arizona STATE BOARD OF NURSING VOL 8 t NO2 SEPTEMBER 2012 REGULATORY JOURNAL Building Foundations of Evidenced Based Regulation Informing Policy to Improve the Protection of the Public See pages 4, 8 and 18 Front row L to R=Kathy Miller, Nick DeFalco, Janine Hinton, Ruth Brooks Back row L to R=Pamela Randolph, Beatrice Kastenbaum, Debra Hagler, Carol Frazier Not pictured: Mary Mays and Dan Weberg Measuring Competency with Simulation -Research Team Review, Results, Conclusions Employment of Newly Licensed RNs 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 VOL 8 t N O 2t SEPTEMBER 2012 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 Nikki R. Austin, JD, RN ASSOCIATE DIRECTOR/INVESTIGATIONS & COMPLIANCE Pamela Randolph, RN, MS, FRE ASSOCIATE DIRECTOR/EDUCATION & EVIDENCE BASED REGULATION 4 6 From the Executive Director   8 4LHZ\YPUN*VTWL[LUJ` ^P[O:PT\SH[PVU CONTINUED COMPETENCE SUBCOMMITTEE An Evidence-based Approach to Regulation 9 10 11 BOARD MEMBERS Randy Quinn, MSN, CRNA PRESIDENT Patricia (Pat) Johnson, LPN 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 Kimberly (Kim) Post, RN, BSN, MBA/HCM, NEA-BC MEMBER Charleen Snider, BSN, RN MEMBER Kathryn L. Busby, JD PUBLIC MEMBER Joel S. Feldman, JD PUBLIC MEMBER 16 18 20 22 Volunteers Needed Staff Directory Employment Of Newly Licensed RNs PROGRAM OUTCOME INDEX©: A measure of program effectiveness Employment Patterns in RN Refresher Graduates: A four year follow-up CNA Corner  5\YZPUN(ZZPZ[HU[  Instructor Workshops arizona  EDITION 26 STATE BOARD OF NURSING REGULATORY JOURNAL 24 Regulation Rundown: New Nurse Practice Laws & Rules Effective 2012 pcipublishing.com Created by Publishing Concepts, Inc. $AVID "ROWN 0RESIDENT s DBROWN PCIPUBLISHINGCOM For Advertising info contact 6ICTOR (ORNE s  EXT  VHORNE PCIPUBLISHINGCOM ThinkNurse.com 25 26 CNA Disciplinary Action RN/LPN Disciplinary Action arizona STATE BOARD OF NURSING REGULATORY JOURNAL 3 From the Executive Director JOEY RIDENOUR, RN, MN, FAAN Defining Benefits or Outcomes of Effective Regulation The challenge that many nursing regulators face is the need to define the benefits or outcomes of effective regulation—namely, the benefits to and protection of the public. Several other benefits also emerge from “evidence-based regulation” (EBR), including the provision of data, linking of data points to inform resource allocations, improved decision making, and better accountability (Poister, 2003). The evidencebased regulation model evolving over the past decade at the Arizona State Board of Nursing (AzBN) requires regulators to ask challenging questions about practices and the manner in which the agency is currently operating. Examples of questions that have been explored and evidence collected by Pam Randolph, Associate Director of Education & Evidenced Based Education and community partners are: s Will competency assessment using high-fidelity simulation testing provide a reliable and valid Clearly, the time for evidencebased regulation has arrived, and regulatory agencies have a key role to play in developing new systems that will provide policy makers with valuable information that truly makes a difference. 4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL framework for identifying unsafe nursing practice behaviors and specific areas of a nurse’s practice needing remediation? s As compared to RNs in the Board database, what are the characteristics of 2006-2007 RN refresher course graduates in 2010-2011 in terms of demographics, licensure renewal and employment characteristics? s What articles support the most common approach to competency: mandating continuing education as a condition of licensure renewal? s What regulatory activities create the greatest impact when working with the educational leaders of Certified Nursing Assistant Programs in the areas of clinical supervision, assessment and compliance? Evidence-based regulation is complex and multidimensional. Although such regulation can aid greatly in informing policy, it is by no means a panacea to all current challenges of the regulatory system. Nevertheless, good evidence can provide regulatory leaders and policy makers with valid and timely information about how well or poorly specific programs or research projects performed. It is then up to the collective to respond deliberately and effectively in improving the protection of the public. Clearly, the time for evidence-based regulation has arrived, and regulatory agencies have a key role to play in developing new systems that will provide policy makers with valuable information that truly makes a difference. References Poister, T. (2003) Measuring performance in public and nonprofit organizations. San Francisco, Ca. Jossey-Bass 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: U Top Wages U Block Assignments U Daily Pay U Local Assignments U Sign On Bonus U Statewide Assignments U Direct Deposit U Priority Contracts U Credit Union U 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 5 BY PAMELA RANDOLPH RN, MSN, FRE ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE-BASED REGULATION MEASURING COMPETENCY with Simulation Problem: A valid and reliable assessment of competence is needed to support Board discipline in cases where a nurse’s practice would likely result in harm to others (Hinton, et al., 2012). After exploring a number of options for evaluating competence in nurses who were reported for practice breakdowns, a collaborative group consisting of the Arizona State Board of Nursing, Arizona State University and Scottsdale Community College developed a competency evaluation process using high-fidelity simulation (Randolph etal., 2012). Methodology: Prior to funding, a new instrument, the Nursing Performance Profile (NPP), was created using the framework developed by the Taxonomy of Error, Root Cause Analysis and Practice-responsibility project (TERCAP) and items based on National Council of State Boards of Nursing (NCSBN) Clinical Competency Assessment of Newly Licensed Nurses. Research funding was obtained from NCSBN’s Commitment to Regulatory Excellence Grant Program. Phase I research explored the validity of the NPP process. Volunteer nurses were videotaped performing patient care in 3 simulations; the videotaped performances were then rated by other nurses experienced in both practice and supervision. Results of the 3 analyses were complied to create a NPP for the individual nurse. The NPP included 9 competency categories and 41 items essential to maintain safe practice. 6 Results: Twenty-one Registered Nurse (RN) participants (N=21) completed 63 videos. Trained nursing experts completed blind ratings of the video-recorded performance of the RN participants. Mean interrater agreement across 41 items was 99.12% (SD = 2.18) and the Cronbach alpha was 0.91. Experienced nurses (M = -0.86, S = 0.50) performed significantly better (p < 0.001) than inexperienced nurses (M = -1.52, S = 0.91), confirming the validity of testing. Conclusions: Competency assessment using high-fidelity simulation testing provides a reliable and valid framework for identifying unsafe nursing practice behaviors and specific areas of a nurse’s practice needing remediation (Hinton etal., 2012). Regulatory Implications: The Board is currently using this process to evaluate nurses when investigative findings indicate that nursing competency may be an issue. The results of the assessment will be used to support Board decision making. The benefits of targeting remediation to demonstrated weaknesses in competency include improved patient outcomes and more efficient and effective remediation. Research Team: Janine E. Hinton, Ph.D, RN, Clinical Simulations Coordinator, Scottsdale Community College Debra Hagler, PhD, RN, ACNSBC, CNE, ANEF,Clinical Professor & Coordinator for Teaching Excellence, Arizona State University arizona STATE BOARD OF NURSING REGULATORY JOURNAL Mary Z. Mays, PhD, Associate Dean, Innovation Institute for Health Professions, School of Nursing and Health Professions, Brandman University (formerly Arizona State University) Pamela K. Randolph, BSN, MS, Associate Director Education and Evidence Based Regulation,Arizona State Board of Nursing Beatrice Kastenbaum, MSN, RN, CNE, Clinical Associate Professor, Simulation Coordinator, Arizona State University Ruth Brooks, MS, RN, BC, Director Learning Resource Center, Arizona State University Nick DeFalco, MSN, RN, Health Science Division Chair/NursingProgram Director,Scottsdale Community College Kathy Miller, MSN, RN, Nursing Faculty, Scottsdale Community College Dan Weberg, RN, MHI, BSN, Assistant Clinical Professor/Director Academy for Continuing Education, Arizona State University. References Hinton, J., Mays, M., Hagler, D., Randolph, P., Brooks, R., DeFalco, N., Kastenbaum, B., Miller, K., & Weberg, D. (2012). Measuring post-licensure competency with simulation: the nursing performance profile. Journal of Nursing Regulation. 3 (2), 45-53. Randolph, P., Hinton, J., Mays, M., Hagler, D., Brooks, R., DeFalco, N., Kastenbaum, B., Miller, K., & Weberg, D. (2012). Measuring Competence: A Unique Collaboration. Manuscript submitted for publication. Exciting position available in the MCC Nursing Department 12-month position in Kingman, Arizona Director of the RN Program SmartScrubs ™ We believe patient care begins with recognizing that everything you do contributes to protecting and restoring health. Our S.C.R.U.B.S. brand is designed for the ultimate in comfort and dependability so you can focus your attention where it matters most. S.C.R.U.B.S. Crafted for Comfort. Committed to Care™. Fantastic opportunity to save on the most comfortable solids available. 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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. Magnet Recognition University Campus  South Campus – one of Tucson’s finest centers for comprehensive healthcare with a new state-of-the art Behavioral Health Pavilion To learn more and apply, visit www.UAhealth.com. EEO/Affirmative Action Employers arizona STATE BOARD OF NURSING REGULATORY JOURNAL 7 CONTINUED COMPETENCE SUBCOMMITTEE An Evidence-based Approach to Regulation BY PAMELA RANDOLPH RN, MSN, FRE ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE-BASED REGULATION The Arizona State Board of Nursing (Board) is the public body in Arizona responsible for ensuring that nurses are competent to provide safe patient care. The Board ensures competency in newly-licensed nurses by requiring specific education and an examination (NCLEX®). For renewing nurses, the Board requires active practice as a condition of renewal. Realizing that practice and initial education/ exam may not be sufficient to guarantee competency, the Board explored effective ways to enhance and improve a licensee’s ability to provide safe patient care. From August 2010 through August 2011 the Continued Competence Subcommittee (CCS) as part of the Education Advisory Committee met for that purpose. As part of its work, the CCS reviewed over 42 (AZBN, 2011) articles and reports regarding competency. None of the articles supported the most common approach to competency: mandating continuing education as a condition of licensure renewal. The CCS recognized that both the employer and the Board have a stake in a nurse’s competency. For some competency issues, the employer is better able to detect and monitor the nurse than the Board. The CCS also examined the works of David Marx (2001) 8 and K. Scott Griffin (2010) regarding “just culture.” Both Marx and Griffith provide evidence that disciplining a professional based on a negative outcome actually results in the minimization of both system flaws and incompetent/reckless behaviors. For the unlucky professional caught in a human or system error, there can be harsh consequences. The unwitting result is an unsafe patient care system where atrisk and reckless behaviors are ignored and system errors are not considered. According to Marx and Griffin there are 3 types of errors made by healthcare professionals: human error, at-risk behavior, and reckless behavior. A “just culture” bases consequences on the behavior and risk involved, not the outcome. Many organizations including the American Nurses Association, Boards of Nursing in Ohio and North Carolina and several health care systems including Banner have explored adopting a “just culture” approach to practice errors. Under such a model, the potential exists for increased error reporting and understanding of errors. Board members are currently also exploring using a “just culture” framework to support decisions related to practice breakdown, arizona STATE BOARD OF NURSING REGULATORY JOURNAL REFERENCES Arizona State Board of Nursing (AZBN). 2011. Continued Competence Reference List. Available upon request prandolph@azbn.gov American Nurses Association (2010) . Position statement: Just culture. Available on 3/30/11 at http://www.justculture.org/ Downloads/ANA_Just_Culture. pdf. Griffith, K.S. (2010). Error prevention in a just culture: avoiding severity bias. The Joint Commission Perspectives on Patient Safety. 10 (3), 7-9. George, J. (October, 2011) Dealing with errors using “just culture.” PowerPoint Presentation. North Carolina Board of Nursing. Available by request prandolph@azbn.gov. Houchen, B. (October, 2011) The Ohio Board of Nursing patient safety initiative. PowerPoint Presentation. Available by request from prandolph@azbn.gov Marx, D. (2001) Patient safety and the “just culture:” a primer for health care executives. New York, NY: Columbia University Ohio Board of Nursing, (undated). Patient safety initiative: creating a culture of safety and accountability. Available on 3/29/2011 at www. nursing.ohio.gov. VOLUNTEERS NEEDED For a Clinical Simulation Project Being conducted by: Arizona State Board of Nursing Arizona State University Scottsdale Community College STUDY PURPOSE Healthcare safety is a concern in today’s workplace as there is substantial evidence that medical errors are a leading cause of death and injury in the United States. Patient safety, including prevention of errors and complications is a priority goal in nursing practice. Simulations that accurately reflect common nursing care scenarios may be useful for increasing registered nurses’ ability to avoid errors. DESCRIPTION OF RESEARCH STUDY If you decide to participate, then you will join a study funded by the National Council of State Boards of Nursing involving research of competency evaluation using simulation scenarios. Volunteers are needed who are: (a) Registered Nurses with varying years of nursing practice experience, or (b) Registered Nurses with a Bachelor’s degree or higher and three years or more of nursing experience who work in a role that involves evaluation of the nursing practice of others. Registered Nurses with varying years of experience will be asked to participate in individually scheduled 3 ½ hour session and complete 3 simulation scenarios. Prior to the 3 ½ hour session, you will receive an orientation to the simulation environment and set a date to receive the information needed to prepare for the simulation scenarios. Registered Nurses with a Bachelor’s degree or higher and three years or more of nursing experience who work in a role that involves evaluation of the nursing practice of others will be asked to rate video recorded nursing practice of others acting in simulation scenarios. COSTS AND PAYMENTS The researchers want your decision about participating in the study to be absolutely voluntary. Yet they recognize that your participation may pose some inconvenience. In order to show our appreciation for your time, we will give you a token of appreciation at the completion of each simulation session or evaluation session of video recorded performances. This token of appreciation is a $30.00 gift card to a local store. If you do not complete the simulation session or the evaluations you will not receive the gift card. BENEFITS OF PARTICIPATION During Phase I of this study, volunteers stated that participating in the simulations or evaluations provided them with following benefits: s “I learned so much about evaluating nursing competency” s “Doing the simulations gave me a chance to practice my skills” s “It was really a lot of fun to care for the simulation patients in a risk-free environment” s “Being a participant offered me a chance to contribute to better care for all” For more information contact project secretary at (480)-425-6909 or simresearch@sccmail.maricopa.edu arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9 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, FRE 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 Kirk Olson Lead Senior Investigator 602.771.7824 kolson@azbn.gov Dolores Hurtado, Senior Investigator Complaints - Intake Triage Coordinator Donna Wilson Administrative Assistant -Triage 602.771.7806 dwilson@azbn.gov Lila Wiemann Administrative Assistant lwiemann@azbn.gov Cristina Oates Administrative Assistant to Associate Director Operations/Licensing 602.771.7805 coates@azbn.gov CANDO Judy Pendergast, RN Nurse Consultant – CANDO 602.771.7864 jpendergast@azbn.gov Olga Zuniga Administrative Secretary – CANDO & Monitoring 602.771.7865 ozuniga@azbn.gov COMPLAINTS-INTAKE Dolores Hurtado, Senior Investigator Complaints-Intake Triage Coordinator 602.771.7845 dhurtado@azbn.gov 10 EDUCATION 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 Donna Frye RN/LPN Renewals 602.771.7833 dfrye@azbn.gov Opal Wagner, RN, BSN Nurse Practice Consultant/ CNA Programs 602.771.7857 owagner@azbn.gov Deborah Richards Senior Investigator 602.771.7850 drichards@azbn.gov Helen Tay CNA Exam/Endorsements 602.771.7832 htay@azbn.gov Dirk VandenBerg, Sr. Senior Investigator 602.771.7817 Lisa Hubbard Scanning/Verifying 602.771.7843 lhubbard@azbn.gov 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 Susan Barber, RN, MSN Nurse Practice Consultant 602.771.7851 sbarber@azbn.gov Vicky Driver Administrative Assistant 602.771.7852 vdriver@azbn.gov INVESTIGATIONS Janeen Dahn, MS, FNP-C Advanced Practice Nurse Consultant 602.771.7814 jdahn@azbn.gov Janet (Jan) Kerrigan RN, BSN Nurse Practice Consultant 602.771.7820 jkerrigan@azbn.gov Jeanine Sage, RN, MSN Nurse Practice Consultant 602.771.7815 jsage@azbn.gov Kristi Hunter, MSN, FNP-C Advanced Practice Nurse Consultant 602.771.7854 khunter@azbn.gov Mary Rappoport, RN, MN Nurse Practice Consultant 602.771.7816 mrappoport@azbn.gov Ruth Kish, RN, MN Nurse Practice Consultant 602.771.7823 rkish@azbn.gov Tamara Greabell, MA, BSN, RN Nurse Practice Consultant 602.771.7813 tgreabell@azbn.gov Teddylen Guffey, MHSA, RN,LNCC Nurse Practice Consultant 602.771.7811 tguffey@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL Doug Parlin Senior Investigator 602.771.7822 dparlin@azbn.gov Linda Monas Senior Investigator 602.771.7826 lmonas@azbn.gov Ron Lester Senior Investigator 602.771.7825 rlester@azbn.gov Jennifer McWilliams Legal Assistant 602.771.7835 jmcwilliams@azbn.gov Lisa Youtsey CNA Renewals 602.771.7836 lyoutsey@azbn.gov Monica Ortiz Scanning/Verifying 602.771.7831 mortiz@azbn.gov Paula Delphy RN/LPN Endorsements 602.771.7834 pdelphy@azbn.gov MAILROOM LEGAL SECRETARIES Debra Kunkle 602.771.7876 dkunkle@azbn.gov Barbara Melberg Legal Secretary 602.771.7840 bmelberg@azbn.gov MONITORING Dorothy Lindsey Legal Secretary 602.771.7841 dlindsey@azbn.gov Llysia Gauntt Legal Secretary 602.771.7842 lgauntt@azbn.gov Trina Smith Legal Secretary 602.771.7844 tsmith@azbn.gov Diva Galan, JD Senior Investigator 602.771.7862 dgalan@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 INFORMATION TECHNOLOGY Adam Henriksen 602.771.7807 ahenriksen@azbn.gov Cory Davitt 602.771.7808 cdavitt@azbn.gov LICENSING Becky Melton RN/LPN Exam 602.771.7830 bmelton@azbn.gov Cristina Oates Advance Practice Certifications 602.771.7805 coates@azbn.gov Madelyn Emerson 602.771.7871 memerson@azbn.gov Nancy Davis 602.771.7872 ndavis@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov Arizona State Board Of Nursing EMPLOYMENT OF NEWLY LICENSED RNs BY PAMELA RANDOLPH RN, MSN, FRE ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE-BASED REGULATION Background In 2010 the Arizona State Board of Nursing began receiving numerous comments from new graduate RNs regarding difficulty seeking employment. In response to the comments and in an effort to quantify the problem, the Board initiated annual survey of newly licensed nurses (Randolph, 2010). To ascertain if there has been any improvement in employment prospects for newly licensed RNs, new graduates were surveyed again in 2011 (Randolph, 2011) and now in 2012 which is the subject of this report. Review of Problem The National Student Nurses Association conducted a survey of employment among new graduates in 2009 and found that 44% did not have jobs within a month of graduation. 50% of those who did not have a job had associates degrees, 38% had baccalaureate degrees. The most common reason for not having a job was that there were no jobs for new graduates in the area. Arizona new grads were among the highest in the nation who cited “no jobs for new graduates in the area” as the reason for non-employment (Mancino, 2009). Mancino (2011) repeated the survey in 2011 and found that 36% of graduates did not have employment within 4 months of graduation, an 8% decrease in unemployment. Graduates in the Western area of the United States had the lowest employment rate (55% West; 72% Central). In Arizona, there was a 3% increase (70 students) in RN graduates in 2011 when compared to 2010 with a decrease in associate degree graduates and an increase in baccalaureate degree graduates. There was an overall 157% increase in graduates from RN programs between 2002 (1074) and 2011 (2761) (Randolph, 2012). Efforts to increase the number of new nurses were supported both nationally and locally with increased funding for nursing programs and subsidies for students. Throughout the early and mid-2000’s a shortage was experienced and an even worse crisis predicted. The prime strategy for alleviating this predicted shortage was to increase the supply of new nurses. Future predictions were based on the average age of the RN and assumptions regarding retirement and economic growth (Buerhaus, 2009). Students were recruited into nursing with promises of easy employment, job mobility and high salaries. However, recently those projections have been modified. Aurebach, Buerhaus and Steiger (2011) reported that the registered nurse supply is growing faster than projected due to younger persons entering the profession. In an effort to understand employment of newly licensed RNs in Arizona and provide comparison data, the Arizona State Board of Nursing surveyed all persons licensed by exam (e.g. new graduates) in AZ between April 2, 2011 and April 1, 2012, the same time frame as the 2010 and 2011 surveys. As in previous surveys, the queries required participants to indicate if they are practicing as registered nurses, where they were practicing and the type of residency/on-boarding they received. From those who were not practicing, queries were focused on their perception of why they were not practicing, their efforts to obtain work, and what would be acceptable working conditions for them. Answers to the following questions were obtained from the surveyed population across 3 years of surveys. 1. What is the percent of newly licensed RNs currently practicing and not practicing registered nursing? 2. Are there differences between practicing and not practicing RNs in terms of length of licensure and nursing program characteristics? 3. In which settings are newly licensed RNs practicing? 4. What are the reasons newly licensed RNs are not practicing? 5. How many applications/written inquiries for employment were made by non-practicing newly licensed RNs? 6. What workplace settings did non-practicing RNs apply to? 7. What are non-practicing RNs seeking in terms of shift, and salary? In 2011 and 2012 the employed RN group was also queried regarding residency (on-boarding) programs at their employment site. Residency programs to continued on page 12 >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 <<< continued from page 11 help newly licensed RNs adjust from the student role to the RN role are recommended by both the recent Institute of Medicine report on the future of nursing (Institute of Medicine, 2011) and the Carnegie Report on nursing education (Benner, Stupen, Leonard & Day, 2010) Questions related to nurse residency programs included: 1. Does your employer offer a nurse residency program to help you transition to clinical practice? 2. For those that answered yes, what is the employment setting of the residency program? 3. Which of the following best describes the length of the residency program (respondents were divided into acute care and non-acute care)? Results — 2012 Electronic mail surveys were sent to 2593 RNs with e-mail addresses who were initially licensed within the past year (April 2, 2011-April 1, 2012). Of that total, 49 surveys were returned undeliverable resulting in a surveyed population of 2544 recently licensed RNs. Respondents were informed that responses were anonymous and would be recorded as aggregate data only. Each respondent’s survey consisted of 10 or fewer questions using Survey Monkey®. The survey was triangulated so the employed population answered different questions than the unemployed. The first question was about practice then the survey asked different questions of practicing and non-practicing RNs. The Board is concerned that non-practicing new graduate nurses will lose competencies gained in nursing education as a result of delayed employment. There were a total of 547 responses out of 2544 surveys mailed yielding a response rate of 22%. Of those responding 79% indicated they were practicing as an RN with 21% not currently practicing. This represents a slightly worse employment outlook for newly licensed nurses when compared to 2011 but is almost identical to 2010. Of the respondents 34% were BSN educated and 65% AD educated. This data must be interpreted cautiously due to low response rates however the ratio of BSN to AD is comparable to that of the total population of new graduates (32% BSN; 68% AD). Practicing & Non-Practicing Newly Licensed RNs 12 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Type of Nursing Program There were few differences in percentages between practicing and non-practicing RNs in terms of educational preparation in 2012. Thirty-five percent of practicing nurses are BSN prepared as compared to 31 percent of non-practicing nurses indicating little preference among all employers for BSN prepared nurses. Associate degree nurses comprise a slightly larger percentage (67%) of the non-practicing nurse population than the overall sample population (65%). Newly Licensed RNs Percent Employed by Degree and Year Length of Licensure Length of licensure was different between the practicing and non-practicing groups with 74% of the non practicing nurses licensed less than 6 months versus 36% of practicing nurses. These nearly mirror 2011 results. In the past 2 years there was a considerable lapse of time from licensure to employment with 43% of the practicing nurses reporting 9-12 months of licensure. The chart below illustrates differences between practicing and non-practicing RNs over length of licensure. The most common length of licensure (43%) for practicing nurses was 9-12 months in 2011 and 2012 as compared to 1-3 months (30%) in 2010. 2012 Percent of Nurses Reporting Practice Status following Licensure Employment by Length of Licensure Number of Applications or Written Inquiries by Non-Practicing RNs Practice Characteristics In response to a question about practice characteristics, practicing nurses overwhelmingly have full time nursing jobs with benefits (77%) with 7% having a full time job without benefits. Approximately 6% have a part time job with no benefits and 3% have more than one job with no benefits. Approximates 2% have a part-time job with benefits and 4% have more than one RN job with at least one job having benefits. No nurses reported working as a volunteer. These results are comparable to 2010 and 2011 data. The majority of working RNs have jobs in acute care (70.2%); this represents a slight increase in new graduate acute care employment from 2011 when 68% of newly licensed nurses were employed in acute care. Long-term care is the next largest category with 11% employed in that setting, a decrease from the 16% in 2011 and the 12% in 2010. Seven percent are working in psychiatric care. Settings Non-Practicing RNs Selected for Application Reasons for Not Practicing Similar to 2010 result, the most common reason cited for not practicing was “not enough jobs for new RN grads in the area” (56%). However this response was chosen by 91% of respondents in 2011. Twenty-six percent chose “do not have the experience background employers are seeking.” Acceptable Work Hours for Non-Practicing RNs Efforts of Non-Practicing RNs to Seek Employment Forty percent of non-practicing RNs have made over 50 applications or written inquiries for employment. Below are the results of the query by percent of RNs. These results are similar but slightly less than 2011 results. When asked to select all settings to which they had applied, 91% of the nurses applied to acute care, 56% to long term care, 47% to home health, 43% to state and federal facilities. Four percent reported not applying for an RN position. The top 10 settings for applications were acute care, long term care, home health, state/federal facility, psychiatric care, public health, ambulatory care, community health center, temporary agency and private physician office. Acceptable Working Conditions Non-practicing nurses were asked, “If you were offered an RN job, which shifts/working hours would you accept.” Overwhelmingly, this population would accept any shift including nights (86%) and weekends (92%). The lowest response for acceptable hours was part-time (76%) and nights (86%). The highest was for days and limited to week days (95% each). continued on page 14 >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 <<< continued from page 13 As far as acceptable salary 50% non-practicing RNs said they would only accept the same beginning salary as other RNs in the facility. Thirty-three percent would accept a lower salary during orientation/preceptorship for up to 6 months. Fourteen 14% would work up to 6 months unpaid with a gradual increase in salary over a year. There appears to be more graduates who would accept lower salaries than previous years. Residency Experience Newly licensed employed nurses were asked about whether their employers offered a residency experience to help them transition into practice. Less than half (46%) reported that their employer offered such a program. Ninety-three percent of those whose employer offered a residency program worked in acute care settings; 3% worked in long-term care. For acute care nurses, the most common length of the residency program was 2-3 months (31%). However 22% reported a residency program of greater than 6 months, nearly double the percent (12%) reporting a greater than 6 months residency in 2011. Five percent reported less than a month. For those nurses working in non-acute care settings, the length of residency was shorter with 36% reporting less than a month. Again, while there were no reports of a residency lasting longer than 6 months in non-acute care in 2011, 14% of respondents reported such a residency in 2012. Experts suggest (Instituted of Medicine, 2011; Benner, Stupen, Leonard & Day, 2010) that residency program be 6 months to one year in acute care and at least 3 months Length of Residency Program - 2012 in non-acute settings. Comments The Board received 241 comments which have not been analyzed. Conclusions While most experts agree that the nursing shortage is still looming, a gap between the number of new RNs prepared and the number of jobs available for them 14 arizona STATE BOARD OF NURSING REGULATORY JOURNAL still exists. According to this survey, approximately 20% of newly graduated RNs licensed in Arizona are not able to obtain employment in nursing. Three years of data suggests that this is not due to lack of effort or undue “selectivity” in the type of job sought. There were few differences in the data between this year and last however, despite anecdotal reports to the contrary and last year’s results, there does not appear to be significant selective hiring of BSN educated nurses. Due to low response rates, these data should however, be interpreted with caution. Similar to last year, fewer than half of employed new graduate nurses report that their employers offered a residency program. If the employer offered a residency program, it was most likely in acute care and of 3 months or less duration. If a residency was offered in non-acute care it tended to be a month or less in duration. However there are increasing numbers of residencies lasting 6 months or longer in both acute and non-acute settings. Experts suggest (Instituted of Medicine, 2011; Benner, Stupen, Leonard & Day, 2010) that residency program be 6 months to one year in acute care and at least 3 months in non-acute settings. References Auerbach, D., Buerhaus, P., & Staiger, D. (2011) Registered nurse supply grows faster than projected amid surge on new entrants ages 23-26. Health Affairs, 30 (12), 2286-2292. Benner, P., Sutphen, M., Leonard, V, & Day, L. (2010). Educating nurses a call for radical transformation. San Francisco: Josey-Bass. Buerhaus, P., Staiger, D., and Auerbach, D. (2009) The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett. Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press. Mancino, D (2011). Inaction is not an option. Dean’s Notes, 33(2), 1-3. Mancino, D. (2009). Entry level positions for new graduates: Real-time dilemma requires real-time solutions. Dean’s Notes, 31(1), 1-3. Nurse Executive Center (2008). Bridging the preparation practice gap. Washington,DC: Advisory Board Company. Randolph, P. (2010). Employment of newly licensed RN’s 2010. Available at azbn.gov/Education. Randolph, P, (2011). Employment of newly licensed RN’s 2011. Available at azbn.gov/Education. Randolph, P (2012) Annual Reports from Nursing Programs—2011. Available atazbn.gov/Education. Now Offering ® Developers of ProActive Solution Say Goodbye to Blemishes, Wrinkles and Sun Damage! 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While first time NCLEX® pass rates are viewed by stakeholders as a measure of quality, if a program does not graduate the majority of admitted students in the prescribed time, the pass rate can become a measure of individual aptitude and self teaching capacity, not overall program educational performance. The public and certifying agencies are interested in knowing attrition and persistence of students in programs in additions to licensure exam pass rates. Starck, Love and McPherson (2008) call for measuring “on time” (e.g. according to the published curriculum plan) graduations as opposed to graduations within 150% of the allotted time. Conversely just taking “on time” graduate percentages without licensure exam results may reflect lack of rigor or grade inflation in programs. Combining and giving equal weight to these numbers will reflect both how the educational programs meet the learning needs of students and the academic rigor of the program. The Board is well aware that admission policies may also affect pass and completion rates as students who are not well grounded in essential reading and math skills will have difficulty comprehending nursing knowledge. The Arizona Administrative Code (R4-19204), requires program faculty together with the program administrator to set the admission and progression standards of the program. Faculty and administrators should ensure that those admitted to the program are given the essential tools in terms of teaching content and modalities to succeed in graduating on schedule and passing NCLEX on the first attempt. As part of the Annual Reports from Arizona Nursing Education Programs (available at www.azbn.gov/Education) on-time graduation rates from each nursing program’s 16 arizona STATE BOARD OF NURSING REGULATORY JOURNAL reported data were calculated and added to the NCLEX first time pass rate obtained from NCLEX Reports to calculate a “Program Outcome Index”©. The “Program Outcome Index”© is a measure of the program’s ability to educate, and make eligible for licensure, admitted students in an optimal time-frame. The maximum index is 200 (100% NLCEX first-time pass rate and 100% on-time graduation). The mean index in 2011 was 157. Index scores ranged from a high of 195 to a low of 119. The top 6 program outcome indicies were: University of AZ (195), Pima Medical InstituteTucson (186), Pima Medical Institute-Phoenix (185), Arizona State University (185), Coconino Community College (183) and Northern Arizona University (183). There was a difference in outcome index means between associate degree and baccalaureate programs with baccalaureate programs at 165 and associate degree at 155. LPN program mean index was lower than RN at 154 vs. 158, a reflection of increased attrition. There was no difference in index means between private and public programs except in BSN programs. The mean program outcome index was 188 in public baccalaureate programs (total enrollment 976 students) and 141 in private baccalaureate programs (total enrollment 1025 students). All outcome indicies of Arizona pre-licensure nursing programs can be found in the full article, Summary and Analysis of Annual Reports from Arizona Nursing Education Programs 2011 available on the Board’s website listed above. Further study is warranted to determine trends and factors that influence the outcome index of nursing programs. RESOURCES Starck, P., Love, K. & McPherson, R. (2008) Calculating graduation rates. Journal of Professional Nursing, 24(4) 197-204 Collaboration MeetAbrazo... EducationInnovation Stewardship Respect Not Just Health Care, It’s People Care. Accountability Excellence Leadership 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. Integrity Compassion We are currently seeking: RNs Abrazo Health Care Hospitals Offer: 2 &$'+!+!-#)!* 2!#%+#!*!&%%*,)% 2  " 2)%!$ 2,!+!&%!$,)*$%+ /!+!%))%-%$%+&''&)+,%!+!*.!+ you throughout our health care network. Please apply online at: www.abrazohealth.com (,#''&)+,%!+0$'#&0) Living our values 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!! UT CA For more information and to apply, please visit our website at www.AvalonHCI.com. At Maricopa Integrated Health System, in Phoenix, AZ, our values inspire us to dream big and reach high. And we’re delivering some of the most sophisticated care in the country, while making a genuine difference in the lives of our patients and each other. That’s the power of a nursing environment driven by values like respect, leadership, and education. Besides that, we have the largest teaching hospital in AZ, the 2nd largest burn center in the nation, a level 1 Trauma Center and a 24/7 Level 1 Pediatric Trauma Unit. Please join us. We offer ˆ'SQTIXMXMZI[EKIW ˆ0MJIPSRKTIRWMSR upon retirement ˆ+IRIVSYW483 10 holidays/year AZ HI EOE Learn more and apply at www.mihs.org arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 EMPLOYMENT PATTERNS IN RN REFRESHER GRADUATES: A four year follow-up BY PAMELA RANDOLPH RN, MSN, FRE ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE-BASED REGULATION Abstract* Statement of Research Project/ Topic: Refresher courses have the potential to expand the pool of available nurses however longitudinal data is lacking to describe employment patterns in refresher graduates four years after course completion. The Arizona State Board of Nursing (Board) seeks this evidence to inform refresher course requirements. Research Questions: As compared to RNs in the Board database, what are the characteristics of 20062007 RN refresher course graduates in 2010-2011 in terns of demographics, licensure renewal and employment characteristics? Sample: 103 registered nurses who completed a refresher course in 2006 or 2007 (RCN) and approximately 60,000 RNs in the Board’s database. Design: Descriptive study using a longitudinal cohort design. Results: More RCNs (85% vs. 80-82%) renewed their license as compared to all nurses in 2010 and 2011. RCNs were composed of: fewer males (5% vs. 10%); more nurses between 45 and 54 (46% vs. 25%); more diploma educated (12% vs. 2%); and more Caucasians (78% vs. 73%). RCNs worked less frequently in hospitals (42% vs. 61%) and more often in Eighth Annual medical surgical units (23% vs. 16%). RCNs more often worked part-time (52% vs. 25%) and seasonally (22% vs. 13%). Implications: Results support refresher courses as a viable pathway to re-enter the profession. Regulations for refresher courses should include a medical-surgical curriculum base with options to study other specialties and clinical experiences in a variety of settings. * Randolph, P. (August, 2012) Poster session presented at the annual meeting of National Council of State Boards of Nursing Delegate Assembly, Dallas, TX Nursing Continuing Education CRUISE April 14-21, 2013 Cruise your way to Carnival’s Magic! One of the newest and largest Fun Ships Who says Continuing Education can’t be fun? CE hi Day Sun Mon Tue Wed Thu Fri Sat Sun Port Galveston, TX Fun Day At Sea Key West, FL Freeport, The Bahamas Nassau, The Bahamas Fun Day At Sea Fun Day At Sea Galveston, TX nkN Arrive Depart 4:00 PM 10:00 AM 8:00 AM 7:00 AM 6:00 PM 5:00 PM 5:00 PM m CRUISE T Nursing CE Credits in the Eastern Caribbean aboard Nurse.c o ink m Th on our largest ship Ever! u r s e.c o 8:00 AM Join ThinkNurse and Poe Travel for our 8th Annual CE Cruise. Cruise the Caribbean on Carnival’s Magic while you earn your annual CE credits and write the trip off on your taxes! Prices for this cruise and conference are based on double occupancy (bring your spouse, significant other, or friend) and start at only $1088 per person (not including airfare to Galveston) A $250 non-refundable per-person deposit is required to secure your reservations. Please ask about our Cruise LayAway Plan! Conquer the High Seas with the Carnival Magic. It’s one of their newest and largest “Dream Class” ships. With so much to do onboard you may not want to go ashore! Dining, live music, Seaside outdoor theatre, resort pools, stage shows and Karaoke, bars, pubs and clubs, Casino and gaming, spa and fitness center—even the first-ever ropes course at sea! And that’s only scratching the surface! Do try to work in a little shore time to visit the unique and beautiful Key West. You’ll be intrigued by the Bahamas. It’s all the more enjoyable knowing you are coming back to Magic! For more information about the cruise and the curriculum, please log on to our Web site at ThinkNurse.com or call Teresa Grace at Poe Travel Toll-free at 800.727.1960. 18 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9LHJO 9LJY\P[ 9L[HPU arizona ARD STATE BO OF NURSINGL tions Building Founda sed of Evidenced Ba Regulation y to Improve Informing Polic of the Public the Protection 8 and 18 See pages 4, Y customer satisfaction URNA TORY JO MEASURING OUTCOMES REGULA Accountable to the Public O VOL 8 t N 2 SEPTEMBER 2012 NGOING METRICS ELLENCE JECT ANALYSIS RESEARCH RES GIBLE GIBLE ENCE N es research Protection of the public data t mance N M S ACCOUNTABLE TO THE PUBLIC Ruth Brooks Janine Hinton, Miller, Nick DeFalco, um, Debra Hagler, Front row L to R=Kathy a Randolph, Beatrice Kastenba Weberg Back row L to R=Pamel Mays and Dan Not pictured: Mary n -Research Team Carol Frazier ncy with Simulatio Measuring Compete , Conclusions Review, Results of Employment ed RNs Newly Licens Mailed to every nurse in Arizona – over 90,000. The Arizona Board of Nursing JOURNAL to reserve advertising space Choose Well. Choose TMC. contact Victor Horne vhorne@pcipublishing.com 1-800-561-4686 ext.114 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 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 Join an environment that is fun, challenging and rewarding. Check out all of our available positions at jobs.tmcaz.com 5301 E. Grant Rd. 4Tucson, AZ 85712 (800) 526-5353 ext. 42775 EOE Tobacco-Free Workplace When you choose a place to work... Choose Well arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19 CNA CORNER BY OPAL WAGNER, RN, BSN NURSE PRACTICE CONSULTANT, CNA EDUCATION PROGRAMS ENHANCING THE TESTING & CERTIFICATION EXPERIENCE FOR STUDENTS @ UPDATE YOUR EMAIL/MAILING ADDRESS Please make sure your address 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 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. 20 The Board appreciates the efforts of CNA program instructors and coordinators in adapting to Web E test. Three areas are still problematic and need your help to enhance the testing and certification experience for students. s CNA candidates whose photo identification does not match the name they are registered under with Headmaster will not be permitted to test. This applies to hyphenated names, nicknames and all other name variations. There are no exceptions. It is highly recommended that all CNA training programs view each student’s photo I.D. at the time of the initial registration with Headmaster, to be sure they are being registered under their full and correct legal name. This will avoid the hardship it creates for students when they are turned away at the testing site on exam day because their photo I.D. does not match the name under which they registered. s CNA candidates copies of photo identification submitted with their applications must be legible. Many of the photocopies of driver’s licenses received are too dark to read. A deficiency notification must then be mailed to the applicant, who must then submit a new copy of his or her I.D., causing delays in the processing of CNA candidates’ applications. s Since January 1, 2012, the Certificates of Completion issued by Headmaster are the official record of CNA program completion and are the only Certificates of Completion accepted by the Arizona State Board of Nursing. Applications containing Certificates of Completion issued by individual training programs can only be accepted for applicants who completed their training prior to Jan. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 1, 2012. Please inform the CNA students that their applications cannot be processed without the Certificate of Completion issued by Headmaster. Headmaster LLP will be facilitating a Nursing Assistant Instructor workshop at College America – Phoenix, 9801 North Metro Parkway, Phoenix, AZ 85051 on Saturday, January 12, 2013 from 9:00 a.m. – 12:00 p.m. This workshop is the day after the CNA Educator’s Retreat. Headmaster’s Nursing Assistant Instructor workshops are designed to help new program instructors better understand the testing process for their candidates. Registration forms are available on Headmaster’s website (hdmaster.com). Limited seating is available, so please register as soon as possible if you plan to attend so that arrangements can be made to accommodate the volume of registrants. There is no fee for the workshop. If your site would like to host an instructor workshop, please call Headmaster at 1-800-3938664. The 2013 Tenth Annual CNA Educators Retreat, “Building a Quality CNA Program One Block at a Time,” will be held January 11, 2013 at the Black Canyon Conference Center, 9440 North 25th Avenue, Phoenix, AZ 85021. This retreat will focus on the tools necessary to enhance instructional effectiveness in both classroom and clinical settings and promote program success in the areas of clinical supervision, assessment and compliance. The Annual CNA Educators Retreat provides a unique opportunity for the CNA education community in Arizona to come together to exchange ideas and learn together. Please check for further details and registration information on the Board’s website, www. azbn.gov in September 2012. Navajo Technical College What P.O. Box 849, Crownpoint, NM 87313-0849 ASSOCIATE DEGREE NURSING PROGRAM Invitation to apply for the following positions: t%JSFDUPSPG/VSTJOH1SPHSBNT/VSTJOH%FQBSUNFOU$IBJS t/VSTJOH1SPHSBN*OTUSVDUPS Magnet® means to us… Excellent benefit package. MSN, nursing education experience required. View full job descriptions at IUUQXXXOBWBKPUFDIFEVJOEFYQIQIVNBOSFTPVSDFT Contact Human Resources at 505-786-4109 ... Magnet means having the support to do what’s best for the patient, best for each other, and best for our careers! Nursing Careers at Arizona’s 1st and only Magnet Hospital System You’ve arrived. Located in beautiful Scottsdale, AZ, non-profit Scottsdale Healthcare is a leader in medical innovation, talent and technology with three state-of-the art facilities and a genuine commitment to nursing. Our nursing opportunities give you the perfect way to work with the patient populations you love. You’ve chosen your field of expertise. Let us give you the autonomy and support to care for your patients. We currently have opportunities for: Registered Nurses ' !# ! '$! You’ve put years of hard work, education and training into establishing a great career for yourself. Your compassion and commitment to quality caring have placed you among the best in the profession. Now it’s time to enjoy the incomparable rewards of a career with Yavapai Regional Medical Center in Prescott, Arizona. The acuity and advanced technology are just what you’re used to. But living here is far beyond the expected. Please apply now for future openings in: ‡51&OLQLFDO,QIRUPDWLFV$QDO\VW ‡+HDOWK,QIRUPDWLRQ0DQDJHPHQW ‡(PHUJHQF\'HSDUWPHQW ‡,&8&9,&8&925 ‡0HG6XUJ7HOH ‡6XUJLFDO6HUYLFHV $!"!##!" To take the first step, visit us online at: www.mycareeratyrmc.org. ,f you are a qualified candidate for any of these positions, please apply online or e-mail resumes to VIPCareerNetwork@yrmc.org. For further information, contact . our recruiter at 877-976-9762 ' $# ! '!!% ! We invite you to join us and become part of the first multihospital health system in Arizona to attain elite Magnet recognition. Learn more at: ""! Two great hospitals. One caring spirit. Text RNJobs to 447363 [HireMe] for exclusive employment messages. (2( EOE/AA/M/F/D/V arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21 D&S Diversified Technologies LLP HEADMASTER LLP P.O. Box 6609 ~ Helena, MT 59604 Toll Free: 1-800-393-8664 ~ Fax: 406-442-3357 hdmaster@hdmaster.com www.hdmaster.com Headmaster LLP Innovative, quality technology solutions throughout the United States since 1985. July 18, 2012 Dear Nursing Assistant Training Program Instructor, Below is a list of upcoming Arizona nursing assistant (NA) instructor workshops, which will be facilitated by Headmaster, (D&S Diversified Technologies). The NA Instructor workshops are for training program instructors and program coordinators. These workshops are designed to help new program instructors better understand the testing process for their candidates. Register as soon as possible so we can arrange to accommodate those interested in attending the workshop. Please fax this form to Headmaster (D&S Diversified Technologies) at 406-442-3357. There are limited seats available. We will confirm your workshop reservation via phone, email or letter or you may call 800-393-8664 to confirm your faxed registration. Workshop session length is approximately 3-4 hours. You are welcome to bring something to snack on and drink for yourself to the workshop. There is no workshop fee. IF YOUR SITE WOULD LIKE TO HOST AN INSTRUCTOR WORKSHOP PLEASE CALL HEADMASTER AT 1-800-393-8664 INSTRUCTOR WORKSHOPS LOCATION COLLEGE AMERICA – PHOENIX 9801 North Metro Parkway Phoenix, AZ 85051 DATE AND TIME CHECK WORKSHOP ATTENDING MORNING SESSION ONLY *Saturday – Jan. 12, 2013 9:00 a.m. – 12:00 p.m. *(This workshop is the day after the CNA Educator’s Retreat) YOU CAN REGISTER UP TO TWO INSTRUCTORS PER FORM: NAME:_________________________________PH# :_____________________EMAIL:___________________________ NAME:_________________________________PH# :_____________________EMAIL:___________________________ TRAINING PROGRAM:______________________________________________________________________________ ADDRESS:________________________________________CITY_______________________ ZIP:_________________ PHONE_______________________________________________ FAX_______________________________________ THANK YOU, 7HUHVD:KLWQH\ ARIZONA NURSING ASSISTANT PROGRAM MANAGER HEADMASTER LLP - D&S DIVERSIFIED TECHNOLOGIES LLP 1-800-393-8664 ~ FAX: 1-406-442-3357 ~ EMAIL: hdmaster@hdmaster.com 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL TIRED OF NURSING? 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EOE Visit Boise State, School of Nursing Programs http://hs.boisestate.edu/nursing/programs/ 1910 University Drive • Boise, ID 83725 • 208.426.4143 Online! › Part-time/Full time! › Convenient! arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23 REGULATION RUNDOWN: New Nurse Practice Laws & Rules Effective 2012 BY PAMELA RANDOLPH RN, MSN, FRE ASSOCIATE DIRECTOR/EDUCATION AND EVIDENCE-BASED REGULATION Nurse Practice Act Changes Senate Bill 1362, a bill that defines certified registered nurse anesthetists (CRNA) and delineates their scope of practice was signed by Governor Brewer and is effective August 2, 2012. This is the first statutory change to CRNA practice since 1970 (40+ years ago) and represents a 2 year collaborative effort between the Board, CRNAs, anesthesiologists, lobbyists and other stakeholders. The law specifically gives CRNAs authority to order medications. A full copy of the bill can be accessed on the legislative website: http://www. azleg.state.az.us. The nurse practice act is updated on the Board website to incorporate the new regulations. Agency Rulemaking Due to a rulemaking moratorium since January 22, 2009 the Board has been unable to initiate rulemaking for the past 3.5 years. The moratorium was recently lifted for professional regulatory boards. The following is a description of current rulemaking activities: s R4-19-515 and 516 are being repealed as they are replaced by the statutory changes to CRNA practice in SB 1362 s R4-19-311 is a rule that incorporates model nurse licensure compact model rules. The reference will be changed from the 1999 version of the model rules to the 2008 version. 24 Changes between the previous version of the model rules and the current version include: additional options regarding evidence of primary state of residence, course of action if the nurse is residing outside of the United States, course of action for a revoked, suspended, surrendered or denied license and clarifying language. s Article 3 has been revised and is at the Governor’s Regulatory Review Council (GRRC) for courtesy review. A docket was opened and published in the Register on June 22, 2012. Changes include: incorporation of “2011 Uniform Licensure Requirements” adopted by National Council of State Boards of Nursing (NCSBN), increased consistency between the Board’s rules and other state laws, revision of the passing standard on English language proficiency examinations for graduates of international nursing programs, revision of certification requirements of school nurses and clarification of activities that would meet the Board’s practice requirement for renewal. Definitions of new terms used in proposed Article 3 will be added to R4-19-101. A copy of the proposed rules will be posted on the Board’s website and published in the Register upon receipt of the courtesy review. The public is invited to comment at that time. arizona STATE BOARD OF NURSING REGULATORY JOURNAL s Article 2 is being extensively revised by the Education Committee and other stakeholders. A draft of the finalized rules will be sent to all nursing programs for review and comment. After a courtesy review has been obtained, a draft version will be posted on the Board’s website, published in the Register and be open for public comment. s Article 5 is being extensively revised by the Advanced Practice Committee. A final draft will be submitted to GRRC within the next few weeks for a courtesy review. Changes center around incorporation of consensus model language which was adopted by NCSBN in 2008. After a courtesy review has been obtained, a draft version will be posted on the Board’s website, published in the Register and be open for public comment. s Article 8 regarding certified nursing assistants is scheduled for review and revision fall 2012. The person to contact at the Board regarding proposed changes to the rules is: Pamela Randolph Associate Director Education & Evidenced Based Regulation E-mail: prandolph@azbn.gov 602-771-7803 *Not reported in previous Journal CNA DISCIPLINARY ACTION FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 4/23/2012 4/11/2012 5/8/2012 5/2/2012 3/26/2012 3/12/2012 3/12/2012 5/8/2012 2/14/2012 5/8/2012 5/30/2012 3/26/2012 4/16/2012 3/26/2012 5/8/2012 4/4/2012 3/26/2012 3/26/2012 5/8/2012 5/8/2012 5/8/2012 3/30/2012 3/14/2012 5/4/2012 5/22/2012 5/8/2012 5/22/2012 2/16/2012 5/2/2012 3/7/2012 4/27/2012 5/8/2012 3/26/2012 5/21/2012 3/12/2012 2/14/2012 3/14/2012 5/15/2012 3/26/2012 4/29/2012 5/7/2012 5/8/2012 2/28/2012 5/8/2012 2/10/2012 3/26/2012 2/28/2012 3/25/2012 5/30/2012 5/8/2012 5/22/2012 3/26/2012 4/20/2012 3/14/2012 4/10/2010* 5/8/2012 2/16/2012 2/8/2012 5/8/2012 3/26/2012 3/26/2012 4/13/2012 5/24/2012 5/30/2012 3/12/2012 3/28/2012 3/26/2012 continued >>> NAME Abeita, Lavena R. Arevalo, Wendy Ariza, Henry Baker, Anneka S. Barak, Saundra M. Blanton, Josh T. Brake, Sarah E. Bruce, Gwendolyn M. Caldwell, Mychelle L. Calman, Elisabeth A. Clayton, Kiaqunta M. Cook, Krista O. Corona, Briana M. Davis, Mara Dixon, Michele A. Duncan, Chrystall D. Dungan, Melissa B. Ehlert, Jessica L. Ellis, Vanessa M. Folts, Jessica N. Foote, Caroline K. Garcia, Jayce L. Gergal, Lindsey F. Glasper, Shanea M. Gormley, Kimberly Graham, Lorie L. Guyette, Ashley L. Hayes, Amee M. Herrera, Nathaniel A. Hooten, Latrish D. Horner, Adrian Hunter, Frances B. Irwin, Sesha N. Jackson, Jasmine A. Johnson, Bobbery N. Johnson, Keisha R. Jones, Mia L. Keach, William G. Kennedy, Cassandra E. Knicely, Patricia D. Kovats, Marcella M. Liska, Kimberly L. Lohman, Jason E. Lopez, Marisela Madrigales, Imelda Martinez, William R. Masche, Barbara M. Mathe, Toshia L. Mccoy, Shemise A. Mcilvane, Billie Jo Montano, Sergio M. Natonie, Gabriella H. Nelson, Emma J. Parrish, Marcia L. Puig, Patricia A. Quintana, Yuruby Robinette, April M. Robison, Thomas C. Romero, Teresa G. Romo, Daniella V. Salcido, Lisa L. Santos, Yolanda D. Stevens, Julie L. Stewart, Dorothea Stuehm, Melody A. Tabron Jr, James O. Thompson, Marsha M. CERTIFICATE CNA982178353 CNA1000000245 CNA999952064 CNA Applicant CNA1000024454 CNA Applicant CNA Applicant CNA1000010309 CNA Applicant CNA095148803 CNA Applicant CNA1000011440 CNA1000006041 CNA503843334 CNA138354441 CNA1000002000 CNA1000019089 CNA1000012550 CNA1000006597 CNA1000013467 CNA1000008615 CNA Applicant CNA Applicant CNA1000013228 CNA1000013220 CNA1000011718 CNA1000016247 CNA Applicant CNA Applicant CNA Applicant CNA Applicant CNA1000022445 CNA1000018654 CNA1000017859 CNA Applicant CNA1000032556 CNA Applicant CNA Applicant CNA1000010553 CNA1000024097 CNA Applicant CNA999999576 CNA614758593 CNA1000019751 CNA999995712 CNA999988624 CNA999951928 CNA1000003852 CNA Applicant CNA999953106 CNA999989039 CNA1000010782 CNA1000032436 CNA Applicant CNA911899103 CNA1000013094 CNA999990413 CNA1000014751 CNA1000016611 CNA1000009444 CNA464390803 CNA1000024304 CNA1000028567 CNA Applicant CNA Applicant CNA596448969 CNA1000002613 DISCIPLINE Revocation Civil Penalty Revocation Denial of Initial License Revocation Denial of Initial License Denial of Initial License Revocation Denial of Initial License Revocation Denial of Initial License Revocation Civil Penalty Revocation Revocation Decree of Censure Revocation Revocation Revocation Revocation Revocation Denial of Initial License Denial of Initial License Civil Penalty Decree of Censure Revocation Suspension Denial of Initial License Denial of Initial License Denial of Initial License Denial of Initial License Revocation Revocation Decree of Censure Denial of Initial License Civil Penalty Denial of Initial License Denial of Initial License Revocation Civil Penalty Denial of Initial License Revocation Decree of Censure Revocation Voluntary Surrender Revocation Voluntary Surrender Civil Penalty Denial of Initial License Revocation Suspension Revocation Voluntary Surrender Denial of Initial License Voluntary Surrender Revocation Voluntary Surrender Decree of Censure Revocation Revocation Revocation Decree of Censure Voluntary Surrender Denial of Initial License Denial of Initial License Civil Penalty Revocation arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 CNA DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 5/8/2012 4/16/2012 5/10/2012 3/14/2012 2/1/2012 3/26/2012 3/22/2012 5/8/2012 2/13/2012 5/8/2012 4/5/2012 NAME Toepel, Lauri A. Trisoliere, Trent L. Tsingine, Theyve Villaraza, Margarita K. Watson, Alexandra J. Watson, Dustin Whitmore, Mamie J. Wold, Lezly A. Wood, Alice J. Yale, Katrina M. Zarate, Armida J. CERTIFICATE CNA999999133 CNA1000033326 CNA Applicant CNA Applicant CNA1000020926 CNA1000008087 CNA Applicant CNA1000019023 CNA Applicant CNA1000009135 CNA1000026804 DISCIPLINE Revocation Civil Penalty Denial of Initial License Denial of Initial License Decree of Censure Revocation Denial of Initial License Revocation Denial of Initial License Revocation Civil Penalty CNA Discipline - ACTION CLEARED EFFECTIVE DATE NAME CERTIFICATE 5/31/2012 Esquer, Melissa CNA1000011602 4/3/2012 Pauley, Cathy A. CNA706741189 4/3/2012 Snyder, Vicki J. CNA908311769 4/3/2012 Whitney, Diane J. CNA451529803 FEBRUARY, MARCH, APRIL, & MAY 2012 *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 5/8/2012 3/16/2012 3/13/2012 3/2/2012 2/24/2012 4/17/2012 5/15/2012 2/2/2012 3/5/2012 3/26/2012 2/13/2012 3/8/2012 3/28/2012 3/19/2012 5/2/2012 2/24/2012 3/9/2012 5/8/2012 3/12/2012 5/21/2012 5/8/2012 5/25/2012 3/2/2012 5/29/2012 3/22/2012 3/19/2012 4/16/2012 4/27/2012 5/17/2012 5/1/2012 5/8/2012 NAME Acheson, Nancy M. Acuna, Gloria L. Alkhafi, Karissa N. Allen, John C. Amerine, Paula A. Anderson, Angela M. Aunquoe, Karen L. Azrak, Michael S. Backman, Daniel E. Bague, Carlos G. Barranco, Ruben B. Bass, John A. Begley, Colleen A. Belshe, Gayle G. Boudra, Rebecca I. Bowser, Eva M. Boyett, Julie A. Brady, Kathleen L. Brent, Catherine D. Brooks, Elizabeth K. Brown, Valerie P. Bucci, Nancy K. Burke, Jennifer D. Caldwell, Deena L. Canode, Frances J. Case, Rebecca S. Chapman, Linda L. Chardome, Elizabeth Chrisler, Joann R. Christian, Casey J. Cobb, Tonya L. LICENSE LP024034 RN132120 RN158852 RN159804; CRNA0632 RN102798 RN161562 RN083176; LP026104 RN091249 RN065323 RN145866 RN157291 RN157887; LP043971 RN150957 RN024898 LP033553 LP019908 RN090697; LP029478 RN096105 LP037622; CNA159162103 RN058707; AP0239 LP041953 RN048380 RN162675; CNA1000011599 RN099838; LP030577 RN148569 RN069044 LP036342 RN151311 LP045764 RN129051; LP035864; CNA700728313 RN132537 continued >>> 26 arizona STATE BOARD OF NURSING REGULATORY JOURNAL DISCIPLINE Revocation Voluntary Surrender Suspension Revocation Decree of Censure Voluntary Surrender Voluntary Surrender Decree of Censure Voluntary Surrender Revocation Probation Revocation Revocation Probation Voluntary Surrender Voluntary Surrender Stayed Revocation with Suspension Revocation Denial of License Renewal Probation Revocation Decree of Censure Voluntary Surrender Stayed Suspension with Probation Revocation Suspension Decree of Censure Decree of Censure Probation Stayed Suspension with Probation Revocation RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 3/15/2012 2/9/2012 5/13/2011 * 3/20/2012 4/5/2012 3/19/2012 3/26/2012 4/9/2012 5/8/2012 3/19/2012 2/23/2012 3/29/2012 5/22/2012 4/10/2012 5/21/2012 4/17/2012 5/21/2012 3/29/2012 5/8/2012 4/18/2012 3/30/2012 2/16/2012 2/14/2012 5/15/2012 2/9/2012 5/11/2012 5/22/2012 3/26/2012 2/24/2012 4/11/2012 3/19/2012 3/15/2012 5/15/2012 4/25/2012 9/22/2011 * 4/13/2012 5/8/2012 3/26/2012 2/13/2012 5/8/2012 5/8/2012 3/15/2012 5/8/2012 4/25/2012 2/6/2012 3/13/2012 5/8/2012 3/26/2012 3/15/2012 5/10/2012 4/5/2012 3/19/2012 3/26/2012 4/12/2012 2/28/2012 5/8/2012 2/27/2012 5/21/2012 5/29/2012 NAME Crawford, Susan R. Crotinger, Rebecca F. Crouch, Susan E. Crowe, Katherine L. Debska, Barbara J. Delhuerto, Gail J. Dewitt, Davida J. Dunklin, Diane L. Dunn, Steven S. Erickson, Tonya E. Escalante, Laurie B. Faraci, April D. Feeney, Andrea M. Fenbert, Laura K. Ferrell, Melissa L. Freeman, Tamara L. Friend, Susan A. Garrison, Angela D. Gash, Erica M. Gilmore, Lillian K. Gollihur, Michele N. Gonzales, Alberto M. Gonzales, Lesa M. Grayeske, Mary Guarino, Paul Gulich, Jennie L. Hansen, Mark A. Harton, Faith A. Hayes, Aaron J. Heil, Trudy R. Hickman, Sharon R. Hill, Patricia P. Hollawell, Deborah K. Hood, Hope S. Hoult, Michael A. Hoyt, Donna M. Hsiao, Janet C. Huff, Brian J. Johnson, Melissa M. Jones, Robert T. Jordan, Nicole D. Kaufman, Sally C. Kelso, Theresa Kerz, Nancy E. King, Janet K. King, Tressa M. Lambert, Natasha R. Layne, Lisa M. Lebourdais, Kyle E. Lee, Candace Sharae Lemert, Donna E. Lindquist, Steven P. Lopez, Deborah A. Lubinski, Sandra M. Lussier, Krista A. Lyle, Lorraine J. Lynch, Stephanie A. Lynn, Karen J. Marcanio, Susan E. LICENSE RN115472 RN155961; LP043777; CNA1000000462 NC RN215816 RN137700 RN173689 RN156290 LP036646 RN Applicant RN107235 RN162762 RN054368; SN0261; LP016353 LP046426 TRN168214 LP038853 RN142120 RN159137 RN150060 RN135467 RN127937; LP038803; CNA410751641 RN166543; CNA1000016954 RN150363; LP039113 LP032748; CNA031689133 RN088545 RN142741 TRN171803 RN130331 RN122665; AP1758 LP038341 RN165398 RN056661; AP0213 LP042726 RN032530 RN105070 RN073429 LP032529 RN135962 RN121350 RN142487 RN170218 RN134092 LP045420; CNA843401574 RN123997 RN095337; AP2247 RN066309 RN142826 RN163448 CO RN 188737 RN130495 RN087405 RN146535 RN046827 RN131174 LP046590 RN116696 RN126872; AP3229 RN096077 RN172980 RN128327; LP038607 RN072084; AP1763 DISCIPLINE Voluntary Surrender Decree of Censure Revocation - Privilege to Practice Voluntary Surrender Decree of Censure Stayed Revocation with Probation Revocation Denial of Initial License Revocation Probation Decree of Censure Stayed Suspension with Probation Voluntary Surrender Decree of Censure Decree of Censure Decree of Censure Probation Voluntary Surrender Revocation Decree of Censure Probation Decree of Censure Voluntary Surrender Revocation Revocation Voluntary Surrender Stayed Revocation with Suspension Revocation Probation Voluntary Surrender Stayed Suspension with Probation Voluntary Surrender Voluntary Surrender Voluntary Surrender Revocation Probation Revocation Revocation Civil Penalty Revocation Revocation Voluntary Surrender Probation Decree of Censure Decree of Censure Voluntary Surrender Revocation - Privilege to Practice Revocation Voluntary Surrender Civil Penalty Voluntary Surrender Voluntary Surrender Revocation Voluntary Surrender Decree of Censure Revocation Probation Civil Penalty Voluntary Surrender continued >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 27 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 5/22/2012 5/8/2012 3/19/2012 4/24/2012 4/4/2012 3/20/2012 5/8/2012 5/3/2012 8/27/2010 * 4/25/2012 4/25/2012 3/7/2012 4/16/2012 2/15/2012 4/10/2012 3/26/2012 2/21/2012 2/9/2012 3/27/2012 3/27/2012 3/20/2012 3/20/2012 5/8/2012 3/28/2012 4/2/2012 3/19/2012 4/26/2012 5/8/2012 5/29/2012 4/11/2012 3/19/2012 3/5/2012 5/22/2012 3/26/2012 4/9/2012 5/24/2012 3/26/2012 5/9/2012 4/5/2012 4/5/2012 4/27/2012 5/22/2012 2/23/2012 5/8/2012 2/9/2012 2/3/2012 3/20/2012 2/23/2012 2/8/2012 5/22/2012 4/9/2012 4/25/2012 3/26/2012 5/8/2012 5/8/2012 5/22/2012 5/23/2012 3/1/2012 5/8/2012 4/6/2012 4/24/2012 NAME Matken, Rekha Mcgonagle, Margaret A. Menegay, Karen P. Milan, Suzanne M. Miller, Julie M. Miller, Marlene A. Miller, Peggy E. Miller, Timothy R. Milles, Kevin J. Mills, Jaime S. Mincks, Susan J. Mitchell, Jennifer A. Moore, Karen S. Morrisette, Adrina L. Moskowitz, Alan J. Munoz, Joe D. Murray, Trisha A. Neufeldt, Deborah M. Newmoon, Elaine M. Newmoon, Elaine M. Nigh, Amberli D. Nutter, Tracey L. Nydam, Katie B. Ogrady, John J. Ophals, Maryann S. Outlaw, Amy C. Padilla, Harry J. Page, William C. Parchment, Mikra S. Paris, Asa S. Parker, Angel M. Parker, Janeile L. Parpart, Andrea M. Patton, Thomas L. Pearson, Heather A. Peckinpaugh, Sharon D. Polanco, Nancy A. Potter, Ileen G. Rentschler, Caleb J. Renz, Amanda K. Rhodes, Pamela R. Richerson, Misty M. Risley, Summer A. Rock, Cynthia L. Rowe, Laurie D. Rubenbauer, Lisa K. Scheuler, Meara B. Schleusner, Thomas R. Shaw, Cameron K. Siminski, Irene P. Siripoon, Mayuree Sledge, Chelsea L. Smith, Holly K. Smith, Terri L. Stanley, Mark T. Sterrenberg, Keith A. Stinnett, Rhonda G. Stroud, Michael A. Stump, Virginia Thomas, Jennifer G. Thomas, Rebecca U. LICENSE RN137992; AP2375 RN136467 RN046037 RN147685; LP042988 RN134141 RN145554; LP035719; CNA893429413 LP038617 RN134811; AP3087; AP2246 LP043941 RN155878; CNA1000007827 RN129859 LP045304 RN038791 LP044936 RN153886 LP029628 RN114949 RN045441 AP1516 RN064934 RN138798; CNA1000001320 RN171051 RN155988 RN135233 RN083086; CRNA0074 RN151577 RN157200 RN154093 LP044366 RN167732 RN118421 RN Applicant RN133307 LP045289; CNA1000013780 RN173711 RN094546; CNA449486103 LP040666 LP014738 RN156807 RN146688 LP034017 LP046211; CNA999993307 RN165458; CNA1000015865 LP042880 LP039057 RN128437 RN173233; CNA1000018678 RN157656 RN150964 RN062451; LP020645 RN094885; AP4090 RN163585 LP043727 RN100459 RN156750 RN173870; LP046299 VA RN0001129968 RN165349 RN109792 RN105846; CNA592836843 RN115794; AP3060 continued >>> 28 arizona STATE BOARD OF NURSING REGULATORY JOURNAL DISCIPLINE Civil Penalty Revocation Voluntary Surrender Voluntary Surrender Stayed Revocation with Suspension Voluntary Surrender Revocation Probation Probation Decree of Censure Decree of Censure Stayed Revocation with Suspension Stayed Revocation with Suspension Civil Penalty Voluntary Surrender Revocation Probation Decree of Censure Voluntary Surrender Decree of Censure Probation Civil Penalty Revocation Probation Decree of Censure Civil Penalty Decree of Censure Revocation Decree of Censure Decree of Censure Probation Denial of Initial License Stayed Suspension with Probation Revocation Civil Penalty Probation Revocation Voluntary Surrender Decree of Censure Voluntary Surrender Voluntary Surrender Decree of Censure Decree of Censure Revocation Civil Penalty Civil Penalty Civil Penalty Voluntary Surrender Probation Stayed Revocation with Probation Civil Penalty Decree of Censure Revocation Revocation Revocation Decree of Censure Voluntary Surrender - Privilege to Practice Decree of Censure Revocation Stayed Revocation with Suspension Decree of Censure *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION FEBRUARY, MARCH, APRIL & MAY 2012 EFFECTIVE DATE 5/8/2012 3/5/2012 3/20/2012 2/13/2012 4/7/2012 3/26/2012 5/21/2012 4/19/2012 2/9/2012 5/9/2012 5/22/2012 3/22/2012 3/19/2012 4/25/2012 3/6/2012 NAME Thurman, Anna M. Todd, Emily S. Uchendu, Dumebi Vanderwalker, Linda S. Velvick, Kathleen R. Watson, Tracy L. Welker, Devin J. Wells-obannion, Debra Wiest, Donna T. Williams, Stephanie I. Wilson, Margot V. Winters, Leslee A. Worden, Rachel L. Wunschel, Irene U. Zuendel, David K. LICENSE RN138358 RN146021 RN148845 RN071998; LP023408 RN129160; CNA010370641 LP040344; CNA1000001895 RN159646 LP034806 LP046588 LP Applicant RN0001168942VA RN083201; LP026957; CNA860445763 RN148966 LP012417 LP024984 RN-LPN - ACTION CLEARED EFFECTIVE DATE 5/22/2012 4/3/2012 3/30/2012 4/3/2012 5/25/2012 5/31/2012 4/3/2012 NAME Abbuhl, Carolyn D. Albillar, Brett M. Albro, Traci L. Allen, Tonya L. Beekman, Judith A. Blakney, Jeffrey L. Champine, Christine A. 2/3/2012 5/21/2012 5/30/2012 5/25/2012 5/25/2012 5/30/2012 5/31/2012 4/3/2012 Gibbs, Joseph W. Gibson, Bruce J. Hall, Gwendolyn L. Hammond, Jodi R. Hatman, Sandra E. Holmes, Beverly A. Lepa, Julieanne D. Long, Sandra K. LICENSE RN024917 RN162242; LP045387 LP046778 RN136991 RN129503 RN131380 RN161499; LP043212; CNA999995739 LP048091; CNA1000027089 RN165803 RN026024; AP0244 RN164915 RN088769; AP1438 RN060562 RN087011; AP1231 RN079849; AP2928; LP008978 4/3/2012 5/31/2012 5/31/2012 2/13/2012 3/20/2012 5/22/2012 2/10/2012 4/3/2012 DISCIPLINE Revocation Voluntary Surrender Civil Penalty Stayed Suspension with Probation Decree of Censure Revocation Suspension Civil Penalty Decree of Censure Denial of Initial License Decree of Censure Decree of Censure Stayed Revocation with Suspension Voluntary Surrender Voluntary Surrender FEBRUARY, MARCH, APRIL & MAY 2012 Mcneal, Mary F. Merrill, Amy R. Morton, Denise S. Rockney, Susan A. Sims, Connie L. Walker, Heather M. Wisner, Pamela D. Wister, Kirsten E. LP007006 RN115430; LP035988 RN063829; LP020621 LP026432 LP020118 RN123582 RN102410 RN097845; AP3956; AP2534 MARCH, APRIL RN-LPN - UPDATED LICENSURE STATUS FEBRUARY, & MAY 2012 EFFECTIVE DATE 5/29/2012 NAME Abruzzese, Nicole D. LICENSE LP041598 3/7/2012 Burns, Michelle B. RN078233 3/12/2012 5/24/2012 2/12/2012 7/25/2011 * 2/10/2012 2/9/2012 4/9/2012 Colombo, Kim M. Duke, Laura K. Faulx, Lori A. Gaspard, Robert Newton Ghramm, Kimberly A. Harrington, Tameria L. Johnson, Brenda M. RN077125 RN123946 RN153031 RN105934 RN090737 RN103861 RN057354 LP018864 5/3/2012 5/21/2012 Johnson-Swanson, Debra A. Pomay-o, Randy A. RN059424 RN126186 2/22/2012 Whiteman, Bonnie A. RN129696 DISCIPLINE Completed terms of Stayed Revocation/Suspension, license converted to Stayed Revocation/Probation. Reissuance of RN license with Stayed Revocation/Probation, conditional upon completion of RN Refresher Course Program. Failed to comply with terms of Probation, license converted to Stayed Suspension/Probation. Failed to comply with terms of Probation, license converted to Stayed Revocation/Probation. Failed to comply with terms of Probation, license converted to Stayed Revocation/Probation. Reissuance of Arizona-only RN license. Reissuance of RN license with Stayed Revocation/Probation. Failed to comply with terms of Probation, license converted to Stayed Revocation/Probation. Completed terms of Stayed Revocation/Probation, license converted to Probation. Failed to comply with terms of Probation, license converted to Stayed Revocation/Probation. Failed to comply with terms of Stayed Suspension/Probation, license converted to Stayed Revocation/Probation. Completed terms of Stayed Revocation/Suspension, license converted to Stayed Revocation/Probation. 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. Competitive wages + benefits RESERVE YOUR SPACE NOW! 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Please visit www.apu.edu &RQWDFWDebbie Marshall,'133URJUDP&RRUGLQDWRU  [‡(PDLO dmarshall@apu.edu God First Since 1899 30 NURSING OPPORTUNITIES arizona STATE BOARD OF NURSING REGULATORY JOURNAL 480-515-4801 LGervase@gervaselaw.com Visit www.arizonanurselawyers.com Dignity is: unparalleled opportunity #HANDLER 2EGIONAL -EDICAL #ENTER -ERCY 'ILBERT -EDICAL #ENTER 3T *OSEPHS (OSPITAL AND -EDICAL #ENTER Dignity Health is one of the nation’s leading hospital networks. Our Arizona region is comprised of Chandler Regional Medical Center, Mercy Gilbert Medical Center and St. Joseph’s Hospital and Medical Center. Within each of these facilities, we provide numerous opportunities for you to strengthen your skills and move forward in your career as a Nurse. Dignity Health in Arizona is: If you’re ready to make the most of your talents, you’re ready to join Dignity Health Arizona. For more information and to apply, visit dignityhealth.org/careers s /NE OF h4HE 6ALLEYS (EALTHIEST %MPLOYERS  v RECOGNIZED BY THE Phoenix Business Journal s /NE OF THE h  "EST !RIZONA #OMPANIES v RECOGNIZED BY AZ Business Magazine AND BestCompaniesAZ s /NE OF THE h 4OP  7ORKPLACES FOR 7OMEN v HONORED BY AZ Magazine AND BestCompaniesAZ Follow us on Twitter at @dignityhealthaz 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 3/&.1-0:.&/5t*NNFEJBUF0QFOJOHT 8KMOYZKXKJ4[XYK  :k[JeEkhIkYY[iiWdZ;nfWdi_ed" M[Êh[Beea_d]ec[>[Wbj^Fhe\[ii_edWbi$ M[e\\[h0 Sign-On Bonus Attractive Per Diem Visit Compensation 401k Plan Health Care Benefits >ec[>[Wbj^WbbemioekWiHDWdeffehjkd_jojeZeceh[ed[#ed#ed[YWh[j^WdceijYb_d_YWb i[jj_d]i$Ekhh[]_ij[h[Zdkhi[ih[Wb_p[W^_]^[hb[l[be\fhe\[ii_edWbiWj_i\WYj_edWdZWiY^[Zkb[j^Wj Wbbemi\ehceh[f[hiedWbWkjedecoWdZ\h[[Zec$ Annual earnings are quite competitive and can be considerably higher than normal shift work for motivated RNs. 7j Ikdb_\[ m[ fhel_Z[ W j[Wc#eh_[dj[Z [dl_hedc[dj j^Wj ]_l[i]h[Wjikffehj"\b[n_X_b_joWdZh[Ye]d_j_ed$7ffb_YWdjickij ^Wl[WZ[lej_edjefhel_Z_d]gkWb_jodkhi_d]YWh["[d`eoj^[_h _dZ[f[dZ[dY["X[i[b\#cej_lWj[ZWdZZ[i_h[Wh[mWhZ_d]YWh[[h 97BB +(&$...$')''JE:7O \ehWZZ_j_edWb_d\ehcWj_edeh\Wnoekhh[ikc[je+(&$+--$(',& NURSING... A relationship unlike any other. Administrative Office 627 N. 6th Avenue Tucson, AZ 85705 520.888.1311 S U N L I F E H O M E H E A L T H . C O M