April 23, 2010

October 23, 2009

April 24, 2009

October 24, 2008

April 25, 2008

CALL TO ORDER

Kathleen Reynolds, RN, Chair, called the Semi Annual Meeting of the Disability Advisory Committee (DAC) to order at 9:30 a.m. on April 25, 2008.

MEMBERS PRESENT

Kathleen Reynolds, BHS, RN, Chair              Doreen Begley, MS, RN, Board Member Liaison

Chris Veach, MS, RN                                    Judy Vogel, BSN, RN

Judith Slaney, RN, LADAC                           Deborah Martz, APN

Ann Testolin, EdD, MS, BS, RN                    Phyllis Ericksen, RNC, CCM

Mary Culbert, RN                                          Jan Brethauer, RN

Cookie Bible, BSN, RNC, APN                    Peggy Cullum, RN

Sandra Deveny, MSN, APNC                       Susan O'Day, BSN, RN, CPAN

                                                                      Mattie Harris, RN

MEMBERS ABSENT

Kariene Rimer, RN

Virginia Deleon, RN

John Malek, PhD, MSN, APN

OTHERS PRE SENT

Debra Scott, MSN, RN, APN, Board Executive Director  

Chris Sansom, BSN, RN, Director of Operations

Roseanne Colosimo, PhD, MSN, RN, Board Education Consultant

Christie Daliposon, Board Management Assistant

PUBLIC COMMENT: There were no public comments.

A. APPROVAL OF MINUTES—October 19, 2007: The minutes were approved as written.

B. OLD BUSINESS

1. Review, discussion, and action regarding the evaluation of the October 2007 semi-annual meeting: K. Reynolds presented this item.

2. Review, discussion and action regarding the compliance statistics: This item was presented by K. Reynolds. The reports have been updated to further identify the progression of nurses transitioning from the contract for Temporary Voluntary Surrender to the Agreement for Monitoring. The total number of cases for Temporary Voluntary Surrender, Agreement for Monitoring and Agreements/Orders of Probation is 121.

3. Review, discussion and action regarding the Alternative Program Survey Results: This item was presented by K. Reynolds. The survey was to determine different Boards’ policies regarding the eligibility criteria for entering into the Alternative Program for Chemically Dependent Nurses. Following the discussion of the survey responses, it was moved and seconded to appoint a sub-committee to develop a proposal for possible changes to the Alternative Program and present the proposal at the October 2008 DAC semi-annual meeting. The sub-committee is K. Reynolds, C. Bible, D. Martz, J. Vogel, and J. Brethauer.

C. NEW BUSINESS

   1.   2008-2009 DAC meeting schedule: This item was presented and discussed. The 2009 Board meeting dates will be set at the May Board meeting. DAC meetings that conflict with Board meetings will be re-scheduled with notification to

         the DAC members.

   2.   Review, discussion, and action regarding Chair’s report presented by K. Reynolds:

         a.  DAC appointment for fiscal year 2007-2008 totaled 108.  This includes 2 mini DAC meetings held to accommodate the increase in requests.

         b.  Urine drug testing information for missed calls, no shows and results are sent from NCPS as they occur.  Occasional delays documenting onto the terms & condition sheets may occur, however, there are no delays in

              receiving current reports.

         c.  PowerPoint presentations were given on the Board's Alternative Program to hospitals, nursing schools and organizations to increase awareness of the Board's support for nurses with addictions who seek to commit to treatment and 

              recovery.  Presentations: 4 to nursing schools, 4 to hospitals.

         d.  Melanie Bison, newly appointed treatment provider, is also certified for sexual and gambling addiction counseling in Las Vegas.

         e.  K. Reynolds presented the Alternative Program PowerPoint at the annual NNA conference in Reno, “Addiction: Causes, Cures and Cost to the Community.” Among the presenters were Catherine Cortez Masto, Nevada 

             Attorney General, Dr. Melanie Piasecki, UNR Forensic Pathologist and Dawn Gibbons, Nevada’s First Lady.

  3.   D. Scott, gave an update on the present status of issues relating to the Hepatitis C outbreak and the Endoscopy Center of Southern Nevada. Ms. Scott has testified in several meetings and hearings regarding the Board’s position and 

        actions regarding this. Ms. Scott also gave a report on current and future legislative activities.

  4.   Review, discussion, and action on 2008-2009 Goals and Objectives: It was moved and seconded to accept the current DAC Goals and Objectives with the following change to Goal # 10: add National Council of State Boards of Nursing.

  5.   Presentation by Philip Colosimo, PhD, Board provider, on Chemical Dependency Evaluations and Process. Dr. Colosimo gave a power point regarding the DSM-IV, testing and results, and SASSI scoring.

D. EVALUATION OF MEETING: Evaluation form was distributed and completed.

ADJOURNMENT: The meeting was adjourned at 2:00 p.m.

October 19, 2007

CALL TO ORDER

Kathleen Reynolds, RN, Chair, called the Semi Annual Meeting of the Disability Advisory Committee (DAC) to order at 9:30 a.m. on October 19, 2007, at Airport Plaza, 1981 Terminal Way, Reno, NV 89502.

MEMBERS PRESENT

Kathleen Reynolds, BHS, RN, Chair              Doreen Begley, MS, RN, Board Member Liaison

Jan Brethauer, RN                                         Phyllis Ericksen, RNC, CCM

Mattie Harris, RN                                          Susan O’Day, BS, RN, CPAN

Chris Veach, MS, RN                                    Judith Vogel, BSN, RN

Rilo Weisner, MS, RN, C

MEMBERS ABSENT

Cookie Bible, BSN, RNC, APN

Mary Culbert, RN

Peggy Cullum, RN

Virginia Deleon, RN

Deborah Martz, RN, APN

John Malek, PhD, MSN, APN

Kariene Rimer, RN

Judith Slaney, RN, LADAC

Ann Testolin, EdD, MS, BS, RN

OTHERS PRE SENT

Debra Scott, MSN, RN, APN, Board Executive Director

Roseanne Colosimo, PhD, MSN, RN, Board Education Consultant

Christie Daliposon, Board Management Assistant

Fred Olmstead, Board General Counsel

PUBLIC COMMENT: Fred Olmstead, Board counsel, presented statutory eligibility aspects of the alternative program. Further research will be conducted regarding national alternative programs and eligibility requirements.

A. APPROVAL OF MINUTES—April 20, 2007: The minutes were approved as written.

B. OLD BUSINESS

1. Evaluation of the April 2007 semi-annual meeting: K. Reynolds presented this item. Further educational presentations on mental health topics will be scheduled for the April 2008 semi-annual meeting.

2. Compliance statistics: K. Reynolds presented statistics reported by the Board’s compliance program. The word “terminated,” referring to completion of a contract, will be changed to “successfully completed” to conform with Board reports.

3. Scheduling of 2007-2008 DAC Meetings: Due to a date change of the January Board meeting, the January Reno DAC meeting will be Thursday, January 24, 2008, and the Las Vegas DAC meeting will be Thursday, January 10, 2008.

C. NEW BUSINESS

1. Chairman’s Report: K. Reynolds reported on these items:

a.      November 2007 will initiate the process of converting to paperless Board meetings.  Information and documents will be scanned for the meeting and computers will be utilized for the Board members.

b.      Electronic fingerprinting for licensure is now being performed by trained Board staff in the Reno and Las Vegas offices.  Information on this process is available on the Board’s website.

c.      Mini DAC meetings will be scheduled in November and December 2007 to meet the increased requests for DAC appointments.  K. Reynolds will be contacting members for their availability to participate.

d.      K. Reynolds will be sending out the annual invitation letters to all deans and directors offering presentations on the “Chemically Dependent Nurse and the Alternative Program.”

2.      Presentation by Debra Scott, MSN, RN, APN, Executive Director on “The Orientation Research Project:” Phase I: A Descriptive Study of Nurses’ Responses to Probation/Monitoring With and Without Orientation. D. Scott is a candidate in the Institute’s four-year fellowship program that requires completing required research and scholarly work. The purpose of the fellowship, “as a nurse regulator, is to understand the uniqueness of the regulatory perception and how to operate effectively within a political system and improve regulatory practices and outcomes.” The research project D. Scott is currently conducting on probation/monitoring and the orientation process will be submitted for publication on its completion. D. Scott also reported on “Nevada Research for NCSBN Institute of Regulatory Excellence.”

3.      Review, discussion and action regarding DAC manual:

a.      X. F. Privileges Criteria: K. Reynolds presented this item

b.      XI. Policies:  K. Reynolds presented this item.

This completes the review of the manual and new format. K. Reynolds will edit the recommended changes and distribute the manual to all members. There will be an annual review of the manual by DAC.

4.      Presentation via videotape by Thomas Eschen, M.D., Ph.D., Medical Review Officer of NCPS, on drug testing:  This presentation was made to the Board at their July 2007 meeting on drug testing results, causes and outcomes.

D. EVALUATION OF MEETING: Evaluation form was distributed and completed.

ADJOURNMENT: The meeting was adjourned at 2:00 p.m.

April 20, 2007

CALL TO ORDER

K. Reynolds, RN, Chair, called the Semi Annual Meeting of the Disability Advisory Committee (DAC) to order at 9:30 a.m. on April 20, 2007, at Marie Callender’s, 4800 S. Eastern Ave, Las Vegas, NV 89119.

MEMBERS PRESENT

Kathleen Reynolds, BHS, RN, Chair                                Judy Vogel, BSN, RN

Doreen Begley, MS, RN, Board Member Liaison             Deborah Martz, APN

Rilo Weisner, MS, RN, C                                                 Kariene Rimer, RN

Judith Slaney, RN, LADAC                                              John Malek,PhD, MSN,APN

Jan Brethauer, RN                                                            Peggy Cullum, RN

Mary Culbert, RN                                                            Susan O’Day, BS,RN,CPAN

Roseanne Colosimo, PhD, MSN, RN                               Mattie  Harris, RN

MEMBERS ABSENT

Chris Veach, MS, RN

Darlene Cunningham, MS, RN, CCRN, APN

Cookie Bible, BSN, RNC, APN

Virginia Deleon, RN

Phyllis Ericksen, RNC, CCM

Ann Testolin, EdD, MS, BS,RN

OTHERS PRESENT

Debra Scott, MSN, RN, APN, Executive Director

Christie Daliposon, Management Assistant

Sarah Reasoner, nursing student, Orvis School of Nursing

PUBLIC COMMENT: There were no public comments.

A. APPROVAL OF MINUTES--October 20, 2006: The minutes were approved as written.

B. OLD BUSINESS

1.  Review, discussion, and action regarding the evaluation of the October 2006 semi-annual meeting: K. Reynolds presented this item. Information will be re-sent on Rational Recovery, an alternative to the twelve-step programs. Goals for 2007-2008 will be discussed at the October 2007 semi-annual meeting.

C. NEW BUSINESS

  1.   2007-2008 DAC meeting schedule was presented and discussed. Changes to the meeting schedule are due to occurrences of three-day weekends, Board meetings, and conferences. August Reno DAC meeting will be Tuesday, July 30, 2007, and the Las Vegas DAC meeting will be Thursday, August 1, 2007.

  2.   Review, discussion, and action regarding Chair’s report presented by K. Reynolds:

a.      Compliance statistics were presented and discussed. The term “Order” will be removed from the Alternative Program format: “Monitoring Agreement/Order.”

b.      The Attorney/Investigator conference is being held May 21, 2007. One of the topics to be presented will be current changes in drug testing. K. Reynolds will present a report at the October semi-annual meeting on the conference.

c.      Presentations by K. Reynolds on the “Chemically Dependent Nurse” have increased following an information letter, which was sent to all deans and directors in February, 2007.

d.      D. Scott gave an update on the current status of legislative bills that may affect the practice of nursing.

  3.  Presentation by Roseann Colosimo, PhD, MSN, RN, Education Consultant for the Nevada State Board of Nursing, regarding the dual-diagnosed chemically dependent nurse. Because of DAC’s role in evaluating nurses who have a breakdown in practice related to either chemical dependency and/or a mental health diagnoses, R. Colosimo presented tools for the committee to use in assessing the potential for patient harm with those individuals who are dually diagnosed.

  4.  Review, Discussion, and Action regarding the DAC manual: Sections IX. Reporting Forms, and X. Criteria were not completed due to time restrictions. Sections IX through XI. Policies will be reviewed at the October 2007 semi-annual meeting.

D. EVALUATION OF MEETING: Evaluation forms were distributed and completed.

ADJOURNMENT:        The meeting was adjourned at 2:00 p.m.

October 20, 2006

CALL TO ORDER

K. Reynolds, RN, Chair called the Semi Annual Meeting of the Disability Advisory Committee (DAC) to order, at 9:30 a.m. on October 20, 2006, Meadow Wood Courtyard, 5851 So. Virginia Street, Reno, Nevada 89502.

MEMBERS PRESENT

Kathleen Reynolds, RN, Chair                                Darlene Cunningham, RN

Doreen Begley, RN, Board Member Liaison           Deborah Martz, APN

Chris Veach, RN                                                    Phyllis Erichsen, RN

Cookie Bible, APN                                                Mattie Washington-Harris, RN

Judy Vogel, RN                                                      Jan Brethauer, RN

Mary Culbert, RN                                                   Susan O’Day, RN

Virginia Deleon, RN                                                Roseanne Colosimo, RN

MEMBERS ABSENT

John Malek, APN

Sandra Hotchkiss, RN

Judith Slaney, RN

Rilo Weisner, RN

Peggy Cullum, RN

Kariene Rimer, RN

 

OTHERS PRESENT

            Debra Scott, MSN, RN, APN, Executive Director

Christie Daliposon, Management Assistant

CALL TO ORDER - 9:30 a.m.

PUBLIC COMMENT: There were no public comments.

A.  APPROVAL OF MINUTES-April 21, 2006:  The minutes were approved as written.

B.  OLD BUSINESS

1.      Review, Discussion, and Action regarding the mini-DAC meetings:  K. Reynolds presented this item.  The mini-DAC meeting has been utilized since the DAC semi-annual meeting on April 21, 2006.  The meetings will be used to continue to increase appointments for the monthly DAC meetings.  The videoconferencing system will also increase the flexibility in scheduling the meetings.

C.  NEW BUSINESS

1.      Review, Discussion, and Action regarding Chair’s report presented by K. Reynolds:

·        Compliance statistics were presented and discussed.

·        DAC meeting calendar for 2006-2007 was presented and discussed.

·        The DAC article in the September 2006 “Nursing News” by D. Scott, Executive Director, was handed out and discussed.  The information was very informative and personal regarding the history of DAC, its responsibilities and the contribution that DAC has made to the Board.

·        The case summary and supporting documentation packets handed out at the beginning of the DAC meetings has been effective in maximizing the appointment times and providing pertinent information for each case.

·        A survey has been developed and distributed to nurses under contract with the Board who have attended orientation and to those nurses who did not have orientation available to them. The survey is to determine the effectiveness of the orientation for compliance, and to give the nurses the opportunity to offer comments regarding the content.  D. Scott discussed the process. The survey was done as part of D. Scott’s research project in meeting the requirements for the NCSBN’s Institute of Regulatory Excellence

·        K. Reynolds reported on the National Organization of Alternative Programs (NOAP) conference and the NCSBN’s Attorney/Investigator Summit she attended and presented highlights of the meetings.

2.      Review, Discussion, and Action regarding the DAC manual, sections: IV. Endorsement of Chemically Dependent Nurses, V. Process and Information of Complaints/Discipline/Alternative Program, VI. Probation, VII. Alternative Program, VIII. Disability Advisory Committee Monitoring Interview: K. Reynolds presented this item.  D. Scott presented the review process for finalizing the DAC revisions prior to presenting items to the Board that may require their approval.

3.      Presentations made by Fred Hillerby, Legislative Liaison, and D. Scott regarding health care issues which will be topics of interest during the upcoming legislative session beginning February 5, 2007.

D.  EVALUATION OF MEETING: Evaluation form was distributed and completed.

ADJOURNMENT:        The meeting was adjourned at 2:00 p.m.

April 21, 2006

CALL TO ORDER

Kathleen Reynolds, RN, Chairman called the Semi Annual Meeting of the Disability Advisory Committee (DAC) to order at 9:30 a.m.on April 21, 2006, Spring Valley Hospital Medical Center, 1635 Village Center Drive, Las Vegas, NV. 89134

MEMBERS PRESENT

Kathleen Reynolds, RN, Chairman                          Sandra Hotchkiss, RN, Member

Doreen Begley, RN, Board Member Liaison           Deborah Martz, APN, Member

Alice Adams, LPN, Member                                  Phyllis Erichsen, RN, Member

Cookie Bible, APN, Member                                 Judith Slaney, RN, Member

Judy Vogel, RN, Member                                       Jan Brethauer, RN, Member

Mary Culbert, RN, Member                                   Susan O’Day, RN, Member

Virginia Deleon, RN, Member                                 Roseanne Colosimo, RN, Member

 

MEMBERS ABSENT

John Malek, APN, Member

Chris Veach, RN, Member

Deborah Toney, RN, Member

Rilo Weisner, RN, Member

Peggy Cullum, RN, Member

Darlene Cunningham, RN, Member

Kariene Rimer, RN, Member

OTHERS PRESENT

Debra Scott, MSN, RN, APN Executive Director

Chris Sansom, BSN, RN, Director of Operations

Quincy Bonnella, Nevada State College

CALL TO ORDER - 9:30 a.m.

PUBLIC COMMENT: There were no public comments.

A.  APPROVAL OF MINUTES-October 21, 2005:  The minutes were approved as written.

B.  OLD BUSINESS

1.      Discussion, Recommendations and Action regarding the revision of changes on the Initial Supervisor Report and monthly Supervisor Report: K. Reynolds presented this item. The changes reflect an area to note the shift and hours to be worked that will need to be documented. This form will be reviewed during the DAC manual policy review.

C.  NEW BUSINESS

1.      Discussion, Recommendations and Action regarding Chairperson’s report presented by K. Reynolds:

·        Compliance statistics format has been revised to conform with other Board statistics. Statistics for this meeting reflect the new format.

·        July monthly DAC meeting has been changed for Reno to be held Wednesday, July 5 and for Las Vegas to be held Thursday, July 6, 2006.

·        Videoconferencing for the DAC meeting may be used as an option now that the Board offices have the appropriate equipment. K. Reynolds will determine the need/appropriateness and notify the members a week prior to the meeting if this is to occur.

·        An approved new job or change of position for a monitoree who is on quarterly reporting will require monthly self, supervisor and sponsor (when applicable) reports for three (3) months to assess progress and adjustment to the change.

·        Mini DAC meetings will be considered to meet the increased requests for DAC appointments. These may be done by video, generally shorter in duration and those DAC members interested in participating will have one to two weeks’ notice. Jan Brethauer, Mary Culbert, Cookie Bible, Judith Slaney and Judy Vogel offered to participate.

2.      Discussion and review of current Committee’s goals and objectives: K. Reynolds presented this item.

3.      Discussion, Recommendations and Action regarding the DAC manual, sections Introduction, II. Impairment, III. Investigation of Licensee:  K. Reynolds presented this item.

4.      Discussion, Recommendation and Action regarding selection of a subcommittee for DAC manual update:  Recommended revisions will be brought before the semi-annual DAC meeting.

5.      Presentation made by Chris Sansom, BSN, RN, NSBN Director of Operations, on the Complaint and Investigative Process.

D.  EVALUATION OF MEETING: Evaluation form was distributed and completed.

ADJOURNMENT:        The meeting was adjourned at 2:00 p.m.

October 21, 2005

b.      Las Vegas file update:  The Las Vegas monitoree files are now up to date. The terms and conditions (T&C) sheets will be included as the FLO project moves forward--completion will be after the first of the year.

2.      Committee Activities:

a.       Master Review Sheet:  A monitor may review another monitor’s files if a vacation or other circumstance results in a file not being reviewed at least bi-monthly or quarterly. K. Reynolds will be monitoring this review sheet.

b.      Review of responses from April 15, 2005 Semi-Annual meeting:  It was suggested that at a future Board meeting in Las Vegas and in Reno, DAC members might present processes and activities which DAC utilizes in decision making as an educational presentation to the Board.

3.      Board Actions/Current Probation Statistics: Statistics for May 2005 through September 2005: The “Orientation” statistics are now included; the term “completed” has replaced “terminated;” “unrestricted and restricted” has replaced “disciplinary and non-disciplinary;” “deceased” has been added to the statistics.

C.     NEW BUSINESS:

1.      Chairperson’s Report:  K. Reynolds reported that she will be sending out quarterly newsletters to DAC members to keep them aware of new processes, information sent to monitorees and educational articles that may be of interest relating to chemical dependency and practice. Members are welcome to submit appropriate articles to K. Reynolds for distribution. She will meet with Nursing Support Group Facilitators and Nursing Support Groups in the future months to review policies, procedures and clarify issues as requested.

a.       Review of Board Agreements/Orders: K. Reynolds discussed and clarified the various conditions of the Contracts/Agreements/Board orders.

b.      Terms and Conditions sheet: K. Reynolds presented an updated summary sheet to communicate a nurse monitoree’s compliance with her contract. This will be computerized for easier review.  Discussion followed on revising the “Supervisor’s Monthly report” form to address other behaviors and performance. K. Reynolds will follow up with a draft for review at the April 2006 Semi-Annual meeting.

c.       DAC 2006 Calendar:  The committee agreed to change the Reno DAC meeting to the THIRD TUESDAY OF THE MONTH starting in January 2006.  This will allow the Reno monitories’ monthly reports to be in the file at time of DAC review. Las Vegas DAC meeting will remain the second Thursday of each month. DAC Semi-Annual will be April 21, 2006 and October 20, 2006.

2.      Presentation by F. Olmstead, General Counsel for the NSBN:

a.       ADA Protection and the Recovering Nurse:  F. Olmstead covered the Americans with Disability Act, which gives the Board guidelines in disciplinary action when a nurse has a disability.  No matter what the issue is, the Board always provides due process and nursing law allows the Board to give disciplinary alternatives to those with chemical dependency or psychiatric diagnosis which impairs their nursing practice.

b.      Open Meeting Law: F. Olmstead discussed how the NSBN diligently follows the open meeting law, which requires notification of pending action, public agenda and indication of action items.

c.       Twelve Step program vs. Atheist Beliefs:  The committee discussed Rational Recovery as an approved alternative to the AA Twelve step program for those who have atheist beliefs.

d.      Self-Report and the Alternative Program:  The committee discussed the time frame of a self-report and the potential for extending the time frame if certain criteria are met. K. Reynolds will research other national alternative programs and their criteria and bring the information back to the committee.

D.    EVALUATION OF MEETING: 

1.      The evaluation form was distributed and completed by the committee members.

ADJOURNMENT:   The meeting was adjourned at 2:00 p.m.

April 15, 2005

CALL TO ORDER

The Semi Annual Meeting of the Disability Advisory Committee (DAC) was called to order by Kathleen Reynolds, RN, Chairman, at 9:30 a.m. on April 15, 2005, at Spring Valley Hospital, Classroom B, 5400 South Rainbow Boulevard, Las Vegas, Nevada, 89118.

MEMBERS PRESENT:

Kathleen Reynolds, RN, Chair                              Roseann Colosimo, RN, Member

Doreen Begley, RN, Board Member Liaison         Darlene Cunningham, APN, Member

Alice Adams, LPN, Member                                John Malek, APN, Member

Cookie Bible, APN, Member                               Judith Slaney, RN, Member          

Jan Brethauer, RN, Member                                 Deb Toney, RN, Member          

Virginia Deleon, RN, Member                               Rilo Weisner, RN, Member          

MEMBERS ABSENT:

Peggy Cullum, RN, Member

Phyllis Erichsen, RN, Member

Sandra Hotchkiss, RN, Member

Deborah Martz, RN, Member

Susan O’Day, RN, Member

Kariene Rimer, RN, Member

Judy Vogel, RN, Member

CALL TO ORDER:  The meeting was called to order at 9:30 a.m.

PUBLIC COMMENTS:  No one offered public comments.

A.  INTRODUCTIONS:

All members introduced themselves giving the length of time they have been on the DAC Committee.  Doreen Begley, RN, was introduced and welcomed as the DAC Board liaison.

B.  APPROVAL OF MINUTES-­October 01, 2004: The minutes were approved as written.

C.  OLD BUSINESS

1.  Discussion, Recommendations and Action regarding the new monitorees orientation program implemented in December, 2004.  This item was presented by Kathleen Reynolds.  The goal of the orientation is to increase compliance through knowledge, understanding and accountability for the nurse under contract with the Board.  Orientation is held monthly in both Las Vegas and Reno.  An overview of their contract with emphasis on compliance and the most frequently asked questions are included.  Committee members are welcome and Kathleen Reynolds will regularly notify members of dates of orientation.  It was suggested to consider a “conditions” check box on the signed individual orientation attendance form be included for clarification.   It was suggested that a presentation to the Board on the increased complexity of impaired nurses could be considered in the future.  Kathleen Reynolds will follow up on these items.  Discussion followed on the “mentoring” process for new DAC members emphasizing experienced members be assigned to new members, a willingness for Reno experienced members to assist, if needed, with Las Vegas members.  Kathleen Reynolds will develop a “talking points”  paper with participation  of a subcommittee to assist  in this process.  Kathleen Reynolds presented the new compliance sheet which will be included in the front of each monitoree’s file.  This will include information on contact duration, violations and required courses.

2.  Discussion, Recommendations and Action regarding the DAC name change.  This item

was presented by Kathleen Reynolds. The committee name will remain as written in NAC 632.210, after review with Board counsel and the Executive Director.

3.  Discussion, Recommendations and Action regarding probation statistics.  Kathleen

Reynolds presented this item.  Discussion followed on nurses being “double” counted when changing from monitoring to disciplinary and if “death on contract” can be noted.  Kathleen Reynolds will report back on statistic questions.  Kathleen Reynolds reported that the Board accepted the DAC committee’s definition of “impairment” at the March, 2004 meeting.

D.  NEW BUSINESS

1.  Discussion Recommendations and Action regarding the format of the new Las Vegas “red files”. Kathleen Reynolds presented this item.  Over the next few months, all Las Vegas monitorees will have a current report file which will include the Terms & Conditions sheet. Kathleen Reynolds asked that after a member reviews a file, that the review form be placed at the front of the file for any follow- up.  Discussion followed on “self reports” with the understanding that narrative and “form” reports are acceptable. Kathleen Reynolds presented the revised DAC manual Table of Contents.  The updating and revising of the DAC manual will be worked on in 2005 and 2006.  Subcommittees will be appointed over the next 12 months based upon members’ interest to assist in this process.  Kathleen Reynolds presented the results of the DAC Member Survey.  Emphasis will be put on communication with members.  Kathleen Reynolds led the discussion on the role of DAC with interviews.  DAC makes recommendations to the Board regarding the nurse’s ability to practice safely; if a nurse needs to be monitored for CD or practice issues, and for how long monitoring should occur.

D.  EVALUATION OF MEETING

1.  Discussion, Recommendations and Action regarding Evaluation Form.  Evaluation forms were completed with members noting sub-committees they would like to participate in. Dates for the next semi-annual meeting will be mailed out in May, 2005.

ADJOURNMENT:  The meeting was adjourned at 2:15 p.m.

October 1, 2004

CALL TO ORDER

The Regular Meeting of the Nevada State Board of Nursing Disability Advisory Committee was called to order by Chair, Robert Buck, RN, at 9:30 a.m. on October 1, 2004, at the Reno office of the Nevada State Board of Nursing, 5011 Meadowood Mall Way, Suite 201, Reno, Nevada, 89502.

MEMBERS PRESENT

Alice Adams, LPN                         John Malek, APN

Jan Brethauer, RN                          Judith Slaney, RN

                        Robert Buck, RN (Chair)               Chris Veach, RN

                        Mary Culbert, RN                          Judy Vogel, RN

                        Darlene Cunningham, RN               Rilo Weisner, RN

                        Phyllis Erichsen, RN                           

MEMBERS ABSENT

Roseann Colosimo, RN                   Deborah E. Martz, RN

Patricia Green, RN                          Susan O’Day RN

Deborah Inskip, RN                        Kariene Rimer, RN                              

Sandra Hotchkiss, RN                         

PUBLIC COMMENT: No one offered public comment.

A.   APPROVAL OF MINUTES –April 23, 2004:  The minutes of the previous meeting were approved as written.

B.  OLD BUSINESS:  

1.   Monitoring Process: 

a.       Monitoring Fee for nurses:  This matter was continued to the next committee meeting to allow R. Buck to collect additional data for the new full time Compliance Coordinator position.

b.   Role of the Committee Member:  J. Brethauer and J. Vogel led discussion regarding the current committee member monitoring process. The committee developed a monitoring assignment plan to ensure that all monitored individuals will be reviewed on at least a quarterly basis by a committee member. The monitor assignment sheet was revised.  The committee further decided that a more experienced member will act as a mentor to new members. The committee requests that the new monitor file face sheets be added to the Las Vegas files.

c.   Drug Screening Program:  R. Buck discussed the implementation of new drug screen requirements:

1.      Drug screens must be submitted on the date of the call-in.

2.      Non-working individuals are now required to submit drug screens as long as they maintain active licensure/certification.

2.   Provider Applications:

a.   Subcommittee for Application Review: The committee approved the establishment of a four- member subcommittee to review provider applications in order to process the applications more timely.  J. Malek, C. Veach, R. Weisner and R. Colosimo were appointed to the subcommittee.

3.   Committee Activities: 

1. Review for Committee Name Change: The committee discussed its role, the reasons for re-naming the committee and the development of a new committee name that would not be confused with other existing committees of the Board.  The committee approved the new name of “Monitored Practice Advisory Committee” for consideration by the Board.

4.Policy and Procedure Manual:

      a.   Review and update J. Malek led discussion on possible revision of standard stipulations of probation.  He will present the draft of the Stipulation of Probation (Monitoring) at the next semi-annual meeting.  R. Buck led discussion on the possible revision of the policy for Consideration for Participation in the Board’s Alternative Program.

5.   Board Actions/Current Probation Statistics:  R. Buck reviewed recent Board actions and current probation statistics.

6.   DAC Presentations: R. Buck reviewed recent presentations to nursing students.

C.  NEW BUSINESS:

1.   Committee Activities: 

a.   Dates for next year’s Semi Annual DAC meeting:  The committee scheduled its semi-annual meetings for 2005 to be held on April 15, 2005 and October 7, 2005.

b.   Proposals for next Semi Annual DAC meeting:  There were no committee proposals for the next meeting.

c.   Semi Annual DAC by Teleconference:  The committee discussed conducting its semi-annual meeting by teleconference.  The committee members were in support of keeping the current format for semi-annual DAC meetings.

d.   Review of Advisory Opinion Operational Definition of “Impairment”: J. Malek led discussion on the Advisory Opinion – Operational Definition of “Impairment”.

ADJOURNMENT:  The committee adjourned at 2:30 p.m. The next meeting is scheduled for Friday, April 15, 2005 in Las Vegas.

April 23, 2004

CALL TO ORDER

The Regular Meeting of the Nevada State Board of Nursing Disability Advisory Committee was called to order by Chair, Robert Buck, RN, at 9:30 a.m. on April 23, 2004, at Spring Valley Hospital Medical Center,

 5400 South Rainbow Boulevard, Las Vegas, Nevada, 89118.

MEMBERS PRESENT

Alice Adams, LPN                       Sandra Hotchkiss, RN

                        Robert Buck, RN (Chair)             Susan O’Day RN

                        Roseann Colosimo, RN                Debra Toney, RN

                        Darlene Cunningham, RN             Judy Vogel, RN

                        Phyllis Erichsen, RN                     Rilo Weisner, RN

Patricia Green, RN

MEMBERS ABSENT

Jan Brethauer, RN                         Deborah E. Martz, RN

Mary Culbert, RN                         Kariene Rimer, RN

Deborah Inskip, RN                      Chris Veach, RN

John Malek, APN                          Janet Waugh, RN

PUBLIC COMMENT:

Three nursing students from the University of Nevada, Las Vegas introduced themselves and indicated that they were attending the meeting as a requirement for one of their courses.  There was no additional public comment.

A.   APPROVAL OF MINUTES –October 17, 2003:  The minutes of the previous meeting were approved as written.

B.  OLD BUSINESS:  

1.   Review of Monitoring Process: 

a.   Staff letter to participants:  R. Buck indicated that a letter would be sent to all individuals on probation with drug screens required stating that beginning on June 1, 2004, they will be required to participate in the Board’s drug screening program- whether they are working or not- as long as they maintain active licensure. Individuals not wishing to complete the drug screening may place their licenses on inactive.

b.   Participants’ questions/concerns: R. Buck went over a list of eleven (11) questions that he recently addressed with a Las Vegas nurse support group.

c.   N.C.P.S. review:  The committee discussed the policy to allow individuals participating in the Board’s drug screening program twenty-four (24) hours to obtain their screens.  The committee recommended that the policy be updated to allow participants only four (4) hours to obtain their drug screens after they have made their call to N.C.P.S.

d.   Self-Report Form:  The committee reviewed and edited the draft of the new Self-Report Forms.  R. Buck will finalize forms and organize the distribution of the new form to individuals on probation.  The committee thanked K. Rimer for her work on the development of the forms.

2.      Review/Updates and Legislation:

a.   Yes Answer Policy:  R. Buck reviewed the recent updates to the Board’s Yes Answer Policy.

b.  Fraudulent Application Policy:  R. Buck reviewed the recent updates to the Board’s Fraudulent Application Policy.

3.   Provider Status:  R. Buck reviewed the new provider update application and the updated provider list.

4.   DAC Presentations:  R. Buck has done five presentations to nursing students since October 1, 2003.

5.   Policy and Procedure Manual:

a.   Review and Update:  R. Buck reviewed the revision of the Consideration for Participation in Board’s Alternative Program criteria.  The committee recommended acceptance of the revision.

6.   Committee Membership: 

a.   Removal of non-participating members:  Discussion occurred regarding committee members who are not attending monthly meetings.  The committee decided to send non-participating members a letter if they have not attended in the last six (6) months and determine their intentions.  If there is not an appropriate reason, non-participating members are not be presented to the Board for reappointment for an additional term.

7.   Literature Review:  R. Buck presented the article The Addicted Brain for review.

8.   Board Actions/Current Probation Statistics: R. Buck reviewed recent Board actions and current probation statistics.

9.   Committee Activities:   

a.   Development of At-Risk Policy:  R. Colosimo led discussion and presented information on the at-risk nurse.  The committee decided to recommend the Board develop an “At-Risk Flyer” and have a committee member write and article for the Board’s magazine addressing this issue.  R. Colosimo volunteered to write the article.  The committee thanked R. Colosimo for her work on this matter.

C.  NEW BUSINESS:

1.   Monitor drug screening process: 

a.   Monitoring Fee for Nurses:  Discussion occurred regarding the current nurse monitoring fee.  The committee decided to review this matter again at its October 2004 semi-annual meeting.  The committee also recommended that the Board consider charging a $10.00 late fee for late monitoring payments.

b.   Low Creatinine Criteria:  R. Buck presented the procedure Board staff will follow for drug screen results that identify a low creatinine level.  The committee approved the procedure.

c.   Drug Screening Program:  The committee discussed the current drug screen program and the cost of the program.  R. Buck indicated that he has recently reviewed another company’s program that does the drug screening for California’s Diversion Program at approximately the same cost as ours.  The committee recommended that Board staff continue to review this matter.

2.   Provider Application:  The committee reviewed and approved the new Application for Addictions Assessment Provider and the Criteria for Approval of Assessment Provider.  The committee thanked J. Brethauer and M. Culbert for their work on the development of the application and criteria.

3.   Committee Activities:

a.   Review for Committee Name Change:  The committee developed the new name of Disciplinary and Practice Advisory Committee (DPAC) for consideration by the Board.

b.            Proposals for next DAC meeting:  The committee proposed the development/revision of orientation criteria for new DAC members for the next semi-annual DAC meeting.

c.            Committee Self-Evaluation:  Committee members filled out the evaluation form and returned them to R. Buck.

ADJOURNMENT:  The committee thanked S. Hotchkiss for her facility’s hosting of this meeting.  The committee adjourned at 2:45 p.m. The next meeting is scheduled for Friday, October 1, 2004 in Reno.

October 17, 2003

 CALL TO ORDER

The Regular Meeting of the Nevada State Board of Nursing Disability Advisory Committee was call to order by Chair, Robert Buck, RN, at 9:30 a.m. on October 17, 2003, at 5011 Meadowood Mall Way, Basement Conference Room, Reno, Nevada 89502. 

MEMBERS PRESENT

Alice Adams, LPN                           Jan Brethauer, RN

                        Robert Buck, RN (Chair)                 Roseann Colosimo, RN

                        Mary Culbert, RN                            Darlene Cunningham, RN

                        John Malek, APN                            Susan O’Day RN

                        Judy Vogel, RN                                Chris Veach, RN

Kariene Rimer, RN                           Phyllis Erichsen, RN

 MEMBERS ABSENT

Sandra Hotchkiss, RN

Rilo Weisner, RN

Janet Waugh, RN

Debra Toney, RN

OTHERS PRESENT

Deborah Antonella, RN, Nurse Support Group Facilitator

Coral Paris, RN, Nurse Support Group Facilitator

 Martha Searcy, RN, Nurse Support Group Facilitator

Beth Teitelbaum, RN, Compliance Coordinator

PUBLIC COMMENT: No one offered public comment.

A.  DAC AND FACILITATORS INTRODUCTION AND COMMENTS: DAC members and Nurse Support Group Facilitators introduced themselves, identified their work experience and experience with matters related to the Board. 

B.  APPROVAL OF MINUTES -April 11, 2003:  The minutes of the previous meeting were approved as written. 

C.  OLD BUSINESS:  

1.   Review of Monitoring Process:  K. Rimer discussed adding historical documents to the monitor files kept in Las Vegas.  B. Teitelbaum led discussion regarding the development of a new face sheet for monitor files.  Discussion occurred regarding the development of a policy for the “at risk” individual on probation.  R. Colosimo volunteered to recruit a subcommittee of DAC members/Board staff to develop an “at risk” policy and for presentation at the next committee meeting.  Discussion occurred regarding the use of old monitoring forms. The new monitor forms are being sent to individuals starting on probation. Board staff agreed to send the newer forms to probationers still using the old forms.

2.   Review/Updates and Legislation:  R. Buck presented current information concerning NAC 632.210. Advisory Committee.

3.   Provider Status:  No business.

4.   DAC Presentations:  R. Buck has recently done four presentations.

5.   Policy and Procedure Manual:  Deferred to other sections of this agenda.

6.   Committee Membership:  R. Buck discussed the need for additional DAC members in Las Vegas based on frequently added DAC days.  Members welcomed J. Malek’s return to the committee.

7.   Literature Review:  R. Buck presented information on a Methadone article recommended to the committee by the Board’s Executive Director.

8.   Report on Board action from May 2003 through September 2003: R. Buck identified additions, terminations and violations concerning probation (disciplinary and non-disciplinary) for nurses and CNAs.

9.   Review of Committee Activities: The committee scheduled its semiannual meetings for 2004 to be held on April 23, 2004 and October 1, 2004.

10. Review of Revision of policy “Service Credit Toward Probation”: Discussion occurred concerning the committee’s previous recommendation concerning working a minimum of twenty hours per week to receive credit toward completion of probation. The committee decided to withdraw this recommendation. 

11. Review and Revision of the Nurse Support Group Facilitator Application: Committee members discussed and identified specific elements that they wanted included with the application. Committee members requested input for application criteria from the Nurse Support Group Facilitators present. Discussion occurred. This matter was continued to the next DAC committee meeting to allow for the development of a draft to include the input from facilitators and committee members. 

D.  NEW BUSINESS:

1.   Monitor drug screening process:  The drug screen monitoring process was discussed.

2.   Provider Application:  Committee members reviewed current applications. It was decided the applications did not contain enough information for the committee to make a recommendation. The committee deferred any decision until the new application is developed. It was recommended Board staff contact applicants to find out if the applicant is still interested because some of the applications have been pending for some time.

3.   Increase of CNA monitoring fees:  Discussion occurred and information was presented to the committee regarding the current monthly cost for individual CNA monitoring.  The committee recommends the Board increase the monthly CNA monitoring fee from $10.00 per month to $25.00 per month.

4.   “Role of the Nursing Supervisor with the Recovering Nurse” Update:  Discussion occurred regarding the supervisor’s role and existing criteria for the supervisor.  The updated Supervisor’s Report Form was reviewed.

DEBRIEF AND ADJOURNMENT:  The committee requests for the following items be addressed at the next semiannual meeting of the Disability Advisory Committee:

(a) Review of Nurse monitor fees. (b) Review of the DAC manual.  J. Malek will review, recruit subcommittee and present any proposed changes to the manual at the next semiannual DAC meeting. (c) K. Rimer will develop, recruit subcommittee and present a draft for a Self Report Form at the next semiannual DAC meeting.

The committee adjourned at 3:25 p.m. The next meeting was scheduled for April 23, 2004. 

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