ARIZONA STATE BOARD OF NURSING NEWSLETTER PRESORTED STANDARD MAIL U.S. POSTAGE PAID Grundy Center, IA 50638 Permit No. 18 QUARTERLY CIRCULATION APPROXIMATELY 90,000 TO ALL RNs, LPNs, CNAs AND STUDENT NURSES IN ARIZONA Volume 6, No. 1 The Official Publication of the Arizona State Board of Nursing 1651 East Morten Avenue, Suite 210, Phoenix, Arizona 85020-4316 Web site: http://www.azbn.gov From the Executive Director by Joey Ridenour, RN MN If you are one of the over 1 million visitors to www. azboardofnursing.gov each month, you may have already read the AzBN Strategic Plan posted in March 2004. Thanks to the Board Members, Board Staff and all who have already participated in the development of these initiatives and to those that will participate in their implementation in order to enhance the effectiveness of nursing regulation. 1. 2. 3. 4. 5. 6. 7. 8. Arizona State Board of Nursing Strategic Initiatives 2004-2006 Facilitate Board Member and staff development through education related to core competencies. Promote evidenced based regulation and practice breakdown research that provides for public protection. Enhance communication between the Board and consumers, key stakeholders and Advisory Committees to support change and innovation for improved public protection. Develop a regulatory model and tools to assess competence of individuals reported to the Board for unsafe practice. Improve processing and decision making of investigative reports during Board Meetings; reduce cycle times of investigative cases to six months or less. Reduce cycle times for Hearing Department cases to 18 months or less. Reduce cycle time between receipt of complete application and time of licensure/certification. Enhance effectiveness of customer service through use of technology. Summary of Outcomes for Strategic Initiative 1: Board Member & Staff Development. • The annual self- assessment completed by Board Index: Faculty Recruitment ......................... 3 Who Will Care For Us?..................... 5 Case Study: The Anonymous Complaint ........................................... 7 White Paper........................................ 8 Advanced Practice Corner ............ 12 Certified Nursing Assistant Corner ............................................................ 13 Education Corner ............................ 15 Regulation Rundown...................... 16 Approved Nursing Assistant Program List .................................... 20 RN/LPN Disciplinary Action .......... 22 C N A Disciplinary Action .............. 25 • • Members will have no item below 4.0 beginning 2004. (May 04/December 04 compliance.) Conduct regulatory education sessions for Boards Members at each meeting. Develop a master educational plan for 2004-2005 with rotating topics i.e. investigative/complaint process, discipline options, probationary terms, etc. (2004: Educational Session offered each meeting.) Make information readily available about resources to facilitate development of core competencies, including National Council of State Boards of Nursing meetings, training sessions, conference calls and “online courses”. (November 04.) Summary of Outcomes for Strategic Initiative 2: Evidences Based Regulation & Research • Conduct Practice Breakdown/Pilot Study Medication Technician research that provides clear evidence of public protection (Ongoing.) • Implement best practices from the 2002 regulatory outcomes project (CORE) and other research findings. (May/December 04.) • Revise rules/practice act reflective of evidence-based standards for regulation and submit recommendations at Board Meetings. (Ongoing.) • Provide annual reports to Board Members and others concerning the effectiveness of the nurse licensure compact to continually improve and to support the goals of the compact. (May 04.) Summary of Outcomes for Strategic Initiative 3: Communication • Enhance communication with external stakeholders and organizations through advisory groups, scheduled meetings with nurse executives/human resource staff/ nursing registries, and effective interactions in open forums. (Ongoing.) • Evaluate CORE Report December 2004 regarding satisfaction with communication from the Board and implement plan to improve areas of concern. (December 04.) • Continue the open forum dialogue on website to enable the public to comment on content for proposed advisory opinions and proposed rules. Invite other disciplines and stakeholders to regularly meet with Board to offer suggestions to improve protection of the public. (Ongoing.) • Provide 3 statewide educational presentations annually based on recommendations from Board & Advisory Groups by December 04. (January 05) Summary of Outcomes for Strategic Initiative 4: Continued Competence • Develop a regulatory model and recommend instruments/tools to assess competence of individuals reported to the Board by March 05. • Devote resources to collect data on practice breakdown. (Ongoing.) Summary of Outcomes for Strategic Initiative 5: Investigative Reports • Reduce cycle time of receipt of complaint to completion for Board Review to an average of six months. (12/04: average 7.8 months) • Study methods to enhance the investigative report content through utilization of software programs. (June 2005.) Summary of Outcomes for Strategic Initiative 6: Hearing Department • Reduce the cycle time of hearing department cases to • February, March, April 2005 an average of 18 months. Study methods to enhance negotiating closure of investigative cases and hearing department cases, i.e. settlement conferences. (1/05: 66% cases settled in approximately within two months of transfer to Hearing Department.) Summary of Outcomes for Strategic Initiative 7: Licensing Timeframes • 75% of applicants will be licensed within fourteen days of receipt of complete application. (December 04: average time 7 days for temporary; 1 day for new graduates after receiving the NCLEX results.) • 80% of renewal applicants will complete the transaction on line. (June 04: approximately 20%.) • Applicants will have access to download forms/ instructions by March 04. (April 04.) Summary of Outcomes for Strategic Initiative 8: Information Technology/Website • Maintain 24-hour voice/email verification system in providing the public access to licensee/certificate holder information. (Implemented new phone system Jan 04.) • Implement on line renewal no later than March 04. (May 04.) • Study ways to enhance the ASBN website to meet the needs of the public (12/04: approximately 1 million visitors per month.) Bev Odgen, Arizona State Board of Nursing Public Board Member since 1998, unexpectedly passed away January 27, 2005. Bev was a great board member, a wonderful colleague and made a significant difference in the lives of Arizona citizens over the past four decades. Bev moved to Arizona in the early 1950’s with her then husband and three young children, Holly, Steve and Bob. In the early 1960’s she moved to Tucson where she taught school and got involved in politics when she worked for Senator Paul Odgen Fannin, running his southern office. Bev then helped Jim Kolbe win his election to the Arizona Senate and subsequently to Congress. She did not want to move to Washington DC and instead became the Public Affairs Director for Planned Parenthood for Northern & Central Arizona. Bev went on to work for then Phoenix City Council member Mary Rose Wilcox. She then moved back to state government where she assisted in laying the groundwork for bringing the Healthy Families program to Arizona. Bev has worked at every level of Arizona government, from the classroom to city council chambers to the governor’s office. As a long time friend of former Senator Susan Gerard, she was an invaluable resource in assisting Susan in improving Arizona’s healthcare system. Bev recently retired from the Children’s Justice Task Force post, which she held for a decade. As a part time grant administrator, Bev guided the establishment of 11 advocacy centers across the state, which serves child and adult victims of sexual assault. President of the Board, Alice Gagnaire, stated Bev was a very respected Board Member, contributed much and her opinions were always valued. Although we only knew Bev for seven short years at ASBN, she touched all our lives. She was a committed Board Member and spent countless hours in assisting ASBN in meeting our mission to protect the public. We miss her and know we are all better because of her long journey as a public servant that left such good behind her. ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 BOARD OF NURSING CONTACT INFORMATION GOVERNOR The Honorable Janet Napolitano BOARD MEMBERS Alice Gagnaire, RN, MSHA President Kathy Malloch, PhD., MBA, RN Vice President Trista Campbell, RN, BSN Member Theresa Crawley, CRNA, MSHSA Secretary Karen Hodges Hardy, RN, MSN Member Gregory Y. Harris Public Member Patricia A. Johnson, LPN Member Sharon Molleo, LPN Member MAIN LINE: e-MAIL: (602) 889-5150 arizona@azbn.gov gov MAIN FAX: (602) 889-5155 CANDO FAX: (602) 889-5238 HOME PAGE: http://www.azboardofnursing. http://www.azboardofnursing.gov gov ADDRESS CHANGE AND APPLICATION REQUESTS arizona@azbn.gov verify@azbn.gov ON-LINE VERIFICATION OF LICENSE/CERTIFICATE STATUS ADMINISTRATION Joey Ridenour RN, MN Judy Bontrager RN, MN Valerie Smith RN, MS 602-889-5200 602-889-5204 602-889-5206 jridenour@azbn.gov jbontrager@azbn.gov vsmith@azbn.gov 602-889-5202 602-889-5158 lwiemann@azbn.gov dhurtado@azbn.gov 602-889-5205 mpalmer@azbn.gov 602-889-5208 tberry@azbn.gov 602-889-5182 kgrady@azbn.gov CHEMICAL DEPENDENCE / CANDO Suanne Smith Nurse Consultant-CANDO Olga Zuniga Administrative Secretary - Monitoring & CANDO 602-889-5156 602-889-5157 ssmith@azbn.gov ozuniga@azbn.gov EDUCATION Pamela Randolph RN, MS, CPNP 602-889-5209 prandolph@azbn.gov Rose Wilcox RN Meredith Fountain Education Consultant/ Educational Programs RN/LPN/CNA Education Programs CNA Administrative Assistant-Education 602-889-5176 602-889-5187 rwilcox@azbn.gov mfountain@azbn.gov FISCAL SERVICES Diane Serra Norma Salter Business Manager Accounting Technician 602-889-5210 602-889-5211 dserra@azbn.gov nsalter@azbn.gov HEARINGS Susan Barber RN, MSN Debra Blake Vicky Driver Nurse Practice Consultant-Hearing Department Legal Assistant Adm. Asst./Hearing Department 602-889-5161 602-889-5183 602-889-5162 sbarber@azbn.gov dblake@azbn.gov vdriver@azbn.gov CNA CNA RN/LPN RN/LPN/Southern AZ RN/LPN RN/LPN RN/LPN 602-889-5169 602-889-5174 602-889-5184 602-889-5185 602-889-5179 602-889-5180 602-889-5186 bnelson@azbn.gov jsage@azbn.gov mrappoport@azbn.gov ntwigg@azbn.gov pmidkiff@azbn.gov srachel@azbn.gov smunger@azbn.gov RN/LPN CNA CNA CNA RN/LPN (CANDO) CNA 602-889-5170 602-889-5167 602-889-5178 602-889-5171 602-889-5159 602-889-5172 jball@azbn.gov jwilliams@azbn.gov jbauer@azbn.gov kolson@azbn.gov lbrown@azbn.gov vjohansen@azbn.gov Legal Secretaries Barbara Ritenour Janice Thompson Dorothy Lindsey Esther Garcia Meredith Fountain Board Minutes/Endorsements RN/LPN Investigations CNA Investigations CNA Investigations RN/LPN Investigations 602-889-5193 602-889-5175 602-889-5177 602-889-5173 602-889-5187 bjones@azbn.gov jthompson@azbn.gov dlindsey@azbn.gov egarcia@azbn.gov mfountain@azbn.gov INFORMATION TECHNOLOGY Cory Davitt Adam Henriksen Network Administrator Webmaster 602-889-5213 602-889-5231 cdavitt@azbn.gov ahenriksen@azbn.gov LICENSING Becky Aranyos Brent Sutter Beck Loar Diana Lucas Donna Frye Paula Delphy Rhonda Rogers Yvonne Godinez RN/LPN Exam RN/LPN Renewals RN/LPN Renewal RN/LPN Endorsements Advanced Practice – School Nurses RN/LPN Endorsements CNA-Renewals CNA Exam/Endorsements 602-889-5190 602-889-5195 602-889-5207 602-889-5191 602-889-5194 602-889-5192 602-889-5188 602-889-5189 baranyos@azbn.gov bsutter@azbn.gov bloar@azbn.gov dfrye@azbn.gov pdelphy@azbn.gov rrogers@azbn.gov ygodinez@azbn.gov MAILROOM Marlane Brosseau Rita Kelly-Sierra Mail Room Mail Room 602-889-5216 602-889-5215 mbrosseau@azbn.gov rkelly@azbn.gov MONITORING Stephanie Nelson RN, MS Christina Murphy Nurse Consultant Monitoring Legal Secretary 602-889-5160 602-889-5168 snelson@azbn.gov cmurphy@azbn.gov RECEPTIONISTS Athena Sanchez Jennifer Butler Susan Kingsland Cristina Oates Receptionist Receptionist Receptionist Receptionist 602-889-5196 602-889-5199 602-889-5197 602-889-5221 asanchez@azbn.gov jbutler@azbn.gov skingsland@azbn.gov coates@azbn.gov RECORDS Charlotte Seechoma Records Room 602-889-5217 cseechoma@azbn.gov Lila Wiemann Dolores Hurtado Mary Palmer Thereasa Berry ADVANCED PRACTICE Karen Grady MS, RN, FNP, BC INVESTIGATIONS Nurse Practice Consultants Betty Nelson RN, MS Jeanine Sage RN, MSN Mary Rappoport RN, MN Nancy “Nan” Twigg RN, MS Pat Midkiff, RN, MN Sister Rachel Torrez RN, MS Sydney Munger RN, MS Senior Investigators James (Jim) Ball James Williams Jeanne Bauer Kirk Olson Lorraine Brown Vicki Johansen Executive Director Associate Director–Operations & Licensing Associate Director–Nursing Practice/ Complaints & Investigations Administrative Assistant to the Executive Director Assistant to Associate Director/ Nursing Practice, Complaints & Investigations Administrative Assistant to Associate Director/ Operation & Licensing Assistant to Associate Director/Nursing Practice, Complaints & Investigations Advanced Practice/RN/LPN FEB., MARCH, APRIL, 2005 Faculty Recruitment Joey Ridenour, RN MN Executive Director Many of you are aware the nursing programs in Arizona have responded to the nursing shortage by expanding their student enrollments. Unfortunately the plans will not be realized until faculties are recruited for the vacant positions. To assist in addressing the nursing shortage and subsequent risk to the public, the Arizona Board of Nursing will be continuing a column in each Newsletter for nursing programs to list their faculty needs. (See related article "Who Will Care For Us".) Pima Community College is seeking an applicant for Instructional Faculty in Nursing. Primary duties are to teach courses in Nursing with an emphasis in Adult Medical/Surgical nursing to a diverse student population. Please visit our website at www.pima.edu to read more about the college and these positions. The application can be downloaded as a PDF file from wwwhumres@pimacc.pima.edu. Maricopa Community College District Nursing Program is seeking full time and part time nursing faculty and clinical instructors for the following areas: Adult medical/surgical, pediatrics, psychiatric/mental health and maternal child health nursing. Year-round, day, evening, weekend, bilingual and online didactic positions are available. Applications may be submitted for full time positions online: www.dist.maricopa. edu/hrweb/faculty.html or for adjunct faculty and clinical positions online: www.dist.maricopa.edu/hrweb/adjunct.html Northland Pioneer College is seeking applicants for two full time faculty positions to teach theory courses for first and second year Associate degree nursing students at the Little Colorado campus in Winslow AZ. The successful applicant will also provide clinical supervision of students in regional health care facilities. Masters degree in Nursing Required. Eligible for Registered Nurse License in AZ. Experience in Medical/surgical, maternal/child and/or psychiatric nursing desired. Two to three years of teaching experience in nursing education and curriculum development preferred. Some travel may be required. Forward cover letter and resume to Dr. Penny Fairman, Dean of Nursing, Northland Pioneer College, P.O. Box 610, Holbrook, AZ 86025-0610. Final candidates will need to supply copies of transcripts and five current professional references with addresses and phone numbers prior to interviews. Northland Pioneer College is seeking applicants for a full time faculty position to coordinate and teach Nursing Assistant students at the Little Colorado Campus in Winslow AZ. The successful applicant will also provide clinical supervision of students in regional health care facilities, with the emphasis on long term care. Bachelor’s degree in Nursing required. Eligible for Registered Nurse License in AZ. Previous experience teaching desired. Long Term nursing care experience required. Some travel may be required. Forward cover letter and resume to Dr. Penny Fairman, Dean of Nursing, Northland Pioneer College, P.O. Box 610, Holbrook, AZ 86025-0610. Final candidates will need to supply copies of transcripts and five current professional references with addresses and phone numbers prior to interviews. The University of Arizona College of Nursing is seeking applicants for the following positions: 1) Assistant, Associate or Full Professor with research and teaching expertise in an area of genomics directly relevant to human health conditions (job # 31598). 2) Assistant, Associate or Full Professor with teaching and research expertise with emphasis on quantitative research methods and statistics (job # 31597). Application instructions and complete job posting are available at www.uacareertrack.com for detailed information and application instructions, or contact Shirley Gardner at 520-6262742. To apply, complete an on-line University of Arizona application, attach a letter of interest & CV. In addition, mail a College of Nursing application form (available at www.nursing.arizona.edu/employ.htm), official transcripts & three letters ing.arizona.edu/employ.htm of reference to: Shirley Gardner, The University of Arizona College of Nursing, PO Box 210203, Tucson AZ 85721-0203. Eastern Arizona College, College Thatcher, Az, is seeking applicants for one or more full-time ADN Nursing Instructor(s). Required qualifications include Master’s Degree or higher in Nursing, Nursing Education or a closely related Allied Health Field, as well as a Bachelor’s Degree in Nursing, valid Arizona license as a Registered Nurse; minimum 2 years of recent experience as a professional nurse providing direct patient care; current knowledge and skill in Medical-Surgical Nursing, ARIZONA STATE BOARD OF NURSING NEWSLETTER Family Nursing, and Advanced Nursing including instruction and clinical supervision; teaching experience in nursing; and computer literacy. This position involves teaching both didactic and clinical instruction for ADN-RN students. Applicant must demonstrate ability to teach as per textbook reference guidelines and the ability to manage human and physical resources to meet the needs of students and faculty of the Department of Nursing. Please contact EAC Human Resources at 928-428-8915 or visit our website, http://www.eac.edu/Working_at_EAC/detail. asp?ID=103 . Central Arizona College seeks a full-time Professor of Nursing. The successful candidate will have a Master’s degree in Nursing and Arizona RN license or ability to obtain one. Please visit the web site at www.centralaz.edu to read more about the college and to obtain application instructions. Central Arizona College is also seeking adjunct clinical nursing faculty to teach in the Associate Degree Nursing Program. Applicants must have a minimum of a Bachelor of Science degree in Nursing (BSN); Master’s degree in Nursing preferred; valid Arizona license as a Registered Nurse; minimum 3 years of recent experience as a professional nurse providing direct patient care: previous teaching experience preferred. Please visit the website at www.centralaz.edu to read more about the college and to obtain application instructions. Remington College, College Tempe-Campus is seeking Registered Nursing Faculty to teach students enrolling in our Associate of Applied Science Degree in Nursing. Applicants must possess a Master’s Degree and minimum of 2+ years teaching experience to diverse learning styles in 2/4 year degree programs. . Please e-mail resume and statement of teaching philosophy to: John Linville at john.linville@remingtoncollege.edu EOE. Arizona State University The College of Nursing is seeking applicants for full time tenure track and clinical faculty to teach in the undergraduate and graduate programs in all specialty areas. Applicants must have an earned doctorate in nursing or related field; master’s degree in nursing, eligibility for Arizona nurse licensure. The College Of Nursing is also seeking to fill non-tenure track faculty associate positions. Responsibilities include classroom and clinical teaching in areas of Community Health, Home Health, Adult Health/Medical-Surgical, Pediatrics, Maternal-Child, and Psychiatric Mental Health. Master’s degree in Nursing and a minimum of two years related clinical experience is required. Teaching experience in area of clinical specialization desired. Please visit the Arizona State University, College Of Nursing website http://nursing.asu.edu for complete information regarding available positions, qualifications, and application instructions. Arizona Western College: PROFESSOR OF NURSING will have a faculty position available for August 2005. Requirements: Bachelor’s Degree in Nursing with a Master’s Degree in another discipline or Master’s degree in Nursing with prior clinical experience. Demonstrate sensitivity to the needs of students, faculty, and staff from multi-cultural backgrounds. Demonstrate commitment to the philosophy and mission of a comprehensive community college. Must meet minimum teaching qualifications and standards as established by the State of Arizona and AWC. Have or be eligible for an Arizona license as a Registered Nurse. Preferred: Nursing clinical experience in OB/GYN nursing within the last three years. Instructional and curriculum development experience desired. Position available August 2005. Grand Canyon University is seeking full-time Masters/Doctoral prepared faculty for Medical –Surgical and Mental Health Nursing. Clinical adjunct positions are also available this Spring and Summer 2005 for Fundamentals and Adult Medical-Surgical Nursing. Applications may be downloaded online at http:// www.gcu.edu. Click on ground faculty under employment at www.gcu.edu the bottom of the web site. You may also call Cheryl Roat for an interview at 602-589-2527 or email at croat@gcu.edu croat@gcu.edu. Advanced Practice Corner by Karen Grady, MS, RN, FNP, BC Advanced Practice Consultant Death Certificate Education Clarification/Update Certified Nurse Midwives are not required to complete the Board’s on-line Nurse Practitioner death certificate education program prior to signing a fetal death certificate. CNMs are already allowed by statute to complete a fetal death certificate. Although it is not a requirement, CNMs are encouraged to complete the training. Nurse practitioners must complete the program before they can sign a death certificate. Once the nurse practitioner has completed the program, they are eligible to sign death certificates. No additional certification is required and no certificate is issued. The completion data is kept on file at the board office. Once you have initially completed the education program, you should periodically review the module for updated information. The Office of Vital Records is currently working on a Frequently Asked Questions document that will be added to the program in the near future. Advanced Practice Committee The Advanced Practice Committee met on January 7, 2005. The Committee is currently discussing issues related to clarification of specialty area certification vs. subspecialty practice and has formed a task force to discuss the underlying principles. The Committee also heard from CNM representatives regarding the issues that are making it difficult for CNMs to provide full access to their services. The CNMs will be drafting a document to be published in a future edition of this newsletter. The Committee also gave input from the provider’s perspective on the interpretation of range dose orders by RNs/LPNs and will be providing examples back to the Scope of Practice Committee for their consideration. Future 2005 meeting dates are tentatively scheduled for April 15, 2005, July 8, 2005, and October 14, 2005. Committee members are appointed by the Board for a 2-year period. New and qualified current committee members will be considered for appointment/reappointment in May, 2005. If you are interested in serving on the committee, please forward your c.v. or contact Karen Grady at (602) 889-5182 or via e-mail at kgrady@azbn.org. kgrady@azbn.org Case Study: Confidentiality NP X was working in the emergency room in a city hospital. NP X evaluated a patient who was accompanied by an adult male and an adolescent male. After performing laboratory testing, NP X entered the patient’s room, and in the presence of the adult male and adolescent male, reported that her tests were positive, without obtaining prior permission from the patient to share this information. The males present were the patient’s father and her adolescent son. The patient reported that the information that was imparted without her permission caused her embarrassment, and that giving her a highly personal diagnosis in front of her son and father was a violation of her privacy and confidentiality. NP X stated that because the patient had her family with her, he had assumed they would be included in the information. NP X stated that in retrospect, he realized he should not have discussed the patient’s diagnosis without first asking her if she wanted to discuss it privately. The Board voted to issue a Decree of Censure to NP X. VIOLATIONS OF LAW/RULES: ARS § 32-1663 (D) AS DEFINED IN ARS § 32-1601 (16) (d) and (j) 16. “Unprofessional conduct” includes the following whether occurring in this state or elsewhere: (d) Any conduct or practice that is or might be harmful or dangerous to the health of a patient or the public. (j) Violating a rule that is adopted by the board pursuant to this chapter. R4-19-403 (2) (6) (25) For purposes of A.R.S. § 32-1601(16) (d), a practice that is or might be harmful or dangerous to the health of a patient or the public includes the following: 2. Intentionally or negligently causing physical or emotional injury. 6. Failing to take appropriate action to safeguard a patient’s welfare or to follow policies and procedures of a nurse’s employer designed to safeguard the patient. 25. Practicing in any other manner which gives the Board reasonable cause to believe that the health of a patient or the public may be harmed. ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 Case Study The Anonymous Complaint By Pat Midkiff, RN, MN Nurse Practice Consultant One of the most challenging aspects of conducting a complaint investigation is when the complainant supplies no information to his/her identity or specific facts when filing a complaint against a licensee/certificate holder. This is particularly problematic when the complaint contains serious nursing practice allegations. The investigator has no one from whom to obtain concrete details surrounding the allegations. These details can make the difference between cases where patient and public safety have been appropriately protected, and situations that are retaliatory, without merit, and may be harmful to the nurse’s reputation. Anonymous complaints do not afford nurses the opportunity to confront the accuser to ask questions of and/or refute information provided by the complainant. There are, of course, circumstances where anonymity is necessary. The complainant may request anonymity in writing and reasons for the request. In these situations the Board will not release the name of the complainant. However, during the course of the investigation, the licensee/certificate holder may come to his or her own conclusions as to the identity of the complainant. Board staff will not verify these conclusions. In the case of Nurse T, a person made a telephonic complaint alleging Nurse T failed to administer requested pain medication to four patients, falsified medication administration documentation, and refused to follow the patients’ treatment orders. The complainant stated the nurse was terminated for these actions and gave the nurse’s employment location. The complainant was afraid of “retaliation” by the nurse if his/her identify was known and gave no contact address or phone number. However, the complainant did not supply full patient names or specific dates when the incidents occurred. Consequently, medical records could not be obtained to verify allegations through documentation review and patient/provider interviews. The employer stated no knowledge of the patient events, but acknowledged Nurse T had been terminated for attendance issues. The employer also stated Nurse T had clashes with other nurses, one of whom had previously been terminated based on information supplied to the employer by Nurse T. Both the employer and Nurse T were able to guess the identity of the complainant, and the complaint was felt to be retaliatory in nature. The complaint was dismissed due to lack of evidence and cooperation from the complainant. In the case of Nurse N, a written complaint was filed by an individual requesting anonymity because Nurse N had made threatening statements to the complainant. The complainant alleged Nurse N had “bragged” about obtaining controlled drugs from the last two places of employment, giving the medications to friends and family members, and going to work under the influence of drugs. The complainant knew of incidents where police had gone to Nurse N’s home for complaints of illegal drug activity. The complainant supplied the names of Nurse N’s former employers, specific ◊◊◊ RN and LPNs ◊◊◊ By Judy Bontrager, RN, MN Associate Director of Operations If the date on your license is June 30, 2005, you can renew on-line TODAY and have your license renewed until 2009. Three months in advance of the license expiration date, nurses now receive postcard notification rather than previous paper application. Benefits to YOU of Renewing On-Line: • FAST, EASY and EFFICIENT. • If you don't have a computer, you can rrenew at a local library or at work. • Available 24 hours per day - Renew Anywhere, Anytime • Process takes less than 10 minutes. • You can print out a verification of your renewal process. • You will get an e-mail verifying your payment was received • Fewer errors with on-line renewal • Records update immediately You can renew on-line by going to www.azbn.gov www.azbn.gov. • Enter your license number and PIN (if you have forgotten you PIN, you may obtain it while you are on line) • Enter the information requested • Have your Visa or MasterCard ready • A license will be mailed to you within 5 days after you entered your renewal. DON’T RUN THE RISK OF RENEWING AT THE LAST MINUTE. Last year 768 nurses waited until the last week of June to renew. If you choose not to renew on-line, you can download a renewal application from the web page, www.azbn.gov and submit the completed application and check or money order by mail. If you do not have access to a computer, you can send a written request for a renewal application to: ARIZONA STATE BOARD OF NURSING 1651 E. Morten Avenue, Suite 210 Phoenix, AZ 85020 incidents where drug diversion was suspected at the facilities, and local police report case numbers. The Board’s subsequent investigation revealed two former employers had investigated Nurse N for controlled drug diversion. Both facilities indicated there were narcotic count discrepancies when Nurse N was present, but there was not enough evidence to conclude Nurse N actually diverted drugs. One employer requested Nurse N undergo a random drug screen several days later that returned negative; the other employer did not require a random drug screen. However, during the Board’s investigation, Nurse N submitted a random drug screen that returned positive for morphine and benzodiazepines. A pharmacy profile indicated Nurse N did not have valid prescriptions for either drug. A chemical dependency evaluation conducted by a Board-approved evaluator indicated Nurse N was a high-risk for substance abuse, and the evaluator recommended both psychological and chemical dependency treatment. The Board voted to offer a consent agreement for a 36-month chemical dependency probation. During Nurse N’s probation, another complaint was filed by an employer alleging drug diversion and falsification of narcotic records. Subsequent urine drug screens and investigation proved the allegations to be true. Nurse N failed to meet probation requirements that led to license revocation. In the case of Nurse N, the complainant provided a phone number if the investigator needed further information regarding the complaint and enough information for the nurse practice consultant to conduct a thorough investigation. ��������������������� �������������������������� ������������������������ ��������������������������� Nursing programs across the state have expanded their enrollment capacity to address the demand for more registered nurses. At the same time there have been very effective recruitment efforts by Campaign for Caring, Johnson & Johnson, and individual nursing programs to attract young adults to a career in nursing. These efforts have been highly successful with all RN programs in the state now reporting a strong surge in new students. FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER So, the picture is bright . . . except for one thing. We do not have enough nursing faculty to teach the expanded number of nursing students. The single greatest threat to increasing the number of new nurses is the scarcity of nurses interested in teaching our future nurses. Who Will Care for Us? You could be part of the solution! � Remember that incredible faculty member who helped you discover that nursing was the right fit for you? ByaMary , Ph.D, RN a strong surge in new students. � Is teaching part of Killeen nursing that you enjoy? So,upon theapicture Sally Doshier,theRN, Ed.D. � Do you want to re-discover passion that drew you into nursing once time? is bright . . . except for one thing. We � Do you enjoy helping othersRN, reachMSN, their potential? do not have enough nursing faculty to teach the expanded Sue Macdonald, MBA � Are you ready to influence the future of health care in new ways? number of nursing students. The single greatest threat to in- creasing the number of new nurses is the scarcity of nurses Nursing programs across the state have expanded their Nursing faculty are needed for teaching January 2005 and August 2005. Nurses with baccalaureate degrees and interested in experience teaching our clinical experience are qualified for clinical teaching. master’s degrees and are future nurses. enrollment capacity to address the demand forNurses morewith regisqualified for classroom and clinical teaching. Nursing programs across the state need your help. Contact a tered nurses. At the same time there have been very effecYou could be part of the solution! program in your community. tive recruitment efforts by Campaign for Caring, Johnson & • Remember that incredible faculty member who helped Johnson, and individual to and attract ��������������� – Benursing part of programs the solution helpyoung increase the number of newthat registered you discover nursing was the right fit for you? adults to a career in nursing. These efforts have been highly nurses for Arizona. • Is teaching a part of nursing that you enjoy? successful with all RN programs in the state now reporting • Do you want to re-discover the passion that drew you NURSING EDUCATION PROGRAMS APPROVED BY THE Choose STATE to teach – BeOFpart of the solution and help increase the number of new ARIZONA BOARD NURSING For more information, contact: ������������������������������ Institution ����������� Program Admistrator �������������� Phone ����� Email ����� ����������������� � Estrella Mtn CC/ Southwest Skill Center Kathleen Ellis 623-932-2700 kathleen.ellis@emcmail.maricopa.edu kathleen.ellis@emcmail.maricopa.edu � Maricopa Skill Center Jane Werth 602-238-4367 jane.werth@gwmail.maricopa.edu jane.werth@gwmail.maricopa.edu � Pima CC – CTD Emelia Lewis 520-206-5140 elewis@pimacc.pima.edu elewis@pimacc.pima.edu � Gateway CC Fast Track PN ����������� Cathy Lucius 602-392-5025 c.lucius@gwmail.maricopa.edu c.lucius@gwmail.maricopa.edu �������������� ����� ����� ���������������� � Arizona Western College Mary Rhona Francoeur 928-317-6049 maryrhona.francoeur@azwestern.edu maryrhona.francoeur@azwestern.edu � Central Arizona College Paula Calcaterra 520-426-4331 paula_calcaterra@centralaz.edu paula_calcaterra@centralaz.edu � Cochise College Sue Macdonald 520-364-7943 sumac@cochise.edu sumac@cochise.edu � Coconino Community College Don Johnson 928-526-7665 Donald.Johnson@coconino.edu Donald.Johnson@coconino.edu � Eastern Arizona College Mayuree Siripoon 928-428-8396 mayuree.siripoon@eac.edu mayuree.siripoon@eac.edu � Intern’l Institute of the Americas Ann Eichwald 602-242-6265 � Maricopa Community College District Nursing Program Margaret Souders 602-285-7133 margaret.souders@pcmail.maricopa.edu margaret.souders@pcmail.maricopa.ed u � Mohave Community College Linda Riesdorph 928-505-3378 linrie@mohave.edu linrie@mohave.edu � Northland Pioneer College Penny Fairman 928-532-6133 pfairman@npc.edu pfairman@npc.edu � Pima Community College Marie Barrentine 520-206-6661 mbarrentine@pimacc.pima.edu mbarrentine@pimacc.pima.edu � Yavapai College Barbara Nubile 928-776-2246 barbara_nubile@yc.edu barbara_nubile@yc.edu Bernadette Mary Killeen 480-965-2668 Amkilleen@asu.edu Amkilleen@asu.edu ������������� ������ � Arizona State University � Northern Arizona University Judith MargeSellers Conger 928-523-6710 Margaret.conger@nau.edu Judith.sellers@nau.edu � University of Arizona Marjorie Isenberg 520-626-6152 misenberg@nursing.arizona.edu misenberg@nursing.arizona.edu � Grand Canyon University Fran Roberts 602-589-2431 froberts@grand-canyon.edu froberts@grand-canyon.edu � University of Phoenix Beth DorisPatton Milton 480-557-1751 Doris.Milton@phoenix.edu Beth.Patton@phoenix.edu eth.Patton@phoenix.edu � Old Dominion University @ Yavapai College ����������� University of Wisconsin – Oshkosh Steve Parker 928-445-4616 �������������� Stephanie Stewart ����� 920-424-1028 stewart@uwosh.edu stewart@uwosh.edu � ����� �������������� � Arizona State University Bernadette Mary Killeen 480-965-3244 Amkilleen@asu.edu Amkilleen@asu.edu � Northern Arizona University Judith MargeSellers Conger 928-523-6710 Judith.sellers@nau.edu Margaret.conger@nau.edu � University of Arizona Marjorie Isenberg 520-626-6152 misenberg@nursing.arizona.edu misenberg@nursing.arizona.edu � University of Phoenix Beth DorisPatton Milton 602-966-7400 BDoris.Milton@phoenix.edu eth.Patton@phoenix.edu � Old Dominion University Yavapai College Steve Parker 480-445-4616 into nursing once upon a time? • Do you enjoy helping others reach their potential? • Are you ready to influence the future of health care in new ways? Nursing faculty are needed for teaching January 2005 and August 2005. Nurses with baccalaureate degrees and clinical experience are qualified for clinical teaching. Nurses with master’s degrees and experience are qualified for classroom and clinical teaching. Nursing programs across the state need your help. Contact a program in your community. registered nurses for Arizona. ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 NCLEX® PASSING RATE 2 YEAR PROGRESS REPORT OCTOBER 2004 Background The challenge to deliver quality education and successful results on the National Council Licensure Examination (NCLEX) is an ongoing commitment for Arizona nursing programs and a goal of the Arizona State Board of Nursing. The nursing programs in Arizona responded quickly to declining pass rates in 2001 and 2002 in a unique and proactive way. At the request of the Arizona State Board of Nursing, the programs attended a special Board meeting on October 3, 2002. Before the meeting, the programs were requested to submit a document addressing the following: 1. Five reasons for a lower than 90% pass rate in your program. 2. Five strategies your program will implement to increase the pass rate to 90% or higher. 3. A profile of the successful NCLEX candidate. 4. A profile of the unsuccessful candidate. All nursing programs in Arizona submitted reports and attended the meeting. In analyzing the reports, the reasons for the decrease in pass rates were grouped into the following categories: academic preparation of students, curriculum, student support, faculty, academic rigor, testing, student attitude, and delay in taking NCLEX. Strategies discussed by the group that have the potential to increase NCLEX pass rates included: requiring testing for admission to a nursing program, increasing rigor through standardized testing and comprehensive exams, increasing student support, increasing faculty skill in testing and clinical instruction, and revising the curriculum to reflect NCLEX content. What happened to NCLEX pass rates since 2002? In 2003, the Arizona pass rate for NCLEX-RN rose to 90.75%, approximately 3 percentage points above the national pass rate of 87.01%. For 2004, the pass rate from January 1 to September 30 was 90.10%, approximately 4 percentage points above the national rate of 85.89% and exceed by only 2 jurisdictions, Kentucky and Louisiana. On April 1, 2004 the NLCEX-RN test plan changed to include more pharmacology and management of care items and the passing standard was raised. Despite these changes, Arizona graduates posted a 93.61% pass rate for the April-June quarter of 2004, which was the highest pass rate of any jurisdiction that had more than one candidate. The third quarter pass rate of 86.07%, although lower, was still above the national pass rate and exceeded by only 13 of 55 jurisdictions. The NCLEX-PN pass rate was 93.2% in 2002, approximately 8 percentage points above the national pass rate of 85.4%, with all programs except one achieving a pass rate above 90%. In 2003, the NCLEX-PN pass rate again well exceeded the national pass rate (6 percentage points) at 94.2% vs. 88.2% with all programs except 2 at or above 90%. One reason PN pass rates remain high in Arizona is that all current associate degree programs award a PN certificate after the first year of the RN nursing program, therefore a large percentage of students taking the exam are from a more rigorous RN program. The pass rates for the RN students who take the PN exam is 100% for many schools and is rarely below 90%. When utilizing the pass rates of traditional PN programs, the pass rate rose from 86.5% in 2002 to 92% in 2003 (5.5 percentage points). What did the programs experience? On October 21, 2004, the programs again met to discuss NCLEX pass rates. The programs were all congratulated for the increase in NCLEX pass rates and asked to respond in writing to the following questions: 1. What strategies did you utilize to increase the NLCEX pass rate? 2. Which strategies, of those you utilized, were the most successful? 3. Which strategies, of those you utilized, were least successful? 4. What measures will be instituted in the future to ensure NCLEX success? All programs whose graduates had taken NCLEX in 2002 and 2003 except one submitted a report (N=15). One limitation of this data is that programs were only asked to identify the measures they instituted since the 2002 meeting. Several programs had some of the identified measures in place before 2002, so the data should not be used to determine the number of Arizona programs that adopt a particular strategy. For example, six programs instituted end-of-program standardized testing, however nearly all Arizona programs do this type of testing at this time. Another limitation is that many programs had multiple responses, so the number of responses in a category could exceed the number of programs responding. All responses were analyzed and placed into categories. What did programs do? The strategies that programs implemented to increase their pass rates were grouped into 4 categories: testing, academic standards, student support and curriculum/teaching. Testing All programs instituted strategies in this area. Seven programs reported instituting an NCLEX review class. Seven programs revised their teacher-made tests so that NCLEX-style questions were incorporated. Six programs utilized end-ofprogram standardized predictive tests. Five programs utilized NCLEX review software. Two programs instituted a comprehensive testing program. Academic Standards Eleven programs increased academic standards. The two most frequent strategies, adopted by seven programs respectively, were revising the admission criteria and revising the grading scale or policy. Other strategies included revising the readmission policy, prohibiting progression if a co requisite course was failed, and elimination of “cooperative” testing (allowing students to collaborate on a test). Student support Nine programs identified strategies in the student support area. The most common strategy, reported by seven programs, was an early warning and remediation system for at-risk students. Three programs reported providing support for unsuccessful NCLEX candidates. Two programs reported new student orientation to emphasize the rigors of the programs. Two programs identified clear communication to students of the expectations throughout the program. Other strategies included: academic support workshops, study plans, student peer support, student success course, assistance in applying for licensure, and a test taking course. Teaching/curriculum Eight programs revised classroom instruction in some way. The most common strategy was curriculum revision to reflect the NCLEX test plan, incorporate critical thinking, or for one program, to decrease stress on students. Two programs revised teaching methods and two programs instituted computerized testing. Other interventions include updating the skills lab, revising the prerequisites, standardizing the curriculum for all courses and instructors, and incorporating an NCLEX review book into the curriculum plan. One program reported analyzing the variety of sites and types of instruction they offered. What worked best? Not all programs completed this section. Five programs stated that the most effective intervention was actually a combination of all they had done. Five programs identified increasing academic standards in one or more areas as the most effective. The identified standards include: requiring Nursing Entrance Test (NET) subscales in reading and math for admission; expecting excellence in both students and faculty (2 programs); grading changes to require passing tests (2 programs); increasing test scores for admission; and eliminating rounding of grades. One program identified all of the following faculty actions as important: analyzing of why graduates failed, mentoring and support of new faculty, failing students when warranted, and selecting only essential reading assignments. One program identified predictive exams. What worked least? Most programs stated that they could not identify any strategy that was not effective. Five programs identified at least one ineffective factor. The most common category of ineffective strategies was faculty-related (4 programs). When discussing this topic at the annual meeting, the consensus was that if an intervention was faculty-dependent such as tutoring, the skill of the faculty was crucial to its success. For example, one program director wrote, “although remediation seems effective, it is labor intensive and difficult to find seasoned faculty in this area.” Utilization of non-nursing faculty for tutoring was ineffective for one program. Individualized tutoring was viewed as ineffective by one program and one program stated, “it is difficult to encourage faculty involvement.” Another program reported that increasing faculty availability was not successful because students did not take advantage of increased access to their faculty. One program, however, reported that they instituted a very effective tutoring/support group and identified the skill of the leader of the group as the reason for the success. The other major category of ineffective strategies was related to testing (2 programs). One program reported that end-of-program assessment that is not tied to a course grade provided little motivation for students to do well. Tracking weak areas from individual test results from the NCLEX candidate reports was reported as ineffective for one program and the remediation provided by a contracted testing service was reported as ineffective for another. What’s next? Most programs responded to this question. The most common category for future activities was in the area of student support (6 programs). Strategies planned for the future include: tutoring individual students (2), mentoring students(2), developing a pre-nursing program for disadvantaged students, encouraging students to take NCLEX early, providing financial support to help with licensing/exam fees, communicating clearly the demands of the program, supporting student scholarships/loans, and developing ESL classes. Five programs provided responses in the area of testing. Responses include: instituting end-of-year standardized testing (2), increasing faculty skill in test writing and evaluation(2), conducting test analysis, testing at the application and analysis level, monitoring outcomes of standardized exams, changing the comprehensive testing company, conducting a separate NCLEX review class, and instituting computer testing for all exams. Three programs provided responses related to curriculum or faculty. Strategies planned in this area include: utilizing webbased case studies, purchasing an interactive mannikin, increasing collaboration with other departments, responding quickly to changes in the NCLEX test plan, changing prerequisites, and developing a pharmacology class. Three programs provided responses related to increasing standards. Strategies planned in this area include: requiring 100% on all dosage examinations, increasing admission requirements, evaluating admission requirements, and evaluating the need to limit admissions. Three programs are not planning any new strategies and will continue with previous efforts and one program identified that they would continue to study and analyze the problem. Summary Over the past two years nursing programs in Arizona utilized a variety of strategies to improve the individual program and statewide NCLEX first-time pass rates. All programs revised some aspect of testing and a majority of programs increased academic standards. Strategies that were most effective were either the combination of all strategies or increasing academic standards. Least effective strategies for some programs were those that were faculty-dependent, such as tutoring. Future plans for programs include more student support, and testing revisions. The Arizona State Board of Nursing will continue to monitor NCLEX pass rates. Respectfully Submitted by: Pamela Randolph RN, MS, CPNP Education Consultant Arizona State Board of Nursing FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER White Paper on Community Colleges Awarding Baccalaureate Degrees in Nursing Introduction The community’s response to the proposal for a six-year pilot program allowing community colleges in Arizona to offer nursing baccalaureate degrees was discussed at a Day of Dialogue sponsored by the Arizona Nurses Association (AzNA) and the Arizona State Board of Nursing (AzSBN). Representative Russell Pearce introduced an amendment for this six-year pilot program twice in the 2003-2004 legislative session. The Day of Dialogue was funded by a grant from the Arizona Hospital and Healthcare Association’s Campaign for Caring. More than 75 nurse leaders and other Arizona stakeholders attended (Appendix A). Nursing Education in Arizona Although Arizona has increased registered nursing student enrollment by 22% between 2001 and 2003 as displayed in Table 1, Arizona continues to experience a nursing shortage. The state’s ability to respond to the demand for more nurses is dependent upon the capacity to educate more nurses as well as to create attractive nursing work environments. in Arizona is 53 years (SLHI, 2002). In other words, half of the nursing faculty in Arizona will be reaching retirement age within the next 12 years. Educational Preparation of Nurses As the state responds to the nursing shortage and challenge of educating more nurses, ensuring that enough nurses are available is significant, but guaranteeing that nurses are prepared with the education necessary to meet the needs of the community is paramount. There is a growing body of evidence demonstrating a relationship between a high percentage of RNs with a baccalaureate degree and improved patient outcomes and nurse retention. The 2003 Aiken study concluded that a 10 percent increase in nurses with a BSN decreased the risk of patient death and complications by 5 percent. Supporting this conclusion is the 2001 Fagin study, which showed that nurses prepared at the associate degree or diploma level commit significantly higher levels of medication errors and procedural violations. Further, BSN-prepared RNs have higher levels of job satisfaction, which is a key to nurse retention as demonstrated by Rambur et al., 2003. RNs prepared at the associate and diploma levels and complete an RN to BSN program demonstrated higher competency in nursing practice, communication and leadership according to Phillips et al., 2002. In the United States, approximately 19% of the RN population have completed additional academic nursing or nursing related preparation after they graduated from basic nursing education (Spratley et al., 2002). The percentage in Arizona is unavailable. However, 317 nurses graduated from RN to BSN programs in 2003 (AzSBN, 2004). Educational Capacity Nurses in Arizona have two educational tracks for entry into the profession: associate degrees from a community college and baccalaureate degrees from a university. Three public universities and one private university awarding baccalaureate degrees, and 16 community colleges along with one private career college awarding associate degrees provide prelicensure entry level nursing education within the state. In the 2002 legislative session, Senate Bill 1260 entitled “An Act Providing for the Development of the Caregiver and Resource Expansion Program within the Arizona Board of Regents and Community College Districts” called for the development of a plan for doubling nursing educational capacity by 2007 without specifying the type of degree earned by those graduates. In addition to these traditional prelicensure programs, two public universities (University of Arizona and Northern Arizona University) and one private university (Grand Canyon University) have created a second degree program where students who already have a baccalaureate degree in another field can earn a baccalaureate degree in nursing (BSN). In addition to these prelicensure programs, four universities (Arizona State University, Northern Arizona University, Grand Canyon University, and University of Phoenix) have established programs for registered nurses to pursue advancing their education in what have become to be known as RN to BSN programs. Courses completed in the community college nursing program transfer into the university and are applied toward completion of the BSN degree. The AzSBN also reports that a number of new nursing programs are in development within the state. The AzSBN has been contacted for information on initiating twelve new programs (11 associate degree and one diploma). Capacity Issue in Nursing Education in Arizona Nursing education programs within the state are over capacity and are currently denying admission to otherwise qualified candidates. The AzSBN reports that there were 756 students who were qualified but could not be admitted to registered nurse programs. This number may be slightly overstated because some students, particularly in the metropolitan areas of the state, apply to multiple programs. Even excluding the “double applicants”, the number of students who were qualified but could not be admitted is sizeable. There are several factors that contribute to this limited capacity for educating nurses within the state: o The plan developed in response to SB 1260 estimates the cost of doubling Arizona’s nursing educational capacity to be $126 million. o There is a significant need for educational infrastructure, educational facilities, and clinical learning placements to support program expansion. o There is an acute shortage of nursing education program faculty. Approximately 5% of current faculty positions are unfilled. The average age of nursing faculty Table 2 displays the change in prelicensure RN program admissions over the past three years. Both ADN and BSN programs in the state have increased enrollment. The educational capacity in associate degree programs has expanded more than the educational capacity in the university setting. Associated degree nursing program enrollments increased by 17% as compared to a 5% increase in baccalaureate degree programs (AzSBN, 2004). o There is some evidence demonstrating a relationship between a high percentage of RNs with a baccalaureate degree and lower patient mortality and complications. o BSNs are better prepared 1) to work autonomously, a skill especially valuable in underserved populations; 2) to navigate the system; 3) to improve interdisciplinary coordination; and, 4) to increase the faculty pool. The primary concerns with increasing the number of BSNs are the cost of education and the lack of differentiated roles in practice. Attendees acknowledged that there might be better methods/ models to approach nursing education than those already in place. As new methods and models are developed, the participants agreed that the following essential elements must be incorporated: o Remain student-centered o Decisions should be based on existing data and new data sources should be developed for missing data o Partnerships must be created with educational institutions, healthcare delivery systems, legislators, and other key stakeholders to achieve mutually agreed upon goals o Appropriate indicators/benchmarks must be created as markers of success o Time is of the essence for our actions The group indicated that strategies should involve multiple approaches including: o Activities that would strengthen educational advancement from associate to baccalaureate degree programs o Exploration of solutions which are being applied successfully in other professional programs o Development and pilot testing of new models as demonstration projects References Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., & Silber, J.H. (2003). Educational levels of hospital nurses and surgical patient mortality, Journal of American Medical Association, 290, 1617-1623. Arizona State Board of Nursing (AzSBN). (2004). Annual Reports from Arizona Prelicensure Nursing Education Programs. Phoenix: Arizona State Board of Nursing. Fagin, C.M. (2001). When care becomes a burden: Diminishing access to adequate nursing. New York, NY: Millbank Memorial Fund. Phillips, C.Y., Palmer, C. V., Zimmerman, B.J., & Mayfield, M. (2002). Professional development: Assuring growth of RN-to-BSN students. Journal of Nursing Education, 41(6), 282-283. When compared to recent graduates in the United States, Arizona is graduating a smaller percentage of nurses with BSNs as their entry-level education as described in Table 3. All states offer prelicensure ADN and BSN programs. In addition, RN to BSN programs are quite common. In the past five years, numerous states have begun to offer second-degree BSN programs. Four states (Florida, Idaho, Nevada and Utah) permit community colleges to offer baccalaureate degrees. In these cases, a four-year BSN degree can be earned at a community college in addition to at a university. New York State is proposing a statutory/ regulatory change requiring future nursing students who graduate with an associate degree or diploma in nursing to obtain a baccalaureate degree in nursing within ten years of initial licensure. Table 3. Entry-Level Education Arizona Diploma United States 0% 6% Associate Degree 72% 55% Baccalaureate Degree 28% 38% Day of Dialogue Conclusions The consensus from the Day of Dialogue is that Arizona needs to increase both the number of RNs and BSNs: o The need for more nurses remains and Arizona needs a higher percentage of BSNs than now exists. Rambur, B., Palumbo, M.V., McIntosh, B., & Mongeon, J. (2003). A statewide analysis of RNs’ intention to leave their position. Nursing Outlook, 51, 182-188. St. Luke’s Health Initiatives (SLHI). (2002, Spring). Boom or bust? The future of the health care workforce in Arizona.Arizona Health Futures. Phoenix: St. Luke’s Health Initiatives. Spratley, E., Johnson, A., Sochalski, J., Fritz, M., & Spencer, W. (2002). The registered nurse population: Findings from the national sample survey of registered nurses, Washington, DC: Health Resources and Services Administration Bureau of Health Professionals. ARIZONA STATE BOARD OF NURSING NEWSLETTER Certified Nursing Assistant Corner Rose Wilcox RN, M.Ed. Nurse Practice/Education Consultant Qualifications of Coordinators of NA Programs The qualifications to be a coordinator of a NA program are clearly stated in the Code of Federal Regulations: 42 CFR s 483.152 (a) (5i); Arizona Revised Statues (A.R.S.) § 32-1606 (B) 2 (NA programs) and the Arizona Administrative Code (A.A.C.) R4-19-801 (B). The registered nurse who seeks approval as the NA Program Coordinator must have a current unencumbered Arizona professional nursing license; a minimum of two years of nursing experience, at least one year of which was in the provision of long term care facility services. The regulations require nursing experience in a long-term care facility. This is interpreted to mean those facilities that are licensed as a long-term care facility. While home health care experience, hospice care, school nurse experience and acute care nursing experience add to the comprehensive background of a nurse's knowledge and skill they do not meet the one year nursing experience in a long term facility. The Board lacks authority within the regulations to substitute nursing experience in other nursing settings for the long-term care requirement. The curriculum and requirements for NA training are intended to meet a resident's needs and care requirements in long-term care facility. Certified Nursing Assistant Frequent Errors in Manual Skills Test Experior Rater, Doris Donithon has reported applicants often fail the following items on the manual skill test: 1. When a candidate chooses a bedpan or a fracture pan, the placement of the pan must be correct according to form and shape shape. 2. When using a gait belt it must be applied correctly to prevent restriction of circulation, or slipping, which causes injury to the skin. 3. Indirect nursing skills are communication, infection control, comfort, safety, and resident rights. They are scored throughout the examination. This includes as one enters and greets the resident, per forms nursing tasks and as one prepares to exit the Rules Rundown by Pamela Randolph RN, MS, CPNP Current Rule Activity R4-19-403 UNPROFESSIONAL CONDUCT AND ARTICLE 5. ADVANCED PRACTICE NURSING An open public hearing was held on December 10, 2004. Several members of the public made comment on R4-19204, Unprofessional Conduct and requested substantial changes. The Board considered the comments at its January 19 Board Meeting and decided to proceed with the rule package. There were also comments supporting changes to Article 5. Article 2. Arizona Practical and Professional Nursing Programs. The Notice of final rulemaking was approved by GRRC on January 4. 2005 and is expected to be effective on March 7th. For a summary of the changes, please see “Education Corner” in this newsletter. Article 8. Certified Nursing Assistants The Education Committee has reviewed a draft of this rulemaking and suggested changes. The issue of whether an LPN is qualified by education and experience to be a clinical instructor in a CNA program was a focus of debate. The committee suggested other minor changes. A new version of the draft rules is posted on the website and changes were discussed at the CNA Educators Retreat on January 14, 2005. The CNA Committee will review the draft rules again at its March 4th meeting. Highlights of Proposed Changes: Article 8 • Increased clarification of expectations for nursing assistant programs including minimum number of didactic hours, clinical hours, and minimum curriculum • Allowing an LPN to supervise a clinical group in a C.N.A. program; • Lists equipment necessary for a C.N.A. program to simulate patient care in a laboratory setting; resident’s room. Indirect skills must be demonstrated in each skill. Not doing the indirect skills during the examination may result in failure of the manual skills exam. 4. When washing hands, cleansing friction must be a minimum of 10 seconds. 5. A candidate must clean the perineal area when performing catheter care. Attention to the finer points of skill practice including indirect care both in the skills lab and during the clinical experience within the training program should help students succeed on the exam. Nursing Assistant Advisory Committee The Nursing Assistant Advisory Committee has scheduled four meeting dates for the 2005 calendar year. Meetings beginning at 10:00 am and will conclude when business is finished. All meetings are open to the public and are held at the Arizona State Board of Nursing office at 1651 E. Morten, Ste. 210, Phoenix, AZ. Agendas for each meeting are posted in advance at the Board office and on the website at www.azbn.gov www.azbn.gov. Please contact Pamela Randolph at 602-889-5204 or e-mail prandolph@azbn.gov for further information on meeting time, place and location. Meeting dates: March 4, 2005 September 9,2005 June 17, 2005 December 2, 2005 • • • • • • Allows the Board to grant one-year initial approval to a new program without a site visit; Allows the Board to grant re-approval to a program with a telephone visit every other renewal cycle; Requires a C.N.A. program to graduate and certify at least one student in each renewal cycle; If approval is rescinded or revoked, the entity can not reapply for 2 years; Increased options for endorsement C.N.A.s to qualify for certification if their program was less than 120 hours; Increased specificity in standards of conduct for Certified Nursing Assistants including boundary violations, dual relationships, and falsification of patient records or employment applications. Future Rule Activity Article 4. Regulation. The Article will be opened for revision in 2005. Article 1. Definitions and Time-Frames. The Board will amend these rules to be consistent with other rulemaking changes over the past 2 years in 2005. 5-Year Rule Review Article 1 Definitions and Time-Frame and Article 8 Certified Nursing Assistants rules are scheduled to be reviewed as part of the 5-year rule review requirement. All rules must be reviewed by state agencies for currency and planned changes unless they were amended in the last 2 years. Failure to submit a 5-year rule review report results in recission of the rules. Anyone having comment on these rules is requested to submit the comment in writing to Pamela Randolph by mail, email or fax. The person to contact at the Board regarding rules is: Pamela Randolph Nurse Practice Consultant 1651 E. Morten Suite 210 Phoenix, AZ 85020 602-889-5209 e-mail: prandolph@azbn.gov Fax: 602-889-5155 FEB., MARCH, APRIL, 2005 FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER • Education Corner • • Pamela Randolph RN, MS, CPNP Education Consultant Report from Mosby Faculty Institute: Nursing Education Today The annual Educator’s Conference sponsored by Mosby was held in Las Vegas. The conference was well attended with over 600 registrants including many Arizona nurse educators. The following are observations from the conference: • Many of the talks revolved around the issue of student misconduct • Some of today’s students show a lack of respect for their instructor and fellow students • Incivility in the classroom can range from behaviors such as using cell phones to violence • Faculty need to take proactive measures to address students lack of courtesy including rolemodelling courteous behavior • Boundaries between faculty and student need to be defined • Faculty should “take back the title” and be addressed in a formal manner, e.g. Professor Jones, Dr. Smith • With student rights come student responsibilities, but students never “demand their responsibilities” • The right to free speech does not include disruptive classroom behavior • Problem students need a comprehensive campus-wide approach • Evidence-based practice is more than research utilization • Many students threaten to sue, but very few have been successful in winning a legal challenge • Failure to follow established policies can be the basis of a successful lawsuit Education Committee The next meeting of the Education Committee is scheduled for February 11, 2005. The committee has invited clinical coordinators in Maricopa and Pima Counties to discuss student capacity in clinical sites. The Committee meets at 9:30 in the Board offices. Please call 602889-5187 for more details. The Education Committee has been very active over the past year. The Board is aware of approximately 12-15 entities seeking to establish a nursing program in the state. Several of these schools are in the application process. The committee reviews the applications and makes recommendations to the Board. Under the leadership of Kathy Malloch, RN, Ph.D., Chair of Education Committee and Vice President of the Board, the Committee has undertaken other projects such as the Nursing Competency Model, determining the components of annual program data, examining competency evaluation, providing feedback on NCLEX‚ test plans, and revising Article 2. The Education Committee meets every 2 months and is open to the public. The Committee meets at 9:30 in the Board office. Committee dates and agendas are posted on the website at www.azbn.gov www.azbn.gov. Article 2 The Article 2 rules package containing amendments to the Board’s education rules has been approved by the Governor’s Regulatory Review Council. The new rules are expected to be effective on March 7. Changes to the rules include the following: • Allow a post secondary institution that is either regionally or nationally accredited by an accrediting agency recognized by the U.S. Department of Education to conduct a nursing program; • Measurable criteria added for classroom specifications in a nursing program; • A nursing program must develop policies to ensure students, faculty and preceptors are safe to deliver patient care; • Clinical supervision criteria added; • Programs must provide accurate information to students including cost of the program, length of the program, and transferability of credit; All programs must offer clinical instruction in the major areas of nursing practice for the level of the program; • Standards for refresher programs were revised to allow more flexibility; • New rules for out-of-state and distance programs that are conducting pre-licensure nursing education in this state were added The revised rules are currently on the website under resources/proposed rules/article 2 and will be incorporated into the official rules of the Board on or before the implementation date NCLEX® Volunteers The Board would like the thank the following Arizona nurses who served on NCLEX item development panels in the first quarter of FY 2005: Jane E. Lacovara Patricia Delmoe Delora Singleton Martha Davis Cobb It is through the volunteer service of these and other individuals that NCLEX remains the premier licensing examination in the world. If you are interested in serving on an NCLEX panel, please visit the website of the National Council of State Boards of Nursing at www.ncsbn.org for more information. 2005 Education Committee Meetings The Education Committee will meet on the following dates in 2005. Meetings start at the 9:30 a.m. and conclude when business is finished. All meetings are held at the Arizona State Board of Nursing offices at 1651 E. Morten, Ste. 210, Phoenix, AZ. Agendas for each meeting are posted in advance at the Board offices. Dates and times are subject to change up to 24 hours before the meeting. Contact Pamela Randolph at 602-889-5209 (prandolph@azbn.org) to obtain further information regarding the meetings. February 11, 2005 April 8, 2005 June 3, 2005 Board Actions on Education Matters November 2004 • Approved Nurse Assistant Program at Rio Salado College • Approved Refresher Course Application at Northland Pioneer • Approved curriculum change at Northland Pioneer College • Allowed Baptist Health System to continue application process for new RN Program • Approved request of Maricopa Skill Center for program change • Adopted Article 2 Notice of Final Rulemaking • Approved Education Committee Policy for Submitting Materials December 10, 2004 • Approved new nursing assistant program: TempeHS/MesaCC/Tempe St. Luke’s Hosp/Clinical Partnership/HOPE NA Program ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 Arizona State Board of Nursing Nursing Assistant Programs Current Approved Program List - January 2005 Facility: Facility Apache Junction Health Care Center Apache Beatitudes Campus of Care Beverly Health Care of Chandler dba Chandler Health Care Center Capri Care Center Casa Del Mar Nursing & Rehabilitation Center, Sunbridge Christian Care Nursing Center Chula Vista Nursing Home Citadel Care Center Copper Mountain Inn Desert Cove Nursing Center Desert Life Rehabilitation and Care Center Devon Gables Health Care Center Evergreen Valley Health & Rehab Center Gardens Rehab & Care Center, The Gila River Indian Care Center Good Shepherd Retirement Community Havasu Nursing Center Heather Glen Care Center Infinia at Camp Verde Infinia at Flagstaff Infinia at Safford Care Center Kachina Point Healthcare & Rehab Kivel Campus of Care La Canada Care Center La Colina Health Care Lake Hills Inn Life Care Center at South Mountain Life Care Center of North Glendale Life Care Center of Tucson Lingenfelter Center Mi Casa Nursing Center Mountain View Care Center Mountain View Manor Northern Cochise Nursing Home Payson Care Center Peaks, The Plaza Del Rio Care Center Prescott Samaritan Village Prescott Valley Samaritan Center Quiburi Mission Ridgecrest Health Care SilverRidge Village Sun Grove Village Care Center Sunbridge Catalina Health Care Center Valley Health Care Apache Junction Phoenix Chandler Phoenix Scottsdale Phoenix Mesa Mesa Globe Chandler Tucson Tucson Mesa Kingman Laveen Peoria Lake Havasu Glendale Camp Verde Flagstaff Safford Sedona Phoenix Tucson Tucson Lake Havasu City Phoenix Glendale Tucson Kingman Mesa Tucson Prescott Willcox Payson Flagstaff Peoria Prescott Prescott Valley Benson Phoenix Bullhead City Peoria Tucson Tucson (480) 983-0700 (602) 995-2611 (480) 899-6717 (602) 944-1574 (480) 994-1333 (602) 861-3241 (480) 832-3903 (480) 832-5555 (928) 425-5721 (480) 899-0641 (520) 297-8311 (520) 296-6181 (480) 832-5160 (928) 718-0718 (520) 430-3813 (623) 875-0119 (928) 453-1500 (623) 842-4025 (928) 567-5253 (928) 779-6931 (928) 428-4910 (928) 284-1000 (602) 956-3110 (520) 797-1191 (520) 294-0005 (928) 505-5552 (602) 243-2780 (602) 843-8433 (520) 575-0900 (928) 718-4852 (480) 981-0687 (520) 797-2600 (928) 778-4837 (520) 384-3541 (928) 474-6896 (928) 774-7160 (623) 933-7722 (928) 778-2450 (928) 775-0045 (520) 586-2372 (602) 482-6671 (928) 763-1404 (623) 566-0642 (520) 795-9574 (520) 296-2306 Villa Campana Health Care Center Tucson (520) 731-8500 Independent Caring Connection, The Amado Direct Care Giver Association Tucson Dynamic Registry Nursing Assistant Program Glendale Emmanuel Nursing Assistant Training Program Phoenix Fred G. Acosta Job Corps Tucson Horizon Health Care Institute Sierra Vista Horizon Health Care Institute @ Holy Cross - Nogales Sierra Vista Medical Services Company Scottsdale Phoenix Shanti Group Phoenix Referral for Senior Adult Assistance Mesa Saunders Asso. @ Chinle Nursing Home Chinle SEVEN Healthcare Academy Tempe Southern Arizona Veteran’s Administration Medical Center Tucson Tuba City Regional Health Care NA Program Tuba City Yuma Private Industry Council - Palm View Rehab & Care Center Yuma Yuma Private Industry Council @ Life Care Center Yuma Yuma Private Industry Council at La Mesa Rehabilitation & Care Center Yuma Yuma Private Industry Council at Yuma Nursing Center Yuma School (Note: High School programs are not open to the public.) Arizona Western College Yuma AWC Nursing Assistant at La Paz Parker Buckeye Union High School CNA Training Program Buckeye Cactus High School CNA Program Glendale Catalina High Magnet School Tucson Centennial High School Peoria Central Arizona College - Signal Peak Campus Apache Junction Central Arizona College @ Casa Grand UHS and Casa Verde Apache Junction Central Arizona College @ Casa Grande Center Apache Junction Central Arizona College @ Santa Cruz High School Apache Junction Central Arizona College Aravaipa Campus Apache Junction Central Arizona College Superstition Mtn Campus Apache Junction Cochise College Douglas Douglas Cochise College at Benson High School Douglas Cochise College-Sierra Vista Sierra Vista Coconino Community College Flagstaff Coconino Community College/Page Page College America CNA Program Flagstaff Dysart HS at Southwest Skill Center Avondale East Valley Institute of Technology Mesa Eastern Arizona College - Thatcher Thatcher Ethel Bauer School of Nursing Phoenix Flagstaff High School Flagstaff Gateway CC - EVIT Phoenix (520) 398-2090 (520) 325-4870 (623) 435-9000 (602) 674-8888 (520) 792-3015 (520) 559-4020 (520) 559-4020 (480) 860-9552 (602) 279-0008 (480) 835-7679 (920) 739-4653 (480) 557-9115 (520) 792-1450 (928) 283-2501 (928) 783-8831 (928) 344-0425 (928) 344-8541 (928) 726-6700 (928) 344-7554 (623) 386-4423 (623) 412-5000 (520) 232-8404 (623) 412-4445 (480) 288-4017 (480) 288-4017 (480) 288-4017 (480) 288-4017 (480) 288-4017 (480) 288-4017 (520) 364-7943 (520) 417-4016 (520) 364-7943 (928) 527-1222 (928) 645-3987 (928) 526-0763 (623) 535-2772 (480) 461-4094 (928) 428-8389 (623) 849-8208 (928) 773-8135 (602) 286-8529 Gateway Community College Gila Community College - Payson Campus Gila Community College Dist. - Globe Glendale Community College Globe High School Independence H.S. Lamson College Maricopa Skill Center Mesa Community College Mesa Community College/Boswell Mesa Community College /Precision HS Dual Excellent Metro Tech Miami High School Mingus Union High School Mohave Community College @ Kingman Mohave Community College-Bullhead City Mohave Community College-Colorado City Mohave Community College-LHC Mohave High in Partnership w/Mohave Community College Northland Pioneer College Northland Pioneer College - Hopi Center Northland Pioneer College - Nat 101 Video, Northland Pioneer College - Springerville High School Northland Pioneer College - White Mtn Campus/ShowLow Northland Pioneer College - Winslow - Little Colorado Campus Northland Pioneer College -Springerville - WMRMC Northland Pioneer College -White Mtn Campus HS Northwest Education Center Page High School Paradise Valley Community College Paradise Valley High School fka Paradise Valley Unified School Dist. Phoenix College Phoenix Job Corps Center Pima Community College (CTD)/Desert Vista Pima Community College CTD @ Tucson Medical Center Pima Community College at Manor Care Pima Community College atVilla Campana Pima Community College-West Campus - NRA 101 Pima Community College-West-NRS104 Pima CTD at Acosta Job Corps Pima Medical Institute/Mesa Precision High School Dual Excellent/Mesa CC Rio Salado College Nurse Assisting Program Saguaro High School San Carlos High School Scottsdale Community College Southwest Skill Center at Estrella Mtn. CC Sunnyside High School TempeHS/MesaCC/Tempe St. Luke’s Hospital Clinical Partnership/H.O.P.E.NA Thunderbird - Greenway CNA Program Nursing Assistant Program Thunderbird High School, Glendale District Tucson College Yavapai College at Verde Valley Campus Yavapai College at Verde Valley Medical Center Yavapai Community College-Prescott Phoenix Payson Globe Glendale Globe Glendale Scottsdale Phoenix Mesa Sun City Phoenix Phoenix Miami Cottonwood Lake Havasu City Bullhead City Lake Havasu Lake Havasu City Bullhead City Holbrook Holbrook Holbrook Holbrook Holbrook Holbrook Holbrook Holbrook Glendale Page Phoenix Phoenix Phoenix Phoenix Tucson Tucson Tucson Tucson Tucson Tucson Tucson Mesa Phoenix Tempe Scottsdale San Carlos Scottsdale Avondale Tucson (602) 286-8531 (928) 468-8039 (928) 425-8481 (623) 845-3264 (602) 425-3211 (623) 435-6100 (480) 898-7000 (602) 238-4300 (480) 461-7106 (623) 974-7835 (602) 453-3661 (602) 271-2600 (928) 425-3271 (928) 634-7531 (928) 505-3378 (928) 505-3378 (928) 505-3378 (928) 505-3378 (928) 763-0288 (928) 532-6133 (928) 532-6133 (928) 532-6133 (928) 352-6133 (928) 532-6133 (928) 532-6133 (928) 532-6133 (928) 532-6133 (623) 845-4066 (928) 608-4138 (602) 787-7192 (602) 867-5554 (602) 285-7133 (602) 254-5921 (520) 295-5113 (520) 206-5113 (520) 206-5140 (520) 206-5140 (520) 206-6661 (520) 206-6661 (520) 206-5176 (480) 610-6068 (602) 453-3661 (480) 517-8000 (480) 484-7100 (928) 475-2378 (480) 423-6232 (623) 932-2700 (520) 545-5466 T Tempe empe Glendale Phoenix Tucson Prescott Prescott Prescott (480) 784-5500 (602) 588-5775 (623) 915-8900 (520) 296-3261 (928) 776-2247 (928) 773-2247 (928) 778-2450 ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 RN/LPN DISCIPLINARY ACTION October - November - December 2004 DATE NAME LICENSE DISCIPLINE 9/24/2004* 9/8/04* Acosta-Chagolla, Monica Ah Yee, Thomas E. RN079538 LP Endorsement Applicant Probation Completed License Denied 2/29/2004* Alexander, Anu L. RN107214 Suspension 11/17/2004 Allen, Christina RN093569 Probation 10/27/2004 11/18/2004 11/15/2004 9/20/2004* 11/23/2004 9/7/2004* Anderson, Paulene A. Annenberg, Susan Backman, Daniel E. Bazua, Angelica Bazua, Angelica Beaupre, Deanna S. LP039013 LP026743 RN065323 RN070040/LP022828 RN070040/LP022828 LP017263 Decree of Censure Probation Completed Voluntary Surrender Stayed Revocation w/Suspension Revocation/Non-Voluntary Revocation/Non-Voluntary 11/23/2004 12/3/2004 10/18/2004 11/22/2004 10/26/2004 Behm, Lisa R. Bender, Carey J. Blackwell, Ronald W. Blake, Rhonda J. Blankenship, Rebecca S. RN130910 LP022599 RN059614 RN130881 LP022732 Probation Decree of Censure Revocation/Non-Voluntary Probation Suspension 11/18/2004 9/24/2004* 11/2/2004 9/7/2004* Bolchalk, Veda D. Borstelmann, Eileen C. Bowland, Mark Bredenkamp, Dawn S. RN106557 RN046951 RN095264 RN030030 Probation Completed Probation Completed Voluntary Surrender Revocation/Non-Voluntary 11/5/2004 Brinser, Stacey A. RN115075/LP036050 Revocation/Non-Voluntary 9/7/2004* Bruce, Richard E. RN084397 Revocation/Non-Voluntary 11/19/2004 Bryant-Deconcini, Sara W. RN053547 Probation 10/18/2004 12/1/2004 10/25/2004 9/7/2004* Calderon, Deborah S. Campbell, Kelli B. Carter, Carletta P. Carter, Dennis G. RN056091/AP1076 RN080864 LPO35859 LP026991 Revocation/Non-Voluntary Decree of Censure Decree of Censure Decree of Censure 9/17/2004* Castillo, James P. RN093848 Stayed Revocation w/Suspension 5/28/2004* 8/10/2004* Castillo, Lauramelia G. Chaprnka, Lynda E. LP027835 RN114563 Stayed Revocation w/Probation Voluntary Surrender 11/17/2004 Clark, Michelle L. RN121032/LP033586 Stayed Revocation w/Probation 12/17/2004 12/10/2004 9/3/2004* Cole, Jacques P. Collins, Judith G. Corwin, Robyn L. RN123221 RN053088 RN091585 Probation Completed Decree of Censure Decree of Censure 9/7/2004* 10/22/2004 9/29/2004* 9/18/2004* 9/7/2004* Countryman, Shirley L. Crosslin-Lee, Debbie L. Cummings, Therese J. Curdo, Joy M. Dan, Sharon A. RN114443 RN103452 RN124381 RN082994 RN111200 Revocation/Non-Voluntary Decree of Censure Voluntary Surrender Decree of Censure Revocation/Non-Voluntary 10/8/2004 10/6/2004 11/5/2004 Day, Kristie M. Douthett, Jeffrey C. Driver, Robert L. RN120453 RN090366 RN050753 Probation Completed Decree of Censure Revocation/Non-Voluntary 10/20/2004 11/15/2004 Ebert, June A. Elliott, Linda L. RN055343 RN112212 Decree of Censure Voluntary Surrender 9/7/2004* Evans, Delores L. RN113119 Revocation/Non-Voluntary 9/7/2004* 9/7/2004* Evans, Kimberly C. Evensen, Verna M. LP021970 RN117815 Revocation/Non-Voluntary Revocation/Non-Voluntary 11/8/2004 10/4/2004 11/10/2004 Foster, David B. Geier, Stacey Gelabert, Mary H. RN084673/AP0370 RN098154 LP017035 Decree of Censure Decree of Censure Decree of Censure * Not reported in previous Newsletter VIOLATIONS Criminal Conviction-Misdemeanor, Sexual Misconduct Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Failure to Maintain Minimal Standards, Failure to Follow Orders, Failure to Assess Failure to Intervene Criminal Co0nviction-Drug Related Violating Board Order Violating Board Order Criminal Conviction-Felony, Misconduct-False Documentation, Drug Diversion Drug Related Misconduct-Leaving Duty Station Violating Board Order Criminal Conviction-Misdemeanor, Alcohol Abuse Failure to Maintain Minimal Standards, Unsafe Practice, Drug Abuse Violating Board Order Misconduct-Physical Abuse, Positive Drug Screen, Failed to Cooperate with Board Unprofessional Conduct, Misconduct, Failure to Cooperate Criminal Conviction-Misdemeanor, Violating Board Order Criminal Conviction-Misdemeanor, Unsafe Practice, Alcohol Abuse Violating Board Order Boundary Violation Practicing Beyond Scope Failure to Maintain Minimal Standards, Unsafe Practice, Misconduct-Physical Abuse Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Violating Board Order Drug Abuse, Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Misconduct-False Documentation, Misconduct-Theft, Violating Board Order Medication Errors Unsafe Practice, Drug Abuse, Positive Drug Screen Fraud, Deceit-Failure to cooperate with Board Unsafe Practice Unsafe Practice, Misconduct-False Documentation Failure to Assess, Failure to Intervene Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program, Positive Drug Screen Sexual Misconduct-Boundaries Drug Abuse, Positive Urine Drug Screen, Failure to Cooperate Documentation Errors, Unprofessional Conduct Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Criminal Conviction-Felony, Failure to cooperate Documentation Errors, Medication Errors Positive Urine Screen Failed to follow policy, Boundaries Aiding Unlicensed Practice Failure to Maintain Minimal Standards, Failure to Follow Orders, Documentation Errors RN/LPN Disciplinary Action cont. on page 23 FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER RN/LPN Disciplinary Action cont. from page 22 RN/LPN DISCIPLINARY ACTION October - November - December 2004 * Not reported in previous Newsletter DATE NAME LICENSE DISCIPLINE 9/14/2004** 9/3/2004* 11/5/2004 Grant, Susanna S. Grant, Wayne S. Graves, Lydia LP Endorsement Applicant RN Endorsement Applicant LP036388 License Denied License Denied Revocation/Non-Voluntary 10/30/2004 Gray, William W. LP Endorsement Applicant License Denied 9/3/2004* 9/24/2004* 9/22/2004* Gregoire, Nora L. Guthrie, Carol J. Hacker, Suzanne M. RN082587 RN038794 RN112540 Stayed Revocation w/Probation Probation Completed Suspension/Indefinite 9/7/2004* Ham, Marilyn S. LP024985 Probation 8/2/2004* 12/14/2004 9/24/2004* Harman, Audrey D. Harris, Frances A. Harris, Frances A. RN125887 RN125432 RN125432 Probation Voluntary Surrender Stayed Revocation w/Suspension 11/18/2004 7/28/2004* 11/2/2004 Hast, Brandy Jo Hidenfelter, Sheri L. Hill-Killian, Karin L. LP037255 RN108679 LP028473 Probation Completed Decree of Censure Voluntary Surrender 11/2/2004 Hinzmann, Linda M. LP035067 Voluntary Surrender 11/5/2004 Hoefert, Janie B. RN079731 Revocation/Non-Voluntary 9/29/2004* 11/2/2004 Huffman, Cynthia V. Isaacson, Kenneth L. RN093519 RN064857 Revocation/Voluntary Probation 9/22/2004* Jacques III, William E. RN054440 Probation 9/7/2004* 11/23/2004 10/28/2004 James, Nicholas F. Jones, Ilona L. Jones, Ilona L. RN103708 RN058205 RN058205 Revocation/Non-Voluntary Revocation/Non-Voluntary Stayed Revocation w/Suspension 9/1/2004* 9/24/2004* 11/8/2004 11/18/2004 11/10/2004 9/23/2004* 12/9/2004 11/3/2004 Karns, Phyllis A. Kern, Jason A. Klickovich, Kimberly A. Kline, Enid S. Klose, Roger R. Kraft, Alice E. Labonte, Sandra V. Lindsay, Kathy S. RN060769 RN124000/LP036078 RN107456/LP033838 RN079774 RN058529 RN048817/AP0572 RN038356 RN042314 Decree of Censure Probation Completed Decree of Censure Probation Completed Revocation/Voluntary Probation Probation Completed Probation 9/22/2004* Lovesy, Jason D. RN098343 Suspension 9/15/2004* Marcario, Kimberly A. LP Endorsement Applicant License Denied 10/12/2004 11/17/2004 Marcinek, Jeri L. Marsh, Audrey L. RN092138 RN085435 Decree of Censure Probation 9/7/2004* 10/4/2004 11/2/2004 9/22/2004* 11/2/2004 Martin, Stephen W. Martinez, Victoria L. May, Gloria H. May, Mickey L. McCann, Susan P. RN040343/AP0118/AP0153 RN101237/LP031519 RN052536 RN086443 LP037921 Revocation/Non-Voluntary Decree of Censure Voluntary Surrender Stayed Revocation w/Suspension Voluntary Surrender 10/28/2004* McClure, Roxanne M. RN Endorsement Applicant License Denied 9/16/2004* 10/19/2004 McGruder, James E. Mejia, John M. LP Endorsement Applicant RN130471 License Denied Probation 9/22/2004* Melson, Elizabeth A. LP000032892 Decree of Censure 10/18/2004 11/29/2004 9/27/2004* 10/29/2004 11/17/2004 Mendoza, David C. Mickelson, Karin R. Minnis, Linda K. Miranda, Joyce V. Moore, Cherise P. RN035526 RN090648 RN124893 RN111309/LP034945 RN075265 Revocation/Non-Voluntary Decree of Censure Probation Probation Probation 11/24/2004 Moran, Mark G. RN125050 Voluntary Surrender VIOLATIONS Misconduct-Drug Related Criminal Conviction-Misdemeanor, Misconduct Drug Abuse, Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Unsafe Practice, Misconduct, Fraud, DeceitObtaining License Drug Abuse, Violating Board Order Failure to Comply with Requirements of Impaired Nurse Program Failure to Maintain Minimal Standards, Failure to Follow Orders Criminal Conviction-Misdemeanor, Alcohol Abuse Drug Diversion Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Failure to Follow Orders, Practicing Beyond Scope Failure to Maintain Minimal Standards, Incompetent Practice Failure to Maintain Minimal Standards, Inability to Practice Safely-Physical Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Criminal Conviction-Felony Unsafe Practice, Practicing Beyond Scope, Writing Illegal RX Failure to Maintain Minimal Standards, Incompetent Practice Drug Abuse, Positive Drug Screen Drug Abuse, Violating Board Order Drug Abuse, Alcohol Abuse, Failure to Comply with Requirements of Impaired Nu Nurse Program Criminal Conviction-Misdemeanor Failure to Maintain Minimal Standards Misconduct-Verbal Abuse, Violating Board Order DX Errors (APRN), TX Errors (APRN) Failure to Maintain Minimal Standards, MisconductVerbal Abuse, Misconduct-Leaving Duty Station Documentation Errors, Drug Abuse, Failure to Cooperate with Board Criminal Conviction-Misdemeanor, Failure to Maintain Minimal Standards, Misconduct-Leaving Duty Station Positive Drug Screen Criminal Conviction-Misdemeanor, Failure to Maintain Minimal Standards, Alcohol Abuse Criminal Conviction-Felony, Violating Board Order Positive Drug Screen Inability to Practice Safely-Physical Documentation Errors, Medication Errors, Drug Abuse Failure to Maintain Minimal Standards, MisconductOther Positive Drug Screen, Fraud, Deceit-Obtaining License Criminal Conviction-Against Person, Alcohol Abuse Misconduct, Drug Abuse, Alcohol Abuse Failure to Maintain Minimal Standards, Unsafe Practice, Misconduct-Physical Abuse Drug Abuse, Violating Board Order Practicing Beyond Scope Drug Abuse, Drug Diversion Failure to Maintain Minimum Standards; Sexual Misconduc Misconduct Misconduct-Leaving Duty Station, Alcohol Abuse, Violating Board Order Unsafe Practice, Failure to Intervene RN/LPN Disciplinary Action cont. on page 24 ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 RN/LPN Disciplinary Action cont. from page 23 RN/LPN DISCIPLINARY ACTION October - November - December 2004 DATE NAME LICENSE DISCIPLINE 9/23/2004* 8/31/2004* 9/22/2004* 9/22/2004* Morris, Craig Morrison, Therese V. Mruskovich, Melissa A. Mytczynsky, Megan S. RN127668 RN026869 RN091432/AP1271 RN123625 Stayed Revocation w/Probation Decree of Censure Suspension/Indefinite Stayed Revocation w/Suspension 10/29/2004 11/12/2004 Neidert, Judy K. Orender, Virginia A. LP032112 LP021180 Decree of Censure Stayed Revocation w/Suspension 9/22/2004* Perkins, Russalle M. RN039768 Voluntary Surrender 12/7/2004 9/7/2004* 7/1/2004* Phillips, Maureen S. Poland, Wayne F. Preston, Trisha D. RN065245 RN092337 rn075190 Decree of Censure Revocation/Non-Voluntary Voluntary Surrender 10/19/2004 9/24/2004* 9/17/2004* Rausche, Debra L. Rayborn, Ronald C. Rebel, Karen L. LP034189 LP028339 RN078320/LP024669 Decree of Censure Probation Completed Probation 9/9/2004* Ridha, Rajaa RN079354 Decree of Censure 10/8/2004 Riviotta, Nancy L. RN095171/LP030644 Probation 11/5/2004 Robertson, Blythe J. RN105516 Revocation/Non-Voluntary 10/29/2004* Robinette, Kristi R. RN Endorsement Applicant License Denied 9/24/2004* 12/10/2004 11/3/2004 8/16/2004* 8/25/2004* 10/14/2004 Rowe, Laurie D. Self, Toni G. Semple, Andrew R. Shepis, Michelle N. Shirley, Angel M. Slater, Darlene M. LP039057 LPN Endorsement Applicant RN092343 RN129469 RN115427/LP035915 RN109791 Decree of Censure License Denied Probation Probation Decree of Censure Voluntary Surrender 12/6/2004 9/24/2004* 11/24/2004 9/24/2004* 10/13/2004 10/28/2004 Smalling, Steven L. Steele, Kim Struse, Marilyn J. Suggs, Forrest M. Thomas, Kimberly A. Traynor, Marilyn N. RN111638 RN095749 RN087488 RN073691 LP033839 RN085636 Probation Completed Suspension Probation Decree of Censure Suspension Stayed Revocation w/Probation 11/2/2004 Tucker, Lori T. RN086205 Voluntary Surrender 9/24/2004* 12/14/2004 Vallejo, Linda Y. Vomaska, Suzanne M. LP026856 RN131114 Probation Completed Probation 10/1/2004 11/18/2004 Voss, William C. Walsh, Colleen T. RN036688 RN111356 Reinstatement w/ Probation Probation 11/3//2004* Waltz, George A. LP Endorsement Applicant License Denied 11/22/2004 9/7/2004* Warwick, Nina G. Weise, Elaine F. LP034831 LP017673 Decree of Censure Revocation/Non-Voluntary 12/8/2004 Wells, Johnny B. RN129007 Probation 8/18//2004* 11/10/2004* 11/10/2004 Whitney, Susan K. Whittington, Francine D. Williams, Elizabeth A. RN Endorsement Applicant RN Endorsement Applicant RN116299 License Denied License Denied Suspension 9/24/2004* 12/21/2004 11/17/2004 Wilson, Kara J. Witte, Gary A. Wood, Kelly A. RN121495 LP030258 RN086858/LP028437 Probation Completed Voluntary Surrender Stayed Suspension w/Probation 9/22/2004* Woods, Sandra RN083582 Probation 11/4/2004* 12/10/2004 9/22/2004* Wray, Lynne A. Wright, Debra J. Zrna, Roberta J. RN Endorsement Applicant RN034502 RN112870 License Denied Voluntary Surrender Probation * Not reported in previous Newsletter VIOLATIONS Suspension completed Failure to Assess, Documentation Errors Failure to Maintain Minimal Standards, Neglect, Drug Abuse, Failure to Comply with Requirements of Impaired Nurse Program Inappropriate Delegation Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Alcohol Abuse, Failure to Comply with Requirements of Impaired Nurse Program Physical Abuse Sexual Abuse, Failure to cooperate with Board Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Practicing Beyond Scope Failure to Maintain Minimal Standards, Documentation Errors, Misconduct-Verbal Abuse Failure to Maintain Minimal Standards, Failure to Assess Failure to Maintain Mimimum Standards, Documentation Errors, Medication Errors Failure to Maintain Minimal Standards, Violating Board Order Failure to Maintain Minimal Standards, Unsafe Practice, Failure to Follow Orders Practicing Beyond Scope Action in Another Jurisdiction Alcohol Abuse Criminal Conviction-Misdemeanor, Drug Related Failure to Assess Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Drug Abuse Documentation Errors, Alcohol Abuse Misconduct-Physical Abuse Drug Abuse, Violating Board Order Failure to Maintain Minimal Standards, MisconductPhysical Abuse, Verbal Abuse Drug Abuse, Drug Diversion, Failure to Comply with Requirements of Impaired Nurse Program Criminal Conviction-Misdemeanor, Drug Abuse, Alcohol Abuse Drug Abuse Failure to Maintain Minimal Standards, Failure to Follow Orders, Medication Errors Criminal Conviction-Felony, Misdemeanor, Alcohol Abuse Practicing Bey Beyond Scope Failure to Comply with Requirements of Impaired Nurse Program Criminal Conviction-Misdemeanor, Drug Related Failure to Cooperate , Misconduct Drug Abuse, Drug Use on Duty, Drug Diversion Failure to Maintain Minimal Standards, Failure to Follow Orders, Medication Errors Medication Errors, Drug Related Failure to Maintain Minimal Standards, Unsafe Practice, Violating Board Order Criminal Conviction-Misdemeanor, Drug RelatedOther, Fraud, Deceit Criminal Conviction-Misdemeanor, Misconduct Documentation Errors, Positive Drug Screen Failure to Maintain Minimal Standards, Failure to Intervene FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER CNA DISCIPLINARY ACTION October - November - December 2004 * Not reported in previous Newsletter DATE NAME LICENSE DISCIPLINE 11/5/2004 Addison, Melissa Ann CNA999987915 Revocation/Non-voluntary 10/7/2004 *9/9/2004 Alexander, Vanda C. Anderson, Veronica Y. CNA1000003362 CNA Applicant Civil Penalty Certificate Denied *9/7/2004 7/23/2004 9/10/2004 11/5/2004 Andrade, Dennisse Baca, Adam M. CNA633071441 CNA Applicant Civil Penalty Certificate Denied Badour, Joan CNA366241034 Revocation/Non-voluntary 10/13/2004 11/12/2004 Balfany, Amy L. Benitez, Juan CNA999953203 CNA Applicant Voluntary Surrender Certificate Denied 11/10/2004 11/5/2004 8/30/2004 *6/25/2004 Big, Eirlene Big, Loutrienda Billie, Lee Ann Black, Tracy L. CNA Applicant CNA999999173 CNA515397803 CNA Applicant Certificate Denied Voluntary Surrender Suspension Certificate Denied 12/3/2004 Blake, John W. CNA1000004034 Civil Penalty *6/25/2004 Board, Gallette CNA Applicant Certificate Denied 11/8/2004 Boatright, Margo R. CNA Applicant Certificate Denied *6/30/2004 Branham, Richard A. CNA Applicant Certificate Denied *9/24/2004 9/10/2004 Brooks, Robert C. Bryan, Lesa Mae CNA1000003119 CNA999947104 Civil Penalty Certificate Denied *9/28/2004 *9/7/2004 10/17/2004 12/08/2004 Bush, Tiffany R. Cain, Rachelle M. Cain, Rachelle M. Cardenas, Alberta M. CNA1000003209 CNA999992193 CNA999992193 CNA Applicant Civil Penalty Civil Penalty Suspension Certificate Denied *9/3/2004 10/25/2004 Chaidez, Judith M. Champagne, Jennifer D. CNA999991068 CNA Applicant Civil Penalty Civil Penalty 11/17/2004 12/20/2004 8/12/2004 7/20/2004 *11/12/2004 12/3/2004 Chavez, Angela G. Chavez, Carmen A. Clanton, Sibylle I. Clark, Gerald M. Clubb III, William C. Collins, Raymond CNA999987969 CNA1000004129 CNA765414930 CNA999992580 CNA Applicant CNA1000003963 Civil Penalty Stayed Suspension Voluntary Surrender Suspension Certificate Denied Suspension 12/16/2004 8/8/2004 8/1/2004 Cowan, Emily R. Craig, Julia M. Dane, Shelly J. CNA10000004128 CNA999999817 CNA Applicant Stayed Suspension Civil Penalty Civil Penalty *9/7/2004 Delgarito, Lilly CNA983151103 Revocation/Non-voluntary *6/24/2004 Dillard, Colleen D. CNA Applicant Certificate Denied 7/19/2004 Donegan, Kathleen M. CNA999993817 Voluntary Surrender 8/2/2004 *9/7/2004 Dufault, Lori L. Duncan, Amber J. CNA8278785057 CNA Applicant Suspension Certificate Denied *6/24/2004 Durnez, Kathrine S. CNA999994818 Certificate Denied 11/22/2004 Edwards, Gary M. CNA1000004055 Stayed Suspension 8/17/2004 6/13/2004 Erdmann, Jennifer T. Esmay, Kristine CNA1000002759 CNA999993456 Civil Penalty Voluntary Surrender 11/5/2004 Fenske, Joana CNA999988737 Revocation/Non-voluntary VIOLATIONS Fraud/Deceit; Practicing without certificate; Failure to Cooperate Criminal Conviction-Misdemeanor; Drug Related Criminal Conviction-Felony; Misdemeanor; Failure to Cooperate; Obtaining Certificate by Fraud Practicing Beyond Scope; -Failure to Cooperate Criminal Conviction-Against Person; Misconduct; Failure to Cooperate Unsafe Practice; Practicing Beyond Scope; Failure to Cooperate Neglect; Mental Abuse; Verbal Abuse Criminal Conviction-Misdemeanor; Obtaining Certificate by Fraud Misconduct; Failure to Cooperate Criminal Conviction-Misdemeanor Sexual Misconduct Criminal Conviction-Misdemeanor; Theft Employer; Failure to Cooperate Criminal Conviction-Misdemeanor; Against Person Criminal Conviction-Felony; Fraud/Deceit; Practicing without certificate Criminal Conviction-Misdemeanor; Drug Related; Failure to Maintain Minimal Standards Failure to Maintain Minimal Standards; Fraud/ Deceit; Practicing without certificate Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor; Fraud/Deceit; Failure to Cooperate Criminal Conviction-Misdemeanor Failure to Follow Orders Violating Board Order Criminal Conviction-Drug Related; Failure to Cooperate Theft - Employer Criminal Conviction-Against Person; Failure to Cooperate Physical Abuse Criminal Conviction-Drug Related Verbal Abuse Criminal Conviction-Misdemeanor; Alcohol Abuse Criminal Conviction; Failure to Cooperate Criminal Conviction; Unprofessional Conduct; Drug Related Drug Abuse; Misconduct; Drug Abuse Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction-Felony; Drug Related; Failure to Cooperate Criminal Conviction-Misdemeanor; Fraud/Deceit; Failure to Cooperate Failure to Maintain Minimal Standards; Unsafe Practice; False Documentation Criminal Conviction-Misdemeanor; Drug Abuse Criminal Conviction-Misdemeanor; Against Property; Drug Related Criminal Conviction-Felony; Drug Related; Drug Abuse Criminal Conviction-Misdemeanor; Alcohol Abuse Practicing Beyond Scope Criminal Conviction-Misdemeanor; Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards Neglect; Unsafe Practice CNA Disciplinary Action cont. on pg. 26 ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 CNA Disciplinary Action cont. from pg. 25 CNA DISCIPLINARY ACTION October - November - December 2004 DATE NAME LICENSE DISCIPLINE 11/3/2004 Fietkau, Roland K. CNA Applicant Certificate Denied 12/9/2004 Fleming, Cheryl L. CNA1000004092 Civil Penalty 8/7/2004 11/5/2004 Formon, Tom Foster, Andrew CNA Applicant CNA987767803 Civil Penalty Revocation/Non-voluntary 11/18/2004 10/21/2004 *6/28/2004 Franks, Ruth L. Frederick, Linda Fuller, Nina M. CNA025781803 CNA438103893 CNA Applicant Stayed Revocation Cleared Suspension Certificate Denied 10/8/2004 *6/28/2004 Galang, Ernesto G. Galindo, Marcinda CNA999949304 CNA Applicant Civil Penalty Certificate Denied 11/17/2004 *7/8/2004 *9/30/2004 *9/30/2004 8/8/2004 10/21/2004 11/10/2004 Gantala, Mary Emma Garcia, Arturo V. Garcia, Graciela V. Garcia, Graciela V. Geist-Dunlevy, Kathleen M. Geist-Dunlevy, Kathleen M. Gloria, Yvette D. CNA546613420 CNA Applicant CNA483982803 CNA Applicant CNA911218529 CNA911218529 CNA Applicant Suspension Certificate Denied Stayed Suspension Suspension Cleared Civil Penalty Suspension Certificate Denied 10/29/2004 *9/10/2004 Glover, Annie C. Gonzalez, Gloria V. CNA Applicant CNA Applicant Certificate Denied Certificate Denied 11/5/2004 10/15/2004 *9/10/2004 Goodluck-Jones, Kandy Griffith, Betty Guy, Lydia M. CNA999949862 CNA995377103 CNA Applicant Revocation/Non-voluntary Stayed Suspension Certificate Denied 10/29/2004 Haarmann, Krystal M. CNA Applicant Certificate Denied *9/29/2004 *6/25/2004 Haba, Yalimalo M. Hallman, Yvonne M. CNA999996847 CNA Applicant Civil Penalty Certificate Denied 11/8/2004 Halona, Tony CNA319102353 Certificate Denied 8/4/2004 Hardy, Tamara L. CNA999949127 Civil Penalty 10/4/2004 *6/24/2004 Hernandez, Norma J. Hernandez, Zuilma M. CNA999947410 CNA955916441 Civil Penalty Certificate Denied 8/13/2004 11/3/2004 Hicks, Robert L. Hobbs, Jason L. CNA143547574 CNA Applicant Civil Penalty Certificate Denied 10/12/2004 12/2/2004 Huey, Doris M. Huggins, Bernie L. CNA040941977 CNA Applicant Suspension Civil Penalty 11/3/2004 Hunt, Starla K. CNA Applicant Certificate Denied *9/10/2004 12/7/2004 11/5/2004 Jeffreys, Charlene Jones, David W. Juhl, Virginia E. CNA Applicant CNA1000004001 CNA999995948 Certificate Denied Civil Penalty Revocation/Non-voluntary 11/3/2004 10/7/2004 Kayson, Jesse D. Keenan, Jason Lee CNA Applicant CNA1000003248 Certificate Denied Civil Penalty 10/8/2004 10/22/2004 11/23/2004 10/25/2004 *6/17/2004 11/16/2004 Kelliher, Jennifer Lee Kennedy, Heather M. Labrie, Jill M. Larson, Celia Lillquist, Renee S. Lomayaktewa, Ruthena G. CNA1000003345 CNA757833103 CNA982903726 CNA999988066 CNA898029103 CNA710593103 Civil Penalty Stayed Suspension Revocation/Non-voluntary Revocation/Non-voluntary Certificate Denied Suspension * Not reported in previous Newsletter VIOLATIONS Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Failure to Cooperate Criminal Conviction; Obtaining Certificate by Fraud; Failure to Cooperate Obtaining Certificate by Fraud Criminal Conviction-Felony; Drug Related Drug Abuse; Violating Board Order Criminal Conviction-Misdemeanor; Obtaining Certificate by Fraud Obtaining Certificate by Fraud Criminal Conviction-Felony; Misdemeanor; Against Person; Alcohol Abuse Fraud/Deceit Failure to Follow Orders; Boundaries Verbal Abuse Violating Board Order Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction-Felony; Failure to Cooperate Criminal Conviction-Against Person; Theft - Client; Failure to Cooperate Neglect; Physical Abuse; Verbal Abuse Physical Abuse; Verbal Abuse Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction-Felony; Drug Related Unsafe Practice Misconduct; Practicing without certificate; Failure to Cooperate Criminal Conviction-Misdemeanor; Alcohol Abuse; Obtaining Certificate by Fraud Failure to Maintain Minimal Standards; Physical Abuse Practicing Beyond Scope Criminal Conviction-Misdemeanor; Misconduct; Failure to Cooperate Failure to Maintain Minimal Standards Criminal Conviction-Misdemeanor; Against Person; Failure to Cooperate; Physical Abuse; Misconduct Criminal Conviction; Obtaining Certificate by Fraud Criminal Conviction-Felony; Theft - Client; Failure to Cooperate Criminal Conviction; Failure to Cooperate Misconduct; Drug Related Failure to Maintain Minimal Standards; Leaving Duty Station; Misconduct Misconduct; Failure to Cooperate Criminal Conviction-Misdemeanor; Failure to Cooperate; Theft - Employer Criminal Conviction-Misdemeanor Alcohol Abuse Violating Board Order Violating Board Order Criminal Conviction-Misdemeanor; Misconduct Violating Board Order CNA Disciplinary Actions cont. on page 27 FEB., MARCH, APRIL, 2005 ARIZONA STATE BOARD OF NURSING NEWSLETTER CNA Disciplinary Actions cont. from page 26 CNA DISCIPLINARY ACTION October - November - December 2004 DATE NAME LICENSE DISCIPLINE 10/10/2004 11/10/2004 Mabalay, Divino R. Madoneczky, Jenny L. CNA999994916 CNA Applicant Civil Penalty Certificate Denied 11/19/2004 *9/1/2004 Martin, Joshua J. Maxwell, Barbara J. CNA1000003837 CNA863659641 Civil Penalty Stayed Suspension *9/9/2004 11/2/2004 *6/25/2004 McGee, Bernice McInerney, Teresa McKay, Julie A. CNA Applicant CNA157460103 CNA Applicant Certificate Denied Civil Penalty Certificate Denied 11/17/2004 Mendoza, Marie A. CNA442397833 Stayed Suspension 10/29/2004 Mendoza, Marsela CNA Applicant Certificate Denied 7/2/2004 12/7/2004 Moore, Donna Moore, Jennifer L. CNA982353756 CNA1000004001 Suspension Civil Penalty 11/5/2004 11/10/2004 Moore, Tiffany L. Moses, Joel H. CNA999996964 CNA Applicant Revocation/Non-voluntary Certificate Denied 12/15/2004 Motes, Melissa E. CNA999993975 Voluntary Surrender *9/24/2004 O’Connor, Ralph CNA999951435 *9/3/2004 11/18/2004 6/4/2004 Oddonetto, Lyndi M. Omame, Helen Orth, Katie M. CNA999998510 CNA999998600 CNA Applicant Stayed Revocation w/ Suspension CLEARED Voluntary Surrender Stayed Suspension Cleared Civil Penalty 11/3/2004 Patterson, Maurice CNA Applicant Certificate Denied *6/30/2004 Patterson, Rita K. CNA Applicant Certificate Denied 7/28/2004 Perez, Rosa M. CNA698849561 Civil Penalty 12/1/2004 Peterson, Elaine K CNA Applicant Civil Penalty 4/2/2004 Peterson, Tina M. CNA Applicant Civil Penalty 7/23/2004 Pettit, Tiffany L. CNA1000002462 Civil Penalty *6/17/2004 11/18/2004 6/8/2004 Powers, Kara L. Proctor, Marcella Proudfoot, Michelle D. CNA Applicant CNA Applicant CA1000002411 Certificate Denied Suspension Cleared Civil Penalty *9/24/2004 8/13/2004 *9/21/2004 11/5/2004 Pummill, Robert F. Quan, Patricia A. Quijada, Elsa B. Quintanar, Manuel CNA372958669 CNA Applicant CNA999988794 CNA Applicant Stayed Suspension Cleared Civil Penalty Voluntary Surrender Certificate Denied 6/18/2004 11/3/2004 11/5/2004 Ramos, Beatriz G. Reid, Jeffrey S. Reid, Yolanda J. CNA707108154 CNA Applicant CNA999987986 Civil Penalty Certificate Denied Revocation/Non-voluntary 11/5/2004 *6/25/2004 Richardson, Shannon M. Rivera, Misty M. CNA999946771 CNA Applicant Revocation/Non-voluntary Certificate Denied 7/23/2004 *6/24/2004 Robinson, Vivian E. Rodriquez, Sara E. CNA1000002461 CNA825394441 Civil Penalty Certificate Denied 11/5/2004 11/5/2004 Rogers, William J. Romero, Emma R. CNA845715803 CNA524820513 Revocation/Non-voluntary Revocation/Non-voluntary 10/21/2004 Rood, Cynthia M. CNA Applicant Certificate Denied * Not reported in previous Newsletter VIOLATIONS Fraud/Deceit Criminal Conviction-Misdemeanor; Against Person; Misconduct Criminal Conviction-Against Person Failure to Maintain Minimal Standards; False Documentation Misconduct; Failure to Cooperate Physical Abuse; Verbal Abuse Criminal Conviction-Misdemeanor; Drug Related; Obtaining Certificate by Fraud; Failure to Cooperate Criminal Conviction-Misdemeanor; Obtaining Certificate by Fraud Criminal Conviction-Misdemeanor; Failure to Cooperate Drug Abuse; Presenting Illegal RX Criminal Conviction; Obtaining Certificate by Fraud Drug Abuse; Drug Use on Duty Criminal Conviction-Misdemeanor; Failure to Cooperate Failure to Follow Orders; Theft - Client; Misconduct Drug Abuse Criminal Conviction-Misdemeanor; Against Person Criminal Conviction-Felony; Misdemeanor; Obtaining Certificate by Fraud; Failure to Cooperate Criminal Conviction-Misdemeanor; Against Person; Fraud/Deceit; Failure to Cooperate Failure to Maintain Minimal Standards; Failure to Follow Orders Criminal Conviction; Obtaining Certificate by Fraud; Fraud/Deceit Criminal Conviction-Misdemeanor; Against Person; Failure to Cooperate Criminal Conviction-Misdemeanor; Against Person Criminal Conviction-Misdemeanor Criminal Conviction-Against Property; Unprofessional Conduct; Obtaining Certificate by Fraud Verbal Abuse Misconduct Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction-Misdemeanor; Fraud/Deceit Criminal Conviction-Misdemeanor; Misconduct Leaving Duty Station; Drug Related; Failure to Cooperate Drug Abuse; Failure to Cooperate; Drug Related Criminal Conviction-Misdemeanor; Drug Related; Failure to Cooperate Obtaining Certificate by Fraud Criminal Conviction-Felony; Obtaining Certificate by Fraud; Fraud/Deceit Sexual Misconduct; Failure to Cooperate Drug Use on Duty; Drug Related; Failure to Cooperate Criminal Conviction-Misdemeanor; Misconduct; Failure to Cooperate CNA Disciplinary Actions cont. on page 28 ARIZONA STATE BOARD OF NURSING NEWSLETTER FEB., MARCH, APRIL, 2005 CNA Disciplinary Actions cont. from page 27 CNA DISCIPLINARY ACTION October - November - December 2004 DATE NAME LICENSE DISCIPLINE *6/24/2004 /2004 Roy, Bambi J. CNA Applicant Certificate Denied 11/5/2004 11/5/2004 Rumbolz, Sara M Sanders, Jill N. CNA999992170 CNA709564641 Revocation/Non-voluntary Revocation/Non-voluntary 10/22/2004 Sauter, Rebecca A. CNA Applicant Certificate Denied 11/2/2004 11/5/2004 Schall, Tracy J. Schriver, Kristen M. CNA996237803 CNA999991758 Voluntary Surrender Revocation/Non-voluntary 11/5/2004 Schunk, Brenda J. CNA487980803 Revocation/Non-voluntary 11/18/2004 *9/24/2004 10/13/2004 *8/27/2004 Scott, Rahman S. Secuya, Michelle D. Seefeldt, Rebecca A. Shadowvine, Kenneth CNA999950497 CNA999987257 CNA999987288 CNA Applicant Suspension Cleared Stayed Suspension Cleared Voluntary Surrender Certificate Denied 12/3/2004 Slemmer, Thomas D. CNA1000003977 Stayed Revocation 12/9/2004 Smith, Cameo D. CNA1000004058 Civil Penalty 11/19/2004 Sotelo, Guadalupe CNA1000003839 Civil Penalty 11/3/2004 Stark, Rebecca J. CNA Applicant Certificate Denied 11/10/2004 Steen, Terri M. CNA Applicant Certificate Denied 7/14/2004 Stemper, Jolene M. CNA999999848 Suspension *6/30/2004 Sternberger, Robin C. CNA Applicant Certificate Denied *9/23/2004 8/26/2004 Stratton, Mary E. Surrell, Raymond R. CNA Applicant CNA403313899 Certificate Denied Civil Penalty 6/17/2004 Szakaly, Martin F. CNA Applicant Certificate Denied 12/10/2004 12/8/2004 11/18/2004 10/20/2004 Tenequer, Adrianna Terry, Jennifer D. Thomas, Bernette L. Townsend, James L. CNA999988247 CNA Applicant CNA986669937 CNA947112503 Suspension Civil Penalty Suspension Cleared Certificate Denied *8/27/2004 Tsosie, Verna A. CNA391705353 Certificate Denied 11/20/2004 Tuttle, Casandra K. CNA1000003915 Civil Penalty 11/3/2004 *9/26/2004 Verbal, Dru A. Vergara, Melissa N. CNA Applicant CNA1000003121 Certificate Denied Civil Penalty 11/9/2004 Ware, Brenton CNA Applicant Certificate Denied 12/17/2004 7/13/2004 Watson, Charles O, Williams, Clinton T. CNA Applicant CNA077007179 Certificate Denied Civil Penalty *9/29/2004 11/12/2004 8/26/2004 *5/13/2004 Williams, Lynn M. Williams, Spring R. Williams, Susan C. Wright, Katherine L. CNA Applicant CNA1000000648 CNA1000002878 CNA Applicant Civil Penalty Civil Penalty Stayed Suspension Certificate Denied * Not reported in previous Newsletter VIOLATIONS Criminal Conviction-Misdemeanor; Drug Related; Failure to Cooperate Drug Use on Duty; Drug Related Criminal Conviction-Felony; Drug Related; Failure to Cooperate Criminal Conviction-Misdemeanor; Failure to Cooperate Drug Abuse; Violating Board Order Criminal Conviction-Misdemeanor; Drug Related; Failure to Cooperate Theft - Client; Drug Diversion - Self; Failure to Cooperate Neglect; Mental Abuse; Verbal Abuse Criminal Conviction-Felony; Drug Related; Failure to Cooperate Criminal Conviction; Drug Related; Failure to Cooperate Drug Related; Obtaining Certificate by Fraud; Fraud/Deceit Criminal Conviction-Felony; Obtaining Certificate by Fraud; Criminal Conviction-Misdemeanor; Drug Related; Failure to Maintain Minimal Standards; Leaving Duty Station Unprofessional Conduct; Drug Use on Duty; Failure to Cooperate Unsafe Practice; Failure to Follow Orders; Leaving Duty Station Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Misconduct; Failure to Cooperate Theft - Client Criminal Conviction-Misdemeanor; Drug Related Drug Use on Duty; Obtaining Certificate by Fraud; Practicing without certificate; Failure to Cooperate Drug Abuse Criminal Conviction-Misdemeanor Criminal Conviction-Misdemeanor; Drug Use on Duty; Failure to Cooperate Criminal Conviction-Misdemeanor; Against Person; Failure to Cooperate Criminal Conviction-Misdemeanor; Failure to Cooperate Misconduct; Failure to Maintain Minimal Standards; Theft Employer Criminal Conviction-Misdemeanor; Failure to Cooperate Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards; Unsafe Practice False Documentation Drug Abuse Criminal Conviction-Against Person; Drug Abuse Criminal Conviction-Misdemeanor; Failure to Maintain Minimal Standards