a.       Kline-De Hart, Gretchen, RN40834: This item was removed from the agenda.

b.      Martin, Camelia, RN31602: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) use of controlled substance, dangerous drug or intoxicating liquor. Accepted under the Consent Agenda.

c.       Merrill, Karon, RN13782:  Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) controlled substances.  Accepted under the Consent Agenda.

d.      Mueller, Brita, RN35124: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) use of controlled substance, dangerous drug or intoxicating liquor. Accepted under the Consent Agenda.

e.       Page, Teresa, LPN12140: Voluntary Surrender of License in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct and (14) failing to comply with an order of the Board, and NAC 632.890 (35) failing to comply with a condition, limitation or restriction. Accepted under the Consent Agenda.

f.        Nelson, Susan, RN26609: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) use of controlled substance, dangerous drug or intoxicating liquor. Accepted under the Consent Agenda.

g.       Aviles, Zenaida, CNA013768:  Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (28) causing a patient harm. Accepted under the Consent Agenda.

h.       Corral, Melissa, CNA015572:  Voluntary Surrender of License/Certificate in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.890 (27) customary standards and (28) causing a patient harm. Accepted under the Consent Agenda

i.         Elias, Susan, RN39662:  Voluntary Surrender of License/Certificate in Lieu of Other Disciplinary Action for violation of NRS 632.320 (12) action in another state. Accepted under the Consent Agenda.

j.        Forsberg, Mildred, RN29264:  Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (28) causing a patient harm. Accepted under the Consent Agenda.

k.      Liffiton, Janelle, RN33984:  Agreement for Reprimand and Fine in the amount of $1,100.00 for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (36) practicing without a license. Accepted under the Consent Agenda.

l.         Little, Mary, TRN309041:  Agreement for Reprimand and Fine in the amount of $700.00 for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (36) practicing without a license. Accepted under the Consent Agenda.

m.     Martinez, Luisa, CNA001619:  Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (2) practicing beyond scope. Accepted under the Consent Agenda.

n.       Nielsen, Sandra, LPN07408:  Agreement for Fine in the amount of $200.00 for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (35) failing to comply with condition, limitation or restriction. Accepted under the Consent Agenda.

o.      O’Neil, Jimmie, LPN11591:  It was moved and seconded the Board accept the Agreement for Reprimand and Classes for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (27) customary standards and (28) causing a patient harm.  MOTION CARRIED.

p.      Read, Jane, RN36467:  Agreement for Fine in the amount of $100.00 for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (36) practicing without a license. Accepted under the Consent Agenda.

q.      Stafford, Pamela, TRN309014:  Agreement for Reprimand and fine in the amount of $500.00 for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (36) practicing without a license. Accepted under the Consent Agenda.

r.        Maltz, Steve, LPN11937:  Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (22) patient abandonment. Accepted under the Consent Agenda.

s.       Lopez, Marfe, RN36167:  Agreement for Reprimand and Classes for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.890 (6) delegation to unqualified persons and (27) customary standards. Accepted under the Consent Agenda

t.        Meyer, Nathan, LPN11908:  It was moved and seconded the Respondent complete an evaluation by the Board’s Disability Advisory Committee, and if there are no recommendations, the Board accept the Agreement for Reprimand and Classes for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (27) customary standards. MOTION CARRIED.

u.       Lund, Teresa, CNA013916:  Agreement for Reprimand and Classes for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (27) customary standards, (28) causing a patient harm and (38) professional boundaries. Accepted under the Consent Agenda.

v.       Freeman, Viviana, LPN11968:  Agreement for Reprimand and Classes for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (27) customary standards and (28) causing a patient harm. Accepted under the Consent Agenda.

w.     Heilman, Lisa, RN36249:  Voluntary Surrender of License in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (16) narcotic documentation discrepancies and (18) diversion. Accepted under the Consent Agenda.

3.      Completion of probation: 

a.       Beland, Lori, RN30382: Termination of probation accepted under the Consent Agenda.

b.      Flores, Cristeta, RN27840: Termination of probation accepted under the Consent Agenda.

c.       Wilcox, Lois, RN28393: Termination of probation accepted under the Consent Agenda.

4.      Reinstatement of licensure/certification:

a.       Hendriksen, Rebecca, TRN309397: Applicant was present. It was moved and seconded the Board accept the application for licensure and the Agreement for Probation for violation of NRS 632.320 (7) unprofessional conduct.  MOTION CARRIED.

5.      Formal administrative hearings: 

a.       Norris-Williams, Cynthia, RN22460:  Respondent was present.  It was moved and seconded the Board find the Respondent guilty for violation of one count of NRS 632.320 (14) failure to comply with an order of the Board.  It was moved and seconded the Board revoke the Respondent’s license.  Respondent may not apply for reinstatement for a period of two (2) years. It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of the hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

b.      Mercer, Kimberly, RN21141: Respondent was present. It was moved and seconded the Board find the Respondent guilty on the basis of the contents in the Stipulation of Facts and Liability.  It was moved and seconded the Board revoke the Respondent’s license. Respondent may not apply for reinstatement for a period of one (1) year based on a violation of NRS 632.320 (14) failure to comply with an order of the Board. MOTION CARRIED.

c.       Spurgion, Valencia, CNA012111: Respondent was present.  It was moved and seconded the Board find the Respondent guilty of one count of NRS 632.320 (14) failure to comply with an order of the Board.  It was moved and seconded the Board suspend the Respondent’s certificate. To remove the suspension, Respondent must have an evaluation by the Board’s Disability Advisory Committee and enroll in the Board’s drug screening program. Respondent must complete a drug screen prior to her appointment with the Disability Advisory Committee.  Any recommendations by the Disability Advisory Committee must be presented to the Board for further review and possible action. If the Committee does not have any recommendation and Respondent has met all the other criteria for removal of suspension, Respondent’s certification is to be placed on probation for a minimum of three (3) years. It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of the hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

d.      Tebault, Kesha, CNA014513: It was moved and seconded the Board find the Respondent guilty of one count of NRS 632.320 (14) failure to comply with an order of the Board.  It was moved and seconded the Board revoke the Respondent’s certificate.  Respondent may not apply for reinstatement for a period of one (1) year. It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies.  Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of the hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

e.       Branch, Amber, CNA011118: It was moved and seconded the Board find the Respondent guilty of one count of NRS 632.320 (14) failure to comply with an order of the Board.  It was moved and seconded the Board revoke the Respondent’s certificate.  Respondent may not apply for reinstatement for a period of two (2) years. It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of the hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

f.        Adams, Samuel, LPN06314:  Respondent was present.  It was moved and seconded the Board find the Respondent guilty on the basis of the contents of the Stipulation of Facts and Liability.  It was moved and seconded the Board continue the case to Friday, January 23, 2004.  It was moved and seconded the Respondent be placed on probation for forty-one (41) months for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (17) soliciting or borrowing money and (38) violation of professional boundaries.  MOTION CARRIED. 

g.       Arnold, Mary, RN07764:  It was moved and seconded the Board accept the Voluntary Surrender of License in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct. MOTION CARRIED.

h.       Bernecky, Kathleen, RN14989:  Respondent was present with counsel. It was moved and seconded the Board reject the Stipulation of Facts and Liability and Respondent be rescheduled for a hearing at the next available Board meeting in Las Vegas. MOTION CARRIED.

i.         Mondak, Tiffany, RN35725:  Respondent was present with counsel.  It was moved and seconded the Board accept the Agreement for Probation for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (9) practicing nursing while, with or without good cause, ability impaired and (27) customary standards.  MOTION CARRIED.

j.        Perkins, Pamela, RN38699:  It was moved and seconded the Board find the Respondent guilty of four counts of NRS 632. 320 (7) unprofessional conduct and NAC 632.890 (16) failing to document properly the administration of a controlled substance, and (21) obtaining, possessing a prescription drug, except as authorized.  It was moved and seconded the Board revoke Respondent’s license.  Respondent may not apply for reinstatement for a period of three (3) years.  It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of this hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

k.      Resnick, Andrea, RN41323:  Respondent was present with counsel.  It was moved and seconded the Board accept the Agreement for Probation for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (16) failing to properly document narcotics, (21) obtaining, possessing a prescription drug, except as authorized, (22) patient abandonment, and (27) customary standards.  MOTION CARRIED.

l.         Sawaya, Jo, RN07790:  Respondent was present with counsel.  It was moved and seconded the Board accept the Agreement for Probation which includes the stipulation that the license be suspended pending completion of certain requirements for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (21) obtaining, possessing a prescription drug, except as authorized and (26) failing to abide by any state or federal statute or regulation relating to the practice of nursing. MOTION CARRIED. 

m.     Schwartz-Kranich, Sharon, LPN11144:  It was moved and seconded the Board find the Respondent guilty of one count of NRS 632. 320 (7) unprofessional conduct and NAC 632.890 (22) patient abandonment. It was moved and seconded the Board revoke Respondent’s license.  Respondent may not apply for reinstatement for a period of one (1) year.  It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of this hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

n.       Svir, Catherine, LPN08277:  It was moved and seconded the Board find the Respondent guilty of one count of NRS 632. 320 (7) unprofessional conduct, (14) violation of a Board order and NAC 632.890 (16)(a) failing to document the administration of controlled substances and (27) customary standards. It was moved and seconded the Board revoke Respondent’s license. Respondent may not apply for reinstatement for a period of two (2) years.  It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies.  Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of this hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

o.      Lim, Thelma, RN27822:  This matter was continued to the May 2004 Board meeting.

p.      Valdez, Lolita, CNA011687:  It was moved and seconded the Board find the Respondent guilty of NRS 632. 320 (7) unprofessional conduct, (13) deceive, defraud or endanger a patient or the general public and NAC 632.890 (17)(a) soliciting or borrowing money from a patient and (34) misappropriating property of a patient. It was moved and seconded the Board revoke Respondent’s certificate.  Respondent may not apply for reinstatement for a period of ten (10) years. It was moved and seconded the Board order the disciplinary action become part of the Respondent's permanent record and be published and reported to all appropriate agencies.  Pursuant to NRS 632.325(1)(c), it was moved and seconded the Board charge the Respondent with the actual attorney fees and costs of this hearing, which are payable within one hundred twenty (120) days from issuance of the actual costs. MOTION CARRIED.

q.      Hughes, Joyce, CNA012722: Respondent was present. It was moved and seconded the Board find the Respondent guilty on the basis of the contents in the Stipulation of Facts and Liability.  It was moved and seconded the Board revoke the Respondent’s certificate.  Respondent may not apply for reinstatement for a period of two (2) years based on a violation of NRS 632.320 (14) failure to comply with an order of the Board. MOTION CARRIED.

6.      Board-directed investigations: 

a.       College Park Rehabilitation Nursing Services:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

b.      Healthsouth LTCA Nursing Services:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

7.      Ratification of staff denials – NRS 632.320 (1) fraudulent applications:

a.       Cromwell, Maria, TRN307299:  The Board ratified the staff denial of the application for licensure based on a violation of NRS 632.320 (1) fraudulent application, and ordered the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies.  Accepted under the Consent Agenda.

b.      Balbido, Aileen, CNA Applicant:  The Board ratified the staff denial of the application for certification based on a violation of NRS 632.320 (1) fraudulent application, and ordered the denial become part of the Respondent's permanent record and be published and reported to all appropriate agencies.  Accepted under the Consent Agenda.

c.       Garcia, Leslie, CNA Applicant:  The Board ratified the staff denial of the application for certification based on a violation of NRS 632.320 (1) fraudulent application, and ordered the denial become part of the Respondent's permanent record and be published and reported to all appropriate agencies. Accepted under the Consent Agenda.

8.      Ratification of staff denials – NRS 632.320 (2) convictions:

a.       Burroughs, Stephanie, CNA applicant:  Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

b.      Cutler, Jay, CNA applicant: Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

c.       Davis, Kelly, CNA applicant: Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

d.      White, Gary, CNA applicant:  Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

e.       Bergan, Coni, CNA applicant: Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

f.        Burgueno, Judith, LPN applicant: The Board ratified the staff denial of the application for licensure based on a violation of NRS 632.320 (2) conviction, and ordered the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies.  Accepted under the Consent Agenda.

g.       Ilano, Ronald, RN applicant: Applicant was present. It was moved and seconded the Board overturn the staff denial and accept the application for licensure.  MOTION CARRIED.

9.      Special Action:

a.       Approval of application for Aftercare/Outpatient Providers:  It was moved and seconded the Board approve Carol Schay-Viegener, RNC, LADC, as an Aftercare/Outpatient Provider.  MOTION CARRIED.

b.      Christoph, Karin, RN applicant, appeal of denial of RN licensure by examination:  Tabled for further information to the March 2004 Board meeting.

c.       Alvarado, Richard, RN32899:  It was moved and seconded the Board reinstate Respondent’s license.  MOTION CARRIED.

E.     EDUCATION

1. Discussion of CA BRN action related to Excelsior College:  Oral presentation by D. Rennie.  The California Board of Registered Nurses voted to limit licensure of Excelsior graduates.  Beginning December 6, 2003, individuals who enroll in Excelsior and seek California licensure must have previously been an LVN/LPN and have met the California requirement for clinical experiences.  Communication with Excelsior College indicates it is in the process of reviewing its political and/or legislative options related to this decision.  Board directed staff to continue to monitor the situation between Excelsior College and the California Board of Registered Nurses and to provide periodic updates.     

2. Proposed curriculum changes – CCSN:  Presentation by Lisa Kless-Kern, RN, CCSN Program Director.  It was moved and seconded the Board approve the proposed curriculum changes as presented.  MOTION CARRIED.

3. Discussion of MD to BSN education 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 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, individual nursing programs, and CGFNS.  Graduates of these programs have a slightly higher first time pass rate on NCLEX than their non-MD peers.  Florida International University has been tasked to develop an MD to ADN program for non-US trained physicians residing in that state.  Staff will continue to monitor these programs and report to the Board as appropriate.    

4. Appointment of member(s) to Education Advisory Committee:  It was moved and seconded the Board appoint Nancy Bridges, RN, CCM; Mae Cherry, MSN, RN; and Connie Carpenter, EdD, RN.  MOTION CARRIED.

5. Discussion of proposal by UCCSN regarding nursing faculty requirements:  Oral presentation by Jane Nichols, Chancellor, UCCSN.   The legislative requirement to double nursing program enrollment is also creating a need for additional nursing faculty.  Because resources are limited, creative ways must be sought to increase the number of faculty without compromising quality.  Faculty education requirements vary throughout the country.   The proposal presented included consideration of clinical faculty with a BSN degree while working towards a graduate degree in nursing.  Discussion ensued regarding other options that include faculty with a BSN and a master’s degree in a related field.  It was noted the Board’s Education Advisory Committee has been charged to review options and make recommendations specifically related to the faculty education requirements established by Nevada Administrative Code.  An open invitation was extended to the Chancellor, or her representative, to attend and participate in the committee’s discussions.

F.      NURSING PRACTICE

1. Review of proposed practice decision regarding SANE:  Oral presentation by D. Scott who reviewed the proposed Sexual Assault Nurse Examiner practice decision.  Jodi Tyson, Director of the Coalition Against Sexual Violence, expressed the support of CASV and  the Washoe County District Attorney’s office for the current draft.  The proposed decision was referred to the March 2004 Board meeting to provide an opportunity for further testimony from stakeholders in Northern Nevada.

G.    SPECIAL ACTION:  No business.

ADJOURNMENT

Meeting adjourned at 11.45 a.m. on January 23, 2004.

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