arizona VOL 6 t NO2 AUGUST 2011 STATE BOARD OF NURSING REGULATORY JOURNAL 1921 - 2011 90 YEARS COTT KATHY S BOARD 52, RN#1251 NT 2011 PRESIDE PHOTO IS COUR TESY OF THE LO S ANGELES PR OVINCE ARCHIV ES SIST EVANG ER E RN#1, B LISTA MEMBE OARD R 1921 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 1 Towering Opportunities … Opening Now! Phoenix Children’s Hospital is experiencing one of the most ambitious periods of growth in its history as we staff our new 11-story patient tower.The focal point of our $588 million expansion, it inspires our transformation into a world class medical campus dedicated to the highest standards in children’s health care. The new Phoenix Children’s Hospital encompasses our campus and beyond with additions that include: · 96 PICU/CVICU rooms · 6,018-square-foot specialty and urgent care center · Neuro-Newborn ICU · 12 additional operating rooms · An increase from 345 to 626 licensed beds by 2012 · 750-car parking garage for the exclusive use of our employees Phoenix Children’s Hospital employees enjoy unprecedented growth opportunities, excellent salaries, and outstanding benefits effective the first of the month after their start date. For a complete list of open positions, please visit our website: www.phoenixchildrens.com Equal Opportunity Employer 2 arizona STATE BOARD OF NURSING REGULATORY JOURNAL PUBLISHED BY ARIZONA STATE BOARD OF NURSING 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3655 Phone: 602.771.7800 Main fax: 602.771.7888 CANDO fax: 602.771.7882 General e-mail: arizona@azbn.gov Website: www.azbn.gov GOVERNOR The Honorable Janice K. Brewer Joey Ridenour, RN, MN, FAAN EXECUTIVE DIRECTOR Judy Bontrager, RN, MN ASSOCIATE DIRECTOR/OPERATIONS VOL 6 t N O 2t AUGUST 2011 4 6 From the Executive Director  History of Regulation of Arizona Nursing Education 8  2012 Ninth Annual CNA Educators Retreat Empowerment: Making a Difference in Policy and Practice Certified Nursing Assistant Essay Competition Valerie Smith, RN, MS, FRE ASSOCIATE DIRECTOR/ INVESTIGATIONS/ COMPLIANCE 10 Pamela Randolph, RN, MS ASSOCIATE DIRECTOR/EDUCATION & EVIDENCE BASED REGULATION 11 12  Staff Directory BOARD MEMBERS Kathy Scott, RN, MPA, PhD, FACHE PRESIDENT Kathy Malloch, PhD, MBA, RN, FAAN VICE PRESIDENT Patricia (Pat) Johnson, LPN SECRETARY Theresa (Terri) Berrigan, LPN MEMBER Leslie Dalton, MSN, RN MEMBER Lori A. Gutierrez, BS, RN-C, RAC-CT, CBN MEMBER Denise Link, RNP, PhD, CNE, FNAP MEMBER Randy Quinn, MSN, CRNA MEMBER Charleen Snider, BSN, RN MEMBER Kathryn L. Busby, JD PUBLIC MEMBER M. Hunter Perry PUBLIC MEMBER EDITION 23 AzNA and AzBN: The Partnership Continues 90 Years Later! 14 16 20 23 St. Mary’s -First School of Nursing in Arizona Scope of Practice Committee Position Paper on Concurrent Accreditation/ Approval Site Vistis Education Competency Model Update arizona The First Annual Adda Alexander Conference on Patient Safety and Quality STATE BOARD OF NURSING REGULATORY JOURNAL 24 CREATED BY: Virginia Robertson, PUBLISHER vrobertson@pcipublishing.com Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 FOR ADVERTISING INFORMATION: Victor Horne vhorne@pcipublishing.com  s  EXT  ThinkNurse.com This magazine is mailed 3 times a year to over 90,000 Arizona licensed nurses and reaches every nursing student, hospital administrator and nursing school administrator in the state. AzBN Position Vacancy Education Consultant: Nursing Assistant Programs 25 26 29 CNA Disciplinary Actions RN/LPN Disciplinary Actions arizona STATE BOARD OF NURSING REGULATORY JOURNAL CNA Corner 3 F ro m th e E xe cu tive D irector JOEY RIDENOUR, RN, MN, FAAN ARIZONA STATE BOARD OF NURSING 1921-2011 90TH ANNIVERSARY During the early 1900s, state nurses associations were organized for the sole purpose of seeking legislation to pass nurse practice acts (NPA) in each state. The NPA’s were merely registration acts or lists of trained nurses who voluntarily signed or registered to be recognized as a nurse. North Carolina was the first state to enact a nursing practice act in 1903, and by 1923 all states had nurse practice acts in place. The Arizona State Board of Nursing was created in 1921. Historical information entered into the first book of minutes from 1921-1923 you may find interesting are: The first nurse to place her name on the register as “RN # 1” was Sister M. Evangelista Weyand from St. Mary’s Hospital School of Nursing, Tucson. (There are now over 71,000 RN’s in Arizona.) 2. Nurses coming from other states were to register within a month, sign an affidavit they will remain in Arizona for two years and pay a $10 fee. 3. The Arizona Board of Nurse Examiners (Arizona State Board of Nursing) borrowed $259 from the Arizona State Nurse’s Association to “put the board in operation.” 4. If the Board failed to repay the debt, the newly purchased typewriter would become the property of the Arizona Nurses Association and the Board would be reported to the state. 5. First Secretary and full time staff member was paid $2,000 year or $166 month. 6. The Secretary was instructed to contact California, New York, Maryland and California and inform them they were the only states in which reciprocity would be established. 7. Superintendants of schools of nursing throughout the state were sent a letter instructing them to adopt three arm badges: white for graduate nurses, blue for undergraduate nurses and red for practical nurses. Nurses were to be instructed that they “must wear these badges while in that institution.” 8. A.R.N. was the first title for nurses: Arizona Registered Nurse. 9. Sister Evangelista was appointed Chairman of a committee to develop a list of questions for the October 1921 test. Board Members were assigned to submit questions for the test. 10. Three schools of nursing were recommended to add to the accreditation list of the American Nurse’s Association: St. Mary’s Hospital School of Nursing, Tucson; Arizona Deaconess Hospital School of Nursing (Good Samaritan), Phoenix and St. Joseph’s Hospital School of Nursing, Phoenix. 11. At end of fiscal year June 1923, the Board paid off the debt to the Arizona Nurse’s Association with a remaining balance of $25.65 1. 4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL “For what is the present, after all, but a growth out of the past?” -Walt Witman, American Poet For over 90 years, nurse competency and patient safety has been the “public good” of the Arizona State Board of Nursing. In this edition of the AzBN Regulatory Journal, Pam Randolph provides a historical over view of the evolution of nursing education in Arizona. The Executive Director or the Arizona Nurses Association, Robin Schaffer, also provides historical AzNA information as the organization was formed for the sole purpose of enacting the Nurse Practice Act. Also featured is the history of St. Mary’s (Carondolet) as the first school of nursing in Arizona. Special thanks to those in our history who pioneered patient safety and to nurses today who create new ways for making patients safe. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 5 BY PAMELA RANDOLPH RN, MS, ASSOCIATE DIRECTOR OF EDUCATION AND EVIDENCE-BASED REGULATION HISTORY OF REGULATION OF Arizona Nursing Education As the Arizona State Board of Nursing (Board) celebrates its 90th year, it seems an appropriate time to examine the Board history in regulating nursing programs. In the 1860’s, before the existence of the Board, nursing in the United States was organized around the “Nightingale Model” which relied on student nurses to staff hospital units. Despite a web search of Cumulative Index to Nursing and Allied Health Literature (CINAHL), a discernable curriculum was not found and the so-called “model” appears to be a compilation of the principles found in Nightingale’s famous work, Notes on Nursing. Nightingale believed in establishing a patient care environment to promote healing. She advocated a rigorous hands-on training program accompanied by scientific knowledge, which is considered the foundation of modern nursing. Student nurses were expected to do laundry, prepare meals and clean rooms in addition to caring for patients. They worked 10-12 hour shifts, 7 days a week. As hospitals adopted this “model”, due to Nightingale’s statistical analysis showing improved outcomes, inconsistencies and inequities in nursing training became apparent. Some nursing “programs” consisted of as little as 6 months of bedside training. The movement to regulate nursing sprang from these inconsistencies. In 1901, North Carolina was the first state to pass a licensure law for nurses. The first actual nursing course in the United States was established by Adelaide Nutting at Johns Hopkins Hospital, also in 1901. The first collegiate nursing program was established in 1909. In 1921, the Arizona State Board of Nursing was established for the purposes of registering trained nurses and overseeing nursing education programs. One of the first nursing programs to be accredited by the newly established Board was St. Mary’s School of Nursing in Tucson, founded in 6 1914. The director of that program, Sister Evangelista Weyand, was also one of the first members of the Board of Nursing. Sister Weyand is the first licensed nurse in Arizona holding nursing license #1. Sister Weyand was assigned the task of establishing the first curriculum standards in 1922. That year Arizona had 3 hospital-based schools of nursing: St. Mary’s Hospital (later Carondelet), Tucson; St. Joseph’s Hospital, Phoenix; and Arizona Deaconess Hospital, Phoenix (later Good Samaritan Hospital). Minutes of early Board meetings suggest that there was political pressure for the Board to approve nursing programs. Governor Hunt (Arizona’s first governor) attended one meeting to question the Board on their decision to withdraw accreditation from a program that reportedly did not fully prepare graduates for floor duties. A perusal of the minutes of the Board from 1945-1950 reveals that the Board remained intimately involved in the education of students. During the war years it was not uncommon for a student to transfer from one nursing program to another. The Board minutes are replete with entries detailing each transfer student’s full academic record and the hours the Board determined appropriate for a student to transfer to the receiving program. I am happy to report that today, this function falls under the authority and responsibility of the program. Prior to 1950, Board members personally visited clinical sites and programs and made recommendations for improvement. In 1945 the Board petitioned the Governor to hire the first education consultant. That year was also notable for the adoption of a national test pool exam for licensure administered by the National League for Nursing. This exam was the precursor to the NCLEX® examination administered today. Prior to that time, each state board administered its own exam, usually drafted by the board arizona STATE BOARD OF NURSING REGULATORY JOURNAL members themselves. In 1947 the Board held it first meeting of educational program directors. After 5 years of requesting an education staff position, the Board hired its first “Education Supervisor”, Lucia Allyn, in 1950. Nationally, an additional recognition mechanism for programs that exceed minimum requirements of a regulatory board was developed by the National League for Nursing in 1952. This was the forerunner to the current National League for Nursing Accrediting Commission (NLNAC), an accreditation held by a majority of associate degree programs in Arizona. With the advent of accreditation, the Board changed its educational oversight process from “accreditation” to “approval”. In 1983, state laws (A.R.S. §32-1644) were enacted to enable to Board to recognize national accreditation. In 1998, the Commission on Collegiate Nursing Education (CCNE) was established by the American Association of Colleges of Nursing (AACN) to accredit baccalaureate and higher degree nursing programs. Recently (May, 2011), the Board adopted a position paper, “Concurrent accreditation/ approval site visits”, available at www.azbn.gov/Education and in this issue. Today the Board oversees 31 RN and 8 LPN programs. Registered nursing programs in Arizona include both private and public, for profit and not-for-profit, and baccalaureate, associate degree and master’s entry all hosted by either nationally or regionally accredited institutions. The Board also oversees approximately 130 Nursing Assistant programs, 20 advanced practice programs at 5 universities, 3 medication technician programs and 12 refresher programs. In the early 2000’s the education function at the Board became organized into a department with a consultant for C.N.A. programs and an Education Program Administrator (formerly Education continued on page 8 >>> The pay, the benefits, the bonus, the caring, the opportunity is yours with... Now hiring RN’s and CNA’s You’re invited to join our dynamic registry. Health Temp, Arizona’s largest and most respected agency offers: UÊTop Wages UÊBlock Assignments UÊDaily Pay UÊLocal Assignments UÊSign On Bonus UÊStatewide Assignments UÊDirect Deposit UÊPriority Contract UÊCredit Union UÊIndividual Insurance All RN Areas Available. Call 602-234-1944, 520-577-9088 or 800-486-8367 for additional info. w w w . h e a l t h t arizona e m pSTATE . c BOARD o mOF NURSING REGULATORY JOURNAL 7 <<< continued from page 6 Consultant). An Administrative Assistant keeps records, maintains correspondence, facilitates state-wide meetings, manages renewals and supports the department. In February, 2007, the position of Associate Director of Education and Evidence-based Regulation was established. Over the years, it has become apparent that some issues in education are timeless. Board minutes dating back nearly a century contain references to nursing shortages and the need to produce more nurses, lack of qualified faculty, lack of sufficient clinical placements, programs failing to adequately prepare students for practice and how to best accredit new programs. The Board role in nursing education has evolved from overseeing day-to-day program decisions to establishing and enforcing evidence-based standards for education. Throughout its first 90 years the Board has diligently sought to promote excellence in education. Today the Education Department strives to assist programs in attaining and maintaining best practices that promote safe and effective care by graduate nurses. Education Corner Board Actions – Educational Programs March 2011 s 2EVIEWED SITE VISIT REPORT AND VOTED that Maricopa Skills Center file a report in 6 months to verify resolution of deficiencies. s !PPROVED CHANGE IN LENGTH OF Maricopa Skills Center PN Program. s !PPROVED INCREASE IN PRE LICENsure enrollment at Grand Canyon University. s !PPROVED CHANGE IN LENGTH OF Brookline College BSN Program for the purpose of admitting generic students. s #ONTINUED PROVISIONAL APPROVAL OF THE Pima Medical Institute-Tucson RN Program. s !PPROVED ADMISSION OF STUDENTS TO ITT Technical Institute. s $ISMISSED THE COMPLAINT AGAINST Gateway Community College Nursing Program. s s s s s s s s s May 2011 s 2ESTORED FULL APPROVAL OF THE -OHAVE Community College RN Program. 'RANTED PROPOSAL AND PROVISIONAL approval to Mohave Community College PN Program with a report in 12 months. 2ENEWED APPROVAL TO 'ATEWAY Community College Fast Track Licensed Practical Nursing Program. 2ENEWED APPROVAL TO #ARRINGTON College RN Program with a Letter of Concern. 'RANTED CONTINUED PROVISIONAL approval of ITT Technical Institute RN Program with a report in 6 months. !PPROVED COMPETENCY MODEL UPDATE for publication. !PPROVED AMENDED POLICY .URSING Program Expansion when under Provisional Approval. !DOPTED THE POSITION PAPER ON Concurrent Accreditaiton/Approval site visits. $ISMISSED COMPLAINT AGAINST &RED ' Acosta Job Corps Nursing Assistant Training Program $ISMISSED COMPLAINT AGAINST Scottsdale Community College. 2012 Ninth Annual CNA Educators Retreat Empowerment: Making a Difference in Policy and Practice Certified Nursing Assistant Essay Competition The 2012 Ninth Annual CNA Educators Retreat will be held on January 13, 2012 at the Desert Willow Conference Center in Phoenix, Arizona. Empowerment in Practice will be the theme for this exciting event. Program planners have been diligently working on an educational forum that will provide information, tools and strategies for educators to be empowered and to teach CNAs to be empowered in practice. Certified Nursing Assistants are invited to submit an essay discussing empowerment in practice, sharing an experience in which he/she spoke up and made a difference in practice and/or patient safety. Winners of the competition will attend the CNA Educators Retreat at no cost and participate in the panel presentation and breakout sessions. CONTEST RULES s 3UBMISSIONS MUST BE FROM CERTIlED 8 s s s nursing assistants active, in good standing and currently in CNA practice %SSAYS SUBMITTED FOR CONSIDERATION must be prepared by the CNA and be original work /NLY ONE SUBMISSION PER PERSON 3UBMISSION DEADLINE IS 3EPTEMBER  2011 SUBMISSION REQUIREMENTS ‡ s s s Essays must be at least 500 words, but not exceed 750 words %SSAYS MUST BE TYPED DOUBLE spaced, Microsoft Word format %NTRIES MUST INCLUDE THE CANDIDATES full name, certification number, contact information (e-mail address, daytime telephone number, and physical address) %NTRIES ARE TO BE SUBMITTED BY arizona STATE BOARD OF NURSING REGULATORY JOURNAL US mail to AZBN, 4747 N. 7th Street, Phoenix, AZ 85014, Attn: CNA Educators Retreat Essay Competition JUDGING Entries will be reviewed and evaluated by Board staff and members of the 2012 Ninth Annual CNA Educators Retreat Planning Committee. Essays will be judged according to the following criteria: organization/ format; development; style; and grammar/ spelling. Winners of the competition will be notified by November 1, 2011. The Arizona State Board of Nursing reserves the right to reject any entry that is not in compliance with the rules and requirements outlined above. Contest winners agree to allow the Arizona State Board of Nursing to post their essays on the AZBN website and use their names and essays in future educational programs or events. Grand Canyon University: Preparing Nurses for Today’s Dynamic Healthcare Settings Grand Canyon University has been providing outstanding nursing education for over 25 years GCU’s College of Nursing has enjoyed a reputation for academic excellence for more than 25 years with clinical partners regarding the University’s nursing training as among the very best. With a curriculum that fuses academic and clinical rigor with Christian values, GCU prepares knowledgeable, skilled and caring nursing professionals with the ability to meet the challenges of today’s rapidly changing healthcare settings. Get started today! 866.859.8164 | gcu.edu/aznurse Grand Canyon University is regionally accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools. (800-621-7440; http://www.ncahlc.org/) arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9 BY ROBIN SCHAEFFER, MSN, RN, CNE EXECUTIVE DIRECTOR, ARIZONA NURSES ASSOCIATION AZNA AND AZBN: THE PARTNERSHIP CONTINUES 90 YEARS LATER! 1917-1921 In 1917 most of the western states had already organized state nurses associations. Nurses coming to Arizona from other states felt they need an organization to discuss common interests. Between 1917 and 1919, three separate Graduate Nurses Groups were formed representing Maricopa, Pima and Cochise Counties. On December 3, 1919 in Tucson, 42 graduate nurses representing the three County Groups met and voted to organize the Arizona State Nurses Association (ASNA). The main objective of ASNA was to raise the standards of nursing in Arizona. In order to fulfill the organization’s main objective the ASNA officers agreed that a state registration for qualified nurses was needed. Between 1919 and 1921 the ASNA legislative committee worked on preparing the Nurse Practice Act. The Nurse Practice Act Bill was presented to the State Legislature and nurses from around the state were asked to contact their legislators urging them to pass the bill. On the last day of the legislative session in June, 1921, the bill was still not heard so ASNA took action! Edith Snowden, Chairman of ASNA’s Committee on Legislation, with some of her committee members went to the Legislative Chambers to see what could be done. Miss Snowden said in an interview “We went into the balcony with bags of peanuts, jelly beans and popcorn to ward off the pangs of hunger. We sent word down to the Chairman of the Legislature that we were prepared to stay until our Bill was passed. The legislators looked in our direction several times to see if we meant what we said. Finally at 2 A.M. the Bill was passed!” (Shields, 1970). The first Arizona Nurse Practice Act became law on June 9, 1921. On June 14, 1921, the Arizona State Board of Nurse Examiners was organized in Governor Campbell’s office at the Capitol Building in Phoenix. Because the newly organized 10 State Board of Nurse Examiners had no money, the ASNA Board of Directors voted to charge each ASNA member $2.00 to defray expenses for initial equipment such as a typewriter. 1921-1969 Between 1921 and 1969, Nurse Practice Act amendments (as needed) were written by the ASNA Committee on Legislation with assistance from the Executive Secretary of the State Board of Nursing who was an advisor to ASNA’s committee on legislation. Once the amendments were written, they were approved by the ASNA Board of Directors and the General Assembly before they were presented to the Legislature. According to ASNA historical data, ASNA absorbed the cost of necessary legal counsel and public relations because “a nurse practice act protects nurses as well as the public” (Shields, 1970). 1970-2011 In the early 1970s, Arizona state offices and various organizations multiplied and not only the nurses, but the public became confused among all the state names. Because ASNA was a nonprofit organization and not a state agency, the ASNA Board of Director in 1973 approved the name change to Arizona Nurses Association (AzNA). In the last few decades ethical and legal concerns have focused the roles of professional associations and the public responsibilities of regulatory boards. AzNA is the principal voice of nursing in the state on issues as varied as workplace advocacy, scope of practice and professional growth. It has also actively sought to engage policy makers to expand access to healthcare for all Arizonans. Throughout their 90-year relationship, the Arizona State Board of Nursing and AzNA have worked closely on issues related to nursing practice. During the ongoing revisions arizona STATE BOARD OF NURSING REGULATORY JOURNAL to the Nurse Practice Act, AzNA continues to collaborate with AzBN to ensure that the public is protected and that nursing practice is enhanced. AzNA has worked with AzBN to provide clarity by requesting Advisory Opinions. In addition, many AzNA members have served in various AzBN Board appointed positions throughout history. AzNA congratulates the Arizona State Board of Nursing on their 90 year birthday! References: Shields, H. White Caps in the Desert, 1970, Arizona Nurses Association Miller, B.K., Editor. Arizona Nurses Association: 1970-2002, A Historical Report. Outstanding Opportunity for ED Manager Copper Queen Community Hospital has an outstanding opportunity in beautiful Bisbee, AZ to lead a Level 4 Trauma Status ED that houses multiple TeleMedicine Programs and coordinates a Fast Track Triage Center. Manager will provide administrative direction and development of staff, and oversee/develop standards of care. Free health insurance for individual and family, with competitive salary and dynamic work environment. AZ license req, BSN with 2-5 years of clinical experience in ER Nursing, with ACLS, PALS, and CPR certification. Must be in possession of or actively seeking CEN Certification and/or advanced trauma training. Email résumé in confidence to: erodriguez@cqch.org or fax to (520) 432-5082 STAFF DIRECTORY ADMINISTRATION Joey Ridenour, RN, MN, FAAN Executive Director 602.771.7801 jridenour@azbn.gov Judy Bontrager RN, MN Associate Director - Operations & Licensing 602.771.7802 jbontrager@azbn.gov Valerie Smith RN, MS, FRE Associate Director Investigations/Compliance 602.771.7804 vsmith@azbn.gov Pamela Randolph RN, MS Associate Director Education & Evidenced Based Regulation 602.771.7803 prandolph@azbn.gov Lila Wiemann Administrative Assistant to the Executive Director and Associate Director Investigations/Compliance 602.771.7806 lwiemann@azbn.gov Karen Gilliland Administrative Assistant 602.771.7856 kgilliland@azbn.gov V. Ann Schettler, RN, MHL, CLNC Nurse Practice Consultant 602.771.7812 aschettler@azbn.gov Donna Frye RN/LPN Renewals 602.771.7833 dfrye@azbn.gov FISCAL SERVICES Randi Orchard Fiscal Services Manager 602.771.7810 rorchard@azbn.gov Bonnie Richter Senior Investigator 602.771.7828 brichter@azbn.gov Erica Hernandez CNA Renewals 602.771.7836 ehernandez@azbn.gov Norma Salter Accounting Technician 602.771.7809 nsalter@azbn.gov Dirk VandenBerg, Sr. Senior Investigator 602.771.7817 Doug Parlin Senior Investigator 602.771.7822 dparlin@azbn.gov HEARINGS Susan Barber, RN, MSN Nurse Practice Consultant 602.771.7851 sbarber@azbn.gov Llysia Gauntt Legal Secretary 602.771.7852 lgauntt@azbn.gov Deborah Richards, JD Senior Investigator 602.771.7850 drichards@azbn.gov Kirk Olson Senior Investigator 602.771.7824 kolson@azbn.gov Ron Lester Senior Investigator 602.771.7825 rlester@azbn.gov Linda Monas Senior Investigator 602.771.7826 lmonas@azbn.gov Helen Tay CNA Exam/Endorsements 602.771.7832 htay@azbn.gov Monica Ortiz Exam Tech 602.771.7831 mortiz@azbn.gov Paula Delphy RN/LPN Endorsements 602.771.7834 pdelphy@azbn.gov Lisa Youtsey Exam Tech 602.771.7835 lyoutsey@azbn.gov MAILROOM Debra Kunkle 602.771.7876 dkunkle@azbn.gov Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.771.7805 coates@azbn.gov INVESTIGATIONS CANDO Judy Pendergast, RN, JD Nurse Consultant – CANDO 602.771.7864 jpendergast@azbn.gov Jeanine Sage, RN, MSN Nurse Practice Consultant 602.771.7815 jsage@azbn.gov Barbara Melberg Legal Secretary 602.771.7840 bmelberg@azbn.gov Karen Grady, MS, RN, FNP, BC Nurse Practice Consultant 602.771.7821 kgrady@azbn.gov Dorothy Lindsey Legal Secretary 602.771.7841 dlindsey@azbn.gov Mary Rappoport, RN, MN Nurse Practice Consultant 602.771.7816 mrappoport@azbn.gov Trina Smith Legal Secretary 602.771.7844 tsmith@azbn.gov Nikki Austin, RN, JD Nurse Practice Consultant 602.771.7819 naustin@azbn.gov Vicky Driver Administrative Assistant 602.771.7842 vdriver@azbn.gov RECEPTIONISTS Pat Midkiff, RN, MN Nurse Practice Consultant pmidkiff@azbn.gov INFORMATION TECHNOLOGY Nancy Davis 602.771.7872 ndavis@azbn.gov Olga Zuniga Administrative Secretary – CANDO & Monitoring 602.771.7865 ozuniga@azbn.gov COMPLAINTS-INTAKE Dolores Hurtado, Senior Investigator Complaints-Intake Triage Coordinator Nurse Consultant 602.771.7845 dhurtado@azbn.gov Jennifer McWilliams Legal Assistant 602.771.7831 jmcwilliams@azbn.gov EDUCATION Debra McGinty, RN, PhD Education Program Administrator 602.771.7877 dmcginty@azbn.gov Lila Van Cuyk, RN, BSN Nurse Practice Consultant/ CNA Programs 602.771.7857 lvancuyk@azbn.gov Janeen Dahn, MS, FNP-C Advanced Practice Nurse Consultant 602.771.7814 jdahn@azbn.gov Sister Rachel Torrez, RN, MS Nurse Practice Consultant 602.771.7818 srachel@azbn.gov Susan Perkins, RN, MSN Nurse Practice Consultant 602.771.7813 sperkins@azbn.gov Teddylen Guffey,MHSA, RN,LNCC Nurse Practice Consultant 602.771.7811 tguffey@azbn.gov Lynda Hemann, PhD, LISAC Senior Investigator 602.771.7827 lhemann@azbn.gov Adam Henriksen 602.771.7807 ahenriksen@azbn.gov Cory Davitt 602.771.7808 cdavitt@azbn.gov Steven Curtain 602.771.7820 scurtain@azbn.gov MONITORING Tammi Bymers, RN, MSN Nurse Practice Consultant 602.771.7862 tbymers@azbn.gov Esther Garcia Legal Assistant 602.771.7861 egarcia@azbn.gov Brent Sutter Legal Secretary Monitoring & CANDO 602.771.7860 bsutter@azbn.gov Madelyn Emerson 602.771.7871 memerson@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov LICENSING Becky Melton RN/LPN Exam 602.771.7830 bmelton@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 ST. MARY’S - FIRST SCHOOL OF NURSING IN ARIZONA Founded by the Sisters of St. Joseph of Carondelet, the congregation was originally established in France. The Sisters came to the United States in 1836 to serve the diocese in Carondelet, Missouri. In 1870, seven Sisters of St. Joseph traveled from San Diego to Tucson to open a school. In 1880, the Sisters opened St. Mary’s Hospital, Arizona’s first hospital. In 1961, they opened St. Joseph’s Hospital to provide services for Tucson’s growing east side. The Sisters of St. Joseph of Carondelet began managing Holy Cross in 1981 and assumed ownership in 1987. 1880s The Southern Pacific Railroad arrives in Tucson a month before the dedication of the 12-bed St. Mary’s Hospital on April 24, 1880. The first 11 patients arrive a week later In 1882, Bishop Salpointe sells St. Mary’s to the Sisters for $20,000 and the promise that it retain its name and remain a hospital for 99 years. During that year a second story is added, doubling the capacity of the hospital. Construction of another addition is begun on the north side of the faculty. By 1884, the hospital accommodates 50 patients. In 1891, George Goodfellow, M.D., a pioneer in treating gunshot wounds and abdominal surgery, moves from Tombstone to Tucson. A room is set aside at St. Mary’s specifically for surgical operations. During the mid-1880s, the Sisters build a 24-bed isolation cottage. The cottage receives the growing number of tubercular patients seeking the benefits of Tucson’s sunshine. 1890s In 1893, Sister Fidelia McMahon is named superintendent of St. Mary’s, a position she will hold for 27 years. That same year, the Sisters open their first convent on hospital grounds. The twostory structure includes a chapel and parlor on the first floor and dormitories and washrooms on the second. The Sisters convert their old adobe convent into an orphanage. 1900s In 1900, to care for the growing numbers of tubercular patients, Dr. 12 Hiram W. Fenner designs and oversees the construction of a two-story circular sanatorium at St. Mary’s Hospital. Known as the “Round Building”, the sanatorium is designed so that each room opens onto a shaded porch, allowing patients easy access to the therapeutic climate. In 1903, a surgical suite is created on St. Mary’s first floor containing operating, sterilizing and preparation rooms and a large emergency room. In 1907, St. Mary’s Hospital and Convent receive electricity. The first month’s bill is $19.40. St. Mary’s opens the Nursing School in 1914 with classrooms, dorms and a two-and-a-half-year-long curriculum. Sisters Francis de Sales Fuller and Mary Evangelista Weyand prepare the curriculum and organize the teaching faculty. The United States enters World War I in 1917. The Sisters offer the hospital as a place to care for wounded soldiers. In 1918, Tucsonans find themselves caught in the grip of a global influenza epidemic. Barbara Pateh, a recent nursing school graduate, recounts, “strong young men died from it and there was nothing we could do. We fed them hot broth and cared for their needs.” The X-ray Department opens in a little room off the lobby of the hospital’s north wing in 1918. 1920s In 1921, three physicians at St. Mary’s are certified as Fellows of the American College of Surgeons: Drs. Meade Clyne, Joel I. Butler and George E. Dodge. arizona STATE BOARD OF NURSING REGULATORY JOURNAL These are the first certified physicians at the hospital. The Fifth Arizona Legislature on June 9, 1921, passes an act empowering the governor to appoint a State Board of Nursing Examiners. Sister Evangelista is named to the board and is honored by the state when they license her as “R.N. No. 1” of the State of Arizona. St. Mary’s Nursing School is formally accredited in 1922. The sacrifices made by the Sisters to care for the sick are dramatically revealed to Tucsonans on Sunday, March 15, 1925, when a fire in the convent chapel exposes their humble living conditions. A $25,000 fund-raising campaign led by businessman Herbert Drachman, author Harold Bell Wright and Bishop Daniel Gercke is completed by 1927. A new convent and chapel is designed by Merritt H. Starkweather and built by A. C. Jacobson. The convent is dedicated January 30, 1927. The chapel is named St. Catherine’s to honor the mother of Thomas E. Murray, Jr., a benefactor of the Sisters. It is dedicated December 7, 1928. In 1928, St. Mary’s is accredited by the American College of Surgeons, the first national group to set hospital standards. That year, 1,971 patients are cared for, 1,139 operations are performed and 80 births are recorded at the hospital. 1930s Precious hospital income is lost in 1930 when the Southern Pacific Railroad opens its own facility on Congress Street and closes its St. Mary’s clinic. In 1931, Chester Reynolds, M.D., is St. Mary’s first intern. In spite of looming financial problems, two stories are added to the North Wing, increasing the hospital’s capacity to 185 beds and 20 bassinets. The American Medical Association (AMA) approves St. Mary’s medical residency program after the hospital opens a medical library in 1933 with an adjoining large conference room, morgue and autopsy room. During 1935, 3,036 patients are admitted, 1,688 operations are performed and 169 babies are born. Hospital rates range from $15 a day for a suite to $3 a day for a bed in the ward. Private duty nurses now work a 12-hour shift instead of a 20hour shift. In October 1936, Sisters at the hospital may wear white habits and veils instead of full length, heavy black serge habits and starched coverall aprons. St. Mary’s School of Nursing gains national recognition in May 1936, when Helen Clark Doyle is selected by United Airlines out of 3,000 candidates as the year, more than 330 polio patients are treated. In 1953, St. Mary’s reports 2,500 live births with no maternal deaths. The first use of nuclear medicine in Arizona is performed when St. Mary’s doctors use a radioactive isotope to diagnose and treat a thyroid disorder. In 1959, St. Mary’s acquires a heartlung machine and surgeons perform Arizona’s first open heart surgery on an 8-year-old girl. Tucson’s first artificial kidney machine is set up at the hospital. From 1950 to 1960, Tucson’s St. Mary’s is honored by the American Academy of Nursing in 1982 as one of the nation’s 14 “magnet” hospitals for excellence. The Sisters’ hospitals in southern Arizona join with others across the U.S. to form the Health Care Corp. of the Sisters of St. Joseph of Carondelet. American Nurses Association’s “Perfect Nurse”. The dedication ceremony for the four-story South Wing is broadcast in 1939 over Tucson’s radio station, KTUC. Designed by Roy Place, the wing adds 50 beds, 11 for the first pediatric unit. In May, the nursing school graduates Arizona’s first two male registered nurses. St. Mary’s is the only general hospital in Tucson to survive the Great Depression. 1940s In 1940, Clark & Company Heating and Cooling installed the first cabinet air conditioners in the hospital’s surgical suites and nursery. The operating rooms begin a blood transfusion program. By 1942, with the U.S. entering World War II, more than half of St. Mary’s physicians and nurses enlist for military duty. The Federal Government organizes the Cadet Nursing Corps and students’ tuition and expenses are paid -- a first for the hospital. St. Mary’s nine-story Central Services Building opens in 1951, bringing the hospital bed total to 375. The Nursery Department adds 18 incubators to assist premature infants. 1950s The polio epidemic sweeps the U.S. between 1942 and 1956. In 1952, St. Mary’s is designated as a national diagnostic and treatment facility. That population grows from 88,700 to more than 210,000. Facing an acute hospital bed shortage, Tucson Medical Center and St. Mary’s share a fund-raising campaign and set funds aside for a new eastside hospital. 1960s In 1962, the hospital opens the Critical Care Unit and trains its first cardiac arrest team who respond to the summons of “Emergency, Dr. Stillheart!” With little need for a tuberculosis sanatorium, the “Round Building” at St. Mary’s is torn down in 1965. St. Mary’s School of Nursing’s last class graduates in May, 1966, joining the ranks of nearly 900 alumnae 1970s In the spring of 1977, the old nursing school and St. Mary’s South Annex are torn down. In 1978, the old convent is demolished to make room for additional hospital expansion. 1980s In December 1980, St. Mary’s is one of the first hospitals in the United States to open a Hospice unit. In 1981, the Sisters are asked by the Diocese of Tucson to run what, at the time, was called St. Joseph’s Hospital in Nogales, AZ, on behalf of the Minim Sisters. St. Mary’s is honored by the American Academy of Nursing in 1982 as one of the nation’s 14 “magnet” hospitals for excellence. The Sisters’ hospitals in southern Arizona join with others across the U.S. to form the Health Care Corp. of the Sisters of St. Joseph of Carondelet. In 1983, St. Mary’s and St. Joseph’s hospitals in Tucson merge, sharing their management services and supplies. St. Mary’s develops its Nurse Case Management Program and Home Health Services in 1984. In 1987, the Sisters purchase the Nogales hospital and name it Carondelet Holy Cross Hospital. Carondelet Holy Family Center opens near St. Mary’s for adults who need skilled nursing care. 1990 And Beyond In 1994, The Healthy Seniors Program, a $5 million nationally-funded Medicare research project, is launched through Carondelet’s Community Nursing Organization for residents in Pima and Santa Cruz counties. The statue of the Virgin Mary and Infant Christ is commissioned from Italy to grace the new main entrance of the hospital. Carondelet Home Health expands its array of services and opens a new office and medical equipment showroom. After a 17-year break in services, obstetrics returns to St. Mary’s in 1995 with the opening of a 19-bed, 22-bassinet Maternal/Newborn Unit. The 125th anniversary of the arrival of the Sisters of St. Joseph of Carondelet to Tucson is celebrated. In its 26th year of operation, a major renovation of the hospital’s Burn Unit is launched to enhance inpatient and outpatient services. Today, Carondelet St. Mary’s Hospital, part of Carondelet Health Network, remains the flagship for southern Arizona’s oldest and largest not-forprofit health care provider. Carondelet Health Network is part of the Carondelet Health System, a nationwide network of hospitals operated by the Sisters of St. Joseph of Carondelet, which in addition to Arizona, have health care services in New York, Minnesota, Georgia, Idaho, Washington, California, Missouri, Kansas and Wisconsin. References: Carondelet Health Network, Carondelet History (undated) Retrieved from http:// www.carondelet.org/home/about-carondelet/ carondelet-history.aspx. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 By JUDy BONTRAGER RN MN AssOciAtE DiREctOR Scope of Practice Committee Introduction “Scope of Practice” (SOP) is a term used to define the actions, practices or procedures that are permitted for a specific profession. The Board of Nursing receives many calls each day asking about the scope of practice of a Registered Nurse (RN) or an Licensed Practical Nurse (LPN) such as: o o o o Is it within the SOP for an RN to insert a peripheral IV into the external jugular? Is it within the SOP for an LPN to administer parental nutrition? Can an RN remove transvenous and epicardial temporary pacemaker wires? Can an RN perform a flexible sigmoidoscopy for screening purposes? Current Committee Membership 2011-2013 Board Member Co Chairs: Pat Johnson, LPN Kathy Scott, RN, MPA, PhD, FACHE Board Staff Joey Ridenour, RN, MN, Executive Director Judy Bontrager, RN, MN Tammi Bymers, RN, MSN Amy Haycraft, RN, MS. ANP Carolyn Lohmann, RN, BSN, CRN Christina Trifanoff, RN, MSN Keata Bhakta, RN, MSN Lesley Eastman, RN, BSN Chu Jun Fryson, MSN Marlene Eriacho, MBA, BSN, RN Crystal Bennett, RN, MN, DNSc Nadine Lendzion, RN, MN, CNRN, COCN Denise Miller, RN, BSN Nancy Baumhover, MSN, RN, CCRN, CNE Francisco Saenz, RN, MSN, MBA, HCM Peggy Hampton, RN, BSN James Yale III, RN, BSN Robin Kirschner, RN, EdD,CRN, CPAN Jason Lin, RN, CEN, CCRN, CFRN Rolland Arnold, RN, MSN Jody Coolman, RNC-OB, BSN Theresa Frimel, MSN, RN, CNE Judy Irvin, RN, JD Thomas Kraus, RN, BSN Karla Baning, RN, ACNP, MSN. CCRN 14 SOP Committee Goals o To review and revise current advisory opinions. Currently there are 66 advisory opinions available on the board’s website. There have been approximately 19,000-20,000 “hits” to the advisory opinions on the web site in the past 6 months o To respond to the changing health care environment by addressing SOP issues and developing advisory opinions when appropriate. A recent example of this is the development of an advisory opinion on Medical Esthetic Procedures Performed by Licensed Nurses. o To discuss and deliberate on SOP issues that are submitted to the Board, and then make recommendations to the Board. A nurse, facility, or another regulatory agency may address a letter to the Board request- ing the SOP committee review their request about a certain practice and develop an advisory opinion. This involves sub committees of the SOP committee reviewing existing literature, doing research on community, local, and national Standards of Care; reviewing guidelines and advisory opinions written by other state boards of nursing, obtaining opinions/statements from professional organizations; determining necessary education, etc. How to become a SOP member RN/LPN’s who have an interest in volunteering to become a part of the SOP committee can submit their resume to Judy Bontrager, RN, MN at jbontrager@ azbn.gov . The next time for committee changes will be in March, 2013. NURSING FACULTY POSIT ONS AVAILABLE Nursing Faculty Pos tions Available The University of A izona, College of Nursing is seeking clinical scholars to support our educational mission. Visit www.uacareertrack.com for additional information, mi imum qualificat ons and to apply. To apply go to: www uacareertrack.com and refer o job numbe 46896, 46551, 46381, 45437 and 45412. Reviews of applications will continue until positions are filled. The University of Arizona is an EEO/AA Employer – M/W/D/V. arizona STATE BOARD OF NURSING RegulatoRy JouRnal Nurses Committed to Attracting, Developing and Retaining High Quality Staff Nurse Managers What - Lee Olitzky, Director, Tohono O’odham Nursing Care Authority Magnet Join our professional team and make a positive difference within an organization that values excellence and compassionate care. means to us… Position Opportunities - Tohono O’odham Nursing Care Authority: Rural Health Network Project Director, full time. Executive lead position for the Tohona O’odham Health Services Network Grant. Rural Health Network, Project Assistant, part time (3/4). Coordinate activities to support the Tohono O’odham Health Services Network. Position Opportunity – Archie Hendricks Sr. Skilled Nursing Facility Education Coordinator. Develop, organize and directs educational programs per federal, state and local standards and regulations. All positions include: Housing on Location (based on availability) 13 Paid Holidays PTO Benefits …it’s a feeling of pride and accomplishment every day. Medical/Dental Insurance Long Term Disability 401(K) For additional detail, visit: For details: www. toltc.org and select “Current Employment Opportunities” Caroldene Garcia (520) 361-1800 cegarcia@toltc.org …it’s peace of mind, knowing we can count on patient ratios that let us deliver the kind of patient care we became nurses for. EEO …it’s the voice we have with shared governance; our Unit-Based Patient Care Councils truly allow us to drive our practice. …it means knowing the full strength of SHC’s leadership is behind us as we go above and beyond - in world-class patient care and professional growth. School of Nursing …it’s confidence that no matter what, SHC won’t budge on their commitments to great nursing. University of Nevada, Las Vegas School of Nursing Faculty Positions Available Fall 2011 & Spring 2012 Med-Surgical and Psychiatric Nursing Full-time, 12-month, 3-semester, faculty positions Competitive Salary & Benefits $90,000-120,000 Review of applications will begin immediately. Position details & application process http://hrsearch.unlv.edu Join us! Nationally renowned Scottsdale Healthcare (SHC) has Magnet facilities including Osborn Medical Center and Shea Medical Center. Our newest facility, Thompson Peak Hospital, incorporates the same award-winning patient care practices, and is being included in Scottsdale Healthcare’s next Magnet survey. Explore opportunities at www.shc.org UNLV is a thriving urban research institution BSN, MSN (Nurse Practitioner/Nurse Educator), DNP & PhD programs Text RNJobs to 447363 [HireMe] for exclusive employment messages. http://nursing.unlv.edu UNLV is an Equal Opportunity Affirmative Action educator and employer committed to achieving excellence through diversity. EOE/AA/M/F/D/V arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15 JANICE BREWER GOVERNOR JOEY RIDENOUR EXECUTIVE DIRECTOR POSITION PAPER ON CONCURRENT ACCREDITATION/APPROVAL SITE VISITS (Adopted by the Board on 5/25/2011) Background The Arizona State Board of Nursing (Board) is the legally authorized entity in Arizona to set standards for nursing education programs (ARS § 1606 (B)(1)). The Board is also required to recognize national nursing accrediting bodies. Under A.R.S. § 32-1644 (C), the Board has limited authority over nursing programs accredited by national nursing accrediting agencies recognized by the Board (NLNAC, CCNE). That authority may only be exercised if the Board receives a complaint, the program falls below Board standards in rule, or the program’s accreditation is lost or has lapsed. In order to exercise appropriate and minimal effective regulation of nationally accredited programs and to determine whether the program conforms to regulatory standards as required in A.R.S. § 32-1644 (C), the Board engages in concurrent accreditation/approval site visits with the national nursing accrediting agency. The Board uses the same self-study provided to the accrediting agency as the basis for the visit. The Board also investigates any program that is the subject of a complaint related to violation of a rule or that falls below NCLEX passing standards. Differences and Similarities Goals of Approval/Accreditation Boards of nursing and accrediting bodies have different missions and expectations of nursing programs. An accrediting agency’s mission and purpose is to promote sound educational practices. The Commission on Collegiate Nursing Education (CCNE) describes its role as “serving the public interest by assessing and identifying programs that engage in effective educational practices” (CCNE, 2010). The National League for Nursing Accrediting Commission (NLNAC) “supports the interests of nursing education, nursing practice, and the public by the functions of accreditation.” NLNAC further recognizes a regulatory role in its statement that, “the monitoring of certificate, diploma, and 16 degree offerings is tied closely to state examination and licensing rules, and to the oversight of preparation for work in the profession” (NLNAC, 2010). Accreditation processes are voluntary and fees are collected to support the accrediting agency. Nursing accrediting agencies evaluate a program’s adherence to standards as an indication of the quality of a nursing program by reviewing the program’s self assessment, expected outcomes and plans for improvement. The minimum or initial accreditation period is 5 years, with a typical period for re-accreditation of 8-10 years. In contrast, the Arizona State Board of Nursing has the overarching mission of protection of the public health, safety and welfare through the regulation of licensees, certificate holders and nursing education programs. Part of accomplishing this mission is the statutory authority and responsibility to set minimum standards for nursing education in rule (A.R.S. §32-1606 (B) (1)) as well as recognize national accrediting agencies. All nursing programs are given an opportunity to provide input into the regulatory standards and consequently held to the same standards. In order to recognize nationally accredited programs, the approval period set by the Board is matched to the accreditation approval period. The selfstudy prepared for the accreditation visit is accepted in lieu of a self study based on Board rules. Nationally accredited programs are not re-evaluated until the next scheduled accreditation site visit if no deficiencies are found or complaints are received. However, it is rare that a program does not have at least one potential deficiency on reaccreditation. Many of these deficiencies are minor and readily rectified. Once potential or actual deficiencies are resolved, programs are not routinely revisited until the next scheduled accreditation site visit. The National Council of State Boards of Nursing (2004) notes that Board approval is a mandatory process related to permission for a nursing program to operate by meeting essential educational standards. arizona STATE BOARD OF NURSING REGULATORY JOURNAL Accreditation in most jurisdictions remains voluntary and focuses on program excellence. Approval processes are generally carried out by governmental agencies while accreditation is conducted by private agencies with peer reviewers. Standards Consistent with its mission, Board regulations focus on safety indicators and practices of a nursing program. There are many areas of mutual interest such as: evidence of an effective evaluation plan, sufficient authority vested in the nursing program administrator, utilization of qualified faculty and sufficient resources to operate the program. Consistent with its mission, the Board has additional regulations requiring programs to evaluate protection of patient safety as part of the evaluation plan and implement policies to ensure both students and faculty are physically and mentally able to provide safe nursing care. There are differing standards for curriculum in that the Board requires evidence of level objectives and measurable learning outcomes for each class session whereas the accrediting standards lack this specificity. Additional standards of accrediting bodies that are not addressed in Board rules include opportunities for students and faculty to participate in campus governance, the integration of liberal education, provision of original transcripts of faculty, security of student documents and student loan default rates. Some standards, while similar to those of accrediting bodies, are interpreted and enforced differently. For example, despite having standards related to clinical activities, NLNAC accredits one program that has no instructed clinical practice. Follow-up Most concurrently conducted Board approval/accreditation visits result in reports that cite similar areas of strength and/or concern. Following the visit, the Board provides opportunities for the continued on page 18 >>> © 2011 All Rights Reserved. Made Available by University Alliance® – The Nation’s Leading Universities Online. SC: 191734zj1 | MCID: 13185 One of “America’s Best Colleges” U.S. News & World Report You realized your nursing dream. Now Realize Your POTENTIAL. Earn Your BSN or MSN Online! Your first day as an RN was filled with great excitement and even greater expectations. Renew that passion by graduating to the next level of nursing with an RN to BSN or MSN in Nursing Education or Leadership in Healthcare Systems from Jacksonville University! With our 100% online classroom, you’ll save time and money, while earning the same degree as our campusbased students. Get started today, and be on your way to more leadership opportunities, less stress and better hours. Free Consultation! Talk one-on-one with a specialist about our life-changing programs! 800-571-4934 | JacksonvilleU.com/Online TRADITION. ACADEMIC EXCELLENCE. ONLINE CONVENIENCE. You can pursue your passion in paradise Our 181-bed facility is home to advanced healthcare technology and a full range of specialized treatment options. If you share our passion for community-focused caring, consider a career with our facility as a: Registered Nurse—Full Time & Seasonal Havasu Regional Medical Center offers opportunities in all aspect of nursing. We also excellent compensation and benefits package, health, dental, vision, life insurance, 401K and a vacation plan. excellent offer an including generous For further details regarding job opportunities or to apply, visit our website www.havasuregional.com. We support a drug-free environment, EOE. 101 Civic Center Lane, Lake Havasu City, Arizona 86403 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 programs to correct any errors of fact and remedy any potential deficiencies. Beyond that, it is current Board practice to allow previously approved programs 6-8 months without formal notice to remedy potential deficiencies. During this time Board staff is available, without cost to the program, to provide consultation, program education and verify compliance. The predominant mechanism whereby accrediting bodies monitor compliance is self reports by programs usually within two years. On rare occasions, the accrediting agency will re-visit the program to verify compliance. If the program is deficient in only a few areas, no follow-up report or visit is required by the accrediting agency. to the approval process as an integral yet separate part of the accreditation review to ensure that a nationally accredited nursing program is maintaining standards. Most Arizona programs view the current oversight provided by the Board as appropriate. The Commitment to Ongoing Regulatory Excellence (CORE) project under the direction of the National Council of State Boards of Nursing provides nursing regulatory boards with data from both internal and external stakeholders to identify best practices and use benchmarking strategies for Boards of Nursing. Arizona Site visitors Accrediting agencies rely on volunteer site visitors to make determinations of compliance with standards. Although all trained in a similar manner, results of program review vary depending on the site visit team interpretation of the standards. For example, eight formerly consolidated programs were visited within 6 months of each other. All 8 self studies were similar and areas of deficiency were nearly identical across programs, however the results and recommendations from site visitors differed for each program. Dedicated Board staff, thoroughly versed on regulation, concurrently reviewed the programs and found 2 common potential deficiencies of all 8 programs. These deficiencies were remedied by the programs within the 6 month time-frame allotted by the Board. Findings The dissemination of the findings differs between the Board and the accrediting agency. The Board’s actions are formal and available to the public. The public is informed on the Board’s website when a school is issued a formal notice of deficiency or discipline. When a program has been granted a period to correct potential deficiencies, that information is noted in the Board minutes and available to the public. In contrast, the results of an accreditation survey are confidential and not available to the public or governmental agencies. Board Position It is important for the Board to collaborate with accreditation bodies to support safe and effective preparation of nurses (NCSBN, 2004). The Arizona State Board of Nursing is strongly committed 18 specific data from the 2007 report that AZ nursing programs rated the effectiveness of Board functions in the area of promotion of quality in nursing programs and responsiveness to innovation in education as very effective (all were above 3.5 on a 4.0 scale). The helpfulness of the Board on educational issues was also rated highly (3.8 of a possible 4.0). 84% of program respondents rated the Board as having adequate regulation of nursing programs with 10% of respondents opining that the Board over-regulated nursing programs and 5% thought the Board under regulated You’ve arrived. You’ve put years of hard work, education and training into establishing a great career for yourself. Your compassion and commitment to quality caring have placed you among the best in the profession. Now it’s time to enjoy the incomparable rewards of a career with Yavapai Regional Medical Center in Prescott, Arizona. The acuity and advanced technology are just what you’re used to. But living here is far beyond the expected. To take the first step, visit us online at: www.yrmc.org,I\RXDUHDTXDOLILHG candidate for any of these positions, please apply online or e-mail resumes to VIPCareerNetwork@yrmc.org. For further information, contact our recruiter at 877-976-9762. Please apply now for current & future openings in: ‡&DWK/DE$QJLR6XLWH ‡3HULQDWDO*\Q6HUYLFHV ‡(PHUJHQF\'HSDUWPHQW ‡,&8&9,&8&925 ‡0HG6XUJ7HOH ‡6XUJLFDO6HUYLFHV arizona STATE BOARD OF NURSING REGULATORY JOURNAL Two great hospitals. One caring spirit. nursing programs. (Randolph, 2009). The Board is committed to supporting programs to achieve their outcomes while ensuring public safety to students and consumers of healthcare. ‡ Resources: With local follow-up and monitoring by the Board of Nursing, many programs are able to secure additional essential resources such as private faculty offices, support personnel and additional faculty to enhance program integrity and positive program outcomes. Board staff can better direct educational offerings to all programs that address common deficiencies. For example, when deficiencies were noted in curriculum development, Board staff provided free workshops for faculty in rural programs; at the most recent Statewide Educator’s Meeting a featured speaker presented information on effective evaluation plans. s Consultation: Board staff may be consulted at any time in the process at no charge regarding any potential deficiencies or questions related to the site visit. s Background Information: If requested, Board staff can provide site visitors with an overall history of the program and the Arizona environment as it relates to nursing education including issues such as faculty and clinical availability. s Efficiency: In using the single accreditation self study rather than two separate self studies, the program conserves time and resources. s Mutual Learning: Board staff, site visitors and program leaders learn from each other regarding best practices and innovative methods, differing state regulations, and alternate practices—all programs in the state benefit from the dissemination of this knowledge by Board staff. The Board of Nursing endorses concurrent site visits as the best process to support quality of educational programs and protect the health, safety and welfare of the public while minimizing disruption and costs to educational programs. Board staff will continue to seek innovations to streamline the accreditation/approval process so that Arizona’s nursing education practices are evidence-based indicators of excellence. Innovations to improve the process of concurrent visits include: s )NCREASED COMMUNICATION WITH PROGRAM s administration regarding the goals and requirements for the visit, especially if there has been a recent change in nursing program administrator %XPLORE OPPORTUNITIES WITH NATIONAL accreditation teams to divide workload and share results References Commission on Collegiate Nursing Education (CCNE). (2010). CCNE accreditation. Retrieved from http://www.aacn.nche.edu/Accreditation/ index.htm National Council of State Boards of Nursing (NCSBN). (2004). White paper on the state of the art of approval/accreditation processes in Boards of Nursing. Retrieved from https://www. ncsbn.org/Final_11_05_Approval_White_Paper. pdf NLNAC (undated). About NLNAC. Retrieved from http://nlnac.org/About%20NLNAC/ AboutNLNAC.htm#MISSION Randolph, P. (2009). Education corner: CORE report education. Arizona State Board of Nursing Regulatory Journal, 4(4), 16-17. Retrieved from http://www.azbn.gov/Documents/ Newsletters/2009/Journal%204th%20 Quarter%202009.pdf -RXUQH\WRDSODFHZKHUH FDULQJFRPHVQDWXUDOO\ :LWKIDFLOLWLHVLQ&RWWRQZRRG)ODJVWDII DQG6HGRQD 1RUWKHUQ$UL]RQD+HDOWKFDUHLVWKHODUJHVW KHDOWKFDUHSURYLGHULQ1RUWKHUQDQG&HQWUDO$UL]RQD :HDUHGHGLFDWHGWRSURYLGLQJRXUFRPPXQLWLHVZLWK WKHKLJKHVWTXDOLW\FDUHDYDLODEOH:HDFKLHYHWKLV PLVVLRQE\XWLOL]LQJWKHPRVWDGYDQFHGWHFKQRORJ\WR DVVLVWRXUVWDII DQGHQFRXUDJLQJRXUSDWLHQWVWRWDNHDQ DFWLYHUROHLQWKHLUWUHDWPHQW )ODJVWDII 0HGLFDO&HQWHULVFXUUHQWO\VHHNLQJ ‡ &OLQLFDO0DQDJHU&&8 ‡ 3V\FKLDWULF0HQWDO+HDOWK13 ‡ &OLQLFDO0DQDJHU&9,&8 ‡ 51&9,&8 ‡ &OLQLFDO0DQDJHU0HG6XUJ ‡ 7UDXPD1XUVH3UDFWLWLRQHU ‡ 'LUHFWRU3HGV3HULQDWDO 9HUGH9DOOH\0HGLFDO&HQWHULVFXUUHQWO\VHHNLQJ ‡ &OLQLFDO0DQDJHU&DWK/DE ‡ 'LUHFWRU6HQLRU/LIHVW\OHV%HKDYLRUDO+HDOWK ‡ 1HRQDWDO1XUVH3UDFWLWLRQHU (PSOR\HHVRI 1$+HQMR\DJHQHURXVEHQHÀWVSDFNDJHWKDWLQFOXGHVFRPSHWLWLYH VDODULHVIUHHFRUHPHGLFDOLQVXUDQFHZHOOQHVVSURJUDPVDQHZKLUHRQERDUGLQJ SURJUDPZHHNHQGGLIIHUHQWLDOVWXLWLRQ UHLPEXUVHPHQWDQGPXFKPRUH 7ROHDUQPRUHDERXWRSSRUWXQLWLHVDW1$+ DQGWKHFRPPXQLWLHVWKDWZHVHUYHSOHDVH YLVLWZZZQDKHDOWKFRPFDUHHUV 3DWLHQWV$UH2XU3XUSRVH arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19 EDUCATION COMPETENCY MODEL UPDATE In 2003, the Arizona State Board of Nursing adopted and published a framework adapted from the work of the Kentucky Education Mobility Task Force (2001) to inform nurses and the public about the abilities and functions of nurses at different educational levels. The model is currently published on the Board website (AZBN, 2003) and defines competencies within three roles of nursing: Provider of Care, Manager of Care, and Member of Profession. The purpose of the model is to identify professional levels of nursing based on educational preparation and to clarify differences in nursing roles within the profession. The model illustrates, for example, competencies of a nurse with an associate degree in nursing are significantly different than those of a nurse with a master’s degree. In August 2010, the Education Advisory Committee recommended the competency model be reviewed to determine if it should be updated or retired. A subcommittee formed to conduct a review of the Commission on Collegiate Nursing Education baccalaureate and master’s competencies (AACN, 1996; AACN, 2006), examine relevant evidence available in the literature and acquire opinions from content experts in the nursing community. The subcommittee elected to begin its work using the Education Competencies Model recently published by the National League for Nursing (NLN, 2010). Description of Model The model is an integrated set of competencies illustrating the complexity of nursing education. Competencies achieved by graduates demonstrate progressively greater responsibilities and performance expectations. Dimensions of nursing education are summarized within five broad program outcomes: 20 EDUCATION ADVISORY SUBCOMMITTEE MEMBERS SALLY DOSHIER, EDD, RN, CNE J. CAROLYN MCCORMIES, RN, MS, FNP-C DEBRA MCGINTY, RN PHD BRENDA MORRIS, EDD, RN, CNE BRIAN STEWART, MSN, BFA, RN 1. Competency is the foundation for clinical performance and the validation of nursing practice essential for patient safety and quality care. 2. Nurses must use their skills and knowledge to enhance human flourishing for their patients, their communities, and themselves. 3. Nurses should demonstrate sound nursing judgment. 4. Nurses should continually develop their professional identity. 5. Nurses must approach all issue and problems with a spirit of inquiry. The model is consistent with the Quality and Safety Education for Nurses (QSEN) Competencies as members of the NLN Competency Workgroup were founding authors of the QSEN model. While concerns regarding safety can be found throughout the model, particular concentration is evident within the dimension of clinical nursing judgment. Model Alterations and Rationale The subcommittee critically reviewed the language and structure of NLN Education Competencies Model resulting in the following significant changes: Levels of Education Certified Nursing Assistant and Certified Medication Assistant roles were added to the model to provide the public with descriptive competencies and clarify distinctions between these preliminary levels of preparation. Descriptions of outcomes were informed by the Arizona Nurse Practice Act and Board consultants. Nursing Practice Subcommittee members felt the dimension of nursing practice needed to be fully articulated within a regulatory model to benefit nurses and the public. Nursing practice outcomes explicate the arizona STATE BOARD OF NURSING REGULATORY JOURNAL levels of practice associated with levels of educational preparation. Content experts in doctoral and advance practice programs were consulted to review these additions to the model. Scope of Influence The scope of direction and responsibility within the doctoral practice level was enlarged to include healthcare professionals rather than the self-limiting realm of nurses provided in the NLN model. Nurses in leadership positions require skills in judgment, identity, and inquiry in providing supervision and leadership for healthcare providers across diverse disciplines. Use of the Model Adoption of the model will provide a reference for the Board to further develop scope of practice rules and advisory opinions. The publication and dissemination of the model from a regulatory perspective will: s $ELINEATE COMPETENCIES FOR LEVELS of nursing education from nursing assistant through doctoral level s 3UMMARIZE PROFESSIONAL OUTCOMES while integrating nationally recognized competency and nursing education models s "E EASILY ACCESSIBLE TO THE PUBLIC and prospective nursing students s 0ROVIDE CLARIlCATION TO PROSPECTIVE students, nurses and the public of the complex functions and abilities of nurses by educational levels s $EMONSTRATE CONTINUITY OF administrative rules and statutes of the Arizona State Board of Nursing s $EMONSTRATE THE INHERENT VALUE and contribution of all educational levels within nursing to support the health and well-being of individuals, families and groups within the context of safe, competent nursing care. continued on page 22 >>> Pima Community College 3L[>> NAME Abdi, Hidig N. Adams, Michael A. Allen, Consuela S. Anderson, Laura M. Arrieta, Berna A. Attson, Tamara L. Avila, Josephine Bailey, Vicki L. Ball, Damian R. Bartalos, Robin L. Bartell, Robin G. Begay, Priscilla M. Bell, Willie C. Bilal, Hatim H. Bopape, Lesedi B. Campos Lopez, Martha E. Capistran, Matthew J. Carter, Phillip D. Chavez, Patti J. Clark-chavez, Alfred J. Coles, Jessica D. Collins, Joann M. Collins, Raymond Conlon, Ana H. Cook, Jakki J. Crace, Rachael D. Curtis, Karen A. Cusseaux, Alisa A. Dakai, Louis F. Duenas, Isabel J. Ekren, Elizabeth L. Emery Enriquez, Angela M. Francisco, Phoebe A. Fuller, Coty D. Garcia, Linda Garrett, Nicole S. Goode, Brenda L. Grijalva, Jessica M. Grijalva, Tracie A. Gutierrez, Maria R. Guyer II, David L. Hamilton, Brenda J. Hanson, Sheryll L. Hernandez Jr, Inez Hill, Geneva Irving, Katherine A. Jenkins, Shujuan T. Johnson, Jermyn J. Johnson, Meagan P. Jones, Annette Jose, Demetria L. Khan, Sharon F. Lape, Toni D. Lucona, Cheryl H. Luna Guerrero, Jose O. Maloney, Stella Martin, Edwin R. Martin, Ryan D. Martinez, Jose R. Martinez, Leonardo F. Matson, Tracy H. McCoy, Michael R. Mena Sanchez, Jonathan Morales, Gloria Morendo, Shauna R. Murrieta Canez, Amanda C. Nez, Sherilene A. Nordstrom, Paul N. Nyman, Nina M. Oda, Heather F. Olivares, Daniel G. Oneill, Harmony H. Orduno, Lillian M. Parcel, Dorothy J. Patton, Tiffany D. Peralta, Leroy Peter, Dalia F. Pickett, Ted H. Pizano, Jackie A. Presley, Ventress L. Quraan, Mallick A. Reed, Ryan K. Richardson, Merlene Roberts, Lacy R. Salcido, Yesenia Sanfilippo, Paula CERTIFICATE CNA1000002480 CNA Applicant CNA999988500 CNA1000022128 CNA1000028434 CNA999994216 CNA393836803 CNA999948995 CNA1000004780 CNA1000007381 CNA Applicant CNA288189103 CNA1000019500 CNA Applicant CNA1000027848 CNA Applicant CNA1000022388 CNA Applicant CNA999991634 CNA393169353 CNA1000011666 CNA850064641 CNA1000003963 CNA1000005198 CNA1000020801 CNA Applicant CNA999996315 CNA1000027718 CNA598819504 CNA Applicant CNA1000005080 CNA1000014069 CNA999999726 CNA Applicant CNA999949180 CNA1000027941 CNA1000012067 CNA1000022225 CNA1000016447 CNA1000011519 CNA Applicant CNA680738983 CNA1000023915 CNA Applicant CNA326952247 CNA999950173 CNA1000011754 CNA1000028002 CNA1000000303 CNA Applicant CNA1000004417 CNA999946884 CNA Applicant CNA Applicant CNA1000027857 CNA854036803 CNA Applicant CNA Applicant CNA999991056 CNA Applicant CNA999995046 CNA Applicant CNA Applicant CNA348742733 CNA1000008265 CNA1000016595 CNA Applicant CNA999947598 CNA1000007267 CNA Applicant CNA999999428 CNA999997613 CNA999991848 CNA999990354 CNA999995229 CNA Applicant CNA Applicant CNA1000006319 CNA Applicant CNA Applicant CNA Applicant CNA1000028380 CNA921914103 CNA Applicant CNA1000028129 CNA1000011992 DISCIPLINE Revoked Certificate Denied Certificate Denied Revoked Decree of Censure Revoked Civil Penalty Revoked Revoked Voluntary Surrender Certificate Denied Revoked Stayed Revocation w/Suspension Certificate Denied Civil Penalty Certificate Denied Revoked Certificate Denied Stayed Revocation w/Suspension Stayed Revocation Revoked Renewal Denied Revoked Revoked Revoked Certificate Denied Voluntary Surrender Civil Penalty Revoked Certificate Denied Civil Penalty Revoked Stayed Suspension Certificate Denied Renewal Denied Civil Penalty Revoked Revoked Voluntary Surrender Revoked Certificate Denied Civil Penalty Civil Penalty Certificate Denied Revoked Revoked Revoked Revoked Decree of Censure Certificate Denied Revoked Revoked Stayed Revocation Certificate Denied Civil Penalty Stayed Suspension Certificate Denied Certificate Denied Revoked Certificate Denied Revoked Certificate Denied Certificate Denied Decree of Censure with Civil Penalty Revoked Decree of Censure Certificate Denied Revoked Revoked Certificate Denied Revoked Revoked Decree of Censure with Civil Penalty Decree of Censure Revoked Certificate Denied Certificate Denied Voluntary Surrender Certificate Denied Certificate Denied Certificate Denied Stayed Revocation Decree of Censure Certificate Denied Civil Penalty Suspension arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 cna diSciPlinaRy action FEBRUARy – MARCH – APRIL - MAy 2011 EFFECTIVE DATE 2/4/2011 3/30/2011 3/18/2011 5/3/2011 4/8/2011 3/11/2011 3/4/2011 3/16/2011 4/4/2011 3/31/2011 5/6/2011 4/11/2011 2/7/2011 2/3/2011 3/11/2011 2/4/2011 3/9/2011 2/4/2011 5/6/2011 3/11/2011 3/30/2011 *Not reported in previous Journal continued NAME Sayer, Michelle D. Servantez, Steffenie A. Spotten, James C. Stevens, Julie L. Taylor, Terry L. Tejada, Katie L. Thomas, Lashawn Thompson, Angela M. Turner, Michelle M. Ulrich, Sean M. Valenzuela, Cristina M. Walker, Patrick L. Walley, Louise A. Wegleitner, Dulce C. Wilkinson, Paige N. Williams, Anita B. Williams, Robert J. Wise, Kyle A. Yazzie, Christine A. Yazzie, Lisa A. Yocupicio, Richard A. CERTIFICATE CNA716098713 CNA Applicant CNA Applicant CNA1000028567 CNA Applicant CNA1000013791 CNA999987242 CNA Applicant CNA Applicant CNA1000028313 CNA1000009740 CNA1000028480 CNA1000009037 CNA Applicant CNA1000019756 CNA1000019612 CNA Applicant CNA1000019434 CNA1000005046 CNA1000002459 CNA Applicant DISCIPLINE Revoked Certificate Denied Certificate Denied Stayed Revocation Civil Penalty Suspension Stayed Revocation Certificate Denied Certificate Denied Civil Penalty Revoked Civil Penalty Decree of Censure Certificate Denied Revoked Revoked Certificate Denied Revoked Civil Penalty Revoked Certificate Denied Cna discipline - ACTION CLEARED FEBRUARy, MARCH, APRIL, MAy 2011 EFFEctivE DAtE 3/16/2011 2/22/2011 3/30/2011 2/13/2011 3/22/2011 4/21/2011 NAME Hill, Enika C. Mailboy, Vivian Miranda, Diana Y. Stevens, Suzanne C. Wells, Laura J. Wooten, Celeste P. licENsE CNA999951121 CNA1000011881 CNA999995576 CNA1000021011 CNA410147824 CNA999950504 *Not reported in previous Journal Rn/lPn diSciPlinaRy action FEBRUARy – MARCH – APRIL - MAy 2011 EFFECTIVE DATE 4/7/2011 2/25/2011 4/28/2011 3/2/2011 2/3/2011 5/4/2011 3/21/2011 3/9/2011 3/11/2011 6/6/2011 4/18/2011 4/21/2011 3/24/2011 3/24/2011 5/25/2011 2/9/2011 2/22/2011 5/5/2011 NAME Abejero, Madeleen A. Agboola, Althea M. Aliff, Ruby D. Allen, Tonya L. Anzalaco, Vincent J. Atonna, Patrick W. Aunquoe, Karen L. Austin, Kattie L. Baker, Ashley A. Baker, Callie Barcher, Michael J. Bartholme, Kathryn L. Bartlett, Wilhelmina M. Baumer, John J. Bertoldo, Ola R. Blankenship, Gerald D. Bostick, Claudia Bounds, Jo A. 5/25/2011 4/19/2011 3/11/2011 5/5/2011 2/1/2011 5/5/2011 5/25/2011 3/11/2011 3/11/2011 Bowers, Lorraine H. Boyd, Richard O. Boyer, Timothy L. Bradley, Lynn B. Bruneel, Michele M. Caicedo, Lisa L. Caicedo, Lisa L. Caldwell, Madeline Carter, Gina L. 4/27/2011 4/1/2011 2/1/2011 5/23/2011 2/17/2011 2/3/2011 2/5/2011 Chavez, John E. Christianson, Laura J. Coates, Janice M. Cole, Ryan Coleman, Patricia A. Conlon, Roxanne R. Copeland, Dawn M. 26 CERTIFICATE LP Endorsement LP038729/CNA100130103 RN Endorsement RN136991 LP036426 RN Exam RN083176/LP026104 RN Endorsement RN043001 RN126644 RN Endorsement RN093994 RN145576 RN126319 LP030654/CNA982593103 RN116999 LP043836 RN097382/LP031052/ CNA598910641 LP029856/CNA230186717 RN098682/CNA200313377 RN124471 RN040502 RN166950 RN114652 RN114652 RN076272 RN092529/ CNA529058869 RN144529 RN076329 RN103753 RN142804 RN081223 RN048895 RN120149 arizona STATE BOARD OF NURSING RegulatoRy JouRnal DISCIPLINE License Denied Stayed Revocation with Suspension License Denied Probation Revocation License Denied Probation License Denied Revocation Decree of Censure License Denied Decree of Censure Summary Suspension Reissuance Denied Civil Penalty Civil Penalty Decree of Censure Revocation Decree of Censure Reissuance with Stayed Revocation Probation Revocation Decree of Censure Civil Penalty Stayed Revocation with Probation Probation Revocation Revocation Voluntary Surrender Stayed Suspension with Probation Voluntary Surrender Voluntary Surrender Voluntary Surrender Revocation Probation RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal FEBRUARY – MARCH – APRIL - MAY 2011 EFFECTIVE DATE 4/13/2011 3/11/2011 NAME Craig, Marlene E. Croom, Charisse Y. 3/1/2011 3/2/2011 6/3/2011 3/9/2011 5/5/2011 3/16/2011 Delos-santos, Debrah A. Dia, Lapriel L. Distefano, Julie D. Ebuen, Sylvia R. Ehlers, John V. Engesser, Amber M. 3/8/2011 6/1/2011 3/11/2011 6/9/2011 6/2/2011 5/13/2011 3/23/2011 5/5/2011 2/4/2011 4/11/2011 5/5/2011 3/11/2011 2/20/2011 2/3/2011 5/4/2011 2/28/2011 3/9/2011 4/13/2011 4/12/2011 5/5/2011 3/23/2011 2/28/2011 5/5/2011 Evans, Carrie F. Forcier, Kathleen E. Foth, Allan W. Gallo, Michele M. Gardner, Malikha V. Grey, Lynn M. Hall, Gwendolyn L. Handt, Wendy J. Haskins, Laurie A. Helms-Ratliff, Sandra K. Hicks, Barry Hinkle, Mark A. Huckaby, Lynmarie L. Huebner, Russell J. Hutchins, Jay J. Jackson, Michelle S. Johnson, Carma J. Johnson-Swanson, Debra A. Jones, Jessica S. Jordon, Melvin L. Judge, Leigh A. Kalush, Joseph D. Kegley, Amber J. 2/3/2011 2/3/2011 5/17/2011 4/19/2011 3/23/2011 3/11/2011 5/5/2011 3/11/2011 3/11/2011 5/24/2011 5/5/2011 5/1/2011 4/28/2011 3/11/2011 3/11/2011 3/4/2011 5/11/2011 5/25/2011 3/11/2011 3/14/2011 6/2/2011 3/11/2011 5/5/2011 2/3/2011 5/5/2011 5/3/2011 3/4/2011 2/11/2011 2/3/2011 2/11/2011 5/25/2011 2/3/2011 3/1/2011 2/3/2011 3/11/2011 3/24/2011 6/13/2011 2/4/2011 5/31/2011 5/25/2011 Kelly, Ann M. Kelly, Stephen M. Kibler, Ramona M. Kincade, Pamela A. Klein, Kimberly M. Koffler, Olivia L. Kopecky, Anne M. Krickovich, Carrie A. Kulp, Karen L. Kulyk, Sonia Lackey, Terri J. Lambert, Jeff J. Lauricella, Joseph C. Lee, Vicki K. Loyde, Theresa J. Mackin, Deborah L. Maloney, Jeffrey R. Manganelli, Tammy E. Martin, Stacy L. McClain, Colleen McFaddin, Dena R. McQueen, Bonnie L. Millsap-Smith, Carolyn L. Minshall, Stephanie L. Mitchell, Lori A. Morris, Craig A. Mullany, Rose A. Nelson, Stephanie M. Nelson, Teri A. Nevarez-Kells, Loretta J. Nichols, Richard L. Nickerson, Jennifer A. Nielson, Barbara J. Norris, Matthew J. Oneal, Mary A. Pacheco, Melissa G. Pack, Kathleen A. Peguero, Natalie M. Peguero, Natalie M. Pesch, Tara M. 3/1/2011 2/3/2011 4/27/2011 3/30/2011 2/1/2011 Peworski, Charles R. Polk, Antonia D. Purser, Nicole E. Race, David M. Rees, Douglas M. continued >>> CERTIFICATE RN168071 RN146350/LP042967/ CNA1000003618 RN131245 RN140133 LP039767 RN088219 RN098283 RN136287/LP040498/ CNA999994211 Compact, RN - CO RN184836 LP039866/CNA277017394 RN146861 RN035809/AP0096 RN168507 RN125780 RN026024/AP0244 RN138813 RN134758/LP040032 LP011879 LP042063 Compact, RN - MO RN135943 RN150936 RN138242 LP047387 RN161996/LP045318 RN Endorsement RN059424 RN145379 RN130699 RN101337 RN142512/AP2566 RN151207/LP042906/ CNA1000006924 RN086705 RN083407 RN062310 RN079852 RN103355 RN155733 LP045030 LP043263 RN135128 RN122120 RN119687 RN155863 RN139205 RN131699 RN155936 RN107956 RN095109 RN118422/AP3222 LP034335 RN133007 RN168540 RN090111 LP033934 RN133062 LP036552 RN127668 TRN085183 RN141676 LP044240 RN047854/AP0192 RN000099091/LP031647 RN126917 RN144498 RN129636 RN128457 RN118541 RN106977 RN139267 RN139267 LP038386/ CNA999952037 RN094660 RN149043 RN122422 RN Endorsement RN142998 DISCIPLINE Probation Revocation Probation Decree of Censure Revocation Stayed Revocation with Probation Revocation Voluntary Surrender Voluntary Surrender-Privilege to Practice Revocation Revocation Decree of Censure Decree of Censure Voluntary Surrender Probation Decree of Censure Revocation Voluntary Surrender Revocation Revocation-Privilege to Practice Decree of Censure Revocation Probation Probation License Denied Probation Voluntary Surrender Revocation Stayed Suspension with Probation Civil Penalty Revocation Revocation Revocation Stayed Revocation with Suspension Probation Probation Revocation Revocation Revocation Revocation Probation Revocation Decree of Censure Voluntary Surrender Revocation Revocation Revocation Revocation Probation with Fine Revocation Stayed Revocation with Probation Civil Penalty Voluntary Surrender Stayed Revocation with Probation Revocation Revocation Stayed Revocation with Probation Revocation Civil Penalty Revocation Probation Decree of Censure Revocation Probation Revocation Voluntary Surrender Suspension Voluntary Surrender Stayed Revocation with Suspension Revocation Decree of Censure Decree of Censure with Fine Revocation Decree of Censure Civil Penalty Voluntary Surrender arizona STATE BOARD OF NURSING REGULATORY JOURNAL 27 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED FEBRUARY – MARCH – APRIL - MAY 2011 EFFECTIVE DATE 2/1/2011 2/3/2011 3/11/2011 4/18/2011 NAME Reeves, Christine L. Ricafort, Marianito Jr. Rojas, Jill K. Romero, Blaine M. 2/11/2011 2/26/2011 4/8/2011 3/7/2011 3/31/2011 2/4/2011 5/25/2011 3/31/2011 6/16/2011 3/23/2011 5/16/2011 5/18/2011 4/20/2011 2/4/2011 2/3/2011 5/23/2011 2/25/2011 2/3/2011 3/11/2011 Rupert, Melissa G. Rutherford, Lajuane E. Sangalang, Richard Santa Cruz, Sarah A. Scarbeary, Lisa K. Schwab, Kyle C. Scoe, Carole J. Smail, Glenda J. Small, Charles C. Smith, Barbara R. Smith, Beverly J. Smith, Shanin D. Smith, Sheila K. Sonne, Hilda A. Sprouse, James K. Stanisauskis, Donna L. Stehle, Heidi L. Thompkins, Ursula M. Thompson, Carol A. 3/14/2011 2/2/2011 6/2/2011 3/4/2011 2/3/2011 2/3/2011 3/11/2011 5/25/2011 4/5/2011 3/4/2011 3/23/2011 Thompson, Conscience D. Tipps, Lynda M. Tolliver, Joe A. Tuck, Debora L. Vallejo, Linda Y. Wallace, David R. Whatley, Clara J. Wood, Heather L. Woodard, Grace L. Yandell, Julie D. Zerbel, Ashley M. CERTIFICATE RN125837 RN140045 LP041227 RN161537/LP045371/ CNA999996773 LP042694/CNA999950476 RN162498 LP041835 RN157505 RN161148 RN129021 RN140100 RN145380 RN128770 RN135381 RN094754 RN145276 RN107880 RN047379 LP041108 RN129832 LP040399 RN125036 RN090693/LP029393/ CNA296365103 LP041380/CNA1000001835 RN123264 LP040272 RN086567 LP026856 RN145925 RN143381 RN100912 RN141772 TRN165059 RN158213/LP044459/ CNA1000007430 DISCIPLINE Voluntary Surrender Revocation Revocation Civil Penalty Decree of Censure Probation Voluntary Surrender Probation Stayed Revocation with Suspension Decree of Censure Decree of Censure Voluntary Surrender Probation Suspension Civil Penalty Voluntary Surrender Civil Penalty Decree of Censure Revocation Decree of Censure Probation Revocation Probation Voluntary Surrender Voluntary Surrender Revocation Probation Revocation Revocation Revocation Stayed Revocation with Probation Voluntary Surrender Revocation Summary Suspension RN-LPN - UPDATED LICENSURE STATUS EFFECTIVE DATE 6/3/2011 NAME Backman, Daniel E. RN065323 4/11/2011 3/24/2011 Eller, Elizabeth A. Kyer, Juliana H. RN165490 LP033724 2/26/2011 Somerlik, Miloslava LP031393 LICENSE Reinstatement with Probation Probation Reinstatement with Stayed Revocation Probation Stayed Revocation with Probation RN-LPN - ACTION CLEARED EFFECTIVE DATE 6/14/2011 6/14/2011 6/1/2011 5/26/2011 3/3/2011 3/23/2011 2/14/2011 6/6/2011 28 NAME Allen, Bryan K. Allen, Sandra E. Bolton, Barbara L. Boyd, Anne P. Caley, Joann O. Collazo, Linda C. Davies, James C. Ewing, Deana LICENSE RN081433/LP016930 RN118216 RN044058 RN088106 RN133413 LP043667/CNA1000009092 LP039894 RN106682 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 3/30/2011 3/7/2011 3/30/2011 6/1/2011 4/25/2011 5/4/2011 6/16/2011 2/23/2011 4/20/2011 FEBRUARY – MARCH APRIL - MAY 2011 DISCIPLINE Reissuance of RN license, conditional upon completion of RN Refresher Course Program Completed terms of Suspension, converted license to Probation Reissuance of LPN license, conditional upon successful completion of Refresher Course Program Completed terms of Stayed Revocation Suspension, license converted to Stayed Revocation Probation FEBRUARY – MARCH - APRIL - MAY 2011 Fulcher, Jeanne D. Hagglund, Marjorie R. Jones, Evan E. Kramer Jr., Mike Lehne, Jamie R. Mason, Priscilla Muir, Bryan K. Turner, Louis C. Wallace, Michele K. RN037765/AP0022 RN078065 RN140947/CNA1000005084 RN094894 RN135957 RN085502/LP027667 LP044840 RN112365 RN135041/LP039664 CNA CORNER BY PAMELA RANDOLPH RN, MS, ASSOCIATE DIRECTOR EDUCATION AND EVIDENCE BASED REGULATION LILA VAN CUYK, RN, BSN, EDUCATION CONSULTANT New Process for C.N.A. Programs Due to enhancements at D&S Diversified Technologies and the need for increased efficiency in the processing of C.N.A. Exam Applications, the following changes are being implemented as of July 1, 2011. s !LL INSTRUCTORS SHOULD ENTER STUDENT information online with D&S Diversified Technologies at https:// www.dandsdiversifiedtech.com/AZ/ AZCNA_Startup.html upon enrollment of the student—this information will be used to populate the D&S Testing Application, the Certificate of Completion and the Board Application. s 5PON COMPLETION OF THE COURSE THE instructor will enter the passing information on the D&S website for those students who meet the AZBN requirements for certification. DO NOT ENTER COURSE COMPLETION DATA BEFORE THE FINAL COURSE REQUIREMENTS ARE MET. s 4HE INSTRUCTOR WOULD THEN DOWNLOAD and print 2-3 copies of each graduates certificate of completion; one copy for the Board application, one copy for the student’s records and one copy for the program, unless electronic records are kept. s 4HE INSTRUCTOR WILL ALSO PRINT AND provide a copy of each student’s prepopulated Application for Certification by Exam, instructing students to provide the additional required information and to send to the Board s 'RADUATES OR THE PROGRAM SHOULD THEN arrange for testing with D&S Diversified Technologies. For any questions and technical assistance in using the D&S website, please contact D&S personnel who are ready and willing to assist in any way they can. For questions on the application process at the Board, please contact Judy Bontrager at jbontrager@azbn.gov. Fingerprint cards can be ordered through our website www.azbn.gov or by e-mailing dkunkle@azbn.gov. C.N.A Retreat Please reserve January 13th for the 2012 Ninth Annual CNA Educators Retreat. The meeting location has changed to the Desert Willow Conference Center in Phoenix, Arizona. Desert Willow is the sister facility of the Black Canyon Conference Center, so participants can expect the same attention to quality. This year’s theme is “Empowerment in Practice.” Please invite nursing assistant students and nursing assistants to submit an essay in this year’s essay contest. An announcement and submission guidelines are in this issue and posted on the Board website www.azbn.gov. Registrations will be accepted after July 1, 2011. Tips on Measuring Fluid Intake Measuring Fluid Intake is a challenge for candidates in the manual skills exam. From January through June this year, only 76% per cent of the 660 candidates who had this skill on their state test passed. Fluid Intake vies with Blood Pressure (75%) for lowest pass rate. The three major errors in Fluid Intake: 1. Recording the amount left in the container rather than the amount that is consumed by the resident. 2. Trying to determine the precise amount for each of the three containers, rather than estimating amounts. 3. Not recording the total intake on the I&O sheet 5. The Board is asking them to estimate to the nearest ¼, ½ or ¾, E.g. ¼ of 120 ml = 30 ml. Do not have them try to estimate the precise amount, E.g. 37 ml. 6. Candidates must add the three amounts together, then write the total on the I&O sheet provided. If they only record the total on their worksheet, that will not count. 7. The candidate must be within 30 ml of the correct answer to pass. 8. The correct total is a bolded item in the state test and the student will automatically fail their skills test. if the total is incorrect. Farewell to Lila Van Cuyk Lila Van Cuyk RN, BSN, Education Consultant for C.N.A. Programs, plans to retire in November. Over the past 4 years, Lila has cheerfully and diligently surveyed programs and promoted excellence in nursing assistant education. Lila has been a valued member of our team, always willing to take on a new challenge with conscientious attention to detail. She has cheerfully worked with all types of C.N.A. programs, offering her assistance freely. Faced with physical challenges, Lila rarely missed work and never complained. Lila has been a student advocate for fair and equitable testing and has contributed to changes in the C.N.A. exam and exam process. She will be remembered fondly as a role model and inspiration for all of us. Happy Retirement Lila! Tips for successfully obtaining the uid intake: 1. Determine the size of the container? At the testing there will only be 120 ml and 240 ml containers. There will be 3 containers. The amount in each container is preset by the test observer, but different candidates will get different amounts. 2. The expected answer is to be in ml. not ounces. 3. The expected answer is what is consumed, not what is left in the glass. 4. There is no graduate available for measuring. The candidates must estimate. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29 arizona Nurse Network VOL 6 t AUGUST N 3 2011 ST AT REGU OF E BOARD LATO R Y J ONURSING URNA L 1921 2 90 YEA 011 RS The “NEW” Classifieds (1.5” wide x 1” high) PHOTO IS COUR TESY OF THE LOS AN GELES PROVIN CE AR CHIVE S Reach every nurse in Arizona for as little as $290. RESERVE YOUR SPACE NOW! Contact Victor Horne vhorne@pcipublishing.com 1-800-561-4686 ext. 114 EVA SISTER NGE RN# LISTA 1 KATHY SCOTT RN#125152, BOARD PRESIDENT 2011 arizona STATE BOAR D OF NURS ING REG (TLYPJHU/LHY[(ZZVJPH[PVU )3:(*3:7(3:597*5( PAR EDUCATIONAL SYSTEMS LLC Simple- Effective learning! New 2010 Guidelines 602.510.3292 ^^^7HYLK\JH[PVUJVT Thrive as a Legal Nurse Consultant! LNCs are in demand and can earn $80 to $150 per hour analyzing medical cases for attorneys. Legal Nurse Consulting, Inc.'s dynamic, self-paced LNC training program prepares you for ASLNC certification from the privacy of your own home or attend class starting November 8 Phoenix AZ Put your clinical experience to work in the exciting legal arena... take that first step today. Call 8888-888-4560 Today! Visit www.LNCcenter.com The Perfect Gift! Roscoe Possum Meets Nurse Quacker “Leading the Way” in “Changing Lives One Student at a Time” Nursing Assistant Classes Phlebotomy technician Caregiver training CPR and First Aid IV certification for LPN’s Caregiver CEU’s and Manager CEU’s RN OPENINGS Competitive wages + benefits Northern Cochise Nursing Home Northern Cochise Community Hospital, Inc. Apply at www.ncch.com 800.696.3541 EOEP REPRESENTING AZ NURSES SINCE 1998 FREE CONSULT FLAT FEES 480-922-1010 kelly@aznurselaw.com Go to www.aznurselaw.com to learn more about your rights at the State Board of Nursing Teressa Sanzio, RN, MPA, JD D. Jay Ryan, AB, JD Lisa Gervase, BS, JD Experienced Nurse–Attorney Nurse Advocate 602-993-3215 TSanzio@aol.com Former Board Attorney & Administrative Law Judge 623-937-3737 Former Agency Attorney & Administrative Law Judge 480-515-4801 LGervase@gervaselaw.com Each has over 10 yrs. nursing board experience Go to www.arizonanurselawyers.com for more information ˆÌÞÊ œÀÌ ÊUÊx{£xÊ °Êˆ} Ê-Ì°]ʛÓääÊUÊ* œi˜ˆÝ]Ê<ÊÊnxäx{ only $290.00 Reach 90,000 nurses with your ad here! Registration online is now Available 10640 N. 28th Dr., Bldg C-107 and A-103 Phoenix, AZ 85029 Tel: 602-741-5526, 602-633-2730 FINANCIAL AID AVAILABLE TO QUALIFIED STUDENTS WWW.CACTUSWRENHOMECARE.COM 30 EXPERIENCED, AGGRESSIVE TRIAL LAWYER BOARD COMPLAINT/QUESTIONNAIRE? CALL FOR HELP. 1.5” wide x 1” high COURSE OFFERING: 1 Kelly J. McDonald, RN, JD Over 30 years experience Debi Toporoff, D. Min., RN, is an award winning author, nurse and motivational speaker. View her entire series of heartwarming and life enriching books at www.VisionaryMinistries.com Order from Amazon.com, Books-a-Million. com and your local book retailer. To receive a signed HB copy, send $15.99 (shipping incl) to Dr. Debi Toporoff, PO Box 25, Gloverville, SC 29828. Y JOU RNA L NURSING BOARD COMPLAINT? Complaints and discipline matters Terry F. Hall, Attorney at Law 817 North Second Street 0HOENIX !:  602 258 1771    FAX Terry.Hall@azbar.org ULA TOR arizona STATE BOARD OF NURSING REGULATORY JOURNAL Recruit Talented Nursing Faculty Advertise your nursing school faculty opportunities in the AZ Regulatory Journal – reaching 90,000 nurses statewide. Contact Victor at vhorne@pcipublishing.com C H W C A R E E R S . O R G / A R I Z O N A To become the best, you must work with the best. By hiring the finest people in the healthcare industry, CHW Arizona has developed an environment that inspires our people to excel, enabling us to continuously deliver the extraordinary care our patients have come to expect. CHW Arizona is comprised of Chandler Regional Medical Center, Mercy Gilbert Medical Center, and St. Joseph’s Hospital and Medical Center. Our focus on employee satisfaction has helped us earn recognition as: • 2010 Best Places to Work in the Valley Business Journal, Phoenix • 2010 Arizona’s Most Admired Companies AZ Magazine, BestCompaniesAZ • 2010 Top 100 Best Places to Work in Healthcare Modern Healthcare • 2011 Top 25 Workplaces for Women AZ Magazine, BestCompaniesAZ Find us on Facebook and follow us on Twitter: CHWAzCareers. • 2011 The Valley’s Healthiest Employers Business Journal, Phoenix Come and experience the many opportunities we give you to learn, grow and achieve. Whatever it is you’re looking for in a career, you can find it at CHW Arizona. For more information, visit chwcareers.org/Arizona. EOE. © 2011 Catholic Healthcare West Arizona. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 31 ARIZONA STATE BOARD OF NURSING 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3655 PRESORTED STANDARD U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT NO. 1884 Can you pass The Mother Standard® Cancer Treatment Centers of America® (CTCA) is a national network of hospitals providing a comprehensive, fully integrative approach to cancer care. We offer the most sophisticated forms of oncology treatment, combined with complimentary therapies that support the entire person. It’s a place where your contributions can create new stories that embody our exceptional standard of care, known as the Mother Standard® model of care - meaning that all staff provides the same level of care to each patient that we would want for our own loved ones. And for those of you who can see how rich and fulfilling this mission-driven, patient-centric, cutting-edge work experience can be, we may have an opportunity for you. What else sets us apart for nurses? / "*) .&+($("( participation / "(&(+# $&'#"(&(!"( / "(#"' ""&("# #/ "*&' &!# / ) -( "&(&(!"( environments / "- " '(("'"&&$(' / ((&(*") ()& compensation and benefits We’re looking for dedicated and compassionate nurses to join us at our Goodyear, AZ facility. Learn more and explore our nursing opportunities at: azjobs.cancercenter.com We are an equal opportunity employer.