arizona VOL 8 • NO1 MAY 2012 STATE BOARD OF NURSING REGULATORY JOURNAL KIM POST, RN, BSN, MBA/HCM, NEW-BC JULIE WARD,, RN, MSN VP & Administrator Thompson Peak Hospital Scottsdale Healthcare CNO, VP of Nursing St. Joseph’s Hospital KATHY MALLOCH, PHD, MBA, RN, FAAN AzBN Board Vice Preside nt Learning Nursing Regulatory Leadership on the Job See pages 5, 16 and 18 for articles from these Contributing Nurse Executives. New Tower. New Opportunities. 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 · 2 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 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 v OL 8 • N O 1• MAY 2012 4 5 6 8 From the executive director Beyond the Hippocratic Oath azbn Policy for nursing Regulation internship for nurse executives arizona action Coalition Judy Bontrager, RN, MN AssOciAtE DiREctOR/OpERAtiONs 9 Nikki R. Austin, JD, RN AssOciAtE DiREctOR/iNVEstiGAtiONs & cOmpliANcE 11 12 14 16 Pamela Randolph, RN, MS AssOciAtE DiREctOR/EDucAtiON & EViDENcE BAsED REGulAtiON boaRd MeMbeRs Randy Quinn, MSN, CRNA pREsiDENt Kathy Malloch, PhD, MBA, RN, FAAN VicE pREsiDENt Theresa (Terri) Berrigan, LPN sEcREtARY Leslie Dalton, MSN, RN mEmBER Lori A. Gutierrez, BS, RN-C, RAC-CT, CBN mEmBER M. Shawn Harrell, MSN, RN mEmBER Patricia (Pat) Johnson, LPN mEmBER Carolyn Jo McCormies, RN, MSN, FNP-BC mEmBER Charleen Snider, BSN, RN mEmBER Kathryn L. Busby, JD puBlic mEmBER Joel S. Feldman, JD puBlic mEmBER 18 19 20 governor announces new appointments to the board azbn Position vacancy staff directory education Corner arizona state board of nursing: Misunderstood areas about nursing Regulation the Role of the nurse leader in understanding Regulation Cna Corner arizona senate bill 1362 Certified Registered nurse anesthetists EDITION 25 state board of nursing RegulatoRy JouRnal 22 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 501.221.9986 • 800.561.4686 ext. 114 ThinkNurse.com This magazine is mailed 3 times a year to over 96,000 Arizona licensed nurses and reaches every nursing student, hospital administrator and nursing school administrator in the state. new associate director investigations & Compliance appointed 23 25 Cna disciplinary action Rn/lPn disciplinary action arizona STATE BOARD OF NURSING RegulatoRy JouRnal 3 F ro m th e E xe c u t iv e Dir e c t o r JOEY RIDENOUR, RN, MN, FAAN Learning Nursing Regulatory Leadership on the Job Principles All Leaders Need to Know About Nursing Regulation & Holding Nurses Accountable for Safe Practice In 2007, the Arizona State Board (AzBN) approved a pilot program for a Nursing Regulation Internship for Nurse Executive’s. The overall objectives of the program are three fold: 1) Generate highly valued internships that advance the regulatory knowledge and competencies of the Nurse Executive; 2) Enable the Nurse Executive to partner with AzBN in identifying opportunities to collaborate on research questions for evidence based regulation to improve regulatory outcomes and practices; and 3) Provide experiential, individualized 6 month internships to include attending/ participating in Board Meetings, mentoring and participation in agency meetings. The Nurse Executive AzBN Internship is now an established six month program with the purpose of providing Nurse Executives with regulatory knowledge needed to fulfill their roles as nurse leaders. Individuals participating in the internship are expected to attend three board meetings and other meetings during the six month experiential program. Participants will be required to sign a confidentiality agreement related to confidential board information and records. If interested in applying for the Nursing Regulation Internship for Nurse Executives, please contact Joey Ridenour at 602 771-7801 or email at jridenour@azbn.gov. In this edition of the Arizona State Board of Nursing Regulatory Journal, two Nurse Executives that have completed the program will share their six months experience, competencies gained and insight achieved while learning about regulatory leadership on the job. 4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Two principles all nurse leaders need to know about nursing regulation are: 1. Nurse Executives need more experiential learning models such as the Nursing Regulation Internship for Nurse Executives to obtain more experience in reading and understanding the Nurse Practice Act as well as reviewing approximately 900 investigative reports. Participants who have experienced the internship report an increased understanding how decisions are made about nurses who demonstrate “ high risk or reckless behaviors.” 2. All nurses need to make decisions to actively address nurses whose willful and reckless conduct place patients at risk or harm. These nurses need to be reported even when information is inconclusive or contradictory and is a skill nurses must master at every level. Nurses are to share their concerns about incompetent or unsafe nurses with their supervisors as patients need nurses who “lead from everywhere.” Finally, in this edition is an article written by long time national and international healthcare leader, Kathy Malloch. Kathy’s term on the Board concludes in May 2012. The Board expresses gratitude for Kathy Malloch’s outstanding service and exemplary regulatory leadership for over the past decade. Beyond the HIPPOCRATIC OATH JULIE WARD, RN, MSN, CHIEF NURSING OFFICER, VP NURSING ST. JOSEPH’S HOSPITAL & MEDICAL CENTER The essence of the Hippocratic Oath “to first do no harm” is a concept in the provision of patient care that is universally accepted by healthcare professionals. But in spite that noble intention, patients are harmed. An estimated 1.3 healthcare errors occur each year; of those errors 48,000 to 98,000 result in patient death (Barger, et al, 2006). In today’s literature much is written about the influence of systems on errors, however we also know that in many errors individual factors play a role. Even though not all errors are avoidable, there are some factors that can be controlled and some room for personal responsibility. The focus of the Hippocratic Oath is the patient. I would propose that in order to take good care of patients, nurses must first take good care of themselves. In order to be in a position to provide outstanding care to others, nurses must develop a life- long habit of self care. Over the years as I have worked with individual nurses, observed the Board of Nursing’s bimonthly meetings and read the monthly summary of nurse discipline, a pattern of self neglect appears. Nurses who find themselves in front of the Board of Nursing because of a patient complaint, an employer reported event or as a result of a patient injury often report fatigue, failure to recognize physical fitness for duty and/or emotional burn out as the root of the problem. The nurse’s stories are of double shifts, extra shifts, more than one job, chronic illnesses, use of prescription and nonprescribed medication while on duty, a reduction in compassion level, abrupt communication and sadly, even physical aggression. The research that examines over time is very clear: shifts longer than 12.5 hours increase the change of error from 25-35% in various studies. Work weeks over 50 hours have similar results – increasing errors by 50% (Rogers, et al, 2004). The Joint Commission issued a Sentinel Event Alert in December of 2011 entitled: Health care worker fatigue and patient safety. In that alert, a thorough review of the current literature revealed consistent finding: mistakes can be linked to long hours, lack of sleep and long work weeks. Recommendations were made for organizations to follow to help recognize health care worker fatigue and to reduce errors. A vicious cycle begins: working extra shifts or more than one job creates fatigue; mistakes are made that at a minimum cause increased stress but can also be demoralizing. That stress and demoralization puts us at risk for both physical and emotional injury. Some nurses choose to solve these problems with medication, and the result can be healing but it can also lead to using the medication to allow unhealthy practices to continue. In nursing, we often complain that other disciplines and agencies want to tell us how to practice. We want the right to govern ourselves. Work fatigue, emotional burn out and physical injury are issues that we can take in hand. Florence Nightingale said that the role of the nurse was to put the patient in the best state from which he can heal himself. I believe as nurses, we must take that advice and apply it to our self care. Before we can be in a position to do no harm, we must first take care of ourselves. References Barger,L.K., Ayas N.T., Cade, B.E., Cronin, J., et al (2006) Impact of extended duration shifts on medical errors, adverse events, and attentional failures. PLos Medicine, 3(12), e487. Rodgers, A.E., Hwang, Wei-Ting, Scott, L. et al (2004) The Working Hours of Hospital Staff Nurses and Patient Safety. Health Affairs, 23 no.4: 202-212 What Magnet means to us… … Magnet means having the support to do what’s best for the patient, best for each other, and best for our careers. Leadership careers at Arizona’s 1st and only Magnet Hospital System Our vibrant RN career paths give you the perfect way to move into– and up through–Nurse Leadership! 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EOE/AA/M/F/D/V arizona STATE BOARD OF NURSING REGULATORY JOURNAL 5 Arizona State Board of Nursing Policy and Procedure POLICY NAME AzBN Nursing Regulation Internship for Nurse Executives EFFECTIVE DATE: 7/1/2007 Signature Board Approved 7/26/07 REVISION DATE(s) CANCELLATION DATE   Administration  Hearing  Monitoring       CANDO Education FiscalServices    InformationTechnology Investigations Licensing  Multi-stateLicensure Reference: Purpose:    TheArizonaStateBoardofNursingRegulationInternshipforNurseExecutive’soverallobjectives isto: 1.) Generatehighlyvaluedinternshipsthatadvancetheregulatoryknowledgeandcompetencies oftheNurseExecutive; 2.) EnabletheNurseExecutivetopartnerwithAzBNinidentifyingopportunitiestocollaborate onresearchquestionsforevidencebasedregulationtoimproveregulatoryoutcomesand practices; 3.) Provideexperiential,individualized6monthinternshipstoincludeattending/participatingin BoardMeetings,mentoringandparticipationinagencymeetings. Policy: TheNurse ExecutiveAzBNInternshipisasixmonthprogramwiththepurposeofprovidingNurse Executiveswithregulatoryknowledgeneededtofulfilltheirrolesasnurseleaders.Individualsparticipatingin theinternshipareexpectedtoattendthreeboardmeetingsandothermeetingsduringthesixmonthexperiential program.Participantswillberequiredtosignaconfidentialityagreementrelatedtoconfidentialboard informationandrecords.DescriptionoftheInternshipandapplicationprocesswillbedistributedthroughthe Journalandonthewebsite.  Thesixmonthprogramobjectiveswillbeevaluatedattheendofeachinternship. 6 arizona STATE BOARD OF NURSING REGULATORY JOURNAL The pay, the benefits, the bonus, the caring, the opportunity is yours with... Now hiring RN’s You’re invited to join our dynamic registry. Health Temp, Arizona’s largest and most respected agency offers: • Top Wages • Block Assignments • Daily Pay • Local Assignments • Sign On Bonus • Statewide Assignments • Direct Deposit • Priority Contracts • Credit Union • Individual Insurance All RN Areas Available. Call 602-234-1944, 520-577-9088 or 800-486-8367 for additional info. w w w . h e a l t h t arizona e m pSTATE . c BOARD o mOF NURSING REGULATORY JOURNAL 7 BY PAMELA RANDOLPH RN, MSN ASSOCIATE DIRECTOR EDUCATION AND EVIDENCE-BASED REGULATION ARIZONA ACTION COALITION Named to Help Future of Nursing: Campaign for Action Ensure High-quality, Patient-centered Health Care Phoenix, Ariz. (March 6, 2012) – The Arizona Action Coalition has been selected as an Action Coalition by the Future of Nursing: Campaign for Action, coordinated through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation (RWJF), to ensure that all Americans have access to high-quality, patient-centered health care, with nurses contributing to the full extent of their capabilities. The Arizona Action Coalition will work with the campaign to implement the recommendations of the landmark Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health. The Arizona Action Coalition includes four co-lead coalition members: Arizona Nurses Association, Arizona State Board of Nursing, Arizona Hospital and Healthcare Association and UnitedHealth Group. “We are thrilled to add the Arizona Action Coalition to the Action Coalition network,” said Susan B. Hassmiller, PhD, RN, FAAN, senior adviser for nursing at RWJF and director of Future of Nursing: Campaign for Action. “The Campaign for Action is working at every level to build and sustain the changes necessary to improve health care for all Americans, and we know the contributions of the Arizona Action Coalition will be invaluable as we move forward.” Since its release in October 2010, the landmark report has made a consider8 able impact on the way stakeholders are viewing the nursing workforce: • The report remains one of the most viewed online reports in the IOM’s history and has sparked widespread activity to address the recommendations. • CCNA, in its role as campaign coordinator, is working with key stakeholders through its Champion Nursing Coalition of 47 national health care, consumer, business and other organizations and Champion Nursing Council of 23 national nursing organizations to implement strategies to advance the IOM recommendations. Action Coalitions also were announced today in 11 other states: Alabama, Connecticut, Iowa, Maine, Nevada, New Hampshire, North Dakota, Oklahoma, South Dakota, Tennessee and Vermont. The Arizona Action Coalition joins 36 previously-designated Action Coalitions. “The expertise of our coalition members and our proven capacity were key factors in being selected,” said Pamela Randolph, co-lead, Arizona State Board of Nursing. “As a participant in the movement to maximize the contributions of the nurses who deliver health care in our state and nation The Arizona Action Coalition is excited to bring its energy and ideas to this groundbreaking effort.” Robin Schaeffer, RN, co-lead, Arizona Nurses Association noted that the Ari- arizona STATE BOARD OF NURSING REGULATORY JOURNAL zona Action Coalition plans to focus on the areas of increasing opportunities for nurses to lead healthcare improvement efforts and the establishment of a health care workforce center. Action Coalitions comprised of nursing, other health care, business, consumer and other leaders are the driving force of the campaign at the local and state levels. Comprised of diverse groups of stakeholders, these coalitions capture best practices, determine research needs, track lessons learned and identify replicable models. Examples of accomplishments to date: • Texas is collaborating with nursing education leaders to adopt a common menu of core required classes across 106 schools in the state. • New Jersey is advancing practice by disseminating best practice models that demonstrate the benefits of staff nurses working to the full extent of their education and training. • Indiana has worked with Indiana University to include interprofessional education into the newly designed curriculum of its schools of medicine and nursing. • Virginia is advancing nursing leadership by recognizing and mentoring 40 Virginia registered nurses younger than 40 who positively represent and lead their profession. “Adding this new wave of Action Coalitions represents a major step forward in the campaign’s evolution,” said Susan Reinhard, PhD, RN, FAAN, senior vice continued on page 10 >>> Governor Announces Appointments to Arizona State Board of Nursing 101 Civic Center Lane, Lake Havasu City, Arizona 86403 Shawn Harrell, RN, MS Ms. Harrell worked for John C. Lincoln Health Network (JCL) in Phoenix for over 15 years. During her tenure at JCL, she served as Director of College Nursing Programs for 8 years in partnership with Paradise Valley Community College and Grand Canyon University. She has also served as a Nursing Administrator for Maricopa Integrated Health Systems, and on the faculty of Arizona State University’s College of Nursing. Ms. Harrell currently has a consulting business, Harrell Consultations, and is an adjunct faculty member of Grand Canyon University. She received her BS from Idaho State University, MS from Arizona State University and has been a Registered Nurse for 45 years. Her areas of expertise are Nursing Education and Administration. EDUCATION MS, 1984, Arizona State University; BS, 1977, Idaho State University; ADN, 1967, Phoenix College, Phoenix, Arizona AREA OF EXPERTISE OR CLINICAL INTEREST Nursing Education; Administration 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 PROFESSIONAL SOCIETY MEMBERSHIPS & COMMUNITY ACTIVITIES Arizona Nurses Association; American Nurses Association Public Member: Joel S. Feldman, J.D. Prior to his retirement in 2005, Mr. Feldman served as both General Counsel and President of several large Financial Services companies during his 35 years as an attorney. He is currently very active in local government and serves on several policy-making agency boards. Mr. Feldman received his BA from The Citadel, Charleston, South Carolina, and his Juris Doctorate from the Tulane Law School, New Orleans, Louisiana. EDUCATION BA, 1963, The Citadel, Charleston, South Carolina; JD, 1969, Tulane Law School, New Orleans, Louisiana Full Time & Seasonal Havasu Regional Medical Center offers excellent opportunities in all aspects of nursing. We also offer an excellent compensation and benefits package, including health, dental, vision, life insurance, 401K and a generous vacation plan. For further details regarding job opportunities or to apply, visit our website www.havasuregional.com. We support a drug-free environment. EOE AREA OF EXPERTISE OR CLINICAL INTEREST General Counsel, Financial Services; Industry PROFESSIONAL SOCIETY MEMBERSHIPS & COMMUNITY ACTIVITIES Board Member, Scottsdale Unified School District; Board Member, Area Agency on Aging; Board Member, Arizona Children’s Association; Board Member, Scottsdale Prevention Institute; Member Class XX, Scottsdale Leadership; Board Member, Viaticus, Inc.; Member, City of Scottsdale’s Judicial Appointment Advisory Board arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9 e d u c a t i o n / e m p l o y m e n t Free Subscription to StuNurse magazine! nationwide April 2009 nationwide t l o y m e n o n / e m p e d u c a t i Thinking Outside the Box: L CATIONA COM BINING CARING MAKE YOU R EDU JOU RNEY SMARTAND TEC HNOLOGY OPP ORTUNITIES IN HEA LTH LAW FOR NURSING DEG REE HOLDERS WEST EDITION E D I T I O N Reaching every nursing 1 2 student/school in America Science of Crafts Do you know someone who is a student nurse, or someone considering a nursing career? Then let them know about the StuNurse magazine. A subscription to the StuNurse digital magazine is FREE and can be reserved by visiting www.StuNurse.com and clicking on the Subscribe button at the upper right corner. The Art and SICAL TREATMENT OF PHY BILITIES AND COGNITIVE DISA ER SEPTEMB T I O N E D I 2009 nursing Reaching every a ol inu rAmeric se.com studenwt/scho N ww.Stu <<< continued from page 8 1 1 3 Educators…let your students know they can subscribe free of charge! The campaign seeks active participation from states, national organizations and individuals from health care, business, education, government and philanthropic sectors to ensure that the recommendations are translated into actions that result in improved patient-centered care. Specifically, the Campaign for Action is working to implement the recommendations of the IOM report with an emphasis on: • Strengthening nurse education and training; • Enabling nurses to practice to the full extent of their education and training; • Advancing interprofessional collaboration among health care professionals to ensure coordinated and improved patient care; • Expanding leadership ranks to ensure nurses have a voice on management teams, in boardrooms and during policy debates; and • Improving health care workforce data collection to better assess and project workforce requirements. You’ve arrived. You’ve put years of hard work, education and training into establishing a great career for yourself. Your compassion and commitment to quality caring have placed you among the best in the profession. Now it’s time to enjoy the incomparable rewards of a career with Yavapai Regional Medical Center in Prescott, Arizona. The acuity and advanced technology are just what you’re used to. But living here is far beyond the expected. Please apply now for future openings in: •Cath Lab/Angio Suite •Perinatal/Gyn Services •Emergency Department •ICU, CVICU, CVOR •Med/Surg/Tele •Surgical Services To take the first step, visit us online at: www.mycareeratyrmc.org. If you are a qualified candidate for any of these positions, please apply online or e-mail resumes to VIPCareerNetwork@yrmc.org. For . our further information, contact recruiter at 877-976-9762 For more information about the Campaign for Action go to www.thefutureofnursing. org or www.furtureofnursingaz.com. Two great hospitals. One caring spirit. EOE 10 arizona STATE BOARD OF NURSING REGULATORY JOURNAL president of the AARP Public Policy Institute and CCNA chief strategist. The Arizona Action Coalition has already made great strides in Arizona, and their application reflected capable leadership, clear goals and strong action plans.” The Future of Nursing: Campaign for Action envisions a health care system where all Americans have access to high-quality patientcentered care, with nurses contributing to the full extent of their capabilities. The campaign is coordinated through the Center to Champion Nursing in America, an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation, and includes 48 state Action Coalitions and a wide range of health care providers, consumer advocates, policy-makers and the business, academic and philanthropic communities. AzBN POSITION VACANCY Full-time Nurse Practice Consultant The Arizona State Board of Nursing is currently accepting applications for a full-time Nurse Practice Consultant to conduct investigations of licensees and applicants for licensure for whom a complaint has been received. The position requires knowledge of nursing standards of care and the Nurse Practice Act. Knowledge related to investigative methods, interviewing and report writing is desired. Successful candidates will have a BSN, an active and good standing RN license, excellent written and oral communication skills, effective time management skills, and analytical abilities. Master’s Degree in Nursing or a related field preferred. For more information, please contact Nikki Austin, JD, RN, Associate Director of Investigations/Compliance at 602-771-7819 or naustin@azbn.gov. • EXPERIENCED NURSES • You’ve put in the hours to become an experienced nurse, now join a team that appreciates you. Tucson Medical Center is Southern Arizona’s community-owned hospital. We’re currently looking for experienced nurses to join an environment that is fun, challenging and rewarding. Check out all available positions at: jobs.tmcaz.com 5301 E. Grant Rd. • Tucson, AZ 85712 (800) 526-5353 ext. 42775 EOE Tobacco-Free Workplace When you choose a place to work... C h o o s e We l l arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 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 Nikki R. Austin, JD, RN Associate Director, Investigations & Compliance 602.771.7819 naustin@azbn.gov Pamela Randolph RN, MS Associate Director Education & Evidenced Based Regulation 602.771.7803 prandolph@azbn.gov Valerie Smith RN, MS, FRE Consultant to Executive Director 602.771.7804 vsmith@azbn.gov SENIOR INVESTIGATORS Debra McGinty, RN, PhD Education Program Administrator 602.771.7877 dmcginty@azbn.gov Bonnie Richter Senior Investigator 602.771.7828 brichter@azbn.gov Opal Wagner, RN, BSN Nurse Practice Consultant/ CNA Programs 602.771.7857 owagner@azbn.gov Dirk VandenBerg, Sr. Senior Investigator 602.771.7817 Helen Turner-Epple, BS Administrative Assistant 602.771.7856 hturner@azbn.gov FISCAL SERVICES Randi Orchard Fiscal Services Manager 602.771.7810 rorchard@azbn.gov Norma Salter Accounting Technician 602.771.7809 nsalter@azbn.gov HEARINGS Kirk Olson Lead Senior Investigator 602.771.7824 kolson@azbn.gov Susan Barber, RN, MSN Nurse Practice Consultant 602.771.7851 sbarber@azbn.gov Dolores Hurtado, Senior Investigator Complaints - Intake Triage Coordinator Vicky Driver Administrative Assistant 602.771.7852 vdriver@azbn.gov Donna Wilson Administrative Assistant 602.771.7806 dwilson@azbn.gov Deborah Richards, JD Senior Investigator 602.771.7850 drichards@azbn.gov Lila Wiemann Administrative Assistant lwiemann@azbn.gov INVESTIGATIONS Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.771.7805 coates@azbn.gov Janeen Dahn, MS, FNP-C Advanced Practice Nurse Consultant 602.771.7814 jdahn@azbn.gov Doug Parlin Senior Investigator 602.771.7822 dparlin@azbn.gov Ron Lester Senior Investigator 602.771.7825 rlester@azbn.gov Linda Monas Senior Investigator 602.771.7826 lmonas@azbn.gov Lynda Hemann, PhD, LISAC Senior Investigator 602.771.7827 lhemann@azbn.gov LEGAL SECRETARIES Barbara Melberg Legal Secretary 602.771.7840 bmelberg@azbn.gov Dorothy Lindsey Legal Secretary 602.771.7841 dlindsey@azbn.gov Trina Smith Legal Secretary 602.771.7844 tsmith@azbn.gov Lisa Gauntt Legal Secretary 602.771.7842 lgauntt@azbn.gov INFORMATION TECHNOLOGY CANDO Jeanine Sage, RN, MSN Nurse Practice Consultant 602.771.7815 jsage@azbn.gov Judy Pendergast, RN, JD Nurse Consultant – CANDO 602.771.7864 jpendergast@azbn.gov Karen Grady, MS, RN, FNP, BC Nurse Practice Consultant 602.771.7821 kgrady@azbn.gov Olga Zuniga Administrative Secretary – CANDO & Monitoring 602.771.7865 ozuniga@azbn.gov Mary Rappoport, RN, MN Nurse Practice Consultant 602.771.7816 mrappoport@azbn.gov Steven Curtin 602.771.7820 scurtin@azbn.gov Sister Rachel Torrez, RN, MS Nurse Practice Consultant 602.771.7818 srachel@azbn.gov LICENSING COMPLAINTS-INTAKE Dolores Hurtado, Senior Investigator Complaints-Intake Triage Coordinator 602.771.7845 dhurtado@azbn.gov Jennifer McWilliams Legal Assistant - Triage 602.771.7831 jmcwilliams@azbn.gov 12 EDUCATION 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 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Adam Henriksen 602.771.7807 ahenriksen@azbn.gov Cory Davitt 602.771.7808 cdavitt@azbn.gov Becky Melton RN/LPN Exam 602.771.7830 bmelton@azbn.gov Cristina Oates Advance Practice Certifications 602.771.7805 coates@azbn.gov Donna Frye RN/LPN Renewals 602.771.7833 dfrye@azbn.gov Helen Tay CNA Exam/Endorsements 602.771.7832 htay@azbn.gov Lisa Hubbard Scanning/Verifying 602.771.7843 lhubbard@azbn.gov Monica Ortiz Scanning/Verifying 602.771.7831 mortiz@azbn.gov Paula Delphy RN/LPN Endorsements 602.771.7834 pdelphy@azbn.gov Lisa Youtsey CNA Renewals 602.771.7835 lyoutsey@azbn.gov MAILROOM Debra Kunkle 602.771.7876 dkunkle@azbn.gov MONITORING Pat Midkiff, RN, MN Nurse Practice Consultant 602.771.7862 pmidkiff@azbn.gov Esther Garcia Legal Assistant 602.771.7861 egarcia@azbn.gov Brent Sutter Legal Secretary Monitoring & CANDO 602.771.7860 bsutter@azbn.gov RECEPTIONISTS Madelyn Emerson 602.771.7871 memerson@azbn.gov Nancy Davis 602.771.7872 ndavis@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov If you r pas sion is cli n i c a excel l lence , this is yo ur p oppo erfect rtuni ty. 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C O M arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 11/26/11 6:17:38 PM EDUCATION CORNER BY DEBRA MCGINTY, RN, PhD EDUCATION PROGRAM ADMINISTRATOR TODAY’S STUDENTS ARE TOMORROW’S LEADERS In 2005, the National League for Nursing challenged educators to “integrate long-term, innovative, and creative perspectives into the nurse educator role.” This call for competency in education requires nursing educators lead interprofessional efforts to address healthcare and educational needs regionally, nationally, and internationally. This leadership stance requires nursing educators become astute learners of instructional cultures and methods of healthcare disciplines and provide interactive, collaborative learning experiences. Faculty are more frequently engaging with medicine and allied health disciplines to provide nursing students with dialogical learning opportunities that support experiential knowledge formation for a significantly deeper understanding of the patient experience (Benner, Tanner, & Chesla, 2009). In a recent survey conducted by the Arizona Campaign for Action, 7 of 17 program directors responding indicated their nursing program engaged in collaborative teaching activities with such disciplines as respiratory therapy, pharmacy, social work, and physical therapy. The authors recommended improvement in the quality and quantity of continuous interprofessional collaboration through classroom and clinical training opportunities (Randolph, et al., 2011). The NLN competencies (2005) also required nursing educators provide leadership in governance roles to parent institutions, implement strategies for organizational change, and develop leadership skills in future nurses to shape and implement change. The Arizona Nurse Practice Act supports these competencies. Program administrators are required to participate in activities that contribute to the governance of the parent institution (R419-203 (C) (7) and work with faculty to 14 develop, implement, and evaluate the program of learning (R4-19-204 (G) (1)) and standards for admission, progression, and graduation (R4-19-204 (G) (2)). Most importantly, programs must provide mechanisms for student input into the development of academic policies and procedures and participation in the evaluation plan (R4-19-201 (G)). These features not only provide opportunities for collective, participatory leadership but also invite students to step into situated learning experiences in leadership and dialogue with faculty on a professional level. Faculty and clinical preceptors provide students daily lessons in leadership as they model professional behaviors that reflect ethical comportment that students will emulate and take forward in their careers. The capacity for faculty and nurses in practice to make lasting imprints on the development of nursing’s future leaders profoundly influences practice patterns, communication outcomes and professional commitments. The care taken today to provide instruction and guidance in leadership to the most impressionable among us will inform the nursing profession tomorrow with telling effects. Benner, P., Tanner, C., & Chesla, C. (2009). Expertise in nursing practice: Caring clinical judgment, and ethics. New York: Springer. National League for Nursing Task Group on Nurse Educator Competencies. (2005). Competencies for nurse educators. New York: Author. Randolph, P., Hrabe, D., Compton, P., Schaeffer, R., Komnenich, P, et al., (2011). Arizona future of nursing leading change, advancing health: Arizona campaign for action: 2011 self-study report. Available at http://www.futureofnusingaz.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL BOARD ACTIONS – EDUCATIONAL PROGRAMS November 2011 • Granted Metro Tech High School Nursing Assistant Program 2-year approval. • Granted Caring House Nursing Assistant Program 2-year approval. • Granted Northland Pioneer College 2-year approval. • Accepted Nelson Academy Consent Agreement for 12 months probation. • Granted Pima Community College Center for Training and Development Practical Nursing Program 5-year approval. • Granted Everest College Registered Nursing Program 5-year approval or consistent with national accreditation cycle. • Granted Southwest Skill Center LPN Program 5-year approval with a report in one year regarding curriculum changes, systematic evaluation plan, and policy changes regarding the physical and mental ability of faculty to provide safe client care. • Approved the MaricopaNursingNorthern Arizona University Associate-Baccalaureate Concurrent Enrollment Nursing Program. • Approved the MaricopaNursingArizona State University AssociateBaccalaureate Concurrent Enrollment Nursing Program. • Approved the MaricopaNursingUniversity of Phoenix AssociateBaccalaureate Concurrent Enrollment Nursing Program. • Approved the Arizona State University Second Degree PreLicensure Option program change. • Approved criteria for Summary Letters of Concern for education programs. • Approved the policy for special accommodation request for NCLEX examinations. • Approved policy for special accom- modation request for Nursing Assistant and Medication Assistant written and manual skills certifying examinations. • Granted continued approval to Glendale Community College Nursing Program for a period of 5 years or consistent with the national accreditation cycle. • Issued a Notice of Deficiency to Maricopa Skills Center Practical Nursing Program for violations of R4-19-201 (I) plan for systematic evaluation, R4-19202 (A) (3) private space for facultystudent conferences, R4-19-202 (A) (5) equivalent laboratory facilities, R4-19202 (A) (6) acoustics, plumbing, and location that simulate patient care, and R4-19-203 (C) (5) faculty evaluation in areas of knowledge, skill, and teaching ability with 6 months to correct. • Offered Breckinridge School of Nursing consent agreement for probation with terms to include suspension of student admissions until all Board rules are met as determined by the Board. Board staff shall conduct a comprehensive site visit to assess compliance following a receipt of a self study document which provides evidence of compliance with all regulations to be signed within 30 days or hearing. JANUARY 2012 • Approved the Phoenix location of The University of Arizona College of Nursing Master’s Entry to the Profession of Nursing program change. • Reapproved the Basic CNA Program – Glendale Community College’s Application for Renewal upon receipt of a signed Consent Agreement for a $1,000 Civil Penalty or issue Notice of Deficiency. • Returned the Breckinridge School of Nursing program response for R4-19203 (C) (6) and R4-91-204 (G) (2) to the Education Committee February 10, 2012 meeting for review and recommendation. PhD and DNP Programs University provides a unique and unparalleled education for nurses. Outstanding faculty and a comprehensive array of graduate and postgraduate programs, including PhD and DNP programs, prepare students for success. Recognized as one of the U.S. News & World Report’s Best Colleges for seven years running. Please visit www.apu.edu For more information, contact: Lilli Chavez, Graduate Recruiting & Placement Coordinator (626) 815-6000 x5121 Email: lachavez@apu.edu God First since 1899 Avalon Health Care WA is very quickly becoming the employer of choice in the west. As the premier provider of healthcare in Arizona, California, Hawaii, Washington, and Utah, Patient Care has always been a top priority here. We are always looking for likeminded individuals who can continue our tradition of providing excellent quality of care, and who would like to grow with us as we continue to build our service alliance! Our affiliated facilities employ licensed registered, practical nurses, and certified nurse aids in addition to leadership and support positions. We provide competitive pay and excellent benefits. Come join our exciting, fulfilling and caring environment!! For more information and to apply, please visit our website at www.AvalonHCI.com. UT CA AZ HI EOE arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15 ARIZONA STATE BOARD OF NURSING Misunderstood Areas About Nursing Regulation BY KATHY MALLOCH, PHD, MBA, RN, FAAN Nurse leaders in executive positions continually manage multiple initiatives and work efforts including the assurance of competent nursing staff that practice within the parameters of the state Nurse Practice Act (NPA). In general, the NPA is principle-based and does not include every single instance or example of practice behaviors that could be a violation of the nurse practice act. In addition to the principles within the NPA, decision trees and advisory opinions are also available for the nursing community to evaluate nursing practice. It is through dialogue with the board of nursing staff that nurse executives get clarity as to what is a violation and what is not a violation of the NPA as well as when behaviors should be reported to the board. Despite the collaborative work between nurse executives and board staff, misperceptions about board practices and evidence or rationale for board decisions still exist. The following frequent misperceptions are identified and corrected to assist not only nurse executives, but also for all licensees to better understand the actions of the board of nursing. Once you are reported to the board for an alleged violation of the NPA, it is on your record forever. FALSE. (Approximately 40% of cases/complaints reported to the board do not meet triage criteria and are either not opened or a violation of the NPA has not been found.) Everyone who comes before the board is disciplined. FALSE. (A significant number of nurse and nursing assistant complaints result 16 in non-disciplinary outcomes such as case disposition, dismissal or letters of concern.) Chemical dependency /substance use is a rare occurrence among registered nurses. FALSE. Chemical dependency is the number one violation of NPA and reason for nurses being reported to the board of nursing. All of the nurse and nursing assistant licensure fees are retained by the board of nursing. FALSE. The Arizona State Board of Nursing is a 90/10 board which means that 10% of the licensure fees go to the state and 90% of the fees are used to operate the board. Also, funds required to support the board can be “swept” by the state whenever deemed necessary for the state. Failure to retain these funds at the board of nursing decreases the board’s ability to function and can lead to an increase in nurse licensure fees—an action the board works diligently to avoid. A letter of concern is a disciplinary measure that remains on the nurse’s record for one’s lifetime. FALSE. A letter of concern is a NON-disciplinary measure that remains in the licensee/certificate holders file, however it is not publicized on the website. Advisory opinions developed by board committees are considered statutes. FALSE. Advisory opinions are the combined opinion and interpretation of members of the Scope of Practice and Advanced Practice committees of the board. An advisory opinion adopted by the Board is an interpretation by the Board of arizona STATE BOARD OF NURSING REGULATORY JOURNAL what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of the Arizona Board of Nursing regarding the practice of nursing as it relates to a specific standard of care. ARS 32-1606 (A) (2). Ignoring letters and notices from the board and then showing up at a board meeting to discuss one’s case is an acceptable practice. FALSE. Communication with board staff is a professional obligation for licensees and certificate holders as well as maintaining current contact information. When letters and requests are ignored, board staff are unable to investigate the complaint and provide background information to board members for consideration. Board members are thus not able to consider all of the information prior to the board meeting to make an informed ‘probable cause” recommendation. Requests for psychological or substance abuse evaluations by an unbiased professional do not have to be based on reasonable cause. FALSE. The board of nursing can only request / issue an interim order for a psychological or substance abuse evaluation with reasonable cause, namely behaviors that are believed to be of concern and potentially consistent with unsafe and unprofessional conduct. The impact of joining the Nurse Licensure Compact has had a significant financial impact on the Arizona State Board of Nursing. FALSE. There has not been any Reach Recruit Retain arizona REGULA ARD STATE BO OF NURSINGL URNA TORY JO STATE BOARD OF NURSING REGULATORY JOURNAL REGULATO Patients are our Purpose STAFF PRODUCTIVITY REGULATORY EXCELLENCE (CORE) PROJECT CYCLE TIMES ANALYSIS Flagstaff Medical Center is currently seeking: Clinical Manager - ICU and Med/Surg Behavioral Health Nurse Practitioner Forensic Nurse Practitioner - Children’s Health Center Heart and Vascular Center Nurse Practitioner RN - CVICU, Med/Surg and OR The Importance of HIPAA for Nurses metrics metrics Research cycle times Cost effectiveness outcomes best practices orthern Arizona Healthcare’s two main RESEARCH MEASURES campuses, Flagstaff Medical Center and Verde Valley Medical Center were recently ranked as Best Regional Hospitals by US News and World Report. With our Heart and Vascular Center, stroke and cardiac arrest centers and a variety of in- and out-patient services, our nursing staff are provided with challenging and stimulating learning opportunities. • • • • • EVIDENCED BASED REGULATION TANGIBLE EVIDENCE OUTCOMES COMMITMENT TO ONGOING METRICS N arizoona arizo na customer satisfaction ariz VOL4 • NO3 • SEPT 2009 3RD QUARTER O VOL 8 • N 1 MAY 2012 MEASURING OUTCOMES ment of the agency in which patient care is provided. The board of nursing’s NPA established acceptable nursing practices within organizations. Nurses are expected to accept reasonable assignments and discuss assignments that appear beyond one’s capabilities with the nurse making the assignment or nurse supervisor for renegotiation of the assignment. Accountable to the Public significant impact or reduction in revenues for nurses holding licenses in multiple states. The benefits of enhancing and supporting nurse mobility far outweigh the loss of revenue. The board of nursing establishes safe staffing standards for nursing for all healthcare organizations in the state. FALSE. The establishment of safe staffing standards is the require- TANGIBLE EVIDENCE analysis cycle times research Best practices data data RN, BSN, KIM POST, NEW-BC MBA/HCM, r VP & Administratoal Hospit Thompson Peak care Scottsdale Health D, RN, MSN JULIE WAR g CNO, VP of Nursin NEW AND OLD PUBLIC POLICY CHANGES IMPACTING ARIZONA NURSES ’s Hospital SUMMARY OF CHANGES TO ARIZONA NURSE PRACTICE ACT: SENATE BILL St. 1105 Joseph analysis metrics Protection of the public performance EVIDENCED BASED REGULATION MEASURING OUTCOMES ACCOUNTABLE TO THE PUBLIC PNS HAVE A NEW LICENSEE RENEWA RENEWAL DATE KATHY MALLOCH, PHD, MBA, RN, FAAN AzBN Board Vice President g Regulatory Learning Nursinp on the Job Leadershi 16 and 18 See pages 11, these for articles from es. Nurse Executiv Contributing Mailed to every nurse in Arizona – over 90,000. The Arizona Board of Nursing JOURNAL to reserve advertising space contact Victor Horne vhorne@pcipublishing.com Verde Valley Medical Center is currently seeking: 1-800-561-4686 ext.114 • Clinical Manager - Perinatal Services and Surgery • Director - Perinatal Services • RN - ICU To learn more about our upcoming New Graduate RN Training Program, visit our website. If you are looking for more balance in your life and a wealth of professional opportunities, we invite you to come to the place where life is grand and careers flourish. To learn more about career opportunities, our facilities and benefit packages, visit Northern Arizona Healthcare at www.nahealth.com/careers. Our nursing journals are mailed directly to over 1.5 million nurses, healthcare professionals and educators nationwide. Arizona Arkansas The District of Columbia Indiana Kentucky Mississippi Montana Nebraska Nevada New Mexico North Carolina North Dakota Ohio Oregon South Carolina South Dakota StuNurse/Nationwide Tennessee Washington West Virginia Wyoming ThinkNurse.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 THE ROLE OF THE NURSE LEADER in Understanding Regulation BY KIM POST, RN, BSN, MBA/HCM, NEA-BC The turbulent world of health care presents many challenges to nurse leaders throughout the country. Doing more with less seems to be the consistent mantra, coupled with new accountability to produce exceptionally high quality patient care at a much lower cost. Competencies coveted by past nurse leaders have become somewhat obsolete, replaced by the urgent need to expand skills and knowledge about health care reform laws, regulatory changes and the political environment. Understanding their impact and formulating an action plan to deal with these regulations takes leaders who are dedicated, innovative, and creative. At the heart of these issues is patient care, where undoubtedly the nurse leader plays a key role. In 2005, the American Organization of Nurse Executives (AONE) published a list of competencies that are essential for success in the role of the nurse executive leader (AONE Nurse Executive Competencies, 2005). Included in this inventory are the universal leadership attributes of expert communication skills, relationship building, business acumen, leadership aptitude, and professionalism. The last attribute, knowledge of the care environment, poses an obvious need for a deeper understanding of policies and regulation that not only impact the role of the nurse in any care setting but care delivery in general (AONE Nurse Executive Competencies, 2005). To successfully convey these characteristics, the nurse leader must collaborate with key professionals in the community of nursing; one such resource is the State Board of Nursing. The Arizona State Board of Nursing (AZBN) is a valuable asset; to successfully utilize its resources, the nurse leader must take the time to fully understand its role and function. The mission of the AZBN is “to protect the 18 public health, safety and welfare through the safe and competent practice of nurses and nursing assistants” (www. azbn.gov). It approves applicants for licensure, registration and certification, endorses formal educational programs, investigates complaints against licensees, and determines and oversees disciplinary actions to professionals that have violated the Nurse Practice Act. These elements of critical oversight work to keep patients safe in diverse practice settings throughout Arizona. The AZBN also supports advisory committees which are formed to identify or recommend alternatives in the practice of nursing. Knowing that nursing care is at the heart of healthcare, Nurse Leaders in any setting should take the time to fully understand the function of this regulatory body, and the resources they offer to address issues within the practice environment related to nursing practice. To accomplish greater success in the executive leadership role, nurses must possess a better understanding of regulations that impact the health care environment where they provide oversight and leadership. This oversight includes competency with clinical practice knowledge to ensure compliance with the State Nurse Practice Act, State Board regulations, regulatory agency standards and policies (AONE Nurse Executive Competencies, 2005). As a leader, the nurse executive encounters daily challenges related to roles and functions of the healthcare team. Understanding regulatory mandates aids in creating policies, procedures and practice guidelines that support regulation and provide a framework for the clinical team that is compliant with regulation, supportive of the latest evidence and beneficial to the patient. This deep understanding of practice also alerts the leader when there is an issue with policy arizona STATE BOARD OF NURSING REGULATORY JOURNAL that prohibits or prevents safe execution of patient care. When these issues arise, the AZBN can provide resources to clarify practice concerns or address standards that can enhance care delivery. Opportunities to participate or support advisory committees are available throughout the year. These include the advanced practice committee, education committee, scope of practice committee, and the LPN advisory group. Each work group focuses on goals that are targeted on issues involving current practice. As a nurse leader, participation or support of these groups is important to the development of practice in Arizona. Nursing leadership is a defined specialty within the nursing vocation which sets the bar for other professionals within the clinical practice areas they lead. The AONE has published competencies that have proven instrumental in the success of the nurse executive leadership role. Included in these skills is the heightened need to understand policies and regulations impacting the health care environment. Balancing these competencies with other universal aspects of leadership in a demanding role is challenging, but imperative to successful practice of this critical specialty. Understanding the complexities of the current and future health care environment will require a deeper level of collaboration with key stakeholders within the profession. The AZBN can act as a key partner in this work, facilitating collaborative efforts to further ensure safe practice in the nursing profession References AONE Nurse Executive Competencies, 2005. Downloaded from www.AONE.org www.azbn.gov CNA CORNER A Career with MIHS? Real Sharp! Here’s the point: There’s never a dull moment at Maricopa Integrated Health System with facilities including: BY OPAL WAGNER, RN, BSN, NURSE PRACTICE CONSULTANT, CNA EDUCATION PROGRAMS EVIDENCE-BASED GUIDELINES DRIVE CHANGE IN DENTURE CARE SKILL After consulting with the Arizona Dental Association, and a review of the latest evidencebased guidelines for the care and maintenance of dentures, the Denture Care skill in the Arizona CNA Candidate Handbook has been changed as follows: the word “toothpaste” has been replaced by “nonabrasive denture cleanser.” The journal article provided to us by the Arizona Dental Association that supports this change is Felton, et al., “Evidence-based guidelines for the care and maintenance of complete dentures,” The Journal of the American Dental Association vol. 142 no. suppl. 1 (Feb. 2011) 1S-20S. In establishing guidelines for denture care, the American College of Prosthodontists formed a task force to review over 300 abstracts and over 100 articles in devising 15 evidencebased guidelines. The guidelines mandate brushing dentures with an effective, nonabrasive denture cleanser to avoid pitting and/or scratching of denture material that can be caused by the abrasives found in some toothpastes. Research indicates that dental biofilms build up more readily on rough denture surfaces and are then more difficult to remove. The full text of the article is available at http://jada.ada.org/content/142/ suppl_1/1S.full. All CNA handbooks mailed or accessed on the web and tests shipped or administered with WebETest from this point forward contain this change. We would like to thank Dorothy I. Colgan, RN, BS, CNOR; CNA training program instructor at Gila Community College (Globe), for bringing this matter to our attention. Our goal is that the Arizona CNA exam always reflects best practice and we appreciate the help of Ms Colgan and her students in this regard. • Maricopa Medical Center, a 449 bed acute care hospital and largest teaching hospital in Phoenix, AZ • The Arizona Burn Center, a nationally renowned regional burn center – 2nd largest in the nation • A level 1 Trauma Center • The Arizona Children’s Center at MIHS, a 24/7 Level 1 Pediatric Trauma Unit • 11 Family Health Centers located throughout Maricopa County, AZ We’re constantly seeking the sharpest minds in healthcare for key nursing positions. Why not work where the benefits are great? MIHS, located in the beautiful Sonoran Desert of Phoenix, Arizona, has it all. Our employees tell us that while they came to MIHS for the unbeatable opportunity to work in a teaching/ research hospital with a Level 1 Trauma Center, they stay here because of our state-of-the-art facilities, great co-workers and outstanding benefits like: • Arizona State Retirement System: Enjoy a life-long pension upon retirement without the limits and worries of a 401(k)…and the longer you work, the higher your benefits. • Generous PTO + 10 holidays per year Learn more by calling 602-344-5627 or visit us at www.mihs.org arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19 20 arizona STATE BOARD OF NURSING REGULATORY JOURNAL arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21 MeetAbrazo... Not Just Health Care, It’s People Care. At Abrazo Health Care, our employees have the talent and expertise to create exceptional caring experiences. As one of Arizona’s leading health care providers, our team members provide more than clinical integrity—they create personal connections to build lasting relationships with our patients and their loved ones. If you are looking for a career that values safety, respect, accountability, excellence, integrity and innovation, we invite you to meet Abrazo. We are currently seeking: RNs Abrazo Health Care Hospitals Offer: • Competitive Salaries • Medical/Dental/Vision Insurance • 401(k) • Earned Time Off (ETO) • Tuition Reimbursement Exciting career and advancement opportunities await you throughout our health care network. Please apply online at: www.abrazohealth.com Equal Opportunity Employer @ UPDATE YOUR EMAIL/MAILING ADDRESS Please make sure your address New Associate Director Investigations/Compliance Appointed with the Board is correct by going to www.azbn.gov, click on ONLINE RENEWAL/MY SERVICES, click on “request your user name and pin code” if you forgot the code, then click Nikki R. Austin JD, RN The Board is pleased to announce that Ms. Nikki R. Austin, JD, RN, has been appointed as the Associate Director for Investigations & Compliance. Ms. Austin earned her baccalaureate nursing degree in 1994 from the University of Arizona and studied law at Arizona State University graduating in 1999 with her Juris Doctorate from the Sandra Day O’Connor College of Law. 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL on address change/personal information update. This will allow you to put in your current email/mailing address, update your schooling, your states of licensure, etc. *Not reported in previous Journal CNA DISCIPLINARY ACTION OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 1/10/2012 12/3/2011 9/27/2011* 1/4/2012 1/18/2012 10/24/2011 11/22/2011 1/4/2012 1/3/2012 9/28/2011* 11/15/2011 1/18/2012 10/3/2011 11/2/2011 11/7/2011 10/17/2011 1/4/2012 10/19/2011 1/4/2012 1/11/2012 1/12/2012 11/15/2011 12/29/2011 12/26/2011 10/27/2011 10/28/2011 9/28/2011* 1/31/2012 1/18/2012 12/2/2011 11/14/2011 9/30/2011* 9/28/2011* 1/18/2012 11/21/2011 11/15/2011 1/4/2012 10/11/2011 1/4/2012 12/9/2011 1/18/2012 10/28/2011 10/3/2011 11/10/2011 10/18/2011 9/28/2011* 9/29/2011* 12/14/2011 1/4/2012 11/15/2011 1/3/2012 11/15/2011 11/10/2011 12/26/2011 10/19/2011 12/10/2011 10/25/2011 9/9/2011* 9/27/2011* 11/15/2011 10/5/2011 10/2/2011 12/26/2011 11/15/2011 8/25/2011* 11/15/2011 10/28/2011 12/23/2011 11/15/2011 1/19/2012 1/4/2012 1/20/2012 10/23/2011 11/21/2011 10/3/2011 11/16/2011 continued >>> NAME Allen, Cortnie L. Amie, Zipporah R. Amos, Christopher M. Ayll, Deng G. Barger, Benjamin E. Barraza, Erika Barraza, Gabriela Begay, Lucianeteena R. Begay, Neilwood R. Belsanti, Mark A. Bense, Cathleen L. Blackhoop, Lillie L. Blancher, Daniel D. Boyd, Dennis Brent, John T. Brooks, Robert C. Brossia, Cynthia M. Burgos, Gabriel M. Butler, Karen L. Caffrey, Barbara L. Carmody, Priscilla A. Castro, Natasha N. Chapman, Joanne M. Chavarin, Joey L. Chintankwa, Tamina D. Clark-Chavez, Alfred J. Cluver, Jessica Y. Colwell, Erin L. Conley, Veronica L. Day, Roosevelt D. Delgado, Christina F. Dixon, Melanie L. Dominguez, Mariana V. Donahoe, Katherine A. Doss, Autrey D. Drescher, Michelle L. Dunn, Kaylee T. Elkan, Jason A. England, Jonathan E. Fernandez, Antonio D. Fernandez, Joseph A. Forbes, Michael L. Frakes, Audrey M. Francisco, Phoebe A. Futrell, Dean E. Gant, Keenan C. Garcia, Teresa L. Gibson, Quincy L. Gilbert, Jennifer L. Goe, Togba D. Gonzales, Hilario R. Gonzalez, Andrea M. Grantham, Rebecca L. Griffith, Evelyn L. Guritz, Michelle R. Guyer, Kathy L. Guyette, Ashley L. Harris, Cierra K. Hartman, Corwin J. Hatter, Daleen A. Hocker, Doris A. Holland, Newphymn Hood, Mark W. Hunt, Freda L. Hutchison, Frederick B. Jacobson, Chelsea R. James, Sherry A. Johnson, Naomi Johnson, Velma J. Kaplan, Becky L. Key, Dennis R. King, Kristofer R. Kingery, Laura J. Kirby, Colleen M. Leone, Angelo Leutakoun, Dawn M. CERTIFICATE CNA999999706 CNA1000011790 CNA1000030911 CNA1000003762 CNA Applicant CNA1000008741 CNA1000017665 CNA1000016417 CNA Applicant CNA Applicant CNA1000015105 CNA Applicant CNA Applicant CNA Applicant CNA999950704 CNA1000003119 CNA1000021729 CNA Applicant CNA054108593 CNA Applicant CNA999999296 CNA1000015625 CNA1000026429 CMA0016/CNA181645641 CNA999950485 CNA393169353 CNA Applicant CNA1000028260 CNA Applicant CNA1000016306 CNA999948037 CNA1000030998 CNA Applicant CNA Applicant CNA Applicant CNA571604093 CNA1000015976 CNA1000031105 CNA1000014838 CNA075199641 CNA Applicant CNA442805873 CNA1000031007 CNA999999726 CNA1000026173 CNA Applicant CNA059451663 CNA Applicant CNA999949236 CNA999993209 CNA Applicant CNA1000001940 CNA1000013192 CNA Applicant CNA Applicant CNA1000022424 CNA1000016247 CNA1000011216 CNA Applicant CNA594001719 CNA1000020314 CNA852071483 CNA1000024469 CNA913293803 CNA Applicant CNA1000003766 CNA1000006859 CNA Applicant CNA701308803 CNA1000009880 CNA1000012142 CNA Applicant CNA1000019510 CNA Applicant CNA Applicant CNA Applicant DISCIPLINE Decree of Censure Stayed Revocation Civil Penalty Revoked Certificate Denied Decree of Censure with Civil Penalty Voluntary Surrender Revoked Certificate Denied Certificate Denied Revoked Certificate Denied Certificate Denied Certificate Denied Suspension Civil Penalty Revoked Certificate Denied Revoked Certificate Denied Stayed Revocation Revoked Voluntary Surrender Decree of Censure Suspension Revoked Certificate Denied Decree of Censure Certificate Denied Decree of Censure with Civil Penalty Stayed Revocation with Suspension Civil Penalty Certificate Denied Certificate Denied Certificate Denied Revoked Revoked Decree of Censure Revoked Decree of Censure with Civil Penalty Certificate Denied Revoked Civil Penalty Voluntary Surrender Civil Penalty Certificate Denied Decree of Censure Certificate Denied Revoked Revoked Certificate Denied Revoked Voluntary Surrender Certificate Denied Certificate Denied Decree of Censure Decree of Censure with Civil Penalty Revoked Certificate Denied Revoked Decree of Censure Civil Penalty Decree of Censure Civil Penalty Certificate Denied Revoked Suspension Certificate Denied Revoked Voluntary Surrender Revoked Certificate Denied Decree of Censure Certificate Denied Certificate Denied Certificate Denied arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23 CNA DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 1/4/2012 1/18/2012 11/10/2011 11/10/2011 11/15/2011 11/24/2011 12/22/2011 12/20/2011 12/29/2011 11/10/2011 9/29/2011* 1/28/2012 1/18/2012 11/17/2011 11/24/2011 1/4/2012 11/15/2011 11/10/2011 1/27/2012 11/10/2011 10/15/2011 11/10/2011 11/3/2011 10/11/2011 1/11/2012 11/10/2011 12/23/2011 11/15/2011 12/20/2011 10/14/2011 12/29/2011 1/18/2012 11/10/2011 1/17/2012 12/20/2011 10/19/2011 1/18/2012 1/4/2012 11/17/2011 11/17/2011 11/17/2011 10/28/2011 11/15/2011 1/30/2012 12/20/2011 11/17/2011 1/18/2012 12/2/2011 11/15/2011 1/18/2012 11/19/2011 9/27/2011* NAME Leverton, Catherine E. Lewis, Alexis R. Lisenbey, Eva D. Lopez, Charlene R. Macias, Sage A. Maggart, Jennifer L. Maldonado, Erica L. Maloney, Stella Martinez, Maria L. Matei, Emily R. McGuire, Latosha A. Medina, Francisco Milk, Arrione L. Miller, Michael B. Monroy, Chelsea C. Morales, Mildred Morehouse, Nicole A. Muir, Dennis J. Myers, Allan S. Nelson, Jeffrey L. Newman, Jeremy L. Oconnell, Patrick T. Osborn, Naline L. Oyeniyi, Elizabeth M. Pinks, Pauline A. Prasad, Roneil A. Pryde, Jennifer B. Reed, Roberta R. Sanfilippo, Paula Settle, Rachael C. Simpson-Mayes, Annette Spratt, Charles V. Steele, Ma Carina S. Stock, James A. Superville, Brandi E. Tallman, Amanda K. Tellechea, Kimberly D. Tselentis, Michelle D. Valencia Jr, Gabriel D. Vega, Martin G. Viramontes, Miguel Walter, Donalyn Waweru, Francis N. Weddle, Ranell A. Whisenant, Jason W. Willard, Katie E. Williams, Gina R. Williams, Islande P. Wood, Kristin E. Woods, Tiara M. Yarbrough, Stacie N. Young, Bethany D. CERTIFICATE CNA1000013199 CNA Applicant CNA Applicant CNA999948094 CNA1000031630 CNA1000019688 CNA999994206 CNA854036803 CNA999992730 CNA Applicant CNA Applicant CNA1000032277 CNA Applicant CNA Applicant CNA Applicant CNA999991547 CNA999991182 CNA Applicant CNA1000032262 CNA Applicant CNA1000025894 CNA Applicant CNA999993514 CNA1000001736 CNA Applicant CNA Applicant CNA999993140 CNA062300441 CNA1000011992 CNA999995305 CNA999988814 CNA Applicant CNA Applicant CNA1000014143 CNA1000031938 CNA Applicant CNA999987330 CNA893127803 CNA Applicant CNA Applicant CNA Applicant CNA1000006673 CNA1000019249 CNA1000032261 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA1000005094 CNA Applicant CNA1000013322 CNA Applicant DISCIPLINE Revoked Certificate Denied Certificate Denied Reissuance Denied Civil Penalty Decree of Censure Civil Penalty Suspension Voluntary Surrender Certificate Denied Certificate Denied Decree of Censure Certificate Denied Certificate Denied Certificate Denied Revoked Revoked Certificate Denied Civil Penalty Certificate Denied Decree of Censure Certificate Denied Civil Penalty Civil Penalty Certificate Denied Certificate Denied Revoked Revoked Revoked Decree of Censure Decree of Censure Certificate Denied Certificate Denied Voluntary Surrender Civil Penalty Certificate Denied Reissuance Denied Revoked Certificate Denied Certificate Denied Certificate Denied Revoked Revoked Decree of Censure Certificate Denied Certificate Denied Certificate Denied Civil Penalty Revoked Certificate Denied Decree of Censure Certificate Denied CNA Discipline - ACTION CLEARED 24 EFFECTIVE DATE NAME CERTIFICATE 1/26/2012 Allen, Maya L. CNA999994585 11/7/2011 Brent, John T. CNA999950704 1/26/2012 Lee, Linda F. CNA933654537 1/24/2012 Martinez, Silvia N. CNA371608621 11/18/2011 Miller, Myrna J. CNA031312803 1/20/2012 Sandidge, Saundra L. CNA999999432 10/19/2011 Sansom, Amanda R. CNA1000003223 1/13/2012 Wilhelm, Daryl R. CNA1000026989 arizona STATE BOARD OF NURSING REGULATORY JOURNAL OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 1/25/2012 1/19/2012 11/14/2011 1/19/2012 12/30/2011 1/19/2012 11/15/2011 12/23/2011 7/12/2011* 1/23/2012 11/7/2011 10/19/2011 12/21/2011 1/12/2012 11/30/2011 12/20/2011 11/22/2011 1/24/2012 12/13/2011 12/6/2011 1/4/2012 1/19/2012 12/19/2011 11/18/2011 12/23/2011 11/29/2011 1/24/2012 12/20/2011 1/24/2012 12/16/2011 11/28/2011 12/20/2011 11/15/2011 12/7/2011 11/4/2011 1/30/2012 1/12/2012 12/7/2011 11/14/2011 12/7/2011 10/27/2011 11/4/2011 1/25/2012 10/5/2011 11/28/2011 11/17/2011 10/25/2011 10/19/2011 1/4/2012 12/15/2011 11/17/2011 10/25/2011 11/4/2011 12/29/2011 11/15/2011 10/28/2011 11/17/2011 10/7/2011 1/23/2012 11/15/2011 12/2/2011 11/1/2011 1/4/2012 11/1/2011 11/30/2011 1/10/2012 10/10/2011 11/1/2011 1/9/2012 12/11/2011 12/12/2011 10/25/2011 12/27/2011 12/9/2011 10/28/2011 continued >>> NAME Acuna, Gloria Alban, Deborah T. Alonso, Salvador Askan, Tandie R. Baldwin, Janelle C. Barber, Kenneth G. Baringer, Marguerite D. Barton, Penny L. Beard, Jennifer L. Bergan, Mary Anne Biggs, Richard J. Bjarnson, Charlette Boliek, Heidi R. Bombino, Sandra J. Bosse, George S. Bowers, Kimberly S. Boyd, Richard O. Boyle, May Lou Brewer, Jane A. Bridgeman, Judy J. Bromenschenkel, Randy K. Brookman, Pamela R. Brown, Darlene Brown, Franklin P. Brown-Royston, Tinika M. Buresh, Kara J. Byrne, Derek F. Chadwick, Sunshine A. Champine, Christine A. Choi, Yoon Clement, Susan M. Collins, Roberta E. Cook, Nicole E. Cooper, Gina C. Craig, Marlene E. Dame III, Alfred O. Danger, Pamela S. Davis, Paula B. Davis, Roxanne Dorcis, Lori M. Dubois, Tammy Duke, Laura K. Emmons, Leeann C. England, Jonathan E. Errazo, Marilou Everett, Lana G. Fagrell, Anne-Sofie E. Ferolie, Nicholas W. Flint, Marie L. Fontaine, Helena O. Formica, Joyce A. Frank, Carey A. Freeman, Emily S. Freeman, Mary A. Gant, Lyncia D. Garcia, Rodolfo J. Gardner, Vallerie L. Gergus, Kristina M. Gramlich, Lou A. Graves, Tracy P. Green, Marie E. Greenwalt, Cynthia L. Grover, Diane M. Gumeringer, Ashley R. Hanks, Todd P. Harker, Lorraine K. Harline, Karen G. Harmon, Helen L. Harrelson, Vicki L. Harris, Susan M. Hasman, Starshine A. Heath, Sharon A. Hoffmann, Alan Hunter-mclean, Elana M. Jakes, Stephen J. LICENSE RN132120 RN043627 RN114840/AP2804/LP035715/CNA360297533 RN147488 RN171766 RN132972 RN122071 RN145785 RN148464 RN039079 RN104062 LP034280 RN109819 TRN097885 RN112317 RN062562 RN098682/CNA200313377 LP029966 RN157594 RN160637/LP027761 RN126295 LP042515 RN129329 RN049073/AP2488 LP045708 RN121495 RN146211/LP040391/CNA1000000434 RN119575/LP033382/CNA076321903 RN161499/LP043212/CNA999995739 RN157733 LP040250 RN102179 LP044370/CNA1000008280 RN128425 RN168071 RN124740 LP034039 RN041287/AP0843 RN157227 RN158422 RN144066 RN123946 Compact, RN168577 - TN RN Exam RN105263/LP032684/CNA826272441 LP007167 RN136071 RN171136 RN145772 LP044283 RN Endorsement RN060208 RN157783 RN140595 RN125485 LP Exam RN069104/LP020567 RN153096/LP043618 RN151045 RN126459/CNA999993210 RN142440 RN123397 LP041303 RN171287 LP045234/CNA1000022517 RN153660/LP043908/CNA1000007735 RN129779 RN098209/LP031447 LP014894 RN126695 RN156278 RN126933 RN095902 RN055756 RN155895/CNA999953076 DISCIPLINE Summary Suspension Voluntary Surrender Decree of Censure Voluntary Surrender Civil Penalty Voluntary Surrender Revocation Revocation Voluntary Surrender Voluntary Surrender Probation Probation Stayed Suspension with Probation Voluntary Surrender Voluntary Surrender Revocation Revocation Voluntary Surrender Decree of Censure Decree of Censure Voluntary Surrender Voluntary Surrender Probation Suspension Revocation Probation Probation Revocation Civil Penalty Civil Penalty Voluntary Surrender Revocation Revocation Stayed Suspension with Probation Voluntary Surrender Revocation Voluntary Surrender Decree of Censure Voluntary Surrender Probation Voluntary Surrender Probation Decree of Censure License Denied Probation Voluntary Surrender Decree of Censure Probation Revocation Voluntary Surrender License Denied Decree of Censure Probation Voluntary Surrender Revocation License Denied Revocation Decree of Censure Probation Revocation Suspension Voluntary Surrender Revocation Probation Stayed Revocation with Suspension Suspension Decree of Censure Probation Suspension Decree of Censure Decree of Censure Decree of Censure Decree of Censure Voluntary Surrender Revocation arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 11/15/2011 11/30/2011 12/8/2011 1/27/2012 10/18/2011 1/3/2012 11/14/2011 1/5/2011 1/4/2012 1/4/2012 1/5/2012 12/8/2011 12/14/2011 12/14/2011 1/25/2012 11/15/2011 11/29/2011 1/4/2012 12/29/2011 11/17/2011 1/3/2012 12/29/2011 9/23/2011* 11/30/2011 10/22/2011 11/1/2011 11/14/2011 1/24/2012 11/21/2011 10/19/2011 1/27/2012 1/31/2012 12/6/2011 11/29/2011 1/25/2012 1/6/2012 11/1/2011 1/31/2012 1/17/2012 12/8/2011 12/28/2011 10/14/2011 10/12/2011 10/28/2011 12/1/2011 1/9/2011 1/5/2012 10/25/2011 11/17/2011 10/6/2011 6/28/2011* 11/22/2011 11/28/2011 12/14/2011 11/15/2011 11/15/2011 1/24/2012 10/6/2011 11/21/2011 11/3/2011 1/3/2012 1/24/2012 10/20/2011 12/19/2011 12/1/2011 11/15/2011 12/23/2011 12/1/2011 11/22/2011 11/30/2011 12/30/2011 10/25/2011 1/25/2012 12/23/2011 26 NAME Johnston, Chris E. Johnstone, Linda T. Jones, Carol H. Kerrigan, Nancy D. Kippen, Betty J. Knerr, Gail D. Kodumal, Mathew G. Kometer, Adam J. Kopeikin, Carole L. Lacambra, Norman N. Laliberte, Rebecca L. Lebourdais, Kyle E. Lee, Gail R. Link, Adrienne J. Litzler, Kelee N. Losiewicz, Stephen M. Loughran, Marguerite A. Lynn, Lorna L. Magrady, Jennifer M. Mallett, Sarah A. Marcanio, Susan E. Marie, Katrinka Z. Marie, Katrinka Z. Martin, Christine A. McConnell, Steven A. McMahan, Alan W. McMurray, Kelly D. McNeal, Mary F. Megivern, Karen S. Mercado, Cassandra A. Miller, Lori M. Miller, Timothy R. Mills, Antonia D. Miranda, Angelica M. Mitchell, Jennifer L. Moedt, Rodney A. Monroe, Julia Moore, Justin T. Moran, Anamarie K. Morris, Craig A. Mossman-Bonnette, Amanda J. Newton, Trudy A. Nicholls, Amy T. Ochoa, Shirley M. Omanwa, Kefa N. Opuroku, Catherine Orozco, Mari M. Outar, Angela Oveson, Rhonda C. Owens, Michelle M. Oxenborg, Emily R. Patterson, Andrew J. Paul, Hannah N. Paul, Hannah N. Perry-Krause, Maggie M. Pettigrew, Lori E. Pierre, Marie E. Powell, Mark H. Provost, John J. Quiroz, Sapphire S. Radcliffe, Leslie C. Reese, Gwen R. Reidhead, Eileen Reinoehl, Kristi L. Resinger, Christopher S. Rifkind, Nancy E. Robertson, Colin D. Rodriguez, Maria A. Roebuck, Karen L. Roland, Brandi L. Rubio, Christine L. Sasek, Casey A. Sawyer, Russell S. Schaeffer, Carol A. LICENSE RN102748/CNA089715663 RN075203/LP024203 RN031353 RN092632 LP009425 RN070222 RN171362 LP040327/CNA999993010 LP006652 LP030186/CNA563162573 RN129279 RN087405 LP04401 RN000099210 RN Endorsement LP043411 RN038868 RN111082 RN171804 TRN167452 RN072084/AP1763 RN062302 RN062302 RN118256 LP043965/CNA999989778 RN120021 LP040046 LP007006 RN102304/AP1201 RN131999 RN152832 RN134811AP3087/AP2246 LP045223/CNA999999113 RN171572 RN172257 RN106554 RN092746 RN161670/LP044942 RN057618/LP019009 TRN127668 RN149990 RN162649 RN135542/LP039398 RN067171 LP045680 LP037173/CNA264445796 LP046865/CNA999953204 LP038970 RN088635 RN139574 RN090618 Compact, RN -TN RN150911 RN150911 RN054949 RN143047 LP034306 RN077937 RN137623 RN158606 RN121673/CNA999987590 LP031894 LP041037 RN147658 RN109727/LP034489 RN059278 RN156092/LP038750/CNA999997282 RN151838/LP042077/CNA1000006065 RN161059 RN140298/LP040947 LP042684 LP043220 RN149193 RN049306 arizona STATE BOARD OF NURSING REGULATORY JOURNAL DISCIPLINE Revocation Decree of Censure Revocation Stayed Revocation with Suspension Probation Stayed Revocation with Suspension Decree of Censure Probation Revocation Revocation Voluntary Surrender Stayed Revocation with Suspension Voluntary Surrender Voluntary Surrender License Denied Revocation Voluntary Surrender Revocation Probation License Denied Stayed Revocation with Suspension Voluntary Surrender Stayed Revocation with Probation Voluntary Surrender Probation Revocation Civil Penalty Decree of Censure with Civil Penalty Stayed Revocation with Suspension Voluntary Surrender Probation Decree of Censure Decree of Censure Stayed Revocation/Probation with Civil Penalty Decree of Censure Voluntary Surrender Decree of Censure Decree of Censure Voluntary Surrender Revocation Probation Voluntary Surrender Stayed Revocation with Probation Revocation Decree of Censure Decree of Censure with Civil Penalty Decree of Censure Decree of Censure Stayed Revocation with Suspension Decree of Censure Revocation Stayed Revocation with Suspension – Privilege to Practice Stayed Revocation with Suspension Voluntary Surrender Revocation Revocation Decree of Censure Stayed Revocation with Probation Decree of Censure Suspension Stayed Revocation with Suspension Probation Decree of Censure Voluntary Surrender Probation Revocation Probation Probation Decree of Censure Civil Penalty Decree of Censure Voluntary Surrender Voluntary Surrender Probation *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 11/16/2011 11/23/2011 11/15/2011 11/18/2011 1/3/2012 1/3/2012 10/19/2011 1/6/2012 12/29/2011 1/31/2012 10/27/2011 10/2/2011 12/8/2011 1/6/2012 11/28/2011 11/14/2011 10/1/2011 1/17/2012 10/25/2011 12/12/2011 1/23/2012 10/17/2011 10/3/2011 1/13/2012 1/24/2012 NAME Scherman, James M. Schwalm, Greg Schweitzberger, Tera L. Silva, Adriana M. Simmons, Kananionapua L. Solik-O’Shaughnessy, Dawn L. Spira-Oconnor, Andrea L. Spurgeon, Jane A. Stamps, Toni D. Stevens-Hjerpe, Vicki L. Taylor, Linda M. Trest, Jane K. Treviso, Gail M. Trosko, Michael A. Valenzuela, Armando L. Valenzuela, Jennifer L. Van Duyne, Joanne A. Wagner, Abby M. Wagner, Zachary P. Walsh, Anne M. Watson, Christina D. Wayman, Dayna L. West, Cara M. Whelan, Stacey E. Widemark, Erich A. LICENSE RN090586 LP041968 LP046229/CNA1000005375 LP039347 RN145294 RN088006 RN105615 RN080711 RN116652 LP031666 RN123927/CNA999990451 RN024805 RN150475/LP043073 RN153057 RN039029 RN143557 LP042235 RN133680 RN171211 RN140422 RN141003 LP042719 LP042367 RN127260 RN083736/AP0909/LP027298 1/4/2012 1/4/2012 1/20/2012 1/4/2012 Williams, Kelly L. Wilson-Taylor, Laurie A. Winikates, David M. Wright, Sean C. RN160817 RN101267/LP031543 RN117796 RN155595 RN-LPN - ACTION CLEARED EFFECTIVE DATE 1/26/2012 1/26/2012 11/3/2011 11/30/2011 11/14/2011 10/5/2011 11/18/2011 10/19/2011 1/26/2012 12/2/2011 1/25/2012 NAME Banuelos, Emilia Carter, Christopher A. Childers, Tonya L. Dancil, Ellyn M. Gilbert, Jennifer K. Hamilton, Brittani K. Lao, Yujun Jane Maloney, Violet S. Muchmore, Carolyne Pacheco, Melissa G. Olson, Shari E. LICENSE LP040527 LP045454 RN076293/LP024572 LP042108 RN153436/LP043389 RN137760/AP3220 RN145229 RN150824 RN044096 RN118541 LP040410/CNA1000001845 1/26/2012 11/18/2011 DISCIPLINE Decree of Censure Decree of Censure Revocation Probation Voluntary Surrender Probation Decree of Censure Decree of Censure Probation Decree of Censure Stayed Revocation with Suspension Decree of Censure Revocation Voluntary Surrender Decree of Censure with Civil Penalty Suspension Civil Penalty Voluntary Surrender Probation Decree of Censure Voluntary Surrender Voluntary Surrender Decree of Censure Stayed Revocation with Probation Decree of Censure; Voluntary Surrender of Prescribing and Dispensing Authority Revocation Revocation Voluntary Surrender Revocation OCTOBER, NOVEMBER, DECEMBER 2011 - JANUARY 2012 Saimo, Cybele E. Todorovich, Christina M. LP034051/CNA368462103 RN155267 NOVEMBER, RN-LPN - UPDATED LICENSURE STATUS OCTOBER, DECEMBER 2011 - JANUARY 2012 EFFECTIVE DATE 1/25/2012 10/7/2011 NAME Brown, Franklin P. Cruz, Rhodora B. 10/14/2011 Guarino, Paul 10/11/2011 Mahana, Larry M. 5/26/2011* 1/9/2012 Rader, Brandon R. Scarbeary, Lisa K. 11/14/2011 Tanner, Laura E. 1/12/2012 12/1/2012 Warren, Janice L. Young, Leslie D. LICENSE DISCIPLINE RN049073/AP2488 Probation — Completed terms of Suspension, license converted to Probation RN106055 Reissuance with Stayed Revocation Probation — Reissuance of RN license, conditional upon completion of RN Refresher Course Program TRN171803 Reissuance with Stayed Revocation Probation — Reissuance of RN, conditional upon completion of RN Refresher Course Program RN055977 Reissuance with Probation — Reissuance of RN license, conditional upon completion of RN Refresher Course Program RN128305 Probation — Completed terms of Suspension, license converted to Probation RN161148 Stayed Revocation with Probation — Completed terms of Stayed Revocation Suspension, license converted to Stayed Revocation Probation RN126412 Stayed Revocation with Probation — Failure to Comply with Licensing Board Order terms of Suspension RN141736 Probation — Completed terms of Suspension, license converted to Probation LP026109 Stayed Revocation with Probation — Completed terms of Stayed Revocation Suspension, license converted to Stayed Revocation Probation arizona STATE BOARD OF NURSING REGULATORY JOURNAL 27 ADVERTORIAL The University of Arizona Medical Center – University Campus Nursing Julio Loya, RN, BSN, Patient Care Manager Step-Down Trauma Unit; Cindy Rishel, RN, PhD, OCN®, Administrator, Nursing Research and Practice; and Vicki Began, RN, MN, VP of Patient Care Services and Chief Nursing Officer. At UAMC – University Campus we began our Magnet® journey in 2003 when we received our designation as a Magnet® hospital, the first hospital in Arizona to achieve this recognition of nursing excellence. Our decision to pursue this designation was based in the desire to bring formal recognition to the nursing excellence that already existed within our organization. Since that time we have been re-designated as a Magnet® hospital (2008) and have recently submitted our documentation for our second re-designation. Much has changed over those years within our organization, however, one constant remains: the commitment to nursing excellence and quality patient outcomes. Indeed, as our organization has matured, the structure and processes that are evident within Magnet organizations have been hardwired as we continue to provide outstanding services to our patients, their families and the community. In addition to our terrific nurses, UAMC - University 28 Campus offers: • Quality patient programs • Strong interdisciplinary partnerships with all members of the health care team that support positive patient outcomes • Collaborative nurse/ physician relationships • Opportunity to participate in evidencebased practice and/or nursing research in an academic medical center Our organization has reaped many benefits from being a Magnet hospital. The nation’s best nurses seek out Magnet Hospitals for employment because they know that the standard of care and professionalism is going to be of the highest caliber. As a result, our nursing turnover rate is 12.8% (compared to 14.2% nationally). The nursing vacancy rate is 4.3% (compared to over 11% at some Arizona hospitals). UAMC - University Campus’ annual nurse satisfaction surveys have shown satisfaction levels at or exceeding other Magnet hospitals. Magnet Hospitals are known to be “nurse-friendly,” providing a professional practice environment and extensive opportunities for professional development. And, more importantly, our nurses exercise control over their nursing practice through our shared governance model. Grounded in the five pillars of SMART Service (safety, mission focused, accountability, respect and team work), the service excellence arizona STATE BOARD OF NURSING REGULATORY JOURNAL program of The University of Arizona Health Network, nurses at UAMC – University Campus embody a culture of caring that supports the hospital’s vision of being “a guiding force for health and well-being”. Our patients are counting on the entire team to make a difference in ALWAYS providing VERY GOOD care and we don’t let them down. I am proud of our UAMC University Campus culture of nursing excellence which thrives as nurses demonstrate their commitment and dedication to caring for the patients they serve. Together we can be proud of our Magnet environment as we continue to grow and make a difference to our patients, to the families that support them, and to the community that sustains us all. Vicki Began, RN, MN VP, Patient Care Services and Chief Nursing Officer University Campus Celebrating NURSES Continuing the legacy Academic Medicine is Smart Medicine. SM The University of Arizona Medical Center is proud to recognize all of the nurses in our community and celebrates our eleven nurses selected for “Fabulous 50”. Thank you for your leadership, dedication and continual service. Congratulations to: Nikki Barkett, RN; Heidi Costello, RN; Jean Fedigan, RN; Tonda Franklin, RN; Skipper Haggard, RN; Patricia KieflPine, RN; Jayne Matte Wilson, RN; Connie Miller, CON; RaeLyn Musick, RN; Yuki Peterson, RN; and Cindy Rishel, RN. To learn more about career opportunities, please visit UAhealth.com. JOIN THE STRONGEST TEAM IN SOUTHERN ARIZONA. At The University of Arizona Medical Center, our nurses are an integral part of a team of professionals dedicated to advancing health and wellness through education, research and patient care. Put the strength of Academic Medicine behind your career. Opportunities are available for RNs, Nurse Leaders and Advanced Practice RNs at two exceptional campuses. • University Campus – Southern Arizona’s only Level I Trauma Center & Magnet hospital. • South Campus – one of Tucson’s finest centers for comprehensive healthcare with a new state-of-the art Behavioral Health Pavilion Magnet Recognition University Campus To learn more and apply, visit www.UAhealth.com. EEO/Affirmative Action Employers arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29 Nurse Network The “NEW” Classifieds (1.5” wide x 1” high) Reach every nurse in Arizona for as little as $290. BECOME A VISIONARY NURSE LEADER MSN and DNP Programs Now Enrolling Innovative format includes online course delivery and opportunities for personal interaction with faculty and peers in focused intensive sessions each semester. RESERVE YOUR SPACE NOW! Contact Victor Horne vhorne@pcipublishing.com 1-800-561-4686 ext. 114 970.248.1235 · coloradomesa.edu/healthsciences Over 30 years experience Fully Furnished, 1 Bedroom Close to 5 hospitals in Chandler, AZ Board Complaints and discipline matters RN OPENINGS Competitive wages + benefits BOOK NOW! Call 450-818-5141 or VegasDuo@gmail.com www.yourcozycondo.com Northern Cochise Nursing Home Northern Cochise Community Hospital, Inc. Apply at www.ncch.com 800.696.3541 EOEP $129.00 ACLS & PALS Courses BLS * NRP * First Aid * CCRN 623-388-8900 www.WizardEducation.com Enter WIZ-ANJ in the comment box to receive a free gift at class NURSING BOARD COMPLAINT? American Heart Association BLS ACLS PALS NRP CNA PAR EDUCATIONAL SYSTEMS LLC Simple- Effective learning! New 2010 Guidelines 602.510.3292 www.Pareducation.com 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 September 8, 2012 Phoenix, AZ Put your clinical experience to work in the exciting legal arena... take that first step today. Call 888-888-4560 or admin@lnccenter.com Visit www.LNCcenter.com Kelly J. McDonald, RN, JD EXPERIENCED, AGGRESSIVE TRIAL LAWYER REPRESENTING AZ NURSES SINCE 1998 FREE CONSULT FLAT FEES 480-525-8551 kelly@aznurselaw.com Go to www.aznurselaw.com to learn more about your rights at the State Board of Nursing Terry F. 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Jay Ryan, AB, JD Lisa Gervase, BS, JD Experienced Nurse–Attorney; Nurse Advocate Former Board Attorney & Administrative Law Judge Former Agency Attorney & Administrative Law Judge 602-993-3215 tsanziolaw@gmail.com FREE Training for Healthcare Professionals Contact Hours Available For a list of training sessions, go to www.iaatp.org. For more info or to register by phone, call Maria at 877-774-0111 ext 1980 30 I will be your legal advocate and protect your interests. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 623-937-3737 480-515-4801 LGervase@gervaselaw.com Visit www.arizonanurselawyers.com D i Together, g n i t y H ewe a l t are h . oamazing. rg At Dignity Health, talent and respect go handin-hand. Here, we are deeply committed to Together, we are amazing. providing an environment where employees At Dignity Health,and talent and respect to golearn hand-infeel welcome are encouraged from hand. Here, we are deeply committed to providing one another. Because when our individual an environment where employees feel welcome and views and experiences put together, are skills, encouraged to learn from oneare another. Because weour canindividual do amazing things. And exactly are when skills, views andthat’s experiences put what together, we can do amazing our patients expect fromthings. us. And that’s exactly what our patients expect from us. We’re Dignity Health, formerly Catholic Our focus on employee satisfaction hason helped us earn recognition as: Our focus employee satisfaction has helped usArizona’s earn recognition as: Companies, • 2011 Most Admired Az Business Magazine, BestCompaniesAz • 2011 Arizona’s Most Admired Companies, Az Business Magazine, BestCompaniesAz • 2011 Top 25 Workplaces for Women, Az Magazine, BestCompaniesAz • 2011 Top 25 Workplaces for Women, • 2011 The Valley’s Healthiest Employers, Az Magazine, BestCompaniesAz The Phoenix Business Journal • 2011 The Valley’s Healthiest Employers, The Phoenix Business Journal We’re Dignity Health, Catholic Healthcare Healthcare West.formerly Our Arizona region is West. The word “dignity” perfectly defines what comprised of Chandler Regional Medical our organization stands for: showing respect for Center, Gilbert Medical and all people byMercy providing excellent care.Center Our Arizona St. isJoseph’s Hospital and Medical Center. region comprised of Chandler Regional Medical Center, Mercy Gilbert Medical Center and To learn more about our culture and our St. Joseph’s Hospital and Medical Center. opportunities, visit chandlerregional.org, To learn more about our culture and our opportunities mercygilbert.org and stjosephs-phx.org. for nurses, visit chandlerregional.org, mercygilbert.org and stjosephs-phx.org. EOE. ©2012 Dignity Health. EOE. ©2012 Dignity Health. 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