September 2008 Nursing Heritage - Epubs.nsla.nv.gov

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WHAT WE NEED TO CONSIDER IN PLANNING A REDESIGN OF NURSING EDUCATIONNevada State Board ofSeptember 2008NursingHeritageAmong theNSBN StaffCan you guessthe identityof these nurses?Annual Statistics ofCE Audit OutcomesHow Can You Bearto Be a Nurse?The Board WillHave the HearingWithout You. . .CASE STUDIES

Learn with the Leaders!TOURO UNIVERSITY NEVADASCHOOL OF NURSINGIn response to the growing need for professional nurses, TouroUniversity Nevada School of Nursing, located in Henderson, offersa variety of nursing degrees; a generic baccalaureate degree, an RNto BSN, MSN for RN’s with BA or BS degrees in nursing or relatedfields, a prelicensure program culminating in a MSN, and theDoctor of Nursing Practice for RN’s with a BS or MS in nursing.Touro University Nevada, a Jewish-sponsored non-profit institution,was the first private university to open a School of Nursing inNevada. The SON is the first to offer the Doctor of NursingPractice or an Entry-Level Master’s degree in the state. In fact,Touro is the only university in Nevada that offers either degree!Touro University Nevada School of Nursing — A leader in nursingeducation in Nevada.

8contentsThe mission of the NevadaState Board of Nursing is toprotect the public’s health,safety and welfare througheffective regulation of nursing.Message from Board MemberDoreen BegleyDebra Scott, MSN, RN, APN, FREExecutive Director5011 Meadowood Mall Way,Suite 300Reno, NV sWords from the Executive DirectorDebra Scott12Annual Statistics of CE Audit OutcomesNSBN President, Helen Vos,Recognized as “Healthcare Hero”The Nevada State Board ofNursing News publishes newsand information quarterly aboutBoard actions, regulations, andactivities. Articles may be reprintedwithout permission; attribution isappreciated.NCSBN Inducts Fellows of the NCSBNRegulatory Excellence InstituteThe Board will have the hearing without you. . .How Can You Bear to Be a Nurse?CONTACT15Case Studies on Violations ofThe Nevada Nurse Practice ActNEVADA STATE BOARDOF NURSING5011 Meadowood Mall Way,Suite 300Reno, NV rsingboard@nsbn.state.nv.us2500 W. Sahara Ave., Suite 207Las Vegas, NV rsingboard@nsbn.state.nv.usMeet the Staff — Amy ClarkWhat We Need to Consider in Planninga Redesign of Nursing Education4781111121518212321Bo a r d a n d Ad v i s o r y Co mmi t t e e Me e t i n g sYo u ’r e In Go o d Co mpa n yNu r s e Pr a ct i ce ActWORLD WIDE WEBUs e We b s i t e To Ve r i fy Act i v e Li ce n s e /Ce r t i fi ca t ewww.nursingboard.state.nv.usDo n ’t Su b mi t A Fr a u d u le n t Appli ca t i o n !Ha v e n ’t Pr a ct i ce d Fo r Fi v e Ye a r s ?The Board extends a big THANKTo ll-Fr e e Co n s u me r Ho t Li n eYOU to our advertisers. BecauseBu t I Do n ’t Ev e n Ha v e a Chi ld !of your support, we are able toprovide this magazine at nocost to every Nevada licenseeand certificate holder.23Bo a r d Me mb e r sCha n g e o f Ad d r e s s Fo r mDi s ci pli n a r y Act i o n sSt a ff Di r e ct o r yFor Advertising information contactJane Saunders atVoice/Fax: 267.295.1889email: southerndevelop2@aol.com101010131420222425262730Ci r cu la t i o n i n clu d e s mo r e t ha n 34,000 n u r s e s ,n u rs in g a s s is t a n t s a n d s t u d e n t n u rs e s .Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s3

Message fr o m Bo a r dMe mb e r Do r e e n Be g le yTHIS HAS BEEN the best year of my38-year nursing career. But for those ofyou who know me, I have said thateach and every year since becoming anurse. But, to date, this has been thebest year of my 38-year nursing career and I have had some pretty great years!I started in San Francisco, in 1970,after graduating from Los AngelesCounty General Hospital School ofNursing. I worked at San FranciscoGeneral Hospital (SFGH) in the “trauma” ICU and in what was called “TheMission” (their emergency department)for six years. Don Trunkey, the veryfamous trauma surgeon, was doing hisresidency there at the time. AIDS hadnot yet been determined to be a diseaseand we referred to the condition asGRIDS—Gay Related ImmuneDeficiency Syndrome. While the workwas hard, it was always rewardingknowing that we were actively playing arole in defining quality patient care. Iremained at SFGH until I moved toSquaw Valley in 1976.I loved working at Tahoe ForestHospital, skiing in the winter andenjoying Tahoe summers. While there,a long time colleague of mine, KarenMeskimen, RN, MSN, and I submitteda request for a Certificate of Need toestablish an Intensive Care Unit. Ittook us as long to get our CoN forTruckee as it did for an entire hospitalto be built in Incline Village, but wepersevered, and today the ICU is thriving.I then moved to Hawaii, where Iworked from 1981-1985 at Maui4Memorial Hospital (another lovelyplace to be a nurse) and had an oceanfront condo. These were truly very goodyears. My colleague, Jeannie Muldoon,RN and I became CPR instructors andbegan teaching CPR to hotel employeesin Kaanapali. Given the geography andsmall size of the island, we were able totrack the number of “saves” by our former students. It was my first experiencewith collecting outcome data. . .hard,but rewarding work.I came to Reno in 1985, where myfamily had chosen to settle. I met andmarried Brent, my husband of twentyhappy years. Over that period, I workedat Sparks Family Hospital (nowNorthern Nevada Medical Center) andWashoe Medical Center (now RenownMedical Center) in their emergencydepartments. While working full time, Iwas able to obtain my BS and MSdegrees in Health Administration. Ithen became the first nurse executivefor the Nevada Hospital Associationand, after two legislative sessions, 2001and 2003, assisted in obtaining fundingto allow Nevada’s nursing schools todouble their enrollment to addressNevada’s severe nursing shortage. . .veryhard, but very rewarding work.In 2003, I accepted my current position as the administrator for the UNROrvis Nursing Clinic. Over the pastfive years, we have gone from seeingless than 1,000 patients a year to seeingover 6,500 annually and have established ourselves as a respected “safetynet” health care provider for the community. It is pure pleasure working inan advanced nurse practitioner clinicproviding vulnerable populations withaffordable, quality health care in a dignified and healing environment.My nursing career has deep roots incaring for underserved populations andI have always been a very strong advocate for both my patients and for mynursing colleagues. I share my employment odyssey with you so you canunderstand that I have had some amazing experiences throughout my nursingcareer and I really do mean that thishas been the best year yet.You may ask what has happened tomake this particular year so special? Iam currently serving the fourth year ofmy first appointment to the NevadaState Board of Nursing. These past fouryears have been a wonderful challengeand have significantly broadened myknowledge of nursing regulation. I havefound that my extensive clinical background has been an asset in decisionmaking when hearing cases that comebefore the Board. Decisions have beenthoughtful and I feel I have made productive contributions. I have alwaysbeen a tremendous patient advocate,and in these past four years, I havefound that while protecting the publicby ensuring safe nursing practice, I havealso found ways to advocate for mynursing colleagues.Last year, realizing that my four-yearterm was possibly coming to an end, Iran for and was elected to a one-yearterm for the board position of Directorat Large for the National Council ofState Boards of Nursing (NCSBN). If INevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s

Nevada StateBoard ofNURSINGNEWSweren’t appointed to another four-yearterm on the NSBN, I wanted to besure that I was able to experience allaspects of nursing regulation to learnand contribute to the regulatoryprocess. As Director at Large, I wasthe board liaison to the NCSBNAdvanced Practice Committee,charged with developing The APRNModel of Regulation based upon theLACE model: Licensing,Accreditation, Credentialing, andEducation. The integration of all fourof these concepts in one documenthas been challenging and an endproduct is in sight. . .very, very hard,but rewarding work.I believe that if you are not a partof the solution, you are a part of theproblem. Being able to participate inthe nursing process on local, state,national, and international levelsgives me a global perspective ofnursing issues. I feel very much apart of the solution. One personalhighlight this year was meetingPatricia Benner, PhD, author ofFrom Novice to Expert. Spending aquality afternoon with her and theNCSBN Board discussing futurenursing education and regulatoryissues was very special.There are many unknowns in life,but in Nevada nursing, there isalways one “known”—the NursePractice Act (NPA). I have developed a very healthy respect for all ofthe information that is contained inthat little blue book (or for those ofyou so inclined, it is also locatedonline at the NSBN website).Serving on the Board offers incredible opportunities to have uniquenursing experiences. I have been constantly amazed at the issues thatcause nurses to be brought before theboard. Not a meeting goes by that Iam not totally surprised and/orimpressed by the nurses’ responses tothe Board’s questions. Through all ofthe surprises, through all of theunknowns, the Board makes the mostthoughtful decisions guided by theNurse Practice Act.None of this work is accomplishedin a vacuum. I would like to thank theentire staff of the Nevada State Boardof Nursing for the quality work theydo on a daily basis. I would also like tothank the staff at the Orvis NursingClinic, Margaret Durand, RN, APN,Carole Shochat, LPN, Susan McFeely,LPN, and Ginger Washington, AAII,for supporting me. Without their consistent and dedicated work, I would notbe able to do all that I have done the very hard, but rewarding work. Asnurses, you all know what the hardpart is; when I say rewarding, I meandoing the work I like and liking thework I do.I believe that my work in nursingregulation is not over. I will be reapplying for a second term and hopeto be re-appointed. I won’t know if Iwill be continuing on the NSBNuntil the Governor announces hisappointments in October, so this maybe my farewell to you all. I havemuch more to share and the energyto do so. And, unfortunately, theanswer to this unknown can’t befound in the Nurse Practice Act.Only time will tell. But whatever isdecided about my serving anotherterm, being the administrator of theOrvis Nursing Clinic, serving on theNevada State Board of Nursing, andserving as the Director at Large forthe National Council of State Boardsof Nursing have made this the bestyear of my 38-year nursing career.WHAT WE NEED TO CONSIDER INPLANNING A REDESIGN OF NURSING EDUCATIONNevada State Boar d ofSeptember 2008NursingHeritageAmong theNSBN StaffCan you guessthe identityof these nurses?Annual Statistics ofCE Audit OutcomesHow Can You Bearto Be a Nurse?The Board WillHave the HearingWithout You. . .CASE STUDIESMagazineScheduleADVERTISING(COPY) DEADLINESPUBLISHING DATEAD DEADLINENovember 25 .November 1February 25.February 1May 25 .May 1August 25 .August 1For advertising informationcontact Jane Saunders .comNevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s5

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Words fr o m t heExe cu t i v e Di r e ct o rOur fiscal year has come to an end asof June 30, 2008. . .and I would like totake this opportunity to thank many, ifnot all, of you for your commitment andinvestment in helping the Nevada StateBoard of Nursing fulfill our mission ofprotecting the health, safety and welfareof the citizens of Nevada. Each of youhave contributed to our being able workevery day as patient advocates.You submit a fee on initial application of 100 and another 100 everytwo years to maintain active licensure inNevada as a licensed professional nurse,a licensed practical nurse, or 50 for certification as a certified nursing assistant.Recognition as an advanced practitionerof nursing or certified registered nurseanesthetist costs you another 200 oninitial application and 200 every twoyears for renewal of your certificate.The sum of the fees we collect from youand from others who utilize our servicesmake up the lion’s share of our annualbudget. The NSBN approves an annualbudget and we are bound to stay withinthat budget. Again, this year we havebeen able to meet the revenue forecastfor fiscal year 2007-2008, and have keptour expenses within budgetary limits.So, these words are dedicated to allwho have been partners in our endeavors this year, for your financial investment, but mostly for your investment oftime, knowledge, wisdom, and emotional resources.First, I thank the seven members ofthe NSBN for your support and integrityin the many decisions you have made.Some of you will be leaving us this year,which saddens me. I will miss each ofyou and hope that your experience onthe Board has been as rewarding as having you as part of the Board has been forme. The three newer Board membershave begun to experience the challengesand opportunities that are the foundation working with the Board. I appreciate their new perspectives as I appreci-Debra Scott, MSN, RN, APN, FREate the more seasoned Board members’wisdom and historical knowledge gainedfrom the numerous and varied meetingsand interactions we have had duringyour time with us. Thank you.Secondly, I thank the NSBN staffwho come to work everyday with theenergy and enthusiasm needed to do thisimportant work. I appreciate your hardwork and commitment to our missionand to always doing the right thing.Additionally, I thank all of you whohave given of your time, your knowledge, and your resources to serve on thevarious advisory committees for theBoard. I appreciate those of you whohave applied, but have not yet beenappointed. Your continued interestshows the dedication that nurses andcertified nursing assistants have in contributing to the work of the Board.Thank you to those of you who haveidentified potential misconduct in yourcolleagues and have had enough courageand commitment to patient safety toreport those incidents for further investigation by the Board. Thank you forbeing knowledgeable of your responsibility to report and your follow through onyour concerns. Thank you for trustingyour regulatory board to do an objective,unbiased investigation of the incidentand to provide due process to the nursein question. Thank you for your feedback on how we may improve thisimportant aspect of our work.Thank you to those of you who havehad complaints filed against your practice, for working with our investigatorsin gathering information to discern thefacts of the incident, and in trusting usto resolve the case always rememberingour mission for patient safety. I join youin your feelings of how difficult it is tohave a pending investigation and also inthe joy you feel when the case is closed.Thank you to those of you who haveinvited me and my staff into your facilities, nursing programs, organizations, orassociations to share information aboutour work at the Board and the NursePractice Act. It is our pleasure to giveyou tools to improve your awareness ofthe regulatory issues surrounding ourprofession. In educating you, our jobbecomes easier in that you become theemissaries of the law.Thank you to the many stakeholderswe work with on a daily basis. Seekingto provide a regulatory environmentbased on integrity, fairness, and transparency keeps us cognizant of the valueof individual nurses, our profession, andthe community we serve. We are dailyreminded that nursing is a balance of artand science that impacts all who sharein our experiences.Thank you for allowing me to knowand work closely with you all. Let’scontinue to appreciate ourselves andeach other for our similarities, our differences, and our common goals.Sincerely,Debra Scott, MSN, RN, APN, FREExecutive DirectorNevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s7

BOARD REPORTSAnnual Statistics of CE AuditIn June 2007, the Board’s executive director reported inthis publication that there was a disturbing trend beingobserved regarding violations of continuing education audits.One year later, the Board is able to provide actual statistics,and echo Debra Scott’s previous statement. “Signing an official document and swearing that renewal requirements havebeen met while knowing that is not true is an intentional violation of the Nurse Practice Act—the law. What does thissay about a nurse’s practice? Can we assume a nurse lacksaccountability for her practice when she swears to an untruthon her renewal application?”As nurses, can we applaud the 64% of us who successfullycompleted our audit when 20% of our profession is in violation? The numbers for CNAs are even more dismal with 40%of those audited violating the law. Licensure and certificationis a privilege that is granted upon successful completion ofrequirements outlined in the Nurse Practice Act. Whetheryou personally agree or disagree with continuing education asa reliable competency requirement to renew your license orcertificate, you knew there were laws that governed your practice when you entered nursing and you agreed to abide bythose laws upon receiving licensure or certification.Renewal RequirementsYou May Be Audited For:in the previous 24 months (keep CE certificates for 4 yearsfrom the date of completion). Practice as a licensed nurse within the past 5 years.Licensed Nurses (RN/LPN):Advanced Practitioners of Nursing (APN): A one-time state mandated 4 hour continuing educationbioterrorism course (keep your certificate indefinitely) A one-time state mandated 4 continuing education bioterrorism course (keep your certificate indefinitely) A total of 30 hours of nursing related continuing education A total of 45 hours of nursing-related continuing educationNurse — 157 CE Audit Complaint Outcomes July 1, 2007 Through June 20, 200816%20%64%Disciplinary ActionClosedPendingTotal Audited Fiscal Year: 652Successfully Completed: 489Complaints Generated: 1578Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s

Outcomesin the previous 24 months—30 hours to renew the RNlicense and 15 additional hours in the APN specialty area(keep CE certificates for 4 years from date of completion). At least 800 hours of APN practice in the last five years. Your collaborative agreement must be current. If you havechanged physicians since the last renewal, you must submita copy of your new collaborative agreement.Certified Nursing Assistants (CNA): A total of 24 continuing education hours within the scopeof practice of a CNA in the previous 24 months (keep CEcertificates for 4 years from the date of completion). As of April 17, 2008, 40 hours of employment as a nursingassistant under the direct supervision of a licensed registerednurse or licensed practical nurse during the two years immediately preceding the date of the renewal of the certificate. If you are audited for a time period prior to April 17, 2008,you will be required to submit proof of 400 hours of employment as a CNA under the direct supervision of a licensedregistered nurse or licensed practical nurse during the twoyears immediately preceding the date of the renewal periodbeing audited.Providers of Continuing Education: Nevada employers who have a continuing education providernumber issued by the Board of Nursing must keep a record ofall continuing education courses offered and a list of attendeesfor 4 years and provide the information upon request. Continuing education providers are subject to audit by theBoard. The requirements of an approved continuing educationprovider are listed on the Board’s website.In comparison to many violations of law that come beforethe Board of Nursing, violations concerning a CE audit is notamong the most egregious acts. However, it wounds all of us inthe profession when the most basic values of integrity, honestyand accountability are called into question. Visit the Board’swebsite for more information regarding continuing education,or call Board staff with any questions.CNA — 58 CE Audit Complaint Outcomes July 1, 2007 Through June 20, 200822%38%Disciplinary ActionClosedPending40%Total Audited Fiscal Year: 240Successfully Completed: 182Complaints Generated: 58Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s9

BOARD MEETINGSMEETINGS AND OPENINGSA seven-member board appointedby the governor, the Nevada StateBoard of Nursing consists of fourregistered nurses, one practicalnurse, one certified nursingassistant and one consumermember. Its meetings are opento the public; agendas are postedon the Board’s web site and atcommunity sites.The openings (listed in parentheses)will occur in the next six months. Allmeetings will be held via videoconference in Reno and Las Vegas.BOARD MEETING DATESAd v a n ce d Pr a ct i ce Ad v i s o r yCo mmi t t e e (n o n e )November 4, 2008CNA Ad v i s o r y Co mmi t t e e (t w o )November 4, 2008Di s a b i li t y Ad v i s o r yCo mmi t t e e (n o n e )October 24, 2008 - RenoSe pt e mb e r 17-19, 2008 - La sVe g a sEd u ca t i o n Ad v i s o r y Co mmi t t e e (t w o )No v e mb e r 19-21, 2008 – Re n oNu r s i n g Pr a ct i ce Ad v i s o r yCo mmi t t e e (t w o )Ja n u a r y 14-16, 2009 – La s Ve g a sADVISORY COMMITTEESThe Nevada State Board ofNursing is advised by andappoints members to five standing advisory committees.Committee meetings are opento the public; agendas areposted on the Board’s websiteand at community sites. If youare interested in applying forappointment to fill an upcomingopening, please visit the Board’swebsite or call the Reno officefor an application.October 27, 2008October 24, 2008December 9, 2008YOU’RE IN GOODCOMPANYAct i v e Ne v a d ali ce n s e s /ce r t i fi ca t e so n Ju ly 30, 2008RN 25,021LPN 3,163CNA 6,334BOARD TALKCOME TALK TO THE BOARDDuring each regularly scheduled meeting of the Nevada State Board of Nursing,Board members hold a Public Comment period for people to talk to them onnursing-related issues.If you want to speak during the Public Comment period, just check the meetingagenda for the date and time it will be held. Usually, the Board president opensthe first day of the meeting by inviting Public Comment. Time is divided equallyamong those who wish to speak. For more detailed information regarding thePublic Comment period, please call the Board.WE’LL COME TALK TO YOUBoard staff will come speak to your organization on a range of nursing-related topics, including delegation, the impaired nurse, licensure and discipline processes,and the Nurse Practice Act.10DO YOU HAVEA QUESTION?If you have questions regardingnursing practice, the first place tolook is inside your Nurse PracticeAct. If after reading it, you stillhave questions, call the Board. Ifit is an issue that needs furtherdefinition, you may request theBoard issue a practice decision.The Board will then ask its NursingAdvisory Practice Committee toresearch the issue and make arecommendation.FOR MORE ANSWERS—GET INTO THE ACTThe Nevada Nurse Practice Act is a5-1/2” by 8-1/2” booklet. It’s just 5 if you buy it at the Reno or LasVegas office, and 8 by mail (makecheck or money order payable tothe Nevada State Board ofNursing).THE ACT IS ON THE WEBThe Board’s websitewww.nursingboard.state.nv.us hasa link to the state laws (NRS), regulations (NAC), and practice decisions which make up the NursePractice Act. It also contains a separate section on practice information, including guidelines for determining scope of practice.LEARN ABOUT THE ACTAND EARN TWO CEsTake the Nurse Practice Act(Nevada) continuing educationcourse at www.learningext.com. Foronly 12, you will learn about therole of the Board and your legalresponsibilities as a nurse or CNA,and earn two contact hours of continuing education.Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s

Ne v a d a Bu s i n e s s Jo u r n a l and Anthem Blue Cross and BlueShield recognizes NSBN President, Helen Vos, HealthcareHero, Administrator, Southern Nevada, for 2008Each year twenty individuaccomplishments during herals are honored from acrossnursing career, including coNevada. The individuals areauthoring the book entitled,first nominated by their peers“Neuroscience Critical Care:throughout the state andPathophysiology and Patientthen selected by a panel ofManagement.” She isjudges who are knowledgeextremely proud of her conable in the healthcare field.tribution through this referIn addition to sponsoring thisence book that was publishedrecognition program,in 1990.Healthcare Heroes has aIn the future, PresidentHealthcare Hero and BoardPresident Helen Vos, MS, RNcharitable goal. All proceedsVos has the goal of leadingfrom the Healthcare Heroes events areMountainView Hospital toward becomdonated to nursing education programsing a nurse magnet facility as recognizedin Nevada in the form of scholarships.by the American Nurses CredentialingBoard President, Helen Vos has beenCenter. No Nevada hospitals currentlyhave this designation.honored as one of the 2008 HealthcareShe is quoted, “I believe that everyHeroes. She has many noteworthyVo s w o r k s a t Mo u n t a i n Vi e wnurse or other patient care provider is ahero to the patients they care for. Eachand every day heroic moments are experienced by patients in every hospital. Iget to see the evidence of thesemoments every day in the letters we getfrom patients thanking particular nursesor other staff members for big and smallefforts. Sometimes it is the smallestseemingly simple gestures that mean themost to an ill person or their familymembers. My commitment is to seethat these thank yous get shared withthe staff.”The Nevada State Board of Nursinghonors Helen Vos for her service and contribution to the community and the nursesof Nevada. Congratulations, Helen.Ho s pi t a l a s t he chi e f n u r s i n g o ffi ce r .National Council of State Boards of Nursing (NCSBN)inducted its second group of Fellows of the NCSBN RegulatoryExcellence Institute on Aug. 6, 2008, during the NCSBN AnnualMeeting and Delegate Assembly held in Nashville, TennesseeFRE after their names in recognition of their accomplishment.The Institute of Regulatory Excellence (IRE) began in 2004with the purpose of providing boards of nursing with high qualityThe 2008 class of fellows are:regulatory education, expanding the body of knowledge related toKathy D. Chastain, MN, RN, FRE, practice consultant, Northregulation through research and scholarly work, developing theCarolina Board of Nursing (not pictured)capacity of regulators to become expert leaders, and developing aDebra Scott, MSN, RN, APN, FRE, executive director, Nevadanetwork of regulators who collaborate to improve regulatory pracState Board of Nursingtices and outcomes. The IRE is a series of educational conferencesMary Kay Habgood, PhD, MSN, RN, FRE, board member,held annually with the following topics rotated on a four-yearFlorida Board of Nursing (not pictured)cycle: Public Protection/Role Development of Nursing Regulators,Emmaline T. Woodson, MS, RN, FRE, deputy director,Discipline, Competency and Evaluation/Remediation Strategies,Maryland Board of Nursingand Organizational Structure/Behavior.The IRE Fellowship Program is a four-year comprehensive eduAnthony R. Jusevitch, BA, FRE, program operations administrator, Florida Board of Nursingcational and professional development program designed for current or former regulators who want to enhance their knowledge ofLinda Young, MS, RN, FRE, nursing practice specialist, Southand leadership in nursing regulation.Dakota Board of NursingThe program includes experiences inThe National Council of State Boardsanalyzing issues involving public policyof Nursing, Inc. (NCSBN) is a not-forand regulation, strategic planning,profit organization whose membershippatient safety and communication. Itcomprises the boards of nursing in thealso requires the application of evi50 states, the District of Columbia anddence-based concepts in decision-makfour U.S. territories.ing and leadership.Mission: The National Council ofIndividuals who complete theState Boards of Nursing (NCSBN),Fellowship Program requirements arecomposed of Member Boards, providescalled a Fellow of the NCSBNleadership to advance regulatory excelRegulatory Excellence Institute (FRE) Other IRE inductees and Faith Fields, President of the NCSBN.lence for public protection.and are entitled to use the initials(From left, D. Scott, A. Jusevitch, F. Fields, L. Young, E. Woodson)Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w . n u r s i n g b o a r d . s t a t e . n v . u s11

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Touro University Nevada School of Nursing — A leader in nursing education in Nevada. TOURO UNIVERSITY NEVADA SCHOOL OF NURSING. Nevada State Board of Nursing l Toll-Free 1-888-590-6726 l w w w.nursingboard.state.nv.us 3 contents 12 8 Bo a rd a n d Ad viso ry Co mmitte e Me e tin g s 10