The Regular Meeting of the Nevada State Board of Nursing was called to order by President Helen Vos, MSN, RN, at 9:00 a.m. on January 25, 2006, at the Palace Station Hotel & Casino, Grand Ballroom-2^nd floor, 2411 West Sahara Avenue, Las Vegas, NV 89102.

MEMBERS PRESENT

Helen Vos, MSN, RN, President

David Burgio, MS, RN, APN, Vice President

Doreen Begley, MS, RN, Member

Joseph Cortez, Consumer Member

Mary Ann Lambert, MSN, RN, Member

Betty McKay, LPN Member

MEMBERS ABSENT

Dorothy Perkins, CNA, Secretary

OTHERS PRESENT

Debra Scott, MS, RN, Executive Director

Chris Sansom, RN, Director of Operations

Fred Olmstead, General Counsel

Cindy Kimball, Information Officer

Dean Estes, Accountant/Technology Officer

Donna Cowling, MSN, RN, Education Consultant (1/25-26/06)

Kathleen Reynolds, BHS, RN, Compliance Coordinator (1/25-26/06)

Christine Guerci, Board Counsel (1/26-27/06)

Robert Buck, BSN, RN, Application Coordinator (1/25/06)

CALL TO ORDER – 9:00 a.m.

PUBLIC COMMENT: Martha Drohobyczer, MSN, RN, APN, CNM, stated that in her role as a member of the Nevada Nurses Association’s Special Practice Group/Advanced Practitioners of Nursing (SPG/APN), she was informing the Board of her group’s intent to go forward with a request that the 2007 Nevada Legislature pass a bill granting independent practice to APNs. She cited 40 years of safe APN practice and the need for greater patient access to health care services as two major reasons to support such legislation.

Sharon Akes-Cave, MSN, RN, BC, nursing education coordinator for Pima Medical Institute in Las Vegas, described Pima’s plans to request future Board approval to establish a nursing education program in Las Vegas.

APPROVAL OF CONSENT AGENDA

It was moved and seconded to approve the Consent Agenda, identified as items: A.1-2, C.1, D.2.a-j, D.2.l, D.3.a-b, D.7.b-c, and D.8.b, F.3.a. MOTION CARRIED.

A.     BOARD GOVERNANCE AND ADMINISTRATION

1. Approval of minutes of Board meeting, November 16, 2005: Approved under the Consent Agenda.

2. Approval of minutes of Board meeting, November 16-18, 2005: Approved under the Consent Agenda.

3. Contract ratifications: No business.

4. Conference and seminar report: D. Scott reviewed the topics discussed at the January 2006 National Council of State Boards of Nursing Institute of Regulatory Excellence seminar, which included continued competence and evidence-based practice. J. Cortez reported on his attendance at the Citizen Advocacy Center annual meeting.

5. Progress report on FY 05/06 Goals and Objectives: Presentation by D. Scott. Progress related to achievement of Board goals by staff was noted and discussed.

6. Review statistics and trends: C. Sansom presented information on Board statistics and trends, including types of scope of practice inquiries received during the previous two months.

7. Review quarterly financial statements: D. Estes and D. Scott presented the Board’s quarterly financial statements and responded to Board member questions.

8. Advisory committee liaison assignments: It was moved and seconded to approve the following advisory committee liaison assignments: Advanced Practice Advisory Committee—David Burgio; CNA Advisory Committee—Dorothy Perkins; Disability Advisory Committee—Doreen Begley; Education Advisory Committee—Mary Ann Lambert; and Nursing Practice Advisory Committee—Betty McKay. MOTION CARRIED.

9. Review, discussion and action regarding concept and wording for proposed regulation revisions for:

a.       NAC 632.500    Authorized functions: It was moved and seconded to accept the concept, with the wording to be revised by the Advanced Practice Advisory Committee per the Board’s discussion. MOTION CARRIED.

b.      NAC 632.530    Certificate of recognition:  Issuance; restrictions: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

c.       NAC 632.540    Certificate of recognition:  Expiration; renewal: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

d.      NAC 632.545    Certificate of recognition:  Expiration due to lapse in practice: It was moved and seconded to accept the concept and wording with the following changes: delete the word “substantial” and delete the term “lapse in practice” and refer to the definition of minimum practice in sections 2-5. MOTION CARRIED.

e.       NAC 632.550    Certificate of recognition:  Revocation, suspension or denial of issuance or renewal: It was moved and seconded to accept the concept, with the wording to be revised by the Advanced Practice Advisory Committee per the Board’s discussion. MOTION CARRIED.

f.        NAC 632.260     Qualifications for certificate of recognition; practice by student: This item was removed from the agenda.

g.       NAC 632.255     Scope of practice: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

h.       NAC 632.2555   Requirements for protocol: It was moved and seconded to accept the concept, with the wording to be revised by the Advanced Practice Advisory Committee per the Board’s discussion. MOTION CARRIED.

i.         NAC 632.256     Records: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

j.        NAC 632.259     Controlled substances, poisons, dangerous drugs or devices that may be prescribed; review and revision of list of drugs:  It was moved and seconded to accept the concept and wording with the following changes: this regulation should be considered as part of NAC 632.255. MOTION CARRIED.

k.      NAC 632.290     Certificate of recognition:  Expiration; renewal; reinstatement: This item was removed from the agenda.

l.         NAC 632.291     Certificate of recognition:  Requirements for renewal; issuance of temporary certificate: This item was removed from the agenda.

m.     NAC 632.293    Application to renew practice after period of inactivity or infrequent activity: This item was removed from the agenda.

n.       NAC 632.926 (j) Actions by board; surrender of license: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

o.      NAC 632.059    “Immediate supervision” defined: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

p.      NAC 632.450    Procedures delegable to licensed practical nurses: It was moved and seconded to accept the concept and wording as written. MOTION CARRIED.

10. Review, discussion and action regarding FY ’06 Budget Revision: D. Estes reviewed the budget revision, explaining that it reflected the approved salary plan for compression, as well as personnel changes. It was moved and seconded to approve the FY ’06 Budget Revision. MOTION CARRIED.

11. Update on the Criminal History Background Check Pilot Program Steering Committee and possible action regarding the Electronic Fingerprinting Rebate Plan: D. Scott presented background information and a request to submit a proposal letter to apply for a grant to purchase “LiveScan” equipment. D. Estes discussed equipment options and the budget revision that would be required to cover expenses not provided by the grant. D. Estes and D. Scott responded to Board member questions. Board members directed staff to apply for an equipment grant for both the Reno and Las Vegas Board offices.

B.     LICENSURE PROGRAMS

1.      Review, discussion and action regarding the 2007 NCLEX Test Plan: D. Cowling gave historical background, described current proposed changes, and responded to Board member questions. It was moved and seconded to submit the comments as written to NCSBN 2007 NCLEX Test Plan. MOTION CARRIED.

C.     CERTIFICATION PROGRAMS

1.      Ratification of NSBN Staff Survey of the Nursing Assistant Training Program—Manor Care, Reno: Approved under the Consent Agenda.

D.    DISCIPLINE PROGRAMS

1.      Applications (initial and renewal in question):

a.    Fee, Cindy, RN34514 renewal applicant: Applicant was not present. It was moved and seconded the Board deny the application for licensure for violation of NRS 632.320 (12) action in another state, and order the denial become part of the applicant’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

b.   Removed

c.    Castle, Brian, RN applicant:  Applicant was present. It was moved and seconded the Board accept the application for licensure and order the applicant be placed on probation for minimum of two (2) years for violation of NRS 632.320 (2) criminal convictions.  MOTION CARRIED.

d.   Jackson, Tiffany, RN applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

e.    Chico, Silvia, CNA015136 renewal applicant: Applicant was present. It was moved and seconded the Board accept the application for certification. MOTION CARRIED

f.     Wilkes, Jennifer, RN44469 renewal applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure. Applicant must complete an evaluation by the Disability Advisory Committee and follow any recommendations. MOTION CARRIED.   

g.    Gilmore, Charles, RN applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure. Applicant must complete a pre-approved nursing practice ethics course within six (6) months of the issuance of his license. MOTION CARRIED.

h.    West, Kenneth, LPN11263 renewal applicant:  Applicant was present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

i.      Borgers, Christiane, LPN applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure and place monitoring restrictions on the applicant’s license for minimum of two (2) years pursuant to NRS 632.307.  MOTION CARRIED.

j.     Removed

k.   Stone, Hileman, CNA applicant: Applicant was present. It was moved and seconded the Board accept the application for certification. MOTION CARRIED.

l.      Fields, Kiasha, CNA applicant:  Applicant was present. It was moved and seconded the Board accept the application for certification. MOTION CARRIED.

m.  Jordan, Marcella, CNA applicant: Applicant was present. It was moved and seconded the Board accept the application for certification. MOTION CARRIED.

n.    Ebert, June, RN11904 renewal applicant: Applicant was not present. It was moved and seconded the Board deny the application for licensure for violation of NRS 632.320 (12) action in another state, and order the denial become part of the applicant’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED. 

o.   Lilyquist, Brian, RN applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

p.   Hall, Lori, RN applicant:  Applicant was not present. It was moved and seconded the Board accept the application for licensure and Agreement for Probation for violation of NRS 632.320 (2) criminal conviction and (12) action in another state.  MOTION CARRIED.

q.   Lather, Elizabeth, RN applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

r.     Barnes, Devon, LPN11930 renewal applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure. Applicant must immediately submit documentation of compliance with his child support order.  MOTION CARRIED.

s.    Removed

t.     Crawford, Colleen, RN applicant:  Applicant was not present. It was moved and seconded the Board accept the application for licensure and Agreement for Probation for violation of NRS 632.320 (2) criminal conviction.  MOTION CARRIED.

u.    Removed

v.    Collins, Stephanie, CNA applicant: Applicant was present. It was moved and seconded the Board accept the application for certification. MOTION CARRIED.

w.  Thomas, Angela, RN applicant:  Applicant was present. It was moved and seconded the Board accept the application for licensure. Prior to the issuance of license, applicant must provide documentation that she paid full restitution for her 1998 criminal conviction.  Applicant must reapply if her application lapses.  MOTION CARRIED.

2.      Settlement agreements:

a.     Roberson, Tish, LPN9584: Contract for Voluntary Surrender in Lieu of Other Disciplinary Action by the Board pursuant to NRS 632.320 (7) unprofessional conduct, (14) failing to comply with Board order and NAC 632.890 (35) failing to comply. Accepted under the Consent Agenda.

b.   Stabins, Joan, LPN11997: Agreement for Monitoring for violation NRS 632.320 (5) controlled substances and/or alcohol (7) unprofessional conduct and (14) violation of an order of the Board and NAC 632.890 (18) diversion of equipment or drugs.  Accepted under the Consent Agenda.

c.    Beard, Heather, LPN12506: Agreement for Fine in the amount of $200.00 for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (36) practicing without active license/certificate. Accepted under the Consent Agenda.

d.   Fedrizzi, Kristen, RN39194: Agreement for Reprimand for violation of NRS 632.320 (13) deceive, defraud the general public. Accepted under the Consent Agenda.

e.    Murakami, Yvette, LPN11375: Agreement for Probation for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (11) positive drug screen as condition of employment. Accepted under the Consent Agenda.

f.     Turner, Lori, RN17502: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (2) practicing beyond scope and (27) customary standards of practice. Accepted under the Consent Agenda.

g.    Fannerella, Kathryn, RN26712: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

h.    Pullman, Chandra, RN24018: Contract for Temporary Voluntary Surrender of License pursuant to NRS 632.320 (5) controlled substances and/or alcohol and (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

i.      McRae, Starla, RN50022: Contract for Temporary Voluntary Surrender of License pursuant to NRS 632.320 (5) controlled substances and/or alcohol. Accepted under the Consent Agenda.

j.     Hoffman, Sharon, RN39966: Contract for Temporary Voluntary Surrender of License pursuant to NRS 632.320 (7) unprofessional conduct and (11) falsified information to obtain controlled substances, and NAC 632.890 (21) obtain, possess, and furnish prescription drugs without authorization. Accepted under the Consent Agenda.

k.   Carroll, Mike, CNA017343:  Respondent was not present. 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 (27) customary standards and (38) professional boundaries.  MOTION CARRIED.

l.      Dallas, William, RN45080: Contract for Temporary Voluntary Surrender of License pursuant to NRS 632.320 (5) controlled substances and/or alcohol and (7) unprofessional conduct, and NAC 632.890 (11) positive drug screen as condition of employment. Accepted under the Consent Agenda.

3.      Completion of probation:

a.    Lewis, Sally, RN29667: Termination of Probation accepted under the Consent Agenda.

b.   Phillips, Catrina CNA006199: Termination of Probation accepted under the Consent Agenda.

4.      Reinstatement of licensure/certification:

a.     Removed

b.   Olsen, Ann, RN16572: Applicant was not present. It was moved and seconded the Board accept the reinstatement application and Agreement for Probation for violation of NRS 632.320 (7) unprofessional conduct and NAC 632.890 (9) impaired practice.  MOTION CARRIED.

5.      Formal administrative hearings:

a.    Mueller Brita, RN35124:  This item was removed from agenda.

b.   Roberson, Angel, RN41983:  Respondent was not present. Pursuant to NAC 632.923 it was moved and seconded the Board find the Respondent guilty on the basis of the contents of the Stipulation of Facts and Liability received into evidence for violation of NRS 632.320 (14) failing to comply with Board order. It was moved and seconded the Board order the Respondent be publicly reprimanded and placed on probation for a period of five (5) 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.  MOTION CARRIED.

c.     Archer, Dustin, RN45106:  Respondent was present.  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 (11) positive drug screen as condition of employment.  MOTION CARRIED.

d.   Duncan, Shari, CNA015956:  This item was removed from the agenda.

e.    Garciano, Mercy, RN47156:  Respondent was present.  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, and NAC 632.890  (30) failing to fulfill chief nurse duties. MOTION CARRIED.

f.     Heard, Jamal, CNA015809:  Respondent was not present.  Pursuant to NAC 632.923, it was moved and seconded the Board find the allegations of the complaint to be true, and find the Respondent guilty of violating NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (11) positive drug screen as condition of employment and (27) customary standards. 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.  MOTION CARRIED.

g.    Miller, Dina, LPN12498:  Respondent was not present. Pursuant to NAC 632.923, it was moved and seconded the Board find the allegations of the complaint to be true, and find the Respondent guilty of violating NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (16) failing to properly document controlled substances and (20) inaccurate recording, falsifying. 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.  MOTION CARRIED.

h.    Overson, Nancy, LPN04825:  Respondent was not present.  It was moved and seconded the Board accept the Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (2) practicing beyond scope. MOTION CARRIED

i.      Pizzoferrato, Susan, LPN09119:  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 received into evidence for violation of NRS 632.320 (1) fraudulent application.  It was moved and seconded the Board order the Respondent be reprimanded.  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.  MOTION CARRIED.

j.     Talley, Anitta, LPN12716:  Respondent was not present. Pursuant to NAC 632.923, it was moved and seconded the Board find the allegations of the complaint to be true, and find the Respondent guilty of violating NRS 632.320 (5) controlled substances and/or alcohol and (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. 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.  MOTION CARRIED.

k.   Yu, Roselyn, RN36198:  Respondent was present with counsel.  It was moved and seconded the Board grant a continuance of this matter to the March 2006 meeting in Reno.  MOTION CARRIED.

l.      Camacho, Lena, LPN11138: Respondent was not present. Pursuant to NAC 632.923 it was moved and seconded the Board find the Respondent guilty on the basis of the contents of the Stipulation of Facts and Liability received into evidence for violation of NRS 632.320 (14) failing to comply with Board order. 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.  MOTION CARRIED.

m.  Abel, Leslie, RN44988: Respondent was not present.  Pursuant to NAC 632.923 it was moved and seconded the Board find the allegations of the complaint to be true, and find the Respondent guilty of NRS 632.320 (14) failing to comply with Board order.  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.  MOTION CARRIED.

n.    Resnick, Andrea, RN41323: Respondent was present with counsel.  It was moved and seconded the Board find the Respondent guilty of NRS 632.320 (14) failing to comply with Board order, and NAC 632.890 (35) failing to comply.  It was moved and seconded the Board order the Respondent be placed on probation for a period of five (5) 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 622.400 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 days (120) from issuance of the actual costs.  MOTION CARRIED.

o.   Cilley, Eric, RN41221: Respondent was present.  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 (14) failing to comply with Board order.  MOTION CARRIED.

p.   Whitney, Shirley, RN25107:  Respondent was present with counsel.  It was moved and seconded the Board find the Respondent guilty of violating NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (11) positive drug screen as condition of employment.  It was moved and seconded the Board order the Respondent be reprimanded and complete a Board-approved course on legal ethics in nursing within one 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 622.400 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.

6.      Board-directed investigations:

a.    Chestnutt, Cheryl, RN35943:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

b.   Cowell, Melanie, RN47240:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

c.    Feeback, Shirley, RN33226:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

d.   Hendricksen, Judith, RN09104:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

e.    Laxamana, Maria, RN24872:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

f.     Cambay-Tupas, Evangeline, RN33345:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

g.    Villanueva, Maria Evelyn, RN39029:  It was moved and seconded the Board direct staff to investigate.  MOTION CARRIED.

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

a.    Valdez, Randy, CNA applicant: Applicant was present to appeal the staff denial. It was moved and seconded the Board ratify the staff denial of the application for certification for violation of NRS 632.320 (1) fraudulent application, and order the denial become part of the applicant’s permanent record and be reported to all appropriate agencies.  In addition, should the applicant reapply within the next 30 days and the application has no material changes, Board staff may accept the application for further processing.  MOTION CARRIED.

b.   Sagrado, Ricardo, RN applicant: Applicant was not present. The Board ratified the staff denial of the application for certification for violation of NRS 632.320 (1) fraudulent application, and ordered the denial become part of the applicant’s permanent record and be published and reported to all appropriate agencies.  Accepted under the Consent Agenda.

c.    McConkey, David, LPN applicant:  Applicant was not present. The Board ratified the staff denial of the application for certification for violation of NRS 632.320 (1) fraudulent application, and ordered the denial become part of the applicant’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.    John, Raynette, CNA applicant: Applicant was present to appeal the staff denial. It was moved and seconded the Board overturn the staff denial and accept the application for certification.  MOTION CARRIED.

b.   Legans, Lisa, RN applicant: Applicant was not present. The Board ratified the staff denial of the application for certification for violation of NRS 632.320 (2) criminal conviction, and ordered the denial become part of the applicant’s permanent record and be published and reported to all appropriate agencies.  Accepted under the Consent Agenda

9.      Special Action:

a.  Romero, Gerald, RN44745:  Respondent was present.  It was moved and seconded the Board grant the request for reconsideration.  MOTION CARRIED.

E.     EDUCATION

1. Review, discussion and action regarding the site visit for American Scientific Institute and review of the complete, revised application packet: This item was removed from the agenda.

2. Review, discussion and action regarding Nevada State College Nursing Program 6-month report: D. Cowling presented an overview and history of the Board’s provisional approval of the Nevada State College (NSC) Nursing Program. Connie Carpenter, EdD, RN, director of the NSC Nursing Program, gave a 6-month report on the status of the program, including the number of students who have graduated, their NCLEX scores, and steps taken to improve the NCLEX scores. Dr. Carpenter responded to Board member questions regarding recruitment and retention of faculty, admission requirements, and clinical sites. It was moved and seconded to grant continuing provisional approval to the Nevada State College Nursing Program. MOTION CARRIED.

3. Review, discussion and action regarding Southern Utah University Department of Nursing request to utilize clinical placement in Nevada medical facility: D. Cowling presented a brief overview of the request. Dr. Karla Dalley, RN, described the Southern Utah University Department of Nursing’s education program and explained that the request to place students in a Nevada medical facility would utilize clinical space only on nights and weekends. Board members expressed concern that if the request was granted without the program undergoing the Board’s nursing education approval process, there was no way to monitor whether the Southern Utah University Department of Nursing was restricting its student clinical placements in Nevada medical facilities to nights and weekends. It was moved and seconded to deny the Southern Utah University Department of Nursing request to utilize clinical placement in Nevada medical facility. MOTION CARRIED.

4. Review, discussion and action regarding applications for the Education Advisory Committee: It was moved and seconded to appoint Lisa Black, MS, RN, as the Nevada Nurses Association representative to the Education Advisory Committee. MOTION CARRIED.

F.      NURSING PRACTICE

1. Review, discussion and action regarding applications for the Advanced Practice Advisory Committee: It was moved and seconded to reappoint Patricia Brown, MSN, RN, APN, to the Advanced Practice Advisory Committee. MOTION CARRIED.

2. Review, discussion and action regarding LPNs giving rectal medication in the school setting: D. Scott described the research and discussion that led to this recommendation by the Nursing Practice Advisory Committee. B. McKay stated as an LPN who works in the school setting, she believed the recommendation would increase access to nursing care without compromising patient safety. It was moved and seconded to revise the School Nurse Advisory Opinion Delegation Grid to allow LPNs to administer rectal medication in the school setting. MOTION CARRIED.

3. Applications in question regarding NRS 632.307:

a.   Swanson, Ingrid, RN32477 renewal applicant. Applicant was not present. The Board accepted the application for licensure and issued a license with limitations pursuant to NRS 632.307.  Accepted under the Consent Agenda.

4. Review, discussion and action regarding the Apprentice Nurse Skills List: D. Scott explained that the RN and LPN Apprentice Nurse Skills Lists had been combined and reformatted for greater clarity and ease of use. It was moved and seconded to accept the reformatting of the Apprentice Nurse Skills List. MOTION CARRIED.

ADJOURNMENT

Meeting adjourned at 9:09 a.m. on January 27, 2006.