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Nevada State
Board of Nursing |
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CALL TO ORDER The Annual Board Retreat of the
Nevada State Board of Nursing was called to order by the President Patricia
Shutt, LPN, at 9:05 a.m. on July 23, 2003, at David Walley’s Resort, Gazebo,
Highway 206, Genoa, Nevada 89411 MEMBERS PRESENT Patricia Shutt, LPN, President MaryAnn
Lambert, MSN, RN, Vice President Helen Vos, MS, RN, Secretary
(July 25, 2003 only) Cookie Bible, BSN, RNC, APN Elena Lopez-Bowlan, MS, RN, APN,
Member Dorothy Perkins, CNA, Member MEMBERS ABSENT Consumer Member (position
vacant) OTHERS PRESENT Debra Scott, MS, RN, Executive
Director Donald Rennie, MSN, RN, AED for
Licensure and Certification Robert Buck, BSN, RN, Associate
Director for Compliance Chris Sansom, RN Associate
Director for Practice Keith Marcher, Senior Deputy
Attorney General Mary Flannigan, Accountant
(July 25, 2003) Robin Patten, Management
Assistant (July 24, 2003) Teri Troke, Administrative
Assistant (July 24 & 25, 2003) Cindy Kimball, Information
Officer Susan Thomas, Certified Court
Reporter #655 (July 23, 2003) Lisa Young, Certified Court
Reporter #353 (July 24, 2003) Carol Hummel, Certified Court
Reporter #340 (July 25, 2003) OPEN
FORUM There were no issues presented. APPROVAL OF CONSENT
AGENDA It was moved and seconded the board approve the
Consent Agenda, identified as items: A.1-2,
4; B.1, D.8.a-c, 9.a-b; E.1-2. C.
Bible recused on D.8.a. M. A.
Lambert recused on D.9.b. MOTION CARRIED. A.
BOARD GOVERNANCE
AND ADMINISTRATION
1.
Approval of
minutes of May 7-9, 2003 Regular Board Meeting: Approved under the Consent Agenda. 2.
Annual review
of Code of Ethics, Board member roles and responsibilities, and Board function
list:
Approved under the Consent Agenda. 3.
Review and
discuss FY 2002-03 accomplishments: Oral
presentation by D. Scott. Board-
established priorities for past year included governance and administration,
nursing practice, discipline, education, licensure and certification.
A summary of the Board’s accomplishments related to their 2002-03
priorities was presented. Highlights included: active participation in the recent
legislative session providing crucial testimony on many health care issues;
development and distribution of a Spanish language consumer brochure; Reno
office relocation and reorganization; and renegotiation of the CNA contract.
4.
Review
Mission Statement: Approved under the
Consent Agenda. 5.
Review and
discuss proposed FY 03/04 priorities: Oral presentation by D. Scott and C. Kimball.
The board recommended inclusion of bio-terrorism education, foreign nurse
licensure process, and apprentice nurse program into the appropriate area of
priorities. 6.
Laws and
regulations: Public Hearing –
Notice of Intent to Adopt Regulations a.
NAC 632.190:
It was moved and seconded the board approve the proposed regulation as
written. MOTION CARRIED. b.
NAC 632.210:
Public comments received prior to the hearing were read into the record by P.
Shutt, President. It was moved and
seconded the board approve the proposed regulation as written.
MOTION CARRIED. 7.
Annual review
of statistics and trends: Discussion
postponed to a future board meeting. 8.
Review and
discussion of newsletter proposal: Oral
presentation by C. Kimball. An
opportunity exists to change the current newsletter to a full-color magazine
format. This type of newsletter
would be published quarterly, at no expense to the board, and would be
distributed free to all RNs, LPNs and CNAs.
The board directed staff to pursue this type of publication for the
newsletter. 9.
Preliminary
review FY 02/03 financial statement: Discussion
postponed to the September board meeting. 10.
NSF check
review FY 02/03: Discussion postponed to a
future board meeting. 11.
National
Council State Board of Nursing: a.
Selection of
delegates for Delegate Assembly 2003: It was
moved and seconded the board select P. Shutt and D. Scott as the primary
delegates and C. Bible and C. Sansom as the alternate delegates.
MOTION CARRIED. b.
Direction to
delegates for Delegate Assembly 2003: No
specific guidance was given to the delegates.
The board member consensus was that complete and relevant information on
pertinent issues would only be available at the time of delegate assembly.
The delegates should have access to all available information for
decision making and voting. 12.
Words from
the President: P. Shutt discussed the need for the board to evaluate the processes it
uses and to explore new options in doing business more efficiently.
Each board member brings unique expertise and experiences to the board,
which makes them a valuable contributor in meeting the board’s mission.
13.
Report from
legislative liaison-Fred Hillerby: Oral
presentation. During the regular
legislative session, AB 22 passed clarifying approval/accreditation language
related to nursing programs. AB
310, a bill related to nurse staffing, was referred to the Interim Health Care
Committee for study with a report due June 2004. AB 250, a bill on bio-terrorism, passed mandating specific
educational requirements of all licensed professionals.
SB 93, a bill on mutual recognition, did not pass.
An overview of the events and results of the special sessions related to
budgetary issues was presented. 14.
Discussion
regarding future Board legal services: Oral
presentation by D. Scott and K. Marcher. Beginning
with the new fiscal year, the board will be required to pay at an hourly rate
for legal services provided by the Attorney General’s Office.
The board discussed the options of maintaining its current system of
obtaining legal services, reducing the amount of service needed, or hiring its
own attorney. The board directed the executive director to explore the
various options discussed. 15.
“Professional
Codependency”–an interactive presentation: Professional
development presentation by Tom Lavin, MFT, ACATA.
The presentation discussed an overview of behavioral patterns of
codependency. It was noted that the
well-meaning intentions of others, such a friends, family, and regulators may
create enabling behaviors and situations that promote codependency.
The board’s Alternative Program and the stages of chemical dependency
were discussed. Individuals
reaching a stage of contemplation for change and demonstrating a determination
to change exhibit the best likelihood of successful recovery.
B.
LICENSURE
PROGRAMS
1.
Citizen Advocacy Center competency seminar
report: To be
reported thru memorandum. 2.
Nursing Schools a.
Update on National League for Nursing
Accreditation Commission and the Collegiate Commission on Nursing Education:
Oral presentation by D. Rennie. A
comparison of the two accrediting bodies indicated there were many similarities
in their processes. Differences
were noted in costs of surveys, types of programs accredited and length of
accreditation period. NLNAC
accredits practical nurse programs, diploma nurse programs, associate degree
nurse programs, baccalaureate and master’s degree nursing programs.
CCNE only accredits baccalaureate and master’s degree nursing programs.
Accreditation from NLNAC can be up to 8 years, while CCNE accredits for
periods up to 10 years. Both
agencies are board approved for the accreditation of nursing programs. b.
Request for approval of CCSN LPN refresher
course: Oral
presentation by D. Rennie and Deborah
Ain, RN, MS, Director, Community College of Southern Nevada.
It was moved and seconded the board approve the LPN refresher course from
the Community College of Southern Nevada. MOTION
CARRIED c.
Request for approval of RN/LPN refresher
courses–South Dakota State University and Greenville Technical College:
Oral presentation by D. Rennie. It
was moved and seconded the board not approve the refresher courses.
MOTION CARRIED. 3.
Discussion of temporary license/certificate:
Postponed to a future board meeting. 4.
Update on foreign nurse graduate license:
Oral presentation by D. Rennie. A
review of issues related to the foreign nurse licensure process, which changed
in February 2002, was presented. Specific
issues presented related to recruiters, applicants, nursing educational programs
and documentation. It was moved and
seconded the board approve the revisions to the International Graduate Policy to
be effective August 1, 2003. MOTION
CARRIED. 5.
Online renewal report:
Oral report and computer demonstration by M. Flannigan.
A program framework has been developed that will interface with the
existing licensure database. Beta testing is set to begin shortly.
It is anticipated this service will be available in the near future.
C.
CERTIFICATION
PROGRAMS
1.
Nursing
Assistant Training Program-survey for April and May 2003: Approved under the Consent Agenda. 2.
CNA
examination presentation by Paul Dorrance: D&S
Diversified Technologies is a company that offers a complete program of CNA
certification testing. The program
includes examination registration, written testing, manual skills testing and
issuance of test results within 24 hours. The
company currently has contracts with 8 states to do CNA certification testing.
The company has amassed a large pool of test questions but also seeks
state specific input through an in-state test question development committee.
Test results include skills passed, failed, steps within a skill failed,
training facility reports, and key vocabulary words the applicant has difficulty
mastering. It was moved and
seconded to have board staff review current testing costs and other related
issues with a report due back in September 2003.
MOTION CARRIED.
D. DISCIPLINE
PROGRAMS
1.
Queenie Byas,
LPN10668, consideration of Settlement Agreement:
Respondent was not present. It was
moved and seconded the board accept the Settlement Agreement as written. MOTION CARRIED. 2.
Discussion of
disciplinary research project: Presentation of disciplinary statistics by D. Scott
and C. Sansom. The research project
is a preliminary report based on accumulation of probation statistics,
ratifications of staff denials, and outcomes, for the preceding five years.
Probation statistics will continue to be collected by the Associate
Director for Compliance, and ratifications of staff denials will be collected by
the Associate Director for Practice. Statistical reports will be presented to
the Board at least annually. 3.
Update on
NCPS-random urine drug screen program: Oral
presentation by R. Buck addressing
National Confederation of Professional Services (NCPS) information
received by Board staff, the processing of NCPS information by Board staff,
current Nevada collection sites and procedures for becoming an authorized NCPS
collection site. 4.
Board member
orientation to discipline: Oral presentation by C. Sansom and K. Marcher.
Presentation included the complaint process, fraudulent applications,
investigation, current Board policy related to discipline, administrative
review, Board meetings and follow-up. The
Board directed staff to develop a form that generally outlines each section of
the discipline agenda, and all options available within that section, which may
be referred to by the Board in their decision making process. Oral presentation
by R. Buck addressing the Board’s Alternative Program and Disciplinary
Probation. 5.
Review and
discussion of proposed revision to “Yes Answer Regarding Malpractice” Policy:
Discussion ensued regarding the current policy, the effectiveness of the
process, and the recommended revision to the policy. It was moved and seconded
the board accept the revised
“Yes Answer
Regarding Malpractice” policy as written.
MOTION CARRIED. 6.
Review and
discussion of proposed revision of “Yes Answer” Policy: Discussion ensued
regarding the
current policy, and the recommendations for revision of the current policy
related
juvenile offenses. It was
moved and seconded the board accept the proposed “Yes Answer”
policy revision as written.
MOTION CARRIED. 7.
Discussion of
felony bars:
Continued until a later board meeting. 8.
Termination
of Probation: a. Judy
Thomas, RN14868: Termination
of probation approved under the consent
agenda. b.
Jennifer Peck, CNA012897: Termination
of probation approved under the consent
agenda. c.
Librada Philip, RN06089 : Termination
of probation approved under the consent agenda. 9.
Settlement
Agreements: a.
James Murphy,
RN29299: Voluntary Surrender of License/Certificate in Lieu of Other
Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct, and
NAC 632.890 (25) failing to observe the conditions, signs and symptoms of a
patient or take action and (27) customary standards. Approved under the
consent agenda. b.
Julie Korman,
RN29215: Voluntary Surrender of License/Certificate in Lieu of Other
Disciplinary Action for violation of NRS 632.320 (5) controlled substances, (7)
unprofessional conduct, and NAC 632.890 (18) diversion. Approved under the
consent agenda. 10.
Application in
Question: a.Jose Febre, Jr., RN33269: Applicant was present with legal counsel. It was moved and seconded the board close the meeting to consider the character, alleged misconduct, or professional competence of the applicant. MOTION CARRIED. It was moved and seconded the board reopen the meeting. MOTION CARRIED. It was moved and seconded the board accept the renewal application for licensure. MOTION CARRIED. E. EDUCATION1.
Annual
adoption of Board Practice decision: Approved
under the Consent Agenda. 2.
Nevada State
College-6month report: Approved under the
Consent Agenda. 3.
Discussion
proposal for NSBN as CE provider: Oral
presentation by D. Scott and C. Kimball. It
was moved and seconded the board accept the proposal to become an approved CE
provider. MOTION CARRIED. 4.
Update on
nursing programs that conduct a portion in Nevada: Oral presentation by D. Rennie.
It was moved and seconded the board re-approve all schools with the
exception of Excelsior College. MOTION
CARRIED. 5.
Excelsior
College Presentation by Dr. Bridgett Nettleton: Excelsior College (formerly Regents of New York) offers the
opportunity for qualified persons to obtain a nursing degree, either an
associate degree in nursing or a baccalaureate degree in nursing.
Graduates are eligible to take the national licensing examination.
The program requires the completion of 7 core-nursing courses and a 2-½
day Clinical Performance in Nursing Examination.
The program is self-paced. Periodically
Excelsior College staff members will conduct workshops around the country to
help students identify their learning styles and the appropriate use of learning
resources. Students may receive
general education credit for coursework completed at other colleges and
universities. Historically, the
pass rate on the NCLEX licensing examination for Excelsior exceeds the national
average for all first time test takers from all nursing programs.
Potential applicants do not need to enroll in third party tutorial
services to complete the program.
6.
Orvis School
of Nursing proposed curriculum change presentation by Dr. Scholler-Jacquish: It was moved and seconded
the board approve the curriculum revisions as proposed. MOTION CARRIED. F.
NURSING
PRACTICE
1.
Statutes and regulations
regarding wording and concept:
a.
Discussion and review of
NAC 632.450 Procedures delegable to licensed practical nurses: It was
moved and seconded the board accept the proposed regulation as written.
MOTION CARRIED.
b.
Discussion and review of
NAC 632.455 Procedures not delegable to licensed practical nurses: It was
moved and seconded the board accept the wording and concept of the proposed
regulation as written. MOTION
CARRIED.
c.
Discussion and review of
NAC 632.242 Additional duties in area of specialization: It was
moved and seconded the board accept the wording and concept of the proposed
regulation as written. MOTION
CARRIED.
2.
Discussion of nursing
practice issues:
a.
Interim Healthcare
Committee study:
Cynthia Bunch, RN, President of the Nevada Nurses Association and Lisa
Black, Executive Director of NNA stated their desire for NNA and the board to
work closely in the process of review of information and proposals that are
presented in this study. Cynthia
Bunch also requested that the agenda items of F.2.a-d be presented to the
advisory committees and NNA and that they be allowed to dialogue these issues
and provide input.
b.
Right to refuse unsafe
assignments: Dianne Long, RN, NNA, discussed
nurses concerns related to the right and process to refuse an unsafe assignment.
She stated that nurses are concerned that they would lose their license
for refusing an assignment.
c.
Delegation and supervision: Cynthia Bunch, RN, President of NNA, discussed
nurses’ concerns in the role of delegation.
In particular, nurses are concerned with their responsibilities and
liabilities related to delegation. D.
Scott requested that specific concerns be placed in writing for referral to the
appropriate board committee. .
H. Vos and M. A. Lambert also discussed the importance of communication
between the nurse and the persons in the nurse’s supervisory system.
d.
Patient safety concerns: Discussion
ensued among board members and the members of the NNA Executive Committee.
Both groups believe this is a vital issue that all nurses should be
cognizant of and hold as a primary function of nursing.
3.
Review of proposed practice
decision regarding vein harvesting:
Oral presentation by D. Scott and Karen Schrimpf, RN, CRNFA, CNOR.
Discussion of the proposed practice decision referred from the Nursing
Practice Advisory Committee ensued. It
was moved and seconded the board continue the practice decision with review of
suggested revisions at the September Board meeting. MOTION CARRIED.
ADJOURNMENT The
meeting was adjourned at 3:15 p.m. on Friday, July 25, 2003. |
