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ARIZONASTATE BOARD OF NURSINGNEWSLETTERPRESORTEDSTANDARD MAILU.S. POSTAGEPAIDGrundy Center, IA50638Permit No. 18QUARTERLY CIRCULATION APPROXIMATELY 74,000 TO ALLRNs, LPNs, CNAs AND STUDENT NURSES IN ARIZONAThe Official Publication of the Arizona State Board of NursingVolume 5, No. 21651 East Morten Avenue, Suite 210, Phoenix, Arizona 85020-4316Faculty RecruitmentFrom the Executive DirectorBy Joey Ridenour, RN, MNBoard Oversight of Nursing Education: RelevanceTranscends Time - 1921-2004Overview:As part of its mission to protect the public from unsafenurses for the past 83 years, the Board has authority overthe nursing education process. The Board believes that safenursing care begins in a student’s nursing program. TheBoard, through it’s statutory authority over RN and LPNprograms (ARS §32-1606, 1644) and its administrativerules (A.A.C. R4-19-201 through 206) ensures that programs provide appropriate educational experiences fornursing students so that they gain the knowledge and competencies necessary to provide safe patient care.Appropriate oversight of the parent institution, a curriculum that is cohesive and inclusive of the scope of practice,competent faculty, a nursing administrator with authorityand expertise, a minimum NCLEX pass rate of 75%, andadequate facilities for learning are all areas that are monitored in approved nursing programs considered minimumstandards for nursing educational programs.The Board seeks advice regarding programs, programapproval, rules and other processes related to educationfrom its twelve member Education Advisory Committee.The Board employs a consultant that carries out the educational functions of the Board, which include overseeing 19RN/LPN Nursing Programs at 37 sites and 170 CNA programs. The Board received complaints regarding nursingprograms and gathers information to assist the programs inmeeting minimum educational standards. The consultanthas 3 roles related to nursing education: consulting on program issues, education provider, and regulator/surveyor.Education Advisory Committee:The Education Advisory Committee, chaired by Boardmember, Dr. Kathy Malloch, is composed of 12 membersrepresenting educational programs and nursing employersthroughout the state. Nurse educators who represent a varietyof program types and geographic areas sit on the committeefor a 2-year term with the option to apply for re-appointment.Programs represented include: Maricopa CommunityCollege District Nursing Program, GateWay Fast Track PNProgram, Pima Community College, Northern ArizonaUniversity, Arizona State University, University of Arizona,Mohave Community College, Cochise College, and GrandCanyon University. Representatives from Mayo Hospital andJohn C. Lincoln Health Care Network also sit on the com-May, June, July 2004mittee to provide an employer perspective.Board Processes:Program Approval/Re-approval Process: TheEducation Committee reviews and makes a recommendation to the Board on all applications for program approvaland requests for program change. All nationally accreditednursing programs (NLNAC or CCNE) are resurveyed onlyat the time of the national accreditation site visit unless acomplaint is received.Complaint process: The Board reviews and investigatesall complaints it receives related to a nursing program. TheBoard utilizes a variety of mechanisms to address complaints including “case dismiss” if a rule violation is notestablished or the program has already addressed the issuein a satisfactory manner. If the complaint is complex or theBoard initiates the complaint, a site visit of the program isconducted and the report goes directly to the Board for adecision. Program representatives are encouraged to attendthe Board meeting and respond to any findings. During thepast five years, approximately 30 persons have made complaints about nursing programs. Sometimes multiple complaints are received about one program.Rule violations: If a rule violation is established, theBoard notifies the program about the violation and provides for a period of correction not to exceed 18 months. Inthe past 5 years, the Board has issued a notice of deficiency to three RN programs and three PN programs. All programs except one PN program, which closed for reasonsunrelated to the deficiency, corrected the deficiencies orare working on correcting the deficiencies. Positivechanges in nursing programs after correction of a deficiency include: more classroom and laboratory resources forstudents, increase in qualified faculty, increase in clericalsupport, better developed curriculum, increased administrative support, and increase in NCLEX pass rates2002 Evaluation of the Educational Function of theBoardThe National Council of State Boards of Nursing conducted a nation-wide study of the effectiveness of boards ofnursing during FY 2000 and FY 2002. Information from programs was reported and published as aggregate data onlyand participants were assured of confidentiality. Twentyfour Arizona nursing programs/sites responded to the survey.Programs were asked to rate their perceptions of the pro-Ridenour cont. on pg. 3By Joey Ridenour, RN, MNAs many of you are aware, the nursing programs inArizona have responded to the nursing shortage byexpanding their student enrollments. Unfortunately theplans will not be realized until faculties are recruited forthe vacant positions. To assist in addressing the nursingshortage and subsequent risk to the public, the ArizonaBoard of Nursing will be running a special column in eachNewsletter for nursing programs to list their faculty needs.Pima Community College is seeking an applicant forInstructional Faculty in Nursing. Primary duties are to teachcourses in Nursing with an emphasis in AdultMedical/Surgical nursing to a diverse student population.Please visit our Web site at www.pima.edu to read more aboutthe college and these positions. The application can be downloaded as a PDF file from wwwhumres@pimacc.pima.edu.Coconino Community College is seeking a seasonedprofessional to promote students success in a learner-centered college as the Director of Nursing. Strong administrative skills are required, as this position will have significant impact on the success of the Nursing program. TheDirector of Nursing will provide leadership to the Nursingprogram by maintaining accreditation with the ASBN,obtaining NLN accreditation, managing the budget, representing the program throughout the college, community,and state, maintaining policies and procedures for the program, advising and admitting students, and leading assessment activities. Please contact Monica Baker at 928-2264262, the Human Resources Department at 928-226-4204,or visit the CCC Web page at www.coconino.edu.Grand Canyon University Samaritan College ofNursing is seeking full time and adjunct nursing faculty toteach in our undergraduate and graduate programs in 20042005. Full time positions in obstetrics (1) and adult health(2) are available. All qualified faculty in any specialty areRecruitment cont. on pg. 4Index:Consent Agreements .5Are You One of the 700? .8Advanced Practice Corner.9Education Corner .10CNA Corner .12New Website LaunchedNursing Assistant Programs .13Regulation Rundown .16By Adam Henriksen, WebmasterOn March 8, 2004 the Arizona State Board of Nursinglaunched a new website with a new look to better meet theneeds of the Arizona citizens. The new design interface ismore user friendly and implements a new top menu basednavigational system. Other new features include updatedOnline Verification of RN/LPN/CNA licenses and certificates, a Disciplinary Actions search page, a new messageboard that allows for better interaction between theNursing community and discussion of Scope of Practicetopics, and a News and Events system. Agencies requiringbatch verification may continue to use the e-mail verifica-tion system (verify@azbn.org).New features that are on the horizon for 2004 includeOnline Licensing and Renewal with credit card processing, an Advisory Opinions search page, and an interactiveMeeting calendar.We hope you will find the new website easier to useand a valuable resource. Your comments and suggestionsare welcome.Please feel free to contact Adam Henriksen atahenriksen@azbn.org for questions or concerns regardingthe website.Nurse Imposters .19, 20Case Studies .23, 24CNA Disciplinary Action .25RN/LPN Disciplinary Action.27
PAGE 2 ARIZONA STATE BOARD OF NURSING NEWSLETTERMAY, JUNE, JULY 2004BOARD OF NURSING CONTACT INFORMATIONGOVERNORThe Honorable Janet NapolitanoBOARD MEMBERSAlice Gagnaire, RN, MSHAPresidentKathy Malloch, PhD., MBA, RNVice PresidentBeverly OgdenPublic Member SecretaryTrista Campbell, RN, BSNMemberTheresa Crawley, CRNA, MSHSAMemberGregory Y. HarrisPublic MemberSharon Molleo, LPNMemberMarla Moore, RN, BSN, MAMemberBarbara O’Connor, LPNMemberMAIN LINE:e-MAIL:(602) 889-5150arizona@azbn.orgMAIN FAX: (602) 889-5155CANDO FAX: (602) 889-5238HOME PAGE: http://www.azboardofnursing.orgADDRESS CHANGE AND APPLICATION REQUESTSReceptionistON-LINE VERIFICATION OF LICENSE/CERTIIFICATE STATUSADMINISTRATIONJoey Ridenour RN, MNJudy Bontrager RN, MNValerie Smith RN, bn.orgvsmith@azbn.orgLila WiemannExecutive DirectorAssociate Director–Operations & LicensingAssociate Director–Nursing Practice/Complaints & InvestigationsAdministrative Assistant to the Executive Director602-889-5202lwiemann@azbn.orgADVANCED PRACTICEKaren Grady MS, RN, FNP, BCAdvanced Practice/RN/LPN602-889-5182kgrady@azbn.orgCHEMICAL DEPENDENCE / CANDOSuanne SmithNurse Consultant-CANDODolores HurtadoLegal Secretary - Monitoring & CANDOOlga ZunigaAdministrative Secretary - Monitoring & mela Randolph RN, MS, CPNPMeredith FountainSurveys Educational Programs RN/LPN/CNAAdministrative ph@azbn.orgmfountain@azbn.orgFISCAL SERVICESDiane SerraNorma SalterBusiness ManagerAccounting salter@azbn.orgHEARINGSSusan Barber RN, MSNJeanne BauerVicky DriverNurse Practice Consultant-Hearing DepartmentSenior InvestigatorAdm. Asst./Hearing N/LPNRN/LPN/Southern gsmunger@azbn.orgRN/LPNCNARN/LPN rgCNA602-889-5175mvannier@azbn.orgBoard Minutes/Endorsements602-889-5193Assistant to Associate Director/602-889-5207Nursing Practice, Complaints & InvestigationsRN/LPN Investigations602-889-5183CNA Investigations602-889-5177CNA Investigations602-889-5173Administrative Assistant to Associate Director/602-889-5205Operation & LicensingRN/LPN Investigations602-889-5187Assistant to Associate Director/Nursing Practice,602-889-5208Complaints & Investigations/New Complaints/CNA GATIONSNurse Practice ConsultantsBetty Nelson RN, MSJeanine Sage RN, MSNMary Rappoport RN, MNNancy “Nan” Twigg RN, MSPat Midkiff, RN, MNSister Rachel Torrez RN, MSSydney Munger RN, MSSenior InvestigatorsJames (Jim) BallKirk OlsonLorraine BrownPat Pavlina, RN, BSVicki JohansenLegal AssistantsMelissa VannierLegal SecretariesBarbara RitenourBecky LoarDebra BlakeDorothy LindseyEsther GarciaMary PalmerMeredith FountainThereasa rgINFORMATION TECHNOLOGYLoren B. CobbCory DavittAdam HenriksenInformation Services DirectorNetwork zbn.orgLICENSINGBecky AranyosBrent SutterDiana LucasDonna FryeHeather AranyosRhonda RogersYvonne GodinezRN/LPN ExamRN/LPN RenewalsRN/LPN EndorsementsAdvanced Practice – School NursesCNA Exam/EndorsementsCNA-RenewalsRN/LPN MMarlane BrosseauRita Kelly-SierraMail RoomMail ly@azbn.orgMONITORINGStephanie Nelson RN, MSDolores HurtadoNurse Consultant MonitoringLegal Secretary – dhurtado@azbn.orgRECEPTIONISTSAthena SanchezJennifer ButlerSusan utler@azbn.orgskingsland@azbn.orgRECORDSCharlotte SeechomaRecords Room602-889-5217cseechoma@azbn.org
MAY, JUNE, JULY 2004ARIZONA STATE BOARD OF NURSING NEWSLETTER PAGE 3 Ridenour cont. from pg. 1 Is one of 10 members who serves on a nationalExam Committee of National Council of StateBoards of Nursing; Reviews approximately 100 CredentialEvaluation Reports (CES) per year from foreigneducated nurses to ensure that the foreign program is equivalent to a domestic nursing program; Conducted on-site investigations of complaintsinvolving 5 programs between 2000-2004; Serves as an ex-officio member of the Practicaland Associate Council of Nurse Educators(PACNE) and Healing Community and informally meets with individual program directorswhen they request consultation; and Prepares and distributes a resource book for program directors that contains information andresources intended to improve program outcomesand explain program evaluation procedures.Non-Accredited Non-Approved ProgramsThe Board has become aware of “educational” institutions that are not recognized by the US government andmerely serve as “diploma mills”. These institutions takethousands of dollars from students and award degrees thatare of little or no value. These nursing and nurse assistantprograms that claim to be “nationally accredited.” Uponfurther examination, one discovers the nation accreditingthe program is a third world country or a Caribbean island.Many times the address of the program is an office suite.The Board is aware of the following non-accreditedprograms: A distance RN program that claims to be nationallyaccredited, but the federal government does not recognize the accrediting body. This program containsno clinical experience, and does not qualify for federal loan or tuition aid. The Registrar’s office is asuite in Minnesota and the Minnesota Board ofgram approval process in Arizona on a scale of 1 (alwaysadequate) to 3 (inadequate). The overall rating in Arizonaaveraged 1.12 and compares favorably to the national average of 1.38. The highest score for Arizona was “communication with board staff” at 1.08 with a national rating of 1.43and the lowest was “interval between board visits” at 1.33with a national average of 1.40. All 12 measures were abovethe national aggregate rating. Other areas of strength for theArizona Board (all rated at 1.09) include time spent on siteduring visit, feedback/evaluation provided by board, timeliness of providing feedback, comprehensiveness of feedbackprovided, and fairness/objectivity of board findings. Inanother aspect of the same study, nine programs, who madeinquiries of the Board regarding educational issues, regarded the Board as very helpful (1.00) on a scale of 1 (veryhelpful) to 4 (very unhelpful). This compares favorably tothe national aggregate of 417 programs across the country,who made inquiries of the board of nursing in their state, andregarded the board as very helpful (1.29).2000-2004 Accomplishments of the ASBN RN/PNEducation Committee/Department The Education Committee recommended approval andthe Board approved four new program applications All 19 programs in Arizona remain approved andreceive site-visits at Board-determined intervals Due to a decline in the overall pass rate of theRN/LPN national test, NCLEX , the Board sponsored a forum on NCLEX pass rates in 2002 andpublished the results. State NCLEX-RN pass ratesincreased from 83% in 2001 to 91% in 2003. The Board publishes and updates the list ofapproved programs and secures program codes fromNational Council for approved programs. Programapproval is required for the graduates to be recognized for licensure in other states and sit for theNCLEX exam. In addition, the Board advertisesprogram faculty openings in the newsletter at nocharge to facilitate the recruitment of faculty. The Education Committee has accomplished or iscurrently working on the following projects: Revising rules to allow nationally accreditedinstitutions to sponsor nursing programs, Participating in national research on practicebreakdown to learn new ways of assessing nurses with practice problems, Considered and recommended approval of allprogram requests to increase the number of students or add program sites, Providing education to the public on differentlevels of nursing practice/education by posting apaper on the Web, Reviewing applications of CredentialEvaluation Service (CES) agencies to ensurethat the agency uses accepted, secure procedures in determining comparability of foreignnursing programs to U.S. nursing programs, Reviews all programs for approval/reapproval,and Review and monitor reports of unapproved programs and diploma mills that advertise to U.S.students. Based on nursing program need, the Board co-sponsored the following meetings in 2003: For nursing faculty: “When a Student Threatensto Sue” which provided faculty with strategiesfor dealing with unsafe nursing students; For the CNA educators: “CNA EducatorsRetreat” which provided an opportunity to learnnew curriculum strategies; and A State-wide RN/PN educators meeting, whichfocused on current program issues and provideda forum for discussion. The Nursing Education Consultant: Collects and disseminates program statistics onan annual basis and publishes the data in theNewsletter and on the ASBN Web site; Compiles and distributes NCLEX results to programs and the public; Updates, and distributes a learning programentitled “Beginning Nursing” to programs foruse in educating students on the Board application process; Informs the public about educational issuesthrough the Newsletter’s “Education Corner”column; Presented information on the Nurse Practice Actto over 2,000 student nurses and others in thepast five years;Nursing Jobs 24/7Visit NursingALD.comNursing has never heard of this program. An official transcript was sent from a program operating out of a suite in Indiana. The VocationalNursing program lasted 5-months, did not indicateacademic credits, and is not on the list of approvedIndiana programs. An institution operating out of a suite on E.McDowell Rd in Phoenix called itself Arizona Aand M University and issued a CNA completion certificate to the relative of the owner. A “career institute” located in New York offers aCNA course by correspondence with no clinicalexperience. A brochure states in fine print that thecourse is not a substitute for state licensing or certification requirements. A “University” registered in the island of Nevis,awards credits for “life experience” and is accredited by a body that is not recognized by the USDepartment of Education. No US Board of Nursingapproves this program. A school “nationally accredited” in the Caribbeanawards nursing degrees by distance and is located inMiami, but not approved by the Florida Board ofNursing. A flyer was sent to all RNs offering opportunities toteach in an Arizona nursing pro
Receptionist arizona@azbn.org ON-LINE VERIFICATION OF LICENSE/CERTIIFICATE STATUS verify@azbn.org ADMINISTRATION Joey Ridenour RN, MN Executive Director 602-889-5200 jridenour@azbn.org Judy Bontrager RN, MN Associate Director–Operations & Li
