Arizona State Board of Nursing

Transcription

1 Arizona State Board of Nursing Janice K. Brewer Joey Ridenour Governor Executive Director Board Meeting Minutes The regular meeting of the Arizona State Board of Nursing convened at 8:01a.m. Thursday, September 18, 2014, in the Board of Nursing Board Room, Suite 200, 4747 N. 7 th Street, Phoenix, Arizona, with Randy C., CRNA,, presiding. BOARD MEMBERS PRESENT: Randy C., CRNA, Theresa (Terri), LPN, C-AL, Kathryn L., JD, Leslie, MSN, RN, Lori, BS, RN-C, M. Shawn, RN, MS, Patricia, LPN, Board Charleen L., BSN, RN, BOARD MEMBERS ABSENT: Kim, RN, BSN, MBA/HCM, NEA-BC, Carolyn Jo, RN, MS, FNP-BC, Vice LEGAL COUNSEL: Elizabeth Campbell, Assistant Attorney General Carrie Smith, Assistant Attorney General Sara Selzer, Assistant Attorney General STAFF DIRECTORS: Joey Ridenour, RN, MN, FAAN, Executive Director Valerie Smith, RN, MS, FRE, Associate Director of Investigations Nikki Austin, JD, RN, Associate Director to Monitoring/CANDO/Hearings Judy Bontrager, RN, MN, Associate Director of Operations Pamela Randolph, RN, MSN, Associate Director of Education and Evidence Based Regulation STAFF: Katrina Alberty, Senior Investigator Frederick Arias, Senior Investigator Max Barker, Senior Investigator Frannie Breed, RN, BSN, Education Consultant Stephanie Chambers, RN, MN, Nurse Practice Consultant Janeen Dahn, Ph.D., FNP-C, Nurse Practice Consultant/AP Ronda Doolen, RN, BSN, MSN, Education Program Administrator Diva Galan, JD, Senior Investigator Tamara Greabell, MA, BSN, RN, Nurse Practice Consultant Jan Kerrigan, RN, BSN, Nurse Practice Consultant/CANDO Kristi Hunter, MSN, FNP-C, Nurse Practice Consultant Ruth Kish, RN, MN, Nurse Practice Consultant Jennifer McWilliams, Senior Investigator Kirk Olson, Senior Investigator Linda Monas, Senior Investigator Michael Pilder, MSN, RN, APHN-BC, Nurse Practice Consultant Cindy Mand, RN, BSN, Nurse Practice Consultant Michelle Morton, Senior Investigator Daniel Phelan, BS, M.ADM, Senior Investigator Rosemary Powell, RN, MA, Nurse Practice Consultant Bonnie Richter, MSW, Senior Investigator Carla Stapleton, MHA, RN, Nurse Practice Consultant Kristen Wilson, RN, MSN, CNS, PMANP, BC, NPC Barbara Melberg, License Tech II Naira Kutnerian, Administrative Assistant II AzBN September 2014, Regular Board Meeting Minutes 1

2 I. Call to Order The meeting was called to order at 8:01 a.m., Thursday, September 18, The following Board members were present:,,,, and. presided. welcomed members of the audience, explained the procedure for addressing the Board, and stated the mission of the Board. VI.C.6. Jenny Martha Pina RN (Richter) moved, seconded, and it was unanimously carried to table Agenda Item VI.C.6. VI.E.1. Mark Newton RN (Pilder) Newton was present and available for questions. Attorney Rob Chelle was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, to offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue a Notice of Charges. YES 6 X X X X X X ABSENT 4 X X X X VI.O.5. Toni Papin RN (Chambers) Papin and attorney Rob Chelle were present and addressed the Board. moved, seconded, and it was unanimously carried to issue a Letter of Concern for medication errors made on or about November 28, 2009, and July 31, 2013, while working as a RN at Hospice of Arizona in Phoenix, Arizona. arrived at the meeting at 8:13 a.m. presided. VI.D.7. Christina E. Palaez RN Exam (Morton) Attorney Rob Chelle was present and addressed the Board. moved, seconded to grant licensure upon meeting all requirements, and issue a Letter of Concern for her May 29, 2002 misdemeanor conviction of Minor in Possession of Liquor, in the Chandler Municipal Court, in Chandler, Arizona, her December 27, 2003 DUI arrest in Scottsdale, Arizona, her April 13, 2005 conviction of a misdemeanor DUI, and a class six undesignated offense of endangerment, that was reduced to a misdemeanor on March 2, 2007, in the Maricopa County Superior Court, in Maricopa County, Arizona. The motion carried with six in favor and one abstained. VI.N.5. Julie Lindeman Locke RN (Wilson) (aka: Lindeman; Fahnel) Wilson addressed the Board and confirmed receipt of additional information. Attorney Rob Chelle was present and addressed the Board. Julie Locke was present and available for questions. moved, seconded, and after discussion it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. The Board recommended that Locke complete an Ethics Course. AzBN September 2014, Regular Board Meeting Minutes 2

3 VI.C.6. Jenny Martha Pina RN (Richter) moved, seconded, and it was unanimously carried to reopen Agenda Item VI.C.6. Attorney Craig Orent was present and addressed the Board. moved, seconded, upon a determination of reasonable cause, based on the facts alleged in the investigative report, and material presented at this Board meeting, issue an Interim Order for a substance abuse evaluation by a Board approved PhD level licensed psychologist, at no cost to the Board, and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, issue a Notice of Charges and include the factual allegations and alleged violations of statute and rule for failure to comply with the Interim Order. VI.P.10. Amie Lyn Schnorr RN (Galan) Attorney Teressa Sanzio was present and addressed the Board. An attempt was made to contact Schnorr telephonically. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement for a 12 month stayed revocation during which time the license is placed on probation with terms and conditions, followed by a 12 month probation with terms and conditions, all to include attached stipulations, grant a limited license for the purposes of completing an RN Refresher course, for licensure. Upon successful completion of RN Refresher Course, issue RN license under applicable terms contained on the attached stipulation worksheet. If not signed within 30 days, deny licensure. V.C.3. Gail Ziv RN (Austin) Attorney Teressa Sanzio was present and available for questions. moved, seconded, and it was unanimously carried to terminate Consent Agreement and Order NO NUR. VI.C.10. Tammy June Turney RN (Richter) (aka: Jenkerson) Turney was present telephonically and available for questions. Attorney Allen Bickart was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried, upon a determination of reasonable cause, based on the facts alleged in the investigative report, and material presented at this Board meeting, issue an Interim Order for a psychological evaluation with an emphasis on anger management by a Board approved PhD level licensed psychologist, and to include any additional testing deemed necessary by the evaluator, at no expense to the Board, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, issue a Notice of Charges AzBN September 2014, Regular Board Meeting Minutes 3

4 and include the factual allegations and alleged violations of statute and rule for failure to comply with the Interim Order. VI.E.15. Neale Michael Spender CO Compact; RN (Pilder) Pilder addressed the Board with additional information. Spender was present and attorney Kathryn McCormick were present and addressed the Board. moved, seconded, based on a determination of reasonable cause, based on the information in the investigative report (and material presented at this Board meeting), at no cost to the Board, issue an Interim Order for a psychosexual misconduct evaluation to be completed by a Board approved licensed psychologist who has expertise in professional sexual misconduct, and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the information identified in the investigative report, issue Notice of Charges against the privilege to practice and deny the application for licensure and include the factual allegations and alleged violations for failure to comply with the Interim Order. The motion carried with four in favor and three opposed. YES 4 X X X X NO 3 X X X VI.F.4. Melissa Lounelle Shohan RN Exam (Alberty) (aka: Booth) Shohan was present and attorney Christine Cassetta were present and addressed the Board. moved, seconded, and it was unanimously carried to dismiss the complaint and grant licensure. VI.L.2. Sherry Young RN080046; AP1225 (Dahn) Dahn addressed the Board with additional information. moved, seconded, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. The motion carried with six in favor and one abstain. YES 6 X X X X X X ABSTAIN 1 X left the meeting at 9:12 a.m. and returned at 9:15 a.m. VI.M.1. Suzanne Michelle Daniels RN (Hunter) (aka: Listemann; Carter) moved, seconded, and it was unanimously carried to table the Agenda Item VI.M.1. VI.M.2. Karen Merle King RN106795; AP2526 (Hunter) (aka: Lewis) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a 12-month stayed suspension during which time the license is placed on probation, and to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. AzBN September 2014, Regular Board Meeting Minutes 4

5 VI.M.1. Suzanne Michelle Daniels RN (Hunter) (aka: Listemann; Carter) moved, seconded, and it was unanimously carried to reopen Agenda Item VI.M.1. Daniels was present and attorney Darius Nickerson was present and addressed the Board. moved, seconded to issue a Letter of Concern for tampering with a prescription label and submitting the label as false evidence in response to a positive urine drug test for oxycodone, a drug for which she did not have a prescription. After discussion the motion failed with five opposed and two in favor. moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. The motion carried with five in favor and two opposed. YES 5 X X X X X NO 2 X X V.B.5. Michelle Shepis RN Greabell Shepis was present and attorney Ken Baker was present and addressed the Board. moved, seconded, and it was unanimously carried to terminate Consent Agreement and Order No and issue a Letter of Concern that on or around September 13, 2013, while Shepis was employed as an RN at BrightStar Home Care in Tucson, Arizona, she completed a form required for patient C.C. to receive home health aide services and failed to include on the form that respondent obtained the required information from C.C. s niece, R.C. instead of directly from C.C. V.B.3. Leasa Michael RN Greabell Greabell addressed the Board and confirmed receipt of additional information. Michael and attorney Ken Baker was present and addressed the Board. moved, seconded, on a determination of reasonable cause based on the information contained in the investigative report (and material presented at this Board meeting), at no cost to the Board, issue an Interim Order for a substance abuse and relapse evaluation to be completed by a Board approved evaluator who is at minimum PhD prepared, and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the information contained in the investigative report and material presented at this Board meeting, issue Notice of Charges and include the factual allegations and alleged violations for failure to comply with the Interim Order. VI.B.8. Michelle Jeannine Debellis RN ; CRNA Endorsement (Monas) (aka: Lewis) Monas addressed the Board with additional information. Attorney David Klink was present and addressed the Board. Debellis was present and available for questions. moved, seconded, and it was unanimously carried to grant Registered Nurse Anesthetist Certification upon meeting all requirements, and issue a Letter of Concern for Applicant s April 4, 2013, conviction of Driving under AzBN September 2014, Regular Board Meeting Minutes 5

6 the Influence of Alcohol, with a blood alcohol content of.144 at 2250 hours, and.141 at 2256 hours. VI.B.9. Taylor Bryce Mitchell RN Exam (Monas) Monas addressed the Board with additional information. Attorney David Klink was present and addressed the Board. Mitchell was present and available for questions. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern for Applicant s January 3, 2005, charges of Manuf/Dist or Intent to Manuf/Dist Controlled Dangerous Substances, Possession of Marijuana/Hash over 50 grams, Possession of Drug Paraphernalia, Possession of Controlled Dangerous Substances (Other), Inhalation of Toxic Chemicals, Distributing Drugs on School Property, dismissed on or about January 17, 2007, after completion of 1 year Conditional Discharge, received on November 3, The meeting recessed at 9:52 a.m. and reconvened at 10:09 a.m. VI.K.1. Kelly Lee Covert LP (Kish) Attorney Anthony Fernandez was present telephonically and addressed the Board. Covert was present telephonically and available for questions. moved, seconded, and it was unanimously carried to dismiss the complaint. VI.K.2. Kristen Ann Mellinger RN (Kish) Complainant S.H. was present telephonically and addressed the Board. Attorney Fulton Cavett was present telephonically and addressed the Board. Mellinger was present telephonically and available for questions. moved, seconded to dismiss the complaint. After discussion the motion carried with four in favor and three opposed. III.E. Board Information Regarding Imposters, Cease and Desist Orders and Court Ordered Revocations III.E.1. Amanda L Trujillo RN V. Smith Lucia Trujillo, mother of Amanda Trujillo, was present and spoke to the Board, including reading a statement she said was written by Amanda Trujillo. Ms. Trujillo asserted the complaint information submitted to the Board related to Cease and Desist Order was fabricated, and a document showing Amanda Trujillo s LinkedIn profile had been altered. She stated the LinkedIn profile that was online was created years ago and did not contain current information. Ms. Trujillo stated she does not agree that Amanda Trujillo should not be able to use title "nurse". Board members directed her to the statutes, and mentioned title protection. Staff clarified that after receipt of the complaint, Ms. Trujillo s LinkedIn profile was obtained independently by staff, who found that the online profile was active and incorrectly identified Trujillo as presently employed as an RN. IV.B. Felony Bar Cases IV.B.1. Board Staff Recommendation: Adopt Order of Denial for Applicants Agenda # Name License/Certificate # Staff IV.B.1.d. Christina Elaine Parker CNA Endorsement Arias Parker was present and addressed the Board. moved, seconded, and it was unanimously carried to adopt the attached Order of Denial. AzBN September 2014, Regular Board Meeting Minutes 6

7 V.B.6. Norman Nicholas Mack LP018901; RN Greabell Greabell addressed the Board with additional information. moved, seconded, and it was unanimously carried to allow Respondent to continue on Consent Agreement and Order No Respondent shall obtain a substance abuse and anger management evaluation with a Ph.D. level Board approved evaluator and begin nursing ethics counseling or coursework in nursing ethics within 60 days of the Board meeting. If the evaluation is not completed and coursework or counseling in nursing ethics has not commenced with 60 days, lift the stay of revocation. Consent Agreement and Order No remains in effect until the matter is resolved. Issue a Letter of Concern, while under Consent Agreement and Order No for failing to complete a psychiatric substance abuse and anger management evaluation with a Ph.D. level Board approved evaluator within 30 days of the effective date for the Order and for failing to make an appointment to undergo and complete nursing ethics counseling or submit a syllabus of proposed ethics coursework to Board staff within 30 days of the effective date of the Order. V.B.2. Meredith Joann Abdi RN147896; CNA (exp 3/31/2004) Greabell moved, seconded, and it was unanimously carried, based on the information in the investigative report, issue Notice of Charges. V.B.9. James Lamb RN093041; CNA ; AP2293 Greabell Lamb was present and addressed the Board. moved, seconded, and after discussion it was unanimously carried, based on the information in the investigative report, offer a Consent Agreement for a minimum 6 month stayed revocation/suspension with terms and conditions to be followed by a minimum 6 month stayed revocation/probation with terms and conditions to be signed within 30 days to be followed a minimum 6 month standard probation with terms and conditions. If not signed within 30 days, issue Notice of Charges. V.C.2. Brian Estavillo RN079722/CRNA0411 (Austin) Estavillo was present and available for questions. moved, seconded, and it was unanimously carried to issue a Letter of Concern for failing to obtain your relapse prevention evaluation in a timely manner and terminate Consent Agreement and Order No VI.H.2. Catherine Ann Alexander RN (Olson) (aka: Garrity) Olson addressed the Board and confirmed receipt of additional information. Alexander and Brenda were present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a 60 month stayed revocation with the license suspended during the first 12 month and on probation for the following 48 months, and to include the attached stipulations. If not signed within 30 days, issue a Notice of Charges. AzBN September 2014, Regular Board Meeting Minutes 7

8 VI.H.1. Amy Louise Rodriguez RN (Olson) (aka: Rost; Bates) Rodriguez was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a 60 month stayed revocation with the license suspended during the first 12 months and on probation for the following 48 months, and to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. arrived at the meeting at 11:42 a.m. IX. Dialogue with Nursing Students The Board members and staff dialogued with Gateway Community College, Eastern Arizona College, Maricopa Community College and Grand Canyon University, nursing students regarding Board functions, policies and procedures. Questions were asked on: Does a nurse have any recourse if a falsified complaint is filed against them? What is the most frequent Complaint most often brought before the Board of nursing that could easily be avoided by nurses? What is the procedure for reinstating the license of a person with a felony and who is unable to practice for 5 years. The meeting recessed at 11:58 a.m. and reconvened at 12:59 p.m. VI.B.2. Margaret Marie Judd CNA Exam (Monas) (aka: Herrera) Monas addressed the Board with additional information. Judd was present and addressed the Board. moved, seconded, and after discussion it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all certification requirements, signing a Consent Agreement for a $50 Civil Penalty and payment of the Civil Penalty, grant certification. If not signed within 30 days or payment not received within 60 days, deny certification. VI.B.3. Latosha Nikol Foster CNA Re-issuance (Monas) (aka: Gamez) Monas addressed the Board with additional information. Foster was present and available for questions. moved, seconded, and after discussion it was unanimously carried to grant nursing assistant certification upon meeting all certification requirements. AzBN September 2014, Regular Board Meeting Minutes 8

9 VI.C.5. Kimberly Sue Logan CNA Exam (Richter) Logan was present and available for questions. moved, seconded, and after discussion it was unanimously carried, upon meeting all requirements, grant certification and issue a Letter of Concern for the conviction on or about November 29, 2010, in the Mesa Municipal Court in Mesa, Arizona, for Damage Property, a class one misdemeanor, and for the conviction on or about January 5, 2012, in the Mesa Municipal Court in Mesa, Arizona, for Disorderly Conduct/DV, a class one misdemeanor. VI.C.7. April Nicole CNA Exam (Richter) was present and addressed the Board. moved, seconded, and it was unanimously carried to continue the investigation to allow applicant the opportunity to obtain a substance abuse and anger management evaluation to be completed by a Board approved psychologist, at no expense to the Board, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.C.8. Annetta Maria Richardson RN Exam (Richter) Richardson was present and available for questions. moved, seconded, and it was unanimously carried, upon meeting all requirements, grant licensure and issue a Letter of Concern for the January 8, 2008, conviction in Prescott Justice Court (Arizona) case number , for Bad Check, a class one misdemeanor, and for the April 28, 2010, suspension from Adult Care Services in Prescott, Arizona, where she was employed as a Caregiver, for three days without pay for showing inappropriate material on your cell phone to employees and other inappropriate material to resident (D.S.). VI.D.3. Jeremiah Peck RN Re-issuance (Morton) Morton addressed the Board with additional information. Peck was present and addressed the Board. moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. After discussion motion carried with seven in favor and one opposed. NO 1 X VI.D.6. Joleen A. Rodriguez RN Exam (Morton) (aka: Maziane) Morton addressed the Board and confirmed receipt of additional information. Rodriguez was present and addressed the Board. moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement for a 12-month probation, to include the attached stipulations, grant licensure. If not AzBN September 2014, Regular Board Meeting Minutes 9

10 signed within 30 days, deny licensure. After discussion, the motion failed with six opposed and two in favor. YES 2 X X NO 6 X X X X X X moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a Letter of Concern for the September 22, 2000, arrest for driving under the influence in Orange County, California, and having her California Pharmacy Technical Registration revoked and not reinstated by the California Board of Pharmacy. VI.D.8. Aimee M. Engber CNA (Morton) Engber was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue a Notice of Charges. VI.F.5. Waylon Todd Curley CNA Exam (Alberty) Alberty addressed the Board and confirmed receipt of additional information. Curley was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all certification requirements, signing a Consent Agreement for a $50 Civil Penalty and payment of the Civil Penalty, grant certification. If not signed within 30 days or payment not received within 60 days, deny certification. VI.K.3. Hope Evangeline Panagiotou RN (Kish) (aka: Williams) Panagiotou was present and addressed the Board. moved, seconded, and it was unanimously carried to issue a Letter of Concern for failure to timely assess, notify providers, and care for a patient after the patient's fall, which resulted in a hip fracture, on September 11, 2011, at Carson Tahoe Hospital in Carson City, Nevada, which was the basis for respondent agreement to a 3 year probationary order with the Nevada State Board of Nursing, effective September 4, VI.G.2. Toni Brady CNA Exam (McWilliams) Brady was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute rule violations identified in the investigative report, upon meeting all certification requirements, signing a Consent Agreement for a $100 Civil Penalty and payment of the Civil Penalty, grant certification. If not signed within 30 days or payment of the Civil Penalty not received within 60 days, deny certification. VI.I.1. Gloria Ann Crawford CNA Exam (Arias) moved, seconded, and it was unanimously carried, upon meeting all requirements, grant certification and issue a Letter of Concern for the misdemeanor petty theft convictions in Santa Clara County, CA between 1982 to 1987; and for the Assault-Domestic Violence incident on or about AzBN September 2014, Regular Board Meeting Minutes 10

11 September 30, 2003, in Peoria, Arizona, involving your slapping a male family member, for which the misdemeanor charges were dismissed after applicant successfully completed a diversion program. VI.I.3. Julio Mendez CNA Exam (Arias) Mendez was present telephonically and available for questions. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.I.5. Debra Marie Summers CNA Exam (Arias) Kenneth Blush was present and addressed the Board. Summers was present and available for questions. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute rule violations identified in the investigative report, upon meeting all certification requirements, signing a Consent Agreement for a $100 Civil Penalty and payment of the Civil Penalty, grant certification. If not signed within 30 days or payment of the Civil Penalty not received within 60 days, deny certification. VI.J.5. Melissa Dawn Oberan RN Examination (Barker) (aka: Greiss) Oberan was present and addressed the Board. moved, seconded, and it was unanimously carried, upon meeting all requirements, grant licensure and issue a Letter of Concern for the May 2, 2002, arrest by Phoenix (Arizona) Police Department for assault, that did not result in prosecution; for the June 5, 2009, misdemeanor theft conviction in the Lake Havasu Municipal Court in Lake Havasu, Arizona; for the December 22, 2003, conviction of disorderly conduct, a misdemeanor, in the Lake Havasu Municipal Court in Lake Havasu, Arizona; for the January 4, 2004, conviction of possession of drug paraphernalia, a Class 1 misdemeanor; for the November 22, 2005, conviction of possession of drug paraphernalia, a Class 1 misdemeanor; and for the December 19, 2008, conviction of possession of drug paraphernalia, a Class 6 undesignated felony which was later designated as a misdemeanor, in the Yavapai County Superior Court in Prescott, Arizona. VI.J.1. Dayton Lynell Hanson LP (Barker) Attorney Mandi Karvis was present and addressed the Board. Hanson was present and available for questions. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.J.2. Brian David Hendrixon RN Endorsement (Barker) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. AzBN September 2014, Regular Board Meeting Minutes 11

12 VI.J.3. Matthew Warren Keck RN Endorsement (Barker) Keck was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a Letter of Concern for the July 31, 1997, conviction of trespassing, a misdemeanor, in the Superior Court of Fulton County, State of Georgia; and for the May 20, 2008, conviction of driving under the influence of an alcohol with a blood/alcohol concentration higher than.08%, a misdemeanor, in the City of Atlanta Municipal Court, State of Georgia. VI.J.4. David Gregory Lapierre RN Endorsement (Barker) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement for a Decree of Censure, grant licensure. If not signed within 30 days, deny licensure. VI.J.6. Stanislav Razumov CNA (Barker) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a 12-month stayed revocation, to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. VI.J.7. Amanda Sartin CNA Exam (Barker) (aka: Protz) moved, seconded, upon completion of retraining, retesting, within 6 months of today s date, and meeting all certification requirements, grant certification and issue a Letter of Concern for the October 1, 2009, misdemeanor conviction of driving under the influence of an alcoholic beverage with a blood/alcohol concentration of.132%, in the Gilbert Municipal Court in Gilbert, Arizona, and for the April 19, 2011, misdemeanor conviction of possession or use of marijuana in the Superior Court of the State of Arizona, County of Maricopa. If all certification requirements, including retaining and retesting, are not met within 6 months of today s date, deny certification. After discussion the motion carried with seven in favor and one opposed. VI.J.8. Chad Alsbury Thompson CNA Endorsement (Barker) Thompson was present telephonically and available for questions. moved, seconded, and it was unanimously carried to continue the investigation to allow Applicant the opportunity to obtain a psychological evaluation, to include a substance abuse evaluation, by a Board approved licensed psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based AzBN September 2014, Regular Board Meeting Minutes 12

13 upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.J.9. Brian Edward Williams RN Endorsement (Barker) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. left the meeting 2:35 p.m. VI.N.4. Robert Andrew Murphy RN (Wilson) moved, seconded, and it was unanimously carried, to table Agenda Item VI.N.4. VI.P.3. Kathleen Marie Paulson RN Exam (Galan) Paulson was present and addressed the Board. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern for the August 19, 2010, shoplifting in Tempe, Arizona and the December 23, 2010, Petty Theft from Macy s in Walnut Creek, California; for both cases, the misdemeanor charges were dismissed after applicant s completion of diversion programs. VI.P.12. Benjamin Anthony Del Sol RN Exam; CNA (Galan) Del Sol was present and available for questions. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement for a Decree of Censure, grant licensure. If not signed within 30 days, deny licensure and issue a Notice of Charges for CNA returned to the meeting 2:39 p.m. left the meeting 2:39 p.m. VI.P.13. Gregory Randall Averitt RN Exam; CNA (Galan) (aka: Everitt) Averitt was present and available for questions. moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing Consent Agreement for a Decree of Censure, grant licensure. If not signed within 30 days, deny licensure and issue a Notice of Charges for CNA The motion carried with five in favor and two opposed. AzBN September 2014, Regular Board Meeting Minutes 13

14 YES 5 X X X X X NO 2 X X The meeting recessed at 2:41 p.m. and reconvened at 3:00 p.m. VI.S.2. Jose Noel Cisneros CNA Endorsement (Phelan) Cisneros was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statue/rule violations identified in the investigative report, upon meeting all certification requirements and signing a Consent Agreement for a Decree of Censure, grant licensure certification. If not signed within 30 days, deny certification. VI.S.3. Amy Lynn Eakin CNA Exam (Phelan) (aka: Gryniewicz) Eakin was present and addressed the Board. moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements, and issue a Letter of Concern for the June 22, 2003, conviction, pursuant to a plea of guilty or responsible, of Possession of Drug Paraphernalia, Class 6 Undesignated, and the March 1, 2004, conviction, pursuant to a plea of guilty or responsible, of Unlawful Use of Means of Transportation, Class 6 Undesignated, and the September 1, 2005, conviction, pursuant to a plea of guilty or responsible, of Theft, a misdemeanor. VI.S.5. Theresa J Gipp LPN Endorsement (Phelan) (aka: Wyatt; Hoffman) Gipp was present and addressed the Board. moved, seconded, and after discussion it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern for the August 2, 2000, conviction of Criminal Trespass 2 nd degree, March 13, 2000, conviction of extreme DUI, August 14, 2002, Criminal Trespass 3 rd degree, and August 13, 2002, conviction of Criminal Trespass 3 rd degree. VI.S.10. Kathleen Monas Adams RN Exam (Phelan) (aka: Russell) Adams was present and addressed the Board. moved, seconded, and it was unanimously carried, upon meeting all licensure requirements, grant license and issue a Letter of Concern for multiple arrest convictions and drug addiction which Respondent attributes to drug addiction and reported she s been in recovery since VI.S.11. Melissa Salazar RN Exam (Phelan) Salazar was present and addressed the Board. moved, seconded, and it was unanimously carried to continue the investigation to allow Applicant the opportunity to obtain a psychological evaluation, to include a theft evaluation, at no cost to the Board, by a Board approved Doctorate level psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. AzBN September 2014, Regular Board Meeting Minutes 14

15 VI.S.12. Beth Anne Shafer RN Endorsement (Phelan) (aka: Burkhiser) Shafer was present and available for questions. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern, for on November 14, 2000, applicant was convicted, pursuant to a plea of guilty or responsible, of forgery, a felony. On August 30, 2003, Applicant was convicted, pursuant to a plea of guilty or responsible, of Theft in the Fifth Degree, a misdemeanor. VI.S.14. Danielle Nathina Zafke RN Exam (Phelan) (aka: Nolan) Zafke was present and addressed the Board. moved, seconded to continue the investigation to allow Applicant the opportunity to obtain a psychological evaluation, to include an anger management substance abuse evaluation, at no cost to the Board, by a Board approved licensed psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. The motion carried with six in favor and two opposed. YES 6 X X X X X X NO 2 X X VI.S.15. Jenna Rae Hamil RN Exam (Phelan) (aka: Junt; Letsis) Hamil was present and addressed the Board. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern for her January 20, 2010, conviction of Criminal Damage (Domestic Violence) w/alcohol, a misdemeanor, in the Phoenix City Court in Phoenix, Arizona, which was later dismissed after Applicant successfully completed a Domestic Violence Diversion Program. VI.Q.1. Carol Gilmore LP (Powell) Powell addressed the Board with additional information. Gilmore was present and addressed the Board. moved, seconded, and it was unanimously carried, on a determination of reasonable cause based upon the information contained in the investigative report (and material presented at this Board meeting), at no cost to the Board, issue an Interim Order for a neuropsychological evaluation to be completed by a Board approved psychologist and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny RN licensure and issue Notice of Charges against the LP license and include the factual allegations and alleged violations for failure to comply with the Interim Order. AzBN September 2014, Regular Board Meeting Minutes 15

16 YES 8 X X X X X X X X VI.Q.2. Pamela Pearson RN (Powell) Pearson was present and available for questions. moved, seconded, and it was unanimously carried to issue a Letter of Concern for mistakenly administering Amphetamine Salts 5 mg to the student M. O. when it had been prescribed to another student on or about April 22, 2014, while working as a school nurse at Tomahawk Elementary, Cartwright School District, in Phoenix, Arizona. VI.E.10. George Pirkle LP028567; RN (Pilder) Pilder addressed the Board with additional information. Pirkle was present and addressed the Board. moved, seconded, and it was unanimously carried, to dismiss the complaint. VI.E.14. Coretta Arlene Mathie LP (Pilder) moved, seconded, to issue a Letter of Concern for being rough and rude while taking care of patients while on duty as an LPN at the Caring House in Sacaton, Arizona, on or about February 9, 2013 and employed by Nurses Plus Registry, in Phoenix, Arizona. The motion carried with six in favor and two opposed. VI.E.9. Bonnie Carol Mullen LP (Pilder) (aka: Weekes) Mullen was present and addressed the Board. moved, seconded, and after discussion it was unanimously carried to issue a Letter of Concern for being verbally abusive to a patient, causing the patient emotional distress as reported by staff and the patient, regarding his requests for as-needed medications on the night shift on or about January 25, 2014, at Foothills Rehabilitation Center in Tucson, Arizona. VI.A.1. CANDO Eligibility/Noncompliance/Investigative Reports Discussion and Decision) Daniel Lester Rudders RN Kerrigan moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a minimum 24-month Stayed Revocation with the license on Probation for, at minimum, 24 months, followed by a minimum 12-month Standard Probation to include the attached stipulations. If not signed within 15 days, issue Notice of Charges. Respondent's Stipulated Agreement, effective January 23, 2014, will remain in effect until the matter is resolved and upon resolution, the Stipulated Agreement will be terminated. VI.A.2. Marcia Ann Tarleton RN (Kerrigan) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. If Respondent is convicted of a felony after the Board meeting, include the felony bar allegation, and add the applicable statute and rule violations to the Notice of Charges and Complaint and Notice of Hearing, if any. AzBN September 2014, Regular Board Meeting Minutes 16

17 VI.A.3. Lydia Mendiola RN126354; LP (Kerrigan) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. VI.D.1. Kristi Smola LPN Endorsement (Morton) An attempt was made to contact Smola telephonically. moved, seconded, and it was unanimously carried, upon meeting all licensure requirements, grant license and issue a Letter of Concern for her April 3, 1984 arrest of DUI, her May 11, 1990, February 26, 1993, and September 10, 1999, misdemeanor convictions of driving under the influence, in the Sacramento County Superior Court in Sacramento, California. VI.D.2. Melinda Lenoir CNA Endorsement (Morton) moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements, and issue a Letter of Concern for her March 19, 2001, misdemeanor conviction of attempted Forgery/ Make/ Alter a document, and April 17, 2001, misdemeanor conviction of deceptive practice in the Cook County Circuit Court, in Chicago, Illinois, failing to disclose her convictions on an employment application for nurse s aide with St. Croix Hospital, in Rochester, Minnesota, and failing to disclose her September 27, 1993, and May 28, 1999, arrests by the Chicago Police Department in Chicago, Illinois on a Board issued questionnaire. VI.D.4. Tanya T. Bryndzia APRN Endorsement (Morton) moved, seconded, and after discussion it was unanimously carried to grant advance practice certification upon meeting all requirements, and issue a Letter of Concern for her April 1, 2013, misdemeanor conviction of DUI first offence in the Bernalillo County Metropolitan Court, in Albuquerque, New Mexico. VI.D.5. Denyel Bierria RN Endorsement (Morton) Morton addressed the Board and confirmed receipt of additional information. moved, seconded, and it was unanimously carried to allow Applicant to withdraw her application. VI.D.9. Jeanne M. Parham RN (Morton) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for 36-month probation, and to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. IV.B.2. Felony Bar Cases IV.B.2. Board Staff Recommendation: Notice of Charges for RN/LPN/CNA Agenda # Name License/Certificate # Staff IV.B.2.a. Nicole Antionette Bishop RN Olson IV.B.2.b. Mary June Hopper RN Olson IV.B.2.c. Bobbie Jo Robertson-Meneses LP Olson IV.B.2.d. Davis Allen Sykes RN Olson IV.B.2.e. Emilie Budy CNA Morton IV.B.2.f. Andrea Michelle Parpart RN13307 Greabell moved, seconded, and unanimously carried to adopt the attached Notice of Charges for Agenda Items IV.B.2 a.-f. AzBN September 2014, Regular Board Meeting Minutes 17

18 VI.E.2. Heather Castner RN (Pilder) moved, seconded, and it was unanimously carried to table Agenda Item VI.E.2. VI.E.3. Sharma Conant CNA (Pilder) (aka: Shelton) An attempt was made to contact Conant telephonically and a message was left that the Board would move ahead with the case. moved, seconded, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. The motion carried with seven in favor and one opposed. NO 1 X VI.E.4. Virginia Fern CNA (Pilder) moved, seconded, carried to issue a Letter of Concern for her DUI arrest on or about December 15, 2011, in Pima County while operating a motor vehicle and for failing to report the arrest within 10 working days. The motion carried with six in favor and two opposed. YES 6 X X X X X X NO 2 X X VI.E.5. Nohemi Harding CNA (Pilder) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.E.6. Fernando Hernandez CNA (Pilder) (aka: Gonzalez) An attempt was made to contact Hernandez telephonically. moved, seconded, and it was unanimously carried to issue a Letter of Concern for not responding to the Board investigation in a timely manner by not submitting the Investigative Questionnaire by the due date and not responding to Board Staff phone calls, , and mail. VI.E.7. Carlos Lopez CNA (Pilder) moved, seconded, and it was unanimously carried to dismiss the complaint. VI.E.8. Amy Kowalski CNA (Pilder) (aka: Herrmann) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. AzBN September 2014, Regular Board Meeting Minutes 18

19 VI.E.11. Tammi Romero CNA (Pilder) (aka: Ward; Shenandoah; Shen) Pilder addressed the Board and confirmed receipt of additional information. moved, seconded, and it was unanimously carried, based on the information in the investigative report, offer a Consent Agreement for a Decree of Censure to be signed within 30 days or issue a Notice of Charges. VI.E.12. Griselda M. Sanchez CNA (Pilder) (aka: Nafarrete; De La Torre; Moran) moved, seconded, and after discussion and was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.E.13. Richard Cole CNA (Pilder) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, issue a Notice of Charges. VI.A.1. CANDO Eligibility/Noncompliance/Investigative Reports Discussion and Decision) Daniel Lester Rudders RN Kerrigan moved, seconded, and it was unanimously carried, to reopen Agenda VI.A.1., and rescind prior Board motion. moved, seconded, based upon the information in the investigative report, offer a Consent Agreement for a minimum 24-month Stayed Revocation with the license on Probation for, at minimum, 24 months, followed by a minimum 12-month Standard Probation to include the attached stipulations. If not signed within 15 days, issue Notice of Charges. Respondent s Stipulated Agreement, effective January 23, 2014, will remain in effect until the matter is resolved and upon resolution, the Stipulated Agreement will be terminated. The motion was carried with seven in favor and one opposed. NO 1 X AzBN September 2014, Regular Board Meeting Minutes 19

20 VI.B.1. Jeffrey R. Bledsoe CNA Exam (Monas) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.B.4. Jessica Rose Melville CNA Exam (Monas) (aka: Rosales; Stahl) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.B.5. Shannon Joy Vanderpool CNA Exam (Monas) (aka: Newland) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.B.6. Doris Jean Cox LP Endorsement (Monas) (aka: Barnes) Monas addressed the Board with additional information. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all requirements and signing Consent Agreement for 12-month Stayed Suspension, followed by a 24-month probation, with the attached stipulations amended to include the standard paragraph voluntary surrender of license, issue licensure. If not signed within 30 days, deny licensure. VI.B.7. Mary D. Shelby RN Re-issuance (Monas) (aka: McMahon) Monas noted additional verbiage to Findings of Fact #1: On or about September 14, 2012, Applicant applied for reissuance of her Registered Nurse License. As a result of her previous voluntary surrender, the Board conducted an investigation. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement for 36 month standard probation and to include attached stipulations, grant reissuance under applicable terms contained on the attached stipulation worksheet, amended to delete rehab and relapsed prevention evaluation. The AzBN September 2014, Regular Board Meeting Minutes 20

21 license shall initially be a limited license for the purposes of completing an RN Refresher course. If not signed within 30 days, deny licensure based upon the information contained in the investigative report. VI.C.1. Susan Joan Abele RN (Richter) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. left the meeting 4:35 p.m. VI.C.2. Lorraine Rose Clah CNA (Richter) (aka: Yazzie; Jensen) An attempt was made to contact Clah telephonically. moved, seconded, and after discussion it was unanimously carried, to continue the investigation to allow Respondent the opportunity to voluntarily obtain a psychological evaluation with an emphasis on substance abuse to be completed by a Board approved evaluator who is at minimum PhD prepared, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.C.3. Hunter Raine Garner CNA Exam (Richter) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.C.4. Marti Lin Lackey CNA Re-issuance (Richter) (aka: Parsons; Tinnel) Richter addressed the Board with additional information. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny re-issuance of certification. AzBN September 2014, Regular Board Meeting Minutes 21

22 returned to the meeting at 4:39 p.m. VI.C.9. Kevin Baxter Snyder RN (Richter) moved, seconded, to issue a Letter of Concern for respondents arrest on or about October 24, 2013, for Possession of Marijuana and Possession of Paraphernalia in Tucson, Arizona, later dismissed, and for her admission to Board staff of her periodic use of marijuana, and for failing to report the charge to the Board within ten days as required by statute and rule. After discussion, motion failed with five opposed and two in favor. moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. The motion carried with six in favor and two opposed.. YES 6 X X X X X X NO 2 X X VI.C.11. Kristi Dawn Hannah CNA Endorsement (Richter) (aka:quail; Milan) Hannah was present telephonically and addressed the Board. moved, seconded, to continue the investigation to allow applicant the opportunity to voluntarily obtain a psychological evaluation with an emphasis on substance abuse to be completed by a Board approved psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. The motion carried with five in favor, two opposed and one abstain. YES 5 X X X X X NO 2 X X ABSTAIN 1 X left the meeting 4:42 p.m. and returned at 4:45 p.m. left the meeting 4:48 p.m. VI.F.1. Latoya Nivea Morehead-Ruff RN Exam; LP (Alberty) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny RN licensure and issue a Notice of Charges for LP042480; and add allegations and statute/rule violations, as applicable, related to anticipated convictions for felonies described in this report. returned to the meeting 4:51 p.m. left the meeting 4:55 p.m. AzBN September 2014, Regular Board Meeting Minutes 22

23 VI.F.2. Samantha A. Lopez CNA Exam (Alberty) (aka: Fox) Lopez was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.F.3. Carry Ann Poray RN Endorsement (Alberty) Alberty addressed the Board with additional information. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. VI.F.6. Celesta Andria Cadie-Goemz CNA Exam (Alberty) Cadie-Goemz was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements, and issue a Letter of Concern for the February 16, 2007, class 6 undesignated felony conviction of Endangerment, in Maricopa County (Arizona) Superior Court case CR DT, that was designated a misdemeanor on or about February 8, 2008, the June 8, 2009, misdemeanor Assault charge that dismissed without prejudice, on or about August 27, 2009, in Phoenix Municipal Court and for failing to disclose her misdemeanor Endangerment conviction on her June 28, 2013, Southwest In-Home Services, Inc. employment application. returned to the meeting 5:00 p.m. VI.F.7. Cheryl Marie Jaggers CNA ; RN Exam (Alberty) Jaggers was present telephonically and available for questions. moved, seconded, and it was unanimously carried, upon meeting all licensure requirements, grant licensure and issue a Letter of Concern for the June 30, 1998, conviction, in Maricopa County Superior Court (Arizona) case number , for Possession of Marijuana, a misdemeanor, the November 2, 2011, conviction, in Phoenix Municipal Court (Arizona) case number , for Driving or Being in Actual Physical Control While Under the Influence of Intoxicating Liquor, Any Drug, Vapor Releasing Substance, or Any combination Thereof, a misdemeanor and for her failure to report her July 22, 2011, DUI charge to the Board within 10 days as required, when you held an active CNA at the time of the charge. VI.G.1. Zachary Ryan Boisselle RN (McWilliams) McWilliams addressed the Board with additional information. moved, seconded, and it was unanimously carried, upon a determination of reasonable cause, based on the information in the investigative report, and material presented at this Board meeting, and at no cost to the Board, issue an Interim Order for a psychological evaluation to include a substance use evaluation by a Board approved licensed psychologist, and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the information contained in the investigative report, issue a Notice of Charges and include the factual allegations and alleged violations of statute and rule for failure to comply with the Interim Order. AzBN September 2014, Regular Board Meeting Minutes 23

24 VI.G.3. Eric Jon Holloman CNA Exam (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.G.4. Osariemen Isibor CNA Endorsement (McWilliams) (aka: Ugiagbe) moved, seconded, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all certification requirements and signing a Consent Agreement for a Decree of Censure, grant certification. If not signed within 30 days, deny certification. After discussion the motion carried with seven in favor and one opposed. NO 1 X VI.G.5. Diana Lee King CNA Exam (McWilliams) (aka: Cullins) moved, seconded, and it was unanimously carried, to continue the investigation to allow Applicant the opportunity to obtain a relapse prevention evaluation, at no cost to the Board, to be completed by a Board approved evaluator and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 60 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.G.6. James Patrick Krznar CNA Exam (McWilliams) (aka: Clark) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. AzBN September 2014, Regular Board Meeting Minutes 24

25 VI.G.7. Sharlene Lynn Melgoza CNA (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny renewal of Respondent s CNA certificate number CNA VI.G.8. Dawn Starr Miller CNA Exam (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.G.9. Sarah Marie Provost CNA Exam (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.G.10. Kerome Dahn Yazzie CNA Exam (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.G.11. Shawna Ann Smith RN Exam (McWilliams) McWilliams addressed the Board with additional information. moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements, and issue a Letter of Concern for her March 8, 2011, conviction of DUI, a misdemeanor, in Maricopa County Superior Court, Arizona. VI.G.12. Alexandra Wilson CNA Exam (McWilliams) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. AzBN September 2014, Regular Board Meeting Minutes 25

26 VI.H.3. Robin Leigh Cook RN150160; LP (Olson) (aka: Crocker; Clearey) Olson confirmed receipt of additional information. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a minimum 12 month suspension to include the attached stipulations including a $250 Civil Penalty, followed then by a minimum 36 month probation to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. YES 8 X X X X X X X X VI.H.4. Geniece Mavis Peaches RN162537; CNA (Olson) moved, seconded, and after discussion it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a minimum 36-month probation to include the attached stipulations. If not signed within 30 days, issue a Notice of Charges for RN and CNA VI.H.5. Brenda Lynn Painter LP Reissuance (Olson) moved, seconded, and after discussion it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report upon meeting all licensure requirements and signing a Consent Agreement for 36 month stayed revocation during which time the license is placed on probation, grant a limited license for the purposes completing an RN Refresher course of licensure. Upon successful completion of RN Refresher Course, issue RN license under applicable terms contained on the attached stipulation worksheet. If not signed within 30 days, deny licensure based upon the information contained in this investigative report. VI.H.6. Bomie Malikee Dorley RN Endorsement (Olson) (aka: Cooper) moved, seconded, and it was unanimously carried to accept the attached signed Consent Agreement for Decree of Censure, and upon meeting all licensure requirements, grant licensure. AzBN September 2014, Regular Board Meeting Minutes 26

27 VI.I.2. Danielle Mary Jimenez CNA Exam (Arias) (aka: Furze; Mejia) moved, seconded, and it was unanimously carried, based upon the findings of facts identified in the investigative report, upon meeting all certification requirements, grant certification and issue a Letter of Concern for the: 1) Conviction on or about January 22, 2002, for obtaining a credit card by fraudulent means in Phoenix, Arizona. 2) Charge and admission of multiple criminal offenses on or about April 27, 2002, in Phoenix, Arizona. 3) Charge and admission of DUI on or about December 16, 2005, in Surprise, Arizona. VI.I.4. Maren Nelson CNA Exam (Arias) (aka: Bangerter; Hardy) Arias addressed the Board with additional information. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. The meeting recessed at 5:29 p.m., Thursday, September 18, 2014 AzBN September 2014, Regular Board Meeting Minutes 27

28 Arizona State Board of Nursing Janice K. Brewer Joey Ridenour Governor Executive Director Board Meeting Minutes The regular meeting of the Arizona State Board of Nursing convened at 8:00 a.m., Friday, September 19, 2014, in the Board of Nursing Board Room, Suite 200, 4747 N. 7 th Street, Phoenix, Arizona, with Randy C., CRNA,, presiding. BOARD MEMBERS PRESENT: Randy C., CRNA, Carolyn Jo, RN, MS, FNP-BC, Vice Theresa (Terri), LPN, C-AL, Kathryn L., JD, Leslie, MSN, RN, Lori, BS, RN-C, M. Shawn, RN, MS, Patricia, LPN, Board Charleen L., BSN, RN, BOARD MEMBERS ABSENT: Carolyn Jo, RN, MS, FNP-BC, Vice Kim, RN, BSN, MBA/HCM, NEA-BC, LEGAL COUNSEL: Elizabeth Campbell, Assistant Attorney General Carrie Smith, Assistant Attorney General Sara Selzer, Assistant Attorney General STAFF DIRECTORS: Joey Ridenour, RN, MN, FAAN, Executive Director Valerie Smith, RN, MS, FRE, Associate Director of Investigations Nikki Austin, JD, RN, Associate Director to Monitoring/CANDO/Hearings Judy Bontrager, RN, MN, Associate Director of Operations Pamela Randolph, RN, MSN, Associate Director of Education and Evidence Based Regulation STAFF: Katrina Alberty, Senior Investigator Frederick Arias, Senior Investigator Max Barker, Senior Investigator Frannie Breed, RN, BSN, Education Consultant Stephanie Chambers, RN, MN, Nurse Practice Consultant Janeen Dahn, Ph.D., FNP-C, Nurse Practice Consultant/AP Ronda Doolen, RN, BSN, MSN, Education Program Administrator Diva Galan, JD, Senior Investigator Tamara Greabell, MA, BSN, RN, Nurse Practice Consultant Jan Kerrigan, RN, BSN, Nurse Practice Consultant/CANDO Kristi Hunter, MSN, FNP-C, Nurse Practice Consultant Ruth Kish, RN, MN, Nurse Practice Consultant Jennifer McWilliams, Senior Investigator Kirk Olson, Senior Investigator Linda Monas, Senior Investigator Michael Pilder, MSN, RN, APHN-BC, Nurse Practice Consultant Cindy Mand, RN, BSN, Nurse Practice Consultant Michelle Morton, Senior Investigator Daniel Phelan, BS, M.ADM, Senior Investigator Rosemary Powell, RN, MA, Nurse Practice Consultant Bonnie Richter, MSW, Senior Investigator Carla Stapleton, MHA, RN, Nurse Practice Consultant Kristen Wilson, RN, MSN, CNS, PMANP, BC, NPC Barbara Melberg, License Tech II Naira Kutnerian, Administrative Assistant II AzBN September 2014, Regular Board Meeting Minutes 28

29 I. Call to Order The meeting was called to order at 8:00 a.m., Friday, September 19, The following Board members were present:,,,,, and. presided. welcomed members of the audience, explained the procedure for addressing the Board, and stated the mission of the Board. II.C. Motion to Deem Allegations Admitted for Failure to Respond to Notice of Charges and Recommended Discipline II.C.22. AGENA Respondent Name Lic/Cert # Board Legal Staff Resolution II.C.22. Adrian Palmer (aka: Ducey) RN Revocation Campbell Attorney Rob Chelle was present and addressed the Board. moved, seconded, and it was unanimously carried to deny the State s Motions to Deem Allegations Admitted. II.G. Hearing Department Investigative Reports and/or Issue Notice of Charges and/or Issue Complaint and Notice of Hearing II.G.1. William Fredrik Lonon Jr. CNA Applicant Campbell Campbell addressed the Board with additional information. Attorney Robe Chelle was present and addressed the Board. Lonon was present and addressed the Board. moved, seconded, and it was unanimously carried, upon meeting all requirements, grant certification and issue a Letter of Concern for disorderly conduct at a family function while under the influence of alcohol on or about May 14, 2011, and for failing to timely file a written response to the allegations. II.G.2. Marilyn Villaluna RN Smith Attorney Terry Hall was present and addressed the Board. Smith addressed the Board with additional information. moved, seconded, and it was unanimously carried to adopt amended Notice of Hearing. II.G.4. Dana L. Rosdahl RN057911; AP0313 Campbell Attorney Kim Kent was present and available for questions. Rosdahl was present and available for questions. moved, seconded, and after discussion it was unanimously carried, based upon the information contained in the investigative report, forward case number to the hearing department to be joined with case numbers and , for purposes of hearing. II.A. Administrative Law Judge (ALJ) Recommendations II.A.1. Sheila Bean RN Campbell The proceeding began at 8:29 a.m. with the following Board members present:,,,,,, and. AzBN September 2014, Regular Board Meeting Minutes 29

30 All Board members answered affirmatively that they had received and read the transcript of the hearing and the Administrative Law Judge recommendation. The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Elizabeth Campbell, Assistant Attorney General, represented the State. Campbell addressed the Board and requested the Board accept the Administrative Law Judge s recommended findings of fact and Conclusions of Law. Bean was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried to accept as Findings of Fact the findings contained in Paragraphs 1 through 42. moved, seconded, and it was unanimously carried, to accept as Conclusions of Law the violations in Paragraphs 1 through 12. Bean was given the opportunity to respond to the recommended discipline. moved, seconded, and it was unanimously carried to accept the Administrative Law Judge s recommended Order to revoke professional nurse license No. RN previously issued to Sheila Bean.. II.A.2. Adryon Steel RN Campbell The proceeding began at 8:42 a.m. with the following Board members present:,,,,,, and. All Board members answered affirmatively that they had received and read the transcript of the hearing and the Administrative Law Judge recommendation. The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Elizabeth Campbell, Assistant Attorney General, represented the State. Campbell addressed the Board and requested the Board accept the Administrative Law Judge s recommended findings of fact and Conclusions of Law. Steel was not present and was not represented by legal counsel. moved, seconded, and it was unanimously carried to accept as Findings of Fact the findings contained in Paragraphs 1 through 17. moved, seconded, and it was unanimously carried, to accept as Conclusions of Law the violations in Paragraphs 1 through 10. moved, seconded, and it was unanimously carried to accept the Administrative Law Judge s recommended Order to revoke professional nurse license No. RN previously issued to Adryon Steel. AzBN September 2014, Regular Board Meeting Minutes 30

31 II.A.3. Nicole Wheeler CNA Applicant Campbell The proceeding began at 8:44 a.m. with the following Board members present:,,,,,,,, and. All Board members answered affirmatively that they had received and read the transcript of the hearing and the Administrative Law Judge recommendation. The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Elizabeth Campbell, Assistant Attorney General, represented the State. Campbell addressed the Board and requested the Board accept the Administrative Law Judge s recommended findings of fact and Conclusions of Law. Wheeler was not present and was not represented by legal counsel. moved, seconded, and it was unanimously carried to accept as Findings of Fact the findings contained in Paragraphs 1 through 5. moved, seconded, and it was unanimously carried, to accept as Conclusions of Law the violations in Paragraphs 1 through 3. moved, seconded, and it was unanimously carried to deny the applicant s appeal and that prior denial of Nicole Wheeler s application for nursing assistant certification be upheld and affirmed. II.B. Consent Agenda - Motion to Deem Allegations Admitted for Failure to Respond to Complaint and Notice of Hearing & Recommended Discipline AGENA # Respondent Name Lic/Cert # Board Legal Staff Resolution II.B.1. Kathleen Holohan RN Revoke Selzer Shrewsbury moved, seconded, and it was unanimously carried to grant the State s Motion to Deem Allegations Admitted. moved, seconded, and it was unanimously carried to accept the State s recommended discipline. AzBN September 2014, Regular Board Meeting Minutes 31

32 II.C. Motion to Deem Allegations Admitted for Failure to Respond to Notice of Charges and Recommended Discipline II.C. AGENA Respondent Name Lic/Cert # Board Legal Staff Resolution II.C.1. Karssa Baltz RN132162;CNA Revocation Campbell II.C.2. Ivonne Carnillo (aka: Ocano) CNA Revocation Campbell II.C.3. Lori Marie Dorcis RN Revocation Campbell II.C.4. Megan Ferguson CNA Revocation Campbell II.C.5. Frederick Le Fidler LP Revocation Campbell II.C.6. Laurie Ford (aka: Mediz) CNA Revocation Campbell II.C.7. Mara Lynne Hall RN Revocation Campbell II.C.8. Stephanie Jo Hart CNA Revocation Campbell II.C.9. Coleen Cheri CNA Revocation Campbell II.C.10. Cathy Carol Kennedy CNA Revocation Campbell II.C.11. Jesse Ray-Michael Leetham CNA Revocation Campbell II.C.12. Imelda Maldonado CNA Decree of Campbell Censure II.C.13. Jessica Mendietta CNA Revocation Campbell II.C.14. Glenna Renee Norlin RN Revocation Campbell II.C.15. Denise Rocio Ramos CNA Revocation Campbell II.C.16. Kristina Charlotte Scheib CNA Decree of Campbell Censure II.C.17. Daniel James Talbot CNA Revocation Campbell II.C.18. Tanya Christine Taylor CNA Revocation Campbell II.C.20. Keri Vastine RN Revocation Campbell The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Campbell, Assistant Attorneys General, represented the State. Campbell addressed the Board and requested the Board accept the State s recommended discipline for the above listed. The above listed license/certificate holders were not present and were not represented by legal counsel. moved, seconded, and it was unanimously carried to grant the State s Motions to Deem Allegations Admitted. moved, seconded, and it was unanimously carried to accept the Factual Allegations as Findings of Fact and Alleged Violations as Conclusions of Law from the Notices of Charges. moved, seconded, and it was unanimously carried to accept the State s recommended discipline for Agenda Items II.D AzBN September 2014, Regular Board Meeting Minutes 32

33 II.D. Rehearing Requests or Review of Board Decision II.D.1. Charles Thomas Ihle RN178850; LP Campbell The proceeding began at 8:54 a.m. with the following Board members present:,,,,,, and. The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Elizabeth Campbell, Assistant Attorney General, represented the State. Ihle was not present and was not represented by legal counsel. Campbell addressed the Board and recommended the Board deny request for rehearing/reconsideration. moved, seconded, and it was unanimously carried to deny request for rehearing. II.I. APRN/RN/LPN/CNA Investigative Report/Potential Summary Suspension Pursuant to A.R.S (B) and/or Acceptance of a Consent Agreement and/or Adoption of Complaint & Notice of Hearing II.I.1 Christina Ann Peralta LP Wilson The proceeding began at 8:58 a.m. with the following Board members present:,,,,,, and. Wilson addressed the Board with additional information. Peralta was not present and was not represent by legal counsel. Based upon the information presented at this meeting, all Board members verbally agreed that a showing of extraordinary circumstances or the possibility of irreparable harm has been made supporting the need for a Summary Suspension. moved, seconded, and it was unanimously carried, based upon the information presented at this meeting and the information contained in the investigative report, to accept and adopt the proposed preliminary Findings of Fact and Conclusions of Law of the Findings set forth in the draft Order attached to the investigative report. All Board members verbally agreed that the foregoing conduct poses an immediate threat to the public health, safety, or welfare and requires emergency action pursuant to A.R.S (B). moved, seconded, and it was unanimously carried, based upon the information presented at this meeting, the findings of fact and statute/rule violations identified in the investigative report, and make a finding that public health safety and welfare imperatively requires emergency action and issue an Order summarily suspending the license of Christina Peralta, LP pending further hearing. The hearing shall be promptly instituted and determined within 60 days. It was therefore ordered that the license of Christina Peralta, LP be suspended effective with the service of the written Order, and that Peralta will immediately cease practice as a nurse. This suspension shall remain in effect pending a public hearing and final decision by the Arizona State Board of Nursing pursuant to A.R.S AzBN September 2014, Regular Board Meeting Minutes 33

34 II.G.3. Allen Stout RN Campbell Campbell address the Board. Hunter addressed the Board with additional information. Attorney Flynn Carey was present and addressed the Board. Complainant T.H. was present telephonically and available for questions. Community member I.R. was present telephonically and available for questions. An attempt was made to contact community member D.P. telephonically. moved, seconded, and it was unanimously carried, based upon the information contained in the investigative report, forward case No to the hearing department to be joined with case No , for purpose of hearing. left the meeting 9:21 a.m. II.C. Motion to Deem Allegations Admitted for Failure to Respond to Notice of Charges and Recommended Discipline AGENA Respondent Name Lic/Cert # Board Legal Staff Resolution II.C.19. Anecita Presto Uy CNA Revocation Campbell The Board was represented by Christopher Munns, Assistant Attorney General, and Division of Solicitor General. Campbell, Assistant Attorneys General, represented the State. Campbell addressed the Board and requested the Board accept the State s recommended discipline. An attempt was made to contact Anecita Presto Uy telephonically. A message was left that the Board would move forward with the case. moved, seconded, and it was unanimously carried with one abstain to grant the State s Motions to Deem Allegations Admitted. moved, seconded, and it was unanimously carried with one abstain to accept the Factual Allegations as Findings of Fact and Alleged Violations as Conclusions of Law from the Notices of Charges. moved, seconded, and it was unanimously carried to accept the State s recommended discipline. YES 6 X X X X X X ABSENT 4 X X X X returned to the meeting 9:25 a.m. VI.O.7. Catrina Nicole Myers LP (Chambers) (aka: Lumpkin; Nooy) Chambers addressed the Board and confirmed receipt of additional information. Attorney Kathy Lambert was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement offer a Decree of Censure. If not signed within 30 days, issue Notice of Charges. AzBN September 2014, Regular Board Meeting Minutes 34

35 VI.N.3. Sonny Abrenica David RN (Wilson) David was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, offer a Consent Agreement offer a Decree of Censure. If not signed within 30 days, issue Notice of Charges. left the meeting 9:38 a.m. and returned at 9:40 a.m. VI.N.4. Robert Andrew Murphy RN (Wilson) moved, seconded, and it was unanimously carried, to reopen Agenda Item VI.N.4. Robert Murphy was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for 24-month probation with stipulations amended to include: allow Applicant to work night shift in the same unit at Florence Hospital and Sacaton Hospital with supervision. If not signed within 30 days, issue Notice of Charges. VI.S.13. Alicia E Stronza CNA Exam (Phelan) Phelan addressed the Board and confirmed receipt of additional information. Stronza was present and addressed the Board. moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements and issue a Letter of Concern for the April 8, 2009, conviction of Theft, a misdemeanor, and October 26, 2010, conviction of No Escort License, a misdemeanor, and February 7, 2013, conviction of Domestic Violence Assault, a misdemeanor. The meeting recessed at 10:01 a.m. and reconvened at 10:20 a.m. IV. Lapsed Licenses & Certificates, Felony Bar Cases, Notice of Charges, Notice of Denial Application for Licensure/Certification, Applicants for Licensure IV.A. Lapsed Licenses & Certificates: Possible Administrative Penalty IV.A.1. Board Staff Recommendation: Offer Consent Agreement (Drafton) Agenda # Name License/Certificate # Penalty Amount IV.A.1.a. Arthur Becerra CNA $25 IV.A.1.b. Monique Celestine CNA $25 IV.A.1.c. Lakia Collins CNA $25 IV.A.1.d. Martha Contreras CNA $75 IV.A.1.e. Jessica Edwards CNA $50 IV.A.1.f. Briana Felstein CNA $25 AzBN September 2014, Regular Board Meeting Minutes 35

36 IV.A.1.g. Sabrina Frederick CNA $25 IV.A.1.h. Pauline Goseyun CNA $25 IV.A.1.i. Patricia Knicely CNA $25 IV.A.1.j. Isabel Morales Ramos CNA $25 IV.A.1.k. Lorraine Noel CNA $25 IV.A.1.l. Angela Nunn CNA $25 IV.A.1.m. Adriela Maria Phelps RN $100 IV.A.1.n. Marilee Roberts CNA $25 IV.A.1.o. Arturo Sanchez CNA $25 IV.A.1.p. Derek Stevens CNA $25 IV.A.1.q. Rachelle Warner CNA $50 IV.A.1.r. Melissa Yazzie CNA $25 moved, seconded, and it was unanimously carried, based on the Finding of Fact and statute/rule violations identified in the investigative report, to offer a Consent Agreement for an Administrative Penalty for the amount stated for working on an expired license/certificate. If the consent agreement is not signed within 30 days or if the administrative penalty is not paid within 60 days of the effective date of the order, issue Notice of Charges; and referral of the employer will be made to the Department of Health Services for licensee/certificate holders working on a lapsed license/certificate for three months or greater. III. Board Reports Regarding Executive Director/Designee Delegated Duties: Cases Dismissed, Letters of Concern, Cases Closed Through Settlement, Imposters and Court Ordered Revocations, Lapsed Licenses/Certificate Signed Agreement III.A. Consent Agenda Board Information Regarding Cases Dismissed Pursuant to ARS (C) 1 Information was provided to the Board regarding cases dismissed pursuant to ARS (C) 1 III.B. Consent Agenda - Board Information Regarding Letters of Concern Issued Pursuant to ARS (C) 4 Information was provided to the Board regarding Letters of Concern issued pursuant to ARS (C) 4. III.C. Board Information Regarding Lapsed Licenses/Certificates Signed Consent Agreement Information was provided to the Board regarding lapsed Licenses/Certificates signed Consent Agreement. III.D. Board Information Regarding Cases Closed Through Settlement Information was provided to the Board regarding cases closed through settlement. AzBN September 2014, Regular Board Meeting Minutes 36

37 IV.B. Felony Bar Cases IV.B.1. Board Staff Recommendation: Adopt Order of Denial for Applicants Agenda # Name License/Certificate # Staff IV.B.1.a. Lolitta Sharrie Allen CNA Endorsement Phelan IV.B.1.b. Christopher Lance Clausen CNA Exam Monas IV.B.1.c. Kendra Jo MacDonnell CNA Exam Richter IV.B.1.e. Teresa Lee Snyder (aka: Horn) RN Endorsement Olson moved, seconded, and it was unanimously carried to adopt the attached Order of Denial for Agenda Items IV.B.1. a-e IV.D. Board Staff Recommendation: Grant Licensure IV.D.1. Timothy Pio TLP Bontrager Bontrager addressed the Board with note to delete from the Investigative report, R No. 27. under Potential Violation of Rules. Pio was present telephonically and available for questions. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements, and signing a Consent Agreement for a $100 Civil Penalty and payment of the Civil Penalty, grant licensure. If not signed within 30 days or payment not received within 60 days, deny licensure. V.A. Board Staff Recommendation: Terminate Previously Issued Board Orders after Full Compliance, RN/LP/CNA (Legal Assistant) moved, seconded, and it was unanimously carried to approve the full compliance list to terminate Board Order if no evidence of non-compliance with Board Order/Consent Agreement exists. arrived to the meeting 10:30 a.m. V.B. Non-Compliance/Compliance with Board Orders V.B.1. Colby Martin LP Greabell moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. V.B.7. Wendi Sue Rafferty LP Greabell Greabell addressed the Board with additional information to include in addition to fact #3 amended facts. Respondent also admitted to Board staff that from on or around May 16, 2014 to on or around September 10, moved, seconded, and it was unanimously carried, based on information in the investigative report, issue Notice of Charges. V.B.8. Nancy Disbrow Kerrigan RN Greabell Kerrigan was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried to remove the requirement to obtain a psychiatric addictionologist reevaluation. Revert Respondent to standard probation with terms and conditions. Issue a Letter of AzBN September 2014, Regular Board Meeting Minutes 37

38 Concern for submitting a dilute random urine drug test specimen on October 25, Consent Agreement and Order No remains in effect. V.B.10. Ellen Marie Franklin RN066010/AP2650 Greabell moved, seconded, and it was unanimously carried upon making a finding of reasonable cause, based upon the allegations in the investigative report and at no cost to the Board, issue an Interim Order for an evaluation by a Board approved Medical Review Officer to evaluate the positive drug test results and a psychiatric evaluation to be completed by a Board approved psychiatrist who is also certified as an addictionology s (and to include any additional testing deemed necessary by the evaluator(s), to be scheduled within 30 days and then return to the Board. If the Interim Order is not completed, based upon the information identified in the investigative report and presented at this meeting, lift the stay of suspension and issue Notice of Charges and include the factual allegations and alleged violations for failure to comply with the Interim Order. V.C. Non-Compliance/Compliance with Board Orders V.C.1. Janet Thurston RN Austin moved, seconded, and it was unanimously carried to terminate Consent Agreement and Order No V.C.4. Jacqueline Leeper RN (Austin) moved, seconded, and it was unanimously carried to allow Respondent to continue on Consent Agreement and Order No NUR and allow Respondent s drug testing frequency to be reduced pursuant to the terms and conditions of the Order. V.C.5. Jennifer Magnuson RN (Austin) moved, seconded, and it was unanimously carried, based on the information in the investigative report, issue a Letter of Concern for failing to timely notify the Board of her unavailability to drug test in December 2012, and for failing to resolve her Magenta drug testing assignment in a timely manner resulting in missed Magenta drug tests between May 2013, and July Board staff may reduce drug testing frequency to one time per month for the duration of the Order. VI.K.4. Courtney Renee Oliver RN (Kish) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. VI.K.5. Kimberly Kay Schurck RN (Kish) moved, seconded, and it was unanimously carried to issue a Letter of Concern for the 2008 arrest for disorderly conduct guilty plea in Scottsdale, Arizona, for failing to report her arrest, and for the 2010 denial of registered nurse licensure by the California Board of Nursing, based on the aforementioned incident. VI.K.6. Anna Marie Smith NM Compact RN-R33607 (Kish) moved, seconded, and it was unanimously carried to issue a Letter of Concern for the April 15, 1992, conviction for DWI in Gallup, New Mexico, and for failing to assure that all surgical materials were accounted for prior to moving Patient A to the Anesthesia Care Unit while working as a circulating nurse at Banner Good Samaritan Medical Center, Phoenix, Arizona, on March 1, AzBN September 2014, Regular Board Meeting Minutes 38

39 VI.K.7. Mary Ellen Bradshaw RN (Kish) An attempt was made to contact Bradshaw telephonically and a message was left that the Board would move forward with the case. Kish addressed the Board with additional information. moved, seconded, and after discussion it was unanimously carried, upon finding of reasonable cause, based upon the allegations in the investigative report and at no cost to the Board, issue an Interim Order for a neuropsychiatric evaluation to be completed by a Board approved licensed neuropsychiatrist, and to include any additional testing deemed necessary by the evaluator, to be completed within 45 days of the Board s receipt of Respondent s medical records, and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, issue Notice of Charges and include the factual allegations and alleged violations for failure to comply with the Interim Order. VI.K.8. Frank Anthony Siragusa LP (Kish) moved, seconded, and it was unanimously carried, based upon the information in the investigative reports, offer a Consent Agreement for 18 month stayed suspension/probation, and include the attached stipulations. 1f not signed within 30 days issue Notice of Charges. VI.K.9. Brenda Sodders Fernandez LP (Kish) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. VI.K.10. Cristi Burke-Peschka RN (Kish) Kish addressed the Board with additional information. Burke-Peshka was present telephonically and available for questions. moved, seconded, and it was unanimously carried to issue a Letter of Concern for failing to check a patient's blood sugar prior to administration of Lispro insulin 10 units subcutaneous, and failing to notify the physician of a significant delay in patient discharge on or about September 21, 2012, while employed at Banner Baywood Medical Center in Mesa, Arizona. VI.K.11. Keith Rowan RN (Kish) An attempt was made to contact Rowan telephonically and a message was left that the Board would move forward with the case. Kish addressed the Board with additional information. moved, seconded, and it was unanimously carried to issue a Letter of Concern for failing to notify the physician of Patient A's blood glucose result greater than 500, and for discharging Patient A with unstable blood sugar on or about September 21, 2012, while employed and on duty as a RN at Banner Baywood Medical Center in Mesa, Arizona. VI.K.12. Ofelia M. Demarest RN (Kish) moved, seconded, and it was unanimously carried to issue a Letter of Concern for failing to cause appropriate follow-up for Patient A's blood sugar of 500, and directing a RN to continue a discharge order for Patient A, on or about September 21, 2012, while employed and on duty as a RN charge nurse at Banner Baywood Medical Center in Mesa, Arizona. AzBN September 2014, Regular Board Meeting Minutes 39

40 VI.E.2. Heather Castner RN (Pilder) moved, seconded, and it was unanimously carried to reopen Agenda Item VI.E.2. Pilder addressed the Board with additional information. Jonson moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a 12-month probation to include the attached stipulations. If not signed within 30 days, issue a Notice of Charges. VI.N.1. Baby Agatha Supan LP (Wilson) (aka: ) An attempt was made to contact Supan telephonically. moved, seconded, and it was unanimously carried, based upon the information in the investigative report offer, a Consent Agreement for a 24-month probation, and to include the attached stipulations. If not signed within 30 days, issue Notice of Charges. VI.N.2. Kelly Wilburn RN Exam; LP (Wilson) moved, seconded, and it was unanimously carried to issue a Letter of Concern for the October 11, 2012, and December 22, 2012, conduct leading to disorderly conduct misdemeanor charges in Buckeye, Arizona against Respondent, which were later dismissed and for failing to report the charges to the Board within 10 days and for failing to maintain a current address of record with the Board and failing to provide a complete written response to the Board s investigation. VI.M.3. Jessica Paige Tekulve RN (Hunter) (aka: Mrozek) Hunter addressed the Board with additional information. moved, seconded, and it was unanimously carried, on a determination of reasonable cause based on the facts alleged in the investigative report (and material presented at this Board meeting), at no cost to the Board, issue an Interim Order for a substance abuse evaluation to be completed by a Board approved evaluator who is at minimum PhD prepared, and to include any additional testing deemed necessary by the evaluator, to be completed with 45 days and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, issue Notice of Charges and include the factual allegations and alleged violations for failure to comply with the Interim Order. VI.M.4. Marla Jeanne Goodman RN (Hunter) moved, seconded, and it was unanimously carried, on a determination of reasonable cause based on the facts alleged in the investigative report (and material presented at this Board meeting), at no cost to the Board, issue an Interim Order for a substance abuse evaluation to be completed by a Board approved evaluator who is at minimum PhD prepared, and to include any additional testing deemed AzBN September 2014, Regular Board Meeting Minutes 40

41 necessary by the evaluator, and hair follicle or nail test for a Health Professionals panel, to include Dilaudid, to be completed within 45 days and then return to the Board. If the Interim Order is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, issue Notice of Charges and include the factual allegations and alleged violations for failure to comply with the Interim Order. V.B.4. Anthony Martinez RN178324; LP047652; CNA Greabell Martinez was present and available for questions. moved, seconded, and it was unanimously carried, based on the information in the investigative report, offer a Consent Agreement for a minimum 12 month stayed suspension/probation with terms and conditions. If not signed within 30 days, issue Notice of Charges. Consent Agreement and Order No shall remain in effect and enforceable until the matter is resolved. Approve Judith Collier, RN, M.Ed., LISAC for the individual Alcohol/Drug Education counseling that Respondent completed on or around March 26, VI.O.1. Margaret Gyuro LP (Chambers) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.O.2. Emily Patterson LP (Chambers) (aka: Alvarado) Patterson was present telephonically and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.O.3. Marlene Schmidt LP (Chambers) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. AzBN September 2014, Regular Board Meeting Minutes 41

42 VI.O.4. David Madrid RN (Chambers) moved, seconded, and it was unanimously carried to issue a Letter of Concern for participating in the practice of using a heat pack on or about April 11 and 12 th, 2012, without a provider s order and in violation of a the United States Air Force Notice to Airmen dated 2005, which caused second degree burns to the abdomen of a post-surgical patient, while on duty as a RN at Langley USAF Air Force Base Hospital in Virginia. VI.O.6. Priscilla Marielvey Olivarez RN Exam (Chambers An attempt was made to contact Olivarez telephonically. A message was left that the Board would move ahead with the case. moved, seconded, and after discussion it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing a Consent Agreement, grant licensure but immediately suspend licensure pending the completion of intensive treatment for substance use disorder. Following the successful completion of intensive treatment, the suspension will be lifted and Respondent will begin a 36-month probation to include the attached stipulations. If the Consent Agreement is not signed within 30 days, deny licensure. The Board directed staff to contact Department of Health regarding this case. VI.O.8. Tina Marie Thomas RN (Chambers) (aka: Orahoske) An attempt was made to contact Thomas telephonically and a message was left that the Board would move forward with the case. moved, seconded, and it was unanimously carried, based on the information in the investigative report, offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.P.1. Mecah Lynne Lucas CNA Exam (Galan) moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements and issue a Letter of Concern for the April 30, 2012, citation by the Peoria Police Department for Shoplifting, a misdemeanor, from Target for which applicant was convicted on August 7, 2012 in Peoria, Arizona. VI.P.2. Megan McKenzie Feith RN Exam (Galan) moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a Letter of Concern for the January 1, 2014, incident involving your public intoxication and failure to cooperate with police, for which she was convicted on March 26, 2014, for Obstruction-Refuse True Name in Scottsdale, Arizona. VI.P.4. Kayla Marie Tafoya CNA Exam (Galan) moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements and issue a Letter of Concern for her two accidents on or about September 29, 2007, AzBN September 2014, Regular Board Meeting Minutes 42

43 resulting in damage of property followed by her May 21, 2008, Undesignated Felony conviction for Criminal Damage which was re-designated as a misdemeanor on or about June 7, VI.P.5. Brittany Grace Youngblood CNA Exam (Galan) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.P.6. Bodong Lu CNA Exam (Galan) moved, seconded, and it was unanimously carried to continue the investigation to allow Applicant the opportunity to obtain a psychological evaluation, to include a substance abuse evaluation, at no cost to the Board, by a Board approved licensed psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny certification. VI.P.7. Karyn Digioacchino LP034753; CNA (Galan) (aka: Rowe) moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue Notice of Charges. VI.P.8. Alexis Elle Martin CNA Exam (Galan) An attempt was made to contact Martin telephonically. moved, seconded, and it was unanimously carried to grant certification upon meeting all requirements, and issue a Letter of Concern for one incident involving applicant s use of marijuana and one incident involving her use of alcohol, which resulted in her hitting hospital staff while under the influence, both incidents occurring in 2009 when she was 15 years old; and for failure to fully cooperate with the Board s investigation. VI.P.9. Maureen Frances Stanton RN Endorsement (Galan) (aka: Sadler; Mynahan; Crowley) An attempt was made to contact Stanton telephonically and a message was left that the Board would move forward with the case. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements and signing Consent Agreement for a Decree of Censure, grant licensure. If not signed within 30 days, deny licensure. AzBN September 2014, Regular Board Meeting Minutes 43

44 VI.P.11. Wanda Lee Frank RN Endorsement (Galan) (aka: Durisseaux) An attempt was made to contact Frank telephonically and a message was left that the Board would move forward with the case. moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, upon meeting all licensure requirements, signing a Consent Agreement for a $250 Civil Penalty and payment of the Civil Penalty, grant licensure. If not signed within 30 days or payment not received within 60 days, deny licensure. VI.L.1. Bonita Jones RN098927; AP4231 (Dahn) Dahn addressed the Board with additional information. moved, seconded, and it was unanimously carried, based upon the information in the investigative report offer a Consent Agreement for a Decree of Censure. If not signed within 30 days, issue Notice of Charges. VI.Q.3 Kara Gallagher RN143287; LP (expired) (Powell) moved, seconded, and it was unanimously carried, based on the information in the investigative report issue a Notice of Charges. IX. Dialogue with Nursing Students The Board members and staff dialogued with Gateway Community College, Grand Canyon University, Mesa Community College, Paradise Valley Community College and Chamberlain College nursing students regarding Board functions, policies and procedures. Question were asked on: How and when complaints are submitted to the Board. What is the average complaint for RN What is the percent break for substance abuse and age demographics Definition of ALJ How to obtain a position on the Board Difference between Nurse Association and Board of Nursing Definition of unanimous and abstain Advisement to students by Board members If the Board makes decision on the case before the Board meeting The meeting recessed at 12:01 p.m. and reconvened at 12:50 p.m. VI.S.1. Shannon Lynn Burtis RN Exam (Phelan) (aka: Knapp) moved, seconded, and it was unanimously carried to continue the investigation to allow Applicant the opportunity to obtain a psychological evaluation, to include a substance abuse evaluation, at no cost to the Board, by a Board approved licensed psychologist, and to include any additional testing deemed necessary by the evaluator, to be scheduled and completed within 45 days and then return to the Board. If the evaluation is not completed, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. AzBN September 2014, Regular Board Meeting Minutes 44

45 VI.S.4. Tiffany Gonzalez RN Endorsement (Phelan) (aka: Whidden) moved, seconded, and it was unanimously carried, based upon the findings of fact and statute/rule violations identified in the investigative report, deny licensure. VI.S.6. Stacie Renee Kobylanski RN Endorsement (Phelan) moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a Letter of Concern for the June 18, 2009, conviction of DUI, a misdemeanor and March 9, 2009, conviction of Disorderly Conduct Intoxicated a misdemeanor. VI.S.7. Andrew Adam Martinez-Malo RN Endorsement (Phelan) moved, seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a Letter of Concern for his October 27, 2006, Applicant admitted Felony of Unauthorized Possession of a driver s License or Identification Card which charges are dismissed upon completion of diversion program. VI.S.8. Brice Ellen Nielsen LPN Endorsement (Phelan) (aka: Voydat) moved, seconded, and it was unanimously carried upon meeting all licensing requirements, grant licensure and issue a Letter of Concern for: In 1975, applicant was convicted, pursuant to a plea of guilty or responsible, of shoplifting/theft, a misdemeanor. In 1986, applicant was convicted, pursuant to a plea of guilty or responsible, of DUI, a misdemeanor. In 1986, applicant was convicted, pursuant to a plea of guilty or responsible, of DUI, a misdemeanor. In 1988, applicant was convicted, pursuant to a plea of guilty or responsible, of DUI, a misdemeanor. On December 21, Applicant was convicted, pursuant to a plea of guilty or responsible, of DUI BAC. 08 or higher, a misdemeanor. VI.S.9. Autumn L Porter CNA Exam (Phelan) moved, seconded, and it was unanimously carried, based upon the Findings of Fact and statute/rule violations identified in the investigative report, upon meeting all certification requirements, signing a Consent Agreement for a $50 Civil Penalty and payment of the Civil Penalty, grant certification. If not signed within 30 days or payment not received within 60 days, deny certification. AzBN September 2014, Regular Board Meeting Minutes 45

46 VII.A.3. Update on Report to Legislature Regarding Long Term Funding Strategies for the Certified Nursing Assistant Program Harris/Orchard/Bontrager/Ridenour Late Mailing Gregg Harris addressed the Board regarding his work on the CNA funding issue relating to operating costs for the CNA program. Meetings have been held with some legislators and additional meetings are scheduled to be held with stakeholders interested in determining a comprehensive goal solution, with funding solutions that would work well for the stakeholders and for the Board. A report outlining CNA funding issues, federal restrictions to not charge CNA applicants, and Board recommendations to implement a fee structure to charge, is due to the legislature on November 1, VII.A.4. Update Potential 2015 Legislation Impacting Nursing Regulation-Harris Gregg Harris noted there was interest in sunrise applications which he will monitor. Harris stated that funding issues will again be a significant issue for the coming year. He emphasized that the leadership structure after the election will be important to the Board. VII.B. Educational Reports and Rules Randolph/Doolen VII.B.1. Nurse Assistant Programs Approved by the Executive Director Information was provided to the Board regarding Nurse Assistant Programs approved by the Executive Director. VII.B.2. Education Updates a. Phoenix College Administration Change Information was provided to the Board regarding personal changes at Phoenix College Nursing. b. Estrella Mountain Community College Program Closure for CNA & LPN Information was provided to the Board regarding closure of the South West Skill Center Nursing Assistant and Practical Nursing programs at Estrella Mountain Community College. c. Mohave Community College Administration Change Information was provided to the Board regarding personal changes at Mohave Community College. d. Pima Community College West Campus Administration Change Information was provided to the Board regarding personal changes at Pima Community College. e. Brown Mackie College Phoenix Administration Change Information was provided to the Board regarding personal changes at Brown Mackie College. VII.B.3. Arizona Western College RN Program Application for Program Change moved, seconded, and it was unanimously carried to approve the program change application of Arizona Western College RN Program to reduce total credits hours from to 67. VII.B.4. South Dakota State University College of Nursing RN Refresher Program Approval/Renewal moved, seconded, and it was unanimously carried to renew the approval of South Dakota State University RN Refresher Program AzBN September 2014, Regular Board Meeting Minutes 46

47 VII.B.5. Site Survey Policy moved, seconded, and it was unanimously carried to approve the Site Survey Policy. VII.B.6. Public Notification of Program Status Policy moved, seconded, and it was unanimously carried to approve the Public Notification Program Status Policy. VII.B.7. K s Training & Learning Center, LLC. Certified Nursing Assisting Program Investigative Report moved, seconded, and it was unanimously carried, based upon the findings of fact and the statute/rule violations contained in the investigative report, issue a notice of deficiency with 30 days to correct. VII.B.8.a GateWay Community College PN Refresher Program Investigative Report moved, seconded, and it was unanimously carried, based upon the findings of fact and the statute/rule violations contained in the investigative report, issue a Letter of Concern to Gateway Community College PN Refresher Program for allowing Students A, B, and C to attend the clinical portion of a refresher course without temporary licensure. VII.B.8.b. moved, seconded, and it was unanimously carried: Pending completion of all licensure requirements, issue a license for applicants Olusegun Oshilaja and Danissa-Valenzuela-Roman. Complete the investigation and present the investigative report to the Board for applicant Aesook Bogatko. Follow Board option for further direction regarding licensure. Dismiss the complaint for respondent Lanette Ponder for not obtaining a temporary license to complete the clinical portion of the Veterans Bridge Course. VII.B.9. Cochise College RN Program Investigative Report Jennifer Lakosil was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information in the investigative report, issue a notice of deficiency with 18 months to correct. VII.B.10. Mesa Community College Refresher Program Investigative Report moved, seconded, and it was unanimously carried to issue a Letter of Concern to Mesa Community College RN Refresher Program for changing program requirements, without sufficient notice to enrolled students, at an informational session held in Mesa, Arizona, on June 24, AzBN September 2014, Regular Board Meeting Minutes 47

48 VII.B.11. Grand Canyon University Family Nurse Practitioner Program Investigative Report Doolen addressed the Board with addition information. Dr. Anne McNamara was present and addressed the Board. moved, seconded, and it was unanimously carried, based upon the information contained in the investigative report, issue a Letter of Concern to Grand Canyon University, Family Nurse Practitioner Program for accepting more students than could be placed in clinical settings within the first two weeks of the class in the NUR 668 (Advanced Practice Management Pediatric and Adolescent Health Care Problems) course, and providing instruction to students to document pediatric care given in Typhon logging system on a different date than actually seen. left the meeting 1:16 p.m. and returned at 1:20 p.m. VII.B.12. Everest College Phoenix RN Program Investigative Report Dr. Ed and Dr. Bonnie Wilson were present and addressed the Board. moved, seconded, and it was unanimously carried, based on information contained in the investigative report, issue a Notice of Deficiency with 6 months to correct the identified deficiencies. Additionally require that the program submit a comprehensive self-study before the end of the 6 month period. Board staff shall conduct an evaluative site visit following receipt and analysis of the self-study report. VII.B.13. Pima Community College RN Nursing Program West Campus: Resolution of Deficiencies Brian Stuart was present and available for questions. moved, seconded, and it was unanimously carried to accept evidence provided by Pima Community College West Campus RN Nursing Program as evidence of resolution of the deficiencies of August 30, Restore full approval status to the Program. VII.B.14. Standard Education Program Stipulation Sheet and Template for Probation for Education Programs. moved, seconded, and it was unanimously carried to approve Standard Education Program Stipulation Sheet and Template for Probation for Education Programs. VII.A.8. Board Education: New Data- Interpretation of the Nursing Performance Profile and Report on the NCSBN National Simulation Study Randolph. Randolph provided an educational session related to medication errors analysis as part of the NCSBN supported research, Measuring Competency with Simulation: Phase II. Ridenour applauded Randolph for helping to understand practice break down. VII.E. Committee Reports VII.E.1. Scope of Practice //Bontrager VII.E.1.a. Scope of Practice Committee meeting draft minutes of September 9, 2014, were provided to the Board. VII.E.1.b. FAQ: Assessing Patient/Client Conditions: The Role of the RN VII.E.1.c. AO Tumescent Lidocaine Injection: Role of the RN VII.E.1.d. AO Intravenous Administration of Radiologic Contrast Media VII.E.1.e. AO Endotracheal Intubation: The Role of the Registered Nurse VII.E.1.f. AO Wound Care: Role of the LPN VII.E.1.g. AO Deep Sedation for Mechanically Ventilated Patients moved, seconded, and it was unanimously carried, to approve AO VIII.E.1. b-g VI.T.1. Dillene Sunshine Hoffman RN (Austin) An attempt was made to contact Hoffman telephonically and a message was left that the Board would move forward with the case. moved, seconded, and it was unanimously carried to issue AzBN September 2014, Regular Board Meeting Minutes 48

49 a Letter of Concern for failing to follow facility policy regarding documentation and wastage of a controlled substance on or about December 18, 2012, while employed as a RN at Sierra Blanca Rehabilitation in White River, Arizona, and for failing to properly store and/or dispose of unused medication when you mistakenly removed the medication from its card in non-sequential order. II.I.2. Kyle Stephen Oswald RN Powell The proceeding began at 1:57 p.m., with the following Board members present:,,,,,,, and. Powell addressed the Board with additional information. Attorney Michael Helbert and Oswald were present and addressed the Board. Based upon the information presented at this meeting, all Board members verbally agreed that a showing of extraordinary circumstances or the possibility of irreparable harm has been made supporting the need for a Summary Suspension. moved, seconded, and it was unanimously carried, based upon the information presented at this meeting and the information contained in the investigative report, to accept and adopt the proposed preliminary Findings of Fact and Conclusions of Law of the Findings set forth in the draft Order attached to the investigative report. All Board members verbally agreed that the foregoing conduct poses an immediate threat to the public health, safety, or welfare and requires emergency action pursuant to A.R.S (B). moved, seconded, and it was unanimously carried, based upon the information presented at this meeting, the findings of fact and statute/rule violations identified in the investigative report, and make a finding that public health safety and welfare imperatively requires emergency action and issue an Order summarily suspending the license of Kyle Oswald, RN176980, pending further hearing. The hearing shall be promptly instituted and determined within 60 days. It was therefore ordered that the license of Kyle Oswald, RN be suspended effective with the service of the written Order, and that Oswald will immediately cease practice as a nurse/certified nursing assistant. This suspension shall remain in effect pending a public hearing and final decision by the Arizona State Board of Nursing pursuant to A.R.S VII. Board Reports for Discussion, Information, Staff Direction and/or Decision VII.A. Executive Directors Report Ridenour VII.A.1. Discuss/Amend and/or Approve Board Minutes VII.A.1.a. July 24-25, 2014, Regular Board Meeting Minutes moved, seconded, and it was unanimously carried to approve minutes of July 24-25, 2014, regular Board meeting. VII.A.2. FY 2014 Budget Final Report; Proposed FY 2016 Budget- Orchard/Bontrager/Ridenour Orchard offered a summary of the FY 2014 Budget Final Report and Proposed FY 2016 Budget. She reported the total appropriated funding for FY 2014 was $4,275,600. As of the current date, AzBN September 2014, Regular Board Meeting Minutes 49

50 $4,275, has been expended, with a remaining balance of $ Once all FY 2014 expenditures have been paid the estimated balance will be $0.00. During the spring of 2014, the Board was granted additional supplemental funding for CNA program operations in the amount of $150,000. At the end of the fiscal year, 2014, all was expended, leaving a balance of $0.00. The estimated budget for FY 2016 is $4,721,600. The budget submittal includes an additional funding request from the Nursing Board fund in the amount of $449,500 and approval to extend the General Fund appropriation of $150,000 into FY 2016, for a total request of $599,447. The total funding request of $599,447 represents the amount of grant funding that is short in covering all costs of the CNA program. moved, seconded, and it was unanimously carried, to approve Proposed FY 2016 Budget. VII.A.5. FY 2014 Licensure Time Frame Report & Average Cycle Times for Licensing Nurses & Certifying Certified Nursing Assistants Bontrager Bontrager stated that there was a 6.7% increase in applications received in fiscal year VII.A.6. Update on House Bill 2087: Health Regulatory Board Training Requirements- Ridenour Ridenour presented information regarding Health Regulatory Board Training Requirements that have not yet been finalized. Some Boards are looking at FARB/CLEAR. Our Board will continue our dedicated cycle for continuing education. VII.A.7. Update APRN Consensus Model & APRN Compact - APRN Consensus Workshop October 25, 2014 Scottsdale Healthcare Shea Campus Conference Center gave an update on the upcoming APRN Consensus workshop, noting that Ridenour would be a speaker at the conference. VII.A.9. Report 2014 NCSBN Annual Meeting/Delegate Assembly /Randolph/Ridenour/Bontrager reported that the annual meeting was attended by, Randolph and Bontrager. VII.A.10. Update on Personnel Changes & Attorney General Coverage Due to Leaves/Vacancies Smith/Bontrager/Austin/Ridenour (Oral -Discussion & Decision) Valerie Smith introduced new staff: Daniel Phelan joined as Sr. Investigator, Rosemary Powell and Cindy Mand joined as Nurse Practice Consultants. Austin acknowledged, Monitoring and CANDO staff for the outstanding job they did on the transition to Recovery Trek. VII.A.11. Proposed Revision to Policy: Certification of Nursing Assistant Applicants- Randolph/Bontrager/Ridenour Randolph addressed the Board. moved, seconded, and after discussion it was unanimously carried, to approve recommended changes in the policy. VII.D. A.A.G. Report Carrie Smith VII.D.1. Updates, New Processes, Accomplishments - Campbell / Smith Campbell will be full time A.A.G, a new A.A.G. will start on 10/14/2014 part time. AzBN September 2014, Regular Board Meeting Minutes 50

51 VII.C. s Report VII.C.1. Update on New Board Appointments Reappointments reported Governor Brewer appointed Jana Machesky, LPN, and Dr. Melinda Preston and reappointed Lori and Randy to the State Board of Nursing. VII.C.2. Recognition of Board s Retiring: Pat & Charleen -All and the Board expressed their appreciation and offered best wishes to retiring Board members, Pat and Charleen. VII.C.3. Debriefing on Board Processes and Suggested Changes - All The Board thanked Susie Flores, Administrative Assistant, for quick uploads of additional information in the Board packet. The Board discussed how to handle respondents who contacts the Board members regarding their cases. The Board expressed concern regarding sexual misconduct/domestic violence. Discussion centered on the best way to handle these kinds of cases and how to educate the public. Staff asked the Board for feedback on Education Investigative reports and to approve stipulation sheet format. Approved for the use of the stipulation sheet was given. VII.E.2. Education ///Randolph VII.E.2.a. Draft Minutes of Education Committee Meeting - Education Advisory Committee draft minutes of August 8, 2014, were provided to the Board. VII.E.3. Advanced Practice //Randolph/Dahn VII.E.3.a. Draft Minutes of Advanced Practice Committee Meeting - Advanced Practice committee draft minutes of August 6, 2014, were provided to the Board. VII.E.3.b. Advisory Opinion Epidural Analgesia by Nurse Anesthetist (Discussion/Decision) moved, seconded, and it was unanimously carried to approve the Advisory Opinion Epidural Analgesia by Nurse Anesthetist VIII. Call to the Public No members of the public requested to speak. X. Adjournment moved, seconded, and it was unanimously carried to adjourn the meeting. The meeting adjourned at 3:30p.m., Friday, September 19, Randy C., CRNA, AzBN September 2014, Regular Board Meeting Minutes 51