INDIANA STATE BOARD OF NURSING

INDIANA STATE BOARD OF NURSING Will meet on Thursday, December 11, 2014 at 8:30 a.m. in the Auditorium of the Indiana Government Center-South 302 West Washington Street Indianapolis, Indiana 46204 I. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 8:30 a.m. II. III. IV. ADOPTION OF THE AGENDA ADOPTION OF THE MINUTES FROM THE NOVEMBER 20, 2014 MEETING OF THE BOARD INDIANA STATE NURSES ASSISTANCE PROGRAM V. EDUCATION A. V.R. Ashwood Site Visit Report (Dr. Nellie Smith) B. University of St. Francis-Crown Point Site Visit Report (Dr. Mindy Yoder, Dr. Marsha King, Margaret DeYoung) C. Ancilla Domini College Request for Curriculum Change for their ASN and LPN-RN Bridge Programs (Dr. Ann Fitzgerald MSN, PhD.(c),CNE) D. Medtech Indianapolis Site Visit Report (Brandi London RN, MSN) E. Medtech Greenwood Site Visit Report (Alexandra Torres RN, MSN, MBA) VI. VIII. DISCUSSION A. Community Paramedics Discussion (Laux/Smith) BOARD DIRECTOR REPORT VIII. PERSONAL APPEARANCES 8:45am Personal Appearance applicants will meet in the Auditorium but will be conducted by one or more Board Members in another conference center room concurrently with the administrative hearings scheduled for 8:45 a.m. The Board Member(s) conducting the personal appearance interviews will make recommendations to the full Board regarding their applications at the end of the full Board Meeting. A. Appearances by Applicants for Licensure 1. Angela Viverette RN Endo CBC Hit* 2. Stephanie Wilhelm RN Exam CBC Hit/ Positive Response 3. Darlene Hornaday RN Exam Grad Date of May 2011 4. German Naelgas RN Exam Grad Date of June 2011 5. Erica Schmeltz RN Exam Four Failed Attempts 6. Fallon Jones LPN Exam Grad Date of November 2010 7. Thomas Schmania RN Endo Positive Response 8. Michael Copollo RN Exam CBC Hit/ Positive Response 9. Katherine Tucker RN Exam CBC Hit/ Positive Response 10. Marcia Rooks RN Endo Positive Response 11. Laura Truskowski RN Endo CBC Hit/ Positive Response 12. Victoria Denton RN Exam Grad Date of Sept 2011 13. Trinette Easley RN Exam CBC Hit/ Positive Response 14. Kathleen Vine RN Endo Positive Response*

15. Amanda Christenson RN Exam CBC Hit/ Positive Response FULL BOARD B. Appearances by Applicants for Renewal 1. Tiara Burse LPN Renewal Positive Response 2. Rebecca Hall LPN Renewal Positive Response 3. Kaitlin Wood LPN Renewal Positive Response 4. Cheryl Stanfield LPN Renewal Positive Response 5. Mary Stooksbury LPN Renewal Positive Response 6. Rebecca Haniford LPN Renewal Positive Response 7. Melissa Palazzo LPN Renewal Positive Response 8. Joline Garing LPN Renewal Positive Response 9. Bailey Leece LPN Renewal Positive Response 10. Brooke Brandenstein LPN Renewal Positive Response 11. Lynn Szweda LPN Renewal Positive Response 12. Amber Roach LPN Renewal Non Compliance With Order 13. Winny Kungu LPN Renewal Positive Response CONTINUED 14. Anita Hathaway LPN Renewal Positive Response 15. Andrea Roop LPN Renewal Positive Response 16. Cory Warnock LPN Renewal Positive Response 17. Samuel Riggle LPN Renewal Positive Response 18. Samwel Njoroge LPN Renewal Positive Response 19. Lisa Holcomb LPN Renewal Positive Response 20. Frederica White LPN Renewal Positive Response 21. Janine Smith LPN Renewal Positive Response 22. Artelia Withers LPN Renewal Positive Response 23. Decelia Myers LPN Renewal Positive Response 24. Caleb Sullivan Exp LPN Renewal Positive Response 25. Rachel Bolin LPN Renewal Positive Response 26. Lacey Killion LPN Renewal Positive Response 27. Amie Spaugh LPN Renewal Positive Response 28. Venisha Davis LPN Renewal Positive Response 29. Jessey Alvey LPN Renewal Positive Response 30. Christine Bynum LPN Renewal Positive Response 31. Latrice Newson LPN Renewal Positive Response 32. Jennifer Hall LPN Renewal Positive Response 33. Sonya Gray-Davis LPN Renewal Failure to Disclose 34. Heather Werner LPN Renewal Positive Response 35. Tacita Collins LPN Renewal Positive Response 36. Judith Terman Exp LPN Renewal Positive Response 37. Veronica Housley LPN Renewal Positive Response 38. Tina Korous LPN Renewal Positive Response 39. Bernadette Klemm LPN Renewal Positive Response 40. Misty Alumbaugh LPN Renewal Failure to Provide Statement 41. Jennifer Smith LPN Renewal Failure to Provide Statement 42. Lindsay Vanderpool LPN Renewal Failure to Provide Statement 43. Dawn Wiley LPN Renewal Positive Response 44. Lois Kerr LPN Renewal Positive Response 45. Angela Gadd LPN Renewal Failure to Provide Statement 46. Anne Schlotman LPN Renewal Failure to Provide Statement 47. Tracie Mejia LPN Renewal Positive Response* 48. Elizabeth Dunn LPN Renewal Positive Response 49. Stacie Stevens LPN Renewal Positive Response 50. Pamela Kish LPN Renewal Positive Response 51. Sarah Ten Have LPN Renewal Positive Response 52. Amanda Leavell LPN Renewal Positive Response

53. Donna Jamison LPN Renewal Positive Response 54. Karen Kulbieda LPN Renewal Positive Response 55. Glenda Shuey LPN Renewal Positive Response 56. Gina Hunt LPN Renewal Positive Response* 57. Stacy Miller Exp RN Renewal Positive Response C. Appearances by Applicants for Renewal (1:30 p.m.) 1. Linda Dawson LPN Renewal Positive Response 2. Megan Wales LPN Renewal Positive Response 3. Sandra Mrimi LPN Renewal Positive Response 4. Debora Schaffer LPN Renewal Positive Response 5. Nichole Baiz LPN Renewal Positive Response 6. Jennifer Black LPN Renewal Failure to Provide Statement 7. April Hall LPN Renewal Failure to Provide Statement 8. Dona Buckler LPN Renewal Failure to Provide Statement 9. Tabatha Franklin LPN Renewal Positive Response 10. Ruth Howard LPN Renewal Positive Response 11. Rachel Weasel LPN Renewal Positive Response 12. Andrea Mensch Exp LPN Renewal Positive Response 13. Dessie Boucher LPN Renewal Failure to Provide Statement 14. Shirley Peeler LPN Renewal Failure to Provide Statement 15. Jennifer Haskin LPN Renewal Positive Response 16. Denise Maxwell LPN Renewal Positive Response 17. Julie Radtke Exp LPN Renewal Positive Response 18. Durena Brandenburg Exp LPN Renewal Worked on Expired License 19. Travis Edmonds LPN Renewal Did Not Disclose FULL BOARD 20. Thelma London Manlove LPN Renewal Positive Response 21. Tamara McClendon LPN Renewal Did Not Disclose 22. Cheryl Williams LPN Renewal Positive Response 23. Jennifer Haffner LPN Renewal Positive Response 24. Kathleen Walls LPN Renewal Positive Response 25. Montaray Darby LPN Renewal Failed to Submit Statement 26. Melodie Pursell LPN Renewal Failed to Submit Statement 27. Tiffany Greer LPN Renewal Positive Response 28. Kyli McFarland Exp LPN Renewal Positive Response 29. Vicki Taylor LPN Renewal Positive Response 30. Theo Clark LPN Renewal Positive Response 31. Maranda Abbott LPN Renewal Positive Response 32. Brooke Hoskins LPN Renewal Positive Response 33. Sierra Weddell LPN Renewal Positive Response 34. Jacquelyn Brooks LPN Renewal Positive Response 35. Penny Wanmer LPN Renewal Positive Response* 36. Kathy Crouch Exp LPN Renewal Positive Response 37. Amanda Overmyer LPN Renewal Positive Response 38. Rebecca Huffman LPN Renewal Positive Response 39. Peter Jachimiak LPN Renewal Positive Response 40. Melanie Dickson LPN Renewal Positive Response 41. Elizabeth Walterman LPN Renewal Positive Response* 42. Stacey Louden LPN Renewal Positive Response 43. Tina Mattox LPN Renewal Positive Response 44. Amanda Shoup LPN Renewal Positive Response 45. Catherine Clark LPN Renewal Positive Response 46. Lisa Jackson LPN Renewal Positive Response 47. Anousinh Xayyachack LPN Renewal Positive Response FULL BOARD

IX. ADMINISTRATIVE HEARINGS The following hearings are scheduled to begin at 9:00 a.m. Cases will be heard upon order of arrival. A sign-up sheet will be available at 8:00 a.m. 1. In the Matter of the License of: Robert Michael LeClear, R.N., License No. 28117303A Administrative Cause No. 2014 NB 246 2. In the Matter of the License of: Wanda Elaine, Crowell, R.N., License No. 28106341A Administrative Cause No. 2014 NB 247 3. In the Matter of the License of: Purvalene Coleman, R.N., License No. 28062885A Administrative Cause No. 2014 NB 249 4. In the Matter of the License of: Amber (Lichtle) Whaley, L.P.N., License No. 27060268A Administrative Cause No. 2014 NB 255 5. In the Matter of the License of: Andrea Crippen, R.N., License No. 28199272A Administrative Cause No. 2014 NB 257 6. In the Matter of the License of: Rachel Lee Waddell, L.P.N., License No. 27052600A Administrative Cause No. 2012 NB 358 Re: Order to Show Cause 7. In the Matter of the License of: Catina Rayford-Strode, R.N., License No. 28171142A Administrative Cause No. 2014 NB 235 8. In the Matter of the License of: Christy L. Rossman, R.N., License No. 28157906A Administrative Cause No. 2012 NB 185 Re: Order to Show Cause 9. In the Matter of the License of: Michael Thomas, L.P.N., License No. 27070201A* Administrative Cause No. 2013 NB 251 10. In the Matter of the License of: Darren Joseph Goetz, R.N., License No. 28142740A* Administrative Cause No. 2005 NB 0163 Re: Order to Show Cause 11. In the Matter of the License of: Mark Stok, L.P.N., License No. 27071003A Administrative Cause No. 2013 NB 444 12. In the Matter of the License of: Debra Poynter, L.P.N., License No. 27026290A Administrative Cause No. 2011 NB 088 13. In the Matter of the License of: Nicholas Lockhart, L.P.N., License No. 27067946A Administrative Cause No. 2012 NB 523 14. In the Matter of the License of: Sally Ann Daggy, R.N., License No. 28053905A Administrative Cause No. 2011 NB 170

15. In the Matter of the Licenses of: June M. Arthur, L.P.N., R.N., License Nos. 27029795A, 28219115A Administrative Cause Nos. 2012 NB 165, 2014 NB 231 16. In the Matter of the License of: Cheryl Chambers, R.N., License No. 28132892A Administrative Cause No. 2009 NB 146 17. In the Matter of the License of: Polly King, R.N., License No. 28184362A Administrative Cause No. 2013 NB 169 18. In the Matter of the Licenses of: Lois Marie Brandon, R.N., A.P.N., C.S.R., License Nos. 28077663A, 71001004A/B Administrative Cause No. 2013 NB 108 Re: Request to Modify Final Order Accepting Proposed Findings of Fact, Conclusions of Law, and Order Dated July 24, 2013 The following hearings are scheduled to begin at 1:30 p.m. Hearings will be held in order of sign-in. A sign-in sheet will be made available at 1:00 p.m. 19. In the Matter of the License of: James L. Webb, R.N., License No. 28146542A Administrative Cause No. 2014 NB 263 20. In the Matter of the License of: Sharon Jean Kluzinski, R.N., License No. 28149004A Administrative Cause No. 2014 NB 266 21. In the Matter of the License of: Dyrica Adele Poole, R.N., License No. 28193976A Administrative Cause No. 2013 NB 093 22. In the Matter of the License of: Terrie Breedlove, L.P.N., License No. 27070162A Administrative Cause No. 2010 NB 303 23. In the Matter of the License of: Amelia Tokarz, L.P.N., License No. 27047612A Administrative Cause No. 2012 NB 574 24. In the Matter of the License of: Jennifer Armendariz, R.N., License No. 28187947A Administrative Cause No. 2013 NB 559 25. In the Matter of the License of: Jesika Brown-Jackson, R.N., License No. 28205279A Administrative Cause No. 2012 NB 361 26. In the Matter of the License of: Jamie Hurni, L.P.N., License No. 27045281A Administrative Cause No. 2012 NB 517 27. In the Matter of the License of: Sarah Conkle, R.N., License No. 28210692A Administrative Cause No. 2013 NB 261 28. In the Matter of the License of: Michael T. Horton, L.P.N., License No. 27044153A Administrative Cause No. 2008 NB 118 Re: Request to Modify Final Order Dated September 25, 2012

29. In the Matter of the License of: Laura J. Kissee, L.P.N., License No. 27038788A Administrative Cause No. 2003 NB 0110 30. In the Matter of the License of: Susan Overcash, R.N., License No. 28079469A Administrative Cause No. 2013 NB 424 Re: Petition to Appeal Recommended Findings of Fact, Conclusions of Law and Order 31. In the Matter of the License of: Rudra D. Komarraju, R.N., License No. 28207964A Administrative Cause No. 2014 NB 163 Re: Petition for Extension of Summary Suspension IX. DEFAULTS 1. In the Matter of the License of: Anna Justina Shell, R.N., License No. 28098722A Administrative Cause No. 2014 NB 202 Re: Notice of Proposed Default 2. In the Matter of the License of: Kimberly Rebich, R.N., License No. 28127396A Administrative Cause No. 2014 NB 012 Re: Notice of Proposed Default XI. PRE-HEARING SETTLEMENT CONFERENCES 1. In the Matter of the License of: Mary Kathryn Hunter, L.P.N., License No. 27031262A Administrative Cause No. 2014 NB 280 2. In the Matter of the License of: Decelia Y. Myers, L.P.N., License No. 27064285A Administrative Cause No. 2014 NB 281 3. In the Matter of the License of: Jason Jones, R.N., License No. 28160811A Administrative Cause No. 2014 NB 271 4. In the Matter of the Licenses of: Lisa Ann Reboulet, R.N., A.P.N., C.S.R., License Nos. 28144135A, 71002736A/B* Administrative Cause No. 2014 NB 262 5. In the Matter of the License of: Deborah Summers, R.N., A.P.N., License Nos. 28108690A, 71000419A/B* Administrative Cause No. 2014 NB 256 6. In the Matter of the License of: Patrick Kelly Scheck, L.P.N., License No. 27047792A Administrative Cause No. 2014 NB 190 7. In the Matter of the License of: Lynette Jae Idlewine, R.N., License No. 28119275A Administrative Cause No. 2014 NB 284 8. In the Matter of the License of: Yvonne A. Harmon, R.N., License No. 28188043A* Administrative Cause No. 2014 NB 267 9. In the Matter of the License of: Suzanne McCord, R.N., License No. 28123400A* Administrative Cause No. 2014 NB 260

10. In the Matter of the License of: Amy Michelle Buchanan, R.N., License No. 28139176A* Administrative Cause No. 2014 NB 265 11. In the Matter of the License of: Constance Reece, L.P.N., License No. 27063910A* Administrative Cause No. 2014 NB 241 12. In the Matter of the License of: Jessica Vest, R.N., License No. 28187863A* Administrative Cause No. 2014 NB 251 13. In the Matter of the License of: Kimberly Ann Everly, R.N., License No. 28171398A* Administrative Cause No. 2014 NB 245 14. In the Matter of the License of: Tamara C. McClendon, L.P.N., License No. 27066124A* Administrative Cause No. 2014 NB 250 15. In the Matter of the License of: Heather Kirk, R.N., License No. 28186861A* Administrative Cause No. 2014 NB 261 16. In the Matter of the License of: Bethuel Tanui Mutai, R.N., License No. 28166097A* Administrative Cause No. 2014 NB 258 17. In the Matter of the License of: Bethany L. Mason, R.N., License No. 28197253A* Administrative Cause No. 2014 NB 264 18. In the Matter of the License of: Lisa Loraine Edwards, L.P.N., License No. 27060194A* Administrative Cause No. 2014 NB 225 19. In the Matter of the License of: Judith Stephenson-Adams, R.N., License No. 28121789A* CONTINUED Administrative Cause No. 2014 NB 207 XII. SETTLEMENT AGREEMENTS (TO BE APPROVED) 1. In the Matter of the License of: Kelly E. Nagy, R.N., License No. 28131470A Administrative Cause No. 2014 NB 286 Re: Proposed Settlement Agreement 2. In the Matter of the License of: Brandy L. Todd, L.P.N., License No. 27063321A Administrative Cause No. 2014 NB 199 Re: Proposed Settlement Agreement IX. ADMINISTRATIVE LAW JUDGE RECCOMENDATIONS (TO BE APPROVED) The following hearings took place on Appearances by Applicants for Licensure A. Appearance by Applicants for Renewal IV. Personal Appearance scheduled for 1:30 p.m.