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SOUTH DAKOTA BOARD OF NURSING4305 S. Louise Ave., Suite 201 l Sioux Falls, SD 57106605-362-2760 l https://doh.sd.gov/boards/nursing/South Dakota Board of Nursing MeetingNovember 19, 2020 8:30 AM CT4305 S. Louise Avenue, Suite 201 Sioux Falls, SDBoard Members Present: Darlene Bergeleen, Carla Borchardt, Denise Buchholz, Rebekah Cradduck, Kristin Gabriel, ChristiKeffeler, Deborah Letcher, Sharon Neuharth, Robin PetersonLund, Lois Tschetter, Jenna VandenBosBoard Staff Present: Linda Young, Abbey Bruner, Glenna Burg, Erin Matthies, Francie Miller, Lindsay Olson, Tessa StobCounsel: Megan Borchert, General Counsel to the Board; Shelly Munson, Board ProsecutorGuests Present: Courtney Miller, SDSU DNP student intern; Twyla Nordquist, Sanford USD Medial Center Dialysis1. Call to Order and Roll Call - President C Borchardt called the South Dakota Board of Nursing (SDBON) Meeting to orderat 8:37 AM on Thursday, November 19, 2020.2. Agenda ApprovalBoard Action: D Letcher moved that the SDBON, approve the November 19, 2020 agenda, seconded by R PetersonLund.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthYesJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 11 Motion Carried3. Board of Nursing MinutesBoard Action: D Letcher moved that the SDBON, approve the September 24, 2020 Board Meeting minutes, seconded byC Keffeler.D BergeleenC BorchardtD BuchholzYesYesYesR CradduckK GabrielC KeffelerYesYesYesD LetcherS NeuharthR PetersonLundYesYesYesL TschetterYesJ VandenBosYesTotal 11 Motion Carried4. Compliance – (the acronym “HPAP”: as used below represents “Health Professionals Assistance Program”).A) Compliance Committee Recommendations Licensed - F Miller submitted the recommendations from the compliancecommittee as follows. Settlement Offer – Dismiss: Case #1 K.K. Settlement Offer – Letter of Concern: Case #2 K.H. Settlement Offer – Letter of Reprimand: Case #3 Krysta Peterson – R038845; Case #4 Brooke Theisen – R041308 Settlement Offer – Conditional Order for Licensure with Mandated HPAP Evaluation: Case #5 D.B. – RN Applicant;Case # 6 C.M – LPN Applicant Settlement Offer – Voluntary Surrender: Case #7 Sara Spier – P012730Board Action: D Bergeleen moved that the SDBON, accept the recommendations of the Compliance Review Committee aspresented and outlined in the Compliance Review Committee Recommendations document of Licensed Nurses, secondedby D Letcher.D BergeleenYesR CradduckYesD LetcherYesL TschetterRecuseC BorchardtRecuseK GabrielYesS NeuharthYesJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 9 Motion CarriedA) Compliance Committee Recommendations Unlicensed Assistive Personnel (UAP) – T Stob submitted therecommendations from the compliance committee as follows. May Register When All Registration Requirements are Met: Case #1 M.C. Letter of Reprimand: Case #1 Dianne Bartlett, Case #2 Chancy Goldade, Case #3 Hillary LarsenBoard Action: D Bergeleen moved that the SDBON, accept the recommendations of the Compliance Review Committee aspresented and outlined in the Compliance Review Committee Recommendations document of UAP, seconded by D Letcher.D BergeleenC BorchardtD BuchholzYesRecuseYes1R CradduckK GabrielC KeffelerYesYesYesD LetcherS NeuharthR PetersonLundYesYesYesL TschetterRecuseJ VandenBosYesTotal 9 Motion Carried
B) Additional Compliance for Board Review1. F Miller presented background on Amy Nannemann, RN WY RN34577.Board Action: D Bergeleen moved that the SDBON, Summarily Suspend the Privilege to Practice of Amy Nannemann,WY Multi-state RN 34577, seconded by L Tschetter.D BergeleenC BorchardtD BuchholzYesYesYesR CradduckK GabrielC KeffelerYesYesYesD LetcherS NeuharthR PetersonLundYesYesYesL TschetterYesJ VandenBosYesTotal 11 Motion Carried2. F Miller presented background on Holly Jung-Stern, SD R035211.Board Action: D Bergeleen moved that the SDBON, Summarily Suspend the license of Holly Jung-Stern, SD R035211,seconded by D Letcher.D BergeleenC BorchardtD BuchholzYesRecuseYesR CradduckK GabrielC KeffelerYesYesYesD LetcherS NeuharthR PetersonLundYesYesYesL TschetterRecuseJ VandenBosYesTotal 9 Motion Carried3. T Stob presented background on Tanner Brown Eyes, SD M009716.Board Action: D Letcher moved that the SDBON, accept the Voluntary Surrender of Tanner Brown Eyes, SD M009716,seconded by R PetersonLund.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthYesJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 11 Motion Carried5. Staff and Board Member Activities, External Meeting ReportsA) NCSBN IT/Operation Conference – E Matthies provided a report of the November 10, 2020, virtual meeting; presenterswere live with a chat feature for participants to ask questions. Topics discussed were: Moving Operations to the Cloud andPreparedness and Response for Pandemics which was presented by Shan Montgomery with the Mississippi BON. The nextmeeting will be held in 2022.B) NCSBN NCLEX BON Review – L Young and G Burg provided a report on their visit to the Pierson Vue testing center in SiouxFalls, SD on November 12, 2020. All state boards are given the opportunity to schedule a time to visit and review RN andPN test pool items at a local test center. They noted that Pierson Vue closely followed CDC recommendations to preventthe spread of COVID-19. They reviewed approximately 1,000 questions for consistency with South Dakota’s Nurse PracticeAct. NCSBN’s NCLEX committee reviews the comments received from boards.6. Financial ReportsA) Fiscal Year 21 Income/Expense Statement – E Matthies presented the SDBON FY 21 income and expense statement July2020 through October 2020.Board Action: L Tschetter moved that the SDBON, approve the financial report as presented, seconded by K Gabriel.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthAbsentJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 10 Motion Carried7. Licensure and OperationsA) Licensure and Operations Report – E Matthies presented the report, as of November 2020, the Board had 18,808 licensedregistered nurses, 2,652 licensed practical nurses, 42 certified nurse midwives, 1,385 certified nurse practitioners, 56clinical nurse specialists, 501 certified registered nurse anesthetists, 9,971 registered certified nurse aides, 83 unlicenseddialysis technicians, 5,654 unlicensed medication aides, and 200 unlicensed diabetes aides.8. Nursing EducationA) Education Committee Recommendations Agenda – G Burg submitted the recommendations from the EducationCommittee as follows:1. LPN Nurse Education Assistance Scholarship Fund - Approve disbursement of funds to applicants who meet criteria2. Clinical Enrichment Programs – Approve 2020 program reports & ongoing approval for 2021 for the following:a. Avera McKennan Hospital – Sioux Falls, SD;b. Avera Sacred Heart – Yankton, SD;c. Avera St. Luke’s Hospital – Aberdeen, SD;2
d. Avera St. Mary’s Hospital – Pierre, SD;e. Black Hills Surgical Hospital – Rapid City, SD;f. Correctional Health – Pierre, SD;g. Huron Regional Medical Center – Huron, SD;h. Monument Health – Rapid City, SD;i. Sanford Health Learning Education and Development – Sioux Falls, SD;j. SD Human Services Center – Yankton, SD;k. Sioux Falls Specialty Hospital – Sioux Falls, SD;l. St. Michael’s Hospital Avera – Tyndall, SD;m. Yankton Medical Clinic, P.C. – Yankton, SD3. Minnesota State Community and Technical College Workforce Development Solutions – Approve independent studyrefresher course for LPNs;4. Presentation College – Approve interim status for practical nurse program;5. Oglala Lakota College – Accept site visit report with recommendations to come into compliance with Standards Vand VII by January 11, 2021;6. Accept the following notifications:a. Oglala Lakota College – Notification of simulation hour increase to 50% for Fall 2020 semester;b. Augustana University – Notification to offer Adult-Gerontology Acute Care NP/CNS program with genomics focus.Board Action: D Letcher moved that the SDBON, approve the recommendations and accept the notifications as presentedand outlined in the Education Committee Recommendations Agenda document, seconded by D Bergeleen.D BergeleenYesR CradduckAbsentD LetcherYesL TschetterRecuseC BorchardtYesK GabrielYesS NeuharthAbsentJ VandenBosYesD BuchholzYesC KeffelerRecuseR PetersonLundYesTotal 7 Motion CarriedB) Western Dakota Technical College (WDTC) Site Visit Report – G Burg presented the WDTC Site Visit Report to approvecontinuation of interim status with recommendations to develop a plan to come into compliance with Standards I and IIIby January 11, 2021. C Keffeler with WDTC was present to answer Board Member questions.Board Action: L Tschetter moved that the SDBON, accept the WDTC Site Visit Report with recommendations to developa written plan to come into compliance with Standards I and III and approves continuation of interim status. Seconded by DBergeleen. Members discussed motion and need to amend it to add “submit a written plan” and “by January 11, 2021”.Board Action to Amend Motion: L Tschetter moved to amend the motion to add “submit a written plan” and “by January 11,2021”. Seconded by D Bergeleen.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthAbsentJ VandenBosYesD BuchholzYesC KeffelerRecuseR PetersonLundYesTotal 9 Motion CarriedBoard Action on Amended Motion: L Tschetter moved that the SDBON, accept the WDTC Site Visit Report withrecommendations to develop and submit a written plan to come into compliance with Standards I and III by January 11,2021 and approves continuation of interim status. Seconded by D Bergeleen.D BergeleenC BorchardtD BuchholzYesYesYesR CradduckK GabrielC KeffelerYesYesRecuseD LetcherS NeuharthR PetersonLundYesAbsentYesL TschetterYesJ VandenBosYesTotal 9 Motion CarriedC) Information Documentsi. NCLEX Pass Rates (Quarter 3) – G Burg provided the quarter 3 NCLEX pass rate report to the Board for informationalpurposes.9. Nursing PracticeA) COVID 19/Pandemic Update – L Young and L Olson provided background; Sanford Health has recognized that recent newgraduate nursing students are less prepared than pre-COVID graduates. Due to COVID, these graduates were unable tocomplete the same types of clinical experiences which may have left these new graduates less prepared to take the NCLEXand to enter the workforce. Sanford Health would like to provide the new graduates additional clinical experiences andNCLEX learning opportunities to help them pass the exam. Members determined that more dialog by a diverse group ofnursing leaders and stakeholders is needed to explore opportunities.Board Action: D Letcher moved that the SDBON, ask the Center for Nursing Workforce (CNW) to convene a round tablediscussion with the SD nursing leaders and stakeholders as soon as possible to discuss creative strategy supporting thetransition of nursing graduates to practice, seconded by L Tschetter.3
D BergeleenC BorchardtD BuchholzYesYesYesR CradduckK GabrielC KeffelerYesYesYesD LetcherS NeuharthR PetersonLundYesYesYesL TschetterYesJ VandenBosYesTotal 11 Motion CarriedA) Dialysis Technician Delegation Request: Central Line Tasks – L Olson provided the request from Maria Regnier, SanfordHealth Dialysis Services director to Determine whether to approve a pilot study to evaluate the safety and efficacy ofnurses delegating the initiation and discontinuation of dialysis treatment via CLs and changing CL dressings to UDTs whohave a minimum of two years kidney dialysis technician experience. T Nordquist with Sanford USD Medial Center Dialysiswas present for discussion and questions.Board Action: D Letcher moved that the SDBON, approve a pilot study to evaluate the safety and efficacy of nursesdelegating to registered UDTs the initiation and discontinuation of dialysis treatment via central lines (CL) and changingaseptic CL dressings, seconded by R PetersonLund.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthAbsentJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 10 Motion CarriedB) Covid Vaccination Request for Clinical Enrichment Opportunity – L Olson provided background and action requested tothe Board. Due to COVID there is a need for mass vaccination clinics. Due to staffing shortages within facilities, facilitiesare requesting to use nursing students to administer the vaccines rather than licensed nurses who are needed for directpatient care. Students may or may not be in a clinical course under the supervision of a faculty member when requestedto assist with the vaccination clinics. Prelicensure nursing students are exempted under SDCL 36-9-28 (2) to practicenursing. ARSD 20:48:07 identifies that students should be under the supervision of a licensed nurse while performingnursing duties. To promote safe practice for use of nursing students in vaccination clinics, the board may adopt a positionstatement to establish basic criteria.Board Action: L Tschetter moved that the SDBON, approve to adopt the following statement: “Pursuant to SDCL 36-9-28 (2),the South Dakota Board of Nursing affirms that a student who is enrolled in a practical or registered nurse prelicensureprogram may administer vaccinations under the supervision of a licensed registered nurse who is available in the immediatearea to supervise the student. South Dakota licensed institutions or authorized agencies should validate that a student isenrolled in an approved nursing program, has received didactic and clinical education on the vaccinations to beadministered, and is competent to administer the vaccinations”, seconded by D Bergeleen.D BergeleenYesR CradduckYesD LetcherYesL TschetterYesC BorchardtYesK GabrielYesS NeuharthYesJ VandenBosYesD BuchholzYesC KeffelerYesR PetersonLundYesTotal 11 Motion Carried10. PolicyA) Update on Promulgation of Rules in 20:48 on CRNA Practice – L Young provided an update on the adoption of rulespertaining to CRNA practice on prescribing and use of radiography. On November 10, 2020 L Young and G Damgaardpresented the adopted rules to the interim rules committee for approval. The rules were approved and will now be sent tothe Secretary of State for filing. The rules will become effective late December 2020. A memo on the new rules will be sentto actively licensed CRNAs in SD and the website will be updated to reflect the new information.B) Update on Potential SD HPAP Legislation – L Young provided an update indicating that the Department of Health (DOH)legislative taskforce approved the drafted bill on amending the statutes in SDCL 36-2A on HPAP. The drafted bill is nowawaiting review by the Legislative Review Council for form and style revisions. An update on the status of the bill will beshared at the February board meeting.11. Dakota Nurse Connection Publication – Update - L Young provided a report that the North Dakota and South Dakota sharedjournal will be discontinued following the Summer 2021 edition. Each board will then have separate issues mailed to theirlicensees.12. Open Forum – C Borchardt provided the opportunity for guests to address the Board pursuant to SDCL§ 1-25-1, no onerequested to do so.13. Upcoming Meetings / Travel RequestsA) SDBON: Feb. 10-11, 2021; May 12-13, 2021; Aug. 11-12, 2021; Nov. 9-10, 2021;Feb. 9-10, 2022; May 11-12, 2022; Aug. 10-11, 2022; Nov. 9-10, 2022B) NCSBN Midyear Meeting; March 9-11, 20214
C) NCSBN Scientific Symposium; March 22, 2021, VirtualMeeting adjourned Thursday, November 19, 2020 at 2:27 PM5
Nov 19, 2020 · and to enter the workforce. Sanford Health would like to provide the new graduates additional clinical experiences and . NCLEX learning opportunities to help them pass the exam. Members determined that more dialog by a diverse group of . nursing lea
