arizona 70-t/O1 APRIL 2015 STATE BOARD OF NURSING REGULATORY JOURNAL To Question To Learn To Discover p.12 NCSBN 2014 Nurse Licensure Compact Survey Results: What did Arizona nurses and employers recommend to improve the compact? Have a job? Have a family? Now you can have a BSN degree too. Earn your RN to BSN 100% online at ASU. A Bachelor’s of Science in Nursing (BSN) is becoming not just a “nice-to-have” degree but a necessity too. In fact, The Institute of Medicine is calling for 80% of the nursing workforce to have a BSN by 2020. The good news: earn your RN to BSN degree in as little as 18 months from a top-ranked university while keeping your job and staying put. ASU’s online RN to BSN program makes it all possible—and at an affordable price. Get the beneÀts of an ASU education with experienced faculty and courses certiÀed in Quality Matters®. There’s no better time to get a head start on the future and no better place than ASU Online. Learn more now, including tuition costs and admission requirements. Go to bsn.asu.edu 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 Doug Ducey Joey Ridenour, RN, MN, FAAN EXECUTIVE DIRECTOR Judy Bontrager, RN, MN ASSOCIATE DIRECTOR/OPERATIONS Pamela Randolph, RN, MS, FRE ASSOCIATE DIRECTOR/EDUCATION & EVIDENCE BASED REGULATION Valerie Smith, RN, MS, FRE ASSOCIATE DIRECTOR/COMPLAINTS & INVESTIGATIONS VOL 11 t N O 1 t APRIL 2015 4 6 From the Executive Director Telehealth The Future is Now 8 BOARD MEMBERS Randy Quinn, MSN, CRNA PRESIDENT Carolyn Jo McCormies, RN, MSN, FNP-BC VICE PRESIDENT Theresa (Terri) Berrigan, LPN, C-AL 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 12 16 18 To Question, To Learn To Discover NCLEX Information Competency From NCLEX to Performance Report from the Deans and Directors Annual Meeting 2014 arizona EDITION 32 Staff Directory STATE BOARD OF NURSING REGULATORY JOURNAL 22 CNA Disciplinary 25 RN/LPN Disciplinary pcipublishing.com Created by Publishing Concepts, Inc. $AVID "ROWN 0RESIDENT s DBROWN PCIPUBLISHINGCOM For Advertising info contact ,AURA 7EHNER s  EXT  LWEHNER PCIPUBLISHINGCOM ThinkNurse.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL 3 From the Executive Director JOEY RIDENOUR, RN, MN, FAAN & GUEST EDITOR – CINDY MAND RN BSN/GRADUATE STUDENT GCU Arizona and 25 other states have joined the Nurse Licensure Compact (NLC). The NLC allows a nurse to have one multistate license in their primary state of residence and to practice in other compact states on a “privilege to practice” or PTP. This privilege applies to nursing practice both physically and electronically. The NLC is a legal contract between member states that facilitates the movement of nurses between states. The National Council of State Boards of Nursing (NCSBN), along with the Federation of State Medical Boards (FSMB) and the National Association of Boards of Pharmacy (NABP) have all determined that health care practice occurs at the point where the recipient of the service is geographically located (NCSBN, 2015). In 1997 NCSBN developed the NLC partially in response to the Telecommunications Act of 1996 to begin addressing the issue of telehealth (Tompkins, 2010). Fifteen years after it was first enacted in 2000, a total of 25 states have enacted legislation to become members of the NLC. In 2014, the NCSBN surveyed more than 152,000 licensed nurses to evaluate the impact of the NLC from their viewpoint, as well as the perspective of more than 26,000 nurse employers and all State Boards of Nursing (BONs). In this issue of the Arizona State Board of Nursing Regulatory Journal, the survey results will be provided to inform the public of the perceptions of the NLC and recommendations from nurses, employers and board’s of nursing to advance the Nurse Licensure Compact. National Council of State Boards of Nursing (2014). Nurse Licensure Compact Evaluation: All States Aggregate Findings: 1. 2. 3. 4. 5. 6. 7. 4 69% nurses with single state licenses aware of the NLC want their state to join the NLC. Those in favor stated the NLC benefits traveling nurses, offers increased employment opportunities beyond the state’s borders and made finding a new job easier/quicker/flexible. 62% of employers believe that the NLC makes it easier to hire a nurse. Those who oppose their state joining the NLC – 2% of those surveyed – offered four reasons for their opposition: employment concerns, regulatory issues, concern over standards and cost. 18% of compact nurses and 17% of single license nurses reported that they had provided services or communicated with a patient or client located in a different state/jurisdiction from where they were located during past 24 months (i.e., telehealth). For those nurses who reported practicing in more than one state, nurses from compact states had a slightly higher average number of states practiced through telehealth: 4.15 in compact states and 4.06 in single license states. Of employers who were familiar with NLC, the average number of nurses practicing on a compact license issued by another state was 2.38, or 4% of their nurses. Of those nurses, 47% were due to the nurse newly relocated, a close second were nurses living across state/jurisdiction border (46%), and third was traveling nurses. Approximately 10% of nurses in single license states reporting have engaged in telehealth without a license in the past 24 months arizona STATE BOARD OF NURSING REGULATORY JOURNAL 8. 9. 10. 11. 12. 13. 63% of Boards of Nursing (BON) responding indicated there was no financial impact of the NLC on the BON, while 37% indicated there was a financial impact. All BON’s reported advantages of being a member of the NLC, with 32% reporting some disadvantages. The advantages cited by BON’s included the ability for licensees to practice in a number of states, the establishment of a consistent framework to regulate telehealth and distance education issues, and the ability to share investigative information. Disadvantages included anticipated confusion among employers and nurses about the compact, perceived increased workload for board staff and investigators, nurses aren’t always timely licensed when they are supposed to be, and the lack of criminal background checks in all states. 6% of compact employers and 20% of single license state employers indicated nurses in their organization require multiple nursing licenses from other states/jurisdictions to perform their job. Of those positions requiring multiple licenses, the top 4 were: home health/hospice, case management, post-discharge follow up, and telehealth. Employer’s two most common recommendations to improve the NLC were to expand to more or all of the states and to provide more education and information about the NLC. 5% of employers indicated there have been disadvantages of the NLC for their organization. The most common complaints: dealing with states that have not joined the compact and nurses not understanding their responsibilities related to the NLC. National Council of State Boards of Nursing (2014). Nurse Licensure Compact Evaluation: Arizona Data 1. 2. 3. 4. 5. 6. 7. 8. 9. 468 Arizona nurses responded with 86% indicating they were employed in an urban-type area and 14% in a ruraltype area. 78% were at least somewhat aware of NLC. 34% held an active license in another state or jurisdiction, with the average number of licenses held by compact licensees being 1 and the average number held by single state licensees being 3. 23% nurses in AZ who were aware of the NLC and held a compact license did not know if their home state belongs to the NLC. 27% with a compact license indicated they provide nursing services or communicate with patients or clients outside of their home state at least some of the time. Average number of states a nurse in AZ with a compact license practiced through telehealth was 6 and 80% of those indicated they held only 1 license. Average number of states a nurse in AZ with a single state license practiced was 7 and 11% of those indicated they held only 1 license. 3% nurses indicated something had prevented them from applying for a nursing license in another state/ jurisdiction. The top reasons indicated for not applying for another license were: no need for license outside of AZ, hassle/lengthy process, participating in board confidential program for Chemically Addicted Nurse Diversion Option (CANDO) or have discipline against their license and therefore are a single state license and cost. 16% nurses practiced in another state/jurisdiction. The largest percentage of these (26%) said the type of posi- 10. 11. 12. 13. 14. 15. tion held was: a travel nurse, 22% indicated telehealth/ case manager by phone or electronic, and 16% work for an employer/facility across the state border. Other practice environments included camp nurse, home health/hospice, and nurse educator. Forty AZ nursing employers responded to the survey; 38% nursing home/long-term care, 20% hospital, 18% ambulatory surgery center (not hospital owned), and 25% “other.” 93% of the employers were at least somewhat familiar with NLC; of those 83% said the NLC helps expedite nurse hiring. AZ employers familiar with the NLC responded that the average number of nurses practicing on a compact license issued by another state/jurisdiction in their organization was identified as 2.65 or 6%. Of those 2.65 nurses, 75% of the nurses live across state/jurisdiction border, 19% were travel nurses, and the rest were newly relocated nurses. 14% of the employers require nurses to have multiple licenses from other states in order to perform their job. 76% of employers said there was no disadvantage to the NLC, while 5% said there are disadvantages, such as after the nurse takes up residency as their primary state of residence, they do not timely apply for state license; sometimes nurses are unaware of what is expected of them and nurses are sometimes unfamiliar with regulations. Top recommendations from AZ employers to improve the NLC were to add more/all states to NLC, educate nurses licensed in participating states, standardize continuing education requirements among states and educate nurses about their home state. The NCSBN 2014 NLC survey findings clearly supports the insight that telehealth is a growing facet of healthcare in the 21st century. NCSBN has been the leader among healthcare regulators with the success of the NLC, with nurses, nursing employers and BONs, with all recognizing the positive impacts of the NLC. As healthcare delivery continues to evolve, it offers opportunities for innovative ways to address the challenges of balancing public protection and reducing regulatory barriers. Joey Ridenour, RN, MN, FAAN References: National Council of State Boards of Nursing (2014). Nurse Licensure Compact Evaluation. National Council of State Boards of Nursing, (2015). NLC Toolkit. Retrieved from https://www.ncsbn.org/6183.htm Tompkins, O. (2010). Nursing compact. AAOHN Journal, 58(3), 124. doi: 10.3928/08910162-20100224-04 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 5 The Future is NOW Just a decade ago, the idea that a health care provider could diagnose and treat a patient via teleconferencing technology was a concept more at home in the realm of Star Trek™ than what is now an increasingly commonplace event. Whatever form it takes – patient consultations via video conference, e-health including patient portals, remote monitoring of vital signs, continuing medical education, consumer-focused wireless applications and nursing call centers, among other applications – “all are considered part of telemedicine and telehealth” (ATA, 2015) and are all part of a growing fabric of what it means to deliver health care services in the 21st century. Will 2015 be the year when all the challenges involving reimbursement, regulation, infrastructure and access as well as provider and patient adoption fall into place? Has telehealth’s time to be a viable alternative to face-to-face health care provider visits arrived? What barriers need to be overcome for telehealth to have complete parity with inpatient visits? Congressional and media attention over the past year has heated up because it appears as though telehealth might address many ongoing access issues, including the shortage of health In Focus, Spring 2015 6 arizona STATE BOARD OF NURSING REGULATORY JOURNAL care providers; particularly in primary care. A Georgia Public Policy Foundation study concluded that without telehealth, patient access might be delayed, denied or otherwise not available. Telehealth provides the patient savings in time and money and can reduce the stress from delayed or denied face-toface medical care (Bachman, 2015). With the Affordable Care Act bringing millions of people into the health care system, no less than 44 states have current telehealth legislation pending. On the national level, bills are being debated in committees for eventual introduction in Congress. While trade articles have touted the virtues of telehealth for years, in the past 12 months it has captured the attention of the mainstream media. The subject has been covered extensively in Forbes, highlighted on network TV and radio news shows and debated in blogs and within the online community of health care providers and patients alike. Used on a wide scale, telehealth has the potential to lower costs and provide improved patient outcomes. So why hasn’t there been widespread adoption of telehealth? technology can provide “sophisticated synchronous and asynchronous video communications, IT-enabled real-time data-transfer capabilities and advances in wireless patient monitoring that have all evolved sufficiently to support telemedicine platforms.” (Darves,2014) The concern over whether or not patients will readily accept telehealth alternatives to inpatient visits is somewhat unfounded. As the population has grown more comfortable and adept at using online technology, the technology itself has become both more sophisticated in scope and more user-friendly and reliable in practice. Although some of the most elderly of senior citizens may face challenges in using digital tools, a Pew Research Study (Smith, 2013) found that, “Six in ten seniors—59%—report using the Internet. This is a six percentage point year-over-year increase from the 53% of older adults who went online at a similar point in 2012.” In fact, the rate of adoption of social media among those age 60 and over is the fastest growing segment of the marketplace. So does telehealth provide similar or better patient outcomes to an in-office visit? A 2013 American Telemedicine Report, Telemedicine’s Impact on Healthcare Cost and Quality, noted that scientific studies in the area of telemedicine and quality of care “indicate that the use of telemedicine for such applications as monitoring of chronic care patients or allowing specialists to provide care to patients over a large region have resulted in significantly improved care. For most telemedicine applications, studies have shown that there is no difference in the ability of the provider to obtain clinical information, make an accurate diagnosis, and develop a treatment plan that produces the same desired clinical outcomes as compared to in-person care when used appropriately.” This same report also found that the vast majority of the peer-reviewed research studies about the cost effectiveness of telemedicine (based on large sample sizes and following sound scientific rigor) are relatively new but are consistently concluding that telemedicine saves the patients, providers and payers money when compared with more traditional approaches to Another argument questions the reliability and ability of providing the necessary data to inform the provider. This concern is mitigated by ongoing Continued on page 9 advances in the industry that have made telehealth technology the cutting-edge Established in 1973 as on one of the of innovation. These advances include first crisis nurseries in the United States, Casa de los Niños leads the way higher video and image resolution, more in preventing and treating child abuse efficient use of bandwidth that has made and neglect in the Tucson, AZ area. connectivity more reliable, and electronic Currently recruiting for a Nurse Family Partnership Program Supervisor to oversee a group of RNs who work with vulnerable first-time mothers to have a healthy pregnancy and delivery and health record systems facilitating enhance their parenting skills. increased data exchange (iHealthBeat, Ėĺĺĺĺĺîðëĺ€pÚÀĺ¯ĺÀʪÀ‘“ª„ĺpĺڄp¼ Ėĺĺĺĺĺ ¯©¹„Æ“Æ“Ó„ĺNp£p¼Ú 2013). Additionally, telehealth Ėĺĺĺĺĺ7„€“|p£Ę倄ªÆp£Ęĺ£“„ĺ“ªÀʼpª|„ Ėĺĺĺĺĺ7pÆ|‘“ªŽĺïëìĪ īĺJ„Æ“¼„©„ªÆĺG£pª Ėĺĺĺĺĺ©¹£¯Ú„„ĺÀÀ“ÀÆpª|„ĺG¼¯Ž¼p© For full job description and application visit www.casadelosninos.org arizona STATE BOARD OF NURSING REGULATORY JOURNAL 7 STAFF DIRECTORY EDUCATION SENIOR INVESTIGATORS ADMINISTRATION Ronda Doolen, RN, BSN, MSN Education Program Administrator 602.771.7877 rdoolen@azbn.gov Bonnie Richter Senior Investigator 602.771.7828 brichter@azbn.gov Frannie Breed, RN, BSN Nurse Practice Consultant/CNA Programs 602.771.7857 fbreed@azbn.gov Daniel Phelan, BS, M Adm Senior Investigator 602.771.7813 dphelan@azbn.gov Lyn Ledbetter Administrative Assistant 602.771.7856 lledbetter@azbn.gov David Elson, III Senior Investigator 602.771.7851 delson@azbn.gov FISCAL SERVICES Randi Orchard Fiscal Services Manager 602.771.7810 rorchard@azbn.gov Jennifer Ingram Legal Assistant 602.771.7835 jingram@azbn.gov 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 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 HEARINGS Trina Smith Legal Assistant 602.771.7852 tsmith@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 Kathleen Harrington, RN Nurse Practice Consultant 602.771.7811 kharrington@azbn.gov Kirk Olson Senior Investigator 602.771.7824 kolson@azbn.gov Linda Monas Senior Investigator 602.771.7826 lmonas@azbn.gov Max Barker Senior Investigator 602.771.7812 mbarker@azbn.gov Michelle Morton Senior Investigator 602.771.7850 mmorton@azbn.gov LEGAL SECRETARIES Cindy Mand, RN, BSN Nurse Practice Consultant 602.771.7815 cmand@azbn.gov Lynette Drafton Senior Investigator 602.772.7827 llohsandt@azbn.gov Michael Pilder, MSN, PHCNS-BN APHN-BC Nurse Practice Consultant 602.771.7816 mpilder@azbn.gov Gari Carrol Legal Secretary 602.771.7841 gcarrol@azbn.gov Ruth Kish, RN, MN Nurse Practice Consultant 602.771.7823 rkish@azbn.gov Richard Carr Legal Secretary 602.771.7852 rcarr@azbn.gov Stephanie Chambers, RN, MN Nurse Practice Consultant 602.771.7818 schambers@azbn.gov INFORMATION TECHNOLOGY Lynette Drafton Senior Investigator Applicant Triage 602.771.7827 llohsandt@azbn.gov 8 Katrina Alberty Senior Investigator 602.771.7817 kalberty@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL Adam Henriksen 602.771.7807 ahenriksen@azbn.gov Cory Davitt 602.771.7808 cdavitt@azbn.gov LICENSING Claudia Deines Verifications 602.771.7833 cdeines@azbn.gov 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 Idalyne Eskava RN/LPN Endorsements 602.771.7840 ieskava@azbn.gov Monica Ortiz RN/LPN Endorsements 602.771.7831 mortiz@azbn.gov Naira Kutnerian Advanced Practice Certifications 602.771.7834 nkutnerian@azbn.gov MAILROOM Karen Johnson 602.771.7876 kjohnson@azbn.gov MONITORING Tamara Greabell, MA, BSN, RN Nurse Practice Consultant 602.771.7862 tgreabell@azbn.gov Brent Sutter Legal Assistant 602.771.7860 bsutter@azbn.gov Esperanza Flores Legal Secretary 602.771.7861 eflores@azbn.gov RECEPTIONISTS Nancy Davis 602.771.7872 ndavis@azbn.gov Lisa Harper 602.771.7871 lharper@azbn.gov Susan Kingsland 602.771.7873 skingsland@azbn.gov RECORDS Anne Parlin 602.771.7875 aparlin@azbn.gov providing care. An August 2014 study by global professional services company Towers Watson estimated telemedicine could potentially deliver more than $6 billion a year in health care savings to U.S. companies (Towers Watson, 2014). If all of these factors point to a win-win scenario for all of the parties involved, why isn’t telehealth more mainstream? The fact remains that the sticking points to telehealth lie in administration and policy, i.e., the regulation of health care providers and reimbursement for services. Reimbursement has been a thorny issue in telehealth. Providers have lobbied for parity in providing telehealth services with traditional in-office visits, while payers/insurers have been reluctant to value the services in the same way. That may be changing. The Centers for Medicare and Medicaid Services (CMS) (U.S. Department of Health and Human Services Health Information Technology, 2014) have issued new rules on payments to physicians providing telehealth services, an indication that the agency is expanding reimbursement for telemedicine. CMS also added seven new procedure codes for telehealth, including annual wellness visits and psychotherapy services. Among private-payers, there is no accepted standard in place because there is still a wide discrepancy between whether they will pay for telehealth services, and for what type of services they will cover and under what conditions. Some insurers see the value and cost effectiveness of telehealth and will reimburse for services while others will not. All of the allied health professions regulatory groups are grappling with the issue of telehealth. The Tri-Regulator Collaborative is comprised of the “big three” organizations representing the state and territorial licensing boards in the U.S. that regulate the practice of medicine, pharmacy and nursing; they include the Federation of State Medical Boards (FSMB), National Association of Boards of Pharmacy (NABP), and NCSBN. Last year they affirmed that in a consumer protection model, health care practice occurs where the recipient of health care services is located. Continued on page 10 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 9 This affirmation highlights the need for portability of licenses. While other health care provider regulatory bodies are just getting started in this process of interstate practice, NCSBN’s Nurse Licensure Compact (NLC) has been ahead of the curve since its implementation in 2000. The NLC allows for registered nurses (RN) and licensed practical/vocational nurses (LPN/VN) to have one multistate license, with the ability to practice in both their home state and other NLC states. The APRN Compact allows an advanced practice registered nurse to hold one multistate license with a privilege to practice in other compact states. There are currently 24 states in the NLC. Influenced by the growing need for nurse mobility and clarification of the authority to practice for many nurses currently engaged in telenursing or interstate practice, boards of nursing (BONs) have worked over the past several years to revise the NLC to ensure it reflects best practices and provides for continued high standards of public protection. In some ways, however, nursing lags behind other allied health care regulators in that most BONs lack a formal policy for telehealth nursing practice. In a recent survey conducted by NCSBN, only 14 jurisdictions indicated they had a policy in place addressing these issues. Additionally, nurse employers and policymakers often make requests of NCSBN for compiled stateby-state telehealth nursing licensure requirements similar to what is readily available from FSMB about physician requirements, but no such compilation is possible at this time. A model policy for telehealth nursing practice will be reviewed by the NCSBN Board of Directors for potential adoption. Offering key elements defining telehealth nursing practice, this model provides a jumping-off point for NCSBN Member Boards to develop their own policies. Telehealth is a proven concept; it is just waiting for all of the factors influencing its complete acceptance as part of the health care delivery system to align. In Focus, Spring 2015 10 arizona STATE BOARD OF NURSING REGULATORY JOURNAL References American Telemedicine Association. What is Telemedicine? Retrieved from http://www.americantelemed.org/abouttelemedicine/what-is-telemedicine#.VMlbq2jF_2E American Telemedicine Association. (2013). Telemedicine’s impact on healthcare cost and quality. Retrieved from http:// www.americantelemed.org/docs/default-source/policy/examples-ofresearch-outcomes---telemedicine%27s-impact-on-healthcare-costand-quality.pdf Bachman, R.E. (2015). Telehealth & Patient-Centered Care. Georgia Public Policy Foundation. Atlanta. Darves, B. (2014). Technology advances boosting Telehealth, but challenges to widespread use remain. Retrieved from http:// www.ihealthbeat.org/insight/2014/technology-advances-boostingtelehealth-but-challenges-to-widespread-use-remain iHealthBeat (2013). Health care providers leveraging advances in Telehealth technology. Retrieved from http://www.ihealthbeat. org/articles/2013/4/8/health-care-providers-leveraging-advancesin-telehealth-technology Smith, A. (2013). Older adults and technology use: Attitudes, impacts, and barriers to adoption. iHealthBeat. Retrieved from http://www.pewinternet.org/2014/04/03/attitudes-impacts-andbarriers-to-adoption/ Towers Watson. (2014). Current Telemedicine Technology Could Mean Big Savings.[news release]. Retrieved from http://www.towerswatson.com/en-US/Press/2014/08/currenttelemedicine-technology-could-mean-big-savings U.S. Department of Health and Human Services Health Information Technology. What are the reimbursement issues for telehealth? Retrieved from http://www.hrsa.gov/healthit/toolbox/ RuralHealthITtoolbox/Telehealth/whatarethereimbursement. html Consent Agreement and Order Training For people who have signed an agreement or who are considering signing an agreement with the Board of Nursing, please attend a Consent Agreement/Order training class on Wednesday June 17, 2015 from 3:00 p.m. to 4:30 p.m. at the Board office located at 4747 N. 7th St. Phoenix, AZ Suite 200. The facilitator will be Tamara Greabell, RN. Please call 602-771-7862 to RSVP by June 16, 2015. Hello humankindness. Hello new career. Learn more about all the opportunities with Dignity Health Arizona General Hospital and our free-standing emergency rooms at azgeneral.com/careers 7171 S. 51st Avenue, Laveen, AZ 85339 recruting@adhc.com © 2015 Dignity Health Arizona General Hospital. All rights reserved. Summit Healthcare Regional Medical Center Trusted to Deliver Exceptional, Compassionate care close to home You can have it all. Life balance. Competitive salary. Bar-setting benefits. At Amedisys, we’re looking for special clinicians exactly like you to set the standard in clinical excellence. Those who will one day raise a glass to Amedisys as they look back on their careers and smile. Are you ready to find a workplace where you can reach your fullest potential? We’re ready for you. Amedisys Home Health continues to grow throughout Arizona! Our Phoenix, Tucson and Yuma locations have the following positions available: Come to Arizona’s cool, beautiful White Mountains where the quality of life soars as high as the tall pines! Sign on bonus / Relocation Assistance / Excellent Benefits / 403(b) Retirement / Tuition Reimbursement RN opportunities in: f Emergency Dept. f Med Surg f Surgery f ICU f Float f Labor & Delivery / Post Partum f Home Health 3/Tt-1/Tt$/"T 8FFLFOE"ENJU3/Tt1TZDIJBUSJD3/T To learn more about our Career opportunities visit www.summithealthcare.net or call to speak with the Nurse Recruiter, $5,000 Sign-on Bonus for Qualified RN Candidates, depending on experience! Amedisys offers a professional team environment, top pay, excellent training, 401(k) w/matching, FREE CEUs, computerized charting and mileage reimbursement for all employees. Full-time benefits package includes: Medical/Dental/Vision/Life, Paid Holidays and much more! www.amedisys.com For more information, contact Patrick Natividad at patrick.natividad@amedisys.com or 855-298-9283. You may also apply online at www.amedisys.com Stevie Burnside at 928-537-6367 email sburnside@summithealthcare.net Show Low Arizona has four beautiful, mild seasons — a perfect place for outdoor adventures year-round! Summit Healthcare Regional Medical Center 2200 E. Show Low Lake Rd. • Show Low, AZ 85901 Amedisys is an equal opportunity employer committed to diversity in the workplace. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 to question to learn to discover An in-depth look at two NCSBN studies and their potential impact on the future of nursing Walk the halls of the NCSBN Nursing Regulation department and there’s a good chance you’ll hear the words “simulation study” and “TTP” (that’s short hand for transition to practice). That’s because after three years of research, the National Simulation Study and the Transition to Practice Study are finally coming to a close. Final data are still being collected and analyzed, which means outcomes are not far behind. But before we look forward, let’s take a look back to see how it all started. Maybe the researchers will even give us an early peek at their findings. 12 arizona STATE BOARD OF NURSING REGULATORY JOURNAL In the Beginning Boards of nursing (BONs) utilize research data to inform regulatory decisions. Where do the BONs get that data from? A variety of sources, including peer-reviewed journals and industry studies. Sometimes though, the literature is lacking and more information is needed to make regulatory decisions. Every three years, the NCSBN Board of Directors selects new areas of scientific study that will build on the body of knowledge and provide vital data to the BONs. “The goal of NCSBN research is to turn data into evidence-based policy BONs can use as they continue their mission of public protection,” said NCSBN Chief Nursing Officer Maryann Alexander. Based on feedback from the BONs and recommendations from NCSBN staff, the BOD chooses a variety of topics that need further study. These projects are outlined in the NCSBN Research Agenda, which serves as the blueprint for the NCSBN Research department for a three year-period. In 2010, the BOD approved the 2011-2013 NCSBN Research Agenda. Included in the agenda were several topics of interest to BONs, among them, simulation and transition to practice. The need for data on these subjects led to the development of two multi-site, multi-year studies: the National Simulation Study and the Transition to Practice Study, both of which report their final outcomes and conclusions later this year. National Simulation Study Back in the late 1990s/early 2000s, high fidelity simulators started to appear in nursing. These simulation manikins had the ability to standardize the nursing education experience. With these manikins, a school could ensure that every student would experience a cardiac arrest and learn how to handle it. As schools of nursing began to invest in these simulators, BONs were inundated with requests to allow the simulators to be used in lieu of traditional clinical sites. “Competition for clinical sites was on the rise,” said Jennifer Hayden, associate, Research, NCSBN. “There were more nursing students and less clinical sites available. Simulation looked like a good solution.” But did simulation really provide the same educational experience as a clinical site did? “Boards of nursing needed answers, but the literature was lacking,” Hayden explained. “So, the BONs turned to NCSBN and asked us to conduct a study that would provide them with the evidence they needed to make regulatory decisions on simulation in nursing education.” The National Simulation Study was divided into three phases. Phase I consisted of a survey that was sent to all prelicensure nursing programs in the U.S. to determine the prevalence of simulation use—types of equipment used and the courses in which simulation is used; faculty training and development to use simulation; and if simulation is used as a substitute for clinical hours. Phase II involved randomizing nursing students to receive varying amounts of simulation in place of traditional clinical hours. Hayden and her research team set out to find nursing schools willing to participate. “We wanted to include associate degree and baccalaureate programs so the study could be generalizable. We also needed schools that were large enough to have three groups of participants that would each have various amounts simulation,” Hayden said. 23 schools applied, 10 were chosen. In August 2011, 847 new nursing students were randomized into one of three study groups: traditional clinical (the control group), 25 percent simulation or 50 percent simulation. Each semester and in each of the core clinical courses, students were assessed on their nursing knowledge, clinical competency and how well they perceived their learning needs were met in both the clinical and simulation environments. In May 2013, 667 of the study cohort graduated (several students dropped out of the study or left the nursing program all together). To determine their readiness to practice, 587 nurses agreed to participate in a longitudinal follow-up study (Phase III). To date, 62 percent of follow-up study participants have been hired as registered nurses (RNs). The data collected from the study, in addition to NCLEX pass rates, end-of-program competency assessments, end-of-program nursing knowledge, how students rated simulation environment and how simulation works on a course-by-course basis will all be explored when Hayden reports her outcomes in a supplement that will be published with the Journal of Nursing Regulation (JNR) later this year. “The results of this research will be so valuable to nurse regulators and educators. What we learn from this study Continued on page 14 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 and future studies that build on our work will be used for years to come to guide and shape clinical education,” Hayden explained. Transition to Practice Study The transition from nursing student to newly licensed nurse can be exciting, yet overwhelming. Newly licensed nurses are expected to take the knowledge and skills they acquired in an educational setting and apply them seamlessly into clinical practice. For some, this transition is easy, but for many new nurses, the transition can be stressful and difficult. Studies suggest that when newly licensed nurses don’t properly transition into new practice, nurse retention, competency and patient safety are affected. NCSBN began studying transition to practice back in 2002. In 2008, the first evidence-based model was introduced. “Transition to practice is just as relevant today as it was when I started at NCSBN in 2002,” Nancy Spector, director, Regulatory Innovations, NCSBN, said. “We can’t hire a new nurse and expect them to hit the ground running. Too much is at stake.” The Transition to Practice Study investigated whether NCSBN’s Transition to Practice Model improved quality and safety outcomes, and whether it could be generalized into diverse settings. To study this, two phases were developed. Phase I focused on RNs in hospital settings; Phase II studied RNs and licensed practical/vocational nurses (LPN/VNs) in long term care, home health, ambulatory and public health settings. “The Transition to Practice Study is one of the first to randomize sites to an intervention and control group. This is important because the control group, which used its traditional orientation 14 arizona STATE BOARD OF NURSING REGULATORY JOURNAL procedures, served as a comparison to the intervention group’s use of a standardized transition to practice model. Therefore, if there are significant differences in the outcomes between the two groups, they are likely because of the use of the use of the transition to practice model being used in the intervention group.” A large sample size was needed in order for the study to be successful, so Spector and her research team started looking for sites. Ten states showed interest; three were selected. In the end, 108 hospitals and 42 nonhospital settings in Illinois, North Carolina and Ohio participated in Phase I, which had 1,437 newly licensed RNs participating. Phase I ended in March 2013; Phase II ended in January 2014. Because of this, outcomes are still being collected and analyzed, so it’s too soon to even give us a glimpse at the results. Guess we’re going to have to wait until later this year when they’re officially published. But if Hayden and Spector’s excitement about their studies are any indication, we have much to look forward to! Want to read the outcomes from the National Simulation Study and Transition to Practice Study as soon as they are published? Then make sure you subscribe to JNR by visiting http://jnr.metapress.com. The Future of NCSBN Research As the two studies come to an end, several more are just beginning, as outlined by the 2014-2016 NCSBN Research Agenda (which is available at www.ncsbn.org/169.htm). Take the Continued Competency Study for example. The lack of evidence on the topic, coupled with the fact that each state has its own competency requirement, has made it difficult to determine whether there is any one thing that predicts nurse competency. Furthermore, competency is measured in a variety of ways, including the use of examinations, self-assessment, continued education and certifications. With so many measurement tools, which is the best? Which tool accurately measures competency? Several hospitals in Illinois are currently serving as study sites to help NCSBN answer these questions. The data collected in this study will help NCSBN determine whether a large scale, multisite national study should be implemented. No problem though. NCSBN is used to successfully pioneering research studies. The pay, the benefits, the bonus, the caring, the opportunity is yours with Now hiring RN’s! 9œÕ½Àiʈ˜ÛˆÌi`Ê̜ʍœˆ˜ÊœÕÀÊ`ޘ>“ˆV Ài}ˆÃÌÀÞ°Êi>Ì Ê/i“«]ÊÀˆâœ˜>½Ãʏ>À}iÃÌ >˜`ʓœÃÌÊÀiëiVÌi`Ê>}i˜VÞʜvviÀÃ\ UÊ/œ«Ê7>}ià 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˜ All RN Areas Available. >ÊÈäӇÓÎ{‡£™{{ʜÀÊxÓä‡xÇLJ™änn œÀÊnää‡{nȇnÎÈÇÊvœÀÊ>``ˆÌˆœ˜>Êˆ˜vœ 6ˆÃˆÌÊÜÜÜ°i>Ì /i“«°Vœ“ arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15 INFORMATION The Eight Steps of the NCLEX® 1. Apply for licensure/registration with one board of nursing/regulatory body (BON/RB). 2. Register and pay the exam fee to Pearson VUE via the Internet or telephone. ƒ Payment via MasterCard, Visa or American Express will be accepted. $FFHSWDEOH,GHQWLŵFDWLRQ ƒ Use the exact name that is on your ID when registering for the NCLEX with Pearson VUE. At the test center, the name on the ID you present must match the name in the Pearson VUE system. If it does not match you will be required to reregister and pay another exam fee. ƒ All forms of identification listed below must be valid (non-expired) government-issued identification containing the following information: x Name (in Roman characters) x Recent photograph x Signature ƒ The only acceptable forms of identification for domestic test centers are: x Passport books and cards x Driver’s license x Provincial/Territorial or state identification card x Permanent residence card x Military identification card 7. Arrive for the exam appointment and present your acceptable identification. ƒ 8. Receive your official results from your BON/RB up to six weeks after your exam (this time period varies amongst BONs/RBs). The only identifications acceptable for international test centers are: x Passport books and cards ƒ The definitions of domestic and international test centers can be found on the Testing Locations page. ƒ IDs from a U.S. sanctioned (embargoed) country must follow the proof of residence policy. ƒ Temporary identification (examples include limited term IDs and any ID reading “temp” or “temporary”) is only acceptable if it meets the required elements stated above. ƒ If you cannot provide an acceptable ID at your appointment, you will have to reregister and pay another exam fee for the NCLEX. ƒ You must be made eligible by the BON/RB (see Step 4) within 365 days of your NCLEX registration and payment. 3. Receive Acknowledgement of Receipt of Registration from Pearson VUE by email. 4. BON/RB makes you eligible in the Pearson VUE system. 5. Receive Authorization to Test (ATT) email from Pearson VUE. ƒ You must test within the validity dates (an average of 90 days) on the ATT. There are no extensions. 6. Schedule your exam appointment via the Internet (by accessing your online account) or by telephone. No Refunds There are no refunds of NCLEX fees for any reason. 16 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Rules for Scheduling/Rescheduling/Unscheduling If you need to reschedule your appointment: ƒ Tuesday, Wednesday, Thursday or Friday appointments must be changed 24 hours in advance of the original date and time. For example, if your appointment is on Wednesday at 2:00 pm, then you must call to reschedule by Tuesday at 2:00 pm. ƒ Saturday, Sunday or Monday appointments must be changed no later than the Friday before the original date and time. For example, if your appointment is on Monday at 2:00 pm, then you must call to reschedule by Friday at 2:00 pm. Online www.pearsonvue.com/nclex Email pvamericascustomerservice@pearson.com Write NCLEX Examination Program Pearson Professional Testing 5601 Green Valley Drive Bloomington, MN 55437-1099 By Phone U.S. and Canada: Call NCLEX Candidate Services (toll-free) 1.866.49NCLEX (1.866.496.2539), Monday – Friday, 7:00 am – 7:00 pm, Central Standard Time. For French support, call 1.866.288.8454. Asia Pacific Region: Call NCLEX Candidate Services at (pay number) +852.3077.4923, Monday – Friday, 9:00 am to 6:00 pm, Hong Kong Time. Europe, Middle East, Africa: Call NCLEX Candidate Services at (pay number) +44.161.855.7445, Monday – Friday, 9:00 am – 6:00 pm, Central European Time. India: Call NCLEX Candidate Services at (pay number) 91.120.439.7837, Monday – Friday, 9:00 am – 6:00 pm, Indian Standard Time. ƒ You may not access or bring any educational, test preparation or study materials to the testing center at any time during your examination. ƒ Cell/mobile/smart phones, tablets, pagers or other electronic devices may not be accessed at all during your examination appointment (including breaks). Candidates will be required to store electronic devices in sealable, plastic bags at the test center. Candidates who refuse to store their electronic devices in the Pearson VUE provided plastic bag upon check-in will not be allowed to test and will be required to reregister and pay another exam fee. FAQs Know all the policies and rules before you start the NCLEX process by accessing the NCLEX Candidate Bulletin. Contact Pearson VUE about registering for the NCLEX, methods of payment, Authorization to Test emails, scheduling/rescheduling, acceptable identification and comments about the test center: Don’t Forget! Have questions? Check out the Frequently Asked Questions page of ncsbn.org. Contact NCSBN about NCLEX development, general NCLEX information and general questions/inquiries relating to exam administration: Online www.ncsbn.org/nclex.htm Email nclexinfo@ncsbn.org Write National Council of State Boards of Nursing, Inc. Examinations Department 111 E. Wacker Drive, Suite 2900 Chicago, Illinois 60601-4277 By Phone 866.293.9600 Contact your board of nursing/regulatory body about licensure/registration, name or address changes and endorsement. Contact information for most BONs/RBs is available a www.ncsbn.org/contactbon.htm. Visit the Association of Registered Nurses of Prince Edward Island or the Registered Nurses Association of Northwest Territories and Nunavut websites for contact information for these RBs. All other countries not listed above: Call (pay number) 1.952.905.7403, Monday – Friday, 7:00 am to 7:00 pm, Central Standard Time. Candidates with hearing impairments who use a Telecommunications Device for the Deaf (TDD): Call the U.S.A. Relay Service at (toll-free) 1.800.627.3529 or the Canada & International Inbound relay service at (pay number) 605.224.1837. These services are available 24 hours a day, seven days a week. 01/15 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 17 C o mp e t e nc y : F r om N CLE X® to P erfo rm ance Re por t f r om t h e D e a n s a n d D i r e c t or s A n n u a l M e e t i n g Octobe r 1 0 , 2 0 1 4 Report prepared by: Pamela K. Randolph RN, MS, FRE Associate Director Education and Evidence-based Education Introduction Every year the Arizona State Board of Nursing (Board) holds an annual meeting with nursing program administration to address areas of common interest. Meetings have ranged from informal sessions, where each program described their issues and asked for the collective wisdom of the group, to formal continuing education. Recently the Board has planned the meeting to facilitate problem exploration and solving in a group setting. The 2014 meeting was held to provide a forum for Arizona program directors and the Board Education Department to network, share information involving competency. The program was entitled Competency: From NCLEX to Performance. In 2013 the NCLEX-RN passing standard was raised, with a subsequent drop in pass rates for some programs. However other programs increased their NCLEX pass rates. Learning how programs increased or sustained their pass rates would promote discussion and innovation in all programs. Performance competency, the ability to interpret patient cues and execute sound nursing judgment, is always of concern to the Board and nursing programs. Advances in neuroscience, behavioral sciences and research supporting simulation to improve performance competency, made this a timely topic. Planning Board staff planned the day in conjunction with Northern Arizona University School of Nursing and appreciated the involvement of Sally Doshier, Assistant Dean of Nursing and Debera Thomas, Dean of Nursing in helping secure the venue and registering participants. The venue was in Flagstaff in October, just as the leaves were changing and the days getting cooler. Last year’s participants requested a cooler climate for the meeting as in September and October temperatures in Phoenix frequently are close to or exceed 100 degrees. Assignment Each program was asked to prepare an abstract of one intervention that the program uses or used in the past to improve NCLEX. The abstract should describe the strategy, how/why it was chosen, outline the 18 implementation including challenges, and describe the outcomes. Outcomes should address student satisfaction, attrition, costeffectiveness and faculty satisfaction of the implemented strategy. Programs were asked to choose topics based on the quality of evidence related to the strategy. There was a word limit of 500 words or less. Evaluation of Abstracts Overall 15 abstracts were received with 11 being submitted by the October 1, 2014 deadline. The abstracts were evaluated by three persons: Pamela Randolph, Associate Director of Education and Evidence-based Regulation for the Board; Ronda Doolen, Nursing Program Administrator for the Board, and Sally Doshier, Assistant Dean and Associate Professor at Northern Arizona University. arizona STATE BOARD OF NURSING REGULATORY JOURNAL Five of the persons/programs submitting abstracts were chosen for podium presentations. Presentations were selected based on their uniqueness, the quality of the data, and the holistic nature of the approach. All abstracts were supplied to meeting attendees. Performance Janine Hinton RN, Ph.D, simulation coordinator at Scottsdale Community College was asked to coordinate a presentation on performance competency with emphasis on the neurology of competency. Hinton is considered an expert in simulation and situational awareness. Co-presenters included Kristine Roberts and Carrie Kieras. Proceedings The meeting was attended by representatives of three of the seven approved LPN programs, 16 of the 23 approved Associate Degree Programs and seven of the eight approved BSN programs for a total 26 of 38 Arizona approved programs (68%). Approximately 50 persons were in attendance including Board staff and speakers. Attendees were provided with copies of all abstracts, an agenda, a blank concept map to take notes and copies of Board staff slides. Introduction Board staff opened the meeting with an overview of competency, competency related to scope of practice and myths associated with measuring competence, including the myth of self-assessment. NCLEX Competency The first speaker to present an abstract was David Kutzler Director of the LPN program at Pima Community College, Center for Training and Development. Kutzler analyzed scores on standardized exams in relation to NCLEX passing and concluded that having a cut-score would have “held hostage” three of four students who scored below 730, the optimal cut-score, but passed NCLEX on the first attempt. Faculty decided not to implement a cut score, but to continue to use HESI because of its value as a practice “high stakes” test and for the remediation resources available to students. The second speaker was Paula McNichols, Director of the RN program at Mohave Community College. McNichols described a situation at her college where nursing faculty had up to 78 students per instructor across three campuses with only interactive television connection (ITV), which was unreliable. Their NCLEX pass rate barely met the minimum Board requirement. Mohave worked with the Board, their accrediting body (NLNAC now ACEN), and their school administrators to improve instruction at the program. Class sizes were reduced to 25 students per instructor, nursing labs were upgraded, the curriculum was mapped to NCLEX, academic standards, admission requirements were raised and communication with students increased, faculty provided rubrics for all assignments and faculty improved test item writing skills. NCLEX passing rates increased from 81% in 2011 to 96% in 2012. Even with the increase in passing standard Mohave’s pass rate was 85% in 2013, and is 91% for the first 2 quarters of 2014. The third abstract was presented by Deborah McDonald Davis, Nursing Program Director and Rosemary Estoup, Assistant Program Director from Carrington College. Carrington College experienced a decline in NCLEX pass rates in 2013. Their plan to correct included an in-depth review and analysis of the issues. The plan focused on faculty training and standardization within the classroom. Mentoring and in-service opportunities for faculty were increased. Faculty reviewed all policies, duties were re-aligned to better suit faculty qualifications. In reviewing syllabi, curriculum “drift” was found and faculty were not teaching to the curriculum. Faculty re-mapped content to proceed from simple to complex. Faculty were provided additional guidance and support. In turn faculty were expected to increase tutoring and support to “at risk” students. Rubrics were standardized and faculty adopted Danielson’s Domains of Teaching to provide the groundwork for faculty expectations and role. The program reported that their pass rates increased from 57% in 2013 to 87% in the first 3 quarters of 2014. Sandy Ludwig, nursing faculty member from Eastern Arizona College (EAC) presented information on how her program increased student’s pharmacology sub-scores on NCLEX. Nursing exams were re-designed to include 10 questions on pharmacology on each exam. Students were required to answer 80% of those questions correctly. Students who struggle with this content were identified early and provided remediation resources in the form of additional study resources and extra tutoring. Students who fall below the 80% standard at the end of the course have an additional opportunity to demonstrate mastery by attaining an 80% on a cumulative test consisting of 25 pharmacology questions. Students who cannot meet this threshold are deemed not to have mastered an essential course competency and are required to repeat the course. EAC reported that the sub-score for pharmacology, as reported from NCLEX test data by Mountain Measurements, went from two percentage points below average before the intervention, to two percentage points above average after the intervention. Additionally, the program reports that the extra help offered to students has increased student satisfaction. The last speaker of the morning session was Sharon Caves, Program Director, Pima Medical Institute, Mesa. Caves inspired the audience by providing information on the “Passion Partnership Model.” Caves attributed the success of her program and its students to her faculty’s commitment to students. Faculty strive to understand each student as a unique individual. Faculty apply the concept of Human Flourishing (NLN) to their relationship with students. As nurses advocate for their patient, her faculty advocates for students to be the best they can be. This has led to curriculum revision and engagement of faculty and students. Every faculty member lives their passion, approaches students with encouragement and forms trusting partnerships with them. Caves provided support from the literature that passion and commitment leads to better outcomes. Caves currently uses Spur, Baily & Feruson’s (2010) Framework for Passion and Teaching to anchor PMI’s curriculum, philosophy, teaching methodologies and outcomes. PMI has done well in both NCLEX pass rates (86% in 2012; 84% in 2013) and on-time graduation rates (71% in 2012; 85% in 2013). Performance Competency Dr. Janine Hinton, Kristine Roberts and Carrie Kieras, from Scottsdale Community College, presented a lively session on performance competency. They sought to Continued on page 20 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 19 teach us a skill, juggling with sharp objects, by watching a U-tube video and taking a multiple choice exam. After the exam we were declared competent, yet none of us could even juggle round soft objects, let alone sharp objects. This demonstration illustrated for the audience the complexity of skill acquisition. The presenters emphasized that to properly perform a skill, more areas of the brain were utilized than to answer a multiple choice question. Dr. Hinton spoke on components of nursing expertise including, skilled know-how and deliberative practice. Endsley’s concept of situational awareness, attending to the right cues from the environment and patient to predict the future, was introduced. Most medical errors occur because individuals do not understand the situation they are in. Simulation was presented as modality for nursing students and practicing nurses to better understand patient cues and execute correct responses. Hinton presented results from the current research, “Measuring Competency with Simulation, Phase II” (a collaborative research project between the Board, Scottsdale Community College and Arizona State University) and her dissertation research on medication error trapping. In the second section of the presentation, Kristine Roberts described a simulation-only elective course at Scottsdale Community College. The course titled, “The Deteriorating Patient,” is limited to 10 students and conducted by 2-3 faculty members. The course presents the students with various high fidelity simulation scenarios of patients in need of rescue and provides them with opportunities to predict the consequences and intervene on the patient’s behalf. The course is open to pre-licensure students and practicing RNs and LPNs. Wrap-up Board staff closed the meeting with a review of competency development and a comparative analysis of Board cases where simulation performance was compared with reported errors from practice. To wrapup the day, each participant was asked 20 what they learned new or re-learned from the day. All participants stated they enjoyed the day and expressed a desire to attend next year. Tucson programs agreed to host next year’s event. Post-Event Evaluations Overall the evaluations were positive. Some of the comments are included below: Great way of sharing ideas and success Appreciated the schools who presented; excellent remedies of what is important Analysis to student engagement was a great connection Liked the different approaches The neurology presentation was excellent Great evidence-based data Great conference this year Very informative " 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 Adjunct Nursing Faculty Teaching Opportunities: All Clinical specialties: r 1FEJBUSJDT r 0CTUFUSJDT r .FEJDBM4VSHJDBM r .FOUBM)FBMUI For more information and submission instructions go to: XXXNBSJDPQBFEV FNQMPZFFTEJWJTJPOISKPCTBQQMZJOHQUUFBDIJOH 5IF.BSJDPQB$PVOUZ$PNNVOJUZ$PMMFHF%JTUSJDUJTBO&&0"" JOTUJUVUJPOBOEBOFRVBMPQQPSUVOJUZFNQMPZFSPGQSPUFDUFEWFUFSBOT BOEJOEJWJEVBMTXJUIEJTBCJMJUJFT arizona STATE BOARD OF NURSING REGULATORY JOURNAL IMMEDIATE OPPORTUNITES!!! The Division of Developmental Disabilities is looking for Nurses in the following cities: COOLIDGE, AZ Habilitation Nurse II Job Id 16100 Salary: $77,720 Multiple Vacancies Director of Nursing Job Id 15088 Salary: $52,820$63,941 PHOENIX, AZ Habilitation Nurse II Job Id 15899 Salary: $52,820-$63,941 Positions provide specialized nursing care for individuals with developmental disabilities requiring regular nursing care and position also provides specialized medical support to staff. A current license to practice as a Registered Nurse in the State of Arizona is required for all vacancies. For details apply today at www.azstatejobs.gov. Click the Search for Jobs button. In the job ID Field, enter the appropriate job ID number. Click on the job title and apply. For any questions or support please call 602-542-6883. AZ State Gov’t is an EOE/ADA Reasonable Accommodation Employer. Nurse and Allied Health Care Staffing )RU+RVSLWDOV6NLOOHG1XUVLQJRU0HGLFDO )DFLOLWLHV Private Duty Nursing Services Hospitals You are the missing piece we are looking for... Assisted Living 6WDIILQJIRU+RPHRU+RVSLWDOVHWWLQJV Home Health Services 0HGLFDUH&HUWLILHG1XUVLQJDQG7KHUDS\ Short T erm +RPH6HUYLFHV Assignmen ts :HDSSUHFLDWHRXU1XUVHV &RPH-RLQ2XU7HDP7RGD\ Email your resume to Careers@dependablehealth.com or apply online at www.dependablehealth.com 1DWLRQDO1XUVHV:HHNLV 0D\WKWK Respite Care In-Hom e Health Care Nursing H omes Dependable Nurses Inc. 1120 S. Swan Rd. Tucson, AZ 85711 520/795-1290 Dependable Home Health Inc. 1120 S. Swan Rd. Tucson, AZ 85711 520/721-3822 Dependable Home Health Inc. Nogales 857 W. Bell Rd. Nogales, AZ 85621 520/761-3211 Dependable Nurses of Phoenix Inc. 8687 E. Via de Ventura #110, Scottsdale, AZ 85258 480/609-9000 UPPER IOWA UNIVERSITY – Mesa Center Our College of Nursing and Health Care Professions has been providing an outstanding health care education for over 30 years. The College prides itself on the ability to create degree programs based on the demand for highly qualified health care professionals. We currently have the following full-time positions available at our main campus in Phoenix, Arizona: Ù"$/1Ï"DVUF$BSF/VSTF1SBDUJUJPOFS'BDVMUZ Ù%/1Ï%PDUPSPG/VSTJOH1SBDUJDF'BDVMUZ Ù'/1Ï'BNJMZ/VSTF1SBDUJUJPOFS'BDVMUZ Ù"UIMFUJD5SBJOJOH1SPHSBN%JSFDUPS Ù4LJMMT-BC$PPSEJOBUPS In addition, we are also hiring adjunct faculty for Practitioner Skills Lab – Adult Geriatric Practicum. Founded in 1949, GCU is a private, Christian university serving nearly 11,000 students on our main campus in Phoenix, Arizona and an online student population of more than 50,000. Apply online at jobs.gcu.edu RN-BSN PROGRAM 3 Courses that fit your busy lifestyle – online, hybrid and face-to-face options 3 Year-round schedule with 8-week classes 3 Full time or part time 3 Small class size 3 Complete the RN-BSN major in one year Nationally accredited by Commission on Collegiate Nursing Education (CCNE) YOUR DEGREE. ll YOUR WAY. o r n E 1361 S. Alma School Road, Mesa, AZ y! 480-834-4620 a d o t uiu.edu/mesa-nursing arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21 *Not reported in previous Journal CNA DISCIPLINARY ACTION OCTOBER - NOVEMBER - DECEMBER 2014 - JANUARY 2015 EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/21/2014 Abasta, Amanda G. CNA1000044815 Decree of Censure 1/30/2015 Ager, Setimia D. CNA1000045505 Stayed Suspension 12/31/2014 Amie, Zipporah R. CNA1000011790 Revocation 10/22/2014 Averitt, Gregory R. CNA1000022845 Decree of Censure 11/12/2014 Bledsoe, Jeffery R. CNA Applicant Certificate Denied 12/31/2014 Bojorquez, Karla M. CNA999994240 Revocation 10/2/2014 Brady, Toni CNA1000044367 Civil Penalty 12/31/2014 Brumfield, Avonna CNA1000033122 Revocation 12/29/2014 Campa Alcarez, Alma A. CNA1000045295 Decree of Censure 1/1/2015 Cannon, Bria J. CNA Applicant Certificate Denied 10/27/2014 Carrillo, Ivonne V. CNA1000010175 Revocation 11/21/2014 Carroll, Shelly M. CNA999995483 Voluntary Surrender 1/20/2015 Christensen, Katherine CNA1000045294 Decree of Censure 10/9/2014 Cisneros, Jose N. CNA1000044595 Decree of Censure 12/31/2014 Clark, Jamie F. CNA1000024691 Revocation 10/28/2014 Clausen, Christopher L. CNA Applicant Certificate Denied 10/17/2014 Conant, Sharma S. CNA1000036129 Decree of Censure 12/31/2014 Dale, Kelly D. CNA1000020242 Revocation 12/30/2014 Dutton, Christopher G. CNA1000031493 Decree of Censure 1/7/2015 Earl, Eric D. CNA Applicant Certificate Denied 1/30/2015 Engber, Aimee M. CNA1000016740 Stayed Suspension 10/29/2014 Ferguson, Megan L. CNA1000021911 Revocation 12/31/2014 Feuchster, Brandess K. CNA1000041050 Revocation 11/14/2014 Flores, Sherri L. CNA621743809 Revocation 10/29/2014 Ford, Laurie S. CNA Applicant Revocation 11/4/2014 Garner, Hunter R. CNA Applicant Certificate Denied 12/19/2014 Gillum, Taquila R. CNA1000019218 Decree of Censure 10/28/2014 Gitonga, Anthony M. CNA Applicant Certificate Denied 12/31/2014 Go, Anna F. CNA1000035186 Revocation 1/7/2015 Gregg, Michelle E. CNA Applicant Certificate Denied 10/23/2014 Harding, Nohemi S. CNA1000011532 Decree of Censure 1/2/2015 Harris, Latoya N. CNA Applicant Certificate Denied 10/22/2014 Hart, Stephanie J. CNA1000037196 Revocation 1/3/2015 Hatch, Kevin J. CNA Applicant Certificate Denied 11/19/2014 Hilkemeyer, Jacqueline D. CNA999991580 Revocation 12/31/2014 Hindman, Michael S. CNA1000037758 Revocation 11/3/2014 Holloman, Eric J. CNA Applicant Certificate Denied 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL CNA DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED OCTOBER - NOVEMBER - DECEMBER 2014 - JANUARY 2015 EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 1/23/2015 Hoxsie, Evan E. CNA1000045372 Stayed Suspension 10/24/2014 Isibor, Osariemen CNA1000044629 Decree of Censure 1/14/2015 J-harris, Jacqualynn J. CNA Applicant Certificate Denied 10/22/2014 Johnson, Coleen C. CNA1000016454 Revocation 1/2/2015 Juarez, Tracy S. CNA Applicant Certificate Denied 10/22/2014 Kennedy, Cathy C. CNA1000015231 Revocation 1/7/2015 Kent, Rachel A. CNA Applicant Certificate Denied 12/12/2014 Kline, Lyndsey D. CNA1000045031 Decree of Censure 11/4/2014 Kowalski, Amy J. CNA1000031025 Decree of Censure 1/15/2015 Kroff, Joleen A. CNA Applicant Certificate Denied 11/3/2014 Krznar, James P. CNA Applicant Certificate Denied 10/1/2014 Lape, Toni D. CNA000028614 Revocation 1/13/2015 Laughner, David A. CNA1000036656 Voluntary Surrender 1/7/2015 Lewis, Nina T. CNA Applicant Certificate Denied 11/11/2014 Lolley, Matthew J. CNA Applicant Certificate Denied 10/28/2014 Lopez, Samantha A. CNA Applicant Certificate Denied 12/12/2014 Lopez, Tara L. CNA1000045015 Decree of Censure 12/30/2014 Lu, Bodong CNA Applicant Certificate Denied 10/23/2014 Macdonnell, Kendra J. CNA Applicant Certificate Denied 12/31/2014 Macey, Diana L. CNA999994573 Revocation 10/29/2014 Maldonado, Imelda M. CNA1000019018 Decree of Censure 1/9/2015 Martinez, Veronica CNA Applicant Revocation 1/16/2015 Martinez, Veronica CNA1000039726 Revocation 12/30/2014 Matthes, Desiree E. CNA1000045054 Decree of Censure 1/5/2015 Mcbride, Holly R. CNA1000045141 Decree of Censure 1/1/2015 Mccann, Ashley C. CNA Applicant Certificate Denied 1/3/2015 Mejia Centeno, Melitza CNA Applicant Certificate Denied 11/3/2014 Melgoza, Sharlene L. CNA866664641 Certificate Denied 10/28/2014 Melville, Jessica R. CNA Applicant Certificate Denied 11/4/2014 Mendez, Julio C. CNA Applicant Certificate Denied 10/22/2014 Mendietta, Jessica CNA1000027567 Revocation 11/3/2014 Miller, Dawn S. CNA Applicant Certificate Denied 1/2/2015 Ned, Wakkuna R. CNA Applicant Certificate Denied 11/4/2014 Nelson, Maren P. CNA Applicant Certificate Denied 12/30/2014 Nelson, Sara J. CNA1000017059 Decree of Censure 12/31/2014 Newman, Dawnemarie CNA1000022316 Revocation 12/15/2014 Nissen, Crystal M. CNA999999560 Stayed Suspension 1/12/2015 Notestine, Katherine K. CNA1000030172 Decree of Censure arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23 CNA DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED OCTOBER - NOVEMBER - DECEMBER 2014 - JANUARY 2015 EFFECTIVE DATE NAME CERTIFICATE DISCIPLINE 11/24/2014 Ochoa, Joseph C. CNA1000044818 Decree of Censure 12/15/2014 Osborn, Naline L. CNA999993514 Revocation 12/31/2014 Patera, Jeanne CNA1000033559 Revocation 1/8/2015 Pearson, Rebecca C. CNA Applicant Certificate Denied 12/12/2014 Phillips, Briana D. CNA1000045035 Decree of Censure 12/31/2014 Plante, Stephanie L. CNA1000014989 Revocation 10/20/2014 Porter, Autumn L. CNA1000044589 Civil Penalty 11/3/2014 Provost, Sarah M. CNA Applicant Certificate Denied 1/7/2015 Quinn, April N. CNA Applicant Certificate Denied 12/10/2014 Reed, Ryan K. CNA1000028380 Decree of Censure 1/14/2015 Reynolds, Lori D. CNA Applicant Certificate Denied 1/16/2015 Rivera, Albert CNA999987708 Revocation 10/15/2014 Rivera, Maria L. CNA1000003155 Revocation 12/31/2014 Rodriguez, Maria CNA1000042839 Revocation 12/31/2014 Rodriguez, Rita CNA Applicant Certificate Denied 12/31/2014 Roman Jr, Francisco CNA1000028761 Revocation 12/1/2014 Ryan, Joyce L. CNA Applicant Certificate Denied 10/29/2014 Scheib, Kristina C. CNA1000020834 Decree of Censure 11/19/2014 Scott-garrett, Yvette L. CNA1000041434 Suspension 12/12/2014 Shack, Carolyn J. CNA841401299 Decree of Censure 12/15/2014 Shuma, Paul A. CNA1000039026 Revocation 10/1/2014 Sindayigaya, Victor CNA1000014230 Suspension 10/28/2014 Spangler, Dina A. CNA Applicant Certificate Denied 10/17/2014 Sueing, Aleathea M. CNA Applicant Certificate Denied 10/8/2014 Summers, Debra M. CNA1000044466 Civil Penalty 10/29/2014 Talbot, Daniel J. CNA1000008171 Revocation 10/29/2014 Taylor, Tanya C. CNA1000012859 Revocation 1/8/2015 Thompson, Chad A. CNA Applicant Certificate Denied 11/21/2014 Uy, Anecita P. CNA1000020921 Revocation 10/28/2014 Vanderpool, Shannon J. CNA Applicant Certificate Denied 10/23/2014 Walsh, Kevin J. CNA Applicant Certificate Denied 10/27/2014 Wheeler, Nicole L. CNA Applicant Renewal Denied 10/23/2014 Williams, Margaret A. CNA Applicant Certificate Denied 12/26/2014 Wilson, Alexandra L. CNA Applicant Certificate Denied 12/31/2014 Yazzie, Kerome D. CNA Applicant Certificate Denied 12/18/2014 York-foltz, Judith H. CNA1000045037 Decree of Censure 11/4/2014 Youngblood, Brittany G. CNA Applicant Certificate Denied 24 arizona STATE BOARD OF NURSING REGULATORY JOURNAL *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME LICENSE DISCIPLINE 10/8/2014 Abele, Susan J. RN044623 Decree of Censure 12/31/2014 Age, Verna S. RN171702/CRNA0811 Revocation 10/22/2014 Averitt, Gregory R. RN188943 Decree of Censure 10/14/2014 Babb, Adam D. RN142708 Voluntary Surrender 10/27/2014 Baltz, Karissa RN132162/CNA999951361 Revocation 1/7/2015 Barnes, Kristie M. RN120453 Reissuance with Stayed Revocation Probation 12/15/2014 Barnes, Trina V. RN107113 Decree of Censure 10/27/2014 Bean, Sheila C. RN180883 Revocation 11/25/2014 Benton, Cory M. RN164598 Stayed Revocation with Suspension 10/10/2014 Brown, Peary A. RN105646 Voluntary Surrender 11/21/2014 Bustos Jr., Alfredo RN147266 Civil Penalty 1/7/2015 Castner, Heather A. RN176052 Probation 12/30/2014 Ceron, Hilario RN069045/LP015898 Revocation 12/16/2014 Cisler, John C. RN109968 Voluntary Surrender 1/8/2015 Claudio, Beth L. RN Endorsement License Denied 1/26/2015 Cook, Robin L. RN121951 Voluntary Surrender 11/17/2014 Cranswick, Vanessa L. RN118559 Stayed Suspension with Probation 1/30/2015 Cwiklinski, Damien J. RN Endorsement License Denied 10/8/2014 Dale, Kelly D. RN Exam License Denied 10/10/2014 David, Sonny A. RN145962 Decree of Censure 1/16/2015 Davis, Sheryl E. RN Endorsement License Denied 10/6/2014 Del Sol, Benjamin A. RN188901/CNA1000015355 Decree of Censure 12/31/2014 Delos-Santos, Debrah A. RN131245 Revocation 12/18/2014 Dimond, Devrie R. RN177121 Voluntary Surrender 10/28/2014 Dinicola, Nicholas R. RN Endorsement License Denied 10/29/2014 Dorcis, Lori M. RN158422 Revocation 10/1/2014 Faulx, Lori A. RN153031 Revocation 1/8/2015 Fernandez, Brenda S. LP018821 Revocation 10/29/2014 Fidler, Frederick L. LP033544 Revocation 1/5/2015 Fox, Betsy L. RN093255 Decree of Censure 1/5/2015 Fox, Cheryl D. RN066877/LP021085 Decree of Censure 11/25/2014 Frame, Joann M. RN114449 Voluntary Surrender 12/30/2014 Frank, Wanda L. RN Endorsement License Denied 11/18/2014 Frye, Mary C. RN120381 Voluntary Surrender arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal CONTINUED JUNE - JULY - AUGUST - SEPTEMBER 2014 EFFECTIVE DATE NAME LICENSE DISCIPLINE 11/12/2014 Gardner, Kristi A. RN128783 Voluntary Surrender 11/12/2014 Gonzalez, Tiffany L. RN Endorsement License Denied 1/2/2014 Greenlief, Kayla A. RN168730 Voluntary Surrender 10/7/2014 Gyuro, Margaret M. LP005428 Decree of Censure 12/31/2014 Haeffelin, Kelly L. LP037154 Revocation 10/29/2014 Hall, Mara L. RN102731 Revocation 11/6/2014 Hanson, Dayton L. LP049298 Decree of Censure 1/30/2015 Hardy, Kathrine M. RN129539/AP2027 Civil Penalty 10/21/2014 Hartley, Michelle A. RN148883/LP043058 Stayed Revocation with Suspension 1/30/2015 Heil, Trudy R. RN056661/AP0213 Probation 11/11/2014 Hendrixon, Brian D. RN Endorsement License Denied 1/30/2015 Hohm, Abram J. RN166423 Summary Suspension 11/21/2014 Huebner, Shane A. LP047979 Stayed Revocation with Suspension 12/15/2014 Huebner, Shane A. LP047979 Revocation 1/30/2015 Jackson, Courtney D. RN161584 Probation 12/3/2014 Jones, Elaine G. RN030122 Voluntary Surrender 1/30/2015 Joselane, Janet L. LP043768 Decree of Censure 11/6/2014 King, Brandon L. RN175638 Voluntary Surrender 12/8/2014 King, Karen M. RN106795/AP2526 Stayed Suspension with Probation 11/21/2014 Knisely, Susan C RN168669 Summary Suspension 1/30/2015 Koepfer, Dawn M. LP038838 Stayed Suspension with Probation 12/3/2014 Kyer, Juliana H. LP033724 Revocation 12/1/2014 Lamb, James R. RN093041/AP2293 Stayed Revocation with Suspension 10/31/2014 Landreth, Sally A. RN127294 Voluntary Surrender 11/10/2014 Lapierre, David G. RN189221 Decree of Censure 12/31/2014 Lepage, Raymonde RN031550 Revocation 1/30/2015 Lilly, Adrian W. RN154892 Summary Suspension 11/19/2014 Lough, Tara M. RN161733 Voluntary Surrender 12/26/2014 Martinez, Michelle M. RN129204 Revocation 12/17/2014 Mayhew, Martha L. RN054997/AP1663 Decree of Censure with Civil Penalty 12/3/2014 McGuinness, Sean E. RN145175/CNA1000004701 Voluntary Surrender 12/31/2014 Mendiola, Lydia RN126354/LP038339 Revocation 1/16/2015 Mendiola, Primitivo G. RN128286/LP038442 Revocation 1/9/2015 Merrill, Shannil L. RN120207/LP036178 Revocation 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 12/30/2014 Morales, Louie LP041530 Revocation 12/29/2014 Morehead-Ruff, Latoya N. RN Exam License Denied 11/5/2014 Murphy, Robert A. RN102316 Probation 12/31/2014 Nelson, Allene R. RN029619 Revocation 11/3/2014 Newton, Mark A. RN162648 Decree of Censure 10/20/2014 Nicholls, Amy T. RN135542/LP039398 Voluntary Surrender 10/7/2014 Nooy, Catrina N. LP037859 Decree of Censure 11/13/2014 Norlin, Glenna R. RN150702 Revocation 11/5/2014 Olivarez, Priscilla M. RN189045 Suspension 11/20/2014 Painter, Brenda L. LP030765 Reissuance with Stayed Revocation Probation 1/22/2015 Palmer, Adrian R. RN166711/CNA113355120 Stayed Suspension with Probation 11/21/2014 Parham, Jeanne M. RN123105 Probation 10/4/2014 Patterson, Emily A. LP045787 Decree of Censure 11/14/2014 Peaches, Geniece M. RN162537 Probation 12/10/2014 Peasley, Nancy A. LP034871 Decree of Censure 11/21/2014 Peck, Jeremiah R. RN Reissuance Reissuance Denied 11/13/2014 Peralta, Christina A. LP036643 Voluntary Surrender 11/21/2014 Pieramici, Melissa C. RN143264/CNA1000002485 Summary Suspension 12/10/2014 Pietraszewski, Angela L. RN146638 Voluntary Surrender 1/16/2015 Pina, Jenny M. RN166241 Probation 10/20/2014 Pio, Timothy L. LP046104 Civil Penalty 12/31/2014 Popp, Kathleen J. RN067894 Revocation 10/28/2014 Poray, Carrie A. RN Endorsement License Denied 1/7/2015 Provo, Jonica E. RN Endorsement License Denied 11/4/2014 Rajczyk, John A. RN054584 Voluntary Surrender 12/31/2014 Rasmussen, Marilynn S. RN040283 Revocation 12/12/2014 Reynolds, Brittany N. RN189499 Decree of Censure 10/24/2014 Richards, Joshua D. LP038793 Suspension 10/2/2014 Rivera, Maria L. RN153792/CNA1000003155 Stayed Revocation with Suspension 10/15/2014 Rivera, Maria L. RN153792/CNA1000003155 Revocation 11/14/2014 Rodriguez, Amy L. RN134521 Stayed Revocation with Suspension 12/29/2014 Rood, Tristan L. RN114875 Decree of Censure with Civil Penalty 11/18/2014 Rudders, Daniel L. RN133647 Stayed Revocation with Probation 1/15/2015 Rusu, Vasile Cristian RN120578 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 10/6/2014 Schmidt, Marlene R. LP019747 Decree of Censure 11/19/2014 Schnorr, Amie L. RN123257 Reissuance with Stayed Revocation Probation 12/31/2014 Schwartz, Paula S. RN090867 Revocation 10/31/2014 Sedlacek, Joseph B. RN170602 Voluntary Surrender 12/31/2014 Shaikh, Marie T. RN088227/LP028572 Revocation 10/29/2014 Shrewsbury, Kathleen H. RN063241 Revocation 10/31/2014 Sipin, Crystal L. RN811472, TX Voluntary Surrender of Nurse Multi-State Licensure Privilege 12/31/2014 Skinner, Lela E. RN062452 Revocation 1/30/2015 Slade, Tamara C. RN163348/CNA1000014975 Stayed Revocation with Suspension 1/22/2015 Smith, Shannon H. LP039590 Stayed Suspension with Probation 1/30/2015 Smith, Stephanie J. RN148284 Decree of Censure 10/28/2014 Snyder, Teresa L. RN Endorsement License Denied 12/31/2014 St Clair, Ursula A. RN168476 Revocation 10/10/2014 Stanton, Maureen F. RN188777 Decree of Censure 10/27/2014 Steel, Adryon L. RN158449 Revocation 12/31/2014 Stevens, Stephanie L. RN177901 Revocation 12/10/2014 Stocks, Penny RN184964 Probation 10/31/2014 Supan, Baby Agatha LP044060 Probation 11/19/2014 Surofchek, Mitzi S. RN142423 Voluntary Surrender 12/31/2014 Swogger, Barbara J. LP028395/CNA913062803 Revocation 12/3/2014 Tarleton, Marcia A. RN134690 Voluntary Surrender 12/31/2014 Tauman, Joseph W. RN081778/LP026281 Revocation 1/7/2015 Taylor, Staci L. RN157820/CNA1000012575 Decree of Censure 10/15/2014 Thomas, Tina M. RN107823 Decree of Censure 1/2/2015 Tolentino, Tracy A. LP036193/CNA138706441 Voluntary Surrender 10/1/2014 Vanderwalker, Linda S. RN071998/LP023408 Suspension 10/29/2014 Vastine, Keri RN096000 Revocation 10/28/2014 Williams, Angela N. LP038961 Voluntary Surrender 11/12/2014 Williams, Bryan E. RN Endorsement License Denied 10/14/2014 Young, Sherry L. RN080046/AP1225/LP023192 Decree of Censure 12/11/2014 Zafke, Danielle N. RN Exam Probation 1/16/2015 Zmudka, James E. RN098725 Revocation 28 arizona STATE BOARD OF NURSING REGULATORY JOURNAL arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29 Nurse Network Kimberly Kent RN, JD The “NEW” Classifieds (1.5” wide x 1” high) Reach every nurse in Arizona for as little as $290. RESERVE YOUR SPACE NOW! Contact Laura Wehner Don’t make the mistake of representing yourself. At Kent Law Group, we have represented nurses for more than twenty years. We get successful results. Call today and protect your livelihood. kkent@klgaz.com lwehner@pcipublishing.com 1-800-561-4686 ext. 117 Board Complaint? Do Not Fight It Alone! 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In addition to our award-winning medical centers and continued partnership with the Colleges of Medicine in Tucson and Phoenix, our new Banner University Medical Centers in Phoenix and Tucson build upon our existing award winning hospitals and national reputation for clinical quality. These centers are now infused with the excellence and discovery of academic medicine and research. With innovation and medical excellence, we are changing health care inside and outside of the operating room. Explore opportunities to join our OR nursing team at BannerHealth.com/ORCareers. 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Visit BannerHealth.com/ careers to learn about an array of nursing opportunities in Arizona and other western states. www.BannerHealth.com/careers EOE/AA Banner Health supports a drug-free and tobacco-free work environment. arizona )ROORZ %DQQHU+HDOWK&DUHHUV 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 BRING YOUR EXPERTISE TO Abrazo Health! 8P 7O  6IGNON %ON86 )OR 6E/EC7 PO6I7ION6! NOW HIRING EXPERIENCED RNs! $EUD]R+HDOWKLVRIIHULQJJHQHURXVVLJQRQERQXVHVWRTXDOL¿HG SURIHVVLRQDOVZLWKDGHVLUHWRH[FHODVSDUWRIDOHDGLQJKHDOWK V\VWHP WHDP 6HUYLQJ WKH JUHDWHU 3KRHQL[ PHWURSROLWDQ DUHD $EUD]R KDV D ZLGH UDQJH RI DFXWH FDUH QXUVLQJ RSSRUWXQLWLHV available. )XllWiPeaQGSaUWWiPeePSlR\eeV RUPRUeKRXUVaZeeN  eQMR\avaUieW\RIbeQe¿WViQFlXGiQJ ‡ ‡ ‡ ‡ ‡ ‡ ‡ PDLG WLPH RII WR FRYHU YDFDWLRQLOOQHssKROLGD\s CRPSUHKHQsLYH PHGLFDOGHQWDOYLsLRQ SODQs  N UHWLUHPHQW SODQ ZLWK FRPSDQ\ PDWFK EPSOR\HH sWRFN SXUFKDsH SODQ 7D[DGYDQWDJHG UHLPEXUsHPHQW DFFRXQWs RHLPEXUsHPHQW IRU CE8 $QG PRUH! EPbUaFeQeZFaUeeURSSRUWXQiWieVaW$Ui]RQa¶VVeFRQGlaUJeVW KealWKFaUeGeliveU\V\VWeP.7RvieZaIXllliVWRIWKeSRViWiRQV availableRUWRaSSl\RQliQeSleaVeviViW-RbV.abUa]RKealWK.FRP EOE Hospitals Arizona Heart | Arrowhead | Maryvale Paradise Valley | Phoenix Baptist | West Valley