arizona vol5 • No2 July 2010 state board of nursing RegulatoRy JouRnal RX the nuRse executive’s Role in Managing suspected nuRse iMpaiRMent 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 details regarding our current 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 2• July 2010 4 6 From the Executive Director Substance Use Disorders in Nursing 8 Staff Directory Valerie Smith, RN, MS, FRE Associate Director/ Investigations/ Compliance 9 The Nurse Executive’s Role in Managing Suspected Nurse Impairment 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 Lori A. Gutierrez, BS, RN-C, RAC-CT, CBN Member Patricia (Pat) Johnson, LPN Member Kathryn L. Busby, JD Public Member M. Hunter Perry PUBLIC Member edition 1 9 12 13 LPN Advisory Committee Arizona Adopts New Death Certificate 14 Adventures of a First Year Board Member at 2010 NCSBN Mid-Year Meeting 15 16 arizona Volunteers Needed Education Corner state board of nursing Regulatory Journal Created By: Virginia Robertson, PUBLISHER vrobertson@pcipublishing.com Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 For Advertising Information: Greg Jones gjones@pcipublishing.com 501.221.9986 • 800.561.4686 ext. 105 ThinkNurse.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. 20 22 25 CNA Corner CNA Disciplinary Actions RN/LPN Disciplinary Actions 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 Drug Deaths is Number One Killer in Many States The number one issue the Board continues to find placing the public and nurses at risk has been the same for the past 30-40 years: Substance Use Disorders. According to recent data released by the Centers for Disease Control and Prevention (CDC) and the National Center for Health Statistics (NCHS), 16 states now see more deaths that are drug-related than driving-related. It is continuing to happen in one state after the other. In a recent article by Khoi Nguyen (Sober Living by the Sea, 2009), 2006 data shows: 45,000 total deaths nationwide caused by traffic accidents versus 39,000 deaths that were drug-induced. 90% of drug induced deaths are both from overdoses and from deaths due to long-term organ damage. Illegal drugs such as heroin and cocaine continue to be significant killers, but the key finding has to do with prescription opiates or pain medication drugs such as Vicodin, OxyContin, morphine, and codeine. 1999 to 2006, there was more than a tripling of prescription pain medication-induced deaths. 2006 alone, pain killers caused approximately 40% of the total number of poisoning deaths. Greatest increase in deaths seen in the drug methadone—a sevenfold increase in deaths between 1999 and 2006. Abuse of these drugs within the 35 to 54 year old age group is a major growing problem. It now represents the leading cause of death overall for that segment in the US. Overdose of these drugs is the fastest increasing segment of overall deaths that are caused by poisonings. Similar information has also been reported by The National Institute on Drug Abuse (NIDA): Opioid pain relievers, such as Vicodin or OxyContin, can present similar health risks as do illicit opioids (e.g., heroin) depending on dose, route of administration, combination with other drugs, and other factors. Increases in non-medical opiod use have been accompanied by increased emergency room visits, accidental poisonings, and treatment admissions for addiction. Treatments for prescription drugs tend to be similar to those for illicit drugs that affect the same brain systems. 4 arizona STATE BOARD OF NURSING Regulatory Journal Trying to locate appropriate treatment for nurses, especially finding a program tailored to an individual’s particular needs, can be a difficult process. However, there are some resources currently available to help with this process, including: • The Substance Abuse and Mental Health Services Administration (SAMHSA) maintains a Web site (www. findtreatment.samhsa.gov) that shows the location of residential, outpatient, and hospital inpatient treatment programs for drug addiction and alcoholism throughout the country. This information is also accessible by calling 1-800-662-HELP. • The National Suicide Prevention Lifeline (1-800-273TALK) offers more than just suicide prevention—it can also help with a host of issues, including drug and alcohol abuse, and can connect individuals with a nearby professional. • The National Alliance on Mental Illness (www.nami.org) and Mental Health America (www.mentalhealthamerica.net) are alliances of non-profit, self-help support organizations for patients and families dealing with a variety of mental disorders. Both have State and local affiliates throughout the country and may be especially helpful for patients with co-morbid conditions. • The American Academy of Addiction Psychiatry and the American Academy of Child and Adolescent Psychiatry each have physician locator tools posted on their Web sites at www.aaap.org and www.aacap.org, respectively. • For information about participating in a clinical trial testing promising substance abuse interventions, contact NIDA’s National Drug Abuse Treatment Clinical Trials Network at www.drugabuse.gov/CTN/Index.htm, or visit NIH’s Web site at www.clinicaltrials.gov. Other resources for you in this edition of the Journal are articles by Dr. Kathy Scott regarding “The Nurse Executive Role in Managing Suspected Nurse Impairment.” on page 9. Val Smith, RN MS FRE, Associate Director has also provided information on “Substance Abuse Disorders in Nursing” found on page 6. Please let us know if you have additional resources that nurses need to know about regarding this “number one killer.” Joey Ridenour, RN, MN, FAAN Executive Director Immediate Opportunities for Inpatient/Outpatient RNs and Advanced Practitioners in: • Anesthesiology • BMT Coordinator • BMT Data Manager • Endoscopy • Head & Neck Surgery – Team Lead • Hematology/Oncology • Neurology/Epilepsy • Orthopaedics • Rheumatology – Team Lead • Transplant Compliance Coordinator • Urology – Supervisor 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. As an integrated medical practice, Mayo Clinic has a multi-campus system that spans Phoenix and Scottsdale. Our extensive range of specialties and resources offer a unique combination that makes for an environment of discovery, achievement, education and growth. Mayo Clinic currently has RN opportunities in a range of disciplines and offers outstanding benefits on the first day of hire, including continuing education, van pool/Valley Metro passes and on-site child care for employees. For more details on all open positions and nursing programs, and to apply, visit our Web site at www.mayoclinic.org/jobs-sct. www.mayoclinic.org Look for us on Facebook at Jobs at Mayo Clinic, and follow us on Twitter at: twitter.com/mayoclinicjobs As an equal opportunity employer, we value diversity. Mayo Clinic conducts reference checks; drug testing is required of all new hires. arizona STATE BOARD OF NURSING Regulatory Journal 5 By Valerie Smith RN MS FRE Associate Director of INVESTIGATIONS & COMPLIANCE Substance Use Disorders in Nursing Addiction is an illness that follows a predictable and progressive course that may result in death if left untreated. Symptoms of addiction include compulsion, loss of control over the use of the drug/alcohol, continued use despite negative consequences or high potential for negative consequences, and changes in tolerance. The National Council on Alcoholism and Drug Dependence (www. ncadd.org) sites the following statistics: Approximately 18 million Americans have alcohol problems. Approximately 5 to 6 million Americans have drug problems. There are more deaths and disabilities each year in the United States from substance abuse than from any other cause. Almost half of all traffic fatalities are alcohol-related. One-quarter of all emergency room admissions, one-third of all suicides, and more than half of all homicides and incidents of domestic violence are alcohol-related. Untreated addiction is more expensive than heart disease, diabetes and cancer combined. According to a recent national survey on drug use and health completed by the U.S. Department Of Health And Human Services, Substance Abuse and Mental Health Services Administration (SAMSHA), in 2008, an estimated 22.2 million persons (8.9 percent of the population aged 12 or older) were classified with substance dependence or abuse in the past year based on criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSMIV). Of these, 3.1 million were classified with dependence on or abuse of both alcohol and illicit drugs, 3.9 million were dependent on or abused illicit drugs but not alcohol, and 15.2 million were dependent on or abused alcohol but not illicit drugs. (SAMSHA) Nurses are no more immune from developing substance use disorders and 6 addiction than the general population. Although the actual rate of addiction in nurses is unknown with estimates ranging from 6% to 20%, what is known is that one of the most common complaints received by Boards of Nursing and that forms the basis for licensure disciplinary action is substance misuse, abuse or addiction related. In the current Journal alone, approximately 50% or more of the disciplinary actions taken by the Board against nurse licensure (RN and LPN) was directly related to inappropriate substance use, abuse or addiction. Recognizing Workplace Indicators of Substance Use Disorder Despite the prevalence of substance use disorders within society and, within the nursing profession, many co-workers, supervisors, employers and others have difficulty recognizing or assisting a nurse colleague with an apparent substance use disorder. This is alarming considering the inherent responsibilities nurses have for patient care and safety and the potential fatal nature of the disease of addiction. The last step on the downward spiral of addiction occurs at the professional worksite as nurses and other healthcare professionals take great effort to protect their professional and nursing identity. Evidence of the disease on the job usually indicates a late stage disease process. Their denial, shame and fear of consequences prevent many individuals, including nurses, from proactively seeking treatment. Denial and self-deception are the most difficult obstacles to overcome for both the nurse and their colleagues. It is not uncommon that they initially continue to often perform adequately while afflicted with a substance use disorder. When job performance deteriorates, managers and colleagues may accept or provide excuses like “stress” or “fatigue” rather than consider substance abuse. Managers and co-workers may unintentionally enable the disease to progress by ignoring or excusing poor performance, incomplete work, attendance issues and arizona STATE BOARD OF NURSING Regulatory Journal other symptoms of a substance use disorder. Another way in which the disease is enabled is when an employer recognizing symptoms consistent with a possible substance use disorder and opts to terminate the nurse without addressing the concerns and/or reporting the nurse to the Board. When this happens, the nurse is allowed to continue with a potentially deadly disease and patient care with the next employer who is potentially negatively impacted. Workplace indicators of a substance use disorder may include and is not limited to the following. Attendance: progressive absences, both on the job (unexplained frequent or prolonged absences from the unit) and/ or off the job (difficulty adhering to the work schedule); unusual explanations for absences; difficulty meeting deadlines; Interpersonal: complaints from coworkers or patients or others; increased isolation from others; unpredictability; changes in mood and/or energy level (alert to appearing sedated); increased conflict with others; legal problems; family or social problems. Job Performance: difficulty in organizing and prioritizing duties and responsibilities; deterioration in quality of work; poor judgment; forgetfulness; below standard practice; odor of alcohol on person or breath; inappropriate, inadequate or missing documentation; discrepancies with controlled drugs or the amount removed as compared to co-workers without a corresponding change in the patient condition that would explain the need for additional medications; discrepancies in the accounting for controlled medications signed out; unauthorized removal of controlled substances or other medications of abuse by accessing or use of another’s password; missing medications What To Do One of the first steps is the awareness and recognition that substance use disorders does affect nurses. It is an equal opportunity disease that is often misuncontinued >>> Do not ignore your observations. Do not allow the nurse who is demonstrating active signs and symptoms of impairment to continue to provide patient care or make decisions impacting patient care until further expert summaRy Substance use disorders in nursing are not a modern day phenomenon. Florence Nightingale reportedly addressed in her writings the need to dismiss nurses for being “dead drunk.” In a 1900 nursing ethics book, the author described “encountering members of our own profession who have lost their power of self control and have become victims to the abuse of some powerful drug or alcoholic stimulant with all of it’s attending evils (O.M. Church 1985). Today we understand more about substance use disorders and evidence shows that a combination of treatment, involvement in 12-step meetings and licensure/practice monitoring requirements established by healthcare regulatory boards can have positive impact on facilitating remission of the disease and returning licensee’s, when appropriate, to patient care. When you suspect a nurse has a substance abuse disorder, dare to do the right thing and make your concerns known to those who have the ability to intervene in behalf of the nurse and patients. arizona ard state bo of nursing vol5 • N 2 July 2010 Regula uRnal toRy Jo arizona arizo ona Accountable to the Public BASED REGULATION TANGIBLE EVIDENCE OUTCOMES STAFF PRODUCTIVITY COMMITMENT TO ONGOING REGULATORY EXCELLENCE (CORE) PROJECT CYCLE TIMES ANALYSIS MEASURES Cost effectiveness outcomes best practices RX MEASURING OUTCOMES Regulato RESEARCH What not to do assessment can be completed and evidence of ability to safely perform. Do not allow the nurse to resign or be terminated without addressing identified concerns, providing resources for further evaluation and treatment and without notifying or causing the Board to be notified. Do not encourage the nurse to hide information from the Board. At times, and perhaps well meaning friends, colleagues, and others advising the nurse in how or what to share with the Board or assigned investigative staff, encourage the nurse to not disclose their substance abuse history or substance use disorder with the Board. Not disclosing can put patients at risk and can have deadly consequences for the nurse. Addiction is a chronic progressive disease that may and often does result in death if left untreated. METRICS derstood by those with or impacted by the disease, including employers and co-workers. Nurses with an active substance use disorder have potential to not only harm patients but also cause harm or death to themselves. Be observant for indicators of substance abuse. Document your observations with objective data that includes date, time and description of the incident. Colleagues who work closely with a nurse struggling with a substance use disorder often recognize that something is wrong before the supervisor who may not have as frequent encounters. If you are a colleague, do not assume the supervisor is aware. Share your concerns with the supervisor. Anytime that there is reasonable concern that a nurse, for whatever reason, is currently unable to safely practice, they should immediately be removed from patient care until further assessment can be completed. If employer policies permit, and there is reasonable suspicion that the nurse may be under the influence of a substance, a drug test should be obtained and the panel of drugs tested should include the drug(s) that are of suspect. A nurse with a suspected substance use disorder should be referred for further evaluation for possible treatment and a report submitted to the Board for further review and investigation by the Board to determine safeness to practice. If the nurse acknowledges substance abuse, they may be eligible for the Board’s non-public and non-disciplinary monitoring program for nurses with substance abuse disorders, CANDO. Information about CANDO can be found on the Board’s website at www.azbn.gov. Reach Recruit Retain TANGIBLE EVIDENCE Best practices data data analysis metrics performance EVIDENCED BASED REGULATION The Importance of HIPAA for Nurses NEW AND OLD PUBLIC POLICY CHANGES IMPACTING ARIZONA NURSES SUMMARY OF CHANGES TO ARIZONA NURSE PRACTICE ACT: SENATE BILL 1105 PNs HAVE A NEW lICENssE RENEWAl DATE aging s Role in Man executive’se iMpaiRMentRegulatoRy JouRnal the nuRse nuR arizona STATE BOARD OF NURSING suspected 1 Mailed to every nurse in Arizona – over 90,000. The Arizona Board of Nursing Journal to reserve advertising space contact Greg Jones gjones@pcipublishing.com 1-800-561-4686 ext.105 our nursing journals are mailed directly to over 1.5 million nurses, healthcare professionals and educators nationwide. Arizona Arkansas The District of Columbia Indiana Kentucky Mississippi Montana Nebraska Nevada New Mexico North Carolina North Dakota Ohio Oregon South Carolina South Dakota StuNurse/Nationwide Tennessee Washington West Virginia Wyoming ThinkNurse.com 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 Valerie Smith RN, MS, FRE Associate Director Investigations/Compliance 602.771.7804 vsmith@azbn.gov Pamela Randolph RN, MS Associate Director Education & Evidenced Based Regulation 602.771.7803 prandolph@azbn.gov Lila Wiemann Administrative Assistant to the Executive Director and Associate Director Investigations/Compliance 602.771.7806 lwiemann@azbn.gov Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.771.7805 coates@azbn.gov CANDO Pat Midkiff, RN, MN Nurse Consultant – CANDO 602.771.7864 pmidkiff@azbn.gov Olga Zuniga Administrative Secretary – Monitoring & CANDO 602.771.7865 ozuniga@azbn.gov Complaints-Intake Karen Grady, MS, RN, FNP, BC Complaints-Intake Triage Coordinator - Advanced Practice Nurse Consultant 602.771.7821 kgrady@azbn.gov Donna Frye Triage Secretary 602.771.7831 dfrye@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 FISCAL SERVICES Randi Orchard Fiscal Services Manager 602.771.7810 rorchard@azbn.gov Norma Salter Accounting Technician 602.771.7809 nsalter@azbn.gov HEARINGS Susan Barber, RN, MSN Nurse Practice 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 Jeanine Sage, RN, MSN 602.771.7815 jsage@azbn.gov Judy Pendergast, RN, JD 602.771.7827 jpendergast@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 Bonnie Richter 602.771.7828 brichter@azbn.gov Doug Parlin 602.771.7822 dparlin@azbn.gov Kirk Olson 602.771.7824 kolson@azbn.gov Ron Lester 602.771.7825 rlester@azbn.gov Linda Monas 602.771.7826 lmonas@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 Erica Hernandez CNA Renewals 602.771.7836 ehernandez@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 Madelyn Emerson 602.771.7871 memerson@azbn.gov Nancy Davis 602.771.7872 ndavis@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov The Nurse Executive’s Role in Managing Suspected Nurse Impairment As a Board Member of the Arizona State Board of Nursing I have the advantage of observing the actions of multiple agencies/organizations across the state. As a nurse executive, I have personally been challenged to create a “fair and just” organizational culture that holds nurses accountable for their practice and protects both the organization’s patients and the public. The purpose of this article is to raise the collective awareness of nurse executives to potential pitfalls in safety as well as provide recommendations for organizational practices that protect patients and the public while offering opportunities for remediation of our nurses. Protecting Patients and The Public At Large When a nurse is terminated from an organization for documentation, practice and/or other performance issues, their practice can no longer be monitored by that organization. These practice concerns are commonly not shared with other employers to avoid the risk of litigation. This may protect the organization and its patients in the short term, but potentially puts the public and all healthcare organizations at risk. If the nurse’s performance and/or practice reaches the level of concern for patients’ safety and the organization determines that termination of employment is needed, there may be a need for continued monitoring to protect the public. Organizational policies need to be in place that requires reporting of terminated nurses to the state board of nursing when they exhibit high-risk behavior and/or practice concerns that were not remediated and potentially impact the safety of patients. It is not uncommon to find nurses, both contracted and employed, who have been terminated and go from organization to organization with a pattern of practice and performance problems. Eventually they may be reported to the Board, but there is all too often a long history of high-risk performance that can and does harm patients. By Kathy Scott, PhD, RN Board Member Recommendation #1: If a nurse is terminated because of high-risk behavior and/or safe practice concerns, protect your patients and the public at large by reporting the individual to the Board of Nursing for follow up. Ethical Codes of the Nursing Profession The American Nurses Association Code of Ethics (3.6) states that “The nurse extends compassion and caring to colleagues who are in recovery from illness or when illness interferes with job performance. In a situation where a nurse suspects another’s practice may be impaired, the nurse’s duty is to take action designed both to protect patients and to assure that the impaired individual receives assistance in regaining optimal function.” The number one violation reported to the state board of nursing relates to nurses diverting drugs or practicing while impaired. Their impairment may result from a variety of underlying causes to include chronic disease and pain, cognitive and functional decline from the aging process, mental illness, prescribed medication management and mismanagement, alcohol abuse, and illegal drug use. It is difficult to determine the underlying causes and pathways to “assure that the impaired individual receives assistance in regaining optimal function.” Ethically, however, the nurse executive has the responsibility of creating an environment where nurses feel safe reporting their concerns and where impaired nurses are offered options for getting appropriate help. Assessment options include board-certified psychologist, addictionologists, and neurologists who provide psychological and/or neuropsychological assessments to determine the underlying cause of impairment and identify treatment options. With the aging nurse comes an increase in chronic conditions in the workplace. There are also many nurses on multiple medications for pain management and/or mental illnesses. While these nurses may be under the treatment of a physician, they still may exhibit diminished capacity at times due to medication changes or symptoms of an underlying disease. Having mechanisms in place for referrals to an appropriate third-party professional may get the nurse into appropriate treatment or back on track so that they can function effectively and safely. Recommendation #2: Assure that mechanisms are in place for evaluation of the impaired nurse to give them the opportunity to gain optimal functioning. Identification and Remediation of the Impaired Nurse Practicing while impaired is often preceded and/or accompanied by many subtle symptoms that are easy to miss, such as an increase in absences, family and legal problems, sleeping on the job, an increase in errors and short cuts, documentation inaccuracies and personality changes. What we often see at the state board of nursing is a pattern of risky or reckless behavior that continues over a long period of time without consequences until a patient is harmed. There is a tendency in many healthcare organizations to discipline individuals for human errors that lead to bad patient outcomes, rather than address high risk or reckless conduct whether or not there is a negative outcome. Reckless conduct goes beyond a failure to recognize a risk, and is defined as a conscious disregard of a visible, significant risk. We must be able to identify and address this performance regardless of outcome. Recommendation #3: Have systems in place to identify and manage high risk or reckless behaviors before there is a negative patient outcome. The Investigation Process When impairment and/or drug diversion are suspected, the first responsibility is to protect the patients. 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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. 10 arizona STATE BOARD OF NURSING RegulatoRy JouRnal <<< continued from previous page it is appropriate to suspend the nurse while conducting a thorough investigation. Only when the investigation is completed, should the appropriate actions be determined, including any recommendations to the nurse to self report to the Board. Even though a nurse may self report, also provide a written document to the board of nursing regarding the specifics of the investigative findings. Utilize a systems approach (i.e. a root-cause analysis approach that looks at multiple contributors to the situation) during the investigation to identify contributing factors that may be overlooked at first glance. It is not uncommon, for example, for an organization to terminate an individual who has inaccurate documentation of controlled substances and is therefore suspected of diverting drugs for their own or other’s use. While this may be the case, there may be more to the story. Before coming to this conclusion consider expanding the documentation review to determine if inaccurate/ inadequate documentation goes beyond “controlled substances” to include other medications, interventions and/or treatments. If so, also assess the quality of the individual’s orientation to the documentation system (particularly if there is a newly implemented electronic medical record (EMR)) to determine if this is a competency or diversion issue. Alternatives to termination may include additional EMR training, chart reviews, and even random drug testing. Recommendation #4: Use a systems framework to investigate situations involving practice/performance concerns to identify contributing factors that include and go beyond the nurse. The nurse executive has multiple responsibilities when it comes to determining the standards for managing situations of suspected nurse impairment. These responsibilities include protecting the patients within the organization in which they serve; as well as protecting the public at large. The nurse executive also has the responsibility of upholding and strengthening the ethical codes of the nursing profession throughout the process, assuring that the actions of the organization are fair and just with efforts to protect as well as remediate the nurse. Shape Your Career with the Flexibility of Home Care Banner Home Care is the largest nonprofit, free-standing home care agency in Arizona. In a recent home care evaluation, Banner Home Care ranked in the top 25% of all home care agencies in the U.S. If you are ready to truly make an impact in your patients’ lives within an environment that fosters a real connection, come to Banner Home Care. A career move to home care means freedom for your schedule and the time you can spend with patients. We encourage nurses with all clinical backgrounds to take a look at our home health opportunities but especially seek Med/Surg RNs who find the transition to home care as a welcome progression for their talents and skills. Because Banner Home Care is a part of Banner Health, one of the largest nonprofit health care systems in the country, we offer excellent benefits and growth opportunities with a variety of opportunities throughout the greater Phoenix area. Point your career in the direction of making a difference in a patient’s life with Banner Home Care by calling 1-866-377-5627 or visiting: www.BannerHealth.com Banner Health has been named as a Top 10 Health System in the U.S. based on clinical performance according to Thomson Reuters. Banner Health hospitals can be found in these locations: ALASKA ARIZONA CALIFORNIA COLORADO NEBRASKA NEVADA WYOMING Become a fan of Banner Health Careers on Facebook. EOE/AA Banner Health supports a drug-free work environment. arizona STATE BOARD OF NURSING Regulatory Journal 11 FRoM BoaRd MeMBeR: PAT JOHNSON LPN lpn advisory committee • A new Wound Care Advisory Opinion is currently under review to better define the role of the LPN in wound care. Thanks to the members of the committee for their work in addressing The Arizona Board of Nursing decided to appoint a special LPN Advisory Committee in early 2009 to assess the regulatory sufficiency of the LPN scope of practice. The committee was also charged with determining what regulatory barriers, if any, prevent long term care/ health delivery system from fully utilizing LPN’s within their scope of practice. Approximately 20 nurses and others from multiple disciplines and settings who have interaction with the LPN workforce were appointed to the committee. The diversified group included: nursing home administrators, LPN educators, Arizona Nurses Association, Arizona Department of Health Services representatives, and a number of LPN’s working with clients in a variety of settings. Board staff working with the committee are Pam Randolph, Judy Bontrager and Joey Ridenour. The purpose and progress on the goals of the LPN Advisory Committee are found at: www.azbn. gov/committee. Advisory Opinions (AO) that have been updated based on the collaborative work of the Scope of Practice and LPN Advisory Committees are: • IV Therapy Advisory Opinion was revised to include the use of a PICC line in specific conditions. • The Role of the LPN is now defined in the Determination of Death Advisory Opinion. 12 the evolving scope of practice of the LPN. As always, let us know your thoughts, questions, and suggestions. Patricia Johnson LPN, Board Member/ Co-Chair LPN Advisory Committee Come join our Nurse Practitioner teams in Phoenix, AZ! We invite you to explore the rewarding opportunities with one of the largest NP group practices in the state of Arizona. INSPIRIS employs over 45 full time and part time nurse practitioners in a variety of clinical settings. The INSPIRIS clinical model is built around proactive, preventative care; early, aggressive care in the appropriate location; and Advance Care Planning that identifies and supports patient centered care. Our patients are the chronically ill --- those with complex medical needs. Clinical settings include nursing homes, assisted living centers, group homes, and individual homes. You will have the unique experience of having a panel of patients assigned to you yet working with a team of nurse practitioners and nurse care managers under the supervision of another very experienced nurse practitioner. INSPIRIS offers autonomy in your practice, flexibility in your work week, and clinical challenges that will help you grow in your expertise as a nurse practitioner. “The practice you had in mind all along” We provide competitive pay, generous benefits including medical, dental, vision, life and long-term disability insurance, three weeks of vacation, 9 paid holidays, 401K plan, mileage reimbursement and continuing education reimbursement. Certified nurse practitioner, Masters Degree required; FNP, ANP or GNP; Active, unencumbered nursing license. To learn more about our opportunities direct inquiries and resumes to: Kathy Rudman / 310-903-3460 / kathy.rudman@inspiris.com arizona STATE BOARD OF NURSING RegulatoRy JouRnal www.inspiris.com ARIZONA ADOPTS NEW DEATH CERTIFICATE CNAs, LPNs and RNs Come Join Our Team! The Arizona Department of Health Services has been using the 1989 National Standard Death Certificate for many years and that is probably the only one you have ever seen. Effective January 1, Arizona adopted the current 2003 National Standard Death Certificate which is quite different. Funeral homes and county registrars have all been trained on the new certificate and it is in use statewide. So, if you are presented the new document, please do not reject it. The Department of Health Services has posted information on the new certificate on the following web site. Please review it so you can be certain you have the most current information and you can avoid unnecessary and time-consuming delays in the processing. http://pub.azdhs.gov/dcinfo/. Remember that ONLY Arizona licensed MD’s and DO’s along with Certified Registered Nurse Practitioners are allowed to sign a death certificates. Residents and Physician’s Assistants ARE NOT allowed to sign death certificate. If you have questions after review of the web site, email Douglas Leach, Death Registry Manager, at leachd@azdhs.gov. Excellent shift differentials, flexible hours, fun co-workers and a great faith-based work environment! GREAT MANAGEMENT OPPORTUNITY! RN -Director of Nursing , Youngtown, AZ Excellent pay and benefits! Previous management experience required. 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. 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 From Board Member: Gary Gum, MSN, RN Adventures of a First Year Board Member at 2010 NCSBN Mid-Year Meeting For a life-long St. Louis Cardinal Baseball fan any trip to the Windy City and into the heartland of our arch rivals, the Chicago Cubs, is a trip to be approached with some fear and trepidation. So it was as I boarded that Monday morning flight bound for Chicago and my first National Council State Board of Nursing (NCSBN) Mid-Year Meeting. Would Cub fans know I was walking among them? What nugget would I take home from the NCSBN meeting that would make me a better board member? What I found was a gold mine. I learned that NCSBN is not just a national organization; it is an international organization with members traveling from as far away as Guam and American Samoa to attend the meeting - many more were present via webcast. I learned that nursing regulatory bodies from other countries around the world look to NCSBN for guidance. I learned there is a lot more to NCSBN than just overseeing the administration of the NCLEX-RN® and NCLEXPN® exams. On Tuesday morning members received updates and discussed a wide variety of issues impacting the Board with the main topic being the 2011-2013 Strategic Initiative Draft. The initiative, containing five key points that eventually will become NCSBN’s primary focus for the next couple of years. Those being: 1. Develop and promote research and evidence-based regulatory solutions 2. Advance the leadership potential and engagement of all members through education, information and networking. 3. Provide state-of-the-art competence assessments. 4. Collaborate to advance the evolution of nursing regulation worldwide. 5. Optimize nursing regulation through the efficient use of technology. Through the work of the Leadership Succession Committee (LSC) NCSBN is actively looking at how it develops leaders to assure the future progression and viability of the organization. The LSC 14 presented a draft of its “Advancing Potential – Discovering the Leader Within” program designed to identify and equip potential office-holders with the tools necessary to serve in leadership roles. The remainder of the morning we heard from the Transition to Practice Committee (TPC) and a report on uniform licensure requirements. The TPC reported on their review on the Board’s position regarding transition-to-work over the past several decades and current literature. Recent literature is unanimous in calling for a one (1) year residency program for new graduates as part of the transition-to-practice process. This will take a concerted and collabo- What I found was a gold mine. I learned that NCSBN is not just a national organization; it is an international organization with members traveling from as far away as Guam and American Samoa to attend the meeting - many more were present via webcast. I learned that nursing regulatory bodies from other countries around the world look to NCSBN for guidance. rated effort between all stakeholders to design and implement such programs especially given the data provided that 90% of all academics feel their students are prepared to practice at time of graduation compared to only 10% of health system nurse leaders who say new graduates are prepared to practice. The final presentation of the morning centered on uniform licensure requirements with the goal being to set consistent standards so the trust and responsibility of the nurse is the same through all states. To complete this task will take breaking down the responsibilities of both the applicant and the involved regulatory bodies at the time of initial application and subsequent renewals. Strong emphasis is placed on the selfdisclosure of substance abuse behavior and the involvement in criminal activity. Future applicants and renewals may also arizona STATE BOARD OF NURSING Regulatory Journal be required to disclose if action has ever been taken against professional certification or occupational licensure outside of the nursing profession. Tuesday afternoon we spent in our specific area meetings where we further discussed the items of the morning and provided feedback. The main topic of this meeting was the five items on the Strategic Imitative draft. The level of discussion and varying opinions from board members from across the western United States was interesting to hear along with their rationale for supporting or suggesting changes to the initiatives. Wednesday morning and early afternoon were really interesting as continued competence and regulatory authority were the main themes of the day. Continued competence seems to be the buzzword of the day with everyone attempting to determine how to measure competence in a manner that is fair and equitable to the new grad and the experienced nurse at various stages of his/her career while protecting the public. Several methods for determining competence were put forward including continuing education, peer review/performance appraisal, certification exams, patient surveys, diagnostic assessments, portfolio’s, and simulation. The pros and cons of each were discussed with the only agreement being no method is going assure 100% competence. I still believe and tell my students the first duty of any nurse is to advocate on behalf of their patient especially when that patient cannot speak, ask questions or advocate for themselves. What I witnessed at this conference is that I am not the only nurse who still believes that. Through the work of the NCSBN and its member boards the patient and the public are still our primary focus. As I boarded the plane for my flight home I realized I had forgotten how beautiful the City of Chicago is especially along Lake Shore Drive plus not once did I encounter a Cubs fan. Then it hit me, they were all out in Arizona watching spring training. Volunteers Needed 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 high-fidelity simulated care of medical-surgical patients. The Board is also seeking subject matter experts who possess a BSN or higher, 3 years experience in medical-surgical 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/simulation study. NURSING FACULTY POSITIONS AVAILABLE The University of Arizona, College of Nursing is seeking candidates to support our educational mission. Faculty will provide nursing instruction in clinical and classroom settings to nursing students. Visit www.uacareertrack.com for additional information, minimum qualifications and to apply (see job numbers 44212, 45049, 45053 and 45054). Reviews of applications will continue until positions are filled. The University of Arizona is an EEO/AA Employer - M/W/D/V NORTHERN ARIZONA UNIVERSITY College of Health and Human Services “ I love working at a caring community hospital where the patients and staff connect like family. “ Debi Johnson, RN Join a Team that Values Its Staff! Come see the difference. 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 BENEFITS INCLUDE: • Market leading salaries • Excellent benefits package • Sign-on bonuses • No hassle commute 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. Call us toll free at (866) 890-3588 www.casagrandehospital.com Assistant/Associate Professor School of Nursing Salaries are very competitive. The School of Nursing seeks an innovative, enthusiastic individual who has a passion for nursing and a desire to build strong nursing education programs. The position is: Assistant/Associate Professor on the Flagstaff Mountain Campus. The nursing 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. Faculty will have the opportunity to address health care challenges of diverse populations in rural settings. The faculty position will support baccalaureate level students in the classroom, clinical teaching and/or in graduate courses in family health (NP) and nursing education. Teaching assignments are contingent upon qualifications and experience and are commensurate with rank. Scholarship is included in the work expectations. Northern Arizona University is a 23,500 student institution with its main campus in Flagstaff. It is a four-season community of about 62,000 at the base of the majestic San Francisco Peaks. NAU's emphasis on undergraduate education is enhanced by its graduate programs and research. The university is a recognized leader in higher education distance learning capabilities. Please visit the NAU recruitment website at http://hr.nau.edu to view a full description of the positions and the application EOE arizona STATE BOARD OF NURSING Regulatory Journal 15 EDUCATION CORNER By Pamela Randolph RN, MS Associate Director Education and Evidence Based Regulation This issue’s column includes excerpts from the article Arizona State Board of Nursing Report of Newly Licensed RN’s (Randolph, 2010) available in its entirety on the Board’s website www.azbn.gov. The Board initiated the survey to ascertain the extent of unemployment in nursing among newly graduated RNs. their perception of why they were not practicing, their efforts to obtain work, and what would be acceptable working conditions for them. Results There were 2810 RNs who took and passed the NCLEX-RN exam within the past year (April 1, 2009-April 1, 2010). Of those, 2450 had valid e-mail addresses and received an invitation to participate in the survey. Respondents were informed that responses were anonymous and would be recorded as aggregate data only. The survey consisted of 10 or fewer questions using “Survey Monkey”. The first question was about practice then the survey asked different questions of practicing and not-practicing RNs. We chose to use the term practice instead of employment because of the Board’s interest in continuing and maintaining competency through practice, whether employed Chart #1 EMPLOYMENT OF NEWLY LICENSED RN’S 2010 The Arizona State Board of Nursing surveyed all persons licensed by exam (e.g. new graduates) in AZ between April 1, 2009 and April 1, 2010. The Board wanted to know how many were practicing as nurses, and where they were practicing. From those who were not practicing, the Board wanted to know continued >>> 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 or not. We specifically want to know how many nurses were not practicing, and therefore in danger of losing competencies gained in initial nursing education. There were a total of 703 responses to the survey indicating a return rate of 29%. Of those responded 79.1% indicated they were practicing as an RN with 20.9% not currently practicing. This result is considered representative of the population as schools of nursing are reporting similar numbers. Length of Licensure Length of licensure was different between the practicing and nonpracticing groups with 67% of the non practicing nurses licensed less than 3 months versus 34% of practicing nurses. Chart #3 ambulatory care, community health, physician office). Reasons for Not Practicing The most often cited reason for not practicing was “not enough jobs for new RN grads in the area” (85%). One person responded that they did not choose to work and another that their Chart #2 Approximately 54% of practicing RNs have been licensed for 6 months or more compared with 20% of non-practicing RNs. Chart #1 compares percents of RNs in each category with length of licensure. Practice Characteristics In response to a question about practice characteristics, practicing nurses overwhelmingly have full time nursing jobs with benefits (83%). Approximately 5% have a part time job with no benefits and 4% have more than one job with at least one having benefits. Nineteen (3%) persons reported “other” conditions with 14 of those reporting a full time job without benefits. Only one nurse (0.2%) respondent reported working as a volunteer. The overwhelming majority of working new RNs have jobs in acute care (74%) with the next largest category long-term care (12%). Seven percent are working in home health. Other types of settings account for 4% or less (federal facility, academic medical center, options for working were limited due to other obligations. There were 20 (14%) written responses in the “other” category. Seven respondents reported having a job but have not started yet. Four respondents are seeking advanced lamented the lack of jobs for new nurses in the area. Efforts of Non-Practicing RNs to Seek Employment Forty-three percent of non-practicing RNs have made over 50 applications or written inquiries for employment Chart #3 contains results of the query by percent of RNs. A common misperception is that the non-working RNs are not seeking varied employment; however the Board’s study revealed that they are applying to a variety of settings. When asked to select all settings that they had applied to 90% applied to acute care, 62% to long term care, 53% to home health, 44% to state and federal facilities. Six percent reported not applying for an RN position. The top 10 settings are acute care, long term care, home health, ambulatory care (not a traditional office), community health center, state or federal facility, psychiatric care, private physician or other office, public health and registry. There were 14 “other” responses. Two applied at correctional facilities and several listed all the units they applied to. One nurse reported applying for LPN and CNA jobs and one reported applying for a volunteer position. One Chart #4 education including medical school. One respondent is interviewing in Alaska and one is on maternity leave. One respondent wrote, “I think that being a nurse is a HORRIBLE job & do not want to work as one..EVER”. Other responses person reported being turned down by the hospital where he/she worked for the last 12 years. Acceptable Working Conditions Some in the industry opine that the newly licensed cannot get jobs because continued >>> arizona STATE BOARD OF NURSING Regulatory Journal 17 <<< continued from previous page they are “too picky” and only will work certain units or shifts. Non-practicing nurses were asked, “If you were offered an RN job, which shifts/working hours would you accept”. Overwhelmingly, this population would accept any shift including nights (84.5%) and weekends (91%). The lowest response for acceptable hours was part-time (72%). The highest was for 12 hour shifts (97%). Five responses to the “other” category indicated that these nurses would work anywhere, anytime. As far as acceptable salary 53% said they would only accept the same beginning salary as other RNs in the facility. Thirty-seven percent would accept a lower salary during orientation/ preceptorship for up to 6 months. Only 5.5% would work up to 6 months unpaid with a gradual increase in salary over a year. Seven comments were received to this query with four wanting a higher salary based on LPN or nurse practitioner experience. Three would take less and one stated “you could not pay me enough to work as an RN”. Comments All survey participants were invited to comment on the situation with 395 persons offering comment. Analysis of the first 50 responses, 30 expressed frustration with the job market and search for new RN jobs. Conclusions While most experts agree that the nursing shortage is not really over, there is a serious gap between the number of new RNs prepared and the number of jobs available for them. Approximately 21% of newly graduated RNs licensed in Arizona between April 1, 2009 and April 1, 2010 are not able to obtain employment in nursing. Data from this report suggests that this is not due to lack of effort or undue “selectivity” in the type of job sought. Citizens of this state invested tens of thousands of dollars into the education of each of these nurses through funding of public colleges and universities and government grants and loans. Industry invested millions in supporting the education and training of an adequate RN workforce. It is inevitable that aging nurses will eventually retire leaving the state with an unprecedented nursing shortage. If these newly licensed RNs do not obtain practice opportunities, the skills they 18 learned in school become lost over time. The Board of Nursing is concerned with the potential lost competencies of these non-practicing nurses and is encouraging service to craft positions so these highly valuable and educated individuals do not leave the field and are poised to meet health care needs of the future (Nurse Executive Center, 2008). It takes roughly 3-5 years to produce an RN if one counts prerequisites. We cannot afford to wait that long for care when the next wave of shortage hits. REFERENCES Nurse Executive Center (2008). Bridging the Preparation Practice Gap. Washington, DC: Advisory Board Company Board Actions—Educational Programs March 2010 • Approved proposal for LPN program at Brown-Mackie College—Tucson • Approved changes in RN program at Arizona Western College • Approved changes in Accelerated BSN program at Northern Arizona University You’ve arrived. 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 arizona STATE BOARD OF NURSING Regulatory Journal 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. • Renewed the approval of Consolidated Learning Systems Refresher Program • Determined that previous deficiencies were resolved at East Valley Institute of Technology and continued investigation on current complaint • Dismissed complaint against University of Phoenix FNP program • Reviewed changes in leadership at Everest College, Maricopa Skill Center, Apollo College and Glendale Community College • Dismissed complaint against Mesa Community College • Determined that previous deficiencies are resolved at Central Arizona College • Extended approval of GateWay Fast Track LPN program It’s more than a nice place to visit. It’s a great place to work. Scottsdale Healthcare is situated in the elite suburbs of Scottsdale, Arizona. In the heart of our city, you will find a plethora of entertainment, shopping, educational institutions and outdoor venues so that you can enjoy the rich cultural heritage and every recreational activity imaginable. Scottsdale Healthcare is a local hospital system shared amongst three premier campuses. Two of our hospitals, Scottsdale Healthcare Shea Medical Center and Scottsdale Healthcare Osborn Medical Center recently achieved Magnet status, and our newest facility, Thompson Peak Hospital is not far behind. At each of our three facilities, you’ll experience advanced technology, supportive management and exceptional opportunities for professional development. So come experience the rewards. Join Scottsdale Healthcare today. Nursing Job Openings Department Leaders, Team Supervisors and Mid-level RNs FT and PT shifts available Departments include: ICU, CVOR, ER, Surgery, Endoscopy, Med-Surg, Tele, Cath Lab, Radiology and Cardiovascular May 2010 • Approved nursing programs at Apply right now at www.shc.org/employment Scottsdale Community College, Chandler-Gilbert Community College, and Paradise Valley Community College with a report in 6 months • Granted provisional approval to Brookline College for an Accelerated BSN program • Approved FNP program at University of Phoenix • Approved LPN to BSN program at University of Phoenix with a report in 6 months • Issued letter of concern to Mohave Community College • Approved RN program at Mohave Community College with a report in 2 months and site visit in October 2010 is very quickly becoming • Approved program change Fortis the employer of choice in the west. As the premier provider of College LPN program healthcare in Arizona, California, Hawaii, Washington, and Utah, Patient Care has always been a top priority here. We are always • Issued Notice of Deficiency to SEVEN looking for likeminded individuals who can continue our tradition Academy Refresher Program of providing excellent quality of care, and who would like to grow • Issued Letter of Concern to Phoenix with us as we continue to build our service alliance! College Nursing Assistant Program Our affiliated facilities employ licensed registered, practical nurses, • Issued Notice of Deficiency to and certified nurse aids in addition to leadership and support Scottsdale Community College Arizona State Board of Nursing Newsletter positions. We provide competitive pay and excellent benefits. Nursing Assistant Program 07/01/2010 Come join our exciting, fulfilling and caring environment!! • Issued Order of Probation to East 1951310-PHPC37324 Valley Institute of Technology For more information and to apply, SCOHEA for any future nursing program please visit our website at www.AvalonHCI.com. 5.125” x 4.875” • Dismissed complaintCindy against Phoenix Chaifetz v.3 Job Corps CNA program • Approved University of Arizona application for a site in Yuma with a report in 12 months • Reviewed changes in administration at Apollo College and Everest College and nursing program closure report from Rio Salado College EOE/AA M/F/D/V Avalon Health Care WA UT CA AZ HI arizona STATE BOARD OF NURSING RegulatoRy JouRnal 19 cna coRneR By LILA vAN CUyk, RN, BSN Nurse PrACtiCe CoNsultANt/ CNA ProgrAMs The Board has found that over the last year and a half there has been a downward trend in the first time pass rates for Nursing Assistant certification. Candidates are required to score a minimum of 75% on the written exam which consists of 72 multiple questions. For the skills exam, candidates are required to score a minimum of 80% on each task without missing any key steps. (see Table 1) A Notice of Low Pass Rates was sent to the 48 programs that had at least 10 first time testers and who were at least 10 points below the 2009 State average. The Board also sent out a Request for Plan of Remediation to the 8 programs that had either a Written or Skills testing average below 50%. The programs developed Plans of Remediation and did a great job in evaluating the reasons for their low pass rate and making suggestions for remediation. Wanted to share these so that all of the NA Training programs may benefit. • provide textbook at student reading level. 6. Students have low motivation • interview students prior to entrance to determine if they understand the role and expectations to complete the program. 7. High turnover of instructors • determine primary causes and stratetable 1 2008 3895 first time testers Written exam: 92% average Skills exam: 78% 2009 4709 first time testers Written exam: 86% average Skills exam: 76% 2010 (Jan-May) 1581 first time testers Written exam: 87% average Skills exam: 71% WRITTEN: 1. Long classroom sessions • break up the classroom time with concurrent skill practice. • do not have didactic over 4 hours per day. 2. Not utilizing the Candidate Handbook Vocabulary list • learn definitions for each word. • teach words that have high rate of being missed on written exam. 3. English is a second language • have student take English as a second language course prior to starting NA training. • have the student prepare the vocabulary list in English and a translation of their primary language. If this list is only the direct translation, e.g. house = casa, not the definition, the list can be taken into the State written test. 4. Cultural differences of students • sensitivity to cultural needs and difference in learning style. 5. Low reading and/or math skill • provide tutorial in reading and math skills prior to starting training. 20 gies to address. 8. Inexperienced instructors • provide orientation, encourage enrollment in courses related to methods of teaching classroom and clinical training • encourage enrollment for D&S Technologies Instructor Training. • provide other appropriate teaching tools and resources. arizona STATE BOARD OF NURSING RegulatoRy JouRnal Journey to a place where caring comes naturally. 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. We 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 a 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: Employee Health Case Manager RN Director, Cardiology (FMC) Director, Critical Care (FMC) Director, Emergency Services (FMC & VMC) To learn more about opportunities at NAH and the communities that we serve, please visit www.nahealth.com/careers. Patients Are Our Purpose 9. Inconsistent teaching by instructors • develop lesson plans for each didactic class used by all instructors. • provide opportunities for mentoring/ communication between instructors. • hold regularly schedule faculty meetings to discuss new teaching developments. • develop policies and procedures for conducting classroom and clinical training. 10. Written exams are of lower difficulty than the State written exam • use instructor handbook for test questions to write initial and make-up exams that have valid, reliable questions. • purchase practice exams at the D&S website, www.hdmaster.com for use as teaching tool or for students to practice test taking. SKILLS: 11. Inconsistent teaching by instructors • use Candidate Handbook and mock skills step by step testing forms when teaching skills. 12. Clinical training sight did not have the opportunity to perform required skills • need blocks of clinical time, preferably 8 hours. • vary the clinical training schedule to include days, evenings and weekends. • ensure that students perform direct care activities and do not just observe instructor or staff do tasks. 13. Students learned “shortcuts” from the facility staff and no longer provided care based on classroom learning • educate staff regarding requirement; ie students are to perform tasks as they learned in class. 14. The program has insufficient lab practice time or does not utilize the lab practice time well • intersperse skills practice with didactic learning. • have multiple beds/ skills stations so that all students are actively engaged. 15. Not utilizing the Candidate Handbook • give current Handbook to each student at the start of class. • handbooks are revised annually(April) and are available for free from D&S Technologies or it can be printed at D&S Technologies website. • have students create study cards for each skill. 16. Instructors are not thorough in assessing skill competency • be precise when assessing skill competency. • give a skills final exam in addition to the final theoretical exam. • do not rely on facility preceptors to verify competency in skills. 17. Delays in taking the certification test • schedule test to be given at training site as soon as possible after the end of class. • if test cost is paid by outside source request payment at start of class. • assist students to complete the test ap- plication to D&S Technologies and submit application. 18. Concerns related to the D&S test observers • email concerns to D&S Technologies at hdmastereast@hdmaster.com and lvancuyk@azbn.gov. A more in depth guideline in program assessment with more suggestions for improvement is available at the Board of Nursing website, www.azbn.gov/ Education/ Education Resources in the updated Suggestions for Improving NA Training Program Pass Rate. 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. making nurses more confident and caring. nursing center | PHoenix camPus PHoenix.edu/arizona 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 arizona STATE BOARD OF NURSING Regulatory Journal 21 cna disciplinaRy action FEBRUARy, MARCH, APRIL, MAy 2010 *Not reported in previous Journal effeCTIVe DATe 4/23/2010 3/24/2010 NAMe Allen, Maya l. Ami, Clarissa D. CerTIfICATe CNA999994585 CNA Applicant DISCIplINe Stayed Suspension Certificate Denied 2/18/2010 Anaya, Audriana A. CNA1000015078 Civil penalty 3/5/2010 3/17/2010 Arballo, Argel Arthur, Amy S. CNA1000012878 CNA Applicant Stayed Suspension Certificate Denied 2/11/2010 Atkinson, Jessica A. CNA Applicant Civil penalty 5/26/2010 4/23/2010 5/10/2010 Ault, Debbra e. Bahe, Carol l. Baldwin, leona A. CNA1000024360 CNA1000002879 CNA175142803 Civil penalty revoked revoked 3/15/2010 Berumen, leandra l. CNA1000001602 revoked 5/10/2010 4/22/2010 Bigler, linda K. Blanton pierce, Kimberly CNA233089103 CNA542091803 revoked revoked 2/24/2010 Block, Daniel r. CNA Applicant Certificate Denied 2/22/2010 5/10/2010 Boone, lorraine l. Bradley, roxanne K. CNA1000023338 CNA999991976 Civil penalty Decree of Censure 3/18/2010 Brimhall, Courtney e. CNA Applicant Certificate Denied 3/15/2010 Campos, Daniel T. CNA1000004232 revoked 5/10/2010 Cantrell, Tammy l. CNA1000007956 revoked 5/10/2010 3/18/2010 1/19/2010* 3/15/2010 Castillo, Arturo r. Chavez, Joshua A. Chavez, Malinda M. Connors, Monica r. CNA999951391 CNA Applicant CNA Applicant CNA214441116 revoked Certificate Denied Certificate Denied revoked 4/16/2010 5/10/2010 3/19/2010 Cooper, laura l. Cooper, Veronica Cornelius, raelee CNA Applicant CNA999993477 CNA Applicant Civil penalty revoked Certificate Denied 3/15/2010 Costa, Michael S. CNA999995785 revoked 3/15/2010 4/14/2010 3/18/2010 Cuen, Carla M. Dazen, Cheryl A. Deaver, Deborah D. CNA1000002062 CNA1000016008 CNA Applicant revoked Decree of Censure Certificate Denied 5/26/2010 3/15/2010 Dickinson, robert r. Didenko, Nataliya V. CNA1000014044 CNA1000003283 revoked revoked 3/15/2010 Dorame, Jessica r. CNA999999661 revoked 3/15/2010 elturk, Abdulrahman M. CNA1000016690 revoked 5/3/2010 5/19/2010 estrada, Cynthia forshee, elyse A. CNA Applicant CNA1000024266 Certificate Denied Stayed revocation 2/25/2010 fraiberg, Alexandria J. CNA1000023340 3/1/2010 5/10/2010 3/15/2010 5/13/2010 3/15/2010 frieszell, reihanna l. funez, riccy V. Garcia, Maria C. Gary, lisa r. Gilbert, Carolyn S. CNA Applicant CNA701889441 CNA1000016256 CNA Applicant CNA999951215 Stayed revocation w/Civil penalty Certificate Denied revoked revoked Certificate Denied revoked 12/4/2009* Gonzalez, Cassandra e. CNA1000001197 Civil penalty 12/30/2009* Gonzalez, Tania M. CNA Applicant Certificate Denied 4/22/2010 5/14/2010 Grange, Cynthia S. Hall, Kelly l. CNA1000023330 CNA Applicant revoked Certificate Denied 11/24/2009* Hall, Thad D. CNA Applicant Certificate Denied 4/28/2010 Hamm, Mary l. CNA181877500 3/11/2010 Harms, Christine e. CNA Applicant Stayed revocation w/Civil penalty Certificate Denied 4/17/2010 2/10/2010 Henriquez, Dionne l. Hernandez, rojelio CNA1000023962 CNA1000014696 Civil penalty Voluntary Surrender 3/8/2010 Herrera, Trashunda N. CNA1000024155 Civil penalty 3/24/2010 Horvatich, Sherilyn e. CNA Applicant Certificate Denied 3/15/2010 Hoskins, Chichi N. CNA999994104 revoked 5/10/2010 Howard, Carey G. CNA1000016118 revoked 22 arizona STATE BOARD OF NURSING RegulatoRy JouRnal VIOlATION(S) Disruptive Conduct; Abusive Conduct Toward Staff Criminal Conviction; Alcohol or Other Substance Abuse; failure to Cooperate With Board Investigation Breach of Confidentiality; Other Unprofessional Conduct; failure to Comply with Health & Safety requirements Criminal Conviction Deferred Adjudication; Narcotics Violation or Other Violation of Drug Statutes; failure to Cooperate With Board Investigation Breach of Confidentiality; Other Unprofessional Conduct; failure to Comply with Health & Safety requirements Criminal Conviction; failure to Cooperate With Board Investigation Violation Of or failure to Comply With licensing Board Order Criminal Conviction; Violation of federal or State Statutes, regulation or rules Criminal Conviction; Violation of federal or State Statutes, regulation or rules Violation Of or failure to Comply With licensing Board Order Violation Of or failure to Comply With licensing Board Order; Drug Screening Violation Criminal Conviction; failure to Cooperate With Board Investigation; Substandard or Inadequate Care Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes patient Abuse; failure to Comply with Health & Safety requirements; Substandard or Inadequate Care Narcotics Violation or Other Violation of Drug Statutes; failure to Cooperate With Board Investigation Criminal Conviction; Violation of federal or State Statutes, regulation or rules Criminal Conviction; Non-Sexual Dual relationship or Boundary Violation; Disruptive Conduct patient Neglect; patient Abuse; fraud Criminal Conviction; failure to Cooperate With Board Investigation Narcotics Violation or Other Violation of Drug Statutes Criminal Conviction; Violation of federal or State Statutes, regulation or rules Nolo Contendere plea; patient Abandonment Violation Of or failure to Comply With licensing Board Order Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes; failure to Cooperate With Board Investigation Criminal Conviction; Violation of federal or State Statutes, regulation or rules Unable to practice Safely; Substandard or Inadequate Care; Negligence failure to Comply with Health & Safety requirements Criminal Conviction; fraud/Deceit or Material Omission in Obtaining license or Credentials; failure to Cooperate With Board Investigation Violation Of or failure to Comply With licensing Board Order Criminal Conviction; practicing Beyond the Scope of practice; Violation of federal or State Statutes, regulation or rules Criminal Conviction; Violation of federal or State Statutes, regulation or rules Non-Sexual Dual relationship or Boundary Violation; Other Unprofessional Conduct failure to Meet the Initial requirements of Certification Criminal Conviction; fraud/Deceit or Material Omission in Obtaining license or Credentials fraud/Deceit or Material Omission in Obtaining license or Credentials; Criminal Conviction Misappropriation of patient property or Other property Negligence; patient Abuse; patient Neglect patient Abuse; Violation of federal or State Statutes, regulation or rules Criminal Conviction; failure to Cooperate With Board Investigation Criminal Conviction; Violation of federal or State Statutes, regulation or rules failure to Meet licensing Board reporting requirements; Substandard or Inadequate Care Unable to practice Safely by reason of psychological Impairment or Mental Disorder; failure to Cooperate With Board Investigation Violation Of or failure to Comply With licensing Board Order Violation of federal or State Statutes, regulation or rules; failure to Cooperate With Board Investigation Narcotics Violation or Other Violation of Drug Statutes; Criminal Conviction; failure to Cooperate With Board Investigation patient Abuse fraud/Deceit or Material Omission in Obtaining license or Credentials; failure to Cooperate With Board Investigation; Criminal Conviction Criminal Conviction Sexual Misconduct; Conduct evidencing Moral Unfitness; Violation of or failure to Comply with licensing Board Order failure to Cooperate With Board Investigation; Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes Criminal Conviction; failure to Cooperate With Board Investigation; Alcohol or Other Substance Abuse Criminal Conviction; Violation of federal or State Statutes, regulation or rules patient Abuse continued >>> Exciting Opportunities! Work and play in the cool, beautiful White Mountains of Arizona where the quality of life is as high as our tall pines. Enjoy four mild seasons in the playground for outdoor activities including fishing, hiking, skiing, horseback riding, biking, golfing, hunting, and other outdoor adventures. Join a friendly, rural community with quality schools and a safe family environment. Summit Healthcare, a growing 81-bed medical center, has much to offer you! FLOAT RN Float RN Level I Demonstrates competencies in 5 units: Med/Surg, OB (couplet care for mothers and well newborns), ICU (Med/Surg & intermediate care status), ED (fast track and stable patients), and OR (pre-op and Level 2 PACU). EDUCATION AND TRAINING: ·Current AZ RN License (required). ·CPR/BLS certification (required). ·ACLS certification (required). ·PALS certification (required). ·S.T.A.B.L.E. certification (required). ·NRP certification (required). ·Minimum 1 years RN experience in an acute care setting (required). Contact: Lola Gray 928-532-6367 ph 928-532-8995 fax lgray@summithealthcare.net 2200 E. Show Low Lake Road Show Low AZ 85901 www.summithealthcare.net arizona STATE BOARD OF NURSING RegulatoRy JouRnal 23 cna disciplinaRy action FEBRUARy, MARCH, APRIL, MAy 2010 *Not reported in previous Journal continued effeCTIVe DATe NAMe CerTIfICATe DISCIplINe VIOlATION(S) 5/10/2010 Ingram, Verlyn r. CNA837249266 revoked 5/21/2010 James, Sherry A. CNA1000006859 Stayed Suspension 5/14/2010 Johnson, Gregory D. CNA Applicant Certificate Denied 3/9/2010 3/24/2010 Jordan, Cher A. Jose, Gary J. CNA Applicant CNA Applicant Certificate Denied Certificate Denied 5/10/2010 5/10/2010 2/16/2010 July, Markisha A. Kearns, Katrina Keller, Jacqueline CNA1000001559 CNA999947666 CNA1000014787 revoked revoked revoked 2/21/2010 3/15/2010 King, Amber J. Kouri, Natasha l. CNA1000023435 CNA1000013394 Civil penalty revoked 2/4/2010 3/9/2010 12/15/2009* 2/4/2010 2/18/2010 3/18/2010 Kuku, Maria A. labranche, Theresa A. lamas, paul C. laos, Jessica A. lee, Wendy J. lent, Marion A. CNA1000012567 CNA Applicant CNA1000023284 CNA Applicant CNA1000013334 CNA Applicant Civil penalty Certificate Denied Civil penalty Certificate Denied revoked Certificate Denied 11/10/2009* 3/18/2010 5/10/2010 4/15/2010 2/8/2010 5/10/2010 lewis, luamart r. loya, Homero C. Macdonald, elizabeth A. Madril, Denise C. Mailboy, Vivian Maples, Brandi D. CNA Applicant CNA Applicant CNA1000003581 CNA1000007821 CNA1000011881 CNA1000002219 Certificate Denied Certificate Denied revoked revoked Stayed revocation revoked 12/28/2009* 3/9/2010 3/15/2010 Martinez, Veronica l. Mcculler, Marla M. Mcguire, Shannon M. CNA384999817 CNA Applicant CNA999996770 Civil penalty Civil penalty revoked 4/23/2010 3/24/2010 3/15/2010 Mendoza, Maria T. Miller, Kimberly A. Mills, David A. CNA1000006872 CNA Applicant CNA1000000641 Stayed revocation Certificate Denied revoked Criminal Conviction; Violation of federal or State Statutes, regulation or rules Criminal Conviction; Violation of federal or State Statutes, regulation or rules; Alcohol or Other Substance Abuse failure to Meet licensing Board reporting requirements; failure to Cooperate With Board Investigation Criminal Conviction; failure to Cooperate With Board Investigation failure to Cooperate With Board Investigation; Violation of federal or State Statutes, regulation or rules Criminal Conviction patient Abuse Violation Of or failure to Comply With licensing Board Order; Drug Screening Violation Criminal Conviction; failure to Cooperate With Board Investigation failure to Comply with Health & Safety requirements; Violation Of or failure to Comply With licensing Board Order; Violation of federal or State Statutes, regulation or rules fraud/Deceit or Material Omission in Obtaining license or Credentials patient Neglect; failure to Cooperate With Board Investigation failure to Cooperate With Board Investigation; Criminal Conviction Criminal Conviction; Alcohol or Other Substance Abuse Violation Of or failure to Comply With licensing Board Order Violation of federal or State Statutes, regulation or rules; failure to Cooperate With Board Investigation Criminal Conviction; failure to Cooperate With Board Investigation failure to Cooperate With Board Investigation; Criminal Conviction Violation Of or failure to Comply With licensing Board Order Violation Of or failure to Comply With licensing Board Order patient Abuse Criminal Conviction; Violation of federal or State Statutes, regulation or rules failure to Meet licensing Board reporting requirements; Criminal Conviction Criminal Conviction Criminal Conviction; Violation of federal or State Statutes, regulation or rules; failure to Cooperate With Board Investigation Substandard or Inadequate Care; Disruptive Conduct Criminal Conviction; failure to Cooperate With Board Investigation patient Abuse; failure to Maintain Adequate or Accurate records; Violation of federal or State Statutes, regulation or rules you continued >>> Share your unique vision with us. At University Medical Center, we provide our nurses with an array of professional advantages to allow them to practice the true art of nursing. With your specialized skill, passion for excellence and compassion for others, you can help us give our patients a brighter future. With our commitment to professional development, advanced technology and low nurseto-patient ratios, you’ll have the support and time you need for an inspirational nursing career. • Director, Clinical Resource Management • Manager, Case Management • Cath Lab RN, Experienced • Clinical Leader, Outpatient Oncology • Clinical Nurse Specialist, Pain Management • ED RNs, Experienced • Home Health RN, Pediatrics • NP, CT Surgery • NP, Neurosurgery • NP, Trauma • OR RNs, Experienced To learn more about our rewarding career opportunities and the unique advantages that we offer, please visit us online at www.umcarizona.org or send an email to nurserecruitment@umcaz.edu. If you would like to speak with a recruiter, please call 800-524-5929. We are an Equal Opportunity Employer. Our greatest asset is Cobre Valley Regional Medical Center 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 CVRMC family: PRN RNs We offer competitive compensation, a superior benefits package, and relocation assistance for qualified candidates. For consideration, candidates must complete an online application at www.cvrmc.org. 5880 So. Hospital Dr., Globe, Arizona 85501 Phone: 928.402.1125, Fax: 928.425.7903 Email: rmurphy@cvrmc.org EOE www.cvrmc.org Come join our family of healthcare professionals where your positive attitude makes a difference. www.umcarizona.org 24 arizona STATE BOARD OF NURSING RegulatoRy JouRnal CVCH 8164001 6-24 2.5x4.875 AZBN.indd 1 6/24/10 3:01 PM CNA Disciplinary Action February, March, April, May 2010 *Not reported in previous Journal Continued effective date name certificate discipline violation(s) 3/23/2010 Molina, Virginia CNA999993439 Decree of Censure Criminal Conviction; Failure to Cooperate With Board Investigation; Violation of Federal or State Statutes, Regulation or Rules 5/10/2010 Moody, Roddrick CNA1000001233 Revoked Patient Abuse; Disruptive Conduct 4/15/2010 Moore, Christine E. CNA1000000656 Revoked Violation of or Failure to Comply with licensing Board Order; Drug Screening Violation 2/26/2010 Mundell, Laura J. CNA1000023431 Civil Penalty Fraud/Deceit or Material Omission in Obtaining License or Credentials; Criminal Conviction 4/28/2010 Muraya, Joyce W. CNA1000013605 Civil Penalty Patient Abuse; Substandard or Inadequate Care 4/21/2010 Muro, Kristine M. CNA999993192 Stayed Revocation Patient Abuse w/Civil Penalty 5/10/2010 Myers, Katherine A. CNA1000012510 Revoked Filing False Reports or Falsifying Records; Failure to Cooperate With Board Investigation 3/18/2010 Ondimu, Erin E. CNA Applicant Certificate Denied Criminal Conviction 4/8/2010 Opitz, Laverne A. CNA Applicant Certificate Denied Failure to Meet the Initial Requirements of Certification; Criminal Conviction; Fraud/Deceit or Material Omission in Obtaining License or Credentials 3/15/2010 Ortiz, Jose L. CNA183496953 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 3/31/2010 Parisi, Aileen M. CNA375213514 Decree of Censure Patient Abuse 5/14/2010 Payne, Charn M. CNA Applicant Certificate Denied Alcohol or Other Substance Abuse; Narcotics Violation or Other Violation of Drug Statutes 2/12/2010 Peper, John S. CNA1000023331 Civil Penalty Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 3/25/2010 Perry, Sara A. CNA1000003157 Voluntary Surrender Diversion of Controlled Substance; Alcohol or Other Substance Abuse; Immediate Threat to Health or Safety 5/10/2010 Pierce, Stephanie A. CNA1000010472 Revoked Patient Abandonment; Failure to Cooperate With Board Investigation; Fraud 4/28/2010 Reade, Todd A. CNA1000024051 Stayed Revocation Alcohol or Other Substance Abuse; Criminal Conviction 2/17/2010 Regan, Eric M. CNA1000000086 Voluntary Surrender Sexual Misconduct; Disruptive Conduct; Violation Of or Failure to Comply With Licensing Board Order 5/20/2010 Riddle, Sara E. CNA1000004288 Civil Penalty Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules; Failure to Comply with Health & Safety Requirements 4/19/2010 Roberson, Liesl E. CNA803787203 Revoked Violation Of or Failure to Comply With Licensing Board Order 5/20/2010 Saint Angelo, Ramey CNA028023803 Decree of Censure Unprofessional Conduct 4/10/2010 Sam, Sahr CNA1000023899 Civil Penalty Disruptive Conduct 3/19/2010 Savage, Rhett S. CNA Applicant Certificate Denied Violation of Federal or State Statutes, Regulation or Rules; Failure to Cooperate With Board Investigation 3/15/2010 Schulz, Virginia E. CNA1000000062 Revoked Violation of Federal or State Statutes, Regulation or Rules; Failure to Cooperate With Board Investigation 3/15/2010 Seng, Raksmey C. CNA1000011512 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 5/10/2010 Shannon, Arnold D. CNA790158819 Revoked Sexual Misconduct; Abusive Conduct Toward Staff; Fraud 3/15/2010 Simpson, Angela M. CNA999990236 Revoked Violation of Federal or State Statutes, Regulation or Rules; Criminal Conviction 5/19/2010 Singleton, Heather A. CNA Applicant Certificate Denied Failure to Meet the Initial Requirements of Certification; Violation Of or Failure to Comply With Licensing Board Order 5/3/2010 Smith, Wendy A. CNA1000024128 Civil Penalty Criminal Conviction; Narcotics Violation or Other Violation of Drug Statutes 4/23/2010 Sosa Nunez, Angela CNA1000015171 Revoked Violation Of or Failure to Comply With Licensing Board Order 4/19/2010 Sova, Paul J. CNA105208627 Revoked Violation Of or Failure to Comply With Licensing Board Order 3/23/2010 Stevens, Joan P. CNA1000017801 Decree of Censure Other Unprofessional Conduct; Patient Abuse; Disruptive Conduct 11/4/2009* Stevens, Lydia L. CNA Applicant Certificate Denied Criminal Conviction; Failure to Meet the Initial Requirements of Certification; Fraud 5/12/2010 Suppo, Courtney A. CNA Applicant Certificate Denied Failure to Cooperate With Board Investigation 3/15/2010 Tomlin, Clifford O. CNA999998119 Revoked Violation Of or Failure to Comply With Licensing Board Order; Sexual Misconduct; Patient Neglect 3/15/2010 Toolooze, Amanda M. CNA999951506 Stayed Revocation Criminal Conviction; Substandard or Inadequate Care 4/26/2010 Tornquist, Nicholas A. CNA1000013226 Civil Penalty Criminal Conviction; Substandard or Inadequate Care 3/15/2010 Villalovos, Meagan D. CNA1000016338 Revoked Criminal Conviction; Violation of Federal or State Statutes, Regulation or Rules 3/10/2010 Vitollo, Roseann S. CNA Applicant Certificate Denied Criminal Conviction; Fraud/Deceit or Material Omission in Obtaining License or Credentials; Unable to Practice Safely 4/12/2010 Walker, Fred C. CNA1000004597 Revoked Violation Of or Failure to Comply With Licensing Board Order; Drug Screening Violation 4/20/2010 Wooten, Celeste P. CNA999950504 Stayed Revocation Patient Abuse w/Civil Penalty 5/10/2010 Wright, Davina Y. CNA1000019373 Revoked Patient Neglect CNA Discipline - ACTION CLEARED February- May 2010 effective date name 3/29/2010 Almada, Ana R. 2/5/2010 Rascon, Stephanie A. 3/30/2010 Renteria, Pamela A. LICENSE CNA1000010715 CNA999991015 CNA1000018011 effective date name 3/25/2010 Vazquez, Martha M. 4/20/2010 Verdugo, Micaela 3/24/2010 Waddell, Andrea L. 3/23/2010 Waller, Lisa D. RN/LPN Disciplinary Action LICENSE CNA1000010048 CNA1000006420 CNA753238803 CNA1000011792 *Not reported in previous Journal FEBRUARy-MARCH-APRIL-MAY 2010 effective date name certificate discipline violation(s) 4/28/2010 Albro, Traci L. LPN Endorsement Probation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 5/20/2010 Allen, Bryan K. RN081433/LP016930 Probation Criminal Conviction 3/29/2010 Amaya, Renee E. RN133880 Stayed Revocation Unable to Practice Safely by Reason of Alcohol or Other with Suspension Substance Abuse, Diversion of Controlled Substance 5/10/2010 Anderson, Kristian K. RN082958 Revocation Failure to Comply With Licensing Board Order continued >>> arizona STATE BOARD OF NURSING Regulatory Journal 25 RN/LPN Disciplinary Action FEBRUARy-MARCH-APRIL-MAY 2010 Continued *Not reported in previous Journal effective date name certificate discipline violation(s) 5/10/2010 Andrews Jr, Vernon LP022843 Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 2/26/2010 Arens, Rebekah S. LP042446 Decree of Censure Non-Sexual Dual Relationship or Boundary Violation 3/10/2010 Baker, Pamela RN137030 Voluntary Surrender License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority, Fraud, Deceit or Material Omission in Obtaining License or Credentials, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 5/10/2010 Balmer, Brienna L. RN141825 Revocation Failure to Comply With Licensing Board Order 2/5/2010 Barger, Kathy L. RN090512/LP029269/ Decree of Censure Substandard or Inadequate Care, Practicing Beyond the Scope of Practice CNA533158990 2/23/2010 Bartram, Elizabeth M. RN057874 Decree of Censure Non-Sexual Dual Relationship or Boundary Violation 5/10/2010 Baxter, Thomas A. RN071722 Revocation Failure to Comply With Licensing Board Order 4/22/2010 Beaumont, Julie RN086492/LP028393 Stayed Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse with Suspension 2/5/2010 Bell, Janice K. RN054213/AP0046 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 2/8/2010 Bender, Carey J. LP022599 Decree of Censure Substandard or Inadequate Care 4/2/2010 Berens, Barbara A. RN022527 Decree of Censure Inappropriate or Inadequate Supervision or Delegation 3/5/2010 Bethea, Vivian D. LPN Endorsement License Denied Failure to Cooperate With Board Investigation 3/8/2010 Beyerlein, Ellen J. RN122412 Stayed Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse with Suspension 3/31/2010 Blakney, Jeffrey L. RN131380 Probation Narcotics Violation or Other Violation of Drug Statutes, Drug Screening Violation, Positive Drug Screen Without a Valid Prescription 3/23/2010 Blocker, Mark D. RN130134 Probation Substandard or Inadequate Care 5/10/2010 Bluestein, Marla N. RN000099181 Revocation Failure to Comply With Licensing Board Order 4/9/2010 Booth, Colleen LP036438 Probation Criminal Conviction, Substance Abuse 2/10/2010 Bounds, Jo A. RN097382/LP031052/ Probation Violation of Federal or State Statutes, Regulation or Rules, Narcotics Violation CNA598910641 or Other Violation of Drug Statutes 2/11/2010 Branham, Erik C. RN128741 Decree of Censure Practicing Beyond the Scope of Practice 4/12/2010 Brent, Catherine D. LP037622/ Revocation Failure to Comply With Licensing Board Order, Drug Screening Violation, CNA159162103 Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 2/22/2010 Brown, Donna M. LP043959 Probation Substandard or Inadequate Care, Negligence, Narcotics Violation or Other Violation of Drug Statutes 4/29/2010 Brown, Donna M. LP043959 Voluntary Surrender Failure to Comply With Licensing Board Order 5/19/2010 Brown, Kelly L. RN145183 Voluntary Surrender License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 3/18/2010 Bruce, Julie A. LPN Endorsement License Denied Misappropriation of Patient Property or Other Property 5/10/2010 Bryant-Deconcini, Sara W. RN053547 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 5/20/2010 Burkhalter, Travis L. RN112921/ Probation Criminal Conviction CNA999949638 3/11/2010 Calhoun, Joann RN133530 Probation Substance Abuse 2/2/2010 Carroll, Jewell M. LP030059 Decree of Censure Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Failure to Comply With Health & Safety Requirements 5/10/2010 Carter, Jennifer R. RN120243 Revocation Failure to Comply With Licensing Board Order 3/23/2010 Casey, Antonia RN121235 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 3/5/2010 Cash, Mary A. RN146825/AP2769 Summary/ Immediate Threat to Health or Safety, Narcotics Violation or Emergency Suspension Other Violation of Drug Statutes, Unauthorized Prescribing Medicine (APRN) 3/15/2010 Chapman, Marcia L. RN046798 Revocation Failure to Comply With Licensing Board Order 4/22/2010 Chaprnka, Lynda E. RN114563 Revocation Failure to Comply With Licensing Board Order, Drug Screening Violation 4/15/2010 Clark Hentz, Zarifa W. LP045862 Civil Penalty Criminal Conviction 2/10/2010 Clinit-Echeveste, Cecilia RN023026 Voluntary Surrender Failure to Comply With Licensing Board Order 4/22/2010 Clouse, Susan A. RN076271 Revocation Failure to Comply With Licensing Board Order, Drug Screening Violation 3/15/2010 Cohagen, Jennie S. RN052003 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance, Failure to Cooperate With Board Investigation 5/20/2010 Collins, Roberta E. RN102179 Stayed Revocation Substance Abuse, Failure to Cooperate With Board Investigation, Criminal with Probation Conviction 5/10/2010 Cooper, Karen R. RN040746 Revocation Failure to Comply With Licensing Board Order 4/26/2010 Costello, Gina M. Compact - RN, CO Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse Privilege to Practice 2/18/2010 Cota, David M. RN114848/ Probation Violation Of or Failure to Comply With Licensing Board Order LP034555/ Violation of Federal or State Statutes, Regulation or Rules, Failure to 3/17/2010 Curry, Gayle M. RN Endorsement License Denied Cooperate With Board Investigation 3/15/2010 Dagenet, Andrew P. LP043330/ Revocation Failure to Maintain Records or Provide Medical, Financial or Other Required CNA1000005034 Information, Violation of Federal or State Statutes, Regulation or Rules 4/14/2010 Dare, Susan E. RN125777 Stayed Revocation Failure to Comply With Licensing Board Order, Unable to with Probation Practice Safely by Reason of Alcohol or Other Substance Abuse 3/15/2010 Dartt, Raquel L. RN126959 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 3/16/2010 Dawson, Lynette M. LPN Endorsement License Denied Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 2/24/2010 DeElena, Barbara A. RN162243 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules, Narcotics Violation or Other Violation of Drug Statutes 3/15/2010 Demlong, Bonnie M. RN101123 Revocation Unable to Practice Safely, Error in Prescribing, Dispensing or Administering Medication, Failure to Maintain Records or Provide Medical, Financial or Other Required Information 4/22/2010 Di Cola, Allison M. RN162914 Probation Criminal Conviction, Failure to Cooperate With Board Investigation 2/14/2010 Dillingham, Amy M. RN128060/ Decree of Censure Practicing Beyond the Scope of Practice 5/5/2010 Dobbs, Peggy A. LP030414 Voluntary Surrender Failure to Comply With Licensing Board Order 2/12/2010 Dority, Dena M. RN113431 Voluntary Surrender Failure to Comply With Health & Safety Requirements 3/15/2010 Dunn, Gary RN143011 Revocation Unable to Practice Safely, Failure to Maintain Adequate or Accurate Records, Failure to Cooperate With Board Investigation 3/25/2010 Ebuen, Sylvia R. RN088219 Probation Unable to Practice Safely 2/22/2010 Erdman, Shawn S. RN143958 Stayed Revocation Substance Abuse with Probation 5/14/2010 Fincher, Cassandra A. RN149717 Probation Unprofessional Conduct 3/23/2010 Foley, Laura G. LP036769 Decree of Censure Unable to Practice Safely 3/8/2010 From, Barbara A. RN141138 Stayed Revocation Substance Abuse with Probation 4/12/2010 From, Barbara A. RN141138 Revocation Failure to Comply With Licensing Board Order, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 26 arizona STATE BOARD OF NURSING Regulatory Journal continued >>> RN/LPN Disciplinary Action FEBRUARy-MARCH-APRIL-MAY 2010 *Not reported in previous Journal Continued effective date name certificate discipline violation(s) 3/15/2010 Garcia, Amy M. RN139882/ Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, LP041195 Diversion of Controlled Substance, Failure to Comply With Licensing Board Order 5/10/2010 Garrett, Lisa K. RN093124 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Failure to Comply With Licensing Board Order 4/22/2010 Gaul, Jessica L. LP045043/ Revocation Failure to Comply With Licensing Board Order CNA999948145 4/7/2010 Gleaves, Mary E. RN109091 Civil Penalty Filing False Reports or Falsifying Records 4/19/2010 Gloria, Joseph M. RN151540 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 3/15/2010 Gonzalez, Tamara LP031633 Revocation Criminal Conviction, Violation of Federal or State Statutes, Regulation or Rules 4/14/2010 Gordon, Carlene J. LP015052 Voluntary Surrender Unable to Practice Safely by Reason of Physical Illness or Impairment, Unable to Practice Safely by Reason of Psychological Impairment or Mental Disorder 3/15/2010 Grayeske, Mary RN142741 Suspension Unable to Practice Safely 4/2/2010 Greenlee, Deborah A. RN130021 Voluntary Surrender Practicing Beyond the Scope of Practice, Substandard or Inadequate Care, Unauthorized Administration of Medication 3/25/2010 Greer, Geraldine A. RN132404 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules, Criminal Conviction 5/18/2010 Greer, Jillian L. RN152545/ Voluntary Surrender Failure to Comply With Licensing Board Order, Drug Screening Violation, CNA999999543 Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 5/20/2010 Hall, Cherise L. LP043265/ Civil Penalty Criminal Conviction, Failure to Cooperate With Board Investigation CNA1000001638 3/3/2010 Hamilton, Brittani K. RN137760/AP3220 Probation Practicing Beyond the Scope of Practice, Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Substandard or Inadequate Care 1/7/2010* Hansen, Robin L. RN132403/LP038227 Decree of Censure Substandard or Inadequate Care 2/22/2010 Harris, Victoria A. RN037477 Suspension Unable to Practice Safely 3/26/2010 Hayden, Denise M. RN137173 Voluntary Surrender Failure to Comply With Licensing Board Order, Unable to Practice Safely, Error in Prescribing, Dispensing or Administering Medication 3/15/2010 Hayes, Emma M. LP030036 Revocation Substandard or Inadequate Care, Patient Neglect, Failure to Cooperate With Board Investigation 2/18/2010 Hill, Kamara A. LP046290/ Civil Penalty Violation of Federal or State Statutes, Regulation or Rules, Criminal Conviction CNA1000018544 2/8/2010 Howard, Curt B. RN112908 Probation Narcotics Violation or Other Violation of Drug Statutes, Unauthorized Dispensing of Medication 4/2/2010 Hughes, Jane L. RN087419 Stayed Suspension Violation of Federal or State Statutes, Regulation or Rules, Unprofessional with Probation Conduct 5/10/2010 Hyman, Marlene R. RN086981 Probation Failure to Meet Licensing Board Reporting Requirements, Failure to Maintain Adequate or Accurate Records, Substance Abuse 5/10/2010 Ibeabuchi, Patricia N. RN102251 Revocation Unable to Practice Safely 5/10/2010 Inman, Phyllis A. RN126093 Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority, Fraud, Deceit or Material Omission in Obtaining License or Credentials, Substandard or Inadequate Care 2/23/2010 Iwuajoku, Andrew RN139004/ Decree of Censure Failure to Comply With Health & Safety Requirements, Substandard or LP037511/ Inadequate Care CNA546264441 5/21/2010 James, Nicholas F. RN103708 Reissuance with Stayed License Revocation, Suspension or Other Disciplinary Action Taken by a Suspension Probation Federal, State or Local Licensing Authority 3/15/2010 Jesmer, Karen A. RN101521 Revocation Criminal Conviction, Violation of Federal or State Statutes, Regulation or Rules 3/15/2010 Johnson, Danette L. RN154190 Revocation Failure to Comply With Licensing Board Order 4/19/2010 Johnson, Rebecca W. RN057760 Revocation Failure to Comply With Licensing Board Order 4/29/2010 Jorgensen, Karen RN131691 Voluntary Surrender Failure to Comply With Licensing Board Order 5/10/2010 Kastigar, Belinda D. RN112850 Revocation Narcotics Violation or Other Violation of Drug Statutes, Failure to Cooperate With Board Investigation, Violation of Federal or State Statutes, Regulation or Rules 3/11/2010 Kinder, Michael C. RN106172 Voluntary Surrender Failure to Comply With Licensing Board Order 5/20/2010 Klemmer, Jane R. RN125191/AP1989 Decree of Censure Inappropriate or Inadequate Supervision or Delegation 3/9/2010 Krukowski, Theresa A. RN113574 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 3/3/2010 Laabs, Cynthia H. RN057704/AP2172 Decree of Censure Substandard or Inadequate Care 2/15/2010 Lacambra, Norman N. LP030186/ Probation Diversion of Controlled Substance, Substance Abuse 5/10/2010 Lage, Judith A. RN129454 Revocation Substandard or Inadequate Care, Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Narcotics Violation or Other Violation of Drug Statutes 5/21/2010 Leader, Julie A. RN137139/AP2660 Decree of Censure Misrepresentation of Credentials 2/8/2010 Leckrone, Julie A. RN092413 Probation Substance Abuse 5/5/2010 Leckrone, Julie A. RN092413 Stayed Revocation Failure to Comply With Licensing Board Order, Drug Screening Violation; Suspension Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 4/28/2010 Linder, Daniel W. RN122070 Probation Failure to Maintain Adequate or Accurate Records, Drug Screening Violation 5/11/2010 Lively, Elizabeth D. RN126055 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules, Criminal Conviction 3/25/2010 Lopez, Mary F. RN119733 Stayed Revocation Error in Prescribing, Dispensing or Administering Medication with Probation 3/5/2010 Maas, Shauna L. RN138226 Probation Substandard or Inadequate Care 5/25/2010 Mahn, Deborah H. RN075227/ Decree of Censure Failure to Maintain Adequate or Accurate Records LP024211/ CNA722693803 5/12/2010 Maloney, Violet S. RN150824 Probation Deferred Adjudication; Substance Abuse 4/1/2010 Manning, Lisa M. LP046415 Probation License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 2/11/2010 Mayo, Yvette M. RN117146/ Probation Substance Abuse CNA567971614 5/10/2010 McCollum, Jennifer A. RN133341 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Diversion of Controlled Substance 4/29/2010 McGee, Michelle E. RN123587 Decree of Censure Practicing Beyond the Scope of Practice 5/10/2010 McGraw, Jason K. RN156778 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Violation of Federal or State Statutes, Regulation or Rules 3/9/2010 Mckee, Theresa A. LPN Endorsement License Denied Failure to Comply With Licensing Board Order; Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 4/13/2010 McPheron, Kristi L. LP044186 Revocation Failure to Comply With Licensing Board Order; Drug Screening Violation continued >>> arizona STATE BOARD OF NURSING Regulatory Journal 27 RN/LPN Disciplinary Action FEBRUARy-MARCH-APRIL-MAY 2010 Continued *Not reported in previous Journal effective date name certificate discipline violation(s) 4/10/2010 McPherson, Cyndi J. RN075808 Stayed Suspension Failure to Comply With Licensing Board Order; Substance Abuse with Probation 3/16/2010 Meyer, Andy M. RN162425 Civil Penalty Violation of Federal or State Statutes, Regulation or Rules 3/24/2010 Michael, Leasa M. RN156154 Suspension Disruptive Conduct, Conduct Evidencing Ethical Unfitness, Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 3/9/2010 Millsap-smith, Carolyn L. LP033934 Probation Criminal Conviction, Substance Abuse 4/21/2010 Modlin, Tanja RN000099318 Decree of Censure Substandard or Inadequate Care 5/10/2010 Monson, Samantha V. LP038946/ Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, CNA999987997 Failure to Comply With Licensing Board Order 2/18/2010 Mostafa, Barbara A. LPN Endorsement Civil Penalty Criminal Conviction, License Revocation, Suspension or Other Disciplinary Action Taken by a Federal, State or Local Licensing Authority 4/23/2010 Nixon, Sara M. RN144240 Probation Failure to Maintain Adequate or Accurate Records, Narcotics Violation or Other Violation of Drug Statutes, Failure to Comply With Health & Safety Requirements 3/15/2010 Norton, Gilsomena M. RN104729 Decree of Censure Fraud, Violation of Federal or State Statutes, Regulation or Rules 5/10/2010 Nunes, Debbie LP031808 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Violation of Federal or State Statutes, Regulation or Rules 2/18/2010 Omoth, Beverly B. LP040471 Decree of Censure Practicing Beyond the Scope of Practice 2/5/2010 Opuroku, Ezekiel T. TRN162082 Stayed Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Probation Federal, State or Local Licensing Authority, Criminal Conviction 4/4/2010 Owens, M Susan RN148401 Decree of Censure Substandard or Inadequate Care 4/21/2010 Paret, Jacquelyn S. RN152917 Civil Penalty Criminal Conviction 4/13/2010 Parker, Les P. RN103137 Revocation Failure to Comply With Licensing Board Order, Drug Screening Violation 3/4/2010 Parsons, Lori A. Compact, RN - MD Voluntary Surrender Diversion of Controlled Substance, Unable to Practice Safely by Reason of (R180221) Privilege to Practice Alcohol or Other Substance Abuse, Immediate Threat to Health or Safety 4/29/2010 Peguero, Natalie M. RN139267 Probation Violation of Federal or State Statutes, Regulation or Rules, Failure to Cooperate With Board Investigation, Criminal Conviction 5/14/2010 Pelletier, Michael E. RN104316 Decree of Censure Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Substandard or Inadequate Care 3/26/2010 Porter, S R. Reissuance Reissuance Denied Criminal Conviction, Fraud/Deceit or Material Omission in Obtaining License Applicant (RN047044) or Credentials 3/15/2010 Pringle, Julie RN078420/ Revocation Failure to Comply With Licensing Board Order, Unable to Practice Safely by LP023383 Reason of Alcohol or Other Substance Abuse 4/16/2010 Quinn, Delora J. LP042649 Voluntary Surrender Failure to Comply With Licensing Board Order 3/2/2010 Quinones, Mary E. RN095540 Stayed Revocation Reissuance with Probation 2/12/2010 Ramers, Samantha J. RN133834 Stayed Revocation Unable to Practice Safely by Reason of Alcohol or Other with Suspension Substance Abuse, Diversion of Controlled Substance 2/25/2010 Reed, Shalisaand L. RN144081 Decree of Censure Substandard or Inadequate Care 3/26/2010 Reeves, Dawn M. LP042368 Revocation Criminal Conviction, Violation of Federal or State Statutes, Regulation or Rules 4/14/2010 Riggs, Nancy J. RN110618 Probation Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Practicing Beyond the Scope of Practice, Narcotics Violation or Other Violation of Drug Statutes 5/10/2010 Riggs, Randall W. LP036326 Revocation Sexual Misconduct, Failure to Disclose, Criminal Conviction 4/26/2010 Riley, Michelle R. RN079703 Decree of Censure Practicing Beyond the Scope of Practice 3/18/2010 Rivera, Enrique C. RN Endorsement License Denied Criminal Conviction 5/10/2010 Robinson, Sarah R. LP043702 Revocation Unable to Practice Safely by Reason of Psychological Impairment or Mental Disorder, Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Violation of Federal or State Statutes, Regulation or Rules 5/12/2010 Schnorr, Amie L. RN123257 Voluntary Surrender Narcotics Violation or Other Violation of Drug Statutes, Violation of Federal or State Statutes, Regulation or Rules, Criminal Conviction 2/22/2010 Scott, Amy E. RN091418 Decree of Censure Practicing Beyond the Scope of Practice 4/9/2010 Siminski, Irene P. RN062451/ Civil Penalty Criminal Conviction LP020645 4/9/2010 Smith, Terry M. RN129935 Probation Substance Abuse, Criminal Conviction, Violation of Federal or State Statutes, Regulation or Rules 4/8/2010 Solomon, Briana C. RN162750 Civil Penalty Criminal Conviction 5/10/2010 Spirk, Katherine LP033501 Revocation Failure to Maintain Records or Provide Medical, Financial or Other Required Information, Drug Screening Violation, Failure to Cooperate With Board Investigation 5/21/2010 Stanford, Mary B. RN076792 Probation Unable to Practice Safely by Reason of Physical Illness or Impairment 3/5/2010 Stevenson, Tammy J. LP041980 Decree of Censure Drug Screening Violation 3/31/2010 Steveson, Wendy K. RN066792/ Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, LP021938 Diversion of Controlled Substance 2/15/2010 Stillwell, Joy L. RN046480 Stayed Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse with Suspension 3/15/2010 Straus, Anna E. RN115969 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Failure to Comply With Licensing Board Order 3/5/2010 Strege, Kim Reissuance Reissuance Denied Drug Screening Violation, Unable to Practice Safely by Reason of Alcohol or Applicant (LP036821) Other Substance Abuse 3/9/2010 Tanner, Michael E. RN093151 Stayed Revocation License Revocation, Suspension or Other Disciplinary Action Taken by a Probation Federal, State or Local Licensing Authority, Unprofessional Conduct, Fraud, Deceit or Material Omission in Obtaining License or Credentials 5/14/2010 Thompson, Stephen E. RN147998 Voluntary Surrender Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse 4/30/2010 Thornton (McIlrath), RN132970 Voluntary Surrender License Revocation, Suspension or Other Disciplinary Action Taken by a Julia D. Federal, State or Local Licensing Authority 4/13/2010 Uribe, Amy L. RN150278 Revocation Failure to Comply With Licensing Board Order 3/15/2010 Wacker, Terica C. LP038028 Revocation Narcotics Violation or Other Violation of Drug Statutes, Violation of Federal or State Statutes, Regulation or Rules, Failure to Cooperate With Board Investigation 3/15/2010 Waldo, Teresa L. RN131096 Revocation Unable to Practice Safely by Reason of Alcohol or Other Substance Abuse, Substandard or Inadequate Care, Failure to Comply With Licensing Board Order 5/4/2010 Wall, Taylor L. RN113053 Stayed Revocation Diversion of Controlled Substance, Substance Abuse with Probation 3/15/2010 Weichbrodt, Ann M. LP043173 Revocation Criminal Conviction, Violation of Federal or State Statutes, Regulation or Rules, Failure to Comply With Licensing Board Order 2/9/2010 Whetstone, Jill M. RN120035 Decree of Censure Breach of Confidentiality 28 arizona STATE BOARD OF NURSING Regulatory Journal Rn/lpn disciplinaRy action FEBRUARy-MARCH-APRIL-MAy 2010 *Not reported in previous Journal continued effeCTIVe DATe NAMe CerTIfICATe DISCIplINe VIOlATION(S) 3/15/2010 Wilson, David W. rN147929 revocation 2/26/2010 Wilson, rita M. rN113509 Voluntary Surrender 3/15/2010 Wilson, Sandra K. rN124309 revocation 5/3/2010 Woolley, Dawn S. rN endorsement license Denied 3/15/2010 Zowa, pleasure J. rN081826 revocation failure to Maintain Adequate or Accurate records, error in prescribing, Dispensing or Administering Medication, Sexual Misconduct Unable to practice Safely by reason of physical Illness or Impairment, Criminal Conviction failure to Comply With licensing Board Order, Violation of federal or State Statutes, regulation or rules, failure to Maintain Adequate or Accurate records Substandard or Inadequate Care, failure to Maintain records or provide Medical, financial or Other required Information Substandard or Inadequate Care, failure to Maintain records or provide Medical, financial or Other required Information, Unable to practice Safely by reason of psychological Impairment of Mental Disorder rn-LPn - UPDATED LICENSURE STATUS FEBRUARy – MAy 2010 effecTive dATe 4/1/2010 NAme Bergin, Bernadette M. LiceNSe rN090633/lp029045 2/26/2010 Corey, lynn J. rN047873 4/2/2010 Saimo, Cybele e. lp034051 diScipLiNe Stayed Suspension with probation Completed terms of Suspension, and signed a Consent Agreement for a Stayed Suspension probation with terms and conditions Stayed revocation with probation Completed terms of Stayed revocation Suspension, converted license to Stayed revocation probation probation Completed terms of terms of Stayed revocation probation, license converted to probation rn-LPn - ACTION CLEARED FEBRUARy – MAy 2010 effecTive dATe 3/10/2010 3/23/2010 5/15/2010 3/24/2010 4/20/2010 4/2/2010 4/1/2010 3/12/2010 3/30/2010 NAme Bahe, lita S. Bateman, Julie D. Cooper, Gena r. frank, Steven B. Isambert, Connie f. Jezewski, Antoinette l. Johns, Kenneth C. Kelly, Colleen f. latam, Kari K. LiceNSe rN063487 rN122091 rN094888 rN147014 rN090746/lp022596 rN122766 rN060577/lp019501 rN059428 lp031500 Looking for Something New? 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We Provide the Following Professionals: RN’s, TELE, MED, SURG, L&D, or CNA’s LPN’s PT/PTA’s need, then Concentric has your solution. Concentric BHT’s OT/COTA’s specializes in providing quality professionals, admin- X-Ray/C-Arm SLP’s istrative, allied and nursing personnel to meet the in- Mammography tricate needs of the medical industry. Our extensive CT Technologists If Nursing and Allied Health support is what you pool of personnel allows us to fill contract, temp-toperm and direct-hire positions with ease. Customer Satisfaction Our customer service professionals will assist you with any questions you may have 24 hours a day, 7 days a week. Nuclear Medicine Med Techs MRI Technologists Ultrasound Technologists Pharmacy Technicians Pharmacists And Many More… Concentric’s Risk-Free Trial Period is a testament of our commitment to customer satisfaction. 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