Transcription
arizonaVOL1 NO1 MARCH 20061ST QUARTERSTATE BOARDOF NURSINGREGULATORY JOURNALNursingRegulationRUNDOWNCASE STUDY: License Verification is Critical
PUBLISHED BYARIZONA STATE BOARD OF NURSING1651 E. Morten Avenue, Suite 210Phoenix, AZ 85020Phone: 602.889.5150Main fax: 602.889.5155CANDO fax: 602.889.5238General e-mail: arizona@azbn.govWebsite: www.azbn.govGOVERNORThe Honorable Janet NapolitanoJoey Ridenour, RN, MNVO L 1 N O 1 M A R C H 2 0 0 61 S T Q UA R T E R4 f reoxme ctuhtei v e d i r e c t o r6 from the president8 staff directoryEXECUTIVE DIRECTORJudy Bontrager, RN, MN9 education corner11 R e g u l a t i o nASSOCIATE DIRECTOR/OPERATIONSValerie Smith, RN, MSASSOCIATE DIRECTOR/INVESTIGATIONSRundownBOARD MEMBERSKathy Malloch, PhD., MBA, RN13 s p e c i a lPRESIDENTTheresa Crawley, CRNA, MSHSAannouncementVICE PRESIDENTKaren Hodges Hardy, RN, MSN14 C h a n g e s o nSECRETARYTrista Campbell, RN, BSNthe HorizonMEMBERPatricia A. Johnson, LPNMEMBERJudith F. Rich, RN, MSNMEMBERSteven T. Robertson, LPNMEMBERPictured on the Front Cover, the AZBNBoard Members: (from left to right) KathyBusby, Karen Hardy, Kathy Malloch, PatJohnson, Judy Rich, Trista Campbell.Absent: Theresa Crawley, Steve RobertsonKathryn L. Busby, J.D.PUBLIC MEMBER15 O n l i n e R e n e w a l o farizonaEDITION 1License/CertificateSTATE BOARDOF NURSINGCREATED BY:REGULATORY JOURNALVirginia Robertson, PRESIDENTvrobertson@pcipublishing.comPublishing Concepts, Inc.14109 Taylor Loop RoadLittle Rock, AR 72223FOR ADVERTISINGINFORMATION:Steve McPhersonsmcpherson@pcipublishing.com501.221.9986 800.561.468619 C a s e S t u d y : L i c e n s eVe r i f i c a t i o n i s C r i t i c a l24 C N A D i s c i p l i n a r yAction26 R N D i s c i p l i n a r yAction
from the executive directorJOEY RIDENOUR, RN, MN2006 marks the 85th ANNIVERSARY OF NURSINGREGULATION in Arizona.2006 brings six significant changes to the Arizona State Board of Nursing.First: The Board’s quarterly edition of the Arizona State Board of Nursing Newsletter has transitionedto a journal format. The new format also has a new name: Arizona State Board of Nursing –RegulatoryJournal. We continue to seek newsworthy topics that meet the mission of the Board to protect the public.Your article suggestions and ideas are welcomed.Second: For the first time in the Boards 85 year history, we have designed a build out for a new officelocation based on staff roles and functions. The new office location will be at 4747 North 7th Street, Suite200, Phoenix, Arizona. An open house will be held in June 2006 to coincide with AzBN’s 85th AnniversaryCelebration. Updates on the move will be made available on the Board’s website.Third: Continual enhancement of the Board’s website is to give you information and resources 24/7.The over arching goal is that if you do visit the Board of Nursing office, it is for other reasons other than theapplication process or accessing other resource documents. Let us know what additional resources youneed made available on the web.Fourth: Chemical Dependency continues to be the number one concern reported to the Board ofNursing in 2005. To help you better understand the physical and behavioral warning signs of chemicaldependency, you are encouraged to access a new online course entitled: Confronting Colleague ChemicalDependency. The new self–paced online course from National Council of State Boards of Nursing, LearningExtension (www.learningext.com) describes the roles of colleague, employers, alternative programs and theBoard of Nursing in preventing and/or managing the potentially lethal effects of this problem. The course isdesigned for nurses in every practice setting and at all levels from student nurse to doctorate. Let us knowif the course gave you the necessary knowledge about what to do should you suspect a colleague in beingchemically dependent.Fifth: Want to publicly acknowledge and thank the Board and staff for making significant strides inassuring protection of the public. The average number of complaints/self reports is approximately 135 amonth and the number has remained constant for the past five years.Average Investigative Cycle TimeAverage Temporary License &License Renewal Cycle TimesAverage Bi-Monthly Cases to BoardAverage Hearing Cases to Board1995200518 months14 days25 days62 cases4 cases6.6 months5 days48-72 hours244 cases18 casesSixth: The Board received funding in FY 2006 to conduct research related to establishing and maintaining a database on nursing supply and demand. The goal is to assure that the State of Arizona has adequateand appropriately educated nursing workforce to meet the healthcare needs of its citizens.It has been my pleasure to have been appointed to this position for the past ten years. I take evengreater pleasure contemplating how we may continue to make significant changes to better serve you andthe public in the future.4arizona STATE BOARD OF NURSING REGULATORY JOURNAL
REACHRECRUITRETAINTHE ARIZONA STATEBOARD OF NURSINGMAGAZINE SCHEDULE May 2006 August 2006 November 2006to reserve advertising r State Board magazinesare directly mailed to everylicensed nurse in the followingstates–one million and growing! Arizona Arkansas The District ofColumbia Indiana Kentucky Nebraska Nevada New MexicoNorth CarolinaNorth DakotaOhioSouth CarolinaSouth DakotaTennesseeWyomingfrom the presidentKATHY MALLOCH PHD, MBA, RNThe need for evidence to support good decision making is no secret –especially in Arizona where numerous efforts are underway in educating and supporting nurses to become competent in evidence-based practice. The Arizona StateBoard of Nursing is one of the agencies dedicated to not only making decisionsbased on evidence, but also to providing information about the work of nursing tothe public.Two areas contribute specifically to this work. First, the dedication of boardresources/ funding to advance the collection of meaningful data from Arizona nursesto better understand the supply, location, competencies, and future needs for theArizona community. Funding for a full-time data analysis position is currently beingadvertised and recruited for. Work in this area is expected to begin in the first quarteron 2006.The second source of data is the website (www.azbn.org) for the Arizona StateBoard of Nursing. These data are available to the public and can be requestedthrough Joey Ridenour, Executive Director (jridenour@azbn.org). Over the last fewyears, significant efforts have been made to improve the functionality and friendlinessof the board website.Today, the average number of hits each month to the azbn.org website is 2,712,701!In 2005 the lowest number of hits occurred in December at 1.2 million and the highestnumber of hits, 4.6 million occurred in July. To say the least, it is gratifying that thesite is being used.Examples of download activity for the month of November 2005 included:Nurse Practice Act11,493Newsletters5,087Endorsement packets4,483Visitors to the online renewal page for the month of November 2005 were 69,628!Recently, data specific to inquiries about pain management guidelines was usedby the executive director to testify before a special legislative task force on ChronicDisease and Pain Management. The frequently asked questions regarding painmanagement and range orders are downloaded approximately 100-150 times amonth.Board members and board staff are committed to supporting evidence-baseddecision making and the collection of data that will support the advancement ofnursing in Arizona. Please contact us if you have suggestions or requests for datafrom the website.Kathy Malloch, PresidentARIZONA STATE BOARD OF NURSINGwww.thinkaboutitnursing.com6arizona STATE BOARD OF NURSING REGULATORY JOURNAL
ADMINISTRATIONJoey Ridenour, RN, MNExecutive ela Randolph RN, MSEducationConsultant/EducationalPrograms RN/LPN602.889.5209prandolph@azbn.govJudy Bontrager RN, MNAssociate Director-Operations& Licensing 602.889.5204jbontrager@azbn.govRose Wilcox, RNEducation Programs CNA602-889-5176rwilcox.@azbn.govValerie Smith RN, MSAssociate Director-NursingPractice, Complaints &Investigations602.889.5206vsmith@azbn.govFISCAL SERVICESDiane SerraBusiness Manager602-889-5210dserra@azbn.govSTAFF DIRECTORYLila WiemannAdministrative Assistant to theExecutive Director602.889.5292lwiemann@azbn.govDolores HurtadoAssistant to AssociateDirector/NursingPractice, Complaints sa HuffAssistant to AssociateDirector/NursingPractice, Complaints &Investigations602.889.5208thuff@azbn.govMary PalmerAdministrative Assistant toAssociateDirector/Operations &Licensing602889.5205mpalmer@azbn.govADVANCED PRACTICEKaren Grady, MS, RN, FNP, BCAdvanced nne Smith, RN, MSNurse Consultant - CANDO602-889-5156ssmith@azbn.govOlga ZunigaAdministrative Secretary –Monitoring & CANDO602.889.5157ozuniga@azbn.gov8Norma SalterAccounting n Barber, RN, MSNNurse Practice ConsultantHearing Dept602-889-5151sbarber@azbn.govDebra BlakeLegal Assistant602-889-5183dblake@azbn.govVicky DriverAdmin. Assistant-Hearing E PRACTICECONSULTANTSBetty Nelson, RN, MS602-889-5169bnelson@azbn.govJeanine Sage, RN, MSN602-889-5174jsage@azbn.govMary Rappoport, RN, MN602-889-5184mrappoport@azbn.govNan Twigg, RN, MSN602.889-5185ntwigg@azbn.govPat Midkiff, RN, MN602.889-5179pmidkiff@azbn.govSister Rachel Torrez, RN, MS602-889-5180srachel@azbn.govarizona STATE BOARD OF NURSING REGULATORY JOURNALSydney Munger, RN, MS602-889-5186smunger@azbn.govSENIOR INVESTIGATORSDuncan “Cory” Polak602-889-5172cpolak@azbn.govJames Williams602-889-5167jwilliams@azbn.govJeanne Bauer602-889-5178jbauer@azbn.govKirk Olson602-889-5171kolson@azbn.govRonald “Ron” Lester602-889-5159rlester@azbn.govLEGAL SECRETARIESBarbara Ritenour602-889-5193britenour@azbn.govDorothy Lindsey602-889-5177dlindsey@azbn.govEsther Garcia602-889-5173egarcia@azbn.govKaren Gilliland602-889-5187kgilliland@azbn.govTrina OGYCory DavittNetwork Operations Director602-889-5213cdavitt@azbn.govCristina OatesRN/LPN Endorsements602-889-5191coates@azbn.govDonna FryeAdvance Practice – SchoolNurses602-889-5194dfrye@azbn.govHelen TayCNA Exam/Endorsements602-889-5189htay@azbn.govPaula DelphyRN/LPN Endorsements602-889-5192pdelphy@azbn.govRhonda ROOMRita rica BaileySenior Investigator602-889-5160ebailey@azbn.govPamm Wiggin, RN, JDNurse Consultant602-889-5170pwiggin@azbn.govBrent SutterLegal SecretaryMonitoring & na SantosReceptionist602-889-5196asantos@azbn.govAdam HenriksenInformation @azbn.govMarlane LICENSINGBecky AranyosRN/LPN Exam602-889-5190baranyos@azbn.govSusan ovDebbie KunkleRN/LPN te SeechomaRecords Room602-889-5217cseechoma@azbn.gov
education cornerPAMELA RANDOLPH RN, MSEDUCATION CONSULTANTclinical instructioneducation committeeDelivering clinical instruction to nursing students has created many opportunities and challenges for Arizona nursingprograms. Nursing is a unique educational program because clinical experiences comprise a significant portion ofthe program. In addition, unlike mosthealth care programs that use an apprentice model, nursing clinical experience isalways under the supervision of the program faculty. The average number ofhours a student spends caring forpatients is 743 in an associate degreeprogram and 968 in a baccalaureate program. The majority of these hours are inan acute care setting. There is no currentagreed-upon standard for measuring thequality of a clinical experience. Qualityindicators include the complexity of thepatients the student is caring for, theresponsibilities of the student, and thesupervision provided by the faculty.Clinical faculty members take a leadrole in and are responsible for teachingstudents in the clinical setting. Whilethe nurse on the unit is invaluable as arole-model and patient-care expert, theprimary teacher in the clinical setting isthe designated faculty member. Facultymembers directly observe students caringfor patients to provide guidance, verifylearning, and correct potential errors.Clinical faculty members are constantlymonitoring students during the clinicalrotation and have an awareness of boththe learning needs of the student and thehealth care needs of the assigned patientor patients. They also keep meticulousdocumentation of student performanceThere is a shortage of clinical facultyin Arizona. The minimum requirementsto be a clinical faculty in an RN programinclude an unencumbered RN license, aBSN, and three years of patient careexperience. Many faculty membersreport that teaching students is bothstimulating and rewarding. To obtainmore information about clinical teaching,contact your local nursing program.The Education Committee advises theBoard on nursing educational matters.The next meetings of the EducationCommittee are: February 10, 2006 April 21, 2006Meetings start at 9:30 a.m. and conclude when business is finished. Allmeetings are held at 1651 E. Morten, Ste.210, Phoenix, AZ unless otherwise notedin the agenda. Agendas and minutes ofpast meetings posted on the website:www.azbn.gov. Dates and times aresubject to change up to 24 hours beforethe meeting. Contact Pamela Randolphat 602-889-5209 (prandolph@azbn.gov) orKaren Gilliland at 602-889-5187(kgilliland@azbn.gov) to obtain furtherinformation regarding the meetings.board actions oneducation mattersNovember 2005 Approved guidelines for CNS portfolioproject Renewed approval of LPN program atMaricopa Skill Center Approved program change for PimaCommunity College—increase enrollment and new site Approved program change for EasternArizona College—increase enrollmentand new site Approved Case Western ReserveUniversity to conduct clinical classes inAZ Issued Notice of Deficiency toCoconino Community College Approved written test plan and revisedguidelines for facilities for the Pilot StudyMedication Technician Projectarizona STATE BOARD OF NURSING REGULATORY JOURNAL9
by Pamela Randolph RN, MSRegulationRUNDOWN2005 was a very active yearfor rulemaking. Article 2, whichaddresses criteria for approval of RN,PN, and Refresher Programs, was updated to include: distance learning criteria;specific clinical experiences that mustbe included in a nursing program; andclarifying language for curriculum, policies, resources, and administrativeoversight.One rule in the Regulation section(R4-19-403, Unprofessional Conduct)was revised. This rule details thoseacts that the Board considers unprofessional conduct. A charge of unprofessional conduct, if proven true, can leadto discipline on a nurse’s license. Actsconsidered unprofessional conductwere revised to specifically include failure to maintain professional boundaries and engaging in dual relationshipswith patients; making a false statementon an employment application; and notnotifying the Board if the nurse ischarged with a felony or misdemeanor.Since no rule can include all possibleacts a person may engage in that areunsafe, “any conduct or practice that isor might be harmful or dangerous tothe health of a patient or the public,”continues to be the definition of unprofessional conduct. The Board maydetermine other acts that are unprofessional conduct, under this definition.Article 5, (Advanced and ExtendedNursing Practice) was completelyrevised. Changes include incorporatingcriteria for specialty areas of nursepractitioner (NP) and clinical nurse specialist (CNS) practice; incorporating aone-year opportunity for a CNS to gaincertification without a certifying examand a one-year opportunity for a nursewith a master’s degree in nursing tocomplete a portfolio project in lieu ofcompleting a CNS program; modifica-tion and clarification of prescribing anddispensing for nurse practitioners;updated criteria for CNS and NP programs; and defining Certified RegisteredNurse Anesthetist Scope of Practice.The rules for Certified NursingAssistant (Article 8) were also extensively amended. These rules were firstapproved in 2000. Some of the changesinclude: more specific criteria for nursing assistant programs, particularly inthe area of curriculum; the ability of thearizona STATE BOARD OF NURSING REGULATORY JOURNAL11
Board to approve an initial application fora nursing assistant program without a sitevisit; and the ability of the Board to renewa program without an on-site visit.Requirements for licensure were alsoamended to include a practice requirement of 160 hours every 2 years, whichwill be implemented for CNAs renewingon or after July 1, 2006.Future rulemaking planned for 2006includes: Amendments to Article 2 to incorporate a process for rescinding approvalto an out-of-state nursing program thatdoes not substantially meet Boardstandards; Amendments to Article 5 to extendthe waiver of certification for clinicalnurse specialists practicing in the areaof maternal/infant health or women’shealth since there is no certificationexam. Extensive revisions of Articles 4(Regulation) and 1 (Definitions andTime-frames) are also planned. Pleasewatch the Board website for moreinformation.The person to contact at the Boardregarding rules is:Pamela RandolphNurse Practice Consultant602-889-5209e-mail: prandolph@azbn.govFax: 602-889-5155Nursing BoardMoving to a NewLocationThe office will be relocating to4747 North 7th Street, Suite 200Phoenix, AZ 85014Updates will be available on the ArizonaState Board of Nursing website.Please use our web services atwww.azbn.gov for renewals, downloadingapplications and verifications12arizona STATE BOARD OF NURSING REGULATORY JOURNAL
SpecialAnnouncementWOMEN’S HEALTHNURSE PRACTITIONERThe National CertificationCorporation (NCC), the only groupthat offers a certification examination for women's health nurse practitioners has announced: - 2006 isthe last year that any WHNP or OBGYN NP who graduated from a certificate program will be permitted tosit for the NCC WHNP exam.Beginning in 2007, NCC will onlyaccept graduate programs that meetspecified accreditation requirements. For more information go towww.nccnet.org, go to NursePractitioner exams, download a registration catalogue/2005 Newsletterpg10.arizona STATE BOARD OF NURSING REGULATORY JOURNAL13
CHANGES ON THE HORIZONFOR NOTIFICATION OF YOUR RENEWALWhen Your License Or Certificate Is Due For Renewal Post cards will no longer be sent to licensees/certificate holders remindingthem of their renewal date. We will however continue to publish remindersin the Arizona State Board of Nursing’s JournalIf you have provided the Board with a valid email address, you will receivean email reminder 2-3 months before your date of renewal. UPDATE youremail address and/or other demographic information in the data base bygoing to www.azbn.gov and then to “My Services” to update your information. Your Username is your license or certificate number. AllRNs/LPNs/CNAs can renew on line except a person with a status of inactive,lapsed, probation, suspended, or revoked license/certificate.14arizona STATE BOARD OF NURSING REGULATORY JOURNAL
Judy Bontrager, RN, MN, Associate Director of OperationsOnLine Renewal of LICENSE/CERTIFICATEIf your RN/LPN license is due for renewal on 6/30/06, or your CNA certificate is due for renewal now orwithin the next 6 months, you can go online to www.azbn.gov and renew it today. Renewal applicants mayrenew up to 6 months prior to their expiration date.Benefits to YOU of Renewing Online: FAST, EASY and EFFIC
19 Case Study: License Verification is Critical 24 CNA Disciplinary Action 26 RN Disciplinary Action STATE BOARD OF NURSING Pictured on the Front Cover, the AZBN . The second source of data is the website (www.azbn.org) for the Arizona State Board of Nursing. Th
