arizona 70-t/O2 /07&.#&3 STATE BOARD OF NURSING REGULATORY JOURNAL SEX TRAFFICKING: WHAT NURSES NEED TO KNOW FAQ ABOUT EBOLA FOR CLINICIANS IN ARIZONA A Life-Changing Career What if your career could change your life? Mayo Clinic in Arizona invites you to experience a life-changing career as a Nurse. Perhaps you imagine being part of a team where your colleagues inspire you to stretch and grow beyond your boundaries. Maybe you are looking for a purpose in life that gives you an opportunity to be part of a lasting legacy. Mayo Clinic has a legacy of inspiring hope and contributing to health and well-being by providing the best care to every patient through integrated clinical practice, education and research. You’ll discover a culture of teamwork, professionalism and mutual respect – and most importantly, a life-changing career. We invite you to visit http://mayocl.in/1Cnndwn to learn more about our vast array of Nursing opportunities in Arizona. “Like” us on Facebook by searching “Jobs at Mayo Clinic” Follow us on Twitter twitter.com/mayoclinicjobs Follow us on LinkedIn linkedin.com/company/mayo-clinic/careers Scan this QR code with your smart phone and begin your job search. Check out our nursing blog @ nurserecruitmentblog.mayoclinic.org www.mayoclinic.org/jobs ©2014 Mayo Foundation for Medical Education and Research. Post offer/pre-employment drug screening is required. Mayo Foundation is an affirmative action and equal opportunity education 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 Judy Bontrager, RN, MN ASSOCIATE DIRECTOR/OPERATIONS Nikki R. Austin, JD, RN ASSOCIATE DIRECTOR/COMPLIANCE & HEARINGS Pamela Randolph, RN, MS, FRE ASSOCIATE DIRECTOR/EDUCATION & EVIDENCE BASED REGULATION Valerie Smith, RN, MS, FRE ASSOCIATE DIRECTOR/COMPLAINTS & INVESTIGATIONS VOL 10 t N O 2tNOVEMBER 2014 4 6 8 From the Executive Director Sex Trafficking: What Nurses Need to Know Staff Directory 12 14 BOARD MEMBERS Randy Quinn, MSN, CRNA PRESIDENT Carolyn Jo McCormies, RN, MSN, FNP-BC VICE PRESIDENT Theresa (Terri) Berrigan, LPN SECRETARY Leslie Dalton, MSN, RN MEMBER Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN MEMBER M. Shawn Harrell, RN,MS MEMBER Jana Machesky, LPN MEMBER Kimberly (Kim) Post, DNP, MBA/HCM, RN, NEA-BC MEMBER Melinda Preston, DNP, APRN, PMHNP-BC MEMBER Kathryn L. Busby, JD PUBLIC MEMBER 20 22 Letter from Director of AZ Department of Health Services Frequently Asked Questions about Ebola CNA Retreat Registration Form Nurses on Boards Survey Results arizona EDITION 31 STATE BOARD OF NURSING REGULATORY JOURNAL 24 CNA Disciplinary pcipublishing.com Created by Publishing Concepts, Inc. $AVID "ROWN 0RESIDENT s DBROWN PCIPUBLISHINGCOM For Advertising info contact ,AURA 7EHNER s  EXT  LWEHNER PCIPUBLISHINGCOM 26 RN/LPN Disciplinary ThinkNurse.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL 3 From the Executive Director JOEY RIDENOUR, RN, MN, FAAN A Crime Nurses Must Learn to Identify Despite being well-educated about child abuse, elder abuse, and domestic violence, most nurses and health care providers lack the training and ability to recognize victims of the sex-slave industry. Most victims of sexual exploitation. Domestic minor sex trafficking (DMST) is the commercial sexual exploitation of American children within US borders. Sex trafficking is also called sex slavery or often mislabeled as prostitution. An estimated 100,000 children under age 18 become entrapped in the sex-slave market every year in the U.S. The average age of entry into the sex-trade industry in the U.S. is 12–14, according to a 2009 report by the National Center for Missing and Exploited Children.1 Jessica Munoz, RN, BSN, MSN, APRN-RX, FNP-BC has spent the last five years working in the area of human trafficking. She asserts, “Despite being well-educated about child abuse, elder abuse, and domestic violence, most nurses and health care providers lack the training and ability to recognize victims of the sex-slave industry. Most victims of sexual exploitation.” This edition of the Journal of Nursing Regulation specifically focuses on the nurse’s role in identifying a victim of human trafficking. As a nurse providing direct care in clinics or emergency care to a patient, he/she is positioned advantageously to recognize potential red flags signifying the victim is being trafficked. When victims of trafficking have serious health issues, victim sponsors will sporadically seek to obtain medical treatment for the victim. Some key indicators for a nurse to watch for would be: 2 1. 2. 3. 4. 5. 6. 7. 8. 9. Lack of health care (evidence of numerous untreated or prolonged/ongoing health issues or medical problems/ injuries) Bruising, (all in different stages noted by the appearance of different coloring, yellow, purple, blue) Signs of physical/sexual abuse, physical restraint, confinement, or torture Presence of a third party who will not leave the individual alone, perhaps posing as the victim’s “translator” Multiple or frequent pregnancies; multiple STD’s Malnourishment Pain/injury in lower back or back of head; important to note that sex industry victims are often beaten in areas where are not obviously visible that would damage their outward appearance. Fear and depression Exhibiting signs of being controlled. Unable to move or leave their job by choice With the Super Bowl less than four months away, experts are projecting a surge in sex trafficking in Arizona and specifically in the Phoenix area. Victim identification and referral is the nurse’s first step in combating modern-day slavery. Nurses are a vital link in protecting vulnerable children and must learn to identify the red flags associated with this growing form of child abuse. See more at: http://www.nursetogether.com/nursing-professionalshuman-trafficking#sthash.elZAzQdG.dpuf 1. National Center for Missing and Exploited Children. Missing children statistics. 2009. Available at: www.missingkids. com.never report “sexual assault.” DMST victims frequently present to EDs, but are rarely detected as such. 2. How Nursing Professionals Can Identify Human Trafficking Victims by Wendy Brooks on Tue, Sep 24, 2013 - See more at: http://www.nursetogether.com/nursing-professionalshuman-trafficking#sthash.elZAzQdG.dpuf Joey Ridenour RN MN FAAN Information Regarding Ebola The Arizona State Board of Nursing is committed to providing the public, including health care providers, with information about Ebola. Having accurate information is important for optimal care of patients, for nurse safety in managing this infectious disease, and public protection. Inside this issue is a letter from the Director of the Arizona Department of Health Services, Will Humble, providing the most up to date information about what is happening in Arizona on their website: www.azdhs.gove/phs/oids/ebola. 4 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: UÊTop Wages UÊ œVŽÊÃÈ}˜“i˜Ìà UÊ >ˆÞÊ*>Þ UÊœV>ÊÃÈ}˜“i˜Ìà UÊ-ˆ}˜Ê"˜Ê œ˜Õà UÊ-Ì>Ìi܈`iÊÃÈ}˜“i˜Ìà UÊ ˆÀiVÌÊ i«œÃˆÌ UÊ*ÀˆœÀˆÌÞÊ œ˜ÌÀ>VÌà UÊ Ài`ˆÌÊ1˜ˆœ˜ Uʘ`ˆÛˆ`Õ>Ê˜ÃÕÀ>˜Vi All RN Areas Available. Call 602-234-1944 or 520-577-9088 or 800-486-8367 for additional info Visit www.HealthTemp.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL 5 SEX TRAFFICKING: WHAT NURSES NEED TO KNOW As Mimi arrived in the emergency room, blood was trickling down the side of her head, which already ached from the blows she sustained in the attack against her. Blood soaked through what was left of her hair. She had lost a large patch after her assailant had grabbed her by the hair and slammed her face to the ground in the gravel alley, then kicked her multiple times in the stomach. She wished she hadn’t taken this violent customer to such a private spot. Earlier, she had stumbled to her feet, afraid she was badly hurt. She had struggled to get to the street where her trafficker waited. He was her help for any situation—as well as the one who sold her for sex multiple times every night. He had driven her to the hospital and stayed by her side, as pimps do, to protect their merchandise. As hospital staff asked Mimi questions he answered for her. Although Mimi’s story was relayed by another (Sabella, 2011), it is typical for victims of the sex slave trade (U.S. Department of State, 2011). Often traffickers identify themselves as a loving family member, boyfriend, or employer who is simply trying to help. Victims also may identify traffickers in these ways. For the trafficker, this is a financial decision. Mimi was a great source of income to her pimp. For those unfamiliar with sex trafficking, most don’t realize that girls working the streets keep none of the money they receive for sex. All monies—100% including tips, is given to the pimp. Her pimp considers her his property and source of income. The well-intentioned nurses, physicians, and other staff who cared for Mimi didn’t question why this young girl, wearing excessive makeup, was out so late 6 in scantily clad clothing on a cold night. Additionally, no one seemed to realize the need to separate her from the man who accompanied her. If Mimi had been questioned alone, the truth may have been uncovered (Belles, 2012). What is sex Trafficking? Sex Trafficking and terms like “modern day slavery” usually conjure images of young girls being sold to sex tourists in faraway countries. Movies and documentaries feature scenes of tourists being kidnapped and forced into sexual servitude. Sex trafficking is a real and growing problem all over the world, including here in the United States. It defies stereotypes and experts continue to build new knowledge about the issue. The sex trafficking market is driven by the laws of supply and demand. As long as there remains a demand for a commercial sex industry, there will remain a supply of individuals willing to profit from its sale. Sex trafficking is a highly profitable criminal enterprise generating several billion dollars annually, second only to illegal arms trafficking and the drug trade (FAS, 2000). Sex trafficking is a high profit, low risk business where the commodity, a human body, can be sold repeatedly, unlike drugs or weapons, where the product can only be sold once. Along with a means to recruit victims, traffickers use technology to reach a wide client base for prostitution services. The perceived anonymity of online transactions has emboldened traffickers to openly recruit, buy and sell their victims via the internet (Boyd, 2012). Consequently, those looking to profit will continue to recruit, abduct, and exploit young people for the purpose of supplying the demand (Harris, 2012). arizona STATE BOARD OF NURSING REGULATORY JOURNAL Although there is limited data to quantify the exact number of human trafficking incidences, we know that the sex trafficking of minors happens and has devastating physical and mental health consequences on victimized youth. It can be difficult to detect unless people who interact with victims are trained to recognize the signs. Front-line health care settings where a victim may present for services include the emergency room, urgent care, primary care clinics, obstetrics/gynecology clinics, school nurse’s office, community health centers, mobile clinics, Planned Parenthood and dental clinics. Common public health concerns often co-occurring with sex trafficking victimization include domestic violence, child abuse and neglect, HIV and other Sexually Transmitted Infections, unwanted pregnancies, unmet preventative healthcare needs, drug and alcohol abuse and addiction (Williamson etal., 2009). Unfortunately, the majority of nurses have a limited understanding of the issue of sex trafficking and how it may present with their patients. The reality is that trafficked victims often endure physical violence and neglect, and are likely to present for medical care at some point during their abuse. In fact, nurses are one of the few groups of professionals who interact with victims while they are still under the control of their abuser or the person profiting from their abuse (Issac, Solak & Giardino, 2011). WHO ARE THE VICTIMS? While there is no commonly accepted profile for victims of minor sex trafficking, certain populations are more vulnerable than others. Pimps/traffickers target runaway or “throwaway” teens or those revealing their true intent to sexually exploit them. Traffickers use a powerful technique pioneered by religious cults knows as “love bombing” in which a girl is showered with affection as a means of manipulating her (Dorais & Corriveau, 2009). who are having trouble at home. Runaway and homeless youth are at increased risk for predators as they have few resources, may not be old enough to legally get a job, and are often running away from difficult situations. It is common for these adolescents to trade sex to meet their basic survival needs of food, clothing or shelter. According to a recent survey of homeless youth in New York, of those engaged in commercial sex, they said they did it for shelter because they needed someplace to stay (Bigelsen, 2013). How do individuals become victims of trafficking? s 2ECRUITMENT BY h2OMEOBOYFRIENDv pimps who convince them that they love and care for them. s +IDNAPPING BY hGORILLA PIMPv AND forced into the life. s 'ANG RELATED PROSTITUTION s ! PARENT OR FAMILY MEMBER PIMPS THEIR child for drugs or money. NURSES PLAY A CRUCIAL ROLE IN KEEPING CHILDREN SAFE. IF YOU SUSPECT OR HAVE REASON TO BELIEVE THAT A CHILD IN YOUR CARE HAS BEEN SEXUALLY ABUSED OR EXPLOITED IN ANY WAY, YOU MUST TRIAGE THE SITUATION AND ALERT THE APPROPRIATE AUTHORITIES IMMEDIATELY. TRAUMATIZED The pimp’s use of psychological manipulation, physical violence and rape can make the victim feel trapped and powerless. The “trauma bond” is very difficult to break and may require intensive long term treatment and counseling (National Center for Missing and Exploited Youth, 2014). s 2UNNING AWAY AND LIVING ON THE STREETS and are forced to exchange sex for survival. MISSED OPPORTUNITIES Despite chances for intervention, nurses can easily fail to identify victimized youth. With increased knowledge about the topic, and new screening tools and intervention strategies, you can begin to ask the right questions and help your clients avoid further exploitation and abuse. Vulnerable youth can be lured into prostitution and other forms of sexual exploitation using promises, psychological manipulations, provision of drugs and alcohol, and violence. The trafficker’s main purpose is financial gain and will make every effort to establish trust and allegiance by wooing the victim in what feels like a loving and caring relationship. TARGETED Pimps “shop” for their victims online, in shopping malls, bus stops, schools, after school programs, foster homes and other places where teens gather. TRICKED Pimps invest a lot of time and effort in forming a bond with their victim. They often buy gifts, provide a place to stay, and give affection before THERE IS NO SUCH THING AS A WILLING CHILD PROSTITUTE The Federal Trafficking Victims Protection Act (TVPA) defines the crime of trafficking as the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act where such an act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age. The most important thing to understand from the federal definition is that anyone under the age of 18 who is induced to perform a commercial sex act is automatically a trafficking victim. Victims are often reluctant to come forward because they have been taught by their victimizer that if they attempt to seek help, no one will believe them, and they will be treated like a criminal and a prostitute (Bigelsen, 2013). It is helpful to understand that there are many similarities in victimization between intimate partner violence and sex trafficking. Victims of sex trafficking and domestic violence tend to hide their situations and both victim groups are hesitant to disclose their victimization in medical or clinical settings (Roe-Sepowitz et al, 2013). Continued on page 9 >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 7 SENIOR INVESTIGATORS STAFF DIRECTORY EDUCATION 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, Compliance & Hearings 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 Associate Director Complaints & Investigations 602.771.7804 vsmith@azbn.gov Dolores Hurtado, Senior Investigator to the Associate Director of Complaints/Investigations - Intake Triage Coordinator 602.771.7845 dhurtado@azbn.gov Susie Flores Administrative Assistant to the Executive Director 602.771.7806 sflores@azbn.gov Becky Melton Administrative Assistant to Associate Director Operations/RN-LPN Exams 602.771.7805 bmelton@azbn.gov Lila Wiemann Administrative Assistant lwiemann@azbn.gov CANDO Janet (Jan) Kerrigan, RN, BSN Nurse Consultant 602.771.7864 jkerrigan@azbn.gov Olga Zuniga Administrative Secretary 602.771.7865 ozuniga@azbn.gov COMPLAINTS-INTAKE Dolores Hurtado, Senior Investigator Complaints-Intake Triage Coordinator 602.771.7845 dhurtado@azbn.gov Ronda Doolen, RN, BSN, MSN Education Program Administrator 602.771.7877 rdoolen@azbn.gov Frannie Breed, RN, BSN Nurse Practice Consultant/CNA Programs 602.771.7857 fbreed@azbn.gov Lyn Ledbetter Administrative Assistant 602.771.7856 lledbetter@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 Daniel Phelan, BS, M Adm Senior Investigator 602.771.7813 dphelan@azbn.gov Diva Galan, LLM, JD Senior Investigator 602.771.7851 dgalan@azbn.gov Frederick Arias Senior Investigator 602.771.7822 farias@azbn.gov Jennifer Ingram Legal Assistant 602.771.7835 jingram@azbn.gov HEARINGS Kirk Olson Senior Investigator 602.771.7824 kolson@azbn.gov Trina Smith Legal Assistant 602.771.7852 tsmith@azbn.gov Linda Monas Senior Investigator 602.771.7826 lmonas@azbn.gov INVESTIGATIONS Janeen Dahn, PhD, RN, FNP-C Advanced Practice Nurse Consultant 602.771.7814 jdahn@azbn.gov Kristi Hunter, MSN, FNP-C Advanced Practice Nurse Consultant 602.771.7854 khunter@azbn.gov Cindy Mand, RN, BSN Nurse Practice Consultant 602.771.7815 cmand@azbn.gov Michael Pilder, MSN, PHCNS-BN APHN-BC Nurse Practice Consultant 602.771.7816 mpilder@azbn.gov Rosemary Powell, RN, MA Nurse Practice Consultant 602.771.7821 rpowell@azbn.gov Ruth Kish, RN, MN Nurse Practice Consultant 602.771.7823 rkish@azbn.gov Stephanie Chambers, RN, MN Nurse Practice Consultant 602.771.7818 schambers@azbn.gov Lynette Drafton Senior Investigator Applicant Triage 602.771.7827 llohsandt@azbn.gov 8 Bonnie Richter Senior Investigator 602.771.7828 brichter@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL Donna Frye RN/LPN Renewals dfrye@azbn.gov Gail Maloney RN & CNA Renewals 602.771.7836 gmaloney@azbn.gov Helen Tay CNA Exam 602.771.7832 htay@azbn.gov Lisa Hubbard-Cade Advanced Practice Certifications 602.771.7843 lhubbard@azbn.gov Monica Ortiz RN/LPN Endorsements 602.771.7831 mortiz@azbn.gov Naira Kutnerian RN/LPN Endorsements 602.771.7834 nkutnerian@azbn.gov MAILROOM Karen Johnson 602.771.7876 kjohnson@azbn.gov MONITORING Max Barker Senior Investigator 602.771.7812 mbarker@azbn.gov Tamara Greabell, MA, BSN, RN Nurse Practice Consultant 602.771.7862 tgreabell@azbn.gov Michelle Morton Senior Investigator 602.771.7850 mmorton@azbn.gov Brent Sutter Legal Assistant 602.771.7860 bsutter@azbn.gov LEGAL SECRETARIES Esperanza Flores Legal Secretary 602.771.7861 eflores@azbn.gov Lynette Drafton Senior Investigator 602.772.7827 llohsandt@azbn.gov RECEPTIONISTS Gari Carrol Legal Secretary 602.771.7841 gcarrol@azbn.gov Nancy Davis 602.771.7872 ndavis@azbn.gov Richard Carr Legal Secretary 602.771.7852 rcarr@azbn.gov Lisa Harper 602.771.7871 lharper@azbn.gov INFORMATION TECHNOLOGY Adam Henriksen 602.771.7807 ahenriksen@azbn.gov Cory Davitt 602.771.7808 cdavitt@azbn.gov LICENSING Claudia Deines Verifications 602.771.7833 cdeines@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov <<< Continued from Nurses can apply their knowledge about domestic violence, trauma and sexual abuse to better understand a trafficking victim’s fear and reluctance to leave the relationship. In addition, common myths and stereotypes about sex trafficking can affect judgment and response. Common myths include “that only happens abroad” or “it was consensual.” The more health care providers know about this population, including the mindset of a victim, the better equipped they will be to identify victims and focus on prevention strategies. UNDERSTANDING THE MINDSET OF A VICTIM s s s s s s s 6ICTIMS OFTEN DO NOT SEE THEMSELVES AS victims. 6ICTIMS MAY FEEL SHAME SELF nBLAME and feelings of unworthiness of a better life. 6ICTIMS MAY BE COACHED TO LIE TO nurses and other health professionals and often give fabricated histories with scripted stories. 6ICTIMS ARE OFTEN FEARFUL AND DISTRUST law enforcement and government services due to fear of arrest. 6ICTIMS OFTEN FEAR FOR THEIR OWN SAFETY and the safety of their loved ones due to threats of violence 6ICTIMS MAY HAVE FORMED A TRAUMA bond with their exploiter and may have deep loyalties and positive feeling for their abuser. $RUGS OFTEN PLAY A ROLE IN SEX TRAFlCKING situations – sometime as a way to cope or victims sometime enter “the life” to support a drug habit. s s s s s s s s s s s s s (Dovydaitis, 2010; Sabella 2010 & 2013) RED FLAGS s s s s s s s s s s s s s s POSSIBLE PHYSICAL SEX TRAFFICKING INDICATORS s s s s s s s %VIDENCE OF SEXUAL TRAUMA #IGARETTE BURNS &RACTURES "RUISES AND OR CONTUSIONS 4ATTOOS FOUND ON THE BODY MAY SERVE as a “brand” that the victim belongs to a certain trafficker 2ESPIRATORY INFECTIONS $RUG RELATED HEALTH ISSUES SUCH AS asthma, Hepatitis C, skin infections 4ENSION HEADACHES BACK PAIN stomach pains -ALNUTRITION AND POOR DIET $EHYDRATION 5NEXPLAINED SCARS )NJURIES TO HEAD AND MOUTH "LADDER DAMAGE INJURY OR INFECTION 4EMPORAL -ANDIBULAR JOINT PROBLEMS from oral sex "ITE MARKS 3TAB OR GUNSHOT WOUNDS (EARING LOSS FROM HEAD TRAUMA 4RAUMATIC "RAIN )NJURY 4") "ALD PATCHES FROM HAVING HAIR PULLED $ENTAL PROBLEMS $ISCREPANCY IN REPORTED AGE AND apparent age 2ESISTANCE TO GYNECOLOGICAL EXAM (OMELESSNESS #HRONIC RUNAWAY (ISTORY OF ABUSE 4RAVELING WITH AN OLDER MALE 0RESENCE OF AN OLDER hBOYFRIENDv OR older peer 5NUSUAL TATTOOS OR BRANDING MARKS )NVOLVEMENT WITH THE JUVENILE JUSTICE system through truancy, curfew violations and other status offenses #OMPANION WHO REFUSES USE OF AN interpreter 5SE OF STREET LINGO WITH REFERENCES TO “the game” “the life” ,ACK OF IDENTIlCATION $OMINATING OR CONTROLLING hBOYFRIENDv or companion in the room who refuses to leave #LAIM THAT THE PATIENT IS hJUST VISITINGv the area and unable to provide a home address Randy Christensen, founder and director of a mobile health clinic for homeless youth in Phoenix, Arizona shares many stories of interacting with victims of sex trafficking in his book, “Ask Me Why ) (URT 4HE +IDS .OBODY 7ANTS AND THE Doctor Who Heals Them.” In one case, Dr. Christensen reports seeing both vaginal and rectal tearing from a violent rape. The victim didn’t want to call the police for fear they would not believe her because she thought there was no such thing as raping a prostitute. His nurse commented, “Whatever happens to her she thinks she deserves it.” Some excerpts from the book: “Oh, I’m eighteen. We’re always eighteen, unless you want me to be twelve, a lot of “Johns” (customers) do.” “She was physically there, but not emotionally present at all. I learned what I had read about sexual abuse victims and how they learned to disassociate from their bodies. Reading about it was different than actually patient on my exam table, a child who lay there like a defenseless puppet.” “These kids have built fortresses around their hearts. They seemed so shut down that I wasn’t sure if anyone could reach them. I wondered if it would be possible to act professional yet also connect as a caring adult.” DID YOU KNOW Between 244,000 and 325,000 American youth are considered at risk for sexual exploitation, and an estimated 199,000 incidents of sexual exploitation of minors occur each year in the United States (Estes & Weiner, 2001). The average age at which girls first become exploited through prostitution is 12–14 years old (US Department of Health and Human Services, 2013). Minors in sex trafficking nearly always have a pimp — someone who they view as their protector but who in fact is managing and benefitting from the sexual exploitation of the child (Shared Hope International, 2009). Adolescent boys and lesbian, gay, bisexual, transgendered and queer/questioning (LGBTQ) can also be victims. According to a recently released study, boys make up almost half of the victim population (Bigelsen, 2013). Continued >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9 <<< Continued from THE ROLE OF TRAUMA s Instead of asking WHAT’S WRONG WITH YOU?” or “WHY ARE YOU DOING THIS?” ask “WHAT HAS HAPPENED TO YOU?” This change reduces the blame and shame that some people experience when being labeled. It also builds an understanding of how the past impacts the present, which effectively makes the connections that progress toward healing. Sex trafficking victims have endured a high level of trauma and require services and interventions that do not inflict further trauma such as physical restraint, isolation or harsh verbal interrogation. Traumatic experiences can be dehumanizing, shocking or terrifying and often include a loss of safety and the betrayal by a trusted person or institution (National Center for Trauma-Informed Care, 2013). If you suspect your client could be a victim of sex trafficking, the first step is to get them alone in a confidential location for an interview. If the client is in immediate danger, call 911. Sample messages to use with a victim to gain trust: s h9OU CAN TRUST MEv s h) AM HERE TO HELP YOUv s h-Y lRST PRIORITY IS YOUR SAFETYv s h7E WILL GIVE YOU THE CARE YOU NEEDv s h7E CAN HELP YOU lND A SAFE PLACE TO STAYv s h.O ONE HAS THE RIGHT TO HURT YOU OR MAKE YOU DO THINGS AGAINST YOUR WILLv Screening questions to ask: s h#AN YOU COME AND GO AS YOU PLEASEv s h(AS ANYONE EVER PAID SOMEONE ELSE TO HAVE SEX WITH YOU LIKE A BOYFRIEND BOSS MANAGER ETCv s h4ELL ME ABOUT THAT TATTOOv s h$O YOU HAVE TO WORK TO CONTRIBUTE MONEY TO YOUR @FAMILYv 10 s s s s s s h$O YOU HAVE A BOYFRIEND )F SO HOW OLD IS HE AND WHAT DO YOU LIKE TO DO TOGETHERv h7HERE DID YOU MEETv h(AVE YOU EVER RUN AWAY FROM HOME )F SO WHERE DID YOU STAY AND WHO DID YOU STAY WITHv h(AVE YOU EVER HAD TO DO THINGS IN ORDER TO STAY SOMEWHERE THAT YOU DID NOT WANT TO DOv h(AS ANYONE EVER TAKEN PICTURES OF YOU AND PUT THEM ON THE INTERNETv h(AVE YOU BEEN PHYSICALLY HARMED IN ANY WAYv h7HERE ARE YOU STAYINGv h!RE YOU OR YOUR BOYFRIEND A MEMBER OF A GANGv (Ohio Human Trafficking Task Force Human Trafficking Screening Tool, 2013) AFTER VICTIM IDENTIFICATION, WHAT DO I DO? If the victim is under 18, it is mandatory under state and federal law to report sexual exploitation of children. Notify the police and Child Protective Services. Call the National Human Trafficking Resource Center to report the incident and ask for help. The center’s phone number is 1-8883737-888. WHERE CAN I GET MORE INFORMATION? www.endsextrafficking.az.gov https://ssw.asu.edu/research/stir www.polarisproject.org www.sharedhope.org The information contained in this Article is from What You Need to Know, Sex Trafficking and Sexual Exploitation: A Training Tool for Health Care Providers written by: $OMINIQUE 2OE 3EPOWITZ -37 0H$ $IRECTOR 34)2 +RISTINE (ICKLE 0H$ !SSOCIATE $IRECTOR OF 2ESEARCH $EVELOPMENT 34)2 arizona STATE BOARD OF NURSING REGULATORY JOURNAL !NGELYN "AYLESS $IRECTOR OF #OMMUNICATIONS 34)2 2ANDY #HRISTENSEN -$ -ARIAM 'ARUBA -$ $ONNA 3ABELLA -3. 0H$ 2. 2AMSEY 4ATE -$ !ND PROVIDED IN COLLABORATION WITH THE 4HE !RIZONA (UMAN 4RAFlCKING #OUNCIL SOURCES: Belles, Nita (2012). Helping Human Trafficking Victims In Our Backyard, *OURNAL OF #HRISTIAN .URSING, retrieved from http:// www.nursingcenter.com/ Bigelsen, J. (2013). Homelessness, Survival Sex and Human Trafficking: As Experienced by the Youth of Covenant House, New York. Boyd, Danah (2012). Human Trafficking and Technology: A Framework for Understanding the Role of Technology in the Commercial Sexual Exploitation of Children in the U.S. Clawson, H.J. & Grace, L.G. (2007). Finding a Path to Recovery: Residential Facilities for Minor Victims of Domestic Sex Trafficking.Washington, D.C.: Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services. Chisolm-Straker, M., Richardson, L., Cossio, T. (2012). Combating slavery in the 21st century: the role of emergency medicine. *OURNAL OF (EALTHCARE FOR THE 0OOR AND 5NDERSERVED 23(3), 980-987. Christensen, R. & Denfeld, R. (2011). !SK -E 7HY ) (URT 4HE +IDS .OBODY Wants And The Doctor Who Heals Them. New York: Broadway Books. Dorais, M. and Corriveau P. (2009). Gangs and Girls: Understanding Juvenile Prostitution. Trans. Peter Feldstein. Montreal: McGill-Queen’s University Press. Dovydaitis, T. (2010). Human Trafficking: The Role of the Health Care Provider. *OURNAL OF -IDWIFERY  7OMENS (EALTH 2010 Sep-Oct; 55(5): 462–467. End Child Prostitution, Child Pornography and the Trafficking of Children for Sexual Purpose (2013). h!ND "OYS 4OOv Federation of American Scientists (2000) International Crime Threat Assessment Chapter 2 (ARRIS +   4HE 3TATE OF (UMAN Trafficking in California. Hernadez, Barbara “Identification and Treatment of Domestic Minor Sex Trafficking” National At-Risk Education Network, 2013. Issac, R; Solak, J; and Giardino,A. (2011). Health Care Providers’ Training Needs Related to Human Trafficking: Maximizing the Opportunity to Effectively Screen and Intervene, *OURNAL OF !PPLIED 2ESEARCHON #HILDREN )NFORMING 0OLICY FOR #HILDREN AT 2ISK 2(1) National Academy of Sciences. (2013). Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States, 271-296. Ohio Human Trafficking Task Force Recommendations. “Human Trafficking Screening Tool” 2013. Sabella, D. (2011) The role of the nurse in combating human trafficking. February 2011: American Journal of Nursing 111(2). Sabella, D. (2013) Health issues and interactions with adult survivors. In De Chesnay, M. (Ed.) Sex Trafficking: A Clinical Guide for Nurses. New York: Springer Publishing Company. U. S. Department of State. (2011b). Victim’s stories. Trafficking in Persons Report 2011. Retrieved from http://www.state.gov/g/tip/ rls/tiprpt/2011/164225.htm. Williamson, E; Dutch, N. and Clawson, H. (2010). Evidence-Based Mental Health Treatment for Victims of Human Trafficking. Study of HHS Programs Serving Human Trafficking Victims. " I CHOSE " TMC. When you choose a place to work… CHOOSE WELL. NOW SEEKING OR, CARDIAC, PCCU, ICU, CATH LAB & ED NURSES Check out all available positions at tmcaz.com/NursingJobs 5301 East Grant Road, Tucson, Arizona 85712 EOE Tobacco-free workplace ding Care er s tstan u O Aw ard Winning Care &!-.Ŀ5 #&5(.,5R5,5&&35 #&5(.,5R5)(5 #&5(.,5 "0#),&5&."5R5 5R5,#.#&5,5R5',!(35R5 I/,!5R5/,!#&5,0#-5R5)'(5;5 ( (.53)/5,5&))%#(!5 ),5'),5&(5#(53)/,5&# 5(551&."5) 5*,) --#)(&5)**),./(#.#-515#(0#.53)/5.)5 )'5.)5."5*&51",5&# 5#-5!,(5(5,,-5ł)/,#-"85 ,(5'),5)/.5)/,5,,5)**),./(#.#-65 #&#.#-5 (5(ŀ.5*%!-5.5www.nahealth.com/careers8 )&&)15/-5)( arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 Office of the Director 150 N. 18th Avenue, Suite 500 Phoenix, Arizona 85007-3247 (602) 542-1025 (602) 542-1062 FAX JANICE K. BREWER, GOVERNOR WILL HUMBLE, DIRECTOR Internet: www.azdhs.gov October 28, 2014 Recommendation: Clinicians Are Prepared to Screen, Isolate, and Manage Cases of Ebola Ebola has arrived in the United States. It is imperative that every practitioner, infection preventionist, healthcare clinic and health department is prepared to screen, isolate and manage suspected and confirmed cases of Ebola. To assist with clinician preparedness, the Arizona Department of Health Services has created a number of Ebola Toolkits. These toolkits provide concise checklists, screening guidelines, recommendations and posters for clinicians in various settings to augment their Ebola readiness. The Arizona Department of Health Services strongly urges every clinician to screen for Ebola and be familiar with their role in an Ebola Response. All clinicians are responsible for screening, isolating and contacting Public Health in suspected cases of Ebola. The key to Ebola control in Arizona relies on the specific training and response of each and every clinician. To begin, clinicians can perform the following actions immediately: Ƒ&RPSOHWHWKHClinician Checklist for Ebola Preparedness Ƒ5HYLHZWKHADHS Ebola Preparedness webpage for clinicians ƑConfirm that a facility-specific screening protocol for Ebola virus is being practiced. Ƒ6FKHGXOHDWDEOHWRSH[HUFLVHRr drill for the management of a suspect Ebola patient. As the situation is continually evolving, Arizona’s Ebola toolkits and website (www.azdhs.gov/ebola) will be updated frequently. Interim questions should be directed to local health departments or to the Office of Infectious Diseases at the Arizona Department of Health Services at 602-364-3676. Sincerely, Will Humble, MPH Director Arizona Department of Health Services Health and Wellness for all Arizonans 12 arizona STATE BOARD OF NURSING REGULATORY JOURNAL We know nursing is a lot of love with the science mixed in... and at Artesia General Hospital, we are just as committed to our nurses as we are to the patients they share that love with each and every day! JOIN US AT ARTESIA GENERAL HOSPITAL, WE NEED YOU! We have Full Time, Part Time and PRN opportunities in : & ICU/Medical-Surgical & House Supervisor & Perioperative Services & Emergency Department & Geriatric Psychiatric Unit Apply Today at www.ArtesiaGeneral.com/Careers or call Human Resources at 575-736-8138& !!! !   SIGN ON BONUS FOR SPECIFIC AREAS • SHIFT AND WEEKEND DIFFERENTIAL • COMPETITIVE PAY • FREE IN HOUSE CERTIFICATION & EDUCATION HIGHER PAY FOR RNs! $5,000 Sign-On for Cath Lab, ER & ICU Up to $5,000 Relo For Eligible Employees RN Opportunities in: Nestled on 160 acres in the foothills of the Santa Catalina Mountains near Tucson, Arizona, lies a unique treatment center dedicated to the prevention, education, and treatment of addictions and behavioral disorders. Sierra Tucson is more than a drug treatment center, as it is multi-licensed to facilitate healing for psychiatric issues as well as many types of addiction and chronic pain. s #ATH ,AB s ,$ s !35 s %2 s )#5 s -ED3URG s /" s /23URGERY s 0!#5 s 0RE !DMISSIONS 4ESTING We are currently looking for a dedicated Registered Nurse for our Nursing department. Sierra Tucson is increasing its staff of Registered Nurses with psychiatric nursing experience. Registered Nurses with less than 1 year of experience may be considered. Excellent Differentials and 4th Shift Bonus s 'REAT "ENEFITS s + -ATCH s 4UITION 2EIMBURSEMENT s !DVANCEMENT /PPORTUNITIES &OR FULL POSITION DESCRIPTIONS02. STATUS VISIT www.valleyviewmedicalcenter.net AND CLICK hJoin Our Team.v !LL APPLICATIONS MUST NOW BE MADE ONLINE For recruiting/lifestyle/relocation info, visit www.valleyviewmedicalcenter.net E-mail cheryl.hartley@lpnt.net or call (928) 788-7020 for additional info 5330 S. Hwy 95, Fort Mohave AZ 86426 EEO Especially looking for candidates that can work nights and weekends. Registered Nurses are responsible for providing nursing care to assigned patients in this hospital/residential treatment setting. Nurses participate in lodge community meetings, and are instrumental in encouraging patients to participate fully in their treatment plans. Nurses must follow established protocols for compliance when distributing necessary medications and documenting the medical records. Contact: Siegried Strayhorn careers@sierratucson.com Please learn more about our center and programs at www.sierratucson.com EEO arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 Frequently Asked Questions about Ebola for Clinicians in Arizona How should I screen patients for Ebola? Early recognition and isolation is critical to controlling the spread of Ebola. It is strongly recommended that all clinicians screen all patients for Ebola. Screening methods can depend on each practice’s capability and staffing. Screening for Ebola can occur during intake, scheduling or completing the electronic medical record through the use of the Ebola screening tool. Screening guidance is continually changing, and ADHS will post updates of CDC recommendations as soon as they are available on the Ebola Preparedness website. My practice does not see infectious patients. Do I still need to screen for Ebola? While fever is a common presentation of Ebola, it is not the only presentation. Rash, fatigue, and muscle aches are also common symptoms. It is strongly recommended that all clinicians screen all patients for Ebola, using the Ebola screening tool. What do I do if I think my patient has Ebola? There are two immediate actions that must be taken if your patient has a positive screen for Ebola. 1. Isolate the patient. Patients should be isolated in a single patient room (containing a private bathroom, if available) with the door closed. Visitors should be restricted. 2. Contact Public Health. Call the county health department for further Ebola risk assessment and management. For clinically stable patients that still require immediate attention, healthcare workers should wear the highest level of personal protective equipment available. For many practices, this constitutes a face shield and surgical face mask, impermeable gown and 2 pairs of gloves. Here is the current CDC guidance for PPE. Clinically unstable patients should have an ambulance called for them immediately. 911 should be alerted that this is a patient with suspected Ebola. For medical waste management questions, consult the Arizona Department of Environmental Quality (ADEQ) at (602) 771-2300. Last Updated: 10/28/2014 14 arizona STATE BOARD OF NURSING REGULATORY JOURNAL FIND A NEW LEVEL OF JOB SATISFACTION AS A U.S. ARMY OPERATING ROOM NURSE. Delivering quality care to our nation’s Soldiers and their families in the operating room, you will fulfill your career aspirations and grow as a nurse: • You’ll work with the latest equipment in an environment where care always comes first. • You’ll assist on challenging surgeries, with potential to also train and learn from top surgeons and professionals. • You’ll enjoy excellent financial benefits, such as special pay and educational reimbursement. For more information on a career as an Army Nurse, visit goarmy.com/armynurse14 or call SFC Alfred Valenzuela at 602-253-0371. What if a patient notifies a clinician over the phone of a travel history and Ebola-like symptoms? Performing Ebola screening over the phone is perfectly acceptable. In the case of meeting Ebola screening criteria over the phone, the clinician will request multiple contacts for the patient, and then will contact the local health department for further management. Each county has its own protocol for managing patients with positive Ebola screens. How do I transfer a patient to the hospital? Unless the patient is unstable, contact your local health department for guidance on transfer as well as a destination hospital. How do I protect staff at my hospital/clinic? The risk of Ebola transmission from an Ebola patient to your clinical staff is low. In the case of a confirmed Ebola patient, the local county health department will help to determine whether any contact investigations or isolations are needed. There is a much higher risk of respiratory illnesses being spread from patients to your clinic staff. There are healthy habits to enforce in order to prevent the spread of infectious disease: o Utilize personal protective equipment and proper hand hygiene when interacting with sick patients. o Follow protocols in place for cleaning and disinfecting equipment and areas where patients are being cared for. o Encourage and/or provide influenza vaccinations for your clinical staff. What if my patient has visited Guinea, Liberia, or Sierra Leone in the last 21 days? Travel is only one of the screening criteria for Ebola. Advise the patient to contact the local health department for required monitoring of returned travelers. Reassure your staff that not all fevers are caused by Ebola and not all patients with recent travel history to West Africa have Ebola. How much PPE should I buy? Purchasing PPE depends on the scope of your facility’s practice AND what fits into your facility’s Ebola Response Plan. Here is the current CDC Guidance for PPE. Check the website frequently as these recommendations are routinely updated. How do I send specimens for testing? Clinicians and healthcare facilities should NOT routinely send specimens for Ebola testing. Ebola testing must be facilitated through the local health department. Do not gather or transport specimens for Ebola testing until the patient has been approved for testing through Public Health given approval. Are Arizona hospitals and the State of Arizona prepared for an outbreak such as Ebola? Yes. Arizona hospitals are prepared to respond to any public health emergency, such as Ebola or any other potential health threat. While the likelihood that an Ebola patient will present at your particular facility is low, Arizona has systems in place to respond quickly and coordinate with key response partners to control the spread of infection. Last Updated: 10/28/2014 16 arizona STATE BOARD OF NURSING REGULATORY JOURNAL How is the State of Arizona helping to protect us from Ebola? o The Arizona Department of Health Services and local health agencies work with healthcare partners to be prepared for a patient with Ebola. Information and Preparation Toolkits are available on the ADHS Website. o ADHS and local health agencies work to provide information to the public. o Refer to http://www.azhealth.gov/ebola for updates and more information. This website is frequently updated with latest guidance and recommendations. How do I make sure I am doing my part in controlling the spread of Ebola? Early recognition and management is critical to controlling the spread of Ebola. x All clinicians are strongly encouraged to screen their patients (use the screening tool) and to be ready to isolate the patients and contact Public Health. x Clinicians are strongly recommended to maintain awareness of current protocols and screening procedures, as they are continually changing. The ADHS Ebola website will reflect these changes as they occur. x Clinicians are strongly encouraged to run drills or to tabletop exercises at their facility, no matter how large or small, to ensure that all patients are being screened and able to be managed appropriately. x Clinicians can complete a Clinician checklist to confirm their Ebola readiness. For more information, contact your local health department: Apache County Health Department - 928-337-4364 Cochise County Health Department - 520-432-9400 Coconino County Public Health Services District - 928-679-7272 Gila County Health Department - 928-402-8811 Graham County Health Department - 928-428-1962 Greenlee County Health Department - 928-865-2601 La Paz County Health Department - 928-669-1100 Maricopa County Health Department - 602-506-6767 Mohave County Health Department - 928-753-0714 Navajo County Health Department - 928-524-4750 Pima County Health Department - 520-243-7770 Pinal County Health Department - 520-866-7325 Santa Cruz County Health Department - 520-375-7900 Yavapai County Health Department - 928-771-3134 Yuma County Health Department - 928-317-4450 CDC Ebola Website: http://www.cdc.gov/vhf/ebola/index.html ADHS Ebola Website: http://azdhs.gov/phs/oids/ebola/ arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 Twelfth Annual CNA Educators Retreat BEYOND THE BASICS: BOUNDARIES AND FRONTIERS Topic: Date: Beyond the Basics: Boundaries and Frontiers January 9, 2015 Agenda 7:30 am – 8:30 am – Registration – Continental Breakfast 8:30 amÊqÊ7iVœ“iÊÊUÊÊ,œ˜`>Ê œœi˜]Ê, ]Ê - ]Ê8:35 am | Board Reports\Regulatory Update by Pamela Randolph, RN, MS, FRE; Frannie Breed, RN, BSN; Ronda Doolen, RN, BSN, MSN 9:15 am – New Horizons: Teaching Strategies for Diverse Learners by Adriana Perez, PhD, ANP-BC 10:15 am – Morning Break 10:30 am –Boundaries: Maintaining a Professional Classroom by Pamela Randolph, RN, MS, FRE Location: Black Canyon Conference Center 9440 North 25th Avenue Phoenix, Arizona 85021 Time: Registration 7:30 - 8:30 am Cost: $90 Early Bird $95 after December 19, 2014 $100 at the Door No credit card payment accepted on site. $30 Flashdrive Mail Payment: Arizona State Board of Nursing 4747 North 7th Street, Suite 200 Phoenix, Arizona 85014 - 3653 AzNA and ANCC Commission on Accreditation do not approve or endorse any commercial products displayed. 18 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11:30 am – Buffet Lunch 12:45 pm – CNA Exam Update /Review by Teresa Whitney, D & S Diversified Technologies 1:30 pm – Expanding Knowledge: Identifying and Managing Pain in Persons with Dementia by Amy McLean, MS, ANP-BC 2:30 pm – Afternoon Break – Vendor Displays Open 2:45 pm – Panel Discussion – Amy McLean, Frannie Breed, Adriana Perez, Bill Adams, Teresa Whitney, Judy Bontrager 3:15 pm – Evaluations and Closing Remarks Available Hotels Crowne Plaza Phoenix 2532 West Peoria Avenue, Phoenix, Arizona 85029 602-943-2341 $89 One King Bed or Two Double Beds Reservations number: 1-888-797-9878, ask for the “Arizona State Board of Nursing” group rate. Reservations website: https://resweb.passkey.com/go/QBN2015 SpringHill Suites Phoenix North 9425 North Black Canyon Hwy, Phoenix, AZ 85021 602-943-0010 Directly behind the Conference Center. Walking distance. $79 One King Bed or Two Queen Beds Book your group rate: 2015 CNA Educators Conference >> Group Name: CNA Educators Retreat arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19 20 arizona STATE BOARD OF NURSING REGULATORY JOURNAL CREDIT/DEBIT CARD AUTHORIZATION FORM PLEASE RETURN COMPLETED FORM WITH YOUR APPLICATION ONLY VISA OR MASTERCARD IS ACCEPTED PLEASE CLEARLY PRINT ALL INFORMATION EXCEPT WHERE A SIGNATURE IS REQUIRED NAME OF APPLICANT: (REQUIRED) AUTHORIZATION INFORMATION: TOTAL AUTHORIZED AMOUNT: + $3.00 = TYPE OF CARD: VISA MASTERCARD CARD NUMBER: (REQUIRED) EXPIRATION DATE: CVN # (REQUIRED) (REQUIRED) BILLING INFORMATION: CARD HOLDER NAME: (REQUIRED) BILLING/MAILING ADDRESS: PHONE NUMBER: (REQUIRED) EMAIL ADDRESS: SIGNATURE OF CARDHOLDER: (REQUIRED) arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21 Nurses on Boards Survey Results DEBORAH MAUST MARTIN, DNP, MBA, RN, NE-BC, FACHE CO-CHAIR OF THE LEADERSHIP TASKFORCE, ARIZONA ACTION COALITION BOARD OF DIRECTORS, ARIZONA ACTION COALITION During the summer of 2014 nurses licensed in the state of Arizona were given the opportunity to respond to an electronic survey related to the topic of nurses serving on boards. The survey was conducted by the Arizona Action Coalition to establish a baseline related to the Institute of Medicine’s recommendation #2: expand opportunities for nurses to lead and diffuse collaborative improvement efforts. This recommendation was a part of the groundbreaking report: The Future of Nursing: Leading Change, Advancing Health (2011). The Coalition received an overwhelming response from 4,305 participants. Of those who responded, 257 indicated they are currently serving on boards, and of those, 125 indicated they would be willing to mentor other nurses who are interested in serving on boards. A large number, 1,882, indicated that they were moderately or highly interested in serving on a healthrelated board of directors. Over 1,000 indicated that they would like to have additional information and/or activities to prepare them to serve on a board of directors. The Leadership Taskforce of the Arizona Action Coalition will be using the data from the survey to plan activities for 2015 to meet the needs of Arizona nurse leaders. If you would like to become involved with the Arizona Action Coalition, visit the website at http://www.futureofnursingaz. com. Participation is encouraged through monetary donation and/or your time and involvement. A resounding thank you to the 4,305 nurses who gave of their time to complete the survey! Reference IOM (Institute of Medicine) (2011) 4HE &UTURE OF .URSING ,EADING #HANGE !DVANCING (EALTH. Washington, DC: The National Academies Press. Your Health. Your Home. Your Care. Arizona Home Care Visit our careers page at www.azhomecare.com Explore your passion! Seeking Talented RNs & Therapists 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL UPPER IOWA UNIVERSITY Your Degree. Your Way. t0OMJOF IZCSJEBOEGBDFUPGBDFPQUJPOT t$MBTTFTTUBSUFWFSZFJHIUXFFLT t'VMMUJNFPSQBSUUJNF Collaboration EducationInnovation Stewardship Respect Accountability Excellence Leadership Integrity Compassion t4NBMMDMBTTTJ[F t$PNQMFUFUIF3/#4/NBKPSJOPOFZFBS Nationally accredited by Commission on Collegiate Nursing Education (CCNE) bout a k s A ff $ 1,600 o n! tuitio BURNT OUT? INTERESTED IN A NON CLINICAL ROLE? Then jump start a new career in health care compliance! RN’s are in tremendous demand in one of the hottest careers Obtain certification from your home in just six weeks. Only $950 to learn a new career that leverages previous nursing experience. Call today for information on how to get started 888-888-4560 or admin@lnccenter.com www.LNCcenter.com UIU - Mesa Center 1361 S. Alma School Road, Mesa, AZ 480-834-4620 uiu.edu/mesa-nursing Reach Recruit Retain Mailed to every nurse in Arizona – over 96,000. The Arizona State Board of Nursing JOURNAL To reserve advertising space contact Laura Wehner lwehner@pcipublishing.com 1-800-561-4686 ext.117 ThinkNurse. com Living our values 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 Learn more and apply at www.mihs.org arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23 *Not reported in previous Journal CNA DISCIPLINARY ACTION JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 9/29/2014 Aguilera Ramos, Abigail CNA Applicant Decree of Censure 9/2/2014 Ahumada, Joanna CNA1000026250 Decree of Censure 8/21/2014 Anaya, Paola S. CNA1000043852 Decree of Censure 9/3/2014 Arellano, Nicole M. CNA999996098 Decree of Censure 9/10/2014 Armstrong, Patsy R. CNA Applicant Certificate Denied 6/24/2014 Barker, Kristina A. CNA999952755 Revoked 6/26/2014 Barnett, Julie A. CNA Applicant Certificate Denied 6/24/2014 Belk, Shannon E. CNA1000029593 Revoked 9/2/2014 Bernal, Tammie L. CNA1000028425 Decree of Censure 9/10/2014 Brashear, Robert W. CNA Applicant Certificate Denied 9/10/2014 Briney, Erin E. CNA Applicant Certificate Denied 9/6/2014 Burden, Ava M. CNA Applicant Certificate Denied 6/23/2014 Butler, Taylor D. CNA Applicant Certificate Denied 6/26/2014 Carter, Mallory C. CNA Applicant Certificate Denied 6/24/2014 Chavez, Erika J. CNA1000016220 Revoked 7/14/2014 Clark, Sue A. CNA Applicant Civil Penalty 7/23/2014 Contreras, Barbara CNA1000022361 Revoked 6/23/2014 Corley, Tracy E. CNA Applicant Certificate Denied 8/26/2014 Cornejo, Roxanne CNA1000018474 Decree of Censure 8/19/2014 Cowan, Aimee C. CNA Applicant Certificate Denied 9/10/2014 Cragg, Estella F. CNA Applicant Certificate Denied 9/18/2014 Curley, Waylon T. CNA1000044172 Civil Penalty 9/9/2014 Cusher, Savanna R. CNA Applicant Certificate Denied 9/9/2014 Davis, Aisha L. CNA Applicant Certificate Denied 6/27/2014 Dennison, Angelina R. CNA Applicant Certificate Denied 6/17/2014 Diggins, Violeta L. CNA637528813 Civil Penalty 8/27/2014 Dolan, Shirley J. CNA999951934 Decree of Censure 9/23/2014 Duran, Mark A. CNA Applicant Certificate Denied 9/4/2014 Eason, Jennifer M. CNA1000014074 Revoked 6/23/2014 Ena, Pete D. CNA Applicant Certificate Denied 9/2/2014 Esmaeili, Yasiman E. CNA1000036238 Revoked 8/21/2014 Feagins, Amanda R. CNA1000043851 Decree of Censure 8/8/2014 Gilbert, Austyn T. CNA1000043690 Decree of Censure 8/21/2014 Grayson, Daria M. CNA1000043859 Revoked 9/3/2014 Gregory, Angela CNA1000019165 Revoked 6/25/2014 Haney, Renda R. CNA960179441 Revoked 7/5/2014 Hart, Ginger A. CNA Applicant Certificate Denied 9/3/2014 Heyde, Deanna H. CNA1000014910 Decree of Censure 6/27/2014 Holmstrom, Michael J. CNA Applicant Certificate Denied 9/3/2014 Jones, Casaundra L. CNA1000029579 Decree of Censure 6/27/2014 Kappus, Lisa A. CNA Applicant Certificate Denied 6/23/2014 Kennedy, Kevin L. CNA Applicant Certificate Denied 9/3/2014 Limbrick, Amanda M. CNA1000021988 Revoked 24 arizona STATE BOARD OF NURSING REGULATORY JOURNAL CNA DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 9/3/2014 Mack, Christina G. CNA1000009327 Revoked 8/26/2014 Makau, Robert K. CNA1000043969 Civil Penalty 6/27/2014 Malm, Jessica A. CNA Applicant Certificate Denied 6/30/2014 Marlatt, Mercedes N. CNA1000042958 Stayed Suspension 9/3/2014 Mease, Dawn M. CNA285008744 Revoked 9/10/2014 Mester, Patricia M. CNA Applicant Certificate Denied 6/25/2014 Montano, Brooke A. CNA1000028065 Revoked 6/25/2014 Morton, Emily J. CNA1000016464 Revoked 7/5/2014 Moultrie, James M. CNA Applicant Certificate Denied 6/25/2014 Mthembu, Happiness M. CNA1000009946 Revoked 7/11/2014 Muchow, Eric. C. CNA1000041504 Voluntary Surrender 9/10/2014 Oglesby, Alexander E. CNA Applicant Certificate Denied 9/3/2014 Ozaeta, Samantha L. CNA Applicant Certificate Denied 6/26/2014 Paul, Melissa G. CNA1000024934 Revoked 6/26/2014 Peterson, Karen M. CNA1000027825 Revoked 9/3/2014 Phillips, Roberta CNA1000006615 Revoked 9/10/2014 Ponce, Medea M. CNA Applicant Certificate Denied 9/10/2014 Powyszynski, Daniel F. CNA Applicant Certificate Denied 6/26/2014 Rascon, Magdalena T. CNA866405641 Revoked 7/5/2014 Reyes, Selina M. CNA Applicant Certificate Denied 8/28/2014 Richards, Nicholas H. CNA1000043954 Decree of Censure 6/24/2014 Rivera, Araceli L. CNA1000042830 Suspension 6/26/2014 Robles, Ernesto B. CNA1000014270 Revoked 9/6/2014 Rork, Gail L. CNA Applicant Certificate Denied 9/4/2014 Ross, Rebecca L. CNA935773641 Revoked 7/9/2014 Sampson, Steven J. CNA Applicant Certificate Denied 8/19/2014 Sexton, Noni S. CNA Applicant Certificate Denied 8/8/2014 Sindayigaya, Victor CNA1000014230 Stayed Suspension 9/4/2014 Solomon, Camille D. CNA1000034062 Revoked 7/14/2014 Steinmann, Stephanie L. CNA1000020506 Voluntary Surrender 8/4/2014 Stewart, Charlene T. CNA1000020703 Probation 9/2/2014 Tate, Frances K. CNA1000012560 Revoked 8/22/2014 Valencia, Guillermo T. CNA Applicant Certificate Denied 9/4/2014 Vargas, Ramon P. CNA1000036152 Revoked 6/23/2014 Velarde, Breanna R. CNA Applicant Certificate Denied 8/21/2014 Walters, Tracey L. CNA Applicant Certificate Denied 6/27/2014 Weaver, Katrice L. CNA Applicant Certificate Denied 6/27/2014 White, Natasha R. CNA999991759 Denial of Reissuance 7/10/2014 Williams Spross, Jonathan P. CNA Applicant Certificate Denied 8/29/2014 Wilson, Kenneth T. CNA999994832 Revoked 7/5/2014 Wolfe, Laura M. CNA Applicant Certificate Denied 9/4/2014 Yates, Kellie A. CNA083363803 Revoked 6/9/2014 Yazzie, Everlene CNA1000035644 Revoked arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME LICENSE DISCIPLINE 6/19/2014 Adams, Kenneth S. RN173066 Decree of Censure 7/25/2014 Addison, George A. RN Exam Civil Penalty 9/24/2014 Anderson, Gail E. RN173803 Stayed Revocation with Suspension 6/13/2014 Arnold, April L. LP049682 Decree of Censure 7/25/2014 Babb, Adam D. RN142708 Summary Suspension 6/24/2014 Bachelier, Arthur J. LP044332 Revocation 9/4/2014 Basil, Candace B. RN137253 Revocation 6/15/2014 Byrd, Kaye W. RN074197/AP2151 Probation 6/24/2014 Campione, Sharla A. RN095676 Revocation 7/8/2014 Cashman, Colin B. RN145242/CNA1000001157 Voluntary Surrender 9/3/2014 Chiasson, Brian C. RN Endorsement License Denied 8/17/2014 Chreene, Anna M. RN169764 Decree of Censure 9/2/2014 Clarke , Margeret N. RN124758 Revocation 8/18/2014 Clem, Patricia A. RN Endorsement Decree of Censure with Fine 8/13/2014 Coventry, Jonathan C. LP049261 Voluntary Surrender 6/24/2014 Crilly, Jean RN124252 Revocation 8/27/2014 Criswell, Kristal M. LP049445 Decree of Censure 9/29/2014 Daniels, Suzanne M. RN165488 Decree of Censure 9/12/2014 David, Sandra K. RN100893/LP032156 Revocation 8/18/2014 Dawson, Brian R. LP044463 Voluntary Surrender 6/24/2014 Dewey, Carrie P. RN076361 Revocation 9/18/2014 Dorley, Bomie M. RN184530 Decree of Censure 9/2/2014 Epium, Benedette LP047864/CNA431082803 Revocation 6/9/2014 Ferolie, Nicholas W. RN171136 Voluntary Surrender 7/31/2014 Fidler, Frederick L. RN Exam License Denied 6/6/2014 Fiecke, Cynthia S. RN186590 Civil Penalty 7/14/2014 Fochtman, Brenda K. RN Endorsement License Denied 8/6/2014 Foley, Raelene B. RN044319 Voluntary Surrender 8/22/2014 Galante, Clair E. RN165015/CNA060493803 Voluntary Surrender 8/8/2014 Gillis, Daniel S. RN182831 Probation 9/3/2014 Grau, Elizabeth S. LP026517 Revocation 7/7/2014 Green, Rebecca L. RN095478/AP2242 Probation 6/20/2014 Griffin, Mary E. LP011505 Stayed Revocation with Probation 6/24/2014 Gum, Anmarie RN149795/LP043019 Revocation 8/28/2014 Haines, Lynn M. RN129257 Probation 9/12/2014 Hall, Shelby L. RN162934 Stayed Suspension with Probation 6/17/2014 Hashagen, Mary L. RN162910 Decree of Censure 08/01/2014 Haydon, Lovella P. RN147947 Stayed Revocation with Suspension 6/10/2014 Huffman, Cynthia V. RN093519 Reissuance with Probation 7/21/2014 Hyman, Norene M. RN105937 Voluntary Surrender 9/30/2014 Jeffrey, MaryEllen H. RN079790/LP023755 Voluntary Surrender 26 arizona STATE BOARD OF NURSING REGULATORY JOURNAL RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME LICENSE DISCIPLINE 6/4/2014 Jernigan, Dianna M. RN103678/LP032766 Decree of Censure 6/9/2014 Jones, Martha M. RN059962 Reissuance with Stayed Revocation Probation 6/25/2014 Keats, Ronald D. RN083406 Revocation 7/25/2014 Keith, Tracy J. RN184648 Summary Suspension 8/28/2014 Keith, Tracy J. RN184648 Voluntary Surrender 7/25/2014 Kelly, Sylvia A. RN030564 Voluntary Surrender 9/17/2014 Klausner, Deborah L. RN108642 Voluntary Surrender 8/14/2014 Kneeling, Tiffany A. RN187595/CNA999947708 Civil Penalty 7/16/2014 Lancaster, Lisa C. RN069264 Voluntary Surrender 6/9/2014 Laningham, Lindsay R. RN158672 Revocation 7/10/2014 Lee, Travis S. LP Exam License Denied 6/17/2014 Lehman, Christopher E. LP043004 Civil Penalty 7/15/2014 Levy, Jacquelyn L. TRN177108 Decree of Censure 7/25/2014 Lewis, Aubrey R. RN177821 Summary Suspension 7/30/2014 Lewis, Aubrey R. RN177821 Stayed Revocation with Suspension 6/27/2014 Littlefield, Deloris D. RN Endorsement License Denied 6/10/2014 Long, Kimberley RN039852 Decree of Censure 8/8/2014 Long, Cadis LP047292 Decree of Censure with Fine 9/23/2014 Malvini, Cecily T. RN079859 Voluntary Surrender 7/25/2014 Martinez, Michelle M. RN129204 Summary Suspension 6/3/2014 Mbachu, Ikenna K. RN Exam License Denied 6/23/2014 McCoy, James T. RN Endorsement License Denied 7/25/2014 McIssac, Debra A. RN129308/LP038737 Stayed Revocation with Suspension 6/11/2014 McLin, Jacqueline D. RN173451 Decree of Censure 6/18/2014 McMaster, Christy L. RN166483 Voluntary Surrender 6/9/2014 Meggers, Karen L. RN146529/CNA1000004494 Voluntary Surrender 9/3/2014 Mellen, Rebecca L. RN166108 Revocation 7/3/2014 Merrill, Shannil L. RN120207/LP036178 Stayed Revocation with Probation 6/27/2014 Miner, Laura B. LP040432/CNA999997636 Decree of Censure 9/9/2014 Moody, Cresfield W. RN091127/AP2197 Voluntary Surrender 6/24/2014 Mounts, Ronald P. RN137362/LP040381 Revocation 7/7/2014 Olson, Rebecca RN098724 Voluntary Surrender 9/4/2014 Oquita, Rolando R. RN107753 Revocation 7/2/2014 Osborne, Dennis W. RN Endorsement License Denied 9/19/2014 Oswald, Kyle S. RN176980 Summary Suspension 8/27/14 Owens, Anne Marie RN115007 Stayed Revocation with Suspension 9/19/2014 Peralta, Christina A. LP036643 Summary Suspension 9/3/2014 Pierce, Deborah M. RN136819 Revocation 6/27/2014 Pyron, Joseph M. RN Endorsement License Denied 8/26/2014 Quiroz, Sapphire S. RN158606 Voluntary Surrender 9/9/2014 Robinette, Ashley B. LP042395 Voluntary Surrender arizona STATE BOARD OF NURSING REGULATORY JOURNAL 27 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME LICENSE DISCIPLINE 6/11/2014 Roldan, Tara RN186353 Decree of Censure 7/21/2014 Sanders, Ruth D. RN063927/AP1151/AP0328 Voluntary Surrender 6/26/2014 Schmidt, Mary J. LP023051 Revocation 8/27/2014 Schmidt, Sherill A. RN098931 Voluntary Surrender 7/10/2014 Semock, Sherry A. RN/CRNA Endorsement License Denied 7/21/2014 Shiver, Marie-Paule S. RN063768 Voluntary Surrender 6/16/2014 Smith, Barbara R. RN135381 Revocation 9/4/2014 Stallings, Thomas J. RN092604 Revocation 6/20/2014 Stempel, Brett S. RN187803 Stayed Revocation with Suspension 7/25/2014 Tabla, Philipnoel T. RN088263 Summary Suspension 8/18/2014 Tabla, Philipnoel T. RN088263 Voluntary Surrender 8/21/2014 Tash, Donna J. RN106766 Probation 4/15/2014* Tate, Frances LPN EXAM License Denied 9/15/2014 Tekulve, Jessica P. RN161383/CNA1000004014 Voluntary Surrender 8/27/2014 Terrazas, Shelly L. RN120428/CNA999988740 Voluntary Surrender 6/27/2014 Tolentino, Tracy A. LP036193/CNA138706441 Stayed Revocation with Probation 8/18/2014 Tucci, Lindsay J. LP049610 Voluntary Surrender 9/29/2014 Underwood, Kenneth L. RN078143 License Renewal Denied 7/16/2014 Uy, Anecita P. LP Exam License Denied 9/4/2014 Vavaroutsou, Theodore A. RN118675/CNA008654490 Revocation 6/18/2014 Vogel, Rosemary RN103979 Voluntary Surrender 6/5/2014 Warren, Cheninna A. LP050177/CNA421283103 Decree of Censure 9/4/2014 Waugh, Kelley M. RN171463 Revocation 6/18/2014 Webb, Jean Pablo B. LP045783 Decree of Censure 9/1/2014 Westley, James P. RN Endorsement License Denied 9/11/2014 Williams, Tammy L. RN Endorsement License Denied 9/10/2014 Wilson, Danielle F. RN128941 Reissuance Denied 9/10/2014 Witek, Dawn E. RN177125, WI Revocation of Multi-State Licensure Privilege 7/30/2014 Wolfe-Sepulveda, Lara L. RN154301/AP7265 Probation 9/4/2014 Xenos, Loretta J. RN111990 Revocation 9/4/2014 Yedlin, Ira N. RN162970/AP3666 Revocation 7/15/2014 Yonan, Alan I. LP040734 Decree of Censure 28 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Grow your career. Grow with purpose. Choose a career that gives back: careersatdignityhealth.com/AZStateBoard Bring more humankindness to the world and more quality to the lives of the people you serve. At Dignity Health, we’re committed to excellent care, delivered with compassion, for all in need. It’s what we stand for. As our four Arizona hospitals continue to grow, Dignity Health will be equipped to provide even more quality care and heartfelt compassion to the people of the Valley of the Sun. To support this growth and the recent opening of our new Level 1 Trauma Center and 96-bed Patient Care Tower at Chandler Regional, we have excellent opportunities for ICU, Telemetry, Neuro and OR nurses at all of our hospitals. We invite you to explore career opportunities with Dignity Health in Arizona at: careersatdignityhealth.com/AZStateBoard EOE 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. RESERVE YOUR SPACE NOW! lwehner@pcipublishing.com 1-800-561-4686 ext. 117 Don’t Go It Alone! Steve Perlmutter, MD, JD Attorney and Physician (602) 346-1212 346-1212 (480) Your livelihood and career are at stake. Consult a lawyer who is also a doctor. Call for a complimentary consultation www.boardcomplaint.com steve@boardcomplaint.com Northern Arizona VA Healthcare System seeks nursing professionals with focus in specialty areas. Contact Katrina Lewis Clinical Recruiter (928) 445-4860 ext. 6578 Katrina.Lewis2@va.gov www.prescott.va.gov Contact Laura Wehner Board Complaint? YOUR NEW CAREER AWAITS EXPERIENCED NURSE –ATTORNEY NURSE ADVOCATE Teressa M. Sanzio, RN, JD Get the representation you deserve when you need it most. FREE Phone Consultation 602-993-3215 Tsanziolaw@gmail.com Recruit Talented Nursing Faculty Advertise your nursing school faculty opportunities in the NC Nursing Bulletin – reaching 96,000+ nurses statewide. Contact Laura at lwehner@pcipublishing.com In Need of Emotional Healing... Career or Personal? Coaching for the healthcare professional from a healthcare professional. …when you’re ready to take care of yourself. Teddylen A. Guffey, MHSA, RN, BSN, LNCC, CPC, ELI- MP www.TransitionsCHCP.com (602) 237-5557 Teddylen@TransitionsCHCP.com RETIRE SMARTER Kimberly Kent RN, JD FREE E -PAG 27-P Don’t make the mistake of representing yourself. 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We value top nursing talent and offer exceptional benefits that include Medical/Dental/Vision/Life, 401k with Employer match, Paid Time Off, relocation and sign on bonus. We have opportunities for talented nursing professionals, including: FT Operating Room RN’s FT Labor and Delivery RN’s Apply online at www.matsuregional.com c.babuscio@msrmc.com (907)861-6576 2500 South Woodworth Loop *>“iÀÊÊʙ™È{xÊUÊ­™äÇ®ÊnÈ£‡Èäää arizona STATE BOARD OF NURSING REGULATORY JOURNAL 31 ARIZONA STATE BOARD OF NURSING 4747 North 7th Street, Suite 200 Phoenix, AZ 85014-3655 The difference you’ve been waiting for… You can feel it in our corporate stability and growth, and in the way we place our focus where it belongs – on our patients and our people. You can see it in our shift towards delivering new models of care in a collaborative culture where every voice counts and is heard. You can experience it as part of our uni¿ed effort to make health care better. We have opportunities for RN’s across the board, and immediate needs in the following areas: ‡(5‡25‡,&8‡0HG6XUJ‡7HOH At Abrazo Health, investing in our people means wide open career paths, a Total Rewards Program of comprehensive worklife bene¿ts, and a Reward for Performance program that recognizes individual achievement. Come in to any of our six Phoenixarea hospitals and see the difference! You may also view openings, apply for positions, and upload your resume from any computer or mobile device at: MREVDEUD]RKHDOWKFRP IDFHERRNFRP$EUD]R&DUHHUV WZLWWHUFRP$EUD]R&DUHHUV Hospitals Arizona Heart | Arrowhead | Maryvale Paradise Valley | Phoenix Baptist | West Valley One Vision. One Voice. One Abrazo. EOE