VOL 13 • NO2 NOVEMBER 2017 VOL 13 • N O 2 • NOVEMBER 2017 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 The Honorable Doug Ducey GOVERNOR Joey Ridenour, MN, RN, FAAN EXECUTIVE DIRECTOR Janeen Dahn, PhD, RN, RNP-C ASSOCIATE DIRECTOR COMPLAINTS & INVESTIGATIONS Kathy Malloch, PhD, MBA, RN, FAAN ASSOCIATE DIRECTOR EDUCATION / EVIDENCE BASED REGULATION Robert Ellis, BSIT, MBA, MPM ASSOCIATE DIRECTOR OF OPERATIONS Valerie Smith, MS, RN, FRE ASSOCIATE DIRECTOR/HEARING DEPARTMENT Judy Bontrager, MN, RN SCOPE OF PRACTICE EXPERT BOARD MEMBERS Randy Quinn, RN, MSN, CRNA PRESIDENT Theresa (Terri) Berrigan, LPN, C-AL VICE PRESIDENT Jana Machesky, LPN SECRETARY Cecelia Anderson, BSN, RN MEMBER Elizabeth Boyer, RN, BSN MEMBER Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN MEMBER M. Shawn Harrell, RN,MS MEMBER Melanie D. Logue, Ph.D., DNP, APRN, CFNP, FAANP MEMBER Melinda Preston, DNP, APRN, PMHNP-BC MEMBER Brandon E. Dale PUBLIC MEMBER 4 6 8 From the Executive Director The Enhanced Nurse Licensure Compact Implementation FAQs Staff Directory 10 16 18 20 28 What Educators Need To Know About the Enhanced NLC Facts about the NLC Key Provisions of the Enhanced NLC The Arizona State Board of Nursing is moving to a new location. Notice of Enhanced NLC Proposed Rules and Notice of Public Hearing All contact numbers and email addresses will remain the same. New address as of December 18, 2017 is: 1740 W. Adams, Suite 2000 Phoenix, Arizona 85007 Greetings From The Education and Evidence Based Regulation Team arizona EDITION 38 STATE BOARD OF NURSING REGULATORY JOURNAL 32 CNA Disciplinary Actions pcipublishing.com Created by Publishing Concepts, Inc. David Brown, President • dbrown@pcipublishing.com For Advertising info contact Laura Wehner • 800.561.4686 ext 117 lwehner@pcipublishing.com ThinkNurse.com 33 arizona STATE BOA RN/LPN Disciplinary Actions REGULATORY JOURNAL From the Executive Director JOEY RIDENOUR, RN, MN, FAAN Primer: Enhanced Nurse Licensure Compact Since 2002, Arizona RN’s and LPN’s plus licensed nurses from 24 other compact party states have experienced the advantages of the Nurse Licensure Compact (NLC). The compact improves the mobility of nurses by making it easier to practice in different states and eliminate the need for multiple licenses. Since the original NLC was enacted almost two decades ago, there were major statutory “enhancements” recommended by Boards of Nursing as well as other stakeholders. According to the 2014 National Council of State Boards of Nursing survey, over 80-90% of nurses and employers wished their state would join the compact. The “enhancements” were made to align with the “Uniform Licensure Requirements” requests so more states would enact the eNLC. In 2015, the NLC underwent an all-inclusive revision that resulted in a new compact entitled the enhanced NLC (eNLC). The current compact is anticipated to be dissolved or phased out within the near future or early 2018. For a state to join the eNLC, it must enact legislation to “repeal and replace” the current NLC. The eNLC will be implemented in Arizona and 25 other states on January 19, 2018. Of the 25 original NLC states, 21 have enacted the eNLC and three have introduced or planning to introduce legislation soon – WI, CO and NM. This edition of the Arizona Journal of Nursing Regulation will be a “Primer: enhanced Nurse Licensure Compact.” Nurses, employers and faculty will have a “textbook” to know and understand the changes. Also want to let you know we are excited to be moving to a new location December 18, 2017. The new address will be: 1740 W. Adams, Suite 2000, Phoenix, Arizona 85007 No change in phone numbers. Check for updates at: www.azbn.gov On behalf of the Board Members and Staff, we wish you the happiest of holidays, 4 arizona STATE BOARD OF NURSING REGULATORY JOURNAL  ICU, CATH, LABOR & DELIVERY AND PERIOPERATIVE SERVICES RN’S WANTED!! $10,000.00 SIGN ON BONUS PLUS RELOCATION ASSISTANCE* Canyon Vista Medical Center is a new technologically advanced, 100-bed hospital serving Southeastern Arizona and Cochise County. Nestled at the base of the Huachuca Mountains, the community of Sierra Vista holds the perfect year round climate.  Ê&RPSHWLWLYH3D\DQG%HQHILWVÊ  For more information or to apply, Visit www.canyonvistamedicalcenter.com      6LJQRQERQXVIRU51·VZLWKPLQLPXPWZR\HDUH[SHULHQFHLQ,&8&DWK/DERUDQG'HOLYHU\DQG Periop areas. *Two year commitment is required. * Former CVMC employees who left within two years not eligible for sign on bonus and relocation. The Enhanced Nurse Licensure Compact (eNLC) Implementation FAQs 111 E. Wacker Drive, Ste. 2900, Chicago, IL 60601 312.525.3600 nursecompact.com 1. 2. When does the eNLC go into effect? 3. When will nurses have multistate licenses in eNLC states? The eNLC went into effect July 20, 2017, when 26 states enacted Nurses in the original NLC states that were grandfathered into the eNLC legislation. The significance of this date is that the compact was officially enacted and the eNLC commission met to draft rules, policies and set an implementation date. The effective date is not eNLC will be able to practice in eNLC states as of the implementation date, Jan. 19, 2018. Nurses in new states that joined the eNLC (Wyoming, Oklahoma, West Virginia, Georgia and Florida) will be able the same as the implementation date, which is when nurses can practice in eNLC states that have started issuing eNLC multistate to practice in eNLC states upon issuance of a multistate license. Each eNLC state will notify its licensees by mail of the implementation date licenses. See this resource for more information: www.ncsbn.org/ Difference_Between_Effective_Implementation.pdf for a multistate license. and the process by which a nurse can obtain a multistate license. 4. What is the difference between the effective date and the implementation date? States that do not pass the eNLC will remain in the original NLC until: a) the state enacts the eNLC, b) the state withdraws from the original NLC or c) the original NLC ends due to having less than two states as Based on the legislation, the effective date of the eNLC was designated as “the earlier of the date of legislative enactment of this Compact into law by no less than twenty-six (26) states or Dec. 31, 2018.” The eNLC was enacted in the 26th state on July 20, 2017, so, the effective date was set as July 20, 2017. On this date, the compact’s governing body, the Interstate Commission of Nurse Licensure Compact Administrators (the Commission) was formed and could begin meeting and performing the work of the compact. The Commission is charged with drafting rules and policies to govern the operations and implementation of the eNLC. By contrast, the implementation date, Jan. 19, 2018, is a date set by the Commission on which eNLC states begin issuing multistate licenses and when nurses holding multistate licenses may start to practice in eNLC states. More information is available at www.ncsbn.org/Difference_Between_Effective_Implementation.pdf What happens to nurses in the original compact if their state does not pass the eNLC legislation? members. As of now, Wisconsin, Colorado, New Mexico and Rhode Island are members of the original NLC that have not yet joined the eNLC. These states plan to introduce legislation in 2018 or sooner. 5. What happens to the original NLC after the eNLC starts? Once the eNLC is implemented, the original NLC will continue to operate until there are less than two states as members, at which time it will end. As of Jan. 19, 2018, the 21 states in the original NLC that enacted the eNLC will cease to be members of the original NLC. This means that a nurse in Wisconsin, Colorado, New Mexico and Rhode Island will then hold a multistate license valid in four states rather than 25 states, and will need to obtain additional licensure in order to practice in any of the eNLC states. Conversely, it also means that nurses in the eNLC will no longer have the authority to practice in those four states, and will need to obtain additional licensure in order to practice in the state. Unlocking Access to Nursing Care Across the Nation arizona REGULATORY JOURNAL 6. Which nurses are grandfathered into the eNLC and what does that mean? Nurses in eNLC states that were members of the original NLC may be grandfathered into the eNLC. Nurses who held a multistate license on the eNLC effective date of July 20, 2017, in original NLC states, will not need to meet the requirements for an eNLC multistate license. They are automatically grandfathered. Nurses issued a multistate license after July 20, 2017, will be required to meet the eNLC multistate license requirements. 7. Why was there a change to the eNLC from the original NLC? The original NLC began in 2000 and grew to 24 member states by 2010. From 2010 to 2015, one more state joined. A primary reason identified for the slowed adoption of the NLC was the lack of uniform criminal background check (CBC) requirements among NLC states. As a result, the eNLC requires that all member states implement CBCs for all applicants upon initial licensure or licensure by endorsement. This revision, along with other significant updates, will remove barriers that kept other states from joining. The eNLC will make it possible to get closer to the goal of all states joining the eNLC. 8. How does the eNLC differ from the original NLC? Primarily, the eNLC adopts 11 uniform licensure requirements (ULRs) in order for an applicant to obtain a multistate license. One of those requirements is submission to federal and state fingerprintbased criminal background checks (CBCs). The full list of ULRs can be viewed at www.ncsbn.org/eNLC-ULRs_082917.pdf. A fact sheet identifies the key provisions of the eNLC legislation and highlights the differences between the two compacts at: nursecompact.com/privateFiles/NLC_Key_Provisions.pdf 9. Who are the primary proponents of a state’s decision to join the compact? Most states that have joined the compact have done so by the supportive efforts of the state nurse association, the state hospital association or the state board of nursing. A number of other stakeholder organizations (e.g., AARP, AONE, National Military Family Association, etc.) have played significant roles in advancing the legislation. 10. Why are some states still not members of the compact? What is the opposition? The minimum number of states (26) for the eNLC to become effective was just met. This includes five states that were not in the original NLC. More states plan to introduce eNLC legislation in 2018 and beyond. The eNLC removes barriers that prevented some states from joining. 11. Why would a nurse need a multistate license? What are the benefits for a nurse? The foremost reason is that a nurse will not need individual licenses in each state where the nurse needs authority to practice. Obtaining individual licenses is a burdensome, costly and time-consuming process to achieve portability and mobility. Nurses are required to be licensed in the state where the recipient of nursing practice is located at the time service is provided. Any nurse who needs to practice in a variety of states benefits significantly from a multistate license. These nurses include military spouses, telehealth nurses, case managers, nurse executives, nurses living on borders, nurses engaged in remote patient monitoring, school nurses, travel nurses, call center nurses, online nursing faculty, home health nurses, nurses doing follow up care and countless more. 12. How can nurses stay well informed of the changes in the compact? Nurses can subscribe to receive email updates at www.nursecompact.com, review their state board of nursing website and newsletter, and review the implementation page on the NCSBN website at www.ncsbn.org/enhanced-nlc-implementation.htm. Follow the NLC on social media: Twitter @NurseCompact or Facebook at www.facebook.com/nurselicensurecompact. 13. How will the transition from NLC to eNLC affect employers of nurses? The transition may impact employers in eNLC states that have nurses practicing in the four states that remain in the original NLC. As of the implementation date, those nurses with an eNLC multistate license will not have the authority to practice in those four states without applying for a single state license in those states. The eNLC transition may also impact employers in the four states that remain in the original NLC who have nurses practicing in the 21 former original NLC states that joined the eNLC. As of Jan. 19, 2018, those nurses with an original NLC multistate license will not have the authority to practice in eNLC states without applying for a single-state license in those states. Nurses residing in eNLC states who are not eligible to be grandfathered may not have a multistate license on the Jan. 19, 2018 implementation date until they have completed an eligibility process. This process will determine if the licensee meets the licensure requirements for a multistate license. In some eNLC states, the nurse may need to proactively engage in this eligibility process. By October 2018, nurses in all eNLC states should receive a letter from the respective board of nursing with more information. Support for the NLC is overwhelming in the nursing community. According to 2014 NCSBN nurse and employer surveys, 80 to 90 percent of nurses and greater than 90 percent of employers want their state to be a member of the NLC. The main opposition to the compact, seen in only a few states, has been from nurse union organizations. arizona STATE BOARD OF NURSING REGULATORY JOURNAL For more information about the NLC, visit nursecompact.com or email nursecompact@ncsbn.org 7 STAFF DIRECTORY EDUCATION ADMINISTRATION Amy Steinbinder, PhD, RN, NE-BC Education Program Administrator 602.771.7877 asteinbinder@azbn.gov Joey Ridenour, MN, RN, FAAN Executive Director 602.771.7801 jridenour@azbn.gov Janeen Dahn, PhD, RN, FNP-C Associate Director Investigations and Compliance 602.771.7814 jdahn@azbn.gov Kathy Malloch, PhD, MBA, RN, FAAN Associate Director Education & Evidence Based Regulation 602.771.7803 kmalloch@azbn.gov Robert Ellis, BSIT, MBA, MPM Associate Director of Operations 602-771-7889 rellis@azbn.gov Valerie Smith, MS, RN, FRE Associate Director Hearings 602.771.7804 vsmith@azbn.gov Judy Bontrager, MN, RN Scope of Practice Expert 602.771.7802 jbontrager@azbn.gov Emma Mamaluy, JD Chief Councel 602.771.7844 emamaluy@azbn.gov Dolores Hurtado, Senior Investigator & Assistant to the Associate Director of Investigations & Compliance - Intake Triage Coordinator 602.771.7845 dhurtado@azbn.gov Susie Flores Administrative Assistant to the Executive Director 602.771.7806 sflores@azbn.gov Shang Lin, BSBA Management Analyst III 602.771.7872 slin@azbn.gov Lila Wiemann Administrative Assistant 602.771.7890 lwiemann@azbn.gov CANDO Paulette Jones Nurse Practice Consultant 602.771.7864 pjones@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 Lynette Drafton Senior Investigator Complaints-Intake Triage Coordinator 602.771.7827 ldrafton@azbn.gov 8 Stephanie Chambers, MN, RN Nurse Practice Consultant 602.771.7818 schambers@azbn.gov LICENSING SENIOR INVESTIGATORS Tran Tran, BBA Licensing Administrator 602.771.7825 ttran@azbn.gov Dave Hrabe, PhD, RN, NC-BC Education Consultant Administrator 602.771.7877 dhrabe@azbn.gov Kirk Olson Program Manager 602.771.7824 kolson@azbn.gov Becky Melton RN/LPN Exams 602.771.7800 bmelton@azbn.gov Cindy George, BSN, RN Nurse Practice Consultant 602.771.7857 cgeorge@azbn.gov Bonnie Richter, MSW Senior Investigator 602.771.7828 brichter@azbn.gov Donna Frye Advance Practice Certifications 602.771.7800 dfrye@azbn.gov Lyn Ledbetter Administrative Assistant 602.771.7856 lledbetter@azbn.gov FISCAL SERVICES Robert Digan B.B.A Accounting Manager 602-771-7809 rdigan@azbn.gov Theresa Benford, BBM Accountant 602-771-7810 tbenford@azbn.gov HEARINGS Trina Smith Legal Assistant 602.771.7844 tsmith@azbn.gov David Elson, III Senior Investigator 602.771.7851 delson@azbn.gov Frank Curatola Senior Investigator 602.771.7822 fcuratola@azbn.gov Jennifer Ingram Senior Investigator 602.771.7835 jingram@azbn.gov Michelle Morton Senior Investigator 602.771.7850 mmorton@azbn.gov Heather Reed RN/LPN Endorsements 602.771.7800 hreed@azbn.gov Helen Tay CNA Exam/Endorsements 602.771.7800 htay@azbn.gov Irene Barajas CNA/LNA/RN/LPN/AP Renewals 602.771.7800 ibarajas@azbn.gov Monica Ortiz Imaging Technician 602.771.7800 mortiz@azbn.gov Tanya Salinas CNA/LNA/RN/LPN Exam/ Endorsement/Renewals 602.771.7800 tsalinas@azbn.gov INVESTIGATIONS Pam Millben Senior Investigator 602.771.7866 pmillben@azbn.gov Cindy Mand, MSN, RN Program Administrator II 602.771.7815 cmand@azbn.gov Pete Wittenberg Senior Investigator 602.771.7817 pwittenberg@azbn.gov Eileen Owen-Williams, DNP, PhD, APRN, CNM, FNP, AFN-BC, FAANP Advanced Practice Nurse Consultant 602.771.7819 eowen-williams@azbn.gov Stephanie Cruz Senior Investigator 602.771.7812 scruz@azbn.gov Kristi Hunter, MSN, FNP-C Advanced Practice Nurse Consultant 602.771.7854 khunter@azbn.gov Susan Bushong, B.A. Senior Investigator 602.771.7821 sbushong@azbn.gov Kevin Rapkoch, BSN, RN Nurse Practice Consultant 602.771.7867 krapkoch@azbn.gov LEGAL SECRETARIES Brent Sutter Senior Investigator 602.771.7860 bsutter@azbn.gov Lynette Drafton Senior Investigator 602.772.7827 ldrafton@azbn.gov Naira Kutnerian Legal Assistant 602.771.7861 nkutnerian@azbn.gov Gari Carroll Legal Secretary 602.771.7841 gcarroll@azbn.gov CUSTOMER SERVICE Marla Moore, BSN, MA, RN Nurse Practice Consultant 602.771.7878 mmoore@azbn.gov Michael Pilder, MSN, RN Nurse Practice Consultant 602.771.7816 mpilder@azbn.gov Pat Midkiff, MN, RN Nurse Practice Consultant 602.771.7826 pmidkiff@azbn.gov Ruth Kish, MN, RN Nurse Practice Consultant 602.771.7823 rkish@azbn.gov Shawna Bonner, BSN, RN Nurse Practice Consultant 602.771.7833 sbonner@azbn.gov arizona STATE BOARD OF NURSING REGULATORY JOURNAL Richard Carr Legal Secretary 602.771.7852 rcarr@azbn.gov INFORMATION TECHNOLOGY Kevin Castleman MCP, MCDST Senior Network Administrator 602-771-7808 kcastleman@azbn.gov Chien-Chieh Kuan BSIT, MIT SQL Database Developer 602-771-7807 cckuan@azbn.gov MAILROOM Karen Johnson 602.771.7800 kjohnson@azbn.gov MONITORING Kathleen Harrington, MSN-INF, RN Program Administrator I 602.771.7811 kharrington@azbn.gov Erika Floyd 602-771-7800 efloyd@azbn.gov Jamie Fivecoat 602.771.7800 jfivecoat@azbn.gov Janel Berry 602.771.7800 jberry@azbn.gov Nancy Davis 602.771.7800 ndavis@azbn.gov Susan Kingsland 602.771.7800 skingsland@azbn.gov RECORDS Glenn Cook, MLIS, BA 602.771.7800 gcook@azbn.gov The information employers need to protect their patients. Enroll NOW in the most reliable and efficient nurse licensure notification system available. Nursys e-Notify® delivers real-time notifications about nurse licensure status including multistate and single-state changes within the enhanced Nurse Licensure Compact. Additionally, expirations, renewals and disciplinary actions are delivered right to your inbox automatically. Nursys is the only national database for verification of nurse licensure, discipline, and practice privileges for RNs and LPN/VNs provided directly Learn more, watch a video demo, or enroll for this free service at nursys.com. by participating boards of nursing (BONs) and designated by them to be primary source equivalent. Once you have registered your organization and provided nurse data, you’ll automatically be notified of nurse licensure expirations, upcoming renewals and any discipline action from your state and others. It’s all free of charge, provided as a patient safety initiative by U.S. BONs and NCSBN. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 9 LEADER to LEADER WHAT EDUCATORS NEED TO KNOW About the Enhanced Nurse Licensure Compact A Brief History of the Nurse Licensure Compact (NLC) Removing barriers to cross-border practice, the Nurse Licensure Compact (NLC) is an interstate agreement allowing a nurse to have one license and the privilege to practice in other compact states. Implemented in 2000, the NLC fosters public protection and access to care through the mutual recognition of one state-based license that is enforced locally and recognized nationally. Along with a majority of state nurses associations, hospital associa- tions and health care facilities in every state overwhelmingly support the NLC. The NLC includes important patient safety features such as facilitation of the sharing of licensure, investigative and disciplinary action information among member states. Since the NLC’s initial launch, advances in technology and an increasingly mobile nursing workforce and patient population have created the need to break down barriers to interstate practice. Access to care has expanded. Telehealth has transformed care delivery and erased geographic boundaries. In recent years, hundreds 10 of bills with the goal of enabling telehealth in more than 44 states were introduced. The NLC has the ability to remove the licensure barrier to telehealth practice for more than 4 million nurses. While this change has transpired, other health professions have developed interstate licensure agreements and Congress began discussing the arizona STATE BOARD OF NURSING REGULATORY JOURNAL possibility of national licensure. In 2013, NCSBN’s members began to discuss what the optimal licensure model would look like and eventually agreed that revising the current NLC (implemented in 25 states between 2000 and 2016) and the current APRN Compact (which was developed in 2001 but never implemented) would be in the best interests of all. In March of 2015 revisions to the two compacts were completed and in May 2015 a special assembly of delegates representing all BONs (two from each state) approved the new compacts. An ambitious initiative was kicked off to commit staff and financial resources to advocate for state adoption of the newly enhanced NLC (eNLC) and the APRN Compact. Moving Forward —the Enhanced Nurse Licensure Compact (eNLC) Like the NLC, the eNLC increases access to health care, protects patient safety, reduces costs and supports stateof-the-art health care delivery. It also enhances nurses’ mobility across states and allows nurses to quickly cross state borders when there is a disaster. The eNLC is also cost-effective, since an organization may share the expenditure of multiple licenses nurses can incur by crossing state lines. It also removes multiple and duplicate regulatory requirements, cutting down costs for nurses. New provisions to the eNLC (as compared to the original NLC) include uniform license requirements (all states have the same licensure requirements) and state authority to obtain and submit criminal background checks. The eNLC is also cost-effective, since an organization may share the expenditure of multiple licenses nurses can incur by crossing state lines. In order to receive a multistate license in the eNLC, a nurse must meet the home state’s qualifications, graduate from a board of nursing-approved nursing education program, pass the NCLEXRN® or NCLEX-PN® Exam, have no active discipline on their license, submit to a criminal background check, have no prior state or federal felony convictions and have a valid Social Security number. The eNLC also contains a grandfathering provision: a nurse already holding a home multistate license on their compact’s effective date can retain and renew that license. A nurse who changes their primary state of residence after the NLC’s effective date must meet the new eNLC requirements to obtain a multistate license from their new home state. To join, individual states must first enact eNLC model legislation. NCSBN What is the Difference Between When the eNLC Becomes “Effective” and When It Is “Implemented?” staff are working with state legislatures to help accomplish this by testifying at committee hearings, participating in telephone and in-person meetings with legislators in target states, and drafting language to help bills move forward. Do Faculty Need More Than One Nursing License? You may if you are faculty teaching didactic courses, or supervising clinical experiences, and your students are located outside the state in which your nursing program is located. Just as nurses who work in clinical settings and care for patients in another state via telehealth, faculty who teach online students located in another state usually require additional nursing licenses unless a state offers an exemption for faculty or it is currently part of the Nurse Licensure Compact (NLC). continued >>> The effective date for the eNLC was when the 26th state enacted the eNLC, on July 20, 2017. After the effective date, the Interstate Commission was formed and will began to develop rules to facilitate the implementation of the eNLC. The actual implementation of the compact by the states occurs on January 19, 2018. This is the date on which nurses with eNLC multistate licenses may begin practicing in eNLC states. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 11 Many faculty and their deans are unaware of this important requirement. In most states, faculty must abide by the same principle as nurses in clinical practice. Practice is where the patients (or students) are located. Therefore, if the students are located in states different from the home state of the nursing program, faculty require additional licenses. Faculty teaching in online programs should refer to NCSBN’s website for details regarding this. One exception to this rule is the NLC. If you are licensed in a state that is a member of the NLC and the students are located in other NLC states, you do not need an additional license to teach in those states; you most likely have a multistate license and have already been granted the privilege to practice. See the map of current NLC states at nursecompact.com. Presently, 25 states are members of the NLC, however, the newly enhanced NLC (eNLC) is now being adopted by states and will replace the NLC in these states. This newly enhanced compact offers more uniformity in terms of licensure requirements and it is expected to have greater participation that will extend beyond the original 25 states. For more information on the eNLC see nursecompact.com. Once the implementation of the eNLC compact occurs (six months after the effective date), it will be important for educators in eNLC states to know which states are part of the eNLC and which states are not, including those states that remain active in the NLC and do not enact 12 the eNLC. They will need licenses to practice (or teach by distance learning) if they do not reside in a state that is a member of the eNLC. This information will also be important for students. States are also beginning to adopt the APRN Compact, so faculty and advanced practice registered nurse (APRN) students should stay up to date on the APRN Compact as well. If your state has introduced a bill to enact the eNLC you can help pass the legislation by contacting your legislator. Access these websites for information on how to do that, and keep up on which states have adopted the eNLC and APRN Compact. What Will the Enhanced NLC (eNLC) Mean for Nurses? What does the eNLC mean for nurses in the current NLC? • If your state enacts the eNLC, you will be grandfathered arizona STATE BOARD OF NURSING REGULATORY JOURNAL • and no further action is needed, unless you move to another state. Then you will be required to meet all the uniform licensure requirements to receive a multistate license from that state. The states that are part of the eNLC are not exactly the same as the original NLC. If you have an eNLC multistate license, you can only practice in those designated eNLC states You will need a single state license issued by every other state in which you plan to practice to continue to deliver care in each of those states. What does the eNLC mean for employers? • Your nurses will now be able to practice (in person or by telehealth) in other eNLC states with just one license obtained in their • • state of residence. Faculty and military spouses will just need one license to teach or practice across states in the eNLC. The eNLC is only for registered nurses (RNs) or licensed practical/ vocational nurses (LPNs/VNs), not for advanced practice registered nurses (APRNs). APRNs have another compact that states are considering. 6. 7. 8. (i.e., without active discipline); Has submitted to state and federal fingerprint-based criminal background checks; Has no state or federal felony convictions; Has no misdemeanor convictions related to the practice of nursing (determined on a case-by- case basis); 9. Is not currently a participant in an alternative program; 10. Is required to self-disclose current participation in an alternative program; and 11. Has a valid United States Social Security number. continued >>> What are the Uniform Licensure Requirements for an eNLC multistate license? An applicant for licensure in a state that is part of the eNLC will need to meet the following uniform licensure requirements: 1. Has met the requirements for licensure in the home state (state of residency); 2. a. Has graduated from a board of nursing-approved education program; or b. Has graduated from a foreign education program (approved by the authorized accrediting body in the applicable country and verified by an independent credentials review agency); 3. Has passed an English proficiency examination (applies to graduates of a foreign education program not taught in English or if English is not the individual’s native language); 4. Has passed the NCLEX-RN or PN Examination or predecessor exam; 5. Is eligible for or holds an active, unencumbered license arizona STATE BOARD OF NURSING REGULATORY JOURNAL 13 Some of the Organizations Supporting the NLC include: Air & Surface Transport Nurses Association TWO COMPACTS COMPARED American Academy of Ambulatory Care Nursing A Driver’s License Compact vs. a Nurse License Compact American Association of Colleges of Nursing American Association of Neuroscience Nurses American Association of Occupational Health Nurses (AAOHN) American Association of Poison Control Centers American Nephrology Nurses Association American Organization of Nurse Executives (AONE) American Telemedicine Association (ATA) • Issued in your primar y state of residence. • When driving in other states, you must know and obey that state’s laws (rules of the road). • While driving in other states, if you violate the state’s law, the state can remove your driving privileges in that state. • When you change your primar y state of residence (move) to another compact state, you need to apply for that state’s driver’s license. You can drive on your former license for a cer tain number of days (depending on the state). The former license then becomes invalid. • While driving in other states, if you violate the state’s laws and the state takes action (discipline), it is repor ted to the state that issued your license (where you reside). Most home states can take the same action as if you committed the violation in your home state. • Issued in your primar y state of residence. • When practicing in other states, you must know and obey that state’s laws (Nurse Practice Act). • While practicing in other states, if you violate the state’s laws, the state can remove your practice privileges in that state. • When you change your primar y state of residence (move) to another compact state, you need to apply for that state’s nursing license. The former license then becomes invalid. • While practicing in other states, if you violate the state’s laws, and the state takes action (discipline), it is repor ted to the state that issued your license (where you reside). Most home states can take the same action as if you committed the violation in your home state. resources: nursecompact.com NLC and APRN Compact Advocacy HIVE toolkit (NCSBN member login and password required) 14 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Association of Camp Nurses Association for Vascular Access Case Management Society of America (CMSA) Center for Telehealth and E-Health Law CGFNS International, Inc. Citizen Advocacy Center (CAC) Commission for Case Manager Certification Emergency Nurses Association (ENA) Health IT Now National Governors Association Center for Best Practices National League for Nursing National Military Family Association National Organization for Associate Degree Nursing (OADN) National Patient Safety Foundation Oncology Nursing Society Optum Population Health Alliance Telehealth Leadership Council U.S. Department of Commerce Casa de los Niños was established in 1973 and has been helping kids and healing families since then. We lead the way in preventing and treating child abuse and neglect in Tucson, Arizona. RN Service Director Now Hiring! Since 1981, we’ve offered clients the safe choice to stay at home with dignity and independence. We strive to provide the highest standard of care so clients avoid preventable risks and achieve their care goals. The RN Service Director is a key position that manages a small client case load and oversees our nursing staff. This position enjoys the flexibility of travelling to homes and the relationships that are built with our clients, their families and caregivers. Candidates must have at least 3 years of clinical experience with 5 years (minimum) of supervisor responsibility. Please email a resume and a cover letter to: hr@catalinainhome.com (520) 327-6351 • www.catalinahome.com 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 enhance their parenting skills. • • • • • 350 days of sunshine a year Competitive Salary Medical, dental, life insurance Matching 401(k) Retirement Plan Employee Assistance Program For full job description and application visit www.casadelosninos.org CAREER OPPORTUNITIES IE AT A GCU 1602 E. Fort Lowell Road, Tucson, AZ 85719 Passionate about impacting health care education? Start or grow your our career sions ions that has ha a 30-yea as part of the College of Nursing and Health Care Professions 30-year history of delivering outstanding education and degree programs. ram a djunctt openings o i areas in We currently have a variety of faculty, staff and part-time adjunct such as Lab Skills and Simulation, Medical-Surgical Nursing, more! ng, DNP andd m Apply today at jobs.gcu.edu MS – Online Program Healthcare Administration & Interprofessional Leadership • Earn your MS in 12 months • Participate in: - Dynamic online courses - 3 on-campus sessions • Study with interprofessional colleagues • Complete the capstone project in your workplace Get started today! healthleadership.ucsf.edu 415-476-8109 For more information about our graduation rates, the median debt of students who completed the program and other important information, please visit our website at gcu.edu/disclosures.©2017 Grand Canyon University 17HUM0031 Email: admissions.mshail@ucsf.edu arizona STATE BOARD OF NURSING REGULATORY JOURNAL 15 Facts about the NLC 111 E. Wacker Drive, Ste. 2900, Chicago, IL 60601 312.525.3600 nursecompact.com Issue Proven, Safe and Efficient .PEFSO IFBMUI DBSF EFMJWFSZ SFRVJSFT UIBU OVSTJOH DBSF UPEBZ BOE JO UIF GVUVSF CF EZOBNJD BOE nVJE BDSPTT TUBUF CPVOEBSJFT CVU UIF  ZFBSPME NPEFM PG OVSTF MJDFOTVSF JT OPU nFYJCMF BEBQUBCMF OPS OJNCMF FOPVHI UP CFTU NFFU UIJT OFFE t 5IF /-$ IBT CFFO PQFSBUJPOBM BOE TVDDFTTGVM GPS NPSF UIBO  ZFBST t "MM UIF TBGFHVBSET UIBU BSF CVJMU JOUP UIF DVSSFOU TUBUF MJDFOTJOH QSPDFTT BSF SFRVJSFE CFGPSF B OVSTF JT JTTVFE B NVMUJTUBUF MJDFOTF t 5IF /-$ IBT VOJGPSN MJDFOTVSF SFRVJSFNFOUT TP UIBU BMM Solution 5IF FOIBODFE /VSTF -JDFOTVSF $PNQBDU /-$ JODSFBTFT BDDFTT UP DBSF XIJMF NBJOUBJOJOH QVCMJD QSPUFDUJPO BU UIF TUBUF MFWFM t 5IF FOIBODFE /-$ XIJDI JT BO VQEBUFE WFSTJPO PG UIF DVSSFOU /-$ BMMPXT GPS SFHJTUFSFE OVSTFT 3/T BOE MJDFOTFE QSBDUJDBMWPDBUJPOBM OVSTFT -1/7/T UP IBWF POF NVMUJTUBUF MJDFOTF XJUI UIF QSJWJMFHF UP QSBDUJDF JO UIFJS IPNF TUBUF BOE PUIFS /-$ TUBUFT t 5IFSF BSF  NFNCFS TUBUFT JO UIF DVSSFOU /-$ Benefits of the NLC t &OBCMFT OVSTFT UP QSBDUJDF JO QFSTPO PS QSPWJEF UFMFIFBMUI OVSTJOH TFSWJDFT UP QBUJFOUT MPDBUFE BDSPTT UIF DPVOUSZ XJUIPVU IBWJOH UP PCUBJO BEEJUJPOBM MJDFOTFT t "MMPXT OVSTFT UP RVJDLMZ DSPTT TUBUF CPSEFST BOE QSPWJEF WJUBM TFSWJDFT JO UIF FWFOU PG B EJTBTUFS t 'BDJMJUBUFT UFMFOVSTJOH BOE POMJOF OVSTJOH FEVDBUJPO t $PTU &GGFDUJWF ƒ /VSTFT EP OPU IBWF UP PCUBJO BO BEEJUJPOBM OVSTJOH MJDFOTF T NBLJOH QSBDUJDJOH BDSPTT TUBUF CPSEFST BGGPSEBCMF BOE DPOWFOJFOU TUBUFT DBO CF DPOmEFOU UIF OVSTFT QSBDUJDJOH XJUIJO UIF /-$ IBWF NFU B TFU PG NJOJNVN SFRVJSFNFOUT SFHBSEMFTT PG UIF IPNF TUBUF JO XIJDI UIFZ BSF MJDFOTFE t -FTT UIBO  QFSDFOU PG 64 OVSTFT FWFS SFRVJSF EJTDJQMJOF CZ B CPBSE PG OVSTJOH #0/ CVU JG EJTDJQMJOF JT OFFEFE TXJGU BDUJPO DBO CF UBLFO CZ UIF #0/ SFHBSEMFTT PG UIF TUBUF XIFSF UIF OVSTF JT MJDFOTFE PS QSBDUJDFT 8IFO B OVSTF JT EJTDJQMJOFE UIF JOGPSNBUJPO JT QMBDFE JOUP UIF OBUJPOBM MJDFOTVSF EBUBCBTF OVSTZTDPN t "MM TUBUFT UIBU QBSUJDJQBUF JO UIF FOIBODFE /-$ DPOEVDU GFEFSBM DSJNJOBM CBDLHSPVOE DIFDLT UP EFUFSNJOF FMJHJCJMJUZ GPS B NVMUJTUBUF MJDFOTF A Modern Nurse Licensure Solution for the 21st Century 5IF FOIBODFE /-$ JODSFBTFT BDDFTT UP IFBMUI DBSF QSPUFDUT QBUJFOU TBGFUZ BOE SFEVDFT DPTUT XIJMF TVQQPSUJOH TUBUFPG UIFBSU IFBMUI DBSF EFMJWFSZ o GPS UPEBZ BOE JO UIF GVUVSF 5P KPJO UIF /-$ TUBUFT OFFE UP FOBDU UIF FOIBODFE /-$ NPEFM MFHJTMBUJPO BOE JNQMFNFOU B GFEFSBM DSJNJOBM CBDLHSPVOE DIFDL TZTUFN GPS OVSTF MJDFOTVSF ƒ 5IF DPNQBDU SFNPWFT B CVSEFOTPNF FYQFOTF OPU POMZ GPS OVSTFT CVU BMTP PSHBOJ[BUJPOT UIBU FNQMPZ OVSTFT BOE NBZ TIBSF UIF FYQFOEJUVSF PG NVMUJQMF MJDFOTFT Unlocking Access to Nursing Care Across the Nation Some of the Organizations Supporting the NLC include: Air & Surface Transport Nurses Association American Academy of Ambulatory Care Nursing American Association of Colleges of Nursing American Association of Neuroscience Nurses American Association of Occupational Health Nurses (AAOHN) American Association of Poison Control Centers American Nephrology Nurses Association American Organization of Nurse Executives (AONE) American Telemedicine Association (ATA) Association of Camp Nurses Association for Vascular Access Case Management Society of America (CMSA) Our Mission Center for Telehealth and E-Health Law 5IF/VSTF-JDFOTVSF$PNQBDUBEWBODFTQVCMJDQSPUFDUJPOBOEBDDFTTUPDBSF UISPVHIUIFNVUVBMSFDPHOJUJPOPGPOFTUBUFCBTFEMJDFOTFUIBUJTFOGPSDFE MPDBMMZBOESFDPHOJ[FEOBUJPOBMMZ Citizen Advocacy Center (CAC) Commission for Case Manager Certification Emergency Nurses Association (ENA) Health IT Now MAKE YOUR VOICE HEARD Support the NLC! For more information about the enhanced NLC, visit nursecompact.com. National Military Family Association National Governors Association Center for Best Practices National Patient Safety Foundation Population Health Alliance Telehealth Leadership Council U.S. Department of Commerce If you have a specific question, contact nursecompact@ncsbn.org. arizona REGULATORY JOURNAL Key Provisions of the Enhanced NLC 111 E. Wacker Drive, Ste. 2900, Chicago, IL 60601 312.525.3600 nursecompact.com Key policy changes from the current NLC are bolded. Article I Findings and Declaration of Purpose t 'BDJMJUBUFUIFTUBUFTSFTQPOTJCJMJUZUPQSPUFDUUIFQVCMJDTIFBMUIBOETBGFUZ t &OTVSFBOEFODPVSBHFUIFDPPQFSBUJPOPGQBSUZTUBUFTJOUIFBSFBTPGOVSTFMJDFOTVSFBOESFHVMBUJPO t 'BDJMJUBUFUIFFYDIBOHFPGJOGPSNBUJPOCFUXFFOQBSUZTUBUFTJOUIFBSFBTPGOVSTFSFHVMBUJPO JOWFTUJHBUJPOBOE BEWFSTFBDUJPOT t 1SPNPUFDPNQMJBODFXJUIUIFMBXTHPWFSOJOHUIFQSBDUJDFPGOVSTJOHJOFBDIKVSJTEJDUJPO t *OWFTUBMMQBSUZTUBUFTXJUIUIFBVUIPSJUZUPIPMEBOVSTFBDDPVOUBCMFGPSNFFUJOHBMMTUBUFQSBDUJDFMBXTJOUIFTUBUFJO XIJDIUIFQBUJFOUJTMPDBUFEBUUIFUJNFDBSFJTSFOEFSFEUISPVHIUIFNVUVBMSFDPHOJUJPOPGQBSUZTUBUFMJDFOTFT t %FDSFBTFSFEVOEBODJFTJOUIFDPOTJEFSBUJPOBOEJTTVBODFPGOVSTFMJDFOTFTBOE t 1SPWJEFPQQPSUVOJUJFTGPSJOUFSTUBUFQSBDUJDFCZOVSTFTXIPNFFUVOJGPSNMJDFOTVSFSFRVJSFNFOUT Article II Definitions 3FGFSFODFNPEFMMFHJTMBUJPOBUOVSTFDPNQBDUDPN Article III General Provisions and Jurisdiction t Eligibility and uniform licensure requirements for a multistate license t "VUIPSJUZUPUBLFBEWFSTFBDUJPOBHBJOTUBNVMUJTUBUFMJDFOTVSFQSJWJMFHFXJUIBQQMJDBUJPOPGTUBUFEVFQSPDFTTMBXT t /VSTFDPNQMJBODFXJUITUBUFQSBDUJDFMBXT t &YDMVTJPOPGBEWBODFEQSBDUJDFOVSTFT "13/T 5IFSFJTBTFQBSBUFDPNQBDUGPS"13/4DBMMFEUIF"EWBODFE 1SBDUJDF3FHJTUFSFE/VSTF$PNQBDU t Grandfathering provision Article IV Applications for Licensure in a Party State t 3FRVJSFEWFSJGJDBUJPOPGMJDFOTVSFJOGPSNBUJPOWJBUIFDPPSEJOBUFEMJDFOTVSFJOGPSNBUJPOTZTUFN t ˆ“ˆÌ>̈œ˜Ê̜ʜ˜iÊ œ“iʓՏ̈ÃÌ>ÌiʏˆVi˜Ãi t 0VUMJOFTQSPDFTTGPSDIBOHFPGQSJNBSZSFTJEFODFIPNFTUBUF Article V Additional Authorities Invested in Party State Licensing Boards t 1SPWJEFTBVUIPSJUZUP ƒ />ŽiÊ>`ÛiÀÃiÊ>V̈œ˜Ê>}>ˆ˜ÃÌÊ>ʓՏ̈ÃÌ>ÌiʏˆVi˜ÃÕÀiÊ«ÀˆÛˆi}iÊ>VVœÀ`ˆ˜}Ê̜ÊÌ iÊ`ˆÃVˆ«ˆ˜>ÀÞÊ œ«Ìˆœ˜ÃÊ>Û>ˆ>LiÊLÞÊÃÌ>Ìiʏ>Ü ƒ *TTVFTVCQPFOBT ƒ Obtain and submit criminal background checks t 3FRVJSFTEFBDUJWBUJPOPGNVMUJTUBUFMJDFOTVSFQSJWJMFHFTXIFOMJDFOTFFODVNCFSFE Unlocking Access to Nursing Care Across the Nation 18 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Article VI Coordinated Licensure Information System and Exchange of Information • Requires participation in a coordinated licensure information system • Requires the boards of nursing to promptly report to the database any adverse action taken on a nurse, any information gathered during an investigation on a complaint against a nurse; and of any nurse that has been enrolled in an alternative to discipline program. • Provides for exchange of information with other party states Article VII Establishment of the Interstate Commission of Nurse Licensure Compact Administrators Establishes the governing body as a public agency known as an “Interstate Commission.” Article VIII Rulemaking Allows for rules to be adopted directly by the Commission. Such rulemaking is legally binding in all party states. There is no requirement that rules be ratified or adopted by individual states. Such rulemaking authority has been permitted and exercised by other interstate compacts. The procedural requirements are based on the national Model Administrative Procedures Act, which is similar to most state APAs and includes: • Provision for notice to the public of proposed and adopted rules • Opportunity for comment • Opportunity for public hearing • Consideration and voting upon proposed rules • Responding to comments received Article IX Oversight, Dispute Resolution and Enforcement Ensures compliance with the NLC by member states. The procedures to be followed in the event of a failure by a party state to comply with the NLC include: • A period of technical assistance in curing the default • Improved dispute resolution processes; and • Termination from the NLC in the event no other means of compliance has been successful. Article X Effective Date, Withdrawal and Amendment Addresses the method for states to enter, withdraw from or amend the NLC. Article XI Construction and Severability Provides for the compact to remain valid in a state when any provision is declared to be contrary to a party state’s constitution. arizona STATE BOARD OF NURSING REGULATORY JOURNAL For more information about the NLC, visit nursecompact.com or email nursecompact@ncsbn.org. 19 Notice of Enhanced NLC Proposed Rules And Notice of Public Hearing 1. Summary of Proposed Action Introduction: The Interstate Commission of Nurse Licensure Compact Administrators proposes uniform rules pursuant to Article VIII of the Enhanced Nurse Licensure Compact (eNLC). The proposed rules are necessary to effectuate the implementation of the eNLC and provide proper guidance and clarification to licensees and applicants of the party states that will promote compliance with the eNLC. information is posted at www.ncsbn. org/enlcrules. Public Hearing: g The Interstate Commission of Nurse Licensure Compact Administrators (ICNLCA) will hold Written Comments: Interested persons may electronically submit written comments regarding the proposed rules at www.ncsbn.org/enlcrules. Parties wishing to make a comment for consideration may do so by clicking the rule they wish to comment on and fill in the information requested along with the comment. Written comments on the proposed rules must be submitted by 2:00 p.m. Central on December 8, 2017. a hearing on proposed rules via teleconference at 2:00 P.M. (Central Standard Time) on December 8, 2017, and at the National Council of State Boards of Nursing headquarters: If electronic submission is not possible, verbal comments will be permitted at the public hearing referenced above. 111 East Wacker Drive Suite 2900 Chicago, IL 60601-4277 2. Statutory Authority for Rule Adoption Any interested person may present verbal comments on the proposed rules by attending the Authorizingg statute: ICNLC: ART. VIII RULEMAKING (a.) The Commission shall exercise its rulemaking powers pursuant public hearing or via teleconference 20 at 2:00 p.m. Central on December 8, 2017. Additional in- person and teleconference participant arizona STATE BOARD OF NURSING REGULATORY JOURNAL to the criteria set forth in this Article and the rules adopted thereunder. Rules and amendments shall become binding as of the date specified in each rule or amendment and shall have the same force and effect as provisions of this Compact. Implementing p g statutes: ART. III; GENERAL PROVISIONS AND JURISDICTION (g): (g) A nurse who fails to satisfy the multistate licensure requirements in Article III.c. due to a disqualifying event occurring after this Compact’s effective date shall be ineligible to retain or renew a multistate license, and the nurse’s multistate license shall be revoked or deactivated in accordance with applicable rules adopted by the Interstate Commission of Nurse Licensure Compact Administrators (“Commission”). ARTICLE VII ESTABLISHMENT OF INTERSTATE COMMISSION NURSE LICENSURE COMPACT ADMINISTRATORS (d) (g) & (h) (d). The Commission shall publish its bylaws and rules, and any amendments thereto, in a convenient form on the website of the Commission. (g) The Commission shall have the following powers: 1. To promulgate uniform rules to facilitate and coordinate implementation and administration of this Compact. The rules shall have the force and effect of law and shall be binding in all party states. (h) The Commission may also levy on and collect an annual assessment from each party state to cover the cost of its operations, activities and staff in its annual budget as approved each year. The aggregate annual assessment amount, if any, shall be allocated based on formula to be determined by the Commission, which shall promulgate a rule that is binding upon all party states. (4) (5) (6) 3. Entire Text of Proposed Rules, Sections 100 through 500 SECTION 100. DEFINITIONS (1) “Commission” means the Interstate Commission of Nurse Licensure Compact Administrators. (2) “Compact” means the Nurse Licensure Compact that became effective on July 20, 2017 and implemented on January 19, 2018. (3) “Convert” means to change a multistate license to a single- (7) (8) state license if a nurse changes primary state of residence by moving from a party state to a non-party state; or to change a single-state license to a multistate license once any disqualifying events are eliminated. “Deactivate” means to change the status of a multistate license or privilege to practice. “Director” means the individual referred to in Article IV of the Interstate Commission of Nurse Licensure Compact Administrators Bylaws. “Disqualifying Event”means an incident, which results in a person becoming disqualified or ineligible to retain or renew a multistate license. These include but are not limited to the following: any adverse action resulting in an encumbrance, current participation in an alternative program, a misdemeanor offense related to the practice of nursing (which includes, but is not limited to, an agreed disposition), ora felony offense (which includes, but is not limited to, an agreed disposition). “Independent credentials review agency”means a nongovernmental evaluation agency that verifies and certifies that foreign nurse graduates have graduated from nursing programs that are academically equivalent to nursing programs in the United States. “Licensure” includes the authority to practice nursing granted through the process of examination, endorsement, renewal, and/or reinstatement. (9) “Prior Compact” means the Nurse Licensure Compact that was in effect until January 19, 2018. (10) “Unencumbered license”means a license in good standing with no current discipline, conditions or restrictions. SECTION 200. COORDINATED LICENSURE INFORMATION SYSTEM 201. UNIFORM DATA SET AND LEVELS OF ACCESS (1) The Compact Administrator of each party state shall furnish uniform data to the Coordinated Licensure Information System, which shall consist of the following: (a) the nurse’s name; (b) jurisdiction of licensure; (c) license expiration date; (d) licensure classification, license number and status; (e) public emergency and final disciplinary actions, as defined by the contributing state authority; (f) a change in the status of a disciplinary action or licensure encumbrance; (g) status of multistate licensure privileges; (h) current participation by the nurse in an alternative program; (i) information that is required to be expunged by the laws of a party state; continued >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 21 (j) the applicant or nurse’s United States social security number; (k) current significant investigative information; and (l) a correction to a licensee’s data. (2) The public shall have access to items (1)(a) through (g) and participation in an alternative program to the extent allowed by state law. (3) In the event a nurse asserts that any Coordinated Licensure Information System data is inaccurate, the burden of proof shall be upon the nurse to provide evidence in a manner determined by the party state that substantiates such claim. (4) A party state shall report the items in the uniform data set to the Coordinated Licensure Information System within fifteen (15) calendar days. 202. QUERYING THE COORDINATED LICENSURE INFORMATION SYSTEM (1) Upon application for multistate licensure, with the exception of renewal by a nurse, a party state shall query the Coordinated Licensure Information System to determine the applicant’s current licensure status, previous disciplinary action(s), current participation in an alternative program, and any current significant investigative information. (2) Upon discovery that an applicant is under investigation in another party state, the party state in receipt of the nurse licensure application shall contact the investigating party state and may request investigative documents and information. SECTION 300. IMPLEMENTATION 301. IMPLEMENTATION DATE The Compact shall be implemented on January 19, 2018. 302. TRANSITION (1) (a) A nurse who holds a multistate license on the Compact effective date of July 20, 2017, and whose multistate license remains in good standing on the January 19, 2018 implementation date and who maintains and renews a multistate license is not required to meet the new requirements for a multistate license under the Compact. (b) A nurse who retained a multistate license pursuant to subsection (a) of this section and subsequently incurs a disqualifying event shall have the multistate license revoked or deactivated pursuant to the laws of the home state. (c) A nurse whose multistate license is revoked or deactivated may be eligible fora single state license in accordance with the laws of the party state. (2) A nurse who applies fora multistate license after July 20, 2017, shall be required to meet the requirements of Article III (c) of the Compact. (3) During the transition period, a new state licensee who holds a single state license in a Compact state that was not a member of the prior Compact and holds a multistate license in a party state, may retain the single state license until it lapses, expires or becomes inactive. (4) After the implementation date, party states shall not renew or reinstate a single state license if the nurse has a multistate license in another party state. 303. RECOGNITION OF NEW PARTY STATES AFTER JANUARY 19, 2018 (1) All party states shall be notified by the Commission within fifteen (15) calendar days when a new party state enacts the Compact. (2) The new party state shall establish an implementation date six (6) months from enactment or as specified in the enabling language and shall notify the Director of the date. (3) Upon implementation, a new state licensee who holds a single state license in a Compact state that was not a member of the prior Compact and holds a multistate license in a party state, may retain the single state license until it lapses, expires or becomes inactive. (4) At least ninety (90) calendar days prior to the implementation date, all other party states shall notify any active single state licensee with an address in the new party state that the licensee may only hold one multistate license in the primary state of residence. The continued on page 24 >>> 22 arizona STATE BOARD OF NURSING REGULATORY JOURNAL Reach Recruit Retain om www.wvrnboard.c p.10 blicatio Official Pu n of the Reaches every nurse in Arizona (over 100,000) through magazine and tablet-friendly digital companion 4 times a year. The Arizona State Board of Nursing JOURNAL to reserve advertising space contact Laura Wehner lwehner@pcipublishing.com 1-800-561-4686 ext.117 Nationwide, our nursing journals are mailed directly to over 2.1 million nurses, healthcare professionals and educators. Arizona Arkansas The District of Columbia Indiana Kentucky Mississippi Montana Nebraska Nevada New Mexico North Carolina North Dakota Ohio Oregon South Carolina South Dakota StuNurse/Nationwide Tennessee Washington West Virginia Wyoming ThinkNurse.com CONTA T CT: Michelle Beasleyy, BSN,, RN Relocation bonuses available | Excellent benefits IHS or NHSC loan repayment program eligible Director of Nursing Recruitment Email: michelle.beasley@fdihb.org Phone: 928-729-8394 Nursing Program #13 Ranked $50 Q HQT40Vletion Comp #14 in Ranked QPHQT VK C P G VJ ordable most aff WTUKPI /500 ram Prog 4 U 40 U ƓPK PKU UJ J [QW QWT QWT T$ $5 50K KP KP CU C U NKV KVVVNNG C CU U  O OQ OQP OQPV PVVJ JU UК UК (KP (KPK (K PKKUJ J [QW QWT/5 /50  KP P OQ OQPV PVJU PVJU JUК Affordable Online Degrees Eastern New Mexico University • RN to BSN Completion Program • Master of Science in Nursing (MSN) with emphasis in Nursing Education Contact Kristin Kuhlmann | 575.562.2403 kristin.kuhlmann@enmu.edu enmu.edu/Nursing arizona STATE BOARD OF NURSING REGULATORY JOURNAL 23 licensee shall be advised to obtain or maintain a multistate license only from the primary state of residence. (5) Each party state shall deactivate a multistate license when a new home state issues a multistate license. SECTION 400. LICENSURE 401. PARTY STATE RESPONSIBILITIES (1) On all application forms for multistate licensure, a party state shall require, at a minimum: (a) A declaration of a primary state of residence and (b) Whether the applicant is a current participant in an alternative program. (2) (a) An applicant for licensure who is determined to be ineligible fora multistate license shall be notified by the home state of the qualifications not met. (b) The home state may issue a single state license pursuant to its laws. (3) A party state shall not issue a single state license to a nurse who holds a multistate license in another party state. 402. APPLICANT RESPONSIBILITIES (1) On all application forms for multistate licensure in a party state, an applicant shall declare a primary state of residence. (2) A nurse who changes primary state of residence to another party state shall apply for a license in the new party state when the nurse declares to be a resident of the state and obtains privileges not ordinarily extended to nonresidents of the state, including but not limited to, those listed in 402 (4) (a) – (e). (3) A nurse shall not apply for a single state license in a party state while the nurse holds a multistate license in another party state. (4) A party state may require an applicant to provide evidence of residence in the declared primary state of residence. This evidence may include, but is not limited to, a current: (a) driver’s license with a home address; (b) voter registration card with a home address; (c) federal income tax return with a primary state of residence declaration; (d) military form no. 2058 (state of legal residence certificate); or (e) W2 form from the United States government or any bureau, division, or agency thereof, indicating residence. (5) An applicant who is a citizen of a foreign country, and who is lawfully present in the United States and is applying for multistate licensure in a party state may declare eitherthe applicant’s country of origin or the party state where they are living as the primary state of residence. If the applicant declares the foreign country as the primary state of residence, the party state shall not issue a multistate license, but may issue a single state license if the applicant meets the party state’s licensure requirements. (6) An applicant shall disclose current participation in an alternative program to any party state, whether upon initial application or within ten (10) calendar days of enrollment in the program. 403. CHANGE IN PRIMARY STATE OF RESIDENCE (1) A nurse who changes his or her primary state of residence from one party state to another party state may continue to practice under the existing multistate license while the nurse’s application is processed and a multistate license is issued in the new primary state of residence. (2) Upon issuance of a new multistate license, the former primary state of residence shall deactivate its multistate license held by the nurse and provide notice to the nurse. (3) If a licensee who holds a multistate license changes primary state of residence to a non- party state, which has been verified by the party state, continued on page 26 >>> 24 arizona STATE BOARD OF NURSING REGULATORY JOURNAL EDUCATION BUILT FOR Life Cardiovascular Nurse Specialist Our Cardiovascular Nurse Specialist program embodies the Foundation’s mission: To Care, To Teach, To Pioneer. CE contact hours are provided by the American Nurses Credentialing Center. The intense curriculum is designed for nurses currently specializing in cardiovascular treatment and care. Advance your nursing career with an RN-BSN degree The program will include: • Classroom instruction • Experiential learning • Simulation lab • Web-based training modules Starting Fall-2017 602.707.3531 pbanahan@azheartfoundation.org • 100% online program Ŏ‚;m7=†ѴѴঞl;our-u|ঞl; • 8-week classes Ŏ bmbv_bm-vѴb‚Ѵ;-vom;‹;-u Ŏoru;u;t†bvb|;vu;t†bu;7 Ŏ  11u;7b|;7 We are currently seeking RNs for these positions: Clinical Nurses - Operating Room Director of Surgical Services Supervisory Clinical Nurse – Med/Surg Unit Clinical Nurses – Med/Surg Clinical Nurses – Emergency Services Clinical Nurses – ICU Public Health Nurse ALL NURSING and Certified Nursing Assistant positions: Contact, Cynthia Soria, HR Specialist at (928)283-2432 or cynthia.soria@tchealth.org. RNBS N PROG RAM 1601 W. Main St., Mesa, AZ – 480.461.6790 UIU.EDU/MesaNursing For more information visit www.tchealth.org or contact Human Resources at (928) 283-2432 or tcrhcchr@tchealth.org. Final candidates selected will be subject to a favorable adjudicated background investigation. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 25 the party state shall convert the multistate license to a single state license within fifteen (15) calendar days, and report this conversion to the Coordinated Licensure Information System. 404. TEMPORARY PERMITS AND LICENSES A temporary permit, license, or similar temporary authorization to practice issued by a party state to an applicant for licensure shall not grant multistate licensure privileges unless the applicant has passed the NCLEXRN, NCLEX-PN, or recognized predecessor examination and provides evidence of submitting fingerprints or other biometric data for the purpose of obtaining criminal history record information from the Federal Bureau of Investigation and the state agency responsible for retaining the state’s criminal records, along with evidence of payment of the required fee. 405. IDENTIFICATION OF LICENSES A license issued by a party state shall be clearly identified as either a single state license or a multistate license. 406. CREDENTIALING AND ENGLISH PROFICIENCY FOR FOREIGN NURSE GRADUATES (1) A party state shall verify that an independent credentials review agency evaluated the credentials of non-native English speaking foreign nurse graduates of a prelicensure program of nursing not taught in English. 26 (2) The party state shall verify successful completion of an English proficiency examination that includes all four of the components of reading, speaking, writing, and listening. 407. DEACTIVATION, DISCIPLINE AND REVOCATION A party state shall determine whether a disqualifying event will result in adverse action or deactivation of a multistate license or privilege. Upon deactivation due to a disqualifying event, the home state may issue a single state license. SECTION 500. ADMINISTRATION 501. DUES ASSESSMENT (1) The Commission shall determine the annual assessment to be paid by party states. The assessment formula is a f lat fee per party state. The Commission shall provide public notice of any proposed revision to the annual assessment fee at least ninety (90) calendar days prior to the Commission meeting to consider the proposed revision. (2) The annual assessment shall be due within the Commission’s first fiscal year after the implementation date and annually thereafter. 4. The contact person who can answer questions about the rulemaking: Jim Puente, Director, Nurse Licensure Compact National arizona STATE BOARD OF NURSING REGULATORY JOURNAL Council State Boards of Nursing (NSCBN) Phone: Fax: E-mail: Website: 312-525-3601 312-239-1032 nursecompact@ncsbn.org www.ncsbn.org/enlcrules 5. Reason for the Rule Proposal: The ICNLC Commission justification for rules is to formulate, implement and interpret the Nurse Licensure Compact July 20, 2017 enacted laws and describe the procedures or requirements. The ICNLC Commission adopted a new Definitions, requirements for Coordinated Licensure Information System; procedures for Implementation; requirements for Licensure and Administration to further add clarity to regulations consistent with the Nurse Licensure Compact. 6. The preliminary summary of the economic, small business, and consumer impact: The proposed rules provide additional clarity to the regulated public and are not expected to have measurable economic impact on the Commission, party state Boards of Nursing or regulated parties. The rulemaking poses no additional burden on Registered Nurses or Licensed/Vocational Nurses. Coconino County Sheriff ’s Office Jim Driscoll, Sheriff HUNGER KEEPS UP ON CURRENT EVENTS, TOO. Now Hiring Correction Health RN’s! Exciting opportunity in the cool pines of Northern Arizona. Come and join a great team, providing exceptional medical care to an underserved population in our forward thinking detention facility at the Coconino County Sheriff’s Office in Flagstaff, Arizona. Enjoy the beautiful location, autonomy, ability to utilize critical thinking skills, and outstanding benefits including: full Medical, Dental, Vision, paid vacation and membership in the Arizona State Retirement System. This is a fascinating area of nursing in a very secure work environment. We encourage experienced as well as new nurses to apply. Salary Range: $53,442.00-$78,593.00 DOE *Sign On Bonuses Available* PLEASE APPLY AT www.coconino.az.gov and also complete and submit the attached background packet. Must successfully pass a background investigation and polygraph Questions: Call Human Resources (928) 226-5069 or visit www.coconino.az.gov Coconino County Sheriff’s Office is an Equal Opportunity Employer Southwest Region Indian Health Service The Southwest Region Indian Health Service is seeking Registered Nurses in multiple specialties including Medical/Surgical, ER, OB/L&D and Leadership Roles. Bring your innovative spirit to improve the health status of our Native American population. Recruitment and Relocation Bonus available. 1 IN 6 AMERICANS STRUGGLES WITH HUNGER. TOGETHER WE’RE Hunger is closer than you think. Reach out to your local food bank for ways to do your part. Visit FeedingAmerica.org today. Why Nurses Choose IHS: • Loan Repayment Program – Up to $20,000 annually • Competitive Salaries • 10% evening/night differential • 25% weekend differential • 26 vacation days • 13 sick days, 10 Federal holidays • Numerous health plans to choose; continue in retirement • Outstanding Federal Retirement Plan, and much more • Transfer opportunities–1 license/50 states Our nursing career opportunities are available in rural and urban locations throughout the states of Arizona, Nevada and Utah. The Southwest Region also has the largest Medical Center in the Indian Health Service located in central Phoenix. Nurses interested in a rewarding career, please contact Kevin Long at 602-364-5178, or email Kevin at Kevin.long@ihs.gov. I hope we’ll talk soon. Your Southwest adventure awaits you. By: Kathy Malloch, PhD, MBA, RN. FAAN Associate Director Education and Evidence-based Regulation Greetings from the Education and Evidence Based Regulation Team! November 2017 Update: Staff During the last 12 months, the board welcomed Dr. Amy Steinbinder as Education Program Administrator and Dr. Dave Hrabe, Education Program Administrator. Amy brings 35 years of proven leadership in healthcare organizations that includes organizational effectiveness and executive coaching consultation. She has worked extensively with organizations on their Magnet journey and also served 28 as a Magnet Surveyor for 10 years. Currently she specializes in executive leadership development, team coaching, strategic planning and implementation, designing cycles of innovation, and leading organizational change and safety. She is certified by Magnet (Assessment Based Certification), Board Certified Nursing Executive (ANCC), Patient Safety Officer ((IHI), and DISC and Emotional Intelligence. Amy is currently on faculty at ASU College of Nursing and Health Innovation. Early in her career Amy specialized in cardiovascular nursing. Dave has over 40 years of nursing experience as a nurse, consultant and educator. Throughout his career as a psychiatric nurse, Hrabe has a longstanding interest in how to improve RN retention and patient care, receiving grants and awards, publishing papers, and lecturing on national healthcare issues. He currently serves as associate professor of clinical nursing and executive director, Academic Innovations and Partnerships at The Ohio State University College of Nursing. Currently Dave serves as an evaluator for CCNE. Prior to his position at Ohio State, Hrabe served as associate dean, Nursing and Healthcare Innovation arizona STATE BOARD OF NURSING REGULATORY JOURNAL Programs at Arizona State University. He has served in many local, state and national organizations including the National League for Nursing Nurse Educator Workforce Development Advisory Committee, Arizona Nurses Association, Southwest Sigma Theta Tau Research Consortium, and Western Institute of Nursing. Amy and Dave join Cindy George, Dr. Mary Killeen, Lyn Ledbetter and myself to complete the Education Team. They bring a wealth of experience and wisdom to the Board and are already contributing significantly to our work. Update: Strategic Initiatives The Education Committee, led by Shawn Harrell and staff created 8 strategic areas of focus. Members of the Education Committee and other members of the community have been working diligently on the following topics: 1. Website Education Page. Lyn Ledbetter, Susan Mayer, Joseph Gaw and Carolyn McCormies have updated and streamlined both the content and the reports on the Education page. They have also decreased the number of years of data on the website to 5 years. Additional data can be obtained from Board staff for data older than 5 years. Please wander around the Education pages and let us know what you think. 2. Rules Nursing Programs. Members of the committee are Ronda Doolen, Joseph Gaw, Kathy Kenny, Lisa Smith, Margi Schultz, Nick DeFalco, Pam Stetina and Vicki Bradshaw. The committee has reviewed, edited and streamlined the rules to increase our focus on quality outcomes and also to address the Governor’s call to minimize regulation whenever possible while assuring quality education. The draft is currently posted on the board website. 3. Rules Nursing Assistant Programs. Members of the committee include Cindy George, Matthew Willi, Carolyn Spano, Sally Nelsen, Tammy Nelson, Vicki Castillo,, Janice VermiglioSmith, Tifffany Graybeal, Virginia Houghtin and Susan Jameson. Recommendations to add required in-person proctors for testing and updated checklist are being recommended. Elimination of the requirement for clinical contracts as a board requirement is also being suggested. 4. New Graduate Information. This committee created a FAQ (frequently asked questions) for graduating nurses to review and be aware of as they enter the practice of nursing have been created by Carolyn McCormies, Dawna Cato, Debra McGinty, Lonnie Wederski, Nancy Baumhover and Olivia Holt. 5. Education Annual Report. The annual report in which the numbers of students and graduates as well as NCLEX pass rates are collected is undergoing a major update. Committee members Deb McGinty, Dave Hrabe, Pam Fuller, Ronnie Cololazo, Tina Berry and Lyn Ledbetter have revised the data collection template to use an electronic collection tool and metrics that will meet Board requirements, CCNE, ACEN and selected workforce data requirements. The new revisions will be implemented for the 2017 data collection and be sent to colleges and schools by December 1, 2017. 6. Program Application Content and Approval Processes. Members of this committee Shawn Harrell, Vicki Bradshaw, Gloria Hager, Cindy George and Mary Killeen have reviewed the statute and rules requirements for application processes and are in the process of streamlining the document requirements, eliminating redundancies and updating forms. 7. Site Visits. This committee has addressed the site visits in which ACEN and CCNE accreditors are leading the accreditation visits, the content of self-study documents and focus of the work of Board staff during the accreditation visits. Members of the committee include Tina Berry, Polly Gosa, Tracy Schreiner, Mary Killeen, Ronda Doolen and Margi Schultz. Board staff are evaluating the five most recent site visits and will make recommendations in January 2018. 8. Advisory Opinions. This committee has reviewed education advisory opinions and made recommendations for changes. Two advisory opinions are still undergoing evaluation; Preceptor Roles and Distance Education. Members of the committee include Dawna Cato, Carolyn McCormies, Nancy Baumhover, Olivia Holt, Tammy Nelson and Vicki Bradshaw. 9. Research Agenda. Efforts to identify regulatory research priorites for graduate students have been undertaken by Kathy Malloch, Joey Ridenour, Dawna Cato, Olivia Holt, Connie Miller and Pauline Komnenich. Thus far, topics include building theory around nursing regulation, analysis continued >>> arizona STATE BOARD OF NURSING REGULATORY JOURNAL 29 of the impact of simulation and technology on education, continued competence, delegation, effective curriculum models and more. Update Deans and Directors Meeting The 2017 Deans and Directors Meeting was held September 29, 2017 at Cochise College in Sierra Vista, AZ at Cochise College. Approximately 35 individuals attended to hear education updates, strategic initiative information, analysis of strategies to create an effective Systematic Evaluation Plans, discussion of the revised Triage Policy for complaint investigations, and to participate in group discussion and sharing of education strategies of millennials and multi-generational students. Evaluations from the meeting were overwhelmingly positive. Next year’s meeting will be October 12, 2018. Tentative topic for the meeting is Understanding Accommodations in 2018. Location to be determined. Update Communication 2018 Monthly calls will begin for deans, directors and program staff in January 2018. Tentative dates are the second Thursday of the month. Deans and Directors will occur at 11 am followed by Nursing Assistant Program Directors at 1 pm. As always we welcome you to share your ideas and feedback with us. Kathy Malloch, PhD, MBA, RN. FAAN 30 Take a look at Valley Hospital - UHS Behavioral Health Choose where you want to be for your nursing career • Innovative, compassionate and quality-driven work environments • Diverse practice settings to focus on individual professional interest • Flexible work options • Excellent compensation • Centrally located with easy access to many areas of greater Phoenix • A subsidiary of UHS of Delaware, Inc. with more than 220 facilities in 37 states Learn more at www.valleyhospital-phoenix.com www.uhsinc.com or contact us at 602-952-3904. CAREER advancement UHS of Delaware, Inc. a subsidiary of Universal Health Services, Inc. OPPORTUNITY Winslow Indian Health Care Center is seeking highly motivated nurses to join our team. As an ambulatory and urgent care setting, WIHCC is ideal for both new graduates starting their careers, as well as for experienced nurses with acute care/ER, cardiology, primary care, and case management backgrounds. As an accredited patient-centered medical home site, we strive to work in harmony with our patients & communities to improve their overall health. Available RN Opportunities include: Clinical Nurses, Clinical Care Coordinators, Family Nurse Practitioners, Psychiatric Nurse Practitioners, Public Health Nurse arizona STATE BOARD OF NURSING REGULATORY JOURNAL Visit us today at www.wihcc.com and apply online. Summit Healthcare Regional Medical Center Trusted to Deliver Exceptional, Compassionate care close to home Nursing Opportunities Available Come to Arizona’s cool, Beautiful White Mountains where the quality of life soars as high as the tall pines! • Medical-Telemetry Unit Nurse Supervisor • ER Nurse Supervisor • Emergency Room Nurse • Medical / Telemetry Unit Nurse • Outpatient Clinic Nurse $5,000 Sign on bonus / Relocation Assistance / Excellent Benefits / Retirement / Tuition Reimbursement (up to $10,000) Current Employment Opportunities f RN Labor & Delivery f RN ICU f RN ER f RN Med Surg Tele f RN Case Manager f RN Nursery f RN Surgery f Perioperative Manager / Educator Sage Memorial Hospital is located in Northeastern Arizona, Ganado, Arizona f RN Float f Manager of Case Management / Social Services (RN Required) f Director of Surgical Services To learn more about our Career opportunities visit www.summithealthcare.net or call to speak with the Nurse Recruiter, Stevie Burnside at 928-537-6367 email sburnside@summithealthcare.net For more information contact: Ernasha McIntosh, RN, BSN, DON, 928-755-4501, ernasha.mcintosh@sagememorial.com. Applications available at http://sagememorial.com/careers/ Submit applications to the Human Resources Department, Fax#: 928-755-4659, hr@sagememorial.com 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 good thing about “ The nursing here is you can always change your role and change what you do. Sarah, ICU RN ” As a nurse at UNM Hospitals, you’ll be part of a collaborative team that continually works to improve patient health and nursing practice. With our size and scope, you can choose from a broad range of disciplines and unique opportunities. Join a state leader in nursing, and discover a professional environment that offers you all the tools and support you need to build a successful future. Relocation Available. Be a part of what makes us great. unmhjobs.com arizona STATE BOARD OF NURSING REGULATORY JOURNAL 31 *Not reported in previous Journal CNA DISCIPLINARY ACTION APRIL - MAY - JUNE 2017 EFFECTIVE DATE NAME LICENSE DISCIPLINE 6/29/2017 Almada Gonzalez, Paola I. CNA1000023713 Revoked 6/28/2017 Barker, Sarah N. CNA1000048280 Decree of Censure 6/27/2017 Berchini Simpson, Josie CNA1000035840 Decree of Censure 5/3/2017 Brown, Derrica L. CNA1000029665 Revoked 5/31/2017 Budy, Emilie E. LNA1000022854 Voluntary Surrender 6/27/2017 Clah, Lorraine R. CNA492013353 Revoked 6/26/2017 Cluster, Diana L. CNA1000024421 Revoked 6/29/2017 Colbert, Debra A. CNA1000013846 Revoked 5/17/2017 Dansby-Draine, Dianne B. CNA Applicant Certificate Denied 5/15/2017 David, Anna L. CNA1000034015 Voluntary Surrender 6/29/2017 Doyle, Amanda L. CNA1000022985 Revoked 5/11/2017 Estrella, Nathalie CNA Applicant Certificate Denied 6/26/2017 Feagins, Amanda R. CNA1000043851 Revoked 5/17/2017 Garon, Brian M. CNA Applicant Certificate Denied 5/3/2017 Irvin, Michelle Y. CNA1000030346 Revoked 4/14/2017 Jhinnu, Erica A. CNA1000049456 Revoked 5/4/2017 Johnson, Randall L. CNA1000007462 Voluntary Surrender *10/26/2016 Jones, Joseph J. CNA Applicant Certificate Denied 6/27/2017 Kellner-Amezcua, Victoria CNA1000040852 Decree of Censure 6/28/2017 Khmelinina, Olga CNA1000013993 Revoked 4/7/2017 Lay, Sheila M. CNA Applicant Certificate Denied 6/9/2017 Louis, Beata L. CNA1000018433 Decree of Censure 4/20/2017 Lowe, Ryan W. CNA1000030171 Voluntary Surrender 6/29/2017 McCulloch, Neville A. CNA999947128 Revoked 5/17/2017 Monroy, Mark A. CNA Applicant Certificate Denied 5/3/2017 Mpasi, Miltes S. CNA1000047804 Decree of Censure 6/23/2017 Munsee, Brian S. CNA1000052436 Revoked 4/21/2017 Nyberg, Chantel M. CNA Applicant Voluntary Surrender 5/19/2017 Ogello, Samantha M. CNA1000055802 Revoked 4/28/2017 Oskins, James P. CNA1000048359 Voluntary Surrender *3/10/2016 Prado, Francisco CNA Applicant Certificate Denied 6/12/2017 Ramirez, Juliette M. CNA1000042330 Voluntary Surrender 5/3/2017 Rasmussen, Chris R. CNA1000036880 Revoked 4/17/2017 Rodriguez, Janet CNA1000050332 Decree of Censure 6/28/2017 Salas, Connie CNA488964441 Revoked 5/3/2017 Scott-Garrett, Yvette L. CNA1000041434 Revoked 5/3/2017 Shaver, Kimberley M. CNA1000005713 Revoked 5/3/2017 Simpson, Zachary R. CNA Applicant Certificate Denied 6/27/2017 Tillman, Angelica M. CNA Applicant Decree of Censure 5/15/2017 Vielma, Jesus A. CNA Applicant Certificate Denied 5/3/2017 Welch, Michael T. CNA Applicant Revoked 32 arizona STATE BOARD OF NURSING REGULATORY JOURNAL *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION APRIL - MAY - JUNE 2017 EFFECTIVE DATE NAME LICENSE DISCIPLINE 5/19/2017 Ameden, Ruth E. LP047839 Stayed Suspension with Probation 5/19/2017 Armenta, Frank LP039908 Probation 5/30/2017 Baker, WellemenJa RN139390 Stayed Revocation with Suspension 5/2/2017 Baylock, Cheryl C. RN159603 Revocation 4/27/2017 Bell, Karina M. RN172433 Decree of Censure 5/8/2017 Benson, Sara M. RN Endorsement License Denied 5/19/2017 Bezemek, Melody F. RN203957 Decree of Censure 5/23/2017 Blanks, Denise M. RN145299 Decree of Censure 6/5/2017 Brewer, Lori R. RN Endorsement License Denied 6/26/2017 Brown, Dane R. RN148525 Revocation 6/7/2017 Bucciferro Sr, Joseph A. LP047092 Decree of Censure 6/19/2017 Buckalew, Darlesa R. RN071555 Probation 5/3/2017 Caballero, Teressa R. LP046708 Revocation 4/28/2017 Choi, Yoon RN157733 Revocation 6/2/2017 Chua, JeaneJe RN139692 Voluntary Surrender 4/7/2017 Cresap, David A. RN172498 Civil Penalty 5/11/2017 Datingaling-Panaligan, Andrea G. RN061601 Probation 5/18/2017 Delhuerto, Gail J. RN156290 Stayed Revocation with Suspension 4/27/2017 Dixon, Nanci J. LP048004 Probation 6/16/2017 Drummond, Lisa D. RN071771/AP6912 Decree of Censure 4/10/2017 Ekman, John K. RN103097/P5457/AP1902 Decree of Censure 5/19/2017 Ellsworth Jr, Ronald M. RN155000 Decree of Censure 5/11/2017 Ester, Latosha L. RN Endorsement License Denied 6/23/2017 Ferguson, Pamela J. RN139913 Voluntary Surrender 4/13/2017 Fett, Karen J. RN066870 Probation 6/26/2017 Fijalka, Rayell M. RN121561 Revocation 5/15/2017 Gibson, Angela M. LPN Endorsement License Denied 5/3/2017 Gilger, Jazmine N. RN178337 Revocation 5/19/2017 Gilliland, Adam T. RN161933 Probation 6/26/2017 Gorsuch, Jasmine E. LP045725 Revocation 4/26/2017 Gurtler, Chris B. RN160877 Decree of Censure 6/29/2017 Guy, James E. RN177281/CNA1000026785 Revocation 6/19/2017 Hadley, Frank J. LP036210 Revocation 5/30/2017 Hall, Gwendolyn L. RN026024/AP7052 Voluntary Surrender 5/18/2017 Hall, Gwendolyn L. RN026024/AP7052 Summary Suspension 4/5/2017 Hanson-Bain, Joan E. RN058516 Decree of Censure arizona STATE BOARD OF NURSING REGULATORY JOURNAL 33 *Not reported in previous Journal RN/LPN DISCIPLINARY ACTION APRIL - MAY - JUNE 2017 EFFECTIVE DATE NAME LICENSE DISCIPLINE 6/29/2017 Hartley, John M. LP046814 Decree of Censure 5/2/2017 Harvey, Trina L. RN145055 Revocation 5/19/2017 Hendricks, Jacqueline M. RN164678 Probation 4/18/2017 Hendricks, Tania E. RN161209 Decree of Censure 6/27/2017 Henry, Megan D. LP040217 Decree of Censure 5/10/2017 Hom, CharloJe E. RN159537 Decree of Censure 6/21/2017 Hurley, Eve RN091813 Decree of Censure 5/10/2017 Johnstone, Linda T. RN075203/LP024203 Voluntary Surrender 6/23/2017 Jones, Martha M. RN059962 Voluntary Surrender 5/19/2017 Jones-Butler, Arva L. RN130475 Decree of Censure 6/15/2017 Kakou, Aeriodne S. RN208129/LP049516 Probation 6/15/2017 Key, Karlie N. LP045400 Voluntary Surrender 6/6/2017 Kimble, Loreen L. TRN204236 Voluntary Surrender 4/3/2017 Knight, Kimberly M. RN173416 Voluntary Surrender 5/19/2017 Korn, Shenandoah L. RN207563 Stayed Revocation with Probation 6/6/2017 Lake, Lou Ann J. RN173673 Stayed Revocation with Probation 5/2/2017 Langham, Danielle L. RN172715 Voluntary Surrender 6/2/2017 Lawlyes, Tyler J. RN199340 Revocation 4/18/2017 Leslie Augustus, Debra RN148592/AP2872 Revocation 5/19/2017 Lindenmoyer, Jane E. RN152248 Voluntary Surrender 5/3/2017 Lindsey, James E. RN158237 Revocation 6/30/2017 LiJrell, Margaret E. RN201354 Voluntary Surrender 5/19/2017 Marsh, Dana G. LP035962 Suspension 4/26/2017 McKinley, Allison C. RN190340 Decree of Censure 4/13/2017 McRae, Jose A. RN154196 Decree of Censure 4/13/2017 Meenan, Laurie A. RN115475 Stayed Revocation with Suspension 5/15/2017 Mindingall, Ubah A. RN Endorsement License Denied 5/26/2017 Mitchell, Robert L. RN094677/CNA994812033 Revocation 6/29/2017 MonDel, Jinky S. RN142739 Decree of Censure 5/3/2017 Moore, Kathleen M. LP045450 Revocation 4/13/2017 Newell, Katelyn M. RN170513 Stayed Revocation with Suspension 5/19/2017 Noirfalise, Corina J. RN134754 Probation 4/20/2017 Norris, Teri K. RN194767 Decree of Censure 3/27/2017 O’Conner, ScoJ M. RN178690 Voluntary Surrender 4/28/2017 Palmer, Mauda K. RN094532 Revocation 5/15/2017 Peraza, Irene G. LPN Endorsement License Denied 34 arizona STATE BOARD OF NURSING REGULATORY JOURNAL RN/LPN DISCIPLINARY ACTION *Not reported in previous Journal APRIL - MAY - JUNE 2017 EFFECTIVE DATE NAME LICENSE DISCIPLINE 3/24/2017 Pierce, Julianne D. RN071833/AP7213 Probation 6/16/2017 Rangel, Shannon M. LP041945 Voluntary Surrender 6/19/2017 Relampagos, Haron R. RN138329 Decree of Censure 6/20/2017 Roberge, Sandra T. RN147223 Probation 4/3/2017 Rosenfeld, Muriel RN051184/AP7295 Decree of Censure 6/28/2017 Roy, Mark R. RN178825 Decree of Censure 5/10/2017 Rugen, Tammy S. RN106595 Voluntary Surrender 6/20/2017 Sanchez, Rafael RN169293 Probation 6/29/2017 Schaller, Debra K. RN141896 Revocation 6/23/2017 Sessions, Teresa W. RN Endorsement License Denied 4/7/2017 Sharpe, Andrew E. RN207034 Decree of Censure 5/3/2017 Sheldon, Jobeth K. RN174917 Revocation 6/26/2017 Simpson, Nancy A. RN129686 Revocation 6/16/2017 Siripoon, Mayuree RN094885/AP4090 Civil Penalty 5/26/2017 Smith, Michelle L. RN Endorsement/AP Exam License Denied 6/28/2017 Snyder, Alice M. RN053313/LP013598 Revocation 5/3/2017 Stevens, Clare A. RN112252 Revocation 6/29/2027 Stout, Allen E. RN170748 Stayed Suspension with Probation 4/28/2017 Thompson, Jilaine Compact, VA-RN Revocation-Privilege to Practice 4/3/2017 Todd, Amber C. LP044168 Voluntary Surrender 5/3/2017 Valadez, Monica J. RN154555 Voluntary Surrender 5/18/2017 Valdez, George RN165005/LP044690 Stayed Revocation with Suspension 5/11/2017 Valentine, Shirley A. RN153550 Civil Penalty 5/3/2017 Vanderwalker, Linda S. RN071998 Revocation 5/23/2017 Velazquez, Jamie L. RN163540/CNA1000005543 Voluntary Surrender 6/29/2017 Villalobos, Gloria L. LP Exam Civil Penalty 6/27/2017 Vitale, Catherine S. LP035408 License Renewal Denied 4/13/2017 Warren, Tamara L. RN207249 Stayed Revocation with Suspension 5/15/2017 Webber, KrisDe D. RN Endorsement License Denied 4/28/2017 Whiteaker, BreJ A. RN168273 Revocation 6/29/2017 Williams, Rachel G. LP036584 Decree of Censure 4/14/2017 Winters, Jennifer L. RN123841 Reissuance with Decree of Censure 4/17/2017 Witt, Kathleen A. RN058254 Voluntary Surrender 5/18/2017 Woodbridge, Timothy W. RN180669 Stayed Revocation with Probation 4/7/2017 Worwa-Stepniowski, Elzbieta RN142085 Decree of Censure 6/12/2017 Yates, Courtney RN189735 Voluntary Surrender arizona STATE BOARD OF NURSING REGULATORY JOURNAL 35 The Arizona Ari St State t B Board d off N Nursing i g is i moving i g to t a new location. l t All contact numbers and email addresses will remain the same. New address as of December 18, 2017 is: 1740 W. Adams, Suite 2000 Phoenix, Arizona 85007 Phone: (602) 771-7800 Fax: (602) 771-7888 E-Mail: arizona@azbn.gov • www.azbn.gov Looking for Experienced Nurses to Work In Our ER, CCU/ICU, Tele/Med/Surg, Cath Lab, OR, Perinatal Services, NICU, PICU ŽŵĞũŽŝŶƵƐĂƐǁĞĐŽŶƟŶƵĞƚŽŐƌŽǁŝŶƚŚĞďĞĂƵƟĨƵůĐŝƚLJ ŽĨ>ĂƐƌƵĐĞƐǁŚĞƌĞLJŽƵǁŝůůĞŶũŽLJϯϱϬĚĂLJƐŽĨƐƵŶƐŚŝŶĞ Ă LJĞĂƌͲĂŶ ŽƵƚĚŽŽƌ ůŽǀĞƌƐ ƉĂƌĂĚŝƐĞ͊ dŚĞ ŵĂŝŶ DĞŵŽƌŝĂů ĐĐĂŵƉƵƐ ŝƐ ůŽĐĂƚĞĚ ůĞƐƐ ƚŚĂŶ Ă ŵŝůĞ ĨƌŽŵ EĞǁ DĞdžŝĐŽ ^ƚĂƚĞ hŶ ŶŝǀĞƌƐŝƚLJ͕ĨŽƌƚŚŽƐĞƐĞĞŬŝŶŐƚŽĂĚǀĂŶĐĞƚŚĞŝƌŶƵƌƐŝŶŐĚĞŐƌĞĞ͘ DĞŵ ŵŽƌŝĂůDĞĚŝĐĂůĞŶƚĞƌŚĂƐĂƉƌŽƵĚůĞŐĂĐLJŽĨĐĂƌŝŶŐĨŽƌŽƵƌ ŶĞŝŐŚď ďŽƌƐŝŶ^ŽƵƚŚĞƌŶEĞǁDĞdžŝĐŽĨŽƌŵŽƌĞƚŚĂŶϲϱLJĞĂƌƐ͘ DĞŵŽƌŝĂůŝƐƉƌŽƵĚƚŽŽīĞƌǀĞƌLJ competitive pay and benefits: ZĞůŽĐĂƟŽŶĂƐƐŝƐƚĂŶĐĞ dƵŝƟŽŶƌĞŝŵďƵƌƐĞŵĞŶƚ X ŚŝůĚĐĂƌĞƌĞŝŵďƵƌƐĞŵĞŶƚ X WƌŽĨĞƐƐŝŽŶĂůĞǀĞůŽƉŵĞŶƚŝŶĐĞŶƚŝǀĞƐ ĨŽƌEĂƟŽŶĂůĞƌƚŝĨŝĐĂƟŽŶƐ X X Visit us at MMCLC.org and apply online. For more information call or email our Nurse Recruiter, Ernest Perez, RN 575-635-7101 X Ernest.Perez@LPNT.net ϮϰϱϬ^͘dĞůƐŚŽƌůǀĚ͕>ĂƐƌƵĐĞƐ͕EDϴϴϬϭϭ 36 arizona STATE BOARD OF NURSING REGULATORY JOURNAL X MMCLC.org  Fact: Knowing if you have HPV—especially the most dangerous strains, HPV types 16 and 18—can help protect you from developing cervical cancer. If you are 30 or older, ask your health care provider about getting an HPV test with your Pap test. Learn more at www.healthywomen.org/hpv. This resource was created with support from Roche Diagnostics Corporation. arizona STATE BOARD OF NURSING REGULATORY JOURNAL 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. Correctional Care. Committed Careers. We're hiring! Registered Nurse Mental Health RN Nurse Practitioner Mental Health NP Licensed Practical Nurse We currently have openings for Full-Time Faculty positions available at our main campus in Phoenix, Arizona. In addition, we are also hiring Adjunct Faculty for both online and campus courses. Founded in 1949, GCU is a private, Christian university serving nearly 15,473 students on our main campus in Phoenix, Arizona and an online student population of more than 59,600. HOW TO APPLY jobs.gcu.edu Please apply online by visiting CorizonJobs.com | Follow Corizon Health Careers Contact Nancy James Nancy.James@CorizonHealth.com | For Advertising CONTACT Laura Wehner lwehner@pcipublishing.com 1-800-561-4686 ext. 117 38 arizona STATE BOARD OF NURSING REGULATORY JOURNAL 480.897.9515 X 2504 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 Coŵe Join Kur deaŵ in Making CoŵŵuniƟes HealtŚier! ,ĂǀĂƐƵZĞŐŝŽŶĂůDĞĚŝĐĂůĞŶƚĞƌŝƐĐƵƌƌĞŶƚůLJůŽŽŬŝŶŐĨŽƌĞdžĐĞƉƟŽŶĂůZE͛ƐĂŶĚE͛ƐǁŚŽƐŚĂƌĞŽƵƌ values! ŚŝŐŚůLJĐŽŵƉĞƟƟǀĞĐŽŵƉĞŶƐĂƟŽŶͬďĞŶĞĮƚƐƉĂĐŬĂŐĞ͕ǁŽƌůĚĐůĂƐƐƚĞĐŚŶŽůŽŐLJĂŶĚĂĐŽŵƉĂƐƐŝŽŶĂƚĞ ŐƌŽƵƉŽĨƉĂƟĞŶƚ-focused professionals—ƚŚĞƐĞĂƌĞũƵƐƚĂĨĞǁƌĞĂƐŽŶƐƚŽĐŽŶƐŝĚĞƌĂĐĂƌĞĞƌǁŝƚŚ HRMC. We currently Śave tŚe folloǁing career opportuniƟes: x ZE-EĞǁ'ƌĂĚZĞƐŝĚĞŶĐLJ͗$6͕000 Sign Kn Bonus x ZEDĞĚ^ƵƌŐ͗$12͕000 Sign Kn Bonus x ZEdĞůĞŵĞƚƌLJ͗$15͕000 Sign Kn Bonus x ZEWh͗$15͕000 Sign Kn Bonus x E͗$1͕500 Sign Kn Bonus &ŽƌŵŽƌĞŝŶĨŽƌŵĂƟŽŶĂŶĚƚŽĂƉƉůLJǀŝƐŝƚ ŽƵƌǁĞďƐŝƚĞĂƚǁǁǁ.Śavasuregional.coŵ ŽƌĐŽŶƚĂĐƚŚƌŝƐƐLJ>ŝƚŚĞƌůĂŶĚ͕ZĞĐƌƵŝƚĞƌ ŵĂŝů͗cŚrisƟna.litŚerland@lpnt.net Call or text: 602-791-2579 x x x x ZE^ƚĞƉŽǁŶͬ/D͗$21͕000 Sign Kn Bonus ZE/h͗$30͕000 Sign Kn Bonus ZEZ͗$30͕000 Sign Kn Bonus ZEKZŝƌĐƵůĂƚŽƌ͗$30͕000 Sign Kn Bonus 101 CIVIC CENTER LANE, LAKE HAVASU CITY, AZ 86403 ,ĂǀĂƐƵZĞŐŝŽŶĂůDĞĚŝĐĂůĞŶƚĞƌŝƐƉĂƌƟĂůůLJŽǁŶĞĚŽƌŝŶǀĞƐƚĞĚŝŶďLJƉŚLJƐŝĐŝĂŶƐ͘dŚŝƐĨĂĐŝůŝƚLJĂŶĚŝƚƐĂĸůŝĂƚĞƐŝƐĂŶKĞŵploLJĞƌĂŶĚĐŽŵƉůŝĞƐ ǁŝƚŚĂƉƉůŝĐĂďůĞ&ĞĚĞƌĂůĐŝǀŝůƌŝŐŚƚƐůĂǁƐĂŶĚĚŽĞƐŶŽƚĚŝƐĐƌŝŵŝŶĂƚĞŽŶƚŚĞďĂƐŝƐŽĨƌĂĐĞ͕ĐŽůŽƌŶĂƟŽŶĂůŽƌŝŐŝŶ͕ĂŐĞ͕ĚŝƐĂďŝůity or sex. ƚĞŶĐŝſŶ͗ƐŝŚĂďůĂĞƐƉĂŹŽů͕ƟĞŶĞĂƐƵĚŝƐƉŽƐŝĐŝſŶůĂĂƐŝƐƚĞŶĐŝĂĚĞƚƌĂĚƵĐĐŝſŶĚĞŝĚŝŽŵĂƐŐƌĂƟƐ͘>ůĂŵĞĂůϭ-928-855-ϴϭϴϱ;ddz͗711) arizona REGULATORY JOURNAL 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 MIHS… It’s Who I Am Att Mar aric icop opa In nte tegr grat ated ed Hea ealt lth h Sy Syst s em st e , ou ourr values ins va nspi p re e us to dre ream am big and rea each ch hig igh. h. We’rre a mi We miss ssio ionn-dr driv iven en org gan aniz izat atio ion n th t at hea eals ls ever ev ery er y pa pati tien ent, t, no ma matt ttter er the heir ir bac ackg kgro kg round. And we’re delivering some of the most soph so phis istiicated ca are e in th he co coun untr try, y, w ile wh e maki king ng a rea eall im impa pact pa ct in th the e lives s of our ur div iver erse rse gro roup up of pa p ti t en nts and an d ea ac ch h other. Ou Our nu nurses es s foc ocus u on integr g attin ing a variety of experie enc nce to to p ovide pr e unique solutions to o he heal alth th care. th are. ar e. We are looking to hire nurses in our: !RIZONA "URN #ENTER s /2 s )#5 s #ATH ,AB If you’re passionate about caring for people and like the idea of working g in unison with a world-class staff and volunteers, then MIHS is the perfect next step in your career. Join our team and earn: s (IGHLY COMPETITIVE WAGES s !RIZONA 3TATE 2ETIREMENT 3YSTEM 0LAN WITH A lifelong pension upon retirement s 'ENEROUS 04/ Connect with us today to get more information about joining MIHS: MIHS Recruitment Team talent@mihs.org 602-344-5627  HOLIDAYS PER YEAR s 4HE 0UBLIC 3ERVICE ,OAN &ORGIVENESS 03,& 0ROGRAM MARICOPA INTEGRATED HEALTH SYSTEM Maricopa County Special Health Care District JOBS.MIHS.ORG