure to Meet Licensing Board Reporting Requirements; Criminal Conviction 1/4/2010 Thompson, Garie M. CNA1000007412 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 9/3/2009* Triplett, Brandon E. CNA1000015686 Civil Penalty Fraud; Other-Unprofessional Conduct 12/17/2010 Triplett, Brandon E. CNA1000015686 Suspension Violation of or Failure to Comply with licensing Board Order 12/2/2009 Vargas, Anna M. CNA999987517 Decree of Censure Patient Abuse 10/21/2009 Walton, Camron C. CNA Applicant Certificate Denied Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 1/14/2010 Wesley, Wes M. CNA Applicant Certificate Denied Criminal Conviction 9/30/2009* Williams, Bridget L. CNA999952506 Voluntary Surrender Patient Abandonment 10/28/2009 Williams, Kimberly A. CNA Applicant Certificate Denied Criminal Conviction 11/18/2009 Williams, Velvet N. CNA1000006102 Decree of Censure Alcohol or Other Substance Abuse 1/6/2010 Winters, Jacqueline Y. CNA999996545 Civil Penalty Failure to Comply with Health & Safety Requirements; Practicing Beyond the Scope of Practice 11/18/2009 Yazzie, James CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 10/13/2009 Yirbecho, Mekonenne H. CNA1000012691 Voluntary Surrender Sexual Misconduct; Substandard or Inadequate Care; Disruptive Conduct 12/22/2009 Young, Jennifer R. CNA Applicant Certificate Denied Criminal Conviction; Failure to Cooperate With Board Investigation 11/9/2009 Zarate, Johnny M. CNA1000010975 Voluntary Surrender Patient Abuse; Sexual Misconduct; Substandard or Inadequate Care CNA Discipline - ACTION CLEARED Oct-Nov-Dec 2009, Jan 2010 effective date name LICENSE 12/3/2009 Alvarez, Ana CNA524899103 1/28/2010 Lucchesi, Gail S. CNA515341609 12/17/2009 Tam, Amri CNA1000018172 effective date name LICENSE 12/31/2009 Thompson, Keith CNA925401024 1/8/2010 Wall, Carmen M. CNA703712897 11/18/2009 Wheatley, Payton M. CNA999951614 Our greatest asset is This is the place for nurses with a deeper passion. Award winning patient care – like any advanced art – takes more than technical skill. It takes time. It takes support. And it takes a passion that comes from deep within. That’s why at University Medical Center, we seek those whose abilities and experience demonstrate the deepest level of caring. And though we are proud of our modern facilities, advanced technology and low nurse-to-patient ratios, we understand that they are simply tools and resources that empower us to provide the level of care that will inspire our patients. • RN Clinic Manager - Outpatient Surgical and Vascular Clinics • Experienced ED RNs • Experienced OR RNs • RN Case Managers To learn more about our rewarding career opportunities, please visit us online at www.umcarizona.org, email nurserecruitment@umcaz.edu or call 800-524-5929. We are an Equal Opportunity Employer. you Cobre Valley Community Hospital (CVCH) is dedicated to creating a healthy community and strong healthcare delivery system in the Globe-Miami region. Our 44-bed acute care facility located in Globe, Arizona, just an hour outside of the Phoenix Metropolitan Area, has a friendly small-town appeal, and is home to many beautiful lakes and mountain views that only central Arizona can offer. We currently have the following opportunity to join our CVCH family: Staff RN’s We offer competitive compensation, a superior benefits package, and relocation assistance for qualified candidates. For consideration, please mail/fax or email your resume, or call our Human Resources Department: 5880 So. Hospital Dr., Globe, Arizona 85501 Phone: 928.402.1125 • Fax: 928.425.7903 email: rmurphy@cvchospital.com EOE www.cvchospital.com Come join our family of healthcare professions where your positive attitude makes a difference. www.umcarizona.org arizona STATE BOARD OF NURSING Regulatory Journal CVCH 7299400 2-3 2.5x4.875 ABN.indd 1 25 2/3/10 10:53 AM RN/LPN Disciplinary Action *Not reported in previous Journal Oct-Nov-Dec 2009, Jan 2010 effective date name LICENSE discipline violation(s) 11/18/2009 Acosta, Annette L. RN085264/LP019407 Suspension Diversion of Controlled Substance, Filing False Reports or Falsifying Records, Fraud 12/8/2009 Alexander, Catherine A. RN115414/LP035913 Probation Substance Abuse 12/30/2009 Alexander, Philip M. RN099624 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 11/18/2009 Allen, Carolyn M. RN066689 Voluntary Surrender Failure to Comply with Licensing Board Order 11/18/2009 Allen, Kimberly A. RN090269 Decree of Censure Practicing Beyond the Scope of Practice, Filing False Reports or Falsifying Records 10/6/2009 Allen, Sandra E. RN118216 Stayed Revocation Failure to Comply with Licensing Board Order, Drug with Probation Screening Violation 1/13/2010 Arana, William RN106031/ Voluntary Surrender Practicing Beyond the Scope of Practice, Criminal Conviction, Unable to CNA368523017 Practice Safely 1/15/2010 Armijo, Randi L. RN146421/LP042646/ Stayed Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation CNA1000003391 with Probation 12/1/2009 Arnold, Kim S. LP030854 Decree of Censure Negligence, Substandard or Inadequate Care 1/8/2010 Ashcroft, Sheryl RN091566 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 10/1/2009 Atencio, Christina M. RN111867/LP035521/ Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation CNA999946753 11/16/2009 Austin, Shirley G. LP026550 Voluntary Surrender Failure to Comply with Licensing Board Order 12/30/2009 Badoni, Jennifer C. RN144710 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Failure to Maintain Adequate or Accurate Records, Diversion of Controlled Substance 1/4/2010 Baker, Phyllis L. RN086584 Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 11/6/2009 Bartling, Winnie J. RN049060 Revocation Unable to Practice Safely, Failure to Comply with Licensing Board Order 10/27/2009 Beals, Sandra L. RN062193/LP020513 Voluntary Surrender Failure to Comply with Licensing Board Order 10/7/2009 Bertsch, Brenda R. RN088670 Reissuance with Probation 1/16/2010 Bigley, Cindra L. RN Endorsement License Denied Failure to Cooperate with Board Investigation, Criminal Conviction 1/4/2010 Blunt, Jacqueline RN101903 Revocation Failure to Maintain Records or Provide Medical, Financial or Other Required Information 12/14/2009 Bower, Sheena A. RN147352 Decree of Censure Deferred Adjudication 11/6/2009 Bowman, Judith D. RN105835 Probation Narcotics Violation or Other Violation of Drug Statutes, Substance Abuse 11/16/2009 Brandt, Dashiell I. RN049069 Probation Narcotics Violation or Other Violation of Drug Statutes, Substance Abuse 11/3/2009 Brasher, Patricia D. RN071219 Voluntary Surrender Failure to Comply with Licensing Board Order 12/17/2009 Bridgewater, Elaine M. RN103649/LP033988 Suspension Unable to Practice Safely by Reason of Psychological Impairment of Mental Disorder 10/4/2009 Brinkley, Sandra D. RN093547/LP027013 Decree of Censure Filing False Reports or Falsifying Records, Failure to Maintain Adequate or Accurate Records 11/1/2009 Brookman, Pamela R. LP042515 Suspension Error in Prescribing, Dispensing or Administering Medication 12/14/2009 Buckler, Cheryl L. RN128378 Stayed Revocation Substance Abuse with Probation 12/4/2009 Calhoun, Jeanette L. RN149759 Decree of Censure Failure to Maintain Adequate or Accurate Records, Failure to Comply with Health & Safety Requirements 12/7/2009 Callan, Barbara L. LP011358 Decree of Censure Substandard or Inadequate Care, Filing False Reports or Falsifying Records, Error in Prescribing, Dispensing or Administering Medication 1/4/2010 Caraffa, Guy RN063537 Reissuance Stayed Revocation with Probation 1/8/2010 Casper, Diann L. RN155368 Voluntary Surrender Drug Screen Violation; Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance. 10/28/2009 Clampitt, Margaret R. LP001630 Decree of Censure Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Failure to Comply with Health & Safety Requirements 12/20/2009 Clark, Nancy W. RN078727 Decree of Censure Unauthorized Administration of Medication, Failure to Maintain Records or Provide Medical, Financial or Other Required Information 11/16/2009 Clouse, Sheryl A. RN106805 Voluntary Surrender Failure to Comply with Licensing Board Order 10/25/2009 Coleman, Michele L. RN103444 Decree of Censure Error in Prescribing, Dispensing or Administering Medication 12/30/2009 Conley, Jessica R. RN Endorsement License Denied Substandard or Inadequate Care 1/12/2010 Costal, Susan A. LP026576 Voluntary Surrender Failure to Comply with Licensing Board Order 10/11/2009 Crandall, Tara E. RN132937 Decree of Censure Failure to Maintain Records or Provide Medical, Financial or Other Required Information 10/8/2009 Cummings, Penny E. LP035975 Decree of Censure Substandard or Inadequate Care 1/21/2010 Cupp, Joseph L. RN149565 Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation 10/5/2009 Dare, Susan E. RN125777 Probation Criminal Conviction, Substance Abuse 10/3/2009 De La Pena, Tiffany K. RN136060 Civil Penalty Failure to Comply with Health & Safety Requirements, Breach of Confidentiality 12/7/2009 Deal-Sharp, Kathy M. LP012527 Probation Exploiting a Patient for Financial Gain 1/28/2010 Dekalb, Shanon T. RN147472 Decree of Censure Substandard or Inadequate Care, Failure to Consult or Delay in Seeking Consultation with Supervisor/Proctor 1/4/2010 Dipoli, Rebecca L. RN113915/LP036048 Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 1/3/2010 Downing, Bethany A. RN161114 Probation Criminal Conviction, Narcotics Violation or Other Violation of Drug Statutes 10/23/2009 Draxler, Sandra M. RN133203 Decree of Censure Substandard or Inadequate Care 12/26/2009 Drew, Elizabeth T. RN117517 Probation Substandard Care 9/1/2009* Eastwood, Peggy D. RN039440 Suspension Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/6/2009 Eastwood, Peggy D. RN039440 Probation Completed terms of Suspension, converted license to Probation 1/8/2010 Eastwood, Peggy D. RN039440 Voluntary Surrender Failure to Comply with Licensing Board Order 10/5/2009 Escobar, Yvonne M. RN117967/LP035571 Decree of Censure Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Error in Prescribing, Dispensing or Administering Medication 11/18/2009 Estavillo, Brian K. RN079722/CRNA0411 Summary Emergency Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Suspension Diversion of Controlled Substance, Immediate Threat to Health or Safety 11/19/2009 Estavillo, Brian K. RN079722/CRNA0411 Suspension Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance, Immediate Threat to Health or Safety 12/18/2009 Fahrner, Mae H. LP018691 Decree of Censure Fraud, Practicing Beyond the Scope of Practice 12/4/2009 Fleetwood, Rosalind L. RN052609 Decree of Censure Failure to Comply with Health & Safety Requirements, Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Substandard or Inadequate Care 26 arizona STATE BOARD OF NURSING Regulatory Journal RN/LPN Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 Continued effective date name LICENSE discipline violation(s) 12/30/2009 Fletcher, Nakisha N. RN138497 Decree of Censure Substandard or Inadequate Care 11/9/2009 Flowers, Barbara J. RN131144 Voluntary Surrender Patient Abuse 11/4/2009 Forcier, Kathleen E. LP039866/ Suspension Failure to Comply with Licensing Board Order CNA277017394 1/4/2010 Forrest, Ashley E. RN132742 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 10/20/2009 Frasier, Holly L. RN133228 Decree of Censure Fraud, Practicing Beyond the Scope of Practice 11/19/2009 Fulcher, Jeanne D. RN037765/AP0022 Probation Non-Sexual Dual Relationship or Boundary Violation 10/19/2009 Galletano, Victoria W. RN155375 Decree of Censure Drug Screening Violation 1/3/2010 Gaul, Jessica L. LP045043/ Stayed Revocation with Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, CNA999948145 Suspension Unable to Practice Safely 10/21/2009 German, Timothy R. RN080898 Reissuance with Suspension 10/9/2009 Gessner, Vickie R. LP032303 Decree of Censure Substandard or Inadequate Care, Misappropriation of Patient Property or with Fine Other Property 10/7/2009 Gesswein, Patricia A. RN022323 Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation 1/4/2010 Godwin, Donna E. RN122585 Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 1/22/2010 Gonzales, Diane H. RN042897 Voluntary Surrender Practicing Beyond the Scope of Practice, Fraud 11/16/2009 Graham, Thomas R. LP034000 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/12/2009 Grant, Kristy A. RN Exam License Denied Narcotics Violation or Other Violation of Drug Statutes 11/5/2009 Hagglund, Marjorie R. RN078065 Probation Substance Abuse 1/14/2010 Hair, Edward L. RN Endorsement Probation Substandard or Inadequate Care 10/12/2009 Halford, Cody L. RN145093 Civil Penalty Substance Abuse; Violation of Federal or State Statutes, Regulation or Rules; Failure to Cooperate 11/17/2009 Hall, Joyce L. RN Endorsement License Denied Criminal Conviction, Failure to Cooperate With Board Investigation 12/21/2009 Ham, Mary S. RN057308 Voluntary Surrender Failure to Comply with Licensing Board Order 10/5/2009 Hammarbeck, Michelle L. RN157243 Probation Violation of Federal or State Statutes, Regulation or Rules 1/4/2010 Hanish, Karen M. RN101396 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 11/17/2009 Hanna, Tamara RN Exam License Denied Deferred Adjudication, Criminal Conviction, Failure to Cooperate With Board Investigation 12/29/2009 Harder, Irvin L. RN076469/LP024187/ Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse CNA780413163 12/22/2009 Harelimana, Augustin RN151452 Decree of Censure Failure to Consult or Delay in Seeking Consultation with Supervisor/Proctor 12/3/2009 Harrington, Tameria L. RN103861 Probation Substandard or Inadequate Care, Failure to Maintain Records or Provide Medical, Financial or Other Required Information 12/29/2009 Harris, Marie A. RN118277 Stayed Revocation with Substance Abuse, Unauthorized Prescribing Medicine Probation 12/22/2009 Heard, Lee A. RN094404/ Suspension Failure to Comply with Licensing Board Order, Drug Screening Violation CNA614343509 12/14/2009 Hendricks, Kellae S. LP033550 Decree of Censure Filing False Reports or Falsifying Records, Substandard or Inadequate Care 1/12/2010 Hochberg, Joyce S. LP023465 Voluntary Surrender Failure to Comply with Licensing Board Order 10/5/2009 Holloman, Denise A. RN116561 Voluntary Surrender License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority, Criminal Conviction 10/7/2009 Hutchinson, Roxanne RN085568 Voluntary Surrender Failure to Comply with Health & Safety Requirements, Failure to Maintain Adequate or Accurate Records, Failure to Provide Medically Reasonable and/ or Necessary Items or Services 1/27/2010 Hyatt, James L. RN109959 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 10/14/2009 Jessup, Mark D. RN054441/LP017544 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Unable to Practice Safely, Narcotics Violation or Other Violation of Drug Statutes 11/10/2009 Jobson, Lisa M. LP039026 Voluntary Surrender Criminal Conviction, Failure to Cooperate With Board Investigation, Violation of Federal or State Statutes, Regulation or Rules 11/19/2009 Jorgensen, Karen RN131691 Suspension Failure to Comply with Licensing Board Order 12/14/2009 Juarez, Gina D. RN144569 Civil Penalty Criminal Conviction 10/8/2009 Judie, Wanda J. LPN Endorsement License Denied Failure to Cooperate With Board Investigation, Criminal Conviction, Fraud 10/1/2009 Kendall, Julia F. RN098088 Revocation Failure to Comply with Licensing Board Order, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/6/2009 Kirkpatrick, Carrie L. RN144135 Probation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 10/30/2009 Kirkpatrick, Katherine M. RN055871 Stayed Revocation Violation of or Failure to Comply with Licensing Board Order, with Probation Drug Screening Violation 1/28/2010 Knowlton, Robyn M. RN000099163 Civil Penalty Criminal Conviction, Failure to Meet Licensing Board Reporting Requirements LP031858/ CNA136875403 1/6/2010 Kratz, Paula C. LPN Endorsement License Denied Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/11/2009 Krause, Tisha L. RN114027/LP035651 Stayed Revocation Failure to Comply with Licensing Board Order, Unable to Practice Safely by w/Suspension Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 12/14/2009 Krause, Tisha L. RN114027/LP035651 Voluntary Surrender Failure to Comply with licensing Board Order 10/1/2009 Lao, Yujun J. RN145229 Suspension/Indefinite Practicing Beyond the Scope of Practice, Failure to Maintain Adequate or Accurate Records, Failure to Consult or Delay in Seeking Consultation with Supervisor/Proctor 11/12/2009 Lavy, Jody W. RN Endorsement License Denied Criminal Conviction, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 1/4/2010 Lowe, Teresa B. LP006247 Revocation Failure to Comply with Licensing Board Order, Unable to Practice Safely 11/6/2009 Machado, Kenneth RN095016 Revocation Criminal Conviction, Sexual Misconduct, Fraud, Deceit or Material Omission in Obtaining License or Credentials 11/23/2009 Mahunik, Piper M. RN131392 Probation Practicing Beyond the Scope of Practice, Unauthorized Administration of Medication 1/26/2010 Markin, Roxanna S. LP020035 Voluntary Surrender Impropriate or Inadequate Supervision or Delegation, Unable to Practice Safely 1/4/2010 Marsi, Lucy E. LP043680/ Revocation Exploiting a Patient for Financial Gain CNA999998325 10/13/2009 Mazna, Jacqueline M. RN150723 Stayed Revocation Narcotics Violation or Other Violation of Drug Statutes, Diversion of with Probation Controlled Substance arizona STATE BOARD OF NURSING Regulatory Journal 27 RN/LPN Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 effective date name Continued certificate discipline violation(s) 11/9/2009 McClain, Colleen RN133007 Suspension Unable to Practice Safely by Reason of Psychological Impairment of Mental Disorder, Diversion of Controlled Substance, Narcotics Violation or Other Violation of Drug Statutes 11/6/2009 McCloskey, Dolores A. LP033089 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 1/4/2010 McCormack, Ana M. LP044670 Probation Criminal Conviction 10/10/2009 McDonough, Kathryn E. RN047017 Decree of Censure Practicing Beyond the Scope of Practice 12/15/2009 McGeary, Sheryl A. RN139963 Probation Practicing Beyond the Scope of Practice 12/21/2009 McMurtrey, Kelly A. RN141471 Decree of Censure Unprofessional Conduct 11/18/2009 McNeill, Frankie A. RN061402/CRNA0122 Civil Penalty Criminal Conviction 1/4/2010 McPheron, Kristi L. LP044186 Stayed Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation, with Suspension Failure to Maintain Adequate or Accurate Records 11/19/2009 Mitchell, Lori A. LP036552 Suspension/Indefinite Failure to Comply with Health and Safety Requirements, Unable to Practice Safely by Reason of Psychological Impairment or Mental Disorder, Diversion of Controlled Substance 11/6/2009 Molyneaux, Pamela A. RN122335 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 12/11/2009 Moon, April D. RN071493 Decree of Censure Unauthorized Prescribing Medicine 11/1/2009 Moskal, Suzanne M. RN149770 Probation Failure to Maintain Adequate or Accurate Records, Filing False Reports or Falsifying Records 11/27/2009 Munoz, Simon M. RN120517 Stayed Revocation Failure to Comply with Licensing Board Order with Probation 12/28/2009 Murphy, Karen RN Endorsement License Denied Violation of Federal or State Statutes, Regulation or Rules 12/4/2009 Murray, Orlando RN148153 Decree of Censure Unprofessional Conduct 10/1/2009 Nacrelli, Linda RN145356 Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation 1/4/2010 Neal, William R. RN097393 Stayed Revocation Unable to Practice Safely by Reason of Alcohol with Suspension or Other Substance Abuse, Diversion of Controlled Substance 10/23/2009 Nwosu, Jude N. RN114528/ Reissuance Denied Failure to Cooperate With Board Investigation CNA999989630 10/17/2009 Parker, Barry D. RN075496 Probation Substandard or Inadequate Care 1/20/2010 Parker, Les P. RN103137 Reissuance Stayed Substance Abuse Revocation with Probation 12/11/2009 Parton, Nicolette I. RN092241/ Decree of Censure Filing False Reports or Falsifying Records CNA224805457 11/6/2009 Petraglia, Kimberly L. RN092440 Revocation Fraud, Deceit or Material Omission in Obtaining License or Credentials, License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 1/15/2010 Philip, Stephan RN146512 Voluntary Surrender Practicing Beyond the Scope of Practice, Substandard or Inadequate Skill Level 1/11/2010 Pietraszewski, Angela L. RN146638 Suspension/Indefinite Unable to Practice Safely by Reason of Psychological Impairment of Mental Disorder 11/1/2009 Polikoff, Michelle RN126809 Probation Error in Prescribing, Dispensing or Administering Medication, Filing False Reports or Falsifying Records 1/8/2010 Quinn, Delora J. LP042649 Suspension Unable to Practice Safely by Reason of Psychological Impairment of Mental Disorder 12/24/2009 Quiver, Teresa J. RN Endorsement License Denied Failure to Meet Licensing Board Reporting Requirements, Criminal Conviction, Fraud, Deceit or Material Omission in Obtaining License or Credentials 12/31/2009 Racine, Marie B. LP038199 Civil Penalty Exploiting a Patient for Financial Gain 11/2/2009 Rader, Brandon R. RN128305/ Stayed Suspension Failure to Maintain Records or Provide Medical, Financial or Other Required CNA044351763 with Probation Information, Narcotics Violation or Other Violation of Drug Statutes 1/4/2010 Randall, Caitlin C. RN145377 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Violation of Federal or State Statutes, Regulation or Rules 1/12/2010 Reese, Dawn S. LP040226/ Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 1/27/2010 Rodriguez, Shelly A. RN094734 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 11/13/2009 Ross, Ronald D. RN070892 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 11/4/2009 Sauls, Fredrica R. LP041686/ Decree of Censure Failure to Maintain Adequate or Accurate Records, Substandard or CNA999997591 Inadequate Care 12/17/2009 Sayle, David T. RN134260/AP2873 Voluntary Surrender Disruptive Conduct 10/5/2009 Schmidt, Jeremy D. RN155329 Civil Penalty Criminal Conviction 1/21/2010 Schweitzberger, Tera L. LP046229/ Probation Failure to Meet Licensing Board Reporting Requirements, Criminal Conviction CNA1000005375 11/6/2009 Shelton, Bobbie A. RN076446 Revocation Diversion of Controlled Substance 12/21/2009 Sipperley, Elsa C. RN087205/LP028366 Stayed Revocation Failure to Comply with Licensing Board Order, Criminal Conviction with Probation 11/18/2009 Smith, Mary F. LP042796 Suspension Substandard or Inadequate Care, Patient Neglect 11/20/2009 Speers, Patricia L. RN108159 Civil Penalty Inappropriate or Inadequate Supervision or Delegation 10/30/2009 Sugrue, Alicia RN125850 Voluntary Surrender Failure to Comply with Licensing Board Order 10/30/2009 Sweet, Erich C. RN142676 Probation Failure to Comply with Health & Safety Requirements 11/17/2009 Taman, Walid LPN Endorsement License Denied Criminal Conviction, Failure to Cooperate With Board Investigation 11/6/2009 Taylor, Theodore O. LP013692 Revocation Violation of Federal or State Statutes, Regulation or Rules, Criminal Conviction 12/12/2009 Thayer, Susie J. RN143203 Decree of Censure Failure to Maintain Adequate or Accurate Records, Practicing Beyond the Scope of Practice 10/9/2009 Thompson, Connie M. RN080799 Suspension Failure to Meet Licensing Board Reporting Requirements, Criminal Conviction, Unable to Practice Safely by Reason of Physical Illness or Impairment 12/24/2009 Tomkiewicz, Caitlyn J. RN137885/LP040473/ Probation Error in Prescribing, Dispensing or Administering Medication, Failure to Comply with Health & Safety Requirements, Failure to Maintain Records or Provide Medical, Financial or Other Required Information 12/24/2009 Torres, Erick RN133818 Civil Penalty Criminal Conviction 11/20/2009 Tyson, Anna LP027054 Revocation Substandard or Inadequate Care, Unable to Practice Safely, Failure to Maintain Adequate or Accurate Records 1/19/2010 Unanski, Lisa M. RN097100/ Revocation Failure to Comply with Licensing Board Order, Unable to Practice Safely by CNA217105473 Reason of Alcohol or Other Substance Abuse 1/4/2010 Vandyke, Rick A. RN127623 Revocation Criminal Conviction, License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 28 arizona STATE BOARD OF NURSING Regulatory Journal RN/LPN Disciplinary Action Oct-Nov-Dec 2009, Jan 2010 Continued effective date name LICENSE discipline violation(s) 10/26/2009 Villavicencio, Paul RN108727 Voluntary Surrender Failure to Comply with Licensing Board Order, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 10/8/2009 Vonderau, Donald P. RN144294 Probation Failure to Comply with Health & Safety Requirements, Failure to Maintain Records or Provide Medical, Financial or Other Required Information 11/6/2009 Ward, David O. LP040185 Revocation Criminal Conviction, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/18/2009 Watkins, Kelly M. RN151014 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 1/12/2010 Watts, Peter H. RN104884 Probation Substandard or Inadequate Care 11/17/2009 Welsh, Timothy A. LPN Exam License Denied Violation of Federal or State Statutes, Regulation or Rules, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Failure to Cooperate With Board Investigation 10/26/2009 Wikoff, Candice J. LP035643 Probation Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Substandard or Inadequate Care 1/4/2010 Wilkinson, Connie R. RN035992 Revocation Violation of Federal or State Statutes, Regulation or Rules 12/31/2009 Williams, Elizabeth RN052867 Civil Penalty Failure to Meet Licensing Board Reporting Requirements, Criminal Conviction 11/6/2009 Williams, Shirley T. LP024903 Revocation Failure to Comply with Licensing Board Order 1/22/2010 Williams, Susan A. RN117529 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 11/28/2009 Williamson, Karen K. RN069359 Probation Unable to Practice Safely 1/9/2010 Winikates, David M. RN117796 Stayed Revocation with Failure to Comply with Licensing Board Order, Unable to Practice Safely Suspension 12/28/2009 Wood, Lorie S. RN053359 Stayed Revocation Substance Abuse with Probation 12/1/2009 Wright, Paulette D. RN124982/AP1846 Stayed Revocation Failure to Comply with Licensing Board Order, Drug Screening Violation with Probation 1/12/2010 Yates, Karey L. RN133937 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 11/4/2009 Young, Deborah K. RN132924 Decree of Censure Criminal Conviction 12/10/2009 Young, Ida J. RN156520 Revocation Failure to Comply with Licensing Board Order, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Drug Screening Violation 11/13/2009 Zawadzki, Walter RN054811/LP013179 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance UPDATED LICENCURE STATUS RN-LPN SUBJECT TO A BOARD ORDER/CONSENT AGREEMENT October-November-December 2009 – January 2010 effective date name LICENSE discipline violation(s) 11/6/2009 Lao, Yujun Jane RN145229 Probation Completed terms of Suspension, converted license to Probation 12/7/2009 Pellens, Stacey L. RN150883/ Stayed Revocation Completed terms of the Stayed Revocation Suspension, converted CNA999999275 w/Probation Should license to Stayed Revocation Probation be Completed 7/6/2009 Schmidt, Sherill A. RN098931 Probation Completed terms of Suspension, converted license to Probation RN-LPN - ACTION CLEARED Oct-Nov-Dec 2009, Jan 2010 effective date name LICENSE 11/19/2009 Canez, Amber A. RN138589/LP039721/ CNA476557441 12/19/2009 Clouser, Heidi S. RN155662 1/2/2010 Dahl, Melinda L. RN123635/CNA999990669 11/21/2009 Green, Jacqueline A. RN156669/LP038412/ CNA716949641 11/19/2009 Harris, Dianne L. RN101685 12/8/2009 Howard, Amy R. RN143340/CNA999997184 10/27/2009 Johnson-belisle, RN086576/CNA107886103 Jennifer L. 1/12/2010 Kelly, Stephen M. RN083407 11/25/2009 Kreger, Jennifer A. RN156655/LP045102/ CNA1000011815 1/27/2010 Latimer, Barry H. RN038469/CRNA0050 1/28/2010 Lohof, Michelle A. RN116964 12/6/2009 Maffei, Lisa RN102575 1/4/2010 Meyer, Jean H. RN042915 1/27/2010 Mora, Claudine A. RN123991 12/29/2009 Reavis, Jeanette A. RN045402 effective date name LICENSE 1/30/2010 Shepherd, Gail L. RN068928 10/6/2009 Showalter, Kathryn L. RN137358 1/9/2010 Ulibarri, Sherri RN058001 1/21/2010 White, Patricia A. RN097209/AP1776 1/28/2010 Yazzie, Henrietta J. RN117739 arizona STATE BOARD OF NURSING Regulatory Journal 29 arizona Targeted Networking vol5 • N MARCH 20101 SCOPE OF SCOPE OF PRA CTICE LAW S ARE The “NEW” Classifieds “Limits & Privi National Overleges” view Reach every nurse in Arizona for as little as $185. Contact Steve McPherson smcpherson@pcipublishing.com limited CA LL TODA YOUR What is scope of practice? • Activities that an individ ual practitioner legally permit is ted to perfor m within a profession. • The legal framework define s and contro the delivery ls of services, the settings parameters and of professional activities. WHAT IS COMPET THE SCOPE & IES OF CER NURSINGENC TIFIED ASSISTANTS ? Provide Assessment Data Unlicensed Assistive Personnel 1-800-561-4686 availability Y Regul Safety and Emergency Procedures Practice • Bathing • Skin Care • Toileting • Oral Care uRnal WHY SHO SCOPE OF ULD YOU BE CONCER PRACTICE LAWS? NED ABOUT State Legislatures Health Profes Enact Scope of Establish Minim sion’s Boards Practice Laws um Qualification Implement s for “Limits & License/Cert Licensure, Laws Throug Privileges” h ners, Invest ify PractitioRegulation igate compl aints Significant liability and discipl ine violato issues rs of practice; may be personcreated when practic ing outside your ally held accoun scope table SCOPE OF PRACTICE: LPN Maintaining and Effectiv Safe e Nursing Care Activities Contributing to Assessment Activities Perform ed Under Supervi sion RN or Physici of an Delegating Activities Within Scope of Practic e Participating Development • Vital Signs • Height and • I and O’s Weight Activities of Daily Living state bo of nursard ing Jo atoRy Implementing Strategy of Care Strategy of Care SCOPE OF PRACTICE: RN • Infection Control • CPR Taught to identify normal from abnormal in body systems and to identify change s in patient conditions & report to RN or MD for further “full assessment” Legally Accoun Decisions and table Nursing Care Receive d Diagnosing and Prescri bing Interven and Treatme tions nts Evaluat ing Respon ses to Care Comprehensive Volunt Assessment Health Status CoMpeteeR oppoRtun enCy Wi foR th siMity ulationthe MeasuRing arizona STATE BOARD OF NURSI NG Regu lato Ry JouR nal 1 Board Complaint/Questionnaire? Call For Help. Teressa Sanzio, RN, MPA, JD D. Jay Ryan, AB, JD Lisa Gervase, BS, JD Experienced Nurse–Attorney Nurse Advocate 602-993-3215 TSanzio@aol.com Former Board Attorney & Administrative Law Judge 623-937-3737 Former Agency Attorney & Administrative Law Judge 480-515-4801 REGISTERED NURSES Come join our growing team of professionals at Aurora Behavioral Health System. 90-bed psychiatric hospital needs Registered Nurses with solid psych background. Competitive wages and excellent benefits package. Aurora Behavioral Health System 6015 W. Peoria Avenue, Glendale, Arizona 85302 LGervase@gervaselaw.com Fax: 623-344-4451 smcpherson@pcipublishing.com lauramiller@aurorabehavioral.com Classifieds Classifieds To reach all 90,000 licensed nurses in Arizona, contact Steve McPherson at or 800.561.4686 City North • 5415 E. High St., #200 • Phoenix, AZ 85054 www.aurorabehavioral.com Classifieds • I N S E R T I ONURSING NIts Your OBOARD RDER License SE CONFIRM RECEIPT OF THIS INSERTION BY • COMPLAINT? & YourWITH Livelihood REPLYING COST. (please wizardeducation.com 623-388-8900 specify NET or GROSS) Full-time and part-time and License Cases Current AZ license required. Physical Therapists and 480-922-1010 5020 E. 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GREAT MANAGEMENT OPPORTUNITY! ����������� Positions also available for RNs, LPNs & CNAs. ����������� Excellent shift differentials, flexible hours, fun co-workers and a great faith-based work environment! ���������� ����������� Please submit resumes to: ����������������� Email: Careers@abrc.org • Fax: ��������������� (623) 972-7320 ��������������� To find a location near you, ������������ visit our website at: www.abrc.org. Its Your License Its Your License Board Complaints CPR Kelly J.PROTECT McDonald, RN,IT! JD EXPERIENCED, AGGRESSIVE Director of Nursing Kelly J. McDonald, RN,JD TRIAL LAWYER Experienced RN with strong leadership, n: Steven McPherson, February ACLS Classifieds, PROFESSIONAL Experienced Nurse- 2010 REPRESENTING AZ NURSES team building, clinical and manageAttorney ue, 4 modular block classified ad $800, 4 mod. block HOME CARE SINCE 1998 rial skills in Critical Access SERVICES Hospital (rural for AZBN Disclipline PALS healthcare). ssified ad horizontal : 3” wide x 4” high. Free color.BSN and/or MSN preferred. FREE CONSULT FLAT FEES Northern Cochise Nursing Home www.professionalcares.com Phone:1-800-696-3541 EOEP Its Your License Complaints & Your Livelihood and discipline matters PROTECT IT! Legal Counseling Kelly J. McDonald, RN,JD Over years experience & 30 Representation InExperienced All Disciplinary NurseMatters Terry F. Hall, Attorney Attorney at Law A. Jonathan for AZBN Disclipline 817Dessaules North Second Street and License Cases One North Central Phoenix, AZ 85004 5020 E. 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Sanzio, ����������� ����������� RN,MPA,JD Community Formerly known as Staffing Partners Nurse Attorney NOW HIRING Le ����������� 428 NOW HIRING ����������� Hospital RNs•LPNs•CNAs East Thunderbird Rd. & Seeking LPN’s & RN’s with RNs for Phoenix RNs for Phoenix In Suite #Experience. 238 PROFESSIONAL ���������� Pediatric Northern Cochise Hiring For Hospitals & ���������� area hospital area hospital Phoenix, AZ 85022 Nursing Vent/Trach experience is a MUST! HOME CAREHomes SERVICES Nursing Home per & travel Jo 8245 Northdiem 85th Way 602-993-3215 ����������� We offer: Sign-On & per diem & travel ����������� $5000 Sign-On Bonus! Scottsdale, or AZ 85258 Referral Bonuses assignments. Phone: assignments. 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(602) 243-4231 Ext. 179 1No Targeted Netw � “Leading the Way” in “Changing Lives One Student at a Time” Formerly known as Staffing Partners Legal Counseling COURSE OFFERING: & Representation RNs•LPNs•CNAs Nursing Classes CPR and First Aid In AllAssistant Disciplinary No Hiring For Hospitals & � Phlebotomy technician IV certification for LPN’s Matters Nursing Homes N Caregiver training Caregiver We CEU’s and Manager CEU’s offer: Sign-On & Reach nurse in Arizona fo Jonathan A. every Referral Bonuses Dessaules Registration online is now � 100%Available Daily Pay* Direct McP Steve One North 1-8 10640 Central N. 28th Dr., Bldg Contact C-107 and A-103 Deposit (*1yr current facility Tosmcpherson@pcipublishi reach all 90,000 licens Ave, Suite 1130, experience required) Phoenix, AZ 85029 Steve McPherson at s� Phoenix, Tel: AZ 85004 Get the Respect you deserve! 602-741-5526, 602-633-2730 y it il b vaila Call Today (602) 263-5400 or 800 a602.889.2615 www.interimhealthcare.com A LL TODAY CWWW.CACTUSWRENHOMECARE.COM The “NEW” Cla � Classifieds Up to $550 per shift! 480-786-6996 30 arizona STATE BOARD OF NURSING Regulatory Journal To l im i T E d Its Your License NEED NURSES? & Your Livelihood Classif 1-800-561-46 B C H W C A R E E R S . O R G / A R I Z O N A You deserve an excellent workplace. Discover the best. Your choice of employers is important. In fact, it’s crucial. Not just to your future as a healthcare professional, but also to your happiness as a person. So why not work for a place that’s among the best? We’re CHW Arizona, comprised of Chandler Regional Medical Center, Mercy Gilbert Medical Center and St. Joseph’s Hospital and Medical Center. Our facilities have consistently been recognized as a “Best Place to Work in the Valley” by the Business Journal, Phoenix. And recently, each was named one of the “Top 100 Best Places to Work in Healthcare 2009” by Modern Healthcare. There’s a reason we’ve earned such recognition—both locally and nationally. Come and experience the many opportunities we give you to learn, grow and achieve. Whatever it is you’re looking for in a career, you can find it at CHW Arizona. EOE. © 2010 Catholic Healthcare West—Arizona arizona STATE BOARD OF NURSING Regulatory Journal StJOS_44720_7P875x10P25_02012010_ASBN.indd 1 31 1/22/10 11:27 AM Arizona State Board of Nursing 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3655 Presorted Standard U.S. Postage PAID Little Rock, AR Permit No. 1884 Great care starts with great nurses. The foundation for great care is always great people. And no one personifies that title more than nurses. At Memorial Medical Center, we understand the possibilities are endless when it comes to providing quality care to our patients. Our team is committed to giving you numerous possibilities to enhance your career and professional development. Experience how great it feels to be a vital part of our hospital community. From the friendly supportive atmosphere to the latest technology, we’re dedicated to our mission of “Caring for the community with compassion and respect.” Our competitive pay & benefits program for team members includes health/dental plan, drug prescription card and optical plan. Additional benefits include life, long and short term disability insurance, annual paid time off, child care subsidy, educational reimbursement, team member referral program, relocation assistance, a generous 401K retirement plan, and much more! For questions please contact: Rainbeaux Trujillo, MSN, RN Retention and Recruitment Specialist 2450 South Telshor Boulevard Las Cruces, NM 88011 Phone: (575) 532-7490 e-mail: rainbeaux.trujillo@lpnt.net Please log onto our website to apply www.mmclc.org EOE 32 arizona STATE BOARD OF NURSING Regulatory Journal