OUR MISSION IS TO PROTECT THE PUBLIC

Transcription

1 OUR MISSION IS TO PROTECT THE PUBLIC SAFETY THROUGH EFFECTIVE REGULATION OF NURSING CARE AND SERVICES NEW MEXICO BOARD OF NURSING 2013 ANNUAL REPORT FOR FISCAL YEAR 2013 JULY 1, 2012 JUNE 30, Indian School Road NE, Suite 710 Albuquerque, New Mexico Phone: (505) Fax: (505)

2 Table of Contents Foreword 3 Executive Summary 4 Financial Report 6 Excellence Fund 7 Advisory Committees of the New Mexico Board of Nursing 9 Approved Nursing Education Programs 13 Map of Nursing Education Programs 16 National Council Licensure Examination (NCLEX) and Program Summaries 17 Diversion Program Summary 24 Investigations and Disciplinary Summary 27 Medication Aide and Training Programs 29 Hemodialysis Technicians and Training Programs 33 Licensure Data and Report 37 Reports by County: All Counties 41 McKinley 59 Bernalillo 42 Mora 60 Catron 43 Otero 61 Chavez 44 Quay 62 Cibola 45 Rio Arriba 63 Colfax 46 Roosevelt 64 Curry 47 Sandoval 65 DeBaca 48 San Juan 66 Dona Ana 49 San Miguel 67 Eddy 50 Santa Fe 68 Grant 51 Sierra 69 Guadalupe 52 Socorro 70 Harding 53 Taos 71 Hildalgo 54 Torrance 72 Lea 55 Union 73 Lincoln 56 Valencia 74 Los Alamos 57 Luna 58 Breakdown of active RN/LPNs by County 75 Breakdown of active CNP/CNS/CRNAs by County 77 Licensing Audits for FY12 79 Members of the Board and Staff 80 Appendices 81 Appendix A: Bios of Members of the Board Appendix B: Board Staff Contact Information 2

3 FOREWORD The New Mexico Board of Nursing is pleased to present its Annual Report to the Governor for FY13 (July 1, 2012-June 30, 2013) pursuant to the New Mexico Nursing Practice Act Chapter 61, Article 3 section 1 through 31, NMSA The New Mexico Board of Nursing (Board) was enacted in June 1923, and is a regulatory agency directly reportable to the Executive office of the Governor. The Board of Nursing is supported solely by selfgenerated fees and is a fully self-funded agency. The Board was established with the mission to Protect the public safety through effective regulation of nursing care and services and the vision of the Board is Excellence in Regulatory Practice. The strategic goals of the Board are to: (1) Advance Nursing Systems; (2) Maximize Effectiveness in Public Protection; and (3) Maximize Effectiveness in Customer Service. The Board s regulatory responsibilities include: issuing licenses and certificates for practice in the state; monitoring licensees and certificate holders; and taking disciplinary action against licensees or certificate holders who are not in compliance with state statutes, or who exhibit unsafe practice. The regulatory process assures citizens of New Mexico that nurses, hemodialysis technicians, and medication aides have met minimum competency requirements through testing and licensing and ongoing demonstration of competency through renewal requirements. As a means to safeguard the public, the Board also administers the Diversion Program for nurses whose competencies may be impaired because of the abuse of alcohol or drugs. Workforce supply data within the report is provided on: nurses Licensed practical nurses s in advanced practice (nurse practitioners, certified registered nurse anesthetists, and clinical nurse specialists) medication aides hemodialysis technicians. The workforce supply data presented is collected from initial nurse licensure and license renewal applications from all licensed nurses (LPN, RN, and Advanced Practice s) and certification applications for medication aides and hemodialysis technicians in the state. The data is reported for FY13: from July 1, 2012 through June 30, The Annual Report to the Governor is distributed to all state libraries through the New Mexico State Document Depository Clearinghouse, or may be downloaded on the New Mexico Board of Nursing Website: 3

4 EXECUTIVE SUMMARY The New Mexico Board of Nursing protects the public through effective and transparent regulation of nursing and unlicensed assistive personnel (UAP) care and services. Staff members use established Statutes and Rules to perform the regulatory activities of providing testing for state certification, program approval for medication aides and hemodialysis technicians, approval of nursing education programs in NM, and licensure and discipline processes. For the benefit of the public, the Board also promotes the rehabilitation of nurses with substance use disorders through the Diversion Program. All funding for carrying out regulatory operations and responsibilities is generated through licensing and program fees. By Statute, the Board is required to meet at least once every three months and special meetings may be called by the Chair or by the written request of three or more members of the Board. During the fiscal year July 1, 2012 through June 30, 2013, the Board of Nursing conducted six (6) scheduled disciplinary and regular business meetings and four rules hearings. In FY13, the Board held disciplinary hearings and a business meeting every other month. In FY13 the Board had 19,820 active RN licenses and 1,371 active APRN licenses and 2,800 active LPN licenses within NM, for a total of 23,991 active nursing licenses in NM. There were 5,372 active RN licenses, 598 APRN licenses, and 223 active LPN licenses residing outside of NM for a total of 6,193. The grand total of active NM licenses is 30,184. The data is reflective of those RNs and LPNs currently working, nurses who have retired but who have maintained their licensure, and those nurses who are licensed but not currently employed. In FY13 the Board had 398 CMA I, 7 CMA II, 354 CHT I, 96 CHT II for a total of 855 Active UAP Certificate holders. For more comprehensive licensure and certificate data, please see page 33 and 34. In addition the Board issued the following initial and renewed licenses and certificates during FY13: Grand Total of Nursing Licenses Grand Total of UAP Certificates o 30,184 o 855 RN licenses Certificates for medication aides I o 2,096 newly issued licenses o 63 newly issued certificates o 9,939 renewals o 125 renewals 12,035 Total 188 Total Active NM RN- 19,820 Active Non NM RN- 5,372 Total Active CMA I 398 Certificates for medication aide II Total Active RN- 25,192 Graduate permits o 165 newly issued permits 165 Total Advanced practice licenses o 277 newly issued licenses o 725 renewals Total 1,002 Active NM APRN-1,371 Active Non-NM APRN-598 Total Active APRN-1,969 LPN licenses o 260 newly issued licenses o 1,194 renewals 1,454 Total Active NM LPN- 2,800 Active Non-NM LPN-223 Total Active LPN- 3,023 o 1 newly issued certificate o 4 renewals 5 Total Total Active CMA II- 7 Certificates for hemodialysis technicians I o 58 newly issued certificates o 115 renewals 173 Total Total Active CHT I- 354 Certificates for hemodialysis technicians II o 24 newly issued certificates o 34 renewals 58 Total Total Active CHT II- 96 4

5 In FY13, the Board conducted 174 audits to determine compliance with continuing education during the renewal period by those holding licenses or certificates in the state. A separate page details the outcomes of these audits. The New Mexico Nursing Practice Act (NMSA) and subsequent Rules and Regulations define the scope of practice and outline unacceptable conduct. When a licensee s conduct or practice is questioned, the Board has the duty and authority to investigate. In FY13 the Board received 235 formal complaints, plus an additional 88 complaints generated from license applications, for a total of 323 complaints. All 235 formal complaints were reviewed and 4 were determined to have no infraction of the Practice Act. The board approved delegation provided 48 voluntary letters of reprimand and 40 serious letters of concern to settle the 88 licensure complaints. Of the remaining 231 complaints, seventy (70) were offered the Diversion Program as an alternative to formal discipline and 17 entered the Diversion Program (any declination of the Diversion Program was subsequently returned to investigation). Of the remaining 214 complaints, three (3) complaints were referred to other agencies. Of the 211 remaining complaints, all were forwarded for investigation and 116 complaints were completed and referred to the Board for disposition. During FY13, the Board of Nursing took disciplinary action on 329 cases. During FY13, the New Mexico Board of Nursing approved four rules changes. On October 19, 2012 the Board had a formal rules hearing on Licensure adding the workforce data collection to comply with HB 14, and included the addition of APRN to each advanced practice license, as well as other clean up language. On October 19, 2012 the Board had a formal rules hearing on Management of Chronic Pain with Controlled Substances, adding language to comply with SB 215 which added requirements for prescribers in treating patients with opiate pain medication. Both rules revisions were approved with no public comment. On December 14, 2012, the Board of Nursing had a formal rules hearing on , Nursing Educational Programs, adding clearer and more concise language on nursing program minimum standards and other clean up language. After public comment, the board recommended two revisions and the revised rules were approved. On June 14, the Board had a formal rules hearing on Licensure Compact, increasing the time allowed for nurses to change their primary state of residence from another party state from thirty (30) days to ninety (90) days. The rules revision was approved with no public comment. 5

6 FY13 FINANCIAL REPORT The Board successfully met all operational and statutory requirements for FY13 within the operating budget. The FY12 audit was presented to the State Auditor on December 15, The NM BON received an unqualified opinion with no findings. The NM BON has contracted with the Hinkle & Landers, P.C. for the FY13 audit due to the State Auditor by December 15, The Operating Budget is prepared and approved in May of every year. The below schedule is a comparison between the FY13 Operating Budget and FY13 Actual Budget. In FY13, the sources (revenues) were lower than the uses (expenditures) which produced a net loss. The Fund balance represents the amount needed to balance the budget and is not the Fund Balance as of June 30, The NM BON FY13 actual budget compared to operating budget is as follows: OPERATING BUDGET Sources: Licensure Revenue $1,351,700 Fund Balance 968,900 Total Sources $2,320,600 Uses: Salaries and Benefits $1,194,600 Contracts 194,200 Other costs 531,800 Other Financing Uses 400,000 ACTUAL BUDGET Sources: Revenue Licensure Revenue $1,613,668 Fund Balance net loss 485,719 Total Sources $2,099,387 Uses: Expenditures Salaries and Benefits $1,157,371 Contracts 139,389 Other costs 402,627 Transferred to Nursing 400,000 Excellence Fund Total Uses $2,099,387 Revenue received for FY13 was $1,613,668 from all sources. Ninety percent (92%) of revenues received was from licensure and examination fees; ten percent (8%) of revenue received was from other sources which included: disciplinary fines, certification fees for Hemodialysis technicians and medication aides, interest on the cash balance and miscellaneous fees. Total actual expenditures for FY13 were $2,099,387. Salaries and benefits with 17 FTE represent fifty percent (55%) of the operating budget, while operational costs and contractual services represent fifty percent (45%) of all costs. The difference between revenues recognized of $1,613,668 and expenditures of $2,099,387 was $485,719 net loss transferred from fund balance. The fund balance carried into FY14 is $985,840. 6

7 NURSE EXCELLENCE FUND The Excellence Program was established by NMSA in 2003 to provide strategies to enhance recruitment and retention of professional nurses, increase career and educational opportunities and improve interaction with health facilities administrations, the medical profession and institutions of higher education. The Statute allows a renewal surcharge for each nursing license, not to exceed $20.00 to support the program. The Board currently imposes a $5.00 per renewal surcharge and places it in the Excellence Fund, along with other appropriations, gifts, grants, donations and income from investments in the fund. Fund Disbursements The Excellence Fund yielded $50,175 in FY12 from the surcharge of license renewals, $32,060 from FY12 reversions, and transferred $400,000 from the main operating fund balance to disburse funds as follows. University Health Science Center Award: $129,929 NM Nursing Statewide Planning Phase II Curriculum and Resources Development The purpose of the funding was to facilitate development of state wide planning for nursing education. Goals include: Develop a definitive curricula framework with input and feedback from NM nursing programs Develop a mechanism for sharing teaching resources for NM faculty in implementing a concept-based curriculum New Mexico Health Care Association Award: $60,000 Preparation Course for ANCC Certification in Gerontologic Nursing The purpose of the funding is develop a preparation course for ANCC Certification to Gerontologic Nursing and Certification in Chronic Disease Management. Western New Mexico College Award: $51,700 Student Scholarships for DACC Students The purpose of the funding is to offer nursing scholarships to Dona Ana Community College to complete their 4 th year of nursing school to enable them to graduate from an accredited school. 7

8 Northern New Mexico College Award: $30,000 Student Scholarships RN to BSN Program The purpose of the funding is to offer nursing scholarships to increase the number of BSN nurses. Goals include: Increase enrollment in the RN to BSN Program at NNMC for academic year and by 20% by offering student scholarships to new student applicants for entry into the RN to BSN Program. New Mexico Heart Institute Award: $25,000 Project Heart Start (PHS) The purpose of the funding is to establish a pilot PHS programs in four (4) ethnically and geographically diverse school districts utilizing the school nurse as the coordinator of the program. It is dedicated to train all able New Mexicans to perform Compression only CPR (COCPR) through automated external defibrillator (AED) devices. Con Alma Health Foundation Award: $20,000 New Mexico Nursing Diversity Partnership The purpose of the funding is to promote and support nursing excellence through increased leadership development opportunities for Hispanic and Native American nurses throughout the state. Center of Nursing Excellence Award: $6,000 Nightingale Scholarships The purpose of the funding is to provide financial support to nursing students at all levels of nursing education (LPN through doctoral). Goals include: To offer six (6), $1,000 scholarships to nursing students. Center for Nursing Excellence Award: $6,000 Annual Statewide Nursing Faculty Conference The purpose of the funding is to promote nurse professional development through exposure to national speakers on pertinent topics. Dr. Watson s lecture explored the science of caring and its impact on patient outcomes. Funds reverted back to the Nursing Excellence Funds The grants that are awarded to the different nursing programs are to be spent in the fiscal year in which it was awarded. Any funds not expended by June 30 th are reverted back to the Nursing Excellence Fund in the next fiscal year. In FY12, the University Health Science Center did not spend all funds awarded and therefore reverted $32,060 in FY13. 8

9 ADVISORY COMMITTEE REPORTS The New Mexico Board of Nursing is authorized in NMSA 1987 to appoint/establish Advisory Committees to assist in the performance of its duties. During FY13 the Board maintained 5 Advisory Committees: the Advanced Practice Advisory Committee, the Nursing Education Advisory Committee, the Nursing Practice Advisory Committee, the Hemodialysis Technician Advisory Committee, and the Medication Aide Advisory Committee. These committees allowed the Board to engage nurse leaders and draw upon their collective expertise. Advanced Practice Advisory Committee The Advanced Practice Advisory Committee is composed of advanced practice nurses representing Clinical Specialists, Practitioners, and Anesthetists from different geographical sites across the state. The committee met four times in FY13. The Executive Director has continued to be the assigned staff member to this committee. The committee currently has 3 Clinical Specialists, 7 Practitioners, and 4 Anesthetists. The Board member liaison during FY13 for the AP committee was Kathy Lopez-Bushnell, RN, CNP, Ed.D. Major activities for FY13 included: Completed rules revisions to Licensure. These revisions added the acronym APRN before each of the advanced practice titles of CRNA, CNP and CNS, and also added the language for healthcare work force data collection to comply with HB 14, and other clarifying language to Licensure. These rules revisions were presented to the Board of Nursing on , and approved by the Board of Nursing in a formal rules hearing on October 19, Members of the AP committee also participated in the board sponsored opiate collaborative committee which met to revise rules on Management of Chronic Pain with Controlled Substances to comply with SB 215. These rules were presented to the Board on August 17, 2012, and approved by the Board of Nursing in a formal rules hearing on October 19, Review of the NPA administration of anesthetics which prohibits any person, other than a person licensed to practice medicine, osteopathy, dentistry or a CRNA to administer anesthetics to any person. There is no prohibition for a person currently licensed from using hypnosis or from administering local anesthetics or moderate sedation. The committee reviewed and approved statutory language which was presented to the BON for approval, to accommodate changes in nursing practice in critical care settings with mechanically ventilated patients. The statutory revision would add language inserted after CRNA that states: or other nurses with the appropriate credentials as authorized by the Board of Nursing through rules and regulations. Due to advances in technology and rapidly changing pharmaceutical agents, the AP committee has also recommended statutory changes to delete the requirement for Advanced Practice nurses to maintain written formulary. All requirements for prescriptive authority will continue to be met in the law and rules. These 9

10 revisions as approved by the BON in these statutory changes were submitted in a legislative bill during the 2013 legislature. Due to unforeseen opposition, the bill was withdrawn. The AP committee continued to develop language in BON rules and regulations to limit the use of anesthetics agents to nurses with the appropriate credentials as authorized by the BON to certain critical care settings where airway protection and rescue equipment is available. This language will specify rules that will ensure the protection of the public with the use of anesthetic agents. The committee will continue to develop clear language prior to submitting rules changes regarding this issue in Supported the exemption of nurses from the Medical Imaging and Radiation Therapy Health and Safety Act 61-14E1-12 NMSA 1978, legislation as it does other health care providers from the requirements of this law. Compromise language was reached during 2013 legislature to exclude nurses from this legislation and ensure the board maintains regulatory authority over nursing practice. Reviewed and continue to support adoption of the APRN Consensus Model proposed by NCSBN. Began to develop frequently asked questions (FAQs) on APRN practice issues. These FAQs will be placed on the website for easy access after development. The committee has continued to work on rules changes to ensure that rules keep pace with technological advances in nursing care and competent practice. These rules changes will include updated language and more accurate delineation of the roles of AP nurses. During FY13, two rules changes were recommended to and approved by the Board of Nursing by the Advanced Practice Committee. One was the revision to : Licensure, adding the APRN to titles, and workforce data collection, approved by the Board of Nursing on , and the other was the revision to :Management of Chronic Pain with Controlled Substances, increasing requirements for prescribers of opiates, which was also approved by the Board of Nursing on Nursing Education Advisory Committee The Nursing Education Advisory Committee (NEAC) consists of twelve members with strong expertise in nursing education. The committee is staffed by the Associate Director of Education/UAP, and the Board Member Liaison is Dr. Robin Jones. The NEAC assists the Board in monitoring and regulating the twenty eight Board approved nursing institutions. This ensures the nursing programs are meeting the Board requirements and maintaining standards for quality nursing education. The NEAC met formally 6 times in FY13. The committee members participated in the requisite site visits for new and ongoing program approvals throughout the state. Annual reports required from all approved programs in the state were reviewed, as well as the corrective action plans required from schools that are on conditional approval, and/or do not meet the minimum NCLEX pass rate of 80% or above. The NEAC also reviewed materials and made recommendations to the Board on curriculum change requests. Members of the committee have also worked on the NM Nursing Education Consortium (NMNEC) development of curriculum, as well as policies and procedures for students in the new statewide BSN program. The new NMNEC curriculum allows students to say in their home communities, be educated at their community colleges (or universities), and thereby increase both the level of preparedness and numbers of BSN/RNs throughout state. The Committee continued to solicit and submit articles (4) featuring nursing educational programs throughout the state for News & Views. 10

11 The NEAC assisted the Board in the following nursing education decisions in FY 2013: Feasibility Study approval: Computer Career Center/Vista College Recommended revisions to the Nursing Education Rules. Proposed and revised Nursing Education Rules were approved by the Board of Nursing on Initial approval: National American University Full approval: Breckinridge School of Nursing at ITT Technical Institute Brookline College-accelerated BSN Carrington College Dona Ana Community College Pima Medical Institute Placed on warning/conditional approval: NMSU-Alamogordo Increased admissions: Grand Canyon University Curriculum Changes: Computer Career Center/Vista Grand Canyon University Central New Mexico Community College (NMNEC curriculum) New Mexico Junior College (NMNEC curriculum) New Mexico State University (NMNEC curriculum) San Juan College (NMNEC curriculum) University of New Mexico College of Nursing (NMNEC curriculum) Accepted voluntary closure: Central New Mexico Community College Practical Program Annual Reports: Reviewed and approved the current 29 approved nursing institutions of FY13. Nursing Practice Advisory Committee The Board of Nursing has established a Nursing Practice Advisory Committee in accordance with subsection K of NMAC. Members represent different geographical areas of the state and are representative of various clinical areas of expertise from a variety of nursing practice settings. There are currently twelve members appointed to the committee. The Associate Director of Education/UAP staffs the committee and the Board Member Liaison for FY 13 was Mr. Mike Wallace, MSN, FNP-BC. The committee met formally four times in FY 13. Major activities reviewed or completed by the committee in FY13 included: Continued serving as a resource for nurses with practice questions regarding scope of practice. Prepared an algorithm for nurses to use in determining their scope of practice. This algorithm is available on the NMBON website. Wrote and submitted 3 articles for News & Views. Continued to work in conjunction with the Advanced Practice Committee concerning the administration of anesthetics. Developing FAQs for NMBON website addressing dispensing medications, and LPN scope of practice. 11

12 Hemodialysis Technician Advisory Committee (HTAC) The Hemodialysis Technician Advisory Committee has a membership of 10 registered nurses representing various training programs and dialysis units throughout New Mexico. Committee membership may include hemodialysis technicians and hemodialysis program dialysis nurse educators. The Associate Director of Education/UAP and the UAP Assistant for the Unlicensed Assistive Personnel Program served as the staff members for the committee. The Board Member Liaison is Dr. David Bramhall. The committee met five times during the fiscal year of FY13. The Hemodialysis Technician Certification Examination was administered six (6) times during the fiscal year. A summary of the certification examination statistics for FY13 are included in this report. Committee members participated in program evaluations and nurse educator evaluations. The committee spent the majority of each meeting revising and updating the rules NMAC. The revisions were presented at the June 14, 2013 board meeting. The Board approved the revisions to the rules and set them for a formal rules hearing for the next fiscal year. Medication Aide Advisory Committee (MAAC) The Medication Aide Advisory Committee membership consists of 9 registered nurses and 1 licensed practical nurse who serve as program nurse educators and nursing supervisors representing Developmentally Disabled (DD) Waiver Programs, Intermediate Care Facility for Intellectually/Developmentally Delayed (ICF/IDD) and Long Term Care Facilities (LTC). The Associate Director of Education/UAP and the UAP Assistant for the Unlicensed Assistive Personnel Program served as staff members for the Medication Aide Advisory Committee. The Board Member Liaison is Rebecca Hatch. The committee met five times during FY13. The Medication Aide exam was administered six (6) times during the fiscal year. A summary of the certification examination statistics for FY13 is included in this report. A major accomplishment for the committee during the last fiscal year was the development and completion of the CMA II pilot program. The purpose of certifying CMA II s is the expanded scope of function to allow them to administer insulin via prefilled pen. The CMA II pilot program was a success with 1,705 insulin injections administered and zero errors for FY13. A report was given at the June 14, 2013 Board meeting. The CMA II exam is now being administered six (6) times per fiscal year. Two subcommittees identified the different roles associated with a CMA program and created a survey for current CMA s. The survey was sent to all nurse educators to offer to CMA s, and to encourage them to take the survey. There were six (6) nurse educator training classes provided and 20 individuals attended the two-hour class. The committee spent the majority of each meeting revising and updating the rules NMAC. The revisions were presented at the June 14, 2013 Board meeting. The Board approved the rules revisions and set them for a formal rules hearing for the next fiscal year. 12

13 NURSING EDUCATION Approved Nursing Education Programs Practical Programs Albuquerque Public Schools 807 Mountain Rd Albuquerque, NM Computer Career Center, A Division of Vista College 850 N. Telshor Suite K Las Cruces, NM BON approval: Full Expiration Date: 12/2016 BON approval: Full Expiration Date: 12/2014 PN PN Career Ladder Programs: One year Practical Two Year Associate Degree Anamarc College 2660 Airport Rd Suite 780 Santa Teresa, NM Carrington College 1001 Menaul Blvd Albuquerque, NM Clovis Community College 417 Schepps Blvd Clovis, NM Dona Ana Community College MSC-3DA Box Las Cruces, NM Luna Community College 366 Luna Dr. Las Vegas, NM New Mexico Junior College 5317 Lovington Highway Hobbs, NM New Mexico State University Carlsbad 1500 University Drive Carlsbad, NM Northern New Mexico College 921 Paseo de Onate Espanola, NM Pima Medical Institute 4400 Cutler Ave NE Albuquerque, NM BON approval: Full Expiration Date: 06/2016 BON approval: Full Expiration Date: 06/2016 BON approval: Full Expiration Date: 09/2017 BON approval: Full Expiration Date: 04/2016 BON approval: Full Expiration Date: 07/2016 BON approval: Full Expiration Date: 10/2018 BON approval: Full Expiration Date: 04/2018 BON approval: Full Expiration Date: 07/2019 BON approval: Full Expiration date: 04/2015 ADN PN ADN PN ADN PN ADN PN ADN PN ADN PN 1977 ADN PN ADN PN ADN PN

14 Associate Degree Breckinridge School of Nursing & Health Technical Institute 5100 Masthead ST NE Albuquerque, NM Brown Mackie College Copper Ave NE Albuquerque, NM Central New Mexico Community College 525 Buena Vista SE Albuquerque, NM Eastern N.M University Roswell PO Box 6000 Roswell, NM NM State University Alamogordo 2400 N. Scenic Drive Alamogordo, NM Navajo Technical College P. O. Box 849 Crownpoint, NM University of New Mexico Gallup 200 College Rd Gallup, NM University of New Mexico Taos 1157 CR #110 Rancho de Taos, NM University of New Mexico- Valencia 280 La Entrada Los Lunas, NM San Juan College 4601 College Blvd. Farmington, NM Santa Fe Community College 6401 Richards Ave Santa Fe, NM Western University PO BOX 680 Silver City, NM BON approval: Full Expiration Date: 02/2018 BON approval: Initial Expiration Date: pending graduation of first nursing class BON approval: Full Expiration Date: 08/2015 BON approval: Full Expiration Date: 04/2018 BON approval: Conditional Expiration Date: 08/2014 BON approval: Full Expiration Date: 12/2014 BON approval: Full Expiration date: 12/2015 BON approval: Full Expiration date: 4/2019 BON approval: Full Expiration date: 12/2020 BON approval: Full Expiration date: 8/2020 BON approval: Full Expiration date: 4/2014 BON approval: Full Expiration date: 4/2014 ADN ADN ADN ADN ADN ADN ADN ADN ADN ADN ADN ADN

15 Bachelors Degree Brookline College Accelerated 4201 Central Ave NW Suite J Albuquerque, NM Brookline College Traditional 4201 Central Ave NW Suite J Albuquerque, NM Grand Canyon University 6700 Jefferson St NE Building D Suite D1 Albuquerque, NM National American University 4775 Indian School Rd NE Suite 200 Albuquerque, NM New Mexico State University MSC 3185 Box Las Cruces, NM University of New Mexico MSC Albuquerque, NM BON approval: Full Expiration date: 02/2016 BON approval: Initial Expiration date: pending graduation of first nursing class BON approval: Full Expiration Date: 08/2014 BON approval: Initial Expiration Date: pending graduation of first nursing class BON approval: Full Expiration date: 12/2015 BON approval: Full Expiration BSN BSN BSN BSN BSN 1993 BSN

16 MAP OF NURSING EDUCATION INSTITUTIONS FY13 (7/1/2012 to 6/30/2013) A A C A A C A,A,B,B,B,B,B+,P,C,C,C C A A C A A C B,C,C,P A Associate Degree B Baccalaureate Degree B+ Baccalaureate Degree Accelerated C Career Ladder 1 year LPN and 2 nd year RN P Practical Certificate 16

17 NATIONAL COUNCIL LICENSURE EXAMINATION (NCLEX) PROGRAM SUMMARY OF FIRST TIME CANDIDATES IN NEW MEXICO NM Board Approved Nursing Programs 2010 NCLEX Pass Rate 1/1/ /31/ NCLEX Pass Rate 1/1/ /31/ NCLEX Pass Rate 1/1/ /30/ NCLEX Pass Rate 1/1/2013-6/30/2013 Albuquerque Public Schools/PN N/A Anamarc Educational Institute ADN Anamarc Educational Institute/PN Voluntarily placed on inactive status Voluntarily placed on inactive status Voluntarily placed on inactive status Voluntarily placed on inactive status Breckinridge at ITT Technical N/A Institute/RN Brookline Accelerated College/BSN N/A N/A N/A Brookline Traditional College/BSN N/A N/A N/A N/A Brown Mackie College/ADN N/A N/A N/A N/A Carrington College/ ADN Carrington College/ PN N/A Central New Mexico Community College/ ADN Central New Mexico Community College/PN Voluntarily closed program Voluntarily closed program Clovis Community College/ADN Clovis Community College/PN Computer Career Center/Vista College/PN Dona Ana Community College/ADN Dona Ana Community College/PN N/A 100 Eastern New Mexico University Roswell/ADN Grand Canyon University/BSN N/A N/A N/A 100 Luna Community College/ADN Luna Community College/PN Navajo Technical College/ADN N/A N/A New Mexico Junior College/ADN New Mexico Junior College/PN National American University/BSN N/A N/A N/A N/A New Mexico State University Alamogordo/ADN New Mexico State University Carlsbad/ADN New Mexico State University Carlsbad/PN New Mexico State University Las Cruces/BSN Northern New Mexico College/ADN Northern New Mexico College/PN Pima Medical Institute/ADN Pima Medical Institute/PN San Juan College/ADN Santa Fe Community College/ADN University of New Mexico Albuquerque/BSN University of New Mexico Taos/ADN N/A N/A University of New Mexico Gallup/ADN University of New Mexico- N/A N/A Valencia/ADN Western New Mexico University/ADN

18 State-by-State 1 st time Pass Rates/RN Compare Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered - Total - 07/01/ /30/2013 # Passed % Passed Alabama Board of Nursing (78) 3,360 2, % Alaska Board of Nursing (94) % Arizona Board of Nursing (96) 2,958 2, % Arkansas State Board of Nursing (39) 1,725 1, % California Board of Vocational Nursing & Psychiatric Technicians (2) 10,875 9, % Colorado Board of Nursing (95) 1,958 1, % Commonwealth Board of Examiners (01) % Connecticut Board of Examiners for Nursing (69) 1,616 1, % Delaware Board of Nursing (12) % District of Columbia Board of Nursing (75) % Florida Board of Nursing (70) 10,849 8, % Georgia State Board of Licensed Practical s (32) 3,671 3, % Guam Board of Examiners (87) % Hawaii Board of Nursing (37) % Idaho Board of Nursing (82) % Illinois Board of Nursing (49) 5,759 5, % Indiana State Board of Nursing (48) 4,716 4, % Iowa Board of Nursing (60) 2,103 1, % Kansas State Board of Nursing (68) 1,961 1, % Kentucky Board of Nursing (76) 2,736 2, % Louisiana State Board of Practical Examiners (34) 2, % Maine State Board of Nursing (40) 716 2, % Massachusetts Board of Registration in Nursing (08) 3,026 3, % 18

19 Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered # Passed %88.36 Passed89.31 Michigan Board of Nursing (09) 5,063 4, % Minnesota Board of Nursing (10) 3,057 2, % Mississippi Board of Nursing (79) 1,875 1, % Missouri Board of Nursing (17) 3,541 3, % Montana State Board of Nursing (98) % Nebraska Health and Human Services System (67) 1,185 1, % Nevada State Board of Nursing (89) 1, % New Hampshire Board of Nursing (51) % New Jersey Board of Nursing (18) 3,317 2, % New Mexico Board of Nursing (36) 1, % New York State Board of Nursing (03) 9,999 8, % North Carolina Board of Nursing (19) 3,895 3, % North Dakota Board of Nursing (65) % Ohio Board of Nursing (2) 8,470 7, % Oklahoma Board of Nursing (24) 1,985 1, % Oregon State Board of Nursing (80) 1,326 1, % Pennsylvania State Board of Nursing (25) 7,077 6, % Rhode Island Board of Registration and Nursing Education (13) % South Carolina State Board of Nursing (26) 2,263 2, % South Dakota Board of Nursing (66) % Tennessee Board of Nursing (77) 3,470 3, % Texas Board of Nursing (41) 11,117 9, % Utah Board of Nursing (38) 1,586 1, % Vermont State Board of Nursing (15) % 19

20 Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered # Passed % Passed Virginia Board of Nursing (28) 3,749 3, % Virgin islands Board of Licensure (81) % Washington State Nursing Care Quality Assurance Commission (55) 2,460 2, % Wisconsin Department of Regulation and Licensing (50) 3,236 2, % WV Board of Examiners for LPNs (54) 1, % Wyoming State Board of Nursing (88) % Total: 152, , % 20

21 State-by-State 1 st time Pass Rates/PN Compare Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered - Total - 07/01/ /30/2013 # Passed % Passed Alabama Board of Nursing (78) % Alaska Board of Nursing (94) % American Samoa health Services Regulatory Board (02) % Arizona Board of Nursing (96) % Arkansas State Board of Nursing (39) % California Board of Vocational Nursing & Psychiatric Technicians (2) % Colorado Board of Nursing (95) % Commonwealth Board of Examiners (01) % Connecticut Board of Examiners for Nursing (69) % Delaware Board of Nursing (12) % District of Columbia Board of Nursing (75) % Florida Board of Nursing (70) % Georgia State Board of Licensed Practical s (32) % Guam Board of Examiners (87) % Hawaii Board of Nursing (37) % Idaho Board of Nursing (82) % Illinois Board of Nursing (49) % Indiana State Board of Nursing (48) % Iowa Board of Nursing (60) % Kansas State Board of Nursing (68) % Kentucky Board of Nursing (76) % Louisiana State Board of Practical Examiners (34) % 21

22 Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered # Passed % Passed Maine State Board of Nursing (40) % Massachusetts Board of Registration in Nursing (08) % Michigan Board of Nursing (09) % Minnesota Board of Nursing (10) % Mississippi Board of Nursing (79) % Missouri Board of Nursing (17) % Montana State Board of Nursing (98) % Nebraska Health and Human Services System (67) % Nevada State Board of Nursing (89) % New Hampshire Board of Nursing (51) % New Jersey Board of Nursing (18) % New Mexico Board of Nursing (36) % New York State Board of Nursing (03) % North Carolina Board of Nursing (19) % North Dakota Board of Nursing (65) % Ohio Board of Nursing (2) % Oklahoma Board of Nursing (24) % Oregon State Board of Nursing (80) % Pennsylvania State Board of Nursing (25) % Rhode Island Board of Registration and Nursing Education (13) % South Carolina State Board of Nursing (26) % South Dakota Board of Nursing (66) % Tennessee Board of Nursing (77) % Texas Board of Nursing (41) % 22

23 Edu Prog Jurisdiction Code Edu Prog Jurisdiction # Delivered # Passed % Passed Utah Board of Nursing (38) % Vermont State Board of Nursing (15) % Virginia Board of Nursing (28) % Virgin islands Board of Licensure (81) % Washington State Nursing Care Quality Assurance Commission (55) % Wisconsin Department of Regulation and Licensing (50) % WV Board of Examiners for LPNs (54) % Wyoming State Board of Nursing (88) % Total: 60,339 50, % 23

24 Diversion Program Fiscal Year /1/2012 to 6/30/2013 The Diversion Program (DP) is a confidential, voluntary alternative to formal disciplinary action for nurses with substance use disorders in the state of New Mexico. The Diversion Program enhances public protection by providing early intervention and admission into a monitoring program along with intense scrutiny of compliance with contract requirements to ensure safe nursing practice. The Diversion Program was created by a legislative amendment to the Nursing Practice Act in 1987, section The purpose of the Diversion Program is to monitor nurses in the first months and years of their recovery and track compliance with their sobriety and recovery work. It is not the intent of the program to provide treatment or therapy to nurses with substance use disorders. However, the initial five year contract signed by all participants requires them to receive a minimum of intensive outpatient treatment for substance use disorders. The program provides a strict external structure of recovery for nurses whose lives have become unmanageable due to their substance use. The goal of the Diversion Program is to enable these nurses to integrate this structure internally and be able to manage their life effectively again. When this has been accomplished, the nurse is ready for discharge. The primary objectives of the Diversion Program are: 1. To identify nurses with substance use disorders early in the disease process. 2. To direct nurses into treatment and/or assessment for substance use disorders. 3. To keep the recovering nurse productive by remaining in practice or returning to practice as soon as possible. 4. To monitor the nurses recovery and limit practice to assure that the nurse is a safe practitioner. 5. To report non-compliance and/or relapse to the Board of Nursing. 6. To educate the public and nursing profession about substance use disorders and unsafe practice. Admissions into the Diversion Program tend to fluctuate from year to year. There are currently 130 nurses enrolled in the Diversion Program. The following chart represents the yearly admissions from January 2008 through June 30, Annual Diversion Program Admissions Year 2013* Admissions * As of June 30,

25 Statistically, we know that out of 28,215 nurses licensed in New Mexico, a conservative estimate of 10 percent will have substance use disorders (National Institute on Alcohol Abuse and Alcoholism, 2008). This estimate indicates that there are possibly 2,821 nurses currently practicing who may have substance use disorders due to the regular or habitual use of drugs or alcohol. Assuming a few have sought and found recovery through means other than the DP, there are still a significant number of nurses who need intervention that remain unidentified and untreated. Current research reinforces that most health care professionals who need treatment do not get identified or referred to treatment. This treatment gap continues to be a concern in the research and treatment community. The challenge remains for health care communities to identify, intervene and refer nurses with substance use disorders to treatment and/or diversion programs or regulatory agencies. s are referred into the Diversion Program in one of three ways: 1. A nurse may report his/her own problem with drugs/alcohol and voluntarily request admission. 2. A nurse may accept admission into the DP following the receipt of a formal complaint against his/her license. 3. A nurse may accept admission into the DP at the request of the Board of Nursing, or as a provision for reinstatement of the license. In FY 2013, 17 out of the 19 nurses admitted to the DP requested admission subsequent to the receipt of a formal complaint or disciplinary action from another state. This reflects the cost effectiveness of the DP in that these admissions bypassed the high cost of a full investigation and administrative hearings. The estimated cost of an investigation is $2, per case. This equals a cost savings of $34,000. There have been a total of 325 nurses successfully discharged from the DP since This provides a measure of success of the DP in that successful discharges indicate nurses who have been drug and alcohol free for a minimum of three full years, who have consistently demonstrated their recovery efforts and compliance, and thus their ability to be safe practitioners. Diversion Program Statistics for Fiscal Year 2013 RN LPN Total Complaints offered DP Applicants offered DP Complaints accepted DP* Total admissions Reinstated after revocation Successful discharges Enrolled participants * Complaints accepted DP refers to nurses that requested admission subsequent to the receipt of a formal complaint or disciplinary action from another state. 25

26 Outreach and education for health care providers, the workplace and educational facilities continues to be a priority for the Diversion Program. These activities assist in counter acting the strong negative stigma and the treatment gap that occurs with those who have substance use disorders. The Diversion Program continues to rely on the workplace, supervisors, and charge nurses to identify, intervene, and refer nurses with substance use disorders to the Board of Nursing and the Diversion Program. Since 1992, the Diversion Program Coordinator has developed and promoted an annual conference covering current research and interventions for health care professionals with substance use disorders. Volunteer speakers are experts in their field and address a variety of topics covering the wide spectrum of recovery and work place intervention and management of health care professionals. Topics include the medical and biochemical aspects of substance use disorders, motivational interviewing techniques, and signs and symptoms of substance use disorders in the workplace. This conference provides continuing education credits and invaluable information to nurses on the identification, referral, and return to work for health care professionals with substance use disorders. The June 2013 annual Diversion Program conference had 52 attendees. The Diversion Program continues to be an effective public service tool to assist in the identification, referral to treatment, monitoring, and return to safe practice for nurses with substance use disorders and continues to enhance the public protection mission of the Board of Nursing. 26

27 INVESTIGATIONS AND DISCIPLINE The New Mexico Board of Nursing regulates nursing practice, education and the practice of RNs, LPNs, Practitioners, Anesthetists, Clinical Specialists, Medication Aides and Hemodialysis Technicians for the protection of the citizens of New Mexico. In its role as a regulatory body, the Board is responsible for conducting hearings upon charges related to violations of the Nursing Practice Act, Section through NMSA, 1978 and its rules. The Board of Nursing has a full time nurse investigator on staff to investigate complaints and allegations of violations of the Nursing Practice Act. Additionally, the Board has an administrative attorney on contract. This combination has ensured timely investigations. Cases can be brought before the Board in an expeditious manner to ensure resolution to protect the public and achieve a course of action that prevents repeat occurrences. In FY13 the Board dealt with disciplinary cases that were practice related, drug related, and dealt with issues surrounding abuse and fraud. The Board considers all alleged violations based on the merits of each case and the potential danger to the public and has taken actions with public safety as a priority. During FY13 changes were made to the Board website in an effort to make the complaint process more understandable to the Public and the nursing community. Additionally, to make the complaint process easier for those wishing to file a complaint, the Board website includes online access to the complaint form with instructions for use. We now accept scanned, ed and faxed complaints. The Board has continued to promote a transparent disciplinary process. Disciplinary hearings are conducted in accordance with the Open Meetings Act NMSA 1978, Chapter 10, Article 15 and all disciplinary actions are listed on the Board website and published in the Board newsletter quarterly. New Mexico is a member of the national Licensure Compact (NLC); see NCSBN website at This arrangement enables nursing practice across state lines and has proven beneficial for New Mexico to recruit nurses and promote New Mexico as a desirable place to practice. The Licensure Compact does necessitate close interaction between states however, when issues of discipline are considered. To that end, in FY13, the Board has increased scrutiny of and communication with other states in an effort to ensure safety of the public. Utilization of national data bases and increased communication with other Boards has ensured timely identification of action taken by other states that may have implications for licensing and practice in New Mexico. This communication includes daily discipline alerts notifying State Boards of Nursing. 27

28 rarot Reinstatement Reinstatement Denied Probation PTt fo to ta PrP Settlement Agreement Revoke PTP in NM Dismiss Serious Letter of Concern (SLOC) Revoked Voluntary Letter of Reprimand (VLOR) Reprimand Suspend (PTP) in NM Suspension Voluntary Surrender The National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) have combined and serve as a repository of information on healthcare providers in the United States. The Federal law requires that adverse actions taken against health care providers be reported within 30 days, and any summary suspension or suspension be reported within 48 hours. The Board has worked with HRSA to reconcile gaps and missing data regarding disciplinary action taken in New Mexico. The Board is responsible for promoting, preserving and protecting the public health, safety and welfare through the adoption of rules that allow licensees and certificate holders to function safely and competently within the parameters of their license/certificate. The Board is also responsible for ensuring that licensees and certificate holders have access to the laws and rules governing nursing in order that they may function within the legal boundaries of the nursing practice act and its rules. Following is the Fiscal Year data for July 1, 2012 to June 30, 2013: DISCIPLINARY SUMMARY 7/1/2012 to 6/30/2013 Number of Formal Complaints Received and Reviewed Board Approved Delegation of Duties for Complaints 235 Total Number Complaints Received and Reviewed 323 Invalid Complaints Received and Reviewed 4 Number of Complaints Referred for DP 70 Number of Complaints Accepting DP 17 Complaints Forwarded to Other Agencies 3 Number of Investigations Completed 116 Number of Ongoing Investigations 95 DISCIPLINARY DISPOSITION 7/1/2012 to 6/30/ Licensure Status RN LPN CNP CRNA CNS CMA CHT ED Del Total

29 CERTIFIED MEDICATION AIDE PROGRAMS The Nursing Practice Act authorizes the Board of Nursing to approve medication aide training programs and certify medication aides, NMSA Medication Aides administer medications in a variety of health care settings such as, Intermediate Care Facility for Intellectually/Developmentally Delayed (ICF/IDD) and Medicaid Waiver Program (DD Waiver), Long Term Care (LTC), and Public Schools. Under supervision of a licensed, Medication Aides administer routine medications with the exception of intravenous, nasogastric and intramuscular routes. In addition, Medication Aides training programs have expanded the scope of function of Medication Aides II to include insulin administration. The CMA II must meet specific criteria according to NMAC. The Medication Aide Certification Examination is administered six (6) times per year to those individuals who have successfully completed a board approved training program. PROGRAM SUMMARY OF CERTIFIED MEDICATION AIDE I CANDIDATES July 1, 2012 through June 30, 2013 No Show 0 First Time Test Takers 69 First Time Test Takers Who Passed 59 First Time Test Taker Pass Percentage 86% Repeat Test Takers 6 Repeat Test Takers Who Passed 5 Repeat Test Takers Pass Percentage 83% PROGRAM SUMMARY OF CERTIFIED MEDICATION AIDE II CANDIDATES July 1, 2012 through June 30, 2013 No Show 0 First Time Test Takers 0 First Time Test Takers Who Passed 0 First Time Test Taker Pass Percentage 0 Repeat Test Takers 1 Repeat Test Takers Who Passed 1 Repeat Test Takers Pass Percentage 100% 29

30 CERTIFIED MEDICATION AIDES BY COUNTY FY 2013 COUNTY NUMBER OF CERTIFIED MEDICATION AIDES NUMBER OF CERTIFIED MEDICATION AIDES II Bernalillo Catron 0 0 Chaves 0 0 Cibola 10 0 Colfax 0 0 Curry 5 0 DeBaca 0 0 Dona Ana 43 0 Eddy 22 0 Grant 24 0 Guadalupe 0 0 Harding 0 0 Hidalgo 1 0 Lea 4 0 Lincoln 11 0 Los Alamos 0 0 Luna 0 0 McKinley 6 0 Mora 0 0 Otero 17 0 Quay 0 0 Rio Arriba 32 0 Roosevelt 4 0 Sandoval 21 0 San Juan 19 0 San Miguel 5 0 Santa Fe 29 0 Sierra 14 0 Socorro 3 0 Taos 3 0 Torrance 2 0 Union 0 0 Valencia 22 1 Totals:

31 APPROVED MEDICATION AIDE PROGRAMS July 1, 2012throughJune 30, 2013 Program Name Address City Zip Code Phone Number Adelante Development Center 3900 Osuna Road NE Albuquerque Albuquerque Heights Healthcare and Rehabilitation 103 Hospital Loop NE Albuquerque ARCA Intercare Services Lomas NE Albuquerque Belen Meadows Healthcare and Rehabilitation Center 1831 Camino Del Llano Belen Bloomfield Nursing and Rehabilitation 803 Hacienda Lane Bloomfield C.A.R.C, Inc. 902 W. Cherry Lane Carlsbad Canyon Transitional Rehabilitation Center Lagrima de Oro NE Albuquerque Casa Arena Blanca 205 Moonglow Alamogordo Casa de Oro Care Center 1005 Lujan Hill Road Las Cruces Casa del Sol 2905 E. Missouri Las Cruces Casa Real 1650 Galisteo St. Santa Fe Cedar Ridge Inn 800 Saguaro Trail Farmington Community Options, Inc Missouri Las Cruces Easter Seals El Mirador-Alcalde St. Road 68, County Rd. 40 Alcalde Easter Seals El Mirador-Santa Fe 10 A-Van-Nu-Po Santa Fe Fort Bayard Medical Center 41 Fort Bayard Medical Center Ft. Bayard Four Corners Good Samaritan Village 500 Care Lane Aztec Good Samaritan Society - Grants 840 Lobo Canyon Road Grants Good Samaritan Society - Las Cruces Village 3025 Terrace Dr. Las Cruces Good Samaritan Society - Lovington 1600 West Ave I Lovington Good Samaritan Society - Manzano del Sol Village 5201 Roma NE Albuquerque Heartland Continuing Care Center 1604 W. 18th Portales Hobbs Health Care Center 5715 Lovington Hwy Hobbs Ladera Nursing and Rehabilitation Center 5901 Ouray Rd NW Albuquerque Laguna Rainbow Corp. P.O. Box 490 Casa Blanca Lakeview Christian Home 1905 W. Pierce Carlsbad Landsun Homes 1900 Westridge Rd. Carlsbad Las Palomas Nursing & Rehabilitation 8100 Palomas NE Albuquerque Los Lunas Community Program 445 Camino Del Rey Suite A Los Lunas

32 New Horizons Developmental Center P.O. Box 187 Carrizozo New Mexico State Veterans' Home 992 S. Broadway T or C Princeton Place 500 Louisiana Blvd NE Albuquerque Red Rocks Care Center 3720 Churchrock Rd Gallup Retirement Ranch 2221 Dillion Clovis Rio Rancho Nursing and Rehabilitation 4210 Sabana Grande SE Rio Rancho Sagecrest Nursing & Rehabilitation Center 2029 Sagecrest Court Las Cruces San Juan Care and Rehabilitation 806 W. Maple SE Farmington Sierra Health Care 1400 Silver T or C Silver City Care Center 1435 N. Fowler Silver City Skies Healthcare and Rehabilitation Center 9150 McMahon Albuquerque Sombrillo Nursing and Rehabilitation 1011 Sombrillo Court Los Alamos St. Catherine Healthcare and Rehabilitation 5123 Juan Tabo NE Albuquerque St. John Healthcare and Rehabilitation 2216 Lester Drive NE Albuquerque St. Theresa Healthcare and Rehabilitation 7900 Constitution NE, Albuquerque The Medical Resort at Fiesta Park 8820 Horizon Blvd. NE Albuquerque The Montebello on Academy Academy Rd NE Albuquerque The Opportunity Center 873 Wright Avenue Alamogordo The Rehabilitation Center of Albuquerque 5900 Forrest Hills Dr. NE Albuquerque The Retreat-Alzheimer's Specialty Care 4075 Jackie Rd. SE Rio Rancho Tresco, Inc Copper Loop Las Cruces Tresco, Inc.-Socorro 211 Park Street Socorro Vida Encantada Rehabilitation and Nursing 2301 Collins Dr. Las Vegas

33 HEMODIALYSIS TECHNICIANS TRAINING PROGRAMS The Nursing Practice Act authorizes the Board of Nursing to approve hemodialysis technician training programs and certify Hemodialysis Technicians, NMSA Hemodialysis Technicians perform broad functions in relation to the direct care of individuals receiving hemodialysis. In addition, Hemodialysis Technician training programs have expanded the scope of function of Hemodialysis Technicians to include performing Hemodialysis treatment via central catheter lines. The CHT II must meet specific criteria according to NMAC to practice with this expanded scope of function. Hemodialysis Technicians function with the supervision and direction of licensed nurses working in the State of New Mexico. The Hemodialysis Technician certification examination is administered six (6) times per year to individuals who have successfully completed a board approved Hemodialysis Technician Training Program. PROGRAM SUMMARY OF CERTIFIED HEMODIALYSIS TECHNICIAN I CANIDATES July 1, 2012 through June 30, 2013 No Show 3 First Time Test Takers 34 First Time Test Takers Who Passed 28 First Time Test Taker Pass Percentage 82% Repeat Test Takers 3 Repeat Test Takers Who Passed 2 Repeat Test Takers Pass Percentage 67% Nationally 100% PROGRAM SUMMARY OF CERTIFIED HEMODIALYSIS TECHNICIAN II CANDIDATES July 1, 2012 through June 30, 2013 No Show 2 First Time Test Takers 22 First Time Test Takers Who Passed 17 First Time Test Taker Pass Percentage 77% Repeat Test Takers 3 Repeat Test Takers Who Passed 2 Repeat Test Takers Pass Percentage 67% 33

34 CERTIFIED HEMODIALYSIS TECHNICIANS BY COUNTY FOR FY 2013 COUNTY NUMBER OF CERTIFIED HEMODIALYSIS TECHNICIANS NUMBER OF CERTIFIED HEMODIALYSIS TECHNICIANS II Bernalillo Catron 0 0 Chaves 17 4 Cibola 17 9 Colfax 2 0 Curry 7 3 DeBaca 0 0 Dona Ana 25 5 Eddy 5 1 Grant 5 1 Guadalupe 1 0 Harding 0 0 Hidalgo 0 0 Lea 6 0 Lincoln 0 0 Los Alamos 1 0 Luna 6 1 McKinley 43 1 Mora 1 1 Otero 5 2 Quay 0 0 Rio Arriba 7 1 Roosevelt 0 0 Sandoval San Juan San Miguel 2 0 Santa Fe 12 1 Sierra 0 0 Socorro 0 0 Taos 6 4 Torrance 0 0 Union 0 0 Valencia 18 9 Totals:

35 APPROVED HEMODIALYSIS TECHNICIAN TRAINING PROGRAMS July 1, 2021 through June 30, 2013 Program Name Address City Zip Code Phone Number Davita Artesia 702 N. 13 th St Artesia DaVita Acutes 801 W. Maple Farmington DaVita Four Corners Dialysis 817 W. Broadway, Suite G Farmington DaVita Las Cruces Renal Center 3961 E. Lohman Las Cruces DaVita Sierra Mobile Acutes 2850 South Telshor Dr. Las Cruces DaVita Shiprock Dialysis US Hwy 491 North Shiprock Dialysis Clinic, Inc Indian School Rd. NE Albuquerque Dialysis Clinic, Inc. Acoma/Laguna Interstate 40, Exit 102 San Fidel Dialysis Clinic, Inc. Albuquerque East 905 Louisiana Blvd. NE Albuquerque Dialysis Clinic, Inc. Albuquerque South 1725 Isleta Blvd. SW Albuquerque Dialysis Clinic, Inc. Carlsbad 2309 Osborne Carlsbad Dialysis Clinic, Inc. Grants 1213 Bonita Grants Dialysis Clinic, Inc. Raton 900 South 6 th Street Raton Dialysis Clinic, Inc. Rio Rancho 4045 Jackie Road Rio Rancho Dialysis Clinic, Inc. Santo Domingo 85 West Highway 22 Santo Domingo Dialysis Clinic, Inc. Silver City 1310 E. Sunset Ln. Silver City Dialysis Clinic, Inc. Taos 1335 Maestas Rd. Taos Fresenius Alamogordo 2578 Medical Drive Alamogordo Fresenius Albuquerque Acutes 1600 Randolph SE Suite 100 Albuquerque Fresenius Albuquerque Kidney Center Lomas NE Albuquerque Fresenius Carlsbad Dialysis 902 W. Pierce St. Carlsbad Fresenius Central NM Kidney Center 2800 Palmilla Road Los Lunas Fresenius Deming 814 Adobe Drive Deming Fresenius Española Dialysis 1420 Calle De La Merced Española Fresenius Gibson Dialysis 5400 Gibson Blvd. SE Albuquerque Fresenius Hobbs Dialysis 2827 Dal Paso, #105 Hobbs Fresenius Las Cruces North 3875 Foothills Drive Las Cruces

36 Fresenius Las Cruces South 2525 South Telshor Dr. Suite B Las Cruces Fresenius Las Vegas Dialysis 246 Mill Avenue Las Vegas Fresenius NM Artificial Kidney Center Fresenius North Albuquerque Dialysis Center 1600 Randolph SE Suite Jefferson NE Suite 300 Albuquerque Albuquerque Fresenius North Rio Rancho Dialysis 7555 Enchanted Hills Blvd. Rio Rancho Fresenius Plains Regional Dialysis 2117 Martin Luther King Dr. Clovis Fresenius Rio Rancho Dialysis 1760 Grande Blvd. NE Rio Rancho Fresenius Santa Fe Dialysis 641 Harkle Road Santa Fe Fresenius Southeastern NM Kidney Center 2801 N. Main Street Suite H Roswell Mountainview Regional Medical Center 4311 E. Lohman Ave. Las Cruces Red Rocks Dialysis Crownpoint Hwy 371 Rt. 9 Crownpoint Red Rocks Dialysis Gallup 725 Hospital Drive Gallup Red Rocks Dialysis Zuni 301 North B Street Zuni University of New Mexico Acute Dialysis Unit 2211 Lomas Blvd. NE Albuquerque

37 LICENSURE DATA LICENSURE REPORT FISCAL YEAR 7/1/2012 to 6/30/2013 Licenses Issued Renewals/Reinstatements of Licenses * Licensed in NM, residing outside of NM * Licensed in NM, residing outside of NM Total Issued, Renewed and Reinstated NM Other* Total NM Other* Total Grand Total All Licenses ,656 RN ,035 LPN ,454 CNP CRNA CNS Graduate Permit Certificate Issued Renewals/Reinstatements of Certificate Total Issued, Renewed and Reinstated NM Other* Total NM Other* Total Grand Total All Certificate CHT CHT II CMA CMA II NEW LICENSES BY EXAM U.S. Exam Other Country RN - New Mexico by Exam 1018 RN by Non-U.S. exam 125 RN Outside of NM 60 RN Renewal Non-U.S. 699 Total RN Licenses by Exam 1078 Total RN (Non-U.S.) 824 LPN NM by exam 145 Total LPN by Non-U.S. exam 4 LPN Other 2 LPN Renewal 2 Total LPN Licenses by Exam 147 Total LPN Licenses by Exam 6 GRAND TOTAL U.S. EXAM 1225 GRAND TOTAL NON-U.S. 830 NEW LICENSES BY ENDORSEMENT U.S. Endorsement Non-U.S. Endorsement RN New Mexico 391 RN by Endorsement Non-U.S. 5 RN Other 475 RN Renewal of Endorsement 5 Total RN Licenses by Endorsement U.S. 866 Total RN by Endorsement Non-U.S. 10 LPN New Mexico 69 LPN by Endorsement Non-U.S. 1 LPN Other 38 LPN Renewal of Endorsement 1 Total LPN Licenses by Endorsement U.S. 107 Total LPN by Endorsement Non-U.S. 2 GRAND TOTAL ENDORSEMENT - U.S. 973 GRAND TOTAL ENDORSEMENTS NON-U.S

38 LICENSURE REPORT Active Licenses and Certificates Licenses Issued Total Active Licenses Issued Licenses NM Other* Grand Total Total of Active RN, LPN, & AP 23,991 6,193 30,184 Nursing Licenses Total Active RN & LPN Licenses 22,620 5,595 28,215 RN 19,820 5,372 25,192 LPN 2, ,023 Total Advanced Practice Licenses 1, ,969 CNP 1, ,402 Other RN Compact License (253) CRNA Other RN Compact License (152) CNS Other RN Compact License 0 5 (3) Graduate Permit** Certificates Issued *Licensed in NM, residing in a non-compact state outside of NM () Other RN Compact Licenses are included in the Advance Practice Total ** Graduate Permit not included in Grand Total Total Active Licenses/Certificates Issued *Licensed in NM, residing outside of NM Total Active Certificates NM Other* Grand Total Approved Certificate Holders Total CHT-I & II CMA-I & II Approved Program Total CHT Programs CMA Programs Nursing Education Institutions

39 License Status by Age FY13 RN Active LPN Active Age Total Under (0%) , ,592 (13%) , ,450 (23%) , ,015 (21%) , ,082 (25%) , ,431 (16%) (2%) Over (.001%) Status Total 25,192 3,023 28,215 39

40 License Status for LPN s and RN s in New Mexico FY13 Active Inactive LPN 3,023 19,532 RN 25,191 55,593 Status Total 28,214 75,125 License Status by Gender in New Mexico FY13 RN Active LPN Active Gender Total Female 22,152 2,682 24,834 (88%) Male 3, ,379 (12%) Status Total 25,190 3,023 28,213 40

41 All Counties Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement 3, ,798 Exam 6, ,442 Total 9,828 1, ,851 Gender: F M Total Age: 30 To 39 2, , To 49 2, , To 59 2, , And Over 2, ,565 Under 30 1, ,316 Total 9,829 1, ,853 Highest Degree: Associate 4, ,782 Nursing Bachelor 2, ,796 Nursing Master ,451 Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total 9,951 1, ,980 Employment Status: FT - Not Nursing FT - Nursing 6, ,493 Not Employed PT - Not Nursing PT - Nursing 1, ,526 Unknown 1, ,676 Total 10,448 1, ,125 Employment Setting: Clinic 1, ,308 Comm/Public Health Home Health Hospital 4, ,204 Industrial Nursing Home Office Other ,108 School School of Nursing Self-Employed Unknown 1, ,674 Total 9,863 1, ,443 Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit 2, ,558 Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery 1, ,454 Pediatric / Child Maternal Psychiatric / Mental Health Other 2, ,611 Unknown 1, ,673 Totals 9,650 1, ,199 41

42 Bernalillo County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement 1, ,462 Exam 2, ,991 Total 3, ,726 Gender: F M Total Age: 30 To , To To , And Over Under Total 3, ,727 Highest Degree: Associate 1, ,636 Nursing Bachelor 1, ,266 Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total 4, ,765 Employment Status: FT - Not Nursing FT - Nursing 2, ,319 Not Employed PT - Not Nursing PT - Nursing 1, ,293 Unknown Total 4, ,805 Employment Setting: Clinic Comm/Public Health Home Health Hospital 1, ,794 Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total 4, ,552 Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other ,026 Unknown Totals 3, ,455 42

43 Chaves County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

44 Catron County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

45 Cibola County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

46 Colfax County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

47 Curry County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

48 De Baca County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

49 Dona Ana County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total ,061 Gender: F M Total Age: 30 To To To And Over Under Total ,061 Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total ,075 Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total ,083 Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total ,018 Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

50 Eddy County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

51 Grant County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

52 Guadalupe County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

53 Harding County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

54 Hidalgo County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

55 Lea County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate 4, ,782 Nursing Bachelor 2, ,796 Nursing Master ,451 Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total 9,951 1, ,980 Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

56 Lincoln County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

57 Los Alamos County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

58 Luna County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

59 McKinley County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

60 Mora County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

61 Otero County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

62 Quay County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

63 Rio Arriba County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

64 Roosevelt County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

65 San Juan County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

66 San Miguel County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Totals Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

67 Sandoval County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

68 Santa Fe County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

69 Sierra County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

70 Socorro County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

71 Taos County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

72 Torrance County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

73 Union County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

74 Valencia County Issued/Renewed 7/1/2012 To 6/30/2013 Licensed Practical Practitioner Anesthetist Specialist Totals Licensed By: Application Endorsement Exam Total Gender: F M Total Age: 30 To To To And Over Under Total Highest Degree: Associate Nursing Bachelor Nursing Master Other Bachelor Other Master Other PHD PHD Nursing RN Diploma Vocational/Practical Unknown Total Employment Status: FT - Not Nursing FT - Nursing Not Employed PT - Not Nursing PT - Nursing Unknown Total Employment Setting: Clinic Comm/Public Health Home Health Hospital Industrial Nursing Home Office Other School School of Nursing Self-Employed Unknown Total Employment Position: Administrator CNP CNS Consultant CRNA Head Instructor Other Staff Supervisor Unknown Total Employment Specialty: Special Care Unit Community / Public Health Geriatric Obstetrics/Gynecology Medical / Surgery Pediatric / Child Maternal Psychiatric / Mental Health Other Unknown Totals

75 BREAKDOWN OF ACTIVE RN/LPNS BY COUNTY Fiscal Year 2011 (July 1st, 2011 through June 30th, 2012) County Active Licensed Practical Total Bernalillo 7, ,895 Catron Chaves Cibola Colfax Curry De Baca Dona Ana 1, ,106 Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt San Juan ,097 San Miguel Sandoval 1, ,851 Santa Fe 1, ,609 Sierra Socorro Taos Torrance Union Valencia TOTAL 19,819 2,800 22,619 75

76 BREAKDOWN OF ACTIVE RN/LPNS BY COUNTY Map View 76

77 BREAKDOWN OF ACTIVE CNP/CNS/CRNAs BY COUNTY Fiscal Year 2011 (7/1/2010 to 6/30/2011) County Practitioner Anesthetist Specialist Total Bernalillo Catron Chaves Cibola Colfax Curry De Baca Dona Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln Los Alamos Luna McKinley Mora Otero Quay Rio Arriba Roosevelt San Juan San Miguel Sandoval Santa Fe Sierra Socorro Taos Torrance Union Valencia TOTAL

78 BREAKDOWN OF ACTIVE CNP/CNS/CRNA BY COUNTY Map View 78