Alaska Board of Nursing RN Discipline Database beginning July 2014



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Alaska Board of Nursing RN Discipline Database beginning July 2014 Name Case Number License Number Reason for Action Type of Action Date Arnold, Amy 2013-001241 NUR R 34763 Under active investigation Voluntary Surrender Arrington, Nancy J. 2014-000278 NUR R11430 Unprofessional conduct Barton, Brenda J. 2013-001926 NUR R 17452 Falsified application Consent agreement: civil fine of $3000 with $3000 suspended, reprimand, additional education Consent agreement: Fine $2,500 with $2000 stayed, public reprimand Baux, Arthur 2013-001903 NUR R 34717 Under active investigation Voluntary Surrender Beacom, Valerie 2014-001637 NUR R 6222 (January 2015 the Board resolved to modify the consent agreement to say the $2000 fine is due revised to be due within 180 days of the date the Board adopted the October agreement.

Bliss, Jennifer R. 2014-002174 RN applicant by abuse Consent agreement: probation 5 years with 2 years stayed, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no alcohol, AA, NA, or impaired nurse group meetings, random testing, personal health care provider, restriction on remote employment, employer reports, employment supervised, license suspended for one year with one year suspended. Bonilla, Connie L. 2014-002184 NUR R 22536 Unprofessional conductdiverting drugs, working impaired and failing to report violations AS 08.68.270(1)(3)(7), 12 AAC 44.720(a)(5) and 12 AAC 44.770(1)(8)(9)(22) Consent agreement: 5 years probation, civil fine $2500 with $2000 stayed, public reprimand, rehab counseling, psychotherapy counseling, counselor/therapist reports, consume no controlled drugs or alcohol, attend support group meetings in person, drug testing, personal health care provider, restriction on remote employment, limitation of access to controlled drugs, employer reports, employment must be supervised, suspension of license for one year with 6 months suspension stayed Collins, Christopher W. 2014-000972 NUR R 36606 Falsified application Crow, Aimee OAH No. 14-0979-NUR Board case no. 2011-000856 NUR R 32829 Falsified application for licensure by - AS 08.68.270(1)(2) 12 AAC 44.705(a) Consent agreement: civil fine $2500 & reprimand Fine of $500 and public reprimand Cummings, Brenda 2014-001587 NUR R 25337 Under active investigation Voluntary Surrender

Dagondon, Wilda 2014-001596 NUR R29386 Dickens, Shirley 2014-001599 NUR R4084 Under active investigation Voluntary Surrender Ede, Peggy G. 2013-001636 NUR R 10894 practicing beyond her scope of practice. Probation of license for 2 years, civil fine of $3,000 with $2,000 suspended, a reprimand and 2 educational courses. Esquibel, Viva 2012-000365 NUR R 21696 Viva requested this provision be modified to present an increase in employment opportunities. The Board approves due to compliance with present CA Modifying original consent agreement from April 2012 to remove the restriction that the respondent not be allowed to practice in a location where she has access to any scheduled I, II, III, IV or V controlled drugs as stated in Section U. All other provisions of the CA remain as written. Farahjood, David L. 2014-001688 NUR R 34814 Filipenko, Tessa 2014-001514 NUR R 20127 abuse Consent agreement: probation for 5 years, absence from community of residence, rehabilitative counseling, psychotherapy counseling, consume no controlled drugs or alcohol, AA,NA,or impaired nurse group meetings, random UA and blood tests, restriction on remote employment

Fromm, Jerold 2011-000446 RN Applicant by Application denied in accordance with Administrative Law Judge in OAH no. 14-0214-NUR Ferguson, Alicia M. 2015-000187 RN applicant by Violation of AS 08.68.270(1): Falsified application. Consent agreement: civil fine of $2500, reprimand Halterman, Eric B. 2013-002355 NUR R 18192 AS 08.01.075, AS 08.68.270(1) Consent agreement: civil fine $2500 with $1500 suspended for one year conditioned on no violations of consent agreement, public reprimand for failing to accurately answer a criminal history question # 3 Alaska Board of Nursing applications Hamby, Michelle L. 2014-001009 NUR R 35120 Under active investigation Voluntary Surrender Haugan, Timothy 2013-001888 NUR R 30239 Henderson, Amy S. 2014-001519 NUR R 36908 Henning, Maike 2014-001515 NUR R 28457 Iten, Stacy 2013-001894 NUR R 32423 Falsified application according to AS 08.68.276 AS 08.01.075, AS 08.270(1), 12 AAC 44.720(a)(3) Consent agreement: civil fine of $2000, meet continuing competency to renew this license for 2012-14, reprimand, mandatory audit of continuing competency for next 2 renewals Consent agreement: civil fine $2500, Public reprimand for failing to disclose a criminal conviction on her initial application for licensure

Jackson, Rhett C. 2014-001244 lapsed license NUR R 19447 Jackson, Rhett C. 2014-002173 NUR R 19447 King, Tonya Renee 2015-000295 Lane, Patricia A. 2014-000983 McCaleb, Wendy S. 2014-001820 Mitchell, Tameka D. RN applicant by RN Applicant by NUR R 20389 (lapsed) RN applicant by Falsified application for reinstatement AS 08.68.270(1) Falsified application for reinstatement AS 08.68.270(1) practicing nursing without a license for 5 years Falsified application AS 08.68.270(1) abuse AS 08.01.075, AS 08.68.270(2)(3), 12 AAC 44.705(a)(4) 12AAC 44.720(a)(4) Application denied in accordance with AS 08.68.270(1) Consent agreement: civil fine $2500 with $1500 suspended, public reprimand for failing to disclose criminal history in 2006 AK RN license application Civil fine of $5,000 and reprimand Consent agreement: civil fine $2500 & reprimand Consent agreement: probation 5 years with 2 years stayed, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no alcohol, AA, NA, or impaired nurse group meetings, random testing, personal health care provider, restriction on remote employment, employer reports, employment supervised, license suspended for one year with 6 months stay. Application denied in accordance with AS 08.68.270(2)(7) and 12 AAC 44.705(a)(4) Moore, Thomas M. 2013-001216 NUR R 35027 Under active investigation Voluntary Surrender

Morrissey, Rebecca J. 2013-002119 NUR R 32510 Papoi, Alicia M. 2014-002253 NUR R 28552 Unprofessional conductdiverting narcotics at work AS 08.01.075, AS 08.68.270(3)(7), 12 AAC 44.720(a)(5), 12 AAC 44.770(8)(22) abuse AS 08.01.075, AS 08.68.270(3) Consent agreement: probation 5 years, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no alcohol, AA, NA, or impaired nurse group meetings, random testing, personal health care provider, restriction on remote employment, employer reports, employment supervised, license suspended for one year with 6 months stay. Consent agreement: probation 5 years, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no alcohol, AA, NA, or impaired nurse group meetings, random testing, personal health care provider, restriction on remote employment, employer reports, employment supervised Paprocki, Ted 2014-001502 NUR R 24826 Peters, Laura 2015-000347 RN applicant by Poirier, James 2014-001609 NUR R 29373 failure to reveal conviction on civil fine of $2500 and reprimand. application. Falsified renewal application ( AS 08.68.276, 12 AAC 44.600) Consent agreement: civil fine of $2000, reprimand for failure to show proof of completion of continuing education, mandatory audit of continuing competency for next 2 renewals

Rogers, Sharon 2014-001256 NUR R 10821 Under active investigation Voluntary Surrender Sauchuk, William J. 2015-000073 NUR T 10228 Falsified application for licensure by - AS 08.01.075, AS 08.68.270(1), 12 AAC 44.720(a)(3) Fine of $2500, public reprimand for failing to disclose a criminal conviction on his initial application for licensure as a registered nurse in the state of Alaska Shake, Barbara 2014-001535 NUR R 1375 Under active investigation Voluntary Surrender Under active investigation r/t Simpkins, Deborah 2013-001819 NUR R 32343 AS 08.01.075, AS Voluntary Surrender 08.68.270(6)(7) and 12 AAC 44.770(10)(22). Slone, Kimberly L. 2014-001204 NUR R 31352 Smith, Melody 2014-001618 NUR R 25363 Sotelo, Christina 2014-001602 NUR R 32928 Stark, Elizabeth A. 2011-000424 NUR R 9367 Unprofessional conduct AS 08.01.075, AS 08.68.270(7) and 12 AAC 44.770(1) and (10) Falsified renewal application ( AS 08.68.276, 12 AAC 44.600) Under a current consent agreement and under investigation for current violations of that consent agreement Consent agreement: civil fine $2500 & reprimand Consent agreement: civil fine of $2000, reprimand for failure to show proof of completion of continuing education, mandatory audit of continuing competency for next 2 renewals Voluntary Surrender

Stevenson, Jessica B 2012-000368 NUR R 24736 Violated consent agreement case #2011-000994 Voluntary suspension Stillner, Marianne 2014-001617 NUR R 5049 Strege, Frederick R. 2013-002276 NUR R 22358 Theissen, Kirsten R. 2013-002030 Nur R 30586 Falsified application for licensure by - AS 08.01.075, AS 08.68.270(1) Failed to comply with consent agreement Case No. 2012-000304 adopted 7/25/2012 which may violate AS 08.01.075, AS08.68.270, AS 08.68.275 and 12 AAC 44.710 Consent agreement: civil fine of $2500, reprimand Probation of license for 4 years, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, employer reports, AA/NA meetings, random uninalysis, supervised employment, blood tests and other conditions. Thorn, Barbara 2014-001569 NUR R 32107 Valdez, Carol T. 2014-000961 NUR R 11822 Practicing with lapsed license Consent agreement: suspension of 7 days, civil fine $7500 with $4500 suspended, reprimand Werthwein, Virginia E. 2013-000851 NUR R 11749 Unprofessional conduct Consent agreement: additional education, reprimand

Wesley, Margo 2014-001305 NUR R13519 (lapsed) abuse AS 08.01.075, AS 08.68.270(3) Consent agreement: probation 5 years from September 25, 2014. 36 months of the 5 year probation period will be monitored by TnPAP in the state of Tennessee and then the state of Alaska will complete the 5 year probation monitoring. Rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no alcohol, AA, NA, or impaired nurse group meetings, random testing, personal health care provider, restriction on remote employment, employer reports, employment supervised, license suspended for one year with one year suspended,. Willard, Daniel 2013-001285 NUR R 5269 Falsified application Consent agreement: civil fine of $1500, meet continuing competency to renew this license for 2012-14, reprimand, mandatory audit of continuing competency for next 2 renewals Williams, Wendy A. 2014-002374 NUR R 21698 Prohibited conduct-working Consent agreement: civil fine $3000, with lapsed license AS public reprimand for working with a 08.01.075, AS 08.68.160, AS lapsed license 08.68.230(a), AS 08.68.360

Zientek, Bonnie 2015-000059 RN Applicant by abuse AS 08.01.075, AS 08.68.270(3), 12 AAC 44.720(a)(5)(8), 12 AAC 44.770(8)(9) Consent agreement: Probation for 5 years commencing February 23, 2012 monitoring is being done by Virginia Health Practitioners' Monitoring Program (HPMP). Active monitoring will transfer to Alaska when (HPMP) is completed, rehab counseling, psychotherapy counseling, counselor/therapist reports, quarterly reports, consume no controlled drugs, AA, NA, or impaired nurse group meetings, drug tests, personal health care provider, restriction on remote employment, employer reports, employment must be supervised Zorabedian, Marlene C. 2014-001284 NUR R 32354 Unprofessional conductpracticed outside of her scope AS 08.01.075, AS 08.68.270(7), 12 AAC 44.770(1)(4)(9)(22) Consent agreement: civil fine $2500, public reprimand for practicing outside her scope, diverting a schedule III noncontrolled substance drug from her workplace and then unlawfully distributing the drug to her coworker revised January 2015