Minutes of Annual Business Meeting
July 13-15, 2005
are FINAL minutes ratified by the Board
Regular Meeting of the Nevada State Board of Nursing was called to order by
President, Patty Shutt, LPN, at 9:00 a.m. on July 13, 2005, at the Holiday Inn
Express, 55 Commercial Way, Fallon, NV 89406.
Shutt, LPN, President
Ann Lambert, MSN, RN, Vice President
Vos, MSN, RN, Secretary
Begley, MS, RN, Member
Burgio, MS, RN, APN, Member
Perkins, CNA, Member
Cortez, Consumer Member
Scott, MS, RN, Executive Director
Sansom, RN, Director of Operations
Olmstead, General Counsel
Kimball, Information Officer (7/13/05 & 7/14/05)
Buck, BSN, RN, Application Coordinator (7/14/05)
Estes, Accountant/Technology Officer (7/13/05 & 7/14/05)
Reynolds, Probation Coordinator (7/14/05)
Culp, Sunshine Reporting, CCR343 (7/13/05)
Lee Brown, Sunshine Litigation, CCR486 (7/14/05)
TO ORDER – 9:00 a.m.
COMMENT: There was no public comment.
OF CONSENT AGENDA
was moved and seconded to approve the Consent Agenda, identified as items: A.1,
2, A.4-6, 21.a, c, d, B.1, E.1 and F.1. MOTION CARRIED.
BOARD GOVERNANCE AND ADMINISTRATION
Approval of minutes of Board Meeting, May 18-20, 2005. Accepted under the
approval of authorization of executive director to act as Board agent for
subpoenas) and authority to accept voluntary surrender of
licenses/certificates, and as spokesperson for actions with other community
groups or the media and in other routine business functions. Accepted under
the Consent Agenda.
of Code of Ethics, Board member roles and responsibilities, and Board
function list: The Board
members made suggestions for revisions. F. Olmstead will check the Code of
Federal Regulation to make sure the Board’s suggested language conforms to
current regulations. It was
moved and seconded the Board accept the suggested revisions as discussed.
adoption of Non-Discrimination Policy: Accepted under the Consent Agenda.
ratifications: Contract for database maintenance and upgrades with The
McFarlane Group: Accepted under the Consent Agenda.
of the Board of Nursing Mission Statement: Accepted under the Consent
Words from the
Board President: P. Shutt expressed her appreciation for being
elected to serve as Board President. She described the role of Board
president as a major commitment, both time-consuming and rewarding. She
discussed the importance of working closely with the executive director and
participating in the National Council of State Boards of Nursing meetings
and programs, especially those that help define the roles of president and
executive director. She discussed how the role of the Board was to set
policy and the role of the staff is to carry out that policy.
legislative liaison-Fred Hillerby: This item was continued until the
September 2005 meeting.
review FY 04/05 financial statement: D. Estes presented a preliminary review
of the FY 04/05 financial statement, noting it did not include information
from June 2005. D. Estes responded to Board member questions.
report on FY 04/05 Goals and Objectives: D. Scott reviewed the final
progress report and responded to the Board member questions.
discussion and action on Board’s long-term goals: D. Scott opened the
discussion of the Board’s long-term goals by discussing organizational
changes and future plans. P.
Shutt led the discussion regarding each of the long-term goals set by the
Board. The Board suggested
revisions. It was moved and
seconded the Board accept the suggested revisions as discussed.
statistics and trends: Presentations
by C. Sansom, R. Buck, and K. Reynolds.
A review of fiscal year 2004/2005 information was provided related to
scope of practice questions, Practice (Discipline), Licensure and
Certification, and Compliance. The
Board receives an average of approximately 90 scope of practice questions a
month, two thirds of which are from registered nurses.
Disciplinary statistics indicate that approximately 25% of licensed
nurse complaints and 18% of nursing assistant complaints received by the
Board result in formal disciplinary action. Fraudulent applications and applications with “Yes”
answers remain fairly consistent with previous fiscal year numbers.
The numbers of active nurses and nursing assistants in the Board’s
probation and monitoring programs have increased.
for Nonprofit Governing Boards: P. Shutt led the discussion and the Board
discussed each item of self-assessment considering all responses and
on navigating the NSBN website: C.
Kimball gave the Board members a brief overview of navigating the Board’s
discussion and action regarding Travel policy and procedure: D. Scott
introduced the agenda item. D. Estes reviewed the Board Salary and Travel
Reimbursement Policy, explaining that it is based upon Nevada Revised
Statutes and the State Administrative Manual. D. Estes responded to Board
Council State Boards of Nursing Direction to delegates for Delegate Assembly
2005: Presented by D. Scott.
The primary delegates are D. Scott and M.A. Lambert.
The alternates are D. Begley and P. Shutt.
Discussion ensued regarding the National Council of State Boards of
Nursing section on delegation.
action regarding a hearing officer: P.
Shutt discussed commitment of Board members regarding attendance at lengthy
hearings or alternative of having a hearing officer. F. Olmstead described
the different ways a hearing officer could be used, from hiring a hearing
officer to hear one case or all cases, from delegating little authority to
great authority. Board members discussed the issue and considered
alternatives and agreed to continue discussion of this issue in the future.
discussion and action regarding Board member officer election policy: D.
Scott reviewed the policy and the Board members discussed it. The Board
members suggested revising the policy to include a call for nominations from
the floor and to change the dates of elections to September Board meeting.
The revisions would change the term to begin November 1st each
year, to reflect the time the Board member serves and to allow for
president-elect to learn from the current president.
It was moved and seconded the Board accept the suggested revisions as
discussed. MOTION CARRIED.
Institute of Nursing Excellence: This
item was removed from the agenda.
discussion and action regarding employee evaluations revision: D. Estes
presented a proposal revising the current evaluation and salary increase
process. D. Scott described
philosophy behind revisions and responded to Board member questions. It was
moved and seconded the Board accept the proposal as presented.
approval of Board policy and procedure manuals:
a. General Polices and
Procedures: Accepted under the Consent Agenda.
b. Employee Handbook: This
item was continued until the September 2005 meeting.
c. Disability Advisory
Committee: Accepted under the Consent Agenda.
d. Board Resource Manual: Accepted
under the Consent Agenda.
adoption of NCLEX passing scores as determined by National Council as the
official competency examination for licensure: Accepted under the Consent
Thomson Prometric testing: Removed from the agenda.
Board directed complaints: C. Sansom presented statistics to the Board
regarding the outcome of Board directed investigations for fiscal year
discussion and action regarding proposed revision of Yes Answer Policy: R.
Buck presented information regarding the proposed revision of policy and
procedure. It was moved and
seconded the Board approve the Yes Answer Policy as revised.
discussion and action regarding revision of practicing without a license
policy: C. Sansom presented information regarding the proposed revision of
the policy and procedure. It
was moved and seconded the Board accept the Practicing Without a Current
License/Certificate Policy with revisions as stated on the record.
Peterson, Theresa, CNA016616: Respondent was not present. It was moved and seconded the Board grant a continuance of
this matter to a future Board meeting. MOTION
Makatz, Terri, application for temporary RN Refresher License:
Makoutz, Terri, Temporary RN Refresher License applicant:
Applicant was not present. It
was moved and seconded the Board grant a Temporary RN Refresher License. MOTION
Counsel presentation on disciplinary, and hearing processes: F. Olmstead
described disciplinary and hearing process and responded to Board member
of federal and state criminal history background check process:
F. Olmstead gave presentation of federal and state criminal history
background check process.
Annual Board approval of recognized accrediting bodies. This item was
continued until the September 2005 meeting.
Review, discussion and action
regarding annual adoption of Board practice decisions. Accepted under the
adjourned at 9:12 a.m. on July 15, 2005.