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11COMMONWEALTH OF PENNSYLVANIA2DEPARTMENT OF STATE3BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS45F I N A LM I N U T E S67MEETING OF:89STATE BOARD OF NURSING1011TIME: 9:00 a.m.1213BOARDROOM B14One Penn Center152601 North Third Street16Harrisburg, Pennsylvania171101718Wednesday, July 26, 201719202122232425Sargent's Court Reporting Service, Inc.(814) 536-8908
303132333435363738394041424344454647484950State Board of NursingJuly 26, 2017BOARD/COMMISSION MEMBERS:Linda L. Kmetz, PhD, RN, ChairpersonKathryn L. Waters, Deputy Commissioner of Professionaland Occupational AffairsAnn Michele Coughlin, MBA, MSN, RN, Vice ChairRobert E. Ames, Public Member - AbsentSuzanne Hendricks, BSBH, RN, LPNSue E. Hertzler, LPNLinda A. Kerns, Esquire, Public MemberKessey J. Kieselhorst, MPA, RD, LDN, CPHQSherri Luchs, RNKristin Malady, BSN, RNJohn M. O’Donnell, DrPH, RN, CRNA, MSN - AbsentJason R. Owen, Esquire, Public MemberBridget E. Vincent, CRNPBUREAU PERSONNEL:Judith Pachter Schulder, Esquire, Board CounselMegan E. Castor, Esquire, Board CounselCarole Clarke Smith, Esquire, Board CounselAriel O’Malley, Esquire, Board Counsel - AbsentMargaret A. Sheaffer, Esquire, Board ProsecutionLiaisonCynthia K. Miller, Board AdministratorSue Petula, Ph.D., MSN, RN, NEABC, FRE, NursingEducation AdvisorLaurette Keiser, MSN, RN, Executive SecretaryWendy Miller, MSN, RN, Nursing Practice AdvisorConstance Breitner, MSN, RN, Nursing Practice AdvisorJason Anderson, Esquire, Board ProsecutorT'rese Evancho, Esquire, Board ProsecutorJohn Karl Geschwindt, Esquire, Board ProsecutorPaul J. Jarabeck, Esquire, Board ProsecutorHeather McCarthy, Esquire, Board ProsecutorWilliam Newport, Esquire, Board ProsecutorDavid Schertz, Esquire, Board ProsecutorTimothy Smith, Esquire, Board ProsecutorMatthew Sniscak, Esquire, Board ProsecutorAdam Morris, Esquire, Board ProsecutorSargent's Court Reporting Service, Inc.(814) 536-8908
303132333435363738394041424344454647484950ALSO PRESENT:Brian LaForme, Executive Deputy Secretary,Pennsylvania Department of Banking and SecuritiesDenise Getgen, Director, Pennsylvania Department ofAging Protective ServicesKathie Simpson, RN, Executive Director, PennsylvaniaNurse Peer Assistance ProgramNancy Chiarantona, MSN, RN, Assistant Professor ofNursing,Gwynedd Mercy UniversityKymberlee Montgomery, DrNP, RN, CRNP, WHNP-BC, CNE,FAANP, Drexel UniversityTheresa Campo, DNP, CRNP, FNP-C, ENP-BC, FAANP, DrexelUniversityKimberly McClellan, EdD, MSN, CRNP, DrexelUniversityIlona R. Garrity, MBD, RD, LDN, Pennsylvania Academyof Nutrition and DieteticsSuzanne Wurster, MSN, RN, CEN, Director ofProfessional Development, Pennsylvania State NursesAssociationJohn Campagna, Jersey Nurses Economic SecurityOrganizationMary Lou Taylor, CRNA, BSN, Secretary, PennsylvaniaAssociation of Nurse AnesthetistsMary Marshall, Director, Workforce & ProfessionalServices, The Hospital and Healthsystem Associationof PennsylvaniaJanyce Collier, Director, Franklin County Career &Technology Center Practical Nursing ProgramNancy K. Haughton, MSN, RN, Director, Chester CountyIntermediate Unit Practical Nursing ProgramJennifer Sporay, Pennsylvania Academy of Nutrition andDieteticsAndrea Hollingsworth, PhD, RN, Dean and Professor,Gwynedd Mercy UniversityMark C. Crider, President, Pennsylvania State NursesAssociationCharles Hartwell, EsquireSargent's Court Reporting Service, Inc.(814) 536-8908
41***2State Board of Nursing3July 26, 20174***5The regularly scheduled meeting of the State6Board of Nursing was held on Wednesday, July 26, 2017.7Linda L. Kmetz, PhD, RN, Chairperson, called the8meeting to order at 9:12 a.m.9Deputy Commissioner of Professional and OccupationalKathryn L. Waters,10Affairs, was not present at the commencement of the11meeting. The Board delayed the start of its meeting12until the conclusion of the Probable Cause Screening13Committee meeting.1415Dr. Kmetz reviewed the emergency evacuationprocedures for One Penn Center.16***17[Members of the Board and staff introduced themselves.18Bridget E. Vincent, CRNP, provided a brief summary of19her educational and professional background.2021Visitors and staff in attendance then introducedthemselves.]22***23Adoption of the Agenda24CHAIRPERSON KMETZ:25Are there any additions to the agendaSargent's Court Reporting Service, Inc.(814) 536-8908
51for today?2motion for adoption?3MR. OWEN:45So moved.MS. HENDRICKS:67Second.CHAIRPERSON KMETZ:89Hearing none, may I have aAll in favor?Opposed?Abstentions?[The motion carried unanimously.]10***11Adoption of Minutes12CHAIRPERSON KMETZ:13May I have a motion for the adoption of14the Minutes of June 9, 2017?15MR. OWEN:16171819202122So moved.MS. HENDRICKS:Second.CHAIRPERSON KMETZ:All in favor?Opposed?Abstentions?[The motion carried unanimously.]***23Report of Prosecutorial Division24[Chairperson Kmetz noted the following VRP Consent25Agreements for Andrea Costello, Esquire/Glenn Masser,Sargent's Court Reporting Service, Inc.(814) 536-8908
61Esquire:2File No. 17-51-00034, File No. 17-51-01233, File No.317-51-01482, File No. 17-51-01627, File No. 17-51-401753, File No. 17-51-02086, File No. 17-51-02840,5File No. 17-51-02841, File No. 17-51-03004, File No.617-51-03117, File No. 17-51-03339, File No. 17-51-703460, File No. 17-51-03461, File No. 17-51-03640,8File No. 17-51-03709, File No. 17-51-03970, File No.917-51-04162, File No. 17-51-04163, File No. 17-51-1004195, File No. 17-51-04648, File No. 17-51-04666,11File No. 17-51-04846, File No. 17-51-05297, File No.1217-51-05707, File No. 17-51-05708, File No. 17-51-1305863, File No. 17-51-05864, File No. 17-51-05901,14File No. 17-51-05924, and File No. 17-51-05295.]15File No. 16-51-09735, File No. 16-51-13468,***16[Jason Anderson, Esquire, Board Prosecutor, presented17a Consent Agreement for File No. 16-51-10325.]18***19[Adam Morris, Esquire, Board Prosecutor, on behalf of20Keith Bashore, Esquire, Board Prosecutor, presented21Consent Agreements for File No. 15-51-07359, File No.2216-51-05777, and File No. 17-51-04720.]2324***[T’rese Evancho, Esquire, Board Prosecutor, presented25Consent Agreements for File No. 13-51-05389, File No.2615-51-14390, File No. 16-41-00400, File No. 16-51-Sargent's Court Reporting Service, Inc.(814) 536-8908
7107354, File No. 16-51-09760, File No. 16-51-12075, and2File No. 16-51-12976.3Members Coughlin and Kerns recused themselves4from discussion on File No. 16-51-00400 and File No.516-51-12075.6themselves from discussion on File No. 15-51-14390.]7Members Coughlin and Hendricks recused***8[John Karl Geschwindt, Esquire, Board Prosecutor,9presented Consent Agreements for File No. 14-51-11637,10File No. 16-51-13843, File No. 17-51-02159, File No.1117-51-04254, and File No. 17-51-04347.1213Members Hendricks, Kerns and Luchs recusedthemselves from discussion on File No. 16-51-13843.]14***15[John Karl Geschwindt, Esquire, Board Prosecutor,16presented Consent Agreement for File No. 16-51-03779.17Charles Hartwell, Esquire, Respondent's Counsel, was18also present for the discussion.1920Members Coughlin and Hendricks recused themselvesfrom discussion on the matter.]21***22[Paul J. Jarabeck, Esquire, Board Prosecutor,23presented a Consent Agreement for File No. 17-51-2401216.]25***Sargent's Court Reporting Service, Inc.(814) 536-8908
81[Heather J. McCarthy, Esquire, Board Prosecutor,2presented Consent Agreements for File No. 16-51-096983and File No. 16-15-12023.]4***5[Adam Morris, Esquire, Board Prosecutor, presented6Consent Agreements for File No. 16-51-11119, File No.716-51-07931, File No. 16-51-07978, and File No. 16-51-812486.9Members Coughlin, Hendricks, Kerns and Luchs10recused themselves from discussion on File No. 16-51-1107978.12themselves from discussion on File No. 16-51-12486.]Members Hendricks, Kerns, and Luchs recused13***14[William Newport, Esquire, Board Prosecutor, presented15Consent Agreements for File No. 14-51-10592 and File16No. 17-51-02458.1718Ms. Hendricks recused herself from discussion onFile No. 16-10592.]19***20[David J. Schertz, Esquire, Board Prosecutor,21presented Consent Agreements for File No. 15-51-00908,22File No. 15-51-13442, File No. 16-51-04400, and File23No. 17-51-06006.]2425***[Margaret A. Sheaffer, Esquire, Board ProsecutorSargent's Court Reporting Service, Inc.(814) 536-8908
91Liaison, presented Consent Agreements for File No. 15-251-01377, File No. 16-51-05100, File No. 16-51-128483and File No. 17-51-03378.45Ms. Hendricks recused herself from discussion onFile No. 16-51-01377.]6***7[Timothy Smith, Esquire, Board Prosecutor, presented a8Consent Agreement for File No. 14-51-09183.]9***10[Matthew Sniscak, Esquire, Board Prosecutor, presented11a Consent Agreement for File No. 16-51-09769.12Hartwell, Esquire, Respondent's Counsel, was also13present for the discussion.]Charles14***15[Matthew Sniscak, Esquire, Board Prosecutor, presented16Consent Agreements for File No. 15-51-10376, File No.1716-51-06441, File No. 16-51-14983, and File No. 17-51-1804845.]19***20[Kathryn Waters, Deputy Commissioner, entered the21meeting at 9:19 a.m.]22***23[Margaret A. Sheaffer, Esquire, Board Prosecutor, on24behalf of Lindsay Szymanski, Esquire, Board25Prosecutor, presented Consent Agreements for File No.Sargent's Court Reporting Service, Inc.(814) 536-8908
1012314-51-11507 and File No. 15-51-09486.Ms. Hendricks recused herself from discussion onthe matter.]4***5[Pursuant to Section 708(a)(5) of the Sunshine Act,6the Board entered into Executive Session with Judith7Pachter Schulder, Esquire; Megan E. Castor, Esquire;8and Carole Clarke Smith, Esquire, at 9:38 a.m. for the9purpose of conducting quasi-judicial deliberations on10matters that are currently pending before the Board.11The Board returned to open session at 9:40 a.m.]1213***MS. PACHTER SCHULDER:14During the Executive Session, the Board15with the exclusion of members Robert E.16Ames, Ann Michele Coughlin, Suzanne17Hendricks, Linda A. Kerns and Sherri18Luchs, who recused themselves from19deliberations and voting on this20matter, deliberated on matter 16-51-2107978.22232425Is there a motion to adopt theConsent Agreement?MS. KIESELHORST:So moved.Sargent's Court Reporting Service, Inc.(814) 536-8908
111MS. HERTZLER:23Second.CHAIRPERSON KMETZ:4All in favor?5Thank you.Opposed?Abstentions?6[The motion carried.7Hendricks, Linda A. Kerns, and Sherri Luchs recused8themselves from deliberations and voting on the9motion.10Ann Michele Coughlin, SuzanneThe Respondent’s name is Laura Deluca McBain,RN, LPN.]11***12[Kathryn Waters, Deputy Commissioner, exited the13meeting at 9:43 a.m.]14***15Appointments16[Brian LaForme, Executive Deputy Secretary,17Pennsylvania Department of Banking and Securities, and18Denise Getgen, Director of Adult Protective Services19at the Department of Aging, presented a video and20information to the Board on elder financial abuse21prevention awareness.22Mr. LaForme urged the Board to become a part of23the network across Pennsylvania to protect seniors.24He noted the availability of continuing education25credits or training.Sargent's Court Reporting Service, Inc.(814) 536-8908
121Ms. Getgen discussed present and past statistics2of cases of elder abuse.3exploitation as the most reported complaint.4Investigations are conducted following the reporting5of an allegation of abuse.6in the form of education, all the way to7guardianship.]89She noted financialServices will be provided***Regulation Update10[Judith Pachter Schulder, Esquire, Board Counsel,11noted that the Board's June’s regulation report is12unchanged.]13***14Legislative Report15Pennsylvania Update16[Judith Pachter Schulder, Esquire, Board Counsel,17updated the Board on the status of Senate Bill 763,18House Bill 1617, House Bill 1639, and House Bill191500.]202122***National Update – No Report***23[Kathryn Waters, Deputy Commissioner, re-entered the24meeting at 10:23 a.m. and exited at 10:28 a.m.]25***Sargent's Court Reporting Service, Inc.(814) 536-8908
131Report of Board Chairperson – No Report23***Report of Deputy Commissioner – No Report4***5Report of Committees6Probable Cause7[Suzanne Hendricks, BSBH, RN, LPN, reported that the8Probable Cause Screening Committee moved on the9following items: 8 Petitions for Appropriate Relief,1063 Petitions for Mental and Physical Examinations, and112 Petitions for Immediate Temporary Suspension.]12***13Application Review14[Ann Michele Coughlin, MBA, MSN, RN, Vice Chair, noted15the Application Review Committee met and reviewed16applications.]17***18Advanced Practice19[Chairperson Kmetz noted that the Advanced Practice20Committee did not meet.]21***22IT and Communication Issues23[Suzanne Hendricks, BSBH, RN, LPN, reported on the24Committee's efforts regarding the new Probable Cause25eAgenda.]Sargent's Court Reporting Service, Inc.(814) 536-8908
141***2Report of Board Members who Attended a Meeting on3Behalf of the Board4[Chairperson Kmetz reported on attending the5Discipline Case Management Conference with Mr. Morris6and Mr. Bashore.7regarding conflicts of interest, the use of email8communication, and the open records law.]She highlighted discussions9***10Report of Executive Secretary11[Laurette Keiser, MSN, RN, Executive Secretary,12updated the Board on the transition to PALS, the new13Pennsylvania licensing database.14is for the October renewals to utilize the new system.15Ms. Keiser noted information regarding opioidShe noted the plan16education requirements for CRNP Prescriptive17Authority.18the website.19The renewal information has been posted onShe noted that four members were approved to20attend the Delegate Assembly in August.21updated the Board on the proposed NCSBN change that22would require Boards to participate in NCSBN23Verification in order to be full voting members.24Pennsylvania retains the verification function.25Ms. KeiserMs. Keiser also noted that another NCSBN changeSargent's Court Reporting Service, Inc.(814) 536-8908
151would require participation in the Enhanced Nurse2Licensure Compact.3would be required for Pennsylvania to participate.]Statutory and regulatory changes4***5Old Business6List of Board Committees7[Bridget E. Vincent, CRNP, agreed to join Dr.8O’Donnell on the Advanced Practice Committee.]9***10New Business11National Council of State Boards of Nursing12Investigator Training13[Laurette Keiser, MSN, RN, Executive Secretary, noted14the National Council of State Boards of Nursing15(NCSBN) Board Investigator Training meeting scheduled16for October 24-26, 2017, in Illinois.]17MS. COUGHLIN:18I’ll make the motion to send someone to19the conference.202122232425MS. HENDRICKS.Second.CHAIRPERSON KMETZ:All in favor?Opposed?Abstentions?[The motion carried unanimously.]***Sargent's Court Reporting Service, Inc.(814) 536-8908
161[Kathryn Waters, Deputy Commissioner, re-entered the2meeting at 10:30 a.m.]3***4For the Board’s Information5PA Supreme Court Decision6[Judith Pachter Schulder, Esquire, Board Counsel,7discussed the Supreme Court Decision in the Shinal v.8Toms case and its impact on CRNPs.]9***10Summary of Recommendations to the 2017 Delegate11Assembly12[Laurette Keiser, MSN, RN, Executive Secretary,13informed the Board that the Vice Chair is a candidate14for election.]15***16[Kathryn Waters, Deputy Commissioner, exited the17meeting at 10:44 a.m.]181920***[The Board recessed from 10:44 a.m. to 10:51 a.m.]***21[Linda L. Kmetz, PhD, RN, Chairperson, exited the22meeting at 10:51 a.m. due to her recusal from23participation in the request of Gwynedd Mercy for a24waiver of the master’s degree teaching requirement.25She re-entered the meeting at 11:11 a.m.]Sargent's Court Reporting Service, Inc.(814) 536-8908
171***2Appointments3Faculty Waiver Request for Ms. Arlene Pongan to teach4while she obtains her graduate degree5[Andrea O. Hollingsworth, PhD, RN, Dean and Professor,6Gwynedd Mercy University, requested a waiver for the7five-year limit on an individual who was hired as an8adjunct clinical instructor to complete a master’s9degree.]10***11Drexel University Emergency CRNP Post-Master’s12Certificate Program Proposal13[Kymberlee A. Montgomery, DrNP, RN, CRNP, WHNP-BC,14CNE, FAANP; Theresa M. Campo, DNP, CRNP, FNP-C, ENP-15BC, FAANP; and Kimberly McClellan, EdD, MSN, CRNP; on16behalf of Drexel University, discussed an emergency17nurse practitioner track for a post-master’s18certificate.]19***20[Pursuant to Section 708(a)(5) of the Sunshine Act,21the Board entered into Executive Session with Judith22Pachter Schulder, Esquire; Megan E. Castor, Esquire;23and Carole Clarke Smith, Esquire, at 11:08 a.m. for24the purpose of conducting quasi-judicial deliberations25on matters that are currently pending before theSargent's Court Reporting Service, Inc.(814) 536-8908
181Board.2p.m.]The Board returned to open session at 1:173***4MOTIONS5MS. PACHTER SCHULDER:6The Board met in Executive Session for7quasi-judicial deliberations on the8matters on the agenda on the Report of9Prosecutorial Division, Report of10Counsel, and the Program Applications11as well as the additional deliberative12matters, Brown and Pongan.13The Board members will indicate their14recusals as part of each of the15motions.16Is there a motion to adopt all of the17VRP Agreements that are on the agenda18as items 2 through 32 and item 209?19MR. OWEN:202122232425So moved.MS. HENDRICKS:Second.CHAIRPERSON KMETZ:All in favor?Opposed?Abstentions?[The motion carried unanimously.]Sargent's Court Reporting Service, Inc.(814) 536-8908
1912***MS. PACHTER SCHULDER:3Is there a motion to adopt the4following Consent Agreements, starting5with 33, File No. 16-51-10325; 15-51-607359, 16-51-05777, 17-51-04720, 13-51-705389, 16-51-07354, 16-51-09760, 16-51-812976, 14-51-11637, 17-51-02159, 17-51-904254, 17-51-04347, 17-51-01216, 16-51-1009698, 16-51-12023, 16-51-07931, 17-51-1102458, 15-51-00908, 15-51-13442, 16-51-1204400, 17-51-06006, 15-51-05100, 16-51-1312848, 17-51-03378, 14-51-09183, 15-51-1410376, 16-51-06441, 16-51-09769, 17-51-1504845, and 14-51-11507?16MS. HENDRICKS:1718192021So moved.MR. OWEN:Second.CHAIRPERSON KMETZ:All in favor?Opposed?Abstentions?22[The motion carried unanimously.The Respondents’23names are as follows:24Strausbaugh, RN; 15-51-07359, Alisha Marie O’Block,25LPN; 16-51-05777, Natalie Rose Hummel, RN; 17-51-16-51-10325, RonaldSargent's Court Reporting Service, Inc.(814) 536-8908
20104720, Kathryn Bushfield-Gillhoover, RN; 13-51-05389,2PERC; 16-51-07354, Yevgeniy A. Churpin, RN, LPN; 16-351-09760, Susan Kudashick Spiller, RN; 16-51-12976,4Shannon Michelle Stenger, RN; 14-51-11637, Linda5Brandt Worley, LPN; 17-51-02159, Yvette Michelle6Pringle, RN; 17-51-04254, Holly Nicole Stewart, LPN;717-51-04347, Stefanie Lynn Lowery, RN; 17-51-01216,8Karen J. Belkowski Homoki, RN,; 16-51-09698, Stacia9Lee Basom, RN; 16-51-12023, Sue Ellen Baker, RN; 16-1051-07931, Patricia A. McCann, RN; 17-51-02458, Sheila11Slimmer, RN; 15-51-00908, Nicole Marie Moore, RN; 15-1251-13442, Genevieve Lengwe Kameni, LPN, RN; 16-51-1304400, Kelly Sue Prince, RN; 17-51-06006, L. Christine14Sims, RN; 16-51-05100, Kelly Lynn Tyrrell, RN; 16-51-1512848, Sara A. Ponton, RN; 17-51-03378, Jennifer Ann16Secrist, RN; 14-51-09183, Nicole Michelle Hayes, LPN;1715-51-10376, Diane A. Gittlemacker, RN; 16-51-06441,18Maria McCoy, RN; 16-51-09769, Louis J. Bianco, RN; 17-1951-04845, Michele Lynne Kobosky, RN; and 14-51-11507,20Colleen E. Fox, RN.]2122***MS. PACHTER SCHULDER:23Is there a motion to adopt the24following Consent Agreements for which25members Robert E. Ames, Ann MicheleSargent's Court Reporting Service, Inc.(814) 536-8908
211Coughlin, and Suzanne Hendricks are2recused?3File Nos. 15-51-14390 and 16-51-4503779.MS. KERNS:6789So moved.MS. HERTZLER:Second.CHAIRPERSON KMETZ:10All in favor?11Recusals?Opposed?Abstentions?12[The motion carried.Ann Michele Coughlin and Suzanne13Hendricks recused themselves from deliberations and14
Jul 26, 2017 · 31 Technology Center Practical Nursing Program 32 Nancy K. Haughton, MSN, RN, Director, Chester County 33 Intermediate Unit Practical Nursing Program 34 Jennifer Sporay, Pennsylvania Academy of Nutrition and 35 Dietetics 36 Andrea Hollingsworth,
