CALL TO ORDER

The meeting of the Nevada State Board of Nursing Education Advisory Committee was called to order by Roseann Colosimo, PhD, RN, Education Consultant, at 9:04 a.m. at the Board of Nursing, 2500 W. Sahara, #207, Las Vegas, Nevada 89102 and via videoconference with other committee members at the Board of Nursing, 5011 Meadowood Mall Way, Ste. 300, Reno, Nevada, 89502.

MEMBERS PRESENT

Roseann Colosimo, PhD, RN, Board Education Consultant, Chair

Dawn Adams, RN

Madelon Lawson, BSN, RN, CAPA

Connie Carpenter, EdD, RN

Margaret Puccinelli, PhD, RN

Karen Fontaine, MSN, RN

Robert Rowe, Jr., MSN, RN

Barb Fraser, MS, RN

Patsy Ruchala, DNSc, RN

Rhoberta Jones Haley, PhD, RN, FNP

Mable Smith, PhD, JD, RN

Leanna Keith, BS, RN

Vickie Wright, MSN, MBA, RN, CRRN, CCM

Jan Kramer, MSN, RN     

MEMBERS ABSENT

Mary Ann Lambert, MSN, RN, Board Liaison

Steven Arthur, Student Nurse

Lisa Black, PhD, MS, RN

Judith Cordia, EdD, RN

Margaret Covelli, BSN, MHA, RN

Diane Sullivan, RN, BSN

Carolyn Yucha, PhD, RN

OTHERS PRESENT

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

Fred Olmstead, Board Counsel

Lara Carver, MSN, RN

Bill Clohan, Apollo College

Dr. Dina Faucher, Apollo College

Marlene Luna, EdD, RN, University of Southern Nevada

Dee Riley, RN

Tish Smyer, PhD, RN, for Carolyn Yucha, PhD, RN

CALL TO ORDER:  The meeting was called to order at 9:04 a.m.

PUBLIC COMMENTS: There was no public comment.

A. APPROVAL OF MINUTES – The minutes of April 27, 2007, meeting of the Education Advisory Committee were approved as amended.

 B. OLD BUSINESS

1. Review and discussion regarding Central College application for an LPN program:  R. Colosimo provided an update to the committee that Kathryn Ahn had withdrawn the program application from the May Board meeting agenda.

C. NEW BUSINESS

1. Review, discussion, and action regarding National University’s application for a nursing program in Las Vegas: L. Carver of National University presented plans for a two-year associate degree in nursing program. D. Scott stated that the Board would be looking at whether or not the program application met requirements of Nevada law. Questions were raised concerning the availability of clinical placements. K. Fontaine and J. Kramer mentioned the possibility of an excessive number of credits in the program, and reported their experience with National League of Nursing not accrediting ADN programs with more than 72 credits. The group explained issues for accreditation for “hidden credits”. C. Carpenter mentioned that she was not familiar with having a statistics course in an ADN program and the need for a good foundation of math skills which is needed for success in nursing practice. R. Colosimo stated that it was not clear that the administrator of the program met the legal qualifications. She expressed concerns regarding the ability of students to challenge clinical courses, referring L. Carver to the newly adopted practice decision on the definition of “clinical”. L. Carver stated that the faculty would be willing to look at this policy. T. Smyer expressed concerns about National University’s NCLEX scores for programs in San Diego. L. Carver stated that she would make the recommended changes to present to the Board in September.

2. Review, discussion, and action regarding Apollo College’s application for a nursing program in Reno:  Dr. Dina Faucher presented the Apollo program application for Reno.  Bill Clohan assured the committee that the greater Apollo Corporation could support the first year losses which would be incurred as startup costs. R. Colosimo reminded the applicants that evidence of Apollo’s assets need to be part of the documentation submitted to the Board. Some committee members stated their concerns about the availability of clinical resources, although there are currently some contracts. R. Colosimo stated that the proposed program director did not appear to meet the legal requirements for the position. The committee reviewed her resume which showed that the candidate had no recent teaching experience in a U.S. accredited school of nursing. T. Smyer asked about NCLEX first-time pass rates in their current programs which do not meet the level required in Nevada of 80 percent. D. Faucher stated that she believes that the changes in admission criteria which have been made would result in improved NCLEX pass rates.

3. Review and discussion of NCLEX first-time pass rates for first quarter 2007: R. Colosimo  congratulated everyone; all second quarter scores were above 80 percent.

4. Review and discussion of TMCC’s proposed curriculum change: K. Fontaine presented the program’s curriculum change. The group asked questions about the integrated curriculum. K. Fontaine provided an explanation of the integration of nutrition and pharmacy for the group. The committee voted to recommend the proposed curriculum change for the Board’s approval.

5. Discussion regarding affidavits of program completion for in-state nursing programs: R. Colosimo presented this agenda item. She stated issues have arisen concerning affidavits as currently used for Nevada nursing graduates. F. Olmstead described the legal parameters of the purpose and the responsibility of signing an affidavit. M. Puccinelli stated that if the registrar could produce official transcripts in a timely fashion, there may not be a need for this procedure. There was consensus among members that the process was cumbersome. B. Fraser said that the hospitals would not want a delay in students having their temporary license. The committee considered the issue of fairness to out-of-state graduates who must submit an official transcript to qualify to be licensed by exam in Nevada. F. Olmstead stated he would gather data from members on registrar time frames and make a proposal to the Board. The group was in agreement that the affidavit could be eliminated if the registrars could provide transcripts in a reasonable time frame.

6. Review, discussion and action regarding EAC member composition: R. Colosimo stated     that she had discussed some membership changes with the Board at its annual business meeting in July. She suggested an increase in members from hospital nursing educators. The Board asked her to discuss membership with the committee at its next meeting. Currently, the committee has 17 members, and every new school of nursing has a standing position for membership on the committee. Some members stated that hospital educators may not understand curriculum issues. The discussion centered around ways for the committee to not be too large so that it could be constructive, including utilizing a representative model to keep the committee small enough to maintain efficiency. This item will be put on the next meeting’s agenda.

7. Discussion regarding preceptor issues in hospitals and schools: R. Colosimo stated she had received information which indicates confusion in the state about the preceptor role in Nevada. P. Ruchala clarified the difference between preceptor and the reference nurse. The committee suggested that the limited number of preceptors in the community to support the number needed by nursing programs could be a problem. M. Smith states that this topic was very important and should be discussed especially with hospital educators. C. Carpenter concurred that this topic needed discussion for safety of patients, students and nurses. R. Colosimo stated that preceptors are precious resources that need to be preserved and nurtured and that the preceptor relationship is vital to both schools of nursing and hospitals. The group agreed this should be on the November agenda and that the group would be willing to answer some preceptor questions as a basis for the discussion.

8. Discussion regarding online nursing programs: R. Colosimo reminded the committee that no new online program currently has applied to conduct clinicals in the state of Nevada. Information has come to the Board office that some programs have had to return money to Nevada students because of misleading information that a self-selected nurse preceptor could provide clinical nursing education.

9. May and July Board meeting update: D. Scott gave the committee a brief update on the May and July Board meetings, including the Board’s adoption of a practice decision regarding definition of “clinical”.

10.  Agenda items for the next Education Advisory Committee meeting: The committee     suggested items for the next meeting as discussed in the body of these minutes.

 ADJOURNMENT:  The meeting was adjourned at 12:00 p.m.

April 27, 2007

CALL TO ORDER

MEMBERS PRESENT

Roseann Colosimo, PhD, RN, Board Education Consultant, Chair

Mary Ann Lambert, MSN, RN, Board Liaison

Dawn Adams, RN

Jan Kramer, MSN, RN           

Steve Arthur, Student Nurse

Madelon Lawson, RN

Connie Carpenter, EdD, RN

Margaret Puccinelli, PhD, RN

Sue Clarren, DNSc, RN

Robert Rowe, Jr., MSN, RN

Judith B. Cordia, EdD, RN

Patsy Ruchala, DNSc, RN

Margaret Covelli, MHA, RN  

MEMBERS ABSENT

Lisa Black, MS, RN

Nancy Bridges, RN, CCM

Rhoberta Jones Haley, PhD, RN, FNP

Mable Smith, PhD, RN, JD

Carolyn Yucha, PhD, RN

OTHERS PRESENT

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

Fred Olmstead, Board Counsel

CALL TO ORDER:  The meeting was called to order at 9:10 a.m.

PUBLIC COMMENTS: There was no public comment.

A. APPROVAL OF MINUTES – The minutes of February 2, 2007, meeting of the Education Advisory Committee were approved as written.

 B. OLD BUSINESS

1.   Review and discussion regarding Grossmont College NLN accreditation/issues for the   California Board and for students to become licensed in Nevada:  R. Jones Haley sent word to the committee via R. Colosimo that Grossmont is applying for NLN accreditation and the lapse was temporary due to faculty shortages.

2.   Review, discussion and action regarding concept and wording for proposed revision of NAC 632.685: After much input and discussion, the committee voted to support the proposed concept and wording for revision of NAC 632.685.

3.   Discussion of Central College application for an LPN program – Kathryn Ahn/Denise McGuinn: Central College presented its application for an LPN program.  M.A. Lambert expressed concerns about the curriculum. The committee pointed out specifics, including the lack of prerequisites in anatomy, physiology, and math. M. Covelli expressed concern that hospitals may not hire graduates from such a program. K. Ahn and D. McGuinn were not able to answer many of the questions asked by committee members. The committee agreed that Central College’s application has not met requirements of Nevada law.

C. NEW BUSINESS

   1.   Review, discussion, and action regarding Western Nevada Community College’s proposed curriculum change: J. Cordia and R. Colosimo clarified changes in WNCC’s LPN curriculum request. The committee voted to recommend the Board approve the changes.

2.   Review, discussion, and action regarding Idaho Alliance of Leaders in Nursing refresher course. R. Colosimo recommended that out-of-state refresher courses remind their Nevada students to take the Nevada Nurse Practice Act course on their own. The committee supported this addition, and voted to recommend the Board approve the Idaho Alliance of Leaders in Nursing refresher course.

3.   Review and discussion of NCLEX pass rates for first quarter 2007: R. Colosimo presented the scores and discussed NCSBN’s increase in the score needed to pass.

4.   Review and discussion of NCLEX-RN Test plan: The committee expressed appreciation to the Board for forwarding the test plan to all schools of nursing.

5.   March Board Meeting update: R. Colosimo discussed Board meeting items related to nursing education.

6.   Legislative update: D. Scott gave the committee an update on legislation that may impact the Board.

7.   Agenda items for next Education Advisory Committee meeting: The committee requested that preceptor issues be placed on the next committee agenda.

ADJOURNMENT:  The meeting was adjourned at 11:45 a.m.

February 2, 2007

DRAFT

(Final minutes will be available on the Board’s website www.nursingboard.state.nv.us after ratification by the committee at its next regular scheduled meeting).

CALL TO ORDER

MEMBERS PRESENT

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

Roseann Colosimo, PhD, MSN, RN, Board Education Consultant, Chair-Elect

Mary Ann Lambert, MSN, RN, Board Liaison

Dawn Adams, RN                                                Madelon Lawson, BSN, RN, CAPA

Lisa Black, MS, RN                                             Margaret Puccinelli, PhD, RN

Nancy Bridges, RN, CCM                                   Patsy Ruchala, DNSc, RN 

Connie Carpenter, EdD, RN                                 Mable H. Smith, PhD, JD, RN

Rhoberta Jones Haley, PhD, RN, FNP                 Carolyn Yucha, PhD, RN

Jan Kramer, MSN, RN                                        

MEMBERS ABSENT

Margaret Covelli, BSN, MHA, RN

Robert Rowe, Jr., MSN, RN

Karen Fontaine, MSN, RN

OTHERS PRESENT

Fred Olmstead, Board General Counsel

Katherine Ahn

Steven Arthur, Student Nurse

Laura Carver, RN

Ronald Gonzalez, RN

Karen Greenberg, RN

Jodie Lane, Nevada Care Nursing Institute

Marlene Luna, RN

Denise Ogletree McGuinn, RN

Nancy Saks, RN

Shirlee Snyder, RN

CALL TO ORDER:  The meeting was called to order at 9:03 a.m.

PUBLIC COMMENTS:  C. Carpenter presented data from the classes at Nevada State College looking at their pass rates on the second attempt for the NCLEX. Much discussion followed.  Members thanked C. Carpenter for her work on bringing some new data to the discussion.

1. APPROVAL OF MINUTES –The minutes of November 3, 2006 were approved as written.

   B.  OLD BUSINESS: None

3. NEW BUSINESS

1.      Review and discussion regarding Grossmont College's NLN accreditation/issues for the California Board and for students to become licensed in Nevada: The committee reviewed the information from Grossmont College. Discussion followed in which D. Scott clarified that students graduating from a nonaccredited school or college would not be eligible for licensure in Nevada. R. Jones Haley volunteered to get more specific information, since she is familiar with the San Diego nursing schools.

2.      Review and discussion regarding Nevada Care Nursing Institute's proposal for LPN Program: Jodie Lane, RN, from Nevada Care Nursing Institute, presented a two-page handout on its LPN program. C.Yucha asked questions about investors and budget. M. Puccinelli expressed concern about the theory and philosophy of nursing utilized. J. Kramer questioned the ability to effectively educate 32 students in a clinical skills lab at the same time. M. Smith challenged the assumption that Wednesday and Saturday would automatically be available for clinical experience at desired sites.   

3.      Review and discussion regarding Central Nursing College proposal for LPN Program: Katharine Ahn and Denise Ogletree McGuinn brought their revised proposal for committee review. R. Colosimo offered the opportunity for Central Nursing College to postpone their presentation until the next committee meeting on April 27, 2007, so that the committee members could review their program information. D. McGuinn gave information about her personal teaching credentials and her experience with the Healthy Kids programs.

4.      Review, discussion and action regarding the policy for provisional approval extension of nursing programs for cause: R. Colosimo presented a proposed policy for provisional approval extension of nursing programs for cause. Much discussion followed regarding the 80% annual first-time pass rate issues and the difficulties for new schools. D. Scott clarified the importance for the Board to have specific guidelines in the form of a policy to determine its response when new programs do not meet the requirements to advance to full approval within two years after graduating their first class. She provided a history of the more recent changes in regulation which permit schools not within the Nevada System of Higher Education (NSHE) to be approved by the Board to offer nursing education programs in Nevada. She reiterated how pleased Nevada is to have private profit and nonprofit schools of nursing. M. Puccinelli and P. Ruchala provided information on relevant topics which may be considered by an education consultant in assessing a program and making recommendations for change. P. Ruchala gave some examples of how her program, the Orvis School of Nursing, used a consultant to improve their program in several different areas. C. Carpenter spoke to the redundancy of segments of a self-report. Discussion by all members resulted in a policy that was unanimously approved for recommendation to the Board.

5.      Review and discussion regarding National University’s application for BSN program: Nancy Saks and Laura Carver were present to discuss the program proposal for National University and responded to committee member questions about the on-site administrator, Nevada licensure for faculty teaching online from San Diego, and the Nevada law requiring a diploma or degree in nursing to be made eligible to take NCLEX.

6.      Report on NCSBN conference call regarding the increase of NCLEX passing score: R. Colosimo reported on a National Council State Boards of Nursing education conference call, from which she learned a higher degree of proficiency will be required to pass the NCLEX, beginning in April of 2007. She also provided information regarding Nevada’s national ranking for annual NCLEX first-time pass rates:  Nevada ranked 39 out of 50 in 2004, 50 out of 50 in 2005, and 45 out of 50 in 2006. P. Ruchala requested that schools of nursing receive data on their pass rates as soon as possible. The committee asked R. Colosimo to explore fair and equitable ways to look at the requirement for nursing schools to maintain an annual 80 percent first-time pass rate, taking into consideration the differences in numbers of students enrolled in nursing programs in Nevada.

7.      Review, discussion and action regarding proposed definition of "clinical": R. Colosimo presented this possible definition of "clinical" for the committee’s review:

“Clinical experience” means a nursing course(s) which include(s):

1.      Learning experiences across the lifespan,

2.      A variety of experiences with actual patients that provide the opportunity for increasing confidence and reflection,

3.      Assimilation into the role of nursing with experiences in relationship building with professionals, and

4.      Innovative teaching strategies and simulations may be utilized. Nursing faculty are responsible to demonstrate actual patient experiences sufficient to prepare the nursing student for practice competency

      The committee discussed the definition and voted unanimously to recommend the Board consider the proposed definition.

8.      Report on Board meeting outcomes: R. Colosimo and D. Scott reviewed the outcomes of the most recent Board meeting.

9.      Legislative update: D. Scott reviewed legislative issues. J. Kramer asked the outcome of the student criminal background check proposal which had been forwarded to the Nevada Hospital Association (NHA) in the form of a letter from the deans and directors of the Nevada nursing programs. D. Scott informed the members that the NHA supported the concept, but unlike a government agency, NHA could not sponsor a bill. She added that the issue is still being discussed among representatives of the NHA and the NSHE. She requested that the members get involved with the legislative process and said that Board staff will alert advisory committee members via email when issues of interest come up.

10.  Suggested items for future EAC agendas: No future items for the agenda were suggested.

ADJOURNMENT:  The meeting was adjourned at 11:58 a.m.

 November 3, 2006

CALL TO ORDER

MEMBERS PRESENT

                                              Debra Scott, RN, Board Executive Director, Chair

            Roseann Colosimo, PhD, MSN, RN, Board Education Consultant, Chair-Elect 
                                           Mary Ann Lambert, MSN, RN, Board Liaison                          

         Nancy Bridges, RN, CCM                              Madelon Lawson, BSN, RN, CAPA

         Lisa Black, MS, RN                                        Robert Rowe, Jr., MSN, RN

         Connie Carpenter, EdD, RN                           Patsy Ruchala, DNSc, RN 

         Margaret Covelli, BSN, MHA, RN                 Mable H. Smith, PhD, JD, RN

         Karen Fontaine, MSN, RN                            Carolyn Yucha, PhD, RN

MEMBERS ABSENT

                                                            Jan Kramer, MSN, RN

                                                            Margaret Puccinelli, PhD, RN

OTHERS PRESENT

Fred Olmstead, Board General Counsel

Doreen Begley, MS, RN, Board member

Nicola Aaker, RN, Graduate Student, Orvis

Debra Benson, RN, Graduate Student, Orvis

Sue Clarren, RN, Apollo College

Mary Hackie, RN, University of Nevada, Las Vegas

Rhoberta Jones Haley, RN, Touro University

Jodie Lane, Nevada Care Institute

Michele Nichols RN, Nevada Organization of Nurse Leaders

& Valley Hospital

CALL TO ORDER:  The meeting was called to order at 9:08 a.m.

PUBLIC COMMENTS:  During public comment, Rhoberta Jones Haley, Director of the nursing program at Touro University-Nevada, asked what information needs to be submitted to the Board for a change in entrance requirements for their program. The committee agreed that a format contrasting the current program and the proposed program would be helpful for the Board. Touro would not need to submit a complete application to the Board. R. Jones Haley said she will request the Board consider Touro’s proposal at the January 2007 Board meeting.

1. APPROVAL OF MINUTES –The minutes of the August 11, 2006, meeting were approved with the following revision—under “OTHERS PRESENT” the minutes say, “Tish Moyer,” the minutes will be revised to read “Tish Smyer.”

      B.  OLD BUSINESS:

1.      Report of Task Force appointed to explore options for ongoing nursing

program approval (Carpenter, Ruchala, Yucha): P. Ruchala distributed a memo to the committee from the Task Force for Conditions for Continued Approval of Nursing Education programs which outlines their recommendation for revision of NAC 632.630.  Based on the research completed by the Task Force, they are recommending that NAC 632.630 be revised as follows:

2.      If a program of nursing has a pass rate of less than 80 percent for graduates of the program who take the National Council Licensure Examination for the first time of greater than ten percentage points below the national average pass rate for National Council Licensure Examination, the administrator of the program shall conduct a study to determine the deficiencies of the program and the measures which must be taken to correct those deficiencies.  The administrator shall submit a copy of the study to the board within 3 months after the program receives the results of that examination  change in approval status.

3.      If a program of nursing has a pass rate of less than 80 percent for graduates of the program who take the National Council Licensure Examination for the first time of greater than ten percentage points below the national average pass rate for National Council Licensure Examination, for two such examinations within 2 years for two consecutive calendar years, the board will place the program on conditional approval and conduct a review of the program at the site of the program.

After a lengthy discussion, the committee approved the concept and wording of the proposed revision to the regulation with "friendly" amendment. D. Scott will present the proposed concept and wording to the Board at the January 2007 Board meeting.

2.      Review, discussion, and action regarding the Nurse Apprentice Skills Checklist: D. Scott presented the agenda item. The committee discussed the list. A committee member expressed some concern about the safety of allowing nursing students who are hospital employees to do the tasks on the list. Another member stated that she believed that the nurse apprentices received better clinical experiences than students do during clinical rotation. The list will not be revised at this time.

3.      Review, discussion and action regarding proposed revision of the policy Request for

   Waiver of Faculty Education Requirements: D. Scott presented this agenda item, referring the members to the proposed revision of the policy, which was distributed to them. The committee addressed various issues in the proposed revision specifically related to how much clinical experience the waivered faculty member should be required to have. The current policy states that the individual must have documentation of at least five years of clinical practice in the previous seven years.  It was moved and seconded to change the experience requirement to three years of clinical practice in the previous five years. Eleven members of the committee were present. Six of the members voted in favor of the proposed revision. Five members supported a longer period of clinical practice be required for the individual applying for a waiver. The committee members agreed on all other aspects of the proposed revision. D. Scott will take the proposed policy revision to the November 2006 Board meeting.

3. NEW BUSINESS

1.      Review, discussion and action regarding Nurse Refresher Course proposed by

Consolidated Learning Services: Kelly Miller-Martin, President and CEO, Consolidated Learning Services, presented this agenda item via teleconference and described the proposed Nurse Refresher Course. She stated that the program was designed to be a self-study course, which included 120 hours of didactic, which must be completed within six months, and 180 clinical hours under a preceptor. The student must secure his/her own preceptor. Preceptors are not paid. She stated that the program enrolls students almost every day. The committee voted to approve the Consolidated Learning Services Nurse Refresher Course, and to forward the recommendation to the Board at its January 2007 meeting. D. Scott will email Ms.   Miller-Martin to request the program materials.

2.      Report on September 2006 Board meeting outcomes: D. Scott gave an overview of

   the Board meeting outcomes from September, including appointments to committees

and the Board’s action on the proposed concept and wording for the revision of NAC

632.675.

3.      Scheduling of EAC meetings for 2007: The committee approved the following dates for the 2007 EAC meetings:  February 2, April 27, August 3, and November 2, 2007. 

4.      Suggested items for future EAC agendas: The committee had no recommendations for future agenda items.

ADJOURNMENT:  The meeting was adjourned at 11:14 a.m.

August 11, 2006

   CALL TO ORDER

    MEMBERS PRESENT

            Lisa Black, MS, RN                                            Karen Fontaine, MSN, RN      

Margaret Covelli, BSN, MHA                             Margaret Puccinelli, PhD, RN                         

Mabel Smith, PhD, RN, JD                                 Patsy Ruchala, DNSc, RN    

    MEMBERS ABSENT

Donna Cowling, MSN, RN, Committee Chair       Lisa Kless-Kern, MSN, RN       

Mary Ann Lambert, MSN, RN, Board Liaison     Madelon Lawson, BSN, RN, CAPA

Nancy Bridges, RN, CCM                                   Carolyn Yucha, PhD, RN

Connie Carpenter, EdD, RN

    OTHERS PRESENT

Debra Scott, Executive Director, NSBN

Fred Olmstead, Board Counsel, NSBN

Monica Abarro, Nevada Care Nursing Institute

Jamie Alberti, Clark County Medical Society

Tom Bloom, Apollo College

Sue Clarren, Apollo College

            Jan Cramer, Community College of Southern Nevada, for Frances Brown

George Dugan, George Dugan & Associates, LLC

Dot Freel, Clark County Medical Society

Don Havins, MD, Clark County Medical Society

Diane Graham, Nevada State College, nursing student

Joann Lemming, Nevada Career Institute

Tish Smyer, University of Nevada, Las Vegas, for Carolyn Yucha

   CALL TO ORDER: The meeting was called to order at 9:10 a.m.

   PUBLIC COMMENTS: There were no public comments.

   A. APPROVAL OF MINUTES –The minutes of the May 12, 2006, meeting were approved.

   B. OLD BUSINESS:

1.      Report of Task Force appointed to explore options for ongoing nursing program approval (Carpenter, Ruchala, Yucha): This item was continued until the next committee meeting so that all members of the subcommittee could be present.

2.      Review, discussion, and action regarding the Nurse Apprentice Skills Checklist: The committee members suggested that the word “prelicensure” be inserted in the first sentence of the introduction to the list so that the first sentence would read,  “. . .a nursing student currently enrolled in a prelicensure RN or LPN nursing program." There were other suggestions from the members who then requested that this agenda item be continued until the committee meeting.

3. NEW BUSINESS

1.      Review and discussion regarding proposed nursing education program by Apollo College—Sue Clarren, DNP, RNC: Dr. Clarren gave an update regarding Apollo College. She stated that the site is being “built out” to accommodate the program. The address for the college is 5740 S. Eastern Avenue, #140, Las Vegas, 89119. They are planning for the Board’s site visit in mid-October in anticipation of the program going before the Board at its November 2006 meeting. They are planning on enrolling students for the January 2007 semester. The program is composed of four semesters of nursing. Tuition is $33,000 for the four semesters. The program has a capacity of 144 students.

2.      Review, discussion, and possible action regarding proposed regulation changes to NAC 632.675. D. Scott gave copies of the proposed revisions to the regulation to all attendees. The proposed revision adds the following section to this regulation:

(3) Each clinical faculty member shall:

(a)   Hold at least a baccalaureate degree in nursing,

(b)   Have at least three years of nursing experience, and

(c)    Be directly supervised by a faculty member as described in subsection 2.

Attendees at the meeting, including the committee members, discussed the proposed change, expressing support of the concept and concerns about the implementation of the proposed change. D. Scott referred to Board policies, which address some of the concerns that were voiced, and stated that she would bring those policies to the next committee meeting for consideration. The biggest concern was about the definitions of direct and immediate supervision of nursing students and BSN clinical faculty. F. Olmstead referred to the definitions in regulation to clarify what these terms mean in relation to the Nurse Practice Act. The committee members stated they felt comfortable with applying these definitions to the newly proposed regulation. It was also clarified that the students working under a BSN clinical faculty member would be working under the BSN clinical faculty member’s license, not the supervising master’s level faculty member’s license, during the clinical rotation. The committee voted to recommend the Board approve the concept and wording of the proposed regulation change to NAC 632.675. D. Scott will take the proposed regulation change to the September 2006 Board meeting in Las Vegas for the Board to consider concept and wording. There will then be public workshops to receive public comment and the regulation hearing will occur at the Board’s November 2006 meeting in Reno.

3.      Review and discussion of second quarter NCLEX test results. D. Scott presented the formal pass rate results for all Nevada nursing programs. The members discussed the results and had favorable comments about the report.

4.      Review and discussion of background checks for nursing students. It was stated that the Nevada Hospital Association has taken the lead with Nevada System of Higher Education to coordinate criminal background checks for students doing clinical rotations in the community.

5.      Review, discussion, and action regarding change in law to address requirement of clinical hours for nursing programs. This item was continued until the next committee meeting.

6.      Review and discussion of the State University of New Jersey, Rutgers, survey of state boards of nursing regarding use of high fidelity patient simulators in nursing education programs. This item was continued until the next committee meeting.

7.      Review and discussion of Kentucky Board of Nursing Clinical Internship legislation. This item was continued until the next committee meeting.

8.      Report on May and July 2006 Board meeting outcomes. D. Scott gave a brief update on Board outcomes for the last two Board meetings.

9.      Suggested items for future EAC Agendas. D. Scott suggested all of the continued items on this agenda be placed on the committee's next agenda.

10.  Review, discussion, and action regarding the request by Touro University School of Nursing to change its program to allow conferral of a Baccalaureate Degree in Nursing following completion of four semesters of study. D. Scott commented on the Board's correspondence to Touro, which indicates that their request does not need to go before the Board for approval. Therefore she stated she was removing this item from the agenda.

11.  Review, discussion and action regarding Nurse Refresher Course proposed by Consolidated Learning Services. This item was continued until the next committee meeting.

ADJOURNMENT: The meeting was adjourned at 11:15 a.m.

May 12, 2006

CALL TO ORDER

MEMBERS PRESENT

Donna Cowling, MSN, RN, Committee Chair      Nancy Bridges, CCM, RN

Mary Ann Lambert, MSN, RN, Board Liaison    Carolyn Yucha, PhD, RN

Margaret Covelli, BSN, MHA,                            Patsy Ruchala, DNSc, RN

Connie Carpenter, EdD, RN                                Frances Brown, MSN, MSEd, RN

Margaret Puccinelli, PhD, RN                              Lisa Black, MS, RN

Lisa Kless-Kern, MSN, RN

MEMBERS ABSENT

Madelon Lawson, RN

OTHERS PRESENT

Debra Scott, MS, RN, Executive Director, NSBN     Sharon Caves, RN, Pima Med. Inst.

Fred Olmstead, Board Counsel, NSBN                     Bob Cooper, Southern Nevada Medical Industry Coalition

CALL TO ORDER:  The meeting was called to order at 9:02 a.m.

PUBLIC COMMENTS: N. Bridges announced that the Nevada Hospital Association will be holding meetings in the northern and southern areas of the state to discuss the issue of background checks for nursing students and invited all those interested to attend.

A.  APPROVAL OF MINUTES - February 10, 2006 meeting: Approved as amended.

B.  OLD BUSINESS:

1. Review, discussion and possible action regarding proposal for Public Health Nursing Certificate for registered nurses with a BSN (Janine Saulpaugh): J. Saulpaugh was not present, therefore the item was tabled.

2. Report of Task Force appointed to explore options for ongoing program approval (Carpenter, Ruchala, Yucha): P. Ruchala presented recommendations from the task force demonstrating the impact of lowering the NSBN-required NCLEX pass rate from the current 80% to 10% below the national average pass rate. After only brief discussion, the members tabled the item until the next meeting.

3. Review, discussion, and possible action regarding draft proposal of advisory opinion to the Board that would require both didactic and clinical content for RN and LPN refresher  courses:  Following reading of the advisory opinion, it was agreed the advisory opinion be recommended for approval by the Board at its next meeting.

4. Review, discussion, and possible action regarding the Apprentice Nurse Skills List: It was recommended that the heading of the document read: "An Apprentice Nurse is an employee of a facility who is currently enrolled in an RN or PN nursing program.” After some discussion, the committee requested D. Cowling contact the two PN education programs in the state to ascertain whether or not three of the skills are being taught at the PN level before they make any recommendations. The skills in question are: administration of douches, application of 12-lead ECG leads (no interpretation), and application of sequential compression devices. The matter was tabled until the information requested can be presented at the next meeting.

D.    NEW BUSINESS

1. Review and discussion regarding institutional testing for NCLEX outcome predictions: This item was withdrawn.

2. Review, discussion, and possible action regarding proposed nursing education program by Pima Medical Institute. Item withdrawn at request of Sharon Caves, Program Director.

3. Review and discussion of recent news article regarding Nevada System of Higher Education Board of Regents’ endorsement of new Health Sciences Center. C. Yucha reported that she had been asked to provide estimates of future nursing needs for the next 15 years in conjunction with this project. Discussion included speculation that nursing programs may, again, be asked to double enrollment to meet the demand of this growing need.

4. Review and discussion of Draft Vision Paper: The Future Regulation of Advanced Practice Nursing (NCSBN): D. Scott provided an overview of the content of the paper and reported that it has generated a lot of feedback from nurse practitioners and clinical nurse specialists. NCSBN is now circulating the draft for review and comment—it will not be presented at NCSBN’s Delegate Assembly in August.

5. Report on January 2006 Board meeting outcomes: D. Scott and D. Cowling reported outcomes of education-related items addressed at the March Board meeting along with proposed statute changes that will be taken to the legislature in 2007.

6. Suggested items for future EAC Agendas: (1) Background checks for nursing students (M. Pucinelli);  (2) Task Force report (tabled at this meeting); (3) Discussion regarding possible change in law to address requirement for clinical hours for nursing programs (M.A.Lambert).

7. Review, discussion, and action regarding nursing program faculty composition, qualifications, and requirements (from amended agenda): Bob Cooper, representing the Southern Nevada Medical Industry Coalition, (SNMIC) submitted a proposal that calls for BSN-educated nurses to be allowed to teach clinicals in ADN and BSN nursing Programs (see attachment C.7.a.) There was extensive discussion among the group.  Issues addressed included: (1) concerns about lowering standards and the need to make any proposed changes temporary or an emergency measure only; (2) concerns about the additional responsibilities of the MSN-prepared instructors who would be required to supervise the BSN clinical instructors and the possible impact on their licensure; (3) concerns about the need for a minimum level of teaching preparation before BSN instructors are allowed to teach students; (4) questions as to whether other factors are affecting the teaching shortage, such as salaries; (5) concerns about clinical site availability, since it is perceived that this is already a limitation by several members, although this was questioned by the practice representative present who felt it was a clinical coordination issue; (6) questions regarding outcomes studies by states who are currently allowing BSN nurses to teach clinicals; (7) statement by one member that recent approval of at least one private nursing program was based on their assurance that they would bring in faculty members from California to teach in their program, and therefore, not compete with current programs for faculty; (8) one individual stated that those in nursing practice needed to address the issue of retention as an additional method of reducing the need for more nurses; (9) D. Scott pointed out that, just two years ago, the NSBN made a change in code to allow waivers for qualifications and composition of some faculty.  She further stated that the Board may make additional changes as needed without any changes to statute. D. Scott presented an alternative proposal that consisted of an amended version of current NSBN policy. This proposal incorporates the changes requested by the SNMIC. (see attachment C.7.b.). After some discussion, it was agreed that the proposal submitted by D. Scott be presented to the Board for review and approval at its next meeting in July 2006.

ADJOURNMENT:  The meeting was adjourned at 11:15 a.m.

February 10, 2006

CALL TO ORDER

MEMBERS PRESENT

Donna Cowling, MSN, RN, Committee Chair               Madelon Lawson, RN 

Mary Ann Lambert, MSN, RN, Board Liaison              Nancy Bridges, CCM, RN

            Margaret Covelli, BSN, MHA,                                     Carolyn Yucha, PhD, RN

Connie Carpenter, EdD, RN                                         Patsy Ruchala, DNSc, RN

Margaret Puccinelli, PhD, RN                                       Frances Brown, MSN, MSEd, RN

MEMBERS ABSENT

Lisa Black, MS, RN

OTHERS PRESENT

Debra Scott, MS, RN, Executive Director, NSBN        Janine Saulpaugh, MS, RN

Sarah Long, Licensure Speicalist, NSBN                      Joan Bacher, Student

Chris Sansom, RN Director of Operations, NSBN        Wendy Abel, Student  

Fred Olmstead, Board Counsel, NSBN                       

Patty Towler, Sr. Certification Specialist,NSBN           

CALL TO ORDER:  The meeting was called to order at 9:02 a.m.

PUBLIC COMMENT: P. Towler and S. Bowen announced that interim permits would be issued to both in state and out-of-state applicants prior to Pearson VUE registration. This will standardize the process for all applicants.

A.  APPROVAL OF MINUTES—November 4, 2005 meeting: Approved as amended.

B.  OLD BUSINESS:

1.      Review and discussion regarding new membership composition of EAC

approved by the Board: D. Cowling described the new membership composition as including the Board member liaison, positions for each nursing program (director/dean or his/her designee), three practice representatives from various regions of the state, an NNA representative, a NIN representative and an ad hoc student representative. The application process must still be followed for all open positions. M. Covelli voiced some concern regarding the weighting of the committee; with the majority of representatives coming from nursing education programs. Following discussion among the members, it was agreed that the committee would continue to ensure that the concerns and opinions of all stakeholders would be given due consideration. D. Cowling noted that composition of the committee may be reconsidered at any time the committee deems it necessary.

2.      Review, discussion and possible action regarding proposal for Public Health

Nursing Certificate for registered nurses with a BSN: Janine Saulpaugh, MS, RN, WHNP, presented the proposal. Following discussion by the members, it was moved and seconded to take this item forward to the next EAC meeting. MOTION CARRIED.

3.      Report of Task Force appointed to explore options for ongoing program approval: The task force has not yet met. D. Cowling will contact the members of the task force to facilitate a meeting before the next EAC meeting.

C.  NEW BUSINESS

1.      Review, discussion, and possible action regarding out-of-state RN Refresher Courses:       D. Cowling presented information regarding current issues with out-of-state RN refresher courses. The number of hours for classroom/independent computer-assisted content and clinical requirements varies from state to state. Nevada currently accepts any other state’s approved RN Refresher Course. Following discussion by the members, it was moved and seconded, the committee would submit a proposal to the Board for an advisory opinion that requires both didactic and clinical content for any refresher course accepted by the NSBN. D. Cowling is to draft a proposal for the committee to review at its next meeting in May.  MOTION CARRIED.

2.      Review, discussion, and possible action regarding proposed Advisory Opinion regarding Board jurisdiction over nursing programs that do not lead to initial licensure: D. Scott presented this item. After discussion by the members, it was moved and seconded, the following statement be presented to the Board for approval as an interpretation of policy: Under Chapter 632 of the Nevada Revised Statutes (NRS) and Nevada Administrative Code (NAC), the NSBN only approves nursing education programs that prepare a graduate for initial licensure.  MOTION CARRIED.

3.      Review, discussion, and possible action regarding recommendations for changes in concept and wording of NAC 632.640 Requirements for approval, and NAC 632.690 Requirements for instruction; records of evaluation of curriculum:  After discussion, the committee moved and seconded, a motion that the following change in wording be recommended:

NAC 632.640 Requirements for approval. (NRS 632.120, 632.430,632.440)

1.      A program of nursing offered by a university or college must:

(a)          Be an integral part of the university or college;

The rest of the item is to remain unchanged. This recommendation will go to the March Board meeting for consideration of concept and wording by the Board.

Discussion and possible action regarding NAC 632.690 was tabled until the next meeting of the committee. MOTION CARRIED.

4.      Review of procedure for reporting NCLEX results:  D. Cowling reviewed the types of reports available from NCSBN regarding NCLEX pass rates. Copies of the G1 and G4 reports for 2005 were distributed to the members. In the future, the G4 report will be sent to each nursing program director on a quarterly basis and the G1 will be sent at the end of each calendar year. The G4 report will be used to inform the Board of each program’s NCLEX pass rates. Information was also provided to the committee members describing how nursing programs may purchase their own NCLEX reports from NCSBN.

5.      Review, discussion, and possible action regarding Nurse Apprentice Skills List: The most current list was provided to the members for review at the request of the Board. This item will be carried forward to the next meeting.

6.      Report on January 2006 Board meeting outcomes: D. Cowling reported the outcomes of the education-related items addressed at the January Board meeting.

7.      Suggested items for future EAC Agendas: Institutional testing for NCLEX outcome predictors. Pima Medical Institute was added per D. Cowling at the request of Sharon Caves, Program Director, prior to the meeting.

ADJOURNMENT:  The meeting was adjourned at 11:20 a.m.

November 4, 2005 

CALL TO ORDER

MEMBERS PRESENT

Donna Cowling, MSN, RN Committee Chair                Nancy Bridges, CCM, RN      

Debra Scott, MS, RN, Executive Director, NSBN        Patsy Ruchala, DNSc, RN

Lisa Black, MS, RN                                                     Carolyn Yucha, PhD, RN

Lisa Kless-Kern, MSN, RN                                                                                        

Mary Ann Lambert, MSN, RN, Board Member Liaison

MEMBERS ABSENT

Connie Carpenter, EdD, RN

OTHERS PRESENT

Fred Olmstead, Board Counsel NSBN

Therese Black – Truckee Meadows Community College

Alex Van Vliet, Student

CALL TO ORDER:  The meeting was called to order at 9:05 a.m.

PUBLIC COMMENTS:  There were no public comments.

1. APPROVAL OF MINUTES—July 29, 2005 meeting:  Minutes were approved with the following changes/corrections:  Fran Brown was incorrectly listed under “Members” rather than “Others Present” and Lisa Kless-Kern’s name was omitted under “Members Absent.”

2. OLD BUSINESS:

1. Review and discussion regarding the Nevada State Board of Nursing’s jurisdiction over RN to BSN nursing education programs: F. Olmstead reviewed information presented at the previous meeting. Olmstead stated that jurisdiction over programs other than initial entry into practice is open to interpretation per law and surveys of other states. After discussion by the committee, it was moved, seconded and carried that no request for change in the wording or practice related to current regulations would be pursued at this time.

3. NEW BUSINESS

1.  Review, discussion and action regarding a proposal for Public Health Nursing Certificate for registered nurses with a BSN: Item continued until next meeting.

2. Review, discussion, and action regarding scheduling of 2006 Education Advisory Committee meeting dates: Dates scheduled for 2006 meetings for the EAC Committee were approved as recommended. The dates are: 2/10/06, 5/12/06, 8/11/06 and 11/3/05.

3. Review, discussion, and action regarding TMCC’s revised RN Refresher Course: Therese Black represented Karen Fontaine, Interim Nursing Program Director, to present information and answer questions regarding the course. Ms. Fontaine reported that there are 20+ applicants for the course at present. It was agreed that the preceptor for each student must sign off the requirements for completion before full licensure may be approved. After discussion, it was moved, seconded and carried that the course be approved as presented.

4. Report on NCSBN conference call: D. Cowling shared information with group from the 11/17/05 call.  Highlights included recommendations by the Practice, Regulation & Education Committee that: 1) Simulated clinical experiences should be limited and not replace actual hands-on clinical experiences for prelicensure education and 2) Clinical supervision of students should be conducted by “qualified faculty who provide feedback and facilitate reflection”.

5. Discussion regarding clinical site availability for nursing students: This continues to be a concern for many nursing programs. While current, approved programs (and NHA) have taken steps to meet and arrange shared clinical space and time, there is concern about new programs and how students needs may be met given the limited resources available for clinical experiences. It was agreed that this issue should be addressed with all new program applicants during the application process.

6. Report on Board meeting outcomes: Margaret Puccinelli, PhD, RN, Director of Nursing at Great Basin College, was appointed to the EAC by the Board at its September meeting. D. Scott added additional information.

7. Other: The previously appointed task force that was asked to discuss and offer alternative/additional measures to first-time pass rates for consideration of ongoing approval of nursing programs has agreed to meet prior to the next EAC meeting and share their input.

8. Suggested items for future EAC Agendas: Future and/or continued membership composition of EAC.

ADJOURNMENT:  The meeting was adjourned at 10:45 a.m.

July 29, 2005

CALL TO ORDER

MEMBERS PRESENT

Debra Scott, MS, RN, Committee Chair        Nancy Bridges, CCM, RN

Margaret Covelli, BSN, MHA, RN                Lisa Black, MS, RN

Elaine Young, MAOM, RN                           Connie Carpenter, EdD, RN

Carolyn Yucha, PhD, RN                              

Dianne Sullivan, BSN, RN

Mary Ann Lambert, MSN, RN, Board Member Liaison

MEMBERS ABSENT

Patsy Ruchala, DNSc, RN

Lisa Kless-Kern, MS, RN

OTHERS PRESENT

Fred Olmstead, Board Counsel, Nevada State Board of Nursing

Angelian Manchester, Nevada State College, Student        

Michael White, Apollo College

William Clohan, Apollo College

Susan McCourt, Apollo College

Frances Brown, MSN, MSEd, RN  

CALL TO ORDER:  The meeting was called to order at 9:05 a.m.

PUBLIC COMMENTS:

There were no public comments offered.

A.  APPROVAL OF MINUTES— April 29, 2005:  The minutes were approved as written.

B.  OLD BUSINESS:

1. Presentation regarding the regulation change regarding NAC 632.605, 2.a “Submission of Application and Intent to establish program:” The regulation, as revised and accepted by the Legislative Counsel Bureau, was presented to the committee for informational purposes only.

2. Review and discussion regarding the Nevada State Board of Nursing’s jurisdiction over RN to BSN nursing education programs:  F. Olmstead presented this issue to the committee for discussion.  He stated that the NPA does not exclude RN to BSN nursing education programs from the need for Board approval.  In addition, he outlined NRS 632.011, 0112, 0114, 012, 0125, 0126, 01262 and 01264, which are statutes that define schools of nursing in Nevada law.  He discussed NRS 632.430, 440, 450, 460, and 470 that describe the approval requirements for schools of nursing in Nevada.  In regulation NAC 632.703, F. Olmstead described the type of reporting that is required of nursing schools in Nevada.  In summary, he stated that none of the laws outlined exclude any nursing education programs in Nevada from Board approval.  Since this agenda item is only initially being brought to the committee for discussion, F. Olmstead stated that Board staff will be doing further research and bringing the issue back to the committee at a later date.

3. Review and discussion regarding the Board’s Annual Report for Nursing:  D. Scott presented a copy of the latest revised Annual Report for Nursing Education Programs to be submitted by all nursing education programs approved in Nevada.  The reports are due January 31, 2006.  Board staff will be sending the form electronically to all nursing education programs in late November 2005.  The committee members approved the revisions, agreeing that the form would provide the necessary information and streamline the submission of information on an annual basis.

4. Review, discussion, and action regarding NAC 632.630 conditional approval: Identification and correction of deficiencies; proof of compliance with Board’s plan; withdrawal of approval; removal from list of approved programs:  D. Scott reviewed the requirements outlined in NAC 632.630 which states that to remain on full approval, a nursing education program must maintain an NCLEX pass rate of 80%.  She also distributed statistics from National Council of State Boards of Nursing Member Board Profiles showing that the majority of Boards of nursing (94.7%) utilize the criterion percent of first time writers who pass NCLEX as a requirement for ongoing unconditional approval. One-fifth (22.2%) utilize the national pass rate—which was 87% for 2003 and 85.3% for 2004—and the remainder of the approximately 95% utilize between 75 and 95% pass rate for the first time exam takers. The committee has previously discussed a preference that other criteria for ongoing approval be put in regulation.  D. Scott asked for volunteers for a task force to explore other criteria.  Those volunteering for/assigned to the task force were:  Connie Carpenter, Patsy Ruchala and Carolyn Yucha. This task force will provide guidance to the committee as to possible other criteria which might be required for ongoing unconditional approval for nursing programs in Nevada.  This change would necessitate a change in nursing regulation.

C.  NEW BUSINESS

1. Review and discussion regarding Apollo College application to establish a nursing 

   education program:  Susan McCourt, Michael White, and William Clohan presented Apollo College’s application to establish a nursing education program.  The committee members reviewed the document and asked questions regarding the application information.  They described the program as an accelerated program with no extracurricular activities, with a major emphasis on clinical nursing practice, and the integration of critical thinking.  The discussion about proposed clinical sites brought concerns from the committee members related to the diminishing availability of clinical sites for nursing students in the state.  The program consists of 960 clinical hours, 272 theory hours, and 192 lab hours. Anticipated date for the admission of students is March 2006. It was suggested that the applicants consider awarding their students a certificate of completion from their program to allow the students to sit for the NCLEX-PN after completing the first phase of the program; otherwise the students would not qualify in Nevada to sit for the licensure exam.  The applicants accepted the feedback and answered the committee’s questions.

    

ADJOURNMENT:  The meeting was adjourned at 11:25 a.m.

February 25, 2005

CALL TO ORDER

MEMBERS PRESENT

Debra Scott, MS, RN, Committee Chair       Carolyn Yucha, PhD, RN

Lisa Black, MS, RN                                     Connie Carpenter, EdD, RN              

Nancy Bridges, MS, RN                               Lisa Kless-Kern, MS,  RN
            Elaine Young, MAOM, RN                           Pasty Ruchala, DNSc,  RN

Mary Ann Lambert, MSN, RN, Board Member Liaison

MEMBERS ABSENT       

               Margaret Covelli, BSN, MHA, RN
                           Dianne Sullivan, BSN, RN

OTHERS PRESENT

Fred Olmstead, Board Counsel, Nevada State Board of Nursing

Bobbye Hicks, Senior Licensure Specialist, Nevada State Board of Nursing

Weldon Havins, Clark County Medical Society

Peggy Hodge

Sue Ullrich, Touro University

Michael Harter, Touro University

Mable Smith, University of Southern Nevada

Eucharia Nuadi, University of Southern Nevada

George Dugan, Southern Nevada Medical Industry Coalition

David Pearlman, Commission on Post Secondary Education

Beth Stor

Andrea Holman, Orvis School of Nursing

Sarah McDowell, Orvis School of Nursing

Victoria Belnigheri, Orvis School of Nursing

Carol Deacon, Orvis School of Nursing

Nikauesha Talor-Moore, Orvis School of Nursing

Megumi Ishii, Orvis School of Nursing

Asako Hiraga, Orvis School of Nursing

Ankit Shukla, Orvis School of Nursing

CALL TO ORDER:  The meeting was called to order at 9:05 a.m.

PUBLIC COMMENTS: There were no public comments. 

A.  APPROVAL OF MINUTES— October 14, 2004:  The minutes were approved as written.

B.  OLD BUSINESS:

1. Discussion, Recommendations and Action regarding faculty supervision of nursing students at clinical sites related to NAC 632.675:  This item was presented by Debra Scott.  The committee was unanimous in the belief that this change in the Advisory Opinion sends a stronger message than in the past.  There was some discussion about RN students doing invasive procedures.  The committee discussed the different settings where nursing students are involved in patient care and the need for faculty to closely supervise the students when they are involved in direct patient care.  The revised opinion will be presented to the full Board at their March, 2005 meeting in Reno.  (See attached recommended revisions.)

C.  NEW BUSINESS

1. Discussion, Recommendations and Action related to the structure of the Committee membership:  The committee reviewed the committee roster and updated changes.  This agenda item will be discussed at the next EAC meeting.

2. Discussion, Recommendations and Action related to nursing program graduates who do not write NCLEX in a timely manner:  Debra Scott presented some information regarding the pass rate of students who wait an extended period of time after graduating from their nursing program before taking NCLEX.  In general, there was a lower pass rate for those who wait to take the examination.  Statistics were taken only from the month of January, 2005, and only for the state of Nevada.  The committee discussed the importance of communicating to the senior students how significant their preparation and performance is related not only to their own professional success, but also to their nursing programs’ ongoing approval by the Nevada State Board of Nursing.  The NSBN requires a pass rate of 80% for all nursing programs to maintain full approval by the Board.

3. Discussion, Recommendations and Action related to request from Patricia L. Truitt, RN, to conduct an LPN Refresher Course:  This agenda item was continued.

4. Discussion, Recommendations and Action regarding the annual nursing education report:

a.        University of Nevada-Orvis School of Nursing

b.       University of Nevada, Las Vegas

c.        Community College of Southern Nevada

d.       Truckee Meadows Community College

e.        Western Nevada Community College

f.         Great Basin College

g.        Nevada State College

h.        California State University-Dominguez Hills

i.          Dixie State College

j.         Lassen Community College

k.       Graceland College

l.          Mojave Community College

m.      Feather River Community College

n.        University of Phoenix

o.       University of St. Francis

The committee members discussed the current Annual Nursing Education Report stating that much of the information is unnecessary.  This report form has been referred to the Nursing Directors’ Group which will be meeting in Las Vegas in April, 2005.

5. Discussion, Recommendations and Action regarding request of the University of Wisconsin-Accelerated, Online Bachelor’s to BSN Program:  This agenda item was continued in anticipation of further research by the Board’s counsel.

6. Proposed regulation change regarding NAC 632.605, 2.a “Submission of Application and Intent to establish program”:  Presentation by Fred Olmstead who discussed the proposed regulation change stating that the ambiguity and uncertainty of this regulation needs to be made clear.  The discussion reviewed the intent and history of this regulation and the changing environment in nursing. The committee recommended the Board delete NAC 632.605 2(a) Proof that the program is approved by the system of universities or community colleges of the state in which it is accredited. 

7. Discussion, Recommendations and Action regarding University of Southern Nevada application:  Dr. Mable Smith gave a short summary describing the USN Nursing Education Program She described the block curriculum format.  The program consists of thirteen blocks. The students must pass each block with a 90% grade.  Didactic instruction is given first and the clinical portion of the course follows.  The committee gave suggestions and comments.  The application will be presented to the full Board at its March, 2005 meeting in Reno.

8. Discussion, Recommendations and Action regarding Touro University-Nevada application:  Dr. Susan  Ullrich gave a short summary describing the Touro University-Nevada Nursing Education Program.  She described the program as an entry level masters program in which the students must have a BS or BA in another field to enter this program.  The committee gave suggestions and comments regarding the length of the program and the number of clinical hours.  The application will be presented to the full Board at its March, 2005 meeting in Reno.

9. Discussion, Recommendations and Action regarding Apprentice Nurse Skills List: The Apprentice Nurse Skills List was reviewed by the committee members, specifically the listing of PCAs as a task which is allowed for ANs.  Elaine Young stated that ANs don’t do PCAs at her facility.  Most of the members of the committee commented that PCAs should be classified as “IV meds” which are not listed in the approved skills for ANs.  The committee recommended the Board change the list to reflect that ANs may not administer intravenous medications, including PCA medications.  The change in the Apprentice Nurse Skills List will be presented to the full Board at their March, 2005 meeting in Reno.

ADJOURNMENT:  The meeting was adjourned at 12:00 p.m.

October 15, 2004

The meeting of the Nevada State Board of Nursing Education Advisory Committee was called to order on October 15, 2004 by Associate Executive Director, Donald Rennie.  The meeting began at 9:10 a.m. via videoconference at University of Nevada, Las Vegas, Classroom Building Complex, Building B, Room 117, 4505 Maryland Parkway, Las Vegas, Nevada, and Truckee Meadows Community College, Meadowood Center, 5270 Neil Road, South Building, Room 104, Reno, Nevada.

MEMBERS PRESENT

Donald Rennie, MSN, RN, AED, Licensure and Certification

Nancy Bridges, MS, RN

Dianne Sullivan, BSN, RN

Patsy Ruchala, DNSc, RN

Carolyn Yucha, PhD, RN

Elaine Young, MSN, RN

MEMBERS ABSENT

Lisa Black, MSN, RN

Connie Carpenter, EdD RN

Margaret Covelli, BSN, MHA, RN

Mae Cherry, MSN, RN

Ann Marie Di Lisio, MA, RN

Rosemary Witt, Ph.D., RN

OTHERS PRESENT

Frederick Olmstead, General Counsel

CALL TO ORDER:  The meeting was called to order at 9:10 a.m.

A.    APPROVAL OF MINUTES:  The minutes of July 23, 2004 were approved as presented.

B.  PUBLIC COMMENT:  There were not public comments provided.

C.  OLD BUSINESS:

1.       Discussion, recommendations and actions regarding faculty supervision of nursing students at clinical sites, related to NAC 632.675:  A history and review of the issue, including Board input to the Education Advisory Committee’s proposal, was presented.  Discussion ensued specifically relative to faculty supervision of nursing students in public health and community nursing clinical experiences, with and without the use of preceptors.  The committee incorporated the input received from the Board and recommended additional language for further clarification.  The committee recommended the revised draft of the proposal be presented to the Board for consideration for approval.

2.       Discussion of actions taken at recent Nevada State Board of Nursing meeting of September 2004:  D. Rennie and F. Olmstead provided an update of the board meeting.

3.       Discussion, recommendations and actions to facilitate annual approval of CINAHL index in determining RN or LPN scope of practice:  A history of the implementation of the Board’s use of CINAHL as related to scope of practice determination was presented.  Discussion ensued relative to the development of other quality nursing literature and research databases now available particularly through Internet access.  The committee recommended the Board should consider adding other accepted professional databases such as MEDLINE, PSYCHOINFO, and COCHRAN to the applicable NevadaAdministrative Code sections that regulate RN and LPN scope of practice determination.  Issued tabled to an additional meeting for further work by the committee.

4.       Discussion, recommendations and actions regarding NAC 632.675 (2.b.2.) “A master’s degree in a field related to nursing”:  A history of the issue was presented.  It was noted the Board accepted the committee’s recommendation to allow the nursing program director to determine the educational qualifications of the “25%” of faculty who could have a master’s degree in a field related to nursing.  The Board will require the justification of the hiring of a faculty member in this “25%” category be included on the program’s annual report.

D.  NEW BUSINESS:

1. Discussion, recommendations and actions regarding Skills List for Apprentice Nurse Program for Practical Nurse students:  A history of the development and the Board’s concerns was presented.  Interest in the development of an Apprentice Nurse Program for practical nurse students has been received both from students and facilities that hire practical nurses.  Discussion ensued relative to the proposed list of skills.  The committee recommended the list be revised to reflect the appropriate changes in intravenous therapy.  The committee also recommended the topic of medication administration be delineated in greater detail appropriate to practical nursing.  The committee then recommended the skills list with these revisions be presented to the Board for consideration for approval.

2. Discussion, recommendations and actions Skills List for Apprentice Nurse Program for Registered Nurse students:  A history of the development and implementation of the program was presented.  Discussion ensued.  The committee recommended the currently approved skills list be provided to each RN nursing program for review of skills content against current curricula.  The committee further recommended the current skills list with nursing program input be brought back to the committee for review. 

3. Discussion, recommendations and actions regarding criteria/indices for ongoing approval of nursing education programs:  The current Board criteria of NCLEX first time test taker pass rate for nursing programs was discussed.  Issues identified relative to this included the impact of the periodic change in the test plan, the reduction of time to retake the examination, the effects of curricula changes relative to the NCLEX test plan, the effects of students taking the examination for practice the first time or not testing for long periods after graduation.  Discussion ensued concerning consideration of other potential criteria/indices for program evaluation, such as student evaluation surveys, employer evaluation surveys and Board surveys.  The committee concluded further research was needed before any recommendation could be made to the Board.

4. Discussion, recommendations and actions regarding request of the University of Wisconsin-Oshkosh nursing program to do clinical rotations in Nevada for students enrolled in the Accelerated, Online Bachelor’s to BSN Program: Tabled for additional research and information.

5. Discussion, recommendations and actions related to NAC 632.605 (2.a.) “Submission of Application and Intent…”:  The process to establish a new nursing program was discussed with reference to the requirement that a program intending to start a new nursing program in Nevada be approved by the system of universities or community colleges of the state in which it is accredited.  The Board has recently received numerous inquiries related to the establishment of various levels of nursing programs from both private and proprietary organizations.  Discussion ensued relative to availability of qualified faculty, availability of clinical sites for quality clinical experiences, lower student admission standards, high program attrition after students receive financial assistance, lower NCLEX pass rates, and experiences of other boards of nursing.  Dr. M. Smith of Southern Nevada University and Drs. N. Saks and C. Bentley of National University addressed the committee relative to the restrictive nature of the component of the Nurse Practice Act particularly for private schools that have a reputable history related to their nursing programs.  The committee discussed the process of a regulatory change and the need to recommend additional criteria for private or proprietary nursing programs to ensure quality of nursing education if this section of the Nurse Practice Act was to be removed.  Some additional criteria discussed included: 

·         A requirement for regional accreditation of the program/school by a US Department of Education recognized accrediting authority;

·         Contracts for clinical experiences;

·         A study of the impact on community resources needed to support a program; and

·         Possible regulatory changes to stipulate specific numbers of hours of clinical experiences.

The committee concluded discussion, recommendations and actions should continue at the next meeting. 

6. Discussion and Actions to schedule committee meetings for 2005:  Meetings will be scheduled for February 25, 2005, April 29, 2005, July 29, 2005 and November 4, 2005.  Tentatively, the meetings will be conducted by videoconference.   

ADJOURNMENT:  The meeting was adjourned at 11:45 a.m.

July 23, 2004

The meeting of the Nevada State Board of Nursing Education Advisory Committee was called to order on July 23, 2004 by Associate Executive Director, Donald Rennie.  The meeting began at 9:20 a.m. via videoconference at Community College of Southern Nevada, Cheyenne Campus, Conference Room A2638, 3200 E. Cheyenne Blvd, Las Vegas, Nevada and Truckee Meadows Community College, Meadowood Center, 5270 Neil Road, South Building, Room 104, Reno, Nevada.

MEMBERS PRESENT

Donald Rennie, MSN, RN, Associate Executive Director

Mary Ann Lambert, MSN, RN, Board Member Liaison

Patricia Alpert, MSN, RN (for Rosemary Witt, Ph.D., RN)

Nancy Bridges, MS, RN

Lisa Black, MSN, RN

Connie Carpenter, Ed.D., RN

Margaret Covelli, BSN, MHA, RN

Dianne Sullivan, BSN, RN

Elaine Young, MSN, RN

MEMBERS ABSENT

Mae Cherry, MSN, RN

OTHERS PRESENT

Debra Scott, MS, RN, APN, Executive Director

Fred Olmstead, Board Counsel

Mary Hackie, BSN, RN, Graduate Student

Patsy Ruchala, PhD, RN, Orvis School of Nursing

CALL TO ORDER:  The meeting was called to order at 9:10 a.m.

PUBLIC COMMENT:  There were no public comments provided.

A.           APPROVAL OF MINUTES:  The minutes of April 30, 2004 were approved as presented.

B.      OLD BUSINESS:

1. Discussion, recommendations and actions regarding faculty supervision of nursing students at clinical sites, related to NAC 632.675:  The Board returned the draft policy for further research related to clarification of faculty availability and supervision in clinical experiences such as community based facilities and home health venues.  Committee member discussion ensued relative to defining “faculty availability” in the contractual agreements between the nursing programs and the agencies.  It was concluded further research was needed and other boards of nursing, National Council of State Boards of Nursing, and nursing programs in other states should be queried about this issue.  Additional information will be presented at the next meeting.

2. Discussion of actions taken at recent Nevada State Board of Nursing meetings, June 18 and July 14-16, 2004:  Presentation by D. Rennie.  At the June 18^th meeting the Board approved the proposed regulations with the recommended changes related to Advanced Practice, intravenous therapy by LPNs, and nursing education programs.  At the July 14-16 meeting the Board reviewed the progress and achievement of the goals they had developed for FY 2003/2004.  The Board developed new goals for FY 2004/2005.  A review of compliance, discipline and licensure statistics for FY 2003/2004 was accepted.  The Board revised its policy related to the Election of Board Officers.  Policy revisions related to Advance Practice physician collaboration and CNA instructor applications were accepted.  The Board reviewed a proposed apprentice nurse skills list for practical nurse students and referred it to the Education Advisory Committee for further research.  The Board reviewed and approved past board Practice Decisions and made recommendations.  The Board’s Counsel presented an overview of the process of investigations from receipt of complaint to subsequent board action.

3. Discussion, recommendations and actions to facilitate annual approval of CINAHL index in determining RN or LPN scope of practice:  It was noted the Board approved the use of CINAHL for another year.  In its approval the Board requested the Committee research other indices and options.  The Committee recommended a task force of educators, employers and other key persons be developed to research this issue to report back to the Committee at a later meeting.

C.  NEW BUSINESS:

1.   Discussion, recommendations and actions regarding NAC 632.675 (2.b.2.) “A master’s degree in a field related to nursing”:  It was noted the Board approved the proposed regulations with the recommended changes to the faculty education requirements and it is anticipated this change will be effective, tentatively on 08/13/2004.  The Board further requested the Committee define the process of determining approval  of “a master’s degree in a field related to nursing”.  Discussion ensued to the options available.  The Committee concluded that a general statement should be developed allowing the nursing program director to determine this requirement based on needs related to the specific nursing program curriculum.  Further, it would be the responsibility of the nursing program director to document the rationale explaining how the degree was related to nursing.  This information would be submitted to the Board as an addendum to the program’s annual report.

ADJOURNMENT:  The meeting was adjourned at 10:30 a.m.

April 30, 2004

The meeting of the Nevada State Board of Nursing Education Advisory Committee was called to order on April 30, 2004 by Associate Executive Director, Donald Rennie. The meeting began at 9:20 a.m. via videoconference at Community College of Southern Nevada, Cheyenne Campus, Conference Room A2638, 3200 East Cheyenne Boulevard, Las Vegas, Nevada and at Truckee Meadows Community College, Meadowood Center, 5270 Neil Road, South Building, Room 104, Reno, Nevada.

MEMBERS PRESENT

Donald Rennie, MSN, RN, AED, Licensure and Certification

Mary Ann Lambert, MSN, RN, Board Member Liaison

Nancy Bridges, MS, RN

Mae Cherry, MSN, RN

Margaret Covelli, BSN, MHA, RN

Elaine Young, MSN, RN

MEMBERS ABSENT

Lisa Black, MSN, RN

Connie Carpenter, Ed.D., RN

Dianne Sullivan, BSN, RN

Rosemary Witt, Ph.D., RN

OTHERS PRESENT

Debra Scott, MS, RN, APN, Executive Director, NSBN

Fran Courtney, BSN, RN, Chief Nurse, Clark County Health District

1. Call to Order:  The meeting was called to order at 9:20 a.m.

B.     Public Comment:  There were no public comments presented.

3. Discussion of actions taken at recent Nevada State board of nursing meeting of March 2004:  The Board approved the committee’s proposed concept and wording changes to the education regulations discussed at the February 2004 committee meeting.  Curriculum changes were approved for Community College of Southern Nevada RN and PN programs, Nevada State College, and Truckee Meadows Community College.  Two Practice Decisions were approved:  One revision related to Sexual Assault Nurse Examiners and a new opinion related to activities by nurses not considered to be “providing patient care”.  Board members and staff reported on the National Council of State Boards of Nursing Mid-Year meeting covering topics such as the global issues of nursing, the federal visa screening requirement of certain nurses currently working in the United States, and revisions to the NCLEX-PN test plan to be implemented Spring 2005.

4. Discussion, Recommendations and Actions regarding Executive Director Waiver Policy related to NAC 632.670:  It was noted the Board accepted the concept and wording changes proposed by the committee to NAC 632.670.  The committee reviewed the proposed waiver policy making the following recommended changes: 

-          Define the length of “temporary” as it relates to the waiver.

-          Define the term “qualified person” used in the waiver.

-          Add “the program director will assign a mentor, who is full time faculty, to assist the person hired under the waiver”.

-          Add wording that “no qualified person, as defined by NAC 632.670, has applied for the open position”.

-          Add wording that “each member of the faculty must hold at least a minimum of a master’s degree in nursing”.

It was moved and seconded to incorporate these recommendations into the waiver policy.  MOTION CARRIED.

5. Discussion, Recommendations and Actions concerning international MD to BSN nursing programs:  Oral presentation by D. Rennie.  The Republic of the Philippines Commission on Higher Education has developed strict guidelines for nursing programs conducting MD to BSN nursing education.  The student must complete specific nursing courses to include mandated theoretical instruction and clinical experiences equivalent to upper level U.S. nursing courses.  Credit is awarded for science and social science course work completed in the previous degree.   Information about these programs was obtained from the Commission, each nursing program, and CGFNS.   Graduates of these programs have a slightly higher first time pass rate on NCLEX than their non-MD RN (international) peers.  Florida International University has been tasked to develop an MD to ADN RN program for non-US trained physicians residing in that state.  The first group from this program should graduate in May 2004.  Committee members related positive experiences with RN/MDs who have attained their nursing education through this route.       

6. Discussion, Recommendations and Actions regarding faculty supervision of nursing students at clinical sites related to NAC 632.675:  F. Courtney discussed the issues related to faculty supervision of students doing clinical rotations at the Clark County Health Department.  The department offers students a variety of experiences both at the main building and at many of the satellite clinics. Issue of concern is the immediate availability of the clinical instructor, particularly when students are at multiple sites.  The definition of “supervision” found in NAC 632.087 does not specifically address multiple sites.  M. Lambert stated community focus on nursing has presented interesting supervisory challenges for nursing faculty.  Committee members suggested possible use of preceptors as defined and outlined in NAC 632.675.  The committee also recommended conducting additional research toward possible development of a board practice decision related to faculty supervision in the community nursing environment.

7. Discussion, Recommendations and Actions to facilitate annual approval of Cumulative Index of Nursing and Allied Health Literature (CINAHL) index in determining RN or LPN scope of practice:  Discussion ensued concerning the history and implementation of using CINAHL in the scope of practice determination algorithm.  The committee concluded additional research needs to be conducted related to the availability and quality of other searchable databases, e.g., online nursing journals, and Internet searches.  The committee recommended librarians of medical centers and university health science libraries be consulted to determine additional resources for possible proposal to the board for consideration in scope of practice determination.

8. Items for next agenda:  No items were presented.

Adjournment:  The meeting was adjourned at 10:50 a.m.

February 27, 2004

The meeting of the Nevada State Board of Nursing Education Advisory Committee was called to order on February 27, 2004 by Associate Executive Director, Donald Rennie.  The meeting began at 9:30 a.m. via videconference at CCSN, Cheyenne Campus, Conference Room A2638, 3200 E. Cheyenne Blvd, Las Vegas, Nevada and TMCC Meadowood Center, 5270 Neil Road, South Building, Room 104, Reno, Nevada.

MEMBERS PRESENT

Donald Rennie, MSN, RN, AED, Licensure and Certification

Mary Ann Lambert, MS, RN, Board Liaison

Lisa Black, MSN, RN

Connie Carpenter, Ed.D., RN

Ann Marie Di Lisio, BSN, MA, RN

Lisa Kless-Kern, MSN, RN (representing Mae Cherry, MSN, RN)

Dianne Sullivan, BSN, RN

Rosemary Witt, Ph.D., RN

Elaine Young, MSN, RN

MEMBERS ABSENT

Nancy Bridges, RN, CCM

Margaret Covelli, BSN, MHA, RN

Mae Cherry, MSN, RN

OTHERS PRESENT

Debra Scott, MS, RN, APN

Fred Olmstead, JD, General Counsel

Dr. Jane Nichols, Chancellor, University and Community College System of Nevada

Doreen Begley, University of Nevada, Reno

Sara DuBois, University of Nevada, Reno

Teri Morehouse, University of Nevada, Reno

Susan Michaels, University of Nevada, Las Vegas

Patricia Alpert, University of Nevada, Las Vegas

Georgeanna Smith, Great Basin College

Dr. Mary Love, Truckee Meadows Community College

Darin Olde, Nursing Student

Ellen House, Truckee Meadows Community College

Emily Jo Hasley, Truckee Meadows Community College

Brad Studebaker, Nursing Student

Brian Rose, Nursing Student

1. Call to Order:  The meeting was called to order at 9:30 a.m.

B.     Public Comment:  There were no public comments presented.

3. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.625:  This item was tabled for a later committee meeting pending additional information and research.

4. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.630:  This item was tabled for a later committee meeting pending additional information and research.

5. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.670:  A brief history of discussion related to this regulation was presented.  The board had directed the committee to revisit this regulation for the possible presentation of alternative recommendations than those previously presented.  Chancellor Nichols stated the 2001 legislative session required a doubling of nursing program enrollment, and there is a shortage of masters-prepared nurses to provide clinical experience.  There is variance between the states as some allow a nurse with a BSN and 5 years of experience to teach the clinical experience.  She requested the committee consider the proposal presented by the board staff as it would provide qualified nurses, but would not preclude a nursing program from hiring MSN prepared faculty if found.  She further requested the board define the term “faculty”. 

Other comments by committee members and visitors were as follows: ŸD. Begley stated nursing regulation should be inclusive of new levels of graduate nursing education currently evolving.  ŸS. Dubois presented an overview of the nursing doctorate program of the University of Colorado to include the theoretical and clinical program requirements.  She further defined the program structure into pre-licensure and post-licensure requirements.  ŸT. Morehouse, speaking on behalf of Dr. Schollar-Jacquish supported the change of the MSN requirement to “advanced degree in nursing”.  Did not support a master’s degree in another field, but did support limited use of a nurse with a BSN and clinical experience for the rural areas.  ŸS. Michaels did not support the use of the BSN prepared nurse even with clinical experience.  She further stated that MSN is the expectation for nursing faculty and an MS in another field would not be as desirable.   ŸP. Alpert also did not support the use of the BSN prepared nurse who had clinical experience.  ŸG. Smith stated she did not support the use of nurses with a BSN and clinical experience for faculty at the baccalaureate level programs.  She did, however, support the use of that level of prepared nurse for the ADN level to teach clinical experiences, and thought the programs should continue to hire MSN prepared nurses as faculty if available.  She also stated any change to allow the use of BSN prepared faculty for the ADN program should have a sunset provision.  ŸM. Lambert stated the term “clinical” needs to be defined as there is significant variance in the current use of the term.  ŸL. Black noted that ADN and BSN students are held to the same standard of practice upon graduation and entry into the nursing profession.  She further stated current MSN prepared faculty do theoretical instruction while teaching clinical experience.  ŸM. Love stated there is a critical need to obtain the best standard available and nurses need to be educated beyond the BSN level.  ŸD. Olde affirmed having faculty with advanced degrees in nursing has been beneficial to learning and both ADNs and BSNs on the nursing units are great teachers.  ŸE. House contributed that faculty learn to be good teachers when masters prepared and the committee needs to look at the impact of its decision on the quality of faculty.  ŸE. Hasley pointed out that faculty salaries were an issue in recruiting qualified nurses to teach.  ŸB. Studebaker confirmed faculty members prepared with a nursing doctorate were adequately prepared to teach.  ŸB. Rose addressed the issues of the rural nursing programs which was a factor in his selection of UNR.  ŸD. Scott contributed that National Council State Boards of Nursing draft Model Rules support the MSN for nursing faculty preparation; that 29 states currently require an MSN to teach at a BSN program and 14 states require less than a graduate degree; and the board has indicated a decrease in faculty education requirements may not be acceptable. 

Committee discussion ensued concerning the options available:

1.       Not make recommended changes to the regulation. 

2.       Pursue the previous recommendation of changing the MSN to an “advanced degree in nursing”. 

3.       Recommend allowing a BSN prepared nurse with a specified number of years of clinical experience to teach clinicals only at the LPN and ADN nursing program levels. 

4.       Recommend 75% of the faculty have MSN degrees, the remainder have a masters degree or an advanced degree in nursing from an accredited nursing program (as defined in NRS 632.011), with the executive director having authority to waive the masters degree or advanced degree in nursing under conditions stipulated in board policy (to be developed). 

It was moved and seconded to table any further discussion until the board policy that is to be developed can be reviewed.  MOTION DEFEATED.  It was then moved and seconded to recommend the fourth proposal with the restriction the committee must review the policy before submission to the board and the committee retains the right to withdraw the proposed regulation change based on the content of the supporting policy. MOTION CARRIED.          

6. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.675:  The board directed the committee to revisit this regulation for possible changes in addition to those previously presented.  Discussion ensued.  It was recommended that 4.c. be deleted.  It was moved and seconded to approve the regulation with the changes discussed.  MOTION CARRIED.

7. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.685:  Discussion focused on the need to combine NAC 632.685 and NAC 632.690.  It was moved and seconded to combine the two regulations as presented.  MOTION CARRIED.

8. Discussion, Recommendations and Actions regarding possible revisions to NAC 632.690:  Discussion addressed the need to combine NAC 632.685 and NAC 632.690.   In addition, it was recommended to change 1.a. from “surgery” to “medical-surgical”.  It was moved and seconded to combine the two regulations with the change recommended.  MOTION CARRIED.

. 

9. Discussion of actions taken at recent Nevada State Board of Nursing Board Meetings of November 2003 and January 2004: 

November 2003 board meeting: wElection of officers was held with the following results:  President-Patty Shutt, LPN, Vice President-Mary Ann Lambert, MSN, RN, and Secretary-Helen Vos, MS, RN.  wNewly appointed board members were David Burgio, MSN, RN, APN, as an RN Member and Joseph Cortez, as Consumer Member.  wAll CNA-related fees were increased to the maximum allowed by statute.  wThe Nursing Practice Advisory Committee presented a draft practice decision related to SANE; the board reviewed and requested additional information. 

At the January 2004 meeting: wBoard committee liaison appointments were made as follows:  D. Burgio - Advance Practice Advisory Committee; D. Perkins – CNA Advisory Committee; C. Bible – Disability Advisory Committee; M.A. Lambert – Education Advisory Committee; and H. Vos – Nursing Practice Advisory Committee.  wA policy change was approved related to the auditing of CE for RN/LPN licensure renewal.  wA presentation by The Chancellor of the UCCSN system related to nursing faculty education requirements identified in NAC 632.670.  wDiscussion related to draft SANE practice decision continued

10. Items for next agenda:  R. Witt requested the committee discuss the educational needs of international nurses seeking only limited nursing courses for licensure.  E. Young requested the committee discuss the international MD to BSN nurse.

11. Adjournment:  The meeting was adjourned at 12:20 p.m.