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The FloridaBoard of NursingJune 2020 Conference CallAgendaJune 3-5, 2020Meet Me #:888-585-9008Participation Code:Cred A – 275-112-502Cred B – 188-722-142Full Board – 275-112-502Deborah McKeen, CD-LPN, BSChairKathryn LDiana Forst, BA, RNVice ChairJoe Baker, Jr.Executive DirectorVersion V
Florida Board of Nursing Meeting DraftAgenda June 3-5, 2020Participants in these public meetings should be aware that these proceedings arebeing recorded and that an audio file of the meetings will be posted to the board'swebsite.Board Members:Deborah McKeen, CD-LPN, BS – ChairDiana Forst BA, RN – Vice ChairKathryn L. Whitson, MSN, RNJody Bryant Newman, EdD, EdS ConsumerLori Desmond, MSN, RN, NE-BCDerrick C. Glymph, DNAP, CRNA, APRN, COL, AN, USARHeather Baumwald, ConsumerFrancine Paschall, MBA, DNP, RN, CENPMary Julie Talmadge, DNP, APRNVacant, LPNVacant, LPNVacant, ConsumerVacant, EducatorAttorneys:Deborah Loucks, Senior Assistant Attorney GeneralJohn Fricke, Assistant Attorney GeneralMatthew Witters, Chief Legal CounselAnn Prescott, Assistant General CounselJudson Searcy, Assistant General CounselBoard Staff:Joe Baker, Jr., Executive DirectorMelissa Passett, Program Operations AdministratorNicole Benson, Program Operations AdministratorSherri Sutton-Johnson, DrPH, MSN, RN, CCHW, Director of Nursing EducationAngela Falls, BSN, RN, Nursing Education ConsultantZoё McCook, Regulatory Specialist IIICourt Reporter (Full Board only):For The Record – (850) 222-54912 Page
Wednesday @ 2:00 PMEducation and Credentials “B” CommitteeRequired AppearancesCNA Exemption ApplicantsNon-Compliance with Section 464.019, FS, Approval of Nursing Education ProgramsNon-Compliance with Section 464.019(3), FS and 464.019(5)(b), FS, Failure to Submit 2019 Annual ReportsNon-Compliance with Section 464.019(11), FS, Accreditation RequirementNon-Compliance with Rule 64B9-8.003(4), FAC, Failure to Comply with Request for Data by the Florida Center for NursingNon-Compliance with Rule 64B9-15.005(6) FAC, Standards for Certified Nursing Assistant Training ProgramsRatification ListsItems for DiscussionInformational ItemsThursday @ 8:30 AMCredentials “A” CommitteeRequired AppearancesCNA Applicants for Licensure with criminal, discipline and health history and open casesLPN, RN and APRN Applicants for Licensure with criminal, discipline and health history and open casesMulti-State Upgrade ApplicantsOther Items for DiscussionEducation and Credentials “B” CommitteeLPN, RN, APRN Exemption ApplicantsEducation CredentialsApplicants for Licensure under Section 456.0635, FSCNA Applicants for Licensure under Section 435.04, FSLPN, RN, APRN Applicants for Licensure under Section 464.009, FSLPN, RN, APRN Applicants for License - OtherThursday @ 1:30 PMFull BoardCNA, LPN, RN, and APRN Discipline & General BusinessReconsiderationsRecommended OrdersCNA Informal Hearings (June and April)LPN, RN, and APRN Informal Hearings (June and April)Licensure Informal HearingsPetitions for Hearing/ModificationsCNA Settlement AgreementsLPN, RN, and APRN Settlement AgreementsCNA Voluntary RelinquishmentsLPN, RN, and APRN Voluntary RelinquishmentsCNA Informal Waivers (June and April)LPN, RN, and APRN Motion to VacatePractice IssuesAdvanced Practice IssuesSpecial Education IssuesLegislative IssuesDeclaratory StatementsPetitions for Variance and WaiverIPN & Board Reports – Items may be considered on Thursday or FridayFriday @ 8:30 AMFull BoardCNA, LPN, RN, and APRN Discipline & General BusinessCNA Motion to VacateLPN, RN, and APRN Motion to VacateLPN, RN, and APRN Informal Waivers (June and April)Reinstatements and Compliance IssuesIPN & Board Reports3 Page
Credentials Summary of ConditionsCONTINUING EDUCATIONRequired within 6 months of licensurePROBATION (P1)Standard terms[A] Violate no laws[B] Report changes in address, employer, arrests, or violations of probation or ordersfrom another jurisdiction[C] Quarterly self-reports[D] Quarterly nursing employer reports[G] TollingDirect supervision[H] Direct supervision, regularly assigned unit, no employment by nurse registry, nurseemployment agency or home health agency, no multiple employers or self-employmentIPN (V6)V6A - must sign IPN contractV6B - must have IPN evaluation and contract if recommendedV6C - must have IPN evaluation and contract if recommended; if contract notrecommended, probation
Education & Credentials “B” CommitteeWednesday, June 3, 2020 at 2:00 PMCall to Order:Roll Call:A. Required AppearancesCNANoneLPN, RN, and APRN1. Valdes, Patricia C; 1701/642676B. Pending Formal DenialCNANoneLPN, RN, and APRN1. Suarez Viltres, Everina; 1701/651942C. CNA Exemption ApplicantsNoneD. Non-Compliance with Section 464.019, FS, Approval of NursingEducation Programs1. New Program Application1. International Institute for Health Care Professionals, Inc; 1704/6562. RN Approved or Accredited to Probation1. Censa International College, ADN, US70410700, 1704/3022. Orlando Medical Institute, Inc., ADN, US70706600, 1704/2333. Azure College, ADN, US70701200, 1704/1524 Page
3. PN Approved or Accredited to Probation1. Carleen Health Institute of South Florida, PN, US70112300, 1705/2582. North Broward Technical Center, Inc., PN, US70202000, 1705/1343. Osceola Technical College, PN, US70103600, 1705/554. RN Probation Second Year to RN Probation Extension or Terminated1. North Broward Technical Center, ADN, US70410100, 1704/2432. Universidad Ana G. Mendez- Gurabo Campus, BSN, US70503200, 1704/2603. Universidad Ana G. Mendez- Gurabo Campus, BSN, US70503300, 1704/2615. 2019 National Averages by Program Type6. 2019 RN/PN NCLEX Jurisdiction Summary Report7. 2018 National Averages by Program Type8. 2018 RN/PN NCLEX Jurisdiction Summary ReportE. Non-Compliance with Section 464.019(3), FS, and 464.019(5)(b), FS,Failure to Submit 2019 Annual Reports1. PN Programs1. Carleen Health Institute of South Florida, PN, US70112200, 1705/2572. Dade County Homestead Senior High, PN, US70206800, 1705/873. Dade County Miami Edison High School, PN, US70203500, 1705/1094. Fernandina Beach College of Allied Health, PN, US70111600, 1705/2645. Harris-Casel Institute, PN, US70208800, 1705/1- Pulled6. Med-Life Institute Kissimmee, PN, US70200900, 1705/1477. Techni-Pro Institute, LLC, PN, US70114400, 1705/3571. RN Programs1. College of Health and Allied Development, BSN, US70512300, 1704/4792. Fernandina Beach College of Allied Health, ADN, US70704500, 1704/2013. Healing Hands Institute, ADN, US70415400, 1704/5984. Techni-Pro Institute, ADN, US70415700 1704/606F. Non-Compliance with Section 464.019(11), FS, Accreditation RequirementNone5 Page
G. Non-Compliance with Rule 64B9-8.003(4), FAC, Failure to Comply with aRequest for Data by the Florida Center for Nursing1. Azure College, BSN, US70502800, 1704/245H. Non-Compliance 64B9-15.005(6) FAC, Standards for Certified NursingAssistant Training Programs1. Approved to Probation for 2019 Scores1. American Senior High School, 1003, 4402/1702. Baldomero Lopez State Veterans Nursing Home, 1545, 4402/6133. Bon Secours Maria Manor Cert. Nursing Assist. Training Program, 1541, 4402/6124. Cambridge Institute of Allied Health and Technology, 1114, 4400/1675. Chiefland High School, 1303, 4402/1496. Chipola College, 1483, 4402/5197. Clifford Chester Sims State Veteran's Nursing Home, 1539, 4402/6048. College of Health and Allied Development, 1543, 4402/6029. Crystal River Health and Rehab, 1550, 4402/62510. Douglas T. Jacobson State Veteran’s Nursing Home (Fdva), 1538, 4402/59811. Eastern Florida State College - Astronaut High School, 1251, 4402/6112. Eastern Florida State College - Bayside High, 1244, 4402/5713. Estero High School Medical Academy, 1146, 4402/2114. Felix Varela Senior High School, 1131, 4402/253- Pulled15. Hialeah Senior High School, 1553, 4402/62616. Horizon Healthcare Institute, 1171, 4402/27317. Lake County Schools-Tavares High School, 1502, 4402/53218. Lindsey Hopkins Technical College, 1517, 4402/57019. Lively Technical Center, 1531, 4402-58020. Manor Care of Boynton Beach Nursing Assistant Training Program, 1537, 4402/60121. North Florida Technical College, 1309, 4402/23922. North Miami Beach Senior High School, 1542, 4402/60323. Robert Morgan Educational Center- High School, 1147, 4402/26124. Royal Palm Beach Community High School, 1101, 4402/23325. South Dade Senior High School A Magnet School, 1481, 4402/51026. South Lake High School, 1352, 4402/36027. St. Lucie County School Board, 1464, 4402/49228. St. Lucie West Centennial High School, 1214, 4402/30929. STS Training Services, 1000, 4402/130. Traviss Technical Academy, 1466, 4402/49431. Treasure Coast High School; 1198, 4402/29332. Westland Hialeah Senior High School; 1314; 4402/10933. Williston High School; 1305, 4402/1506 Page
2. Probation to Approved for 2019 Scores1. Clyde E. Lassen Nursing Home (Fdva), 1525, 4402/5622. Dixie Academy of Health Careers, 1295, 4402/1643. Emerald Coast Technical College, 1507, 4402/5354. Fort Myers Technical College, 1052, 4402/1335. Indian River State College- Dixie Hendry Campus, 1323, 4402/3256. Indian River State College- R. Duke Nelson Human Development, 1321, 4402/3237. Institute of Health Careers, 1472, 4402/4998. International Training Careers, 1324, 4402/3329. Lake Worth Community High School, 1085, 4402/22310. Miami Lakes Educational Center High School, 1132, 4402/31311. Orange Technical College - Orlando Campus, 1307, 4402/23812. Pasco High School, 1031, 4402/19213. South Fort Myers High School, 1179, 4402/27614. St. Johns River State College CNA Training Program, 1513, 4402/56915. Suncoast Technical College/Extension Campus, 1492, 4402/53116. Treasure Coast Technical College, 1151, 4402/153. Probation to Terminated for 2019 Scores1. Atlantic Technical College and Technical High School, 1451, 4402/4832. Excel Institute, 1519, 4402/5783. Fivay High School- Pasco County, 1346, 4402/3514. Hialeah Adult Education Center, 1528, 4402/5815. Immokalee Technical College, 1120, 4402/2476. Lake Technical College, 1532, 4402/5937. Leesburg High School- Lake County Schools, 1273, 4402/848. Marchman Technical College, 1024, 4402/1869. Miami Southridge Senior High School, 1428, 4402/45410. Orange Technical College - Mid Florida Campus, 1490, 4402/52711. Osceola Technical College, 1341, 4402/34512. Sumter Adult and Community Education, 1478, 4402/50713. West Florida High School of Advanced Technology, 1397, 4402/4194. No Testers 2019 - Approved1. Evolution Health Services, LLC, 1511, 4402/5602. School of Healthcare Advancement LLC, 1546, 4402/6153. South Dade Technical College, 1524, 4402/5464. Sunshine Training Center, 1521, 4402/5675. The Center for Adult and Community Education of Clay County, 1474, 4402/5025. No Testers 2019 - Probation1. Robert Morgan Educational Center- Pct, 1345, 4402/3507 Page
H. Ratification Lists1. CNA Training Programs2. Nursing Education Programs3. Internationally Educated Ratification ListI. Items for Discussion1. Rule 64B9-2.022, FAC- Clinical Training2. Rule 64B9-15.006, FAC- Standardized Curriculum3. Trinity College London Integrated Skills in English Exam Recognition4. Florida Center for Nursing Report5. NurseCEUsJ. Informational Items1. Remediation Plans and Probation Extension Requests2. Florida Department of Education- CTE Audit Update and Next Steps for Institutions3. Michigan English Test- Test Irregularity Notification4. Accrediting Bureau of Health Education Schools (ABHES)- Final Commission Actions5. Accrediting Bureau of Health Education Schools (ABHES)- Statistical Summary ofJanuary 2020 Commission Actions6. Accreditation Commission for Education in Nursing (ACEN)- Substantive ChangeActions - December 20197. Accreditation Commission for Education in Nursing (ACEN)- Substantive ChangeActions - March 20208. Accreditation Commission for Education in Nursing (ACEN)- Commission Actions March 20209. Arizona College- Temporary Admission Requirements10. Fortis College Cutler Bay- PN Program Modification11. 2020 1st Quarter NCLEX-PN Score Reports - Jurisdiction Program Summary of AllFirst-Time Candidates Licensed in All Jurisdictions12. 2020 1st Quarter NCLEX-PN - Number and Percent Passing of First-Time CandidatesEducated in NRB Jurisdictions, By Degree Type13. 2020 1st Quarter NCLEX-RN Score Reports - Jurisdiction Program Summary of AllFirst-Time Candidates Licensed in All Jurisdictions14. 2020 1st Quarter NCLEX-RN - Number and Percent Passing of First-Time CandidatesEducated in NRB Jurisdictions, By Degree Type15. Chamberlain University- Acute Care Readiness Course8 Page
Credentials “A” CommitteeThursday, June 4, 2020 at 8:30 AMCall to OrderRoll CallA. Required AppearancesCNANoneLPN, RN, and APRN1. Vincent, Soncia Betty; 1701/6680202. Folco, Kathleen; 1702/2000153. Landrau Soler, Adriana; 1701/6746804. Sabourin, Peter John; 1701/5860565. Cross, Brian; 1711/6415436. Catala, Georgianna; 1701/663011B. Pending Formal DenialCNA1. Felder, Emani; 4401/771477LPN, RN, and APRNNoneC. Applicants for LicensureCNAPrior Board ActionExam1. Plowden, Makara; 4401/5424562. Schweinsberg, Leticia M; 4401/559083EndorsementNone9 Page
Juvenile OffenseNoneCriminal HistoryExam1. Southerland, Beverly R; 4401/7811642. Reyes Ochoa, Maria C; 4401/785468EndorsementNoneDiscipline HistoryExam1. White, Mary; 4401/736338Endorsement2. Loghry, John Michael; 4401/790852Health HistoryNoneFalse Answer on ApplicationExam1. Salmon, Stacy D; 4401/3536032. Fuggerson, Lefealdon; 4401/793404EndorsementNoneOpen CaseNoneLPN, RN, and APRNDiscipline HistoryExam1. Shuford, Pattie Lynn; 1701/3416022. Milos, Leslie Carol; 1701/671202Endorsement3. Misner, Cynthia Marie; 1702/2052154. Easley, Joy Norfleet; 1702/1999475. Delpit, Christina Jean; 1701/6779126. Hadley, Tamika; 1702/1681297. Gunn, Shannon Marie; 1701/6781468. Hodorowski, Emily A; 1701/67711010 Page
9. Bramlett, Megan DeAnna; 1702/19461810. Herlan, Maureen Ann; 1701/66444111. Holliday, Bonnie; 1701/67869812. Main, David Lee; 1701/66714713. Rabold, Malissa Kaye; 1701/66319514. Hooper, Joseph M.; 1701/56285115. Henley, Kimberly Dawn; 1701/57508116. Fabian, Courtney Danielle; 1701/67876117. Nickell, Julie Wynne; 1701/68155718. Taylor, Sharon Cornelia; 1701/67818919. Colgan, Julie Freeman; 1701/67329420. Rowe, Renee Lamour; 1702/206311APRN21. Reifschneider, Janelle Denise; 1711/640641Prior Board ActionExamNoneEndorsement1. McElroy, Lekisha Shawanda; 1702/163611APRNNoneCriminal HistoryExamNoneEndorsement1. Aponte, Nancy; 1701/475423APRNNoneHealth HistoryExam1. Menzie, Anella Vanessa; 1701/503467EndorsementNoneAPRNNone11 Page
Multi-State Upgrade1. Davis, Doris Marie; 1701/442470False Answer on ApplicationExamNoneEndorsement1. Mason, Rachel; 1702/2006052. Schmieder, Katherine Jane; 1701/677478APRNNoneOtherOpen CaseExam1. Brice, Tavia Janessa; 1701/662781EndorsementNoneAPRNNoneStaff NoteExamNoneEndorsement1. Francis, Brenda Denise; 1702/203480APRNNoneD. Other Items for DiscussionNone12 Page
Education & Credentials “B” CommitteeThursday, June 4, 2020 at 8:30 AMCall to Order:Roll CallA. LPN, RN, and APRN Exemption ApplicantsNoneB. Education CredentialsLPN, RN, and APRNExam1. Cruz Rivera, Mariely; 1701/5992652. Furier, Dmitri; 1701/5816173. Industrious, Ashauna; 1702/2058504. Kemp, Kevin Edward; 1701/6596955. Konyavskiy, Alexandr; 1701/6510516. Lam Echevarria, Didier; 1701/6427337. Lamere Del Rio, Bernardo; 1701/6446258. Lewis, Donna Crystal; 1701/6618379. Limfueco, Karla Camille; 1701/67812210. Mbakigwe, Mirian Theres Nneka; 1701/61422211. McCarthy Pauline; 1701/52317412. Mulusa, Michael Magomere; 1701/67029913. Muntyanova, Nataliya; 1701/676101- Pulled14. Panganiban, Lady Abigail Aquino; 1701/67558715. Valerio dos Santos Delmotte, Isabella; 1701/66363316. Muheriwa, Sadandaula Rose; 1702/20681717. Fernandez, Marile; 1702/203113EndorsementNone13 Page
C. Applicants for Licensure under 456.0635, FSCNAExam1. Sullivan, Jessica A; 4401/7920932. Cannon, Candice R; 4401/783391EndorsementNoneLPN, RN, and APRNNoneD. CNA Applicants for Licensure under Section 435.04, FSExam1. Cooks, Christine D; 4401/770461EndorsementNoneE. LPN, RN, APRN Applicants for Licensure under Section 464.009, FSNoneF. LPN, RN, APRN Applicants for License – OtherNone14 Page
Summary of DisciplineCONTINUING EDUCATIONRequired within 6 monthsPROBATION (P3)Standard terms[A] Violate no laws[B] Report changes in address, employer, arrests, or violations of probation or ordersfrom another jurisdiction[C] Quarterly self-reports[D] Quarterly nursing employer reports[G] TollingDirect supervision[H] Direct supervision, regularly assigned unit, no employment by nurse registry, nurseemployment agency or home health agency, no multiple employers or self-employmentC1PROBATION (P4)Stayed suspension conditioned on complianceIPN (V6)V6A - suspension until entry into IPN, suspension stayed while compliantV6B - suspension until IPN evaluation and contract if recommended, suspension stayedwhile compliantV6C - suspension until IPN evaluation and contract if recommended suspension stayedwhile compliant; if contract not recommended probationSUSPENSION (V)V1 - suspend until appearance to demonstrate safetyV2 - suspend until appearance to demonstrate safety with IPN coordinated evaluationV3 - suspend for a minimum period and thereafter until appearance to demonstratesafety with IPN coordinated evaluationV4 - suspend until fine and costs/bounced check paidV5A – suspend until compliant with CEsV5F - suspend until compliant with previous final order and costs from current case arepaidV9- suspend until new student loan payment terms are established, followed byprobation for the duration of the loan and a fine equal to 10 percent of the defaultedloan amountREVOCATIONV8 - revocation
Guidelines for Acceptable Disciplinary CECE AREAHOURS/OPTIONSAngerManagement4 hr8 hrAssessment2 hr8 hr40 hr full courseCriticalThinking2 hr8 hrDelegation2 hr8 hrDocumentation2 hr8 hrEthics2 hr8 hr(may be combinedwith Legal Aspects)Legal Aspects2 hr8 hr(may be combinedwith Ethics)LPN Supervision30 hrMedicationAdministration16 hrSupervised labPainManagement2 hr8 hrTYPICAL CONTENT Definition, assessment, management of anger Positive anger management tools Resources Health History, including cultural assessment Fundamental physical assessment techniques Assessing body systems: Integumentary,Respiratory, Cardiac, Gastrointestinal,Reproductive, Musculoskeletal, Neurological Definition Characteristics and skills that demonstrate criticalthinking Strategies to improve ability to think critically Aspects that a nurse needs to consider whendelegating Professional roles that a nurse cannot delegate Process for effective delegation Process of charting Common charting errors Implications of poor record keeping Emerging issues, i.e., faxes, computers, HIPAA Legal case review Ethical decision making Concepts of beneficence, justice and autonomy History of ethics in nursing Common ethical issues/case review, frameworks Resources Nursing Practice Act: purpose and role of Board;definitions of advanced, professional, and practicalnursing; scope of practice; grounds for disciplinaryactions Delegation Documentation & medical record keeping Informed consent Case review Per 64B9-15 Note: RNs may take this course; for CE credit forRNs, at least 2 hours must be on the RN role Standard abbreviations Transcription of orders Calculations, including pediatric dosages Preparation and administration of oral, parental,intravenous medications, fluids Legal responsibilities related to medicationadministration, observation, documentation, andrecord keeping Common errors and strategies to avoid them Classifying acute and chronic pain Assessment and reassessment strategies Barriers to effective pain management; psychologyof pain
CE AREAHOURS/OPTIONSPatient Rights2 hrPharmacology16 hr40 hrProfessionalStandardsVariesRefresherRemedial Courses80 didactic and 96hours clinicalUniversalProtocolTYPICAL CONTENT Pai
Jun 03, 2020 · LPN, RN and APRN Applicants for Licensure with criminal, discipline and health history and open cases . Lindsey Hopkins Technical College, 1517, 4402/570 19. Lively Technical Center, 1531, 4402-580 20. Manor Care of Boynton Beach Nursing Assistant Training Program, 1537, 4402/601
