The Regular Meeting of the Nevada State Board of Nursing was called to order by President Helen Vos, MS, RN, at 9:03 a.m. on May 9, 2007, at the Clarion Hotel and Suites, 325 East Flamingo Road, Las Vegas, NV 89109.

MEMBERS PRESENT

Helen Vos, MS, RN, President

David Burgio, MS, RN, APN, Vice President (5/9-10/07)

Dorothy Perkins, CNA, Secretary

Doreen Begley, MS, RN, Member

Joseph Cortez, Consumer Member

Mary Ann Lambert, MSN, RN, Member

MEMBERS ABSENT

Betty McKay, LPN, Member

OTHERS PRESENT

Debra Scott, MSN, RN, APN, Executive Director

Chris Sansom, BSN, RN, Director of Operations

Fred Olmstead, General Counsel

Cindy Kimball, Information Officer
Dean Estes, Accountant/Technology Officer

Marianne Kadlic, Executive Assistant

Roseann Colosimo, PhD, MSN, RN, Education Consultant (5/9/07)

Kathleen Reynolds, BHS, RN, Compliance Coordinator (5/9-10/07)

Marilyn Schmit, RN, Application Coordinator (5/9/07)

Christine Guerci-Nyhus, Board Counsel (5/10-11/07)

CALL TO ORDER – 9:03 a.m.

PUBLIC COMMENT: Patricia Thorn, RN, director of nursing, Nevada State Veterans Home, described the purpose of a letter she recently sent to the Board requesting the Board consider reducing the number of employment hours required for CNA renewal. She said that the Veterans Home has a need for drivers, diet aides, and other ancillary personnel to be CNAs, as well. She added the requirement for CNAs to work 400 hours in the scope of a CNA limits the Veterans Home’s ability to be flexible enough to meet the needs of its patients within its resources. Martha Drohobyczer, RN, CNM, spoke in support of adding to the regulatory definition of “nurse midwife” the words “primary health needs of women.” She explained that the American College of Nurse Midwives has that wording in its definition, and it is important in today’s environment, where a certified nurse midwife may be the only health care practitioner many women see. It would allow certified nurse midwives to perform full examinations, then refer patients to other practitioners as needed. Terri Shoemaker, CNA, spoke in support of reducing the CNA employment hour renewal requirement from 400 hours to 40 hours. She stated that competency can be assured in many different ways in addition to working, including adapting to different settings and improving knowledge and skills through further education and training.

APPROVAL OF CONSENT AGENDA

It was moved and seconded to approve the Consent Agenda, identified as items: A.1., A.4., C.2., D.2.a.-ee., D.3.a.-b., and E.7. H. Vos recused herself on D.2.a. MOTION CARRIED.

A.     BOARD GOVERNANCE AND ADMINISTRATION

1. Approval of minutes of Regular Board meeting, March 14-15, 2007: Approved under the Consent Agenda.

2. Progress report on FY06/07 Goals and Objectives: Presentation by D. Scott. Progress related to achievement of Board goals was noted and discussed.

3. Contract ratifications: No business.

4. Financial statements quarterly report: Approved under the Consent Agenda.

5. Conference and seminar report: H. Vos, D. Scott, and D. Begley reported on their attendance at the NCSBN Mid Year Meeting, including participation in a leadership seminar by H. Vos and D. Scott, and D. Scott’s attendance at the Nurse Licensure Compact Administrators group, where she learned that only 11 out of the 23 member states have instituted criminal background checks. D. Begley discussed the presentation of proposed bylaws, an APN Committee report regarding a potential national test, and her attendance as a member of the resolutions committee. D. Scott discussed the report given by the Continued Competency Committee, of which she is a member, which is recommending a competency assessment for nurses, which would be piloted by volunteer states. H. Vos reported on her attendance at the presidents’ breakout groups.

6. Review of 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, discussion and action regarding approval of FY 07/08 Budget: D. Scott and D. Estes presented the proposed budget and responded to Board member questions. It was moved and seconded to approve the FY 07/08 Budget as written. MOTION CARRIED.

8. Legislative update: D. Scott reported on the status of various bills that may impact the Board and responded to Board member questions.

9.  Executive Director annual evaluation:  Board members, led by President H. Vos, presented the evaluation of Executive Director Debra Scott. It was moved and seconded the Board approve the evaluation and the recommendation. MOTION CARRIED. 

10.  Review, discussion and action regarding concept and wording for proposed regulation revision for NAC 632.0605: “Nurse midwife” defined: D. Scott explained that the APN Advisory Committee inadvertently did not include language regarding the primary health needs of a woman and this revision was developed to correct that oversight. H. Vos said the wording change recognizes the fact that women seek primary care from OB/GYN providers. M. Drohobyczer, APN, added that primary care is one of the core education components for certified nurse midwives. It was moved and seconded to approve the proposed concept and wording as written. MOTION CARRIED.

11.  Review, discussion and action regarding concept and wording for proposed regulation revision for NAC 632.170: Qualifications for license or certificate without examination: F. Olmstead said that the intent of the Board’s policy adopted at its March meeting regarding endorsing applicants was in conflict with the current regulation. D. Scott said that because the Board’s intent was to allow nurses who are otherwise qualified to endorse into Nevada, the proposed regulation revisions would remove an unnecessary regulatory barrier. It was moved and seconded to approve the proposed concept and wording as written. MOTION CARRIED.

12.  Review, discussion and action regarding concept and wording for proposed regulation revision for NAC 632.685: Curriculum; awarding of credits: R. Colosimo provided the background and rationale for proposed wording change. Board members requested wording that would make the language mandatory, rather than permissive. It was moved and seconded to accept the proposed concept and wording as revised. MOTION CARRIED.

13.  Review, discussion and action regarding concept and wording for proposed regulation revision for NAC 632.193 Renewal of certificate: C. Sansom presented the CNA Advisory Committee recommendation to revise the regulation to state CNAs must have eight hours of employment for compensation under the direction of a licensed nurse for renewal of a certificate during the previous twenty-four months. She informed the Board of the federal requirements stated in OBRA 1989, that a CNA must have worked during the previous twenty-four months to renew a certificate. D. Perkins stated that the 400-hour requirement was created by the Board in 1999 to support employers who were having CNA retention issues because CNAs only needed to work a few hours to meet renewal requirements. D. Perkins stated she thought 400 hours was too many, but eight hours was too few and recommended 40 hours every two years. T. Shoemaker, CNA, CNA Advisory Committee member, was present and stated she supported a reduction in the employment hour requirement. A letter from L. Hoffler, RN, CNA Advisory Committee member, supporting a reduction in the requirement was submitted on the record. It was moved and seconded the Board accept the proposed regulation revision of NAC 632.193 with the following change: 40 hours of employment as a nursing assistant. MOTION CARRIED.

14. Review, discussion and action regarding concept and wording for proposed practice decision to provide a definition of clinical experience: R. Colosimo stated that the proposed practice decision was discussed and developed with the members of the Board’s Education Advisory Committee and responded to Board member questions. H. Vos said it appeared to be written so that it allowed for innovative programs while still providing sufficient clinical practice. It was moved and seconded to accept the proposed practice decision as written. MOTION CARRIED.

15. Discussion regarding Annual Board Meeting Agenda: D. Scott offered suggestions for topics and requested Board member suggestions. M.A. Lambert requested the education consultant lead a discussion regarding approval of new education programs.

B.     LICENSURE PROGRAMS

1. Caturay, Morfina, RN applicant: Appeal of staff denial of licensure by endorsement: It was moved and seconded to ratify the staff denial of licensure by endorsement. MOTION CARRIED.

C.     CERTIFICATION PROGRAMS

1. Review, discussion and action regarding survey of Nevada Care Nursing Institute’s program change to relocate CNA training site: R. Colosimo stated that the survey results showed the Nevada Care Nursing Institute’s CNA training program was not in compliance with Nevada laws and regulations, adding that the requirement for record retention by an academic administrator had been met since the survey was done. Nevada Care Nursing Institute representatives Monica Abarro, Jay Marcelo, and Ron Gonzalez introduced themselves and responded to Board member questions regarding the deficiencies noted in the survey report. It was moved and seconded to withdraw approval of the program and recommend the program follow the recommendations of the Board’s education consultant. MOTION CARRIED.

2. Ratification of NSBN Staff survey of the Nursing Assistant Training Program—Burk Academic Preparatory Center. Approved under the Consent Agenda.

3. White, Violet, CNA001895: Appeal of renewal requirements for a lapsed certified nursing assistant certificate: It was moved and seconded the Board uphold the lapsed status of White’s certificate. MOTION CARRIED.    

D.    DISCIPLINE PROGRAMS

1. Applications (initial and renewal in question):

a.      Adapon, Edgardo TRN317966: Applicant was present. It was moved and seconded the Board deny the application for licensure for violation of  NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (11) positive drug screen as condition of employment, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

b.      Aguinaldo, Andres CNA018148: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

c.      Bussie, Erwina, CNA013917: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

d.      Cadiz, Juditha, CNA017012: Applicant was present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.193 (1) renewal requirements, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

e.      Caldwell, Keanna, CNA017355: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

f.        Cook, Kimberly, RN applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure and the Agreement for Monitoring. MOTION CARRIED.

g.      Harrington, Joleen CNA018170: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

h.      Henrie, Olivia CNA011710: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

i.        Little, Jennifer, CNA012808: Applicant was present. It was moved and seconded the Board accept the renewal application for certification and Fine the Respondent $75.00 for violation of NRS 632.320 (7) unprofessional conduct, and order the fine become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

j.        Lliguin, Mabel, CNA019355: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

k.      Madaras, Timothy, RN applicant: Applicant was present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

l.        Martinez, Juan, CNA applicant: Applicant was not present. It was moved and seconded the Board accept the application for certification. In addition, the applicant must be evaluated by the Disability Advisory Committee and follow all recommendations prior to issuance of a certificate. MOTION CARRIED.

m.    McCully, Joetta, RN35057: This item was removed from the agenda.

n.      Meldrum, Dawn, CNA019009: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

o.      Moore, Deborah, LPN applicant: This item was removed from the agenda.

p.      Newman, Tabatha, CNA011156: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

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

r.       Rhodes, Joni, LPN applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure. MOTION CARRIED.

s.       Sandoval, Rosa CNA019670: This item was removed from the agenda.

t.        Stapleton, Michelle, CNA019293: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

u.       Sheeley, Charles, RN37388, APN000662 renewal applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure and certification renewal and the Agreement for Monitoring. MOTION CARRIED. D. Burgio recused himself.

v.      Vitacco, Laura, CNA008300: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (1) fraudulent application, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

w.    Wallace, Maria, CNA010680: Applicant was not present. It was moved and seconded the Board deny the renewal application for certification for violation of NRS 632.320 (7) unprofessional conduct, NAC 632.193 (1) renewal requirements, and NAC 632.415 (1) failing to provide continuing education to the Board, and order the denial become part of the Respondent’s permanent record and be published and reported to all appropriate agencies. MOTION CARRIED.

x.      Hutchison, Tia, CNA applicant: This item was removed from the agenda.

y.      Stewart, Nida, LPN09403, RN applicant: This item was removed from the agenda.

z.       Moisa, Lorraine, CNA applicant: Applicant was not present. It was moved and seconded the Board accept the application for certification and the Agreement for Probation for violation of NRS 632.320 (2) criminal convictions and (12) action in another state. MOTION CARRIED.

aa.   Serrano, Alfredo, RN27598 renewal applicant: Applicant was present. It was moved and seconded the Board accept the renewal application for licensure and the Agreement for Monitoring. MOTION CARRIED.

bb.  Tilton, Michael, CNA014605, RN applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure and the Addendum to Agreement for Probation (non-disciplinary) pursuant to NRS 632.307. MOTION CARRIED. M.A. Lambert recused herself.

cc.   Keys, Jacqueline, RN applicant: Applicant was not present. It was moved and seconded the Board accept the application for licensure and the Agreement for Monitoring. MOTION CARRIED. M.A. Lambert recused herself.

2.      Settlement agreements:

1. Regal, Beth, RN16548: Voluntary Surrender of License in Lieu of Other Disciplinary Action by the Board for violation of NRS 632.320 (7) unprofessional conduct, (14) failing to comply, and NAC 632.890 (35) failing to comply. Accepted under the Consent Agenda.   H. Vos recused herself.

2.  Gauper, Tamara, RN32553: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) controlled substances and/or alcohol, (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

3. Larson, Christine, RN31937: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) controlled substances and/or alcohol, (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

4. Bulmer, Christin, RN48806: 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.

5. Davis, Karen, RN03235: Agreement for Reprimand and Fine in the amount of $200.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

6. Diaz, Rommel, RN29494: Agreement for Fine in the amount of $50.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

7. Douglas, Darlene, RN23419: Agreement for Reprimand and Fine in the amount of $200.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

8. Ferriera, Amy CNA016640: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (22) patient abandonment. Accepted under the Consent Agenda.

9. Frazier, Nicola, LPN12377: Voluntary Surrender of License in Lieu of Other Disciplinary Action for violation of NRS 632.320 (1) fraudulent application, (5) controlled substances and/or alcohol, and (12) action in another state, and NAC 632.890 (16) failing to properly document controlled substances, and (27) customary standards of practice. Accepted under the Consent Agenda.

10. Kline, Nina, CNA applicant: Agreement for Probation for violation of NRS 632.320 (2) criminal conviction, and (5) controlled substances and/or alcohol. Accepted under the Consent Agenda.

11. Yrojo, Maria, RN50897: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (16) failing to properly document controlled substances, and (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

12. Martinez, Danielle, LPN03291: Agreement for Reprimand, Fine in the amount of $200.00, and Continuing Education  for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

13. Menasche, Kathleen, RN10683, APN00237: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (27) customary standards of practice. Accepted under the Consent Agenda.

14. Meza, Esther CNA009917: Agreement for Fine in the amount of $50.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

15. Petras, Lorna, CNA008107: Agreement for Reprimand, Fine  in the amount of $50.00, and Continuing Education for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

16. Sonnenberg, Amelia, LPN10268: Agreement for Fine in the amount of $300.00 for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (36) practicing without an active license. Accepted under the Consent Agenda.

17. Thornell, Jacqueline, LPN11998: Agreement for Reprimand and Fine in the amount of $200.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

18. Toscano, Badraketc, CNA015212: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (34) misappropriating property of a resident. Accepted under the Consent Agenda.

19. Turner, Jeanette, RN38986: Agreement for Fine in the amount of $300.00 for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (36) practicing without an active license. Accepted under the Consent Agenda.

20. Yerger, Linda, RN16660: 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.

21. Kimball, Paul, RN1995: Contract for Temporary Voluntary Surrender of License for violation of NRS 632.320 (5) controlled substances and/or alcohol, (7) unprofessional conduct, and NAC 632.890 (18) diversion of equipment or drugs. Accepted under the Consent Agenda.

22. Lee, Robin, CNA020009: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (27) customary standards of practice, and (28) causing harm to a patient. Accepted under the Consent Agenda.

23. Fuselier, Vyvyan, CNA017074: Voluntary Surrender of Certificate in Lieu of Other Disciplinary Action for violation of NRS 632.320 (1) fraudulent application, and (7) unprofessional conduct. Accepted under the Consent Agenda.

24. Partington, Valarie, RN17701: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (27) customary standards of practice, and (28) causing harm to a patient. Accepted under the Consent Agenda.

25. Swiger, Dana, CNA020880: Voluntary Surrender of Certificate in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (22) patient abandonment. Accepted under the Consent Agenda.

26. Linse, Valerie, RN38389: Agreement for Reprimand, Fine in the amount of $200.00, and Continuing Education  for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

27. Delano, Candace, RN46117: Agreement for Fine in the amount of $50.00 for violation of NRS 632.320 (1) fraudulent application. Accepted under the Consent Agenda.

28. Warner, Cathy RN20036: Agreement for Monitoring for violation NRS 632.320 (5) controlled substances and/or alcohol, (7) unprofessional conduct, and NAC 632.890 (9) impaired practice, and (27) customary standards. Accepted under the Consent Agenda.

29. Trevino, Janice Arlene, CNA020932: Voluntary Surrender of Certificate in Lieu of Other Disciplinary Action by the Board for violation of NRS 632.320 (5) controlled substances and/or alcohol, (7) unprofessional conduct, and NAC 632.890 (10) positive drug screen on duty. Accepted under the Consent Agenda.

30. Mandello, Shelly, RN12698: Agreement for Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (27) customary standards of practice, and (28) causing harm to a patient. Accepted under the Consent Agenda.

31. McDaniel, Michele, RN17055: Agreement for Suspension and Probation for violation of NRS 632.320 (5) controlled substances, (7) unprofessional conduct, and NAC 632.890 (18) diversion of drugs. Accepted under the Consent Agenda.

3. Completion of probation:

a.      Matha, Leona, RN26051: Termination of Probation accepted under the Consent Agenda.

b.      Green, Lorrie, RN21156: Termination of Probation accepted under the Consent Agenda.

4. Reinstatement of licensure/certification:

a.       Kovarik, Lisa, RN25326: Applicant was not present. It was moved and seconded the Board accept the reinstatement application for licensure and the Agreement for Probation for violation of NRS 632.320 (5) uses any controlled substances, dangerous drugs or intoxicating liquor, (7)unprofessional conduct, and NAC 632.890 (27) customary standards. MOTION CARRIED.

5. Formal administrative hearings:

a.      Bryant, Yvette, LPN11375: Respondent was present. It was moved and seconded the Board accept the Agreement for Extending Probation with Public Reprimand for violation of NRS 632.320 (7) unprofessional conduct and, NAC 632.890 (35) failing to comply with Board order. MOTION CARRIED.

b.      Cardona, Phyllis, RN22636: 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 (16) failing to properly document controlled substances. MOTION CARRIED.

c.      Cason, Wanda, CNA019556: 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 (11) positive drug screen as a condition of employment. MOTION CARRIED.

d.      Claus, Doreen, RN35604: 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 (22) patient abandonment. It was moved and seconded the Board reprimand the Respondent and order her to take and successfully complete a legal ethics in nursing course within six months. 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.

e.      Dickerson, Shelby, RN49439: Respondent was not present. It was moved and seconded the Board close this case. MOTION CARRIED.

f.        Ericson, Karen, CNA017950: Respondent was not present. It was moved and seconded the Board accept the Voluntary Surrender of Certificate in Lieu of Other Disciplinary Action for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (27) customary standards and (28) causing harm to a patient. MOTION CARRIED.

g.      Fredrick, Diane, RN13653: Respondent was not 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 (35) failing to comply. MOTION CARRIED.

h.      Humphrey, Edna, CNA003127: 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 (14) failing to comply with Board order. It was moved and seconded the Board suspend the Respondent’s certificate for a minimum of six months, and that documentation of successful completion of the course previously ordered be received by the Board prior to lifting the suspension. 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.

i.        Jackson, Esther, LPN12345: Respondent was present. It was moved and seconded the Board find the Respondent innocent and close the case. MOTION CARRIED.

j.        Kneeland, Lorine, RN11827: Respondent was not present. It was moved and seconded the Board close this case. MOTION CARRIED

k.      Lang, Terri, RN53207: Respondent was present. It was moved and seconded the Board find the respondent guilty for violations of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (16) failing to properly document controlled substances based on the facts stipulated to on the record. It was moved and seconded the Board reprimand the respondent and order her to complete a chemical dependency evaluation, and an evaluation by the Disability Advisory Committee within 30 days and follow all recommendations. 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.

l.        McCarthy, John, RN28457: Respondent was present with counsel. It was moved and seconded the Board close this case. MOTION CARRIED

m.    O’Neal, Wilbur, CNA018114: 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 (10) positive drug screen on duty. It was moved and seconded the Board revoke the Respondent’s certificate. Respondent may not apply for reinstatement for a period of 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.      Reams, Kathrin, RN46755: Respondent was not present. It was moved and seconded the Board close this case. MOTION CARRIED.

o.      Reyes, Maria, RN30145: Respondent was not present. It was moved and seconded the Board continue this item to the next Board meeting currently scheduled for July 2007. MOTION CARRIED.

p.      Sibulo, Lemuel, RN36176: Counsel was present on behalf of Respondent. 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 (23) exploitation of a patient and (38) professional boundaries. MOTION CARRIED.

q.      Whitfield, Wilhelmina, LPN12933: 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 (2) practicing beyond scope. It was moved and seconded the Board revoke the Respondent’s license. Respondent may not apply for reinstatement for a period of two 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.

r.       Wilder, Tammy, CNA013019: Respondent was present. It was moved and seconded the Board accept the Agreement for Extending Probation with Public Reprimand for violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (35) failing to comply with Board order. MOTION CARRIED.

s.       Williams, Aisha, LPN13067: Respondent was present. It was moved and seconded the Board find the Respondent guilty of a violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (35) failing to comply with Board order. It was moved and seconded that the Board revoke the 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. MOTION CARRIED.

t.        Kreyling, Carrie, RN38610: Respondent was present. It was moved and seconded the Board find the Respondent guilty of a violation of NRS 632.320 (7) unprofessional conduct, and NAC 632.890 (35) failing to comply with Board order. It was moved and seconded that the Respondent’s current Agreement for Monitoring be extended an additional six (6) months and that Respondent be publicly 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.

u.      West, Connie, RN18462: 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.

6. Board-directed investigations:

1. Coram Healthcare Corporation of Nevada Nursing Services: It was moved and seconded the Board direct staff to investigate. MOTION CARRIED.
2. West Hills Hospital 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 application:

1. Grice, Steven, RN applicant: Applicant appealed the staff denial but was not present. It was moved and seconded the Board ratify the staff denial of the application for licensure 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. MOTION CARRIED.

2. Hall, Geraldine, CNA applicant: This item was removed from the agenda.

3. Roig, Adrianna, CNA applicant: Applicant appealed the staff denial but was not present. 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 have no material changes, Board staff may accept the application for further processing. MOTION CARRIED.

4. Monte, Monique, CNA applicant: Applicant appealed the staff denial but was not present. 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, if the applicant reapplies she must meet with Board staff or the Disability Advisory Committee prior to her application being presented to the Board for disposition. MOTION CARRIED.

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

1. Allen, Lisa, CNA applicant: Applicant appealed the staff denial but was not present. It was moved and seconded the Board overturn the staff denial and accept the application for certification. MOTION CARRIED.

2. Anderson, Comfort, RN43519: Applicant was present to appeal the staff denial. It was moved and seconded the Board overturn the staff denial and accept the application for licensure renewal. MOTION CARRIED.

3. Campbell, Ekila, 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.

4. Huff, Carmen, 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.

5. Johnston, Ruth, RN 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 licensure. MOTION CARRIED.

6. Reed, Vickie, 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 (2) criminal convictions, (5) controlled substance and/or alcohol, and (12) previous action against certificate and order the denial become part of the applicant’s permanent record and be reported to all appropriate agencies. MOTION CARRIED.

7. Leydecker, Barry, RN 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 licensure. MOTION CARRIED.

9. Special Action

1. Hosseini, Magda: Respondent was not present. It was moved and seconded the Board uphold Citation #196 and direct staff to send a letter of concern to Ms. Hosseini regarding language that still remains on the company website. MOTION CARRIED.

2. Review, discussion and action regarding application for the Disability Advisory Committee: It was moved and seconded that Judith Slaney, RN, LADAC, be reappointed to the Disability Advisory Committee. MOTION CARRIED.

E.     EDUCATION

1. Review, discussion and action regarding National University’s application to establish a nursing education program: Nancy Saks, a National University representative, described the history of the National University system, including the formation of its nursing program, which began in 1996 with an RN-BSN program and the later establishment of a prelicensure program in California. She described the components, format, and curriculum of the proposed Nevada nursing program. H. Vos asked if the items noted as lacking in an April 2007 report by the Board’s education consultant had been addressed. N. Saks replied that the program was prepared to supply the information at the time of the site visit. D. Scott clarified that the lacking items were required prior to the site visit and that this requirement was clearly stated in the application packet and via verbal discussions between Board staff and National University representatives, including N. Saks. F. Olmstead discussed the need for all programs to meet Nevada laws and regulations. It was moved and seconded to deny National University’s application to establish a nursing education program. MOTION CARRIED.

2. Review, discussion and action regarding Central College’s application to establish a nursing education program. This item was removed from the agenda.

3. Review, discussion and action regarding the provisional approval status of Nevada State College: Nevada State College (NSC) representatives Connie Carpenter, EdD, RN, dean; Shirlee Snyder, associate dean; and Fred Maryanski, president; reviewed the history, recent progress, and statistical information regarding the NSC nursing program. C. Carpenter stated that since its inception, the program has admitted 11 classes at an extremely accelerated rate, and with no permanent facilities. She reviewed the information provided in NSC’s 6-month report, including program strengths and weaknesses, and discussed the NCLEX first-time pass rates and steps the college has taken to raise the rates to the required 80 percent annual level. She said those steps include the use of ATI testing and required remediation of students who do not pass the ATI. S. Snyder described the steps faculty members have taken, including curriculum changes which began in January 2007, the requirement for faculty to take the NCSBN NCLEX writing course, and increased admission standards (effective in the Fall 2007). C. Carpenter, S. Snyder, and F. Maryanski responded to Board member questions and concerns. M.A. Lambert said she would like to see the program stop growing to give it time to stabilize, succeed, and meet the Board requirements for full approval. F. Maryanski said NSC is committed to supporting the nursing program and would like to admit the students it currently turns away, but appreciates the need to stabilize, and has no plans to grow its student enrollment in the near future. It was moved and seconded to begin the provisional approval extension for the NSC nursing program on July 1, 2007. MOTION CARRIED.

4. Discussion regarding 6-month progress report for Touro University School of Nursing: Rhoberta Jones Haley, PhD, RN, FNP, director of Touro University Nevada School of Nursing, reported the school just received CCNE accreditation for both its BSN and MSN programs, and that the current enrollment is 52 students. She reviewed the school’s progress since its last report and responded to Board member questions.

5. Discussion regarding 6-month progress report for University of Southern Nevada School of Nursing: Mable Smith, PhD, JD, RN, dean, said that USN will be graduating its first class of students in October 2007, with 26 graduates. She described USN’s accelerated program and ongoing evaluations conducted by USN, and responded to Board member questions.

6. Discussion regarding 6-month progress report for Apollo College Department of Nursing: Apollo College Department of Nursing representatives Dina Faucher, Sue Clarren, and Tamra Carley introduced themselves. S. Clarren stated that the program just completed its first semester, with all 16 students passing their classes. She added that the program admitted 16 more students and responded to Board member questions.

7. Ratification of curriculum revision for Idaho Alliance of Leaders in Nursing refresher course:  Approved under the Consent Agenda.

8. Review, discussion and action regarding Western Nevada Community College’s proposed curriculum changes: Judith Cordia, EdD, RN, WNCC director of nursing and allied health, described the changes WNCC has proposed, which were heard and recommended for Board approval by the Board’s Education Advisory Committee. They include provisions to require students to take introductory courses in both sociology and psychology, requiring students out of education for two or more years to take the National League of Nursing examination and demonstrate clinical knowledge, and adding an intravenous therapy course for LPNs to come into compliance with what is currently allowed in regulation. It was moved and seconded to approve Western Nevada Community College’s proposed curriculum changes. MOTION CARRIED.

9. Review, discussion and action regarding applications for the Education Advisory Committee: It was moved and seconded to appoint Steve Arthur, student nurse, and Dianne Sullivan, BSN, RN, to the Education Advisory Committee. MOTION CARRIED.

F.      NURSING PRACTICE:

1. Review, discussion and action regarding application for the Nursing Practice Advisory Committee: It was moved and seconded to appoint Diane Smith, RN, to the Nursing Practice Advisory Committee. MOTION CARRIED.

2. Review, discussion and action regarding applications for the APN Advisory Committee. It was moved and seconded to reappoint George Cox, CRNA, RN, to the APN Advisory Committee. MOTION CARRIED. It was moved and seconded to appoint Rhigel (Jay) Tan, MSN, RN, APN, to the APN Advisory Committee. MOTION CARRIED.

ADJOURNMENT

Meeting adjourned at 9:50 a.m. on May 11, 2007.