JK to conduct non public session for purpose of discussion of alleged licensee misconduct by nlvIfZ

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									                                                          NEW HAMPSHIRE BOARD OF NURSING
                                                                     MINUTES
                                                                  December 20, 2012
Recorder: Kathryn Dickson, Executive Secretary

              TOPIC                               DISCUSSION                                   ACTION                                FOLLOW-UP
 u
1.0 Call to Meeting                              Nursing students welcomed from Salter      Meeting called to order at 8:00 a.m.
                                                 School.                                    with K. Baranowski (KB), Vice-Chair
                                                                                            presiding
                                                 Ann Finn-Waddell, LPN, was welcomed        Board members present: K.
                                                 to Board as new member.                    Baranowski (KB), J. Kuras (JK), C.
                                                                                            Smith (CS), A. Finn-Waddell, T.
                                                                                            Collins (TC), B. Fersch (BF), K.
                                                                                            Kidder (KK), H. Featherston (HF), B.
                                                                                            Libby (BL)
                                                                                            Board members absent: R. Duhaime
                                                                                            (RD), N. Fortin (NF)
                                                                                            Board staff present: D. Nies (DN), S.
                                                                                            Goodness (SG), K. Dickson (KD),
                                                                                            L. Tetreault (LT)

1.1 Open Forum
    11.3.4 School Nursing Question               Representatives from organizations that    Board consensus to refer to P & E for
                                                 work with school age children and          recommendations.
                                                 developmentally disabled children
                                                 appeared at open forum to present
                                                 concerns specific to each group
                                                 regarding delegation of emergency
                                                 medication to unlicensed personnel.
                                                 Both sides presented reasons and
                                                 arguments regarding interpretation of
                                                 delegation rules.

    1.2 Addendum                                                                            7.1.2    E. McCarron, add’l documents
        1.2.1 Additions                                                                     7.1.5
                                                                                           Additions V. Trunfio, LNA, amended list
                                                                                            7.1.8.1 S. Stewart, LPN VS
                                                                                            7.2.4    K. Welch, RN SA
                                                                                            9.1.8    K. Coutu, LNA, appearance
                                                                                            11.3.8 Request for Board advice

                                                                                                                                              Board Minutes
                                                                                                                                          December 20, 2012
                                                                                                                                                Page 1 of 11
                 TOPIC                          DISCUSSION                                     ACTION                                  FOLLOW-UP

         1.2.2   Deletions                     None.

         1.2.3    Appearances                                                               7.1.1   A. Brownlee           8:30 a.m.
                                                                                            7.1.2   E. McCarron           9:00 a.m.
                                                                                            7.1.3   D. Golt               9:30 a.m.
                                                                                            7.1.4   K. McCarty (Cont)    10:00 a.m.
                                                                                            7.1.5   V. Trunfio           10:30 a.m.
                                                                                            3.1     Public Hearing       11:00 a.m.
                                                                                            7.1.6   M. Johnson (Cont)    11:30 a.m.
                                                                                            7.1.7   L. Ryznal (Cont)     11:45 a.m.
                                                                                            9.1.1   A. Lambert            1:15 p.m.
                                                                                            9.1.2   E. Gross              1:30 p.m.
                                                                                            9.1.3   V. Frabotta           2:15 p.m.
                                                                                            9.1.4   C. McGinn-Kean        2:30 p.m.                              2:30 p.m.
                                                                                            9.1.5   A. Bedard             2:45 p.m.
                                                                                            9.1.6   K. Peck               3:00 p.m.
                                                                                            9.1.7   R. Furman             3:15 p.m.
                                                                                            7.1.8   S. Stewart            3:45 p.m.
2.0   Approval of minutes
         2.1     November 15, 2012             Reviewed and discussed.                      M/CS, S/JK to approve minutes as
                                                                                            written.
                                                                                            Unanimous.

4.0 Report of Executive Director/Staff
    4.1   Expense Summary Budget               FYI.

7.0   Adjudicative (Investigator/Prosecutor)
           7.1 Hearings
               7.1.1 A. Brownlee, RN           Hearing held for A. Brownlee, RN #           M/TC, S/HF to affirm Hearing               DN to respond.
                       #053674-21              053674-21, Docket #12-1029-0336              Counsel’s Proposed Findings of Facts
                                               pursuant to the Nurse Practice Act, RSA      #1 - #7; affirm Hearing Counsel’s
                                               326-B and the administrative rules           Proposed Rulings of Law #1; affirm
                                               Chapters 100-800, proceeded at 8:35 a.m.     Proposed Sanctions #2 - #7, amend
                                               with K Baranowski, Vice-Chair,               Proposed Sanctions #1 to impose one-
                                               presiding.                                   year PROBATION of RN license with
                                               Board members present: A. Finn-Waddell       quarterly reports from supervisor and
                                               (AF), K. Kidder (KK), B. Libby (BL), B.      assess monetary penalty in amount of
                                               Fersch (BF), H. Featherston (HF), T.         $250 to deter future misconduct and to
                                               Collins (TC), C. Smith (CS), J. Kuras (JK)   defray costs associated with
                                               Board staff present: S. Goodness (SG), K.    investigation and prosecution of case to
                                               Dickson (KD), L. O’Connor, Hearing           be paid within 90 days from effective
                                                                                                                                                        Board Minutes
                                                                                                                                                    December 20, 2012
                                                                                                                                                          Page 2 of 11
              TOPIC                                DISCUSSION                                    ACTION                                FOLLOW-UP
                                                  Counsel for the Board.                      date of Board’s order.
                                                  Reading of Notice of Hearing waived.        Unanimous.
                                                  Respondent present to offer testimony.      (See Docket #12-1029-0336)
                                                  Witness present to offer testimony:
                                                  Bonita Pike, RN, NH Hospital
                                                  Hearing concluded at 8:45 a.m.

                                                  M/CS, S/JK to conduct non-public
                                                  session for purpose of discussion of
                                                  alleged licensee misconduct. Non-public
                                                  session is authorized by RSA 91-A:3 II
                                                  and Board’s executive and deliberative
                                                  privileges. Minutes of non-public session
                                                  shall be sealed. Board voted as follows:
                                                  Yea: KB, AF, BF, HF, TC, CS, KK, JK,
                                                  BL.
                                                  Non-public session began at 8:46 a.m.
                                                  and ended at 8:55 a.m.

     7.2 Consent Decree/Settlement Agreement/
         Voluntary Surrender/ Reciprocal
         Discipline/Practice Restrictions
         7.2.1 R. Cote, LPN (SA)                  Previously reviewed.                        M/TC, S/BL to accept Settlement          DN to respond.
                 #007069-22                                                                   Agreement as proposed.
                                                                                              Unanimous.

          7.2.2     C. Cameron, LNA (VS)          Previously reviewed.                        M/TC, S/BL to approve Voluntary          DN to respond.
                    #033013-24                                                                Surrender as signed.
                                                                                              Unanimous.

          7.2.3     M. Chalston, LNA (PR)         Previously reviewed.                        M/TC, S/BL to approve Preliminary        DN to respond.
                    #031196-24                                                                Agreement for Practice Restrictions as
                                                                                              proposed.
                                                                                              Unanimous.

10.0 Education
     10.1 Continuing Approval
           10.1.1 American Red Cross Medical      Previously reviewed.                        M/TC, S/BL to grant Continued            DN to respond.
                  Careers Training School                                                     Approval to program and coordinator
                  LNA Program                                                                 Unanimous.

           10.1.2    Newport High School: Sugar   Previously reviewed.                        M/TC, S/BL to grant Continued            DN to respond.

                                                                                                                                                        Board Minutes
                                                                                                                                                    December 20, 2012
                                                                                                                                                          Page 3 of 11
               TOPIC                              DISCUSSION                              ACTION                                FOLLOW-UP
                   River Valley Regional                                               Approval to program and coordinator.
                   Technical Center                                                    Unanimous.
                   LNA Program

            10.1.3   Mountain View Community     Previously reviewed.                  M/TC, S/BL to grant Continued            DN to respond.
                     LNA Program                                                       Approval to program and coordinator.
                                                                                       Unanimous.

            10.1.4   White Mountains Community   Previously reviewed.                  M/TC, S/BL to grant Continued            DN to respond.
                     College                                                           Approval to program and coordinator.
                     LNA Program                                                       Unanimous.

7.0   Adjudicative (Investigator/Prosecutor)
      7.4 Dismissals (Proposed)
           7.4.1 M. L., RN                       Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations as proposed.
                                                                                       Unanimous.

      7.5   Recommendations (Proposed)
            7.5.1 L. C., LNA                     Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations for public discipline.
                                                                                       Unanimous.

            7.5.2 D. D., LPN                     Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations for public discipline.
                                                                                       Unanimous.

            7.5.3 M. M., APRN                    Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations for public discipline.
                                                                                       Unanimous.

            7.5.4 J. S., LPN                     Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations for public discipline.
                                                                                       Unanimous.

            7.5.5 R. D., RN                      Previously reviewed.                  M/TC, S/BL to accept                     DN to respond.
                                                                                       recommendations for public discipline.
                                                                                       Unanimous.

7.0   Adjudicative (Investigator/Prosecutor)
      7.1 Hearings
          7.1.2 E. McCarron, RN                  Reviewed and discussed Policies and   M/BL, S/KK to affirm that in order for   DN to respond.
                                                                                                                                                 Board Minutes
                                                                                                                                             December 20, 2012
                                                                                                                                                   Page 4 of 11
               TOPIC                        DISCUSSION                                    ACTION                                 FOLLOW-UP
                 #049282-21               Procedures and Standing Orders              RN to perform cosmetics procedures,
                                          submitted by Ericka McCarron, RN of         she must perform them as delegated
                                          About Face Medical Aesthetics. Question     task by medical provider. Medical
                                          of whether or not platelet-rich plasma      provider is responsible for patient
                                          technique is within scope of practice of    assessment and appropriateness of
                                          RN.                                         procedure. Provider must provide
                                                                                      oversight. Provider must be on-site OR
                                                                                      if remote and within reasonable driving
                                                                                      distance to facility, physician must
                                                                                      have knowledge and experience with
                                                                                      cosmetic/dermatology procedures.
                                                                                      Platelet Rich Plasma procedure would
                                                                                      need to be brought before Board for
                                                                                      discussion regarding RN scope of
                                                                                      practice to perform this task procedure.

                                                                                      RD joined Board at 9:30 a.m.

           7.1.3 D. Golt, RN              Hearing held in absentia for D. Golt, RN    M/TC, S/KK to affirm Hearing               DN to respond.
                 #034422-21               # 034422-21, Docket #12-1204-0343           Counsel’s Proposed Findings of Facts
                                          pursuant to the Nurse Practice Act, RSA     #1 - #16; affirm Hearing Counsel’s
                                          326-B and the administrative rules          Proposed Rulings of Law #1 - #3;
                                          Chapters 100-800, proceeded at 9:41         affirm Proposed Sanctions #2 - #7,
                                          a.m. with R. Duhaime (RD), Chair            amend Proposed Sanctions #1 to
                                          presiding.                                  REVOKE RN license and assess
                                          Board members present: K. Baranowski        monetary penalty in amount of $1500
                                          (KB), A. Finn-Waddell (AF), K. Kidder       to deter future misconduct and to
                                          (KK), B. Libby (BL), B. Fersch (BF), H.     defray costs associated with
                                          Featherston (HF), T. Collins (TC), C.       investigation and prosecution of case to
                                          Smith (CS), J. Kuras (JK)                   be paid within 90 days from effective
                                          Board staff present: S. Goodness (SG), K.   date of Board’s order.
                                          Dickson (KD), L. O’Connor, Hearing          Yea: TC, KK, AF, BL, BF, HF, JK, CS,
                                          Counsel for the Board.                      RD
                                          Reading of Notice of Hearing waived.        Nay: KB
                                          Hearing concluded at 9:49 a.m.              Motion carries.
                                                                                      (See Docket #12-1204-0343)
6.0   Report of Investigator/Prosecutor
      6.1 Open files                      Reviewed and discussed with LO open
                                          disciplinary files.
9.0   Licensure
      9.1 Licensure
           9.1.8 K. Coutu, LNA            K. Coutu presented oral testimony in        M/KB, S/BL to grant ability to renew       DN to respond.

                                                                                                                                                  Board Minutes
                                                                                                                                              December 20, 2012
                                                                                                                                                    Page 5 of 11
               TOPIC                                DISCUSSION                                  ACTION                                  FOLLOW-UP
                  #036316-24                      support of petition for renewal of NH       NH LNA license.
                                                  LNA license.                                Unanimous.

11.0 Practice Inquiries and Practice Committee
     Reports
     11.1 Liaison Committee (KK)                  KK reported on Liaison Committee
                                                  meeting of December 6, 2012:

                                                   Discussed APRNs in acute care
                                                    settings providing deep sedation. Plan
                                                    to obtain further information from
                                                    other states.
                                                   Liaison Committee opined that Botox
                                                    injections are appropriate for CRNA.
                                                   Discussion that Liaison Committee
                                                    has previously defined Psych/MH
                                                    CNS scope to include down to age
                                                    13.
                                                   Discussion of Medicaid Managed
                                                    Care in relation to health care.

      11.3 Request for Board Advice:
           11.3.1 RN Scope of Practice:           Reviewed question of whether or not it is   Board consensus to send to P & E
                   Epidural Lines                 within RN scope to flush epidural line on   Committee for recommendations.
                                                  pregnant patient and is it within RN
                                                  scope to administer narcotics via
                                                  epidural catheter for postpartum patient.

            11.3.2 RN Scope of Practice:          Reviewed question of whether or not it is   Board opined that it is within RN scope
                   Assisting with PEG placement   within RN scope of practice to assist       of practice to assist with PEG
                                                  with PEG placement.                         placement with documented training
                                                                                              and competency.

            11.3.3 LPN Scope of Practice:         Reviewed question of whether or not it is   Board opined that it is within LPN
                   Change suprapubic catheter     within LPN scope of practice to change      scope of practice to change suprapubic
                                                  suprapubic catheter.                        catheters with documented training and
                                                                                              competency. Education on sterile
                                                                                              technique should be included in
                                                                                              training.

            11.3.5 LPN Scope of Practice:         Reviewed question of whether or not it is   Board opined that LPN’s can perform
                   Perform Urodynamic studies     within LPN scope of practice to perform     this procedure under guidance of

                                                                                                                                                        Board Minutes
                                                                                                                                                    December 20, 2012
                                                                                                                                                          Page 6 of 11
                TOPIC                            DISCUSSION                                    ACTION                                  FOLLOW-UP
                                                Urodynamic studies.                         provider with appropriate training and
                                                                                            competency, but CANNOT interpret
                                                                                            results.
12.0   Committee Reports and Recommendations
       12.1 HeM 1201                            No report.

       12.2 Day of Discussion
            12.2.2 LNA Day of Discussion        Next Day of Discussion scheduled for
                                                Spring.

             12.2.3   RN Day of Discussion      100 applicants for January 18, 2013 Day
                                                of Discussion sponsored by NCSBN
                                                with focus on NCLEX.

       12.3 ADA (NF)                            No applicants.

13.0 Legislation                                DN updated Board on legislative issues.
14.0 National Council                           NCSBN Mid-year meeting, March 11-
                                                13, 2013 in San Jose, CA.
7.0    Adjudicative (Investigator/Prosecutor)
       7.1 Hearings
            7.1.5 V. Trunfio                    Hearing held in absentia for V. Trunfio,    M/CS, S/BL to affirm Hearing               DN to respond.
                    Inactive LNA #030152-24     inactive LNA # 030152-24, Docket #12-       Counsel’s Proposed Findings of Facts
                                                1204-0346-NA pursuant to the Nurse          #1 - #17; affirm Hearing Counsel’s
                                                Practice Act, RSA 326-B and the             Proposed Rulings of Law #1 - #3;
                                                administrative rules Chapters 100-800,      affirm Proposed Sanctions #2 - #7,
                                                proceeded at 10:42 a.m. with R. Duhaime     amend Proposed Sanctions #1 to
                                                (RD), Chair presiding.                      REVOKE LNA license and assess
                                                Board members present: K. Baranowski        monetary penalty in amount of $1500
                                                (KB), A. Finn-Waddell (AF), K. Kidder       to deter future misconduct and to
                                                (KK), B. Libby (BL), B. Fersch (BF), H.     defray costs associated with
                                                Featherston (HF), T. Collins (TC), C.       investigation and prosecution of case to
                                                Smith (CS), J. Kuras (JK)                   be paid within 90 days from effective
                                                Board staff present: S. Goodness (SG), K.   date of Board’s order.
                                                Dickson (KD), L. O’Connor, Hearing          Unanimous.
                                                Counsel for the Board.                      (See Docket #12-1029-0346-NA)
                                                Reading of Notice of Hearing waived.
                                                Witnesses: Officer Peter Cormier, North
                                                Hampton Police Department
                                                Susan Goodness, Administrative
                                                Supervisor, NH Board of Nursing
                                                Hearing concluded at 11:02 a.m.
                                                                                                                                                        Board Minutes
                                                                                                                                                    December 20, 2012
                                                                                                                                                          Page 7 of 11
                TOPIC                                DISCUSSION                                   ACTION                               FOLLOW-UP
3.0    Report of Chair/Members
       3.1 Review final proposed edits for         Reviewed and approved initial proposed
           consideration for Chap 300, 400, 700,   rule changes regarding Chapters 300,
           800                                     400, 700, and 800 and re-adoption of
                                                   chapters as written. Board reviewed edit
                                                   suggestions for Chapters 700 and 800
                                                   regarding criteria used by Board to
                                                   determine approval of programs. Board
                                                   opined that criteria already exist within
                                                   the rules. Reference to that criteria will
                                                   be included using wording “pursuant to”
                                                   for better clarification in each of those
                                                   chap

       3.2 Public Hearing                          Public Hearing held in Room 100 at 21
           Proposed Administrative Rule Changes    South Fruit Street, Concord, NH for
                                                   proposed rule changes for Chapters 300,
                                                   400, 700, and 800 regarding licensing
                                                   requirements, medication administration
                                                   certificates and education, decreased
                                                   license renewal fees, and rule re-
                                                   adoptions proceeded at 11:03 a.m. with R.
                                                   Duhaime Chair presiding. Present at
                                                   hearing were Board members K.
                                                   Baranowski (KB), A. Finn-Waddell (AF),
                                                   K. Kidder (KK), B. Libby (BL), B.
                                                   Fersch (BF), H. Featherston (HF), T.
                                                   Collins (TC), C. Smith (CS), J. Kuras
                                                   (JK), Board staff D. Nies (DN), L.
                                                   Tetreault (LT), S. Goodness (SG), and K.
                                                   Dickson (KD). No one appeared for
                                                   Public Hearing.
                                                   Public Hearing concluded at 11:05 a.m.

11.0   Practice Inquiries and Practice Committee
       Reports
       11.3.6 Licensure of out-of-state faculty    Reviewed and discussed question of           M/KB, S/KK to affirm that out-of-      DN to respond.
                                                   whether or not nurse preceptors from         state RN faculty with students doing
                                                   UMASS Lowell need NH RN license to           clinicals in NH must have NH RN
                                                   oversee students doing clinical              license or compact license because
                                                   experiences in NH facilities.                student also works under faculty
                                                                                                license as student.

                                                                                                                                                        Board Minutes
                                                                                                                                                    December 20, 2012
                                                                                                                                                          Page 8 of 11
                TOPIC                                DISCUSSION                                   ACTION                                 FOLLOW-UP
                                                                                                Unanimous.

      11.3.7    LNA Scope of Practice:              Reviewed and discussed whether or not       M/AF, S/CS to affirm that it is NOT      DN to respond.
               Assistance with medication           LNA with LNA-MC certification can           within LNA-MC scope of practice to
               administration                       assist resident with medication             assist with medication administration.
                                                    administration.

      11.3.8    Request for Board advice:           Reviewed and discussed whether or not       M/KK, S/TC to affirm that Board does     DN to respond.
                Position statement re: paramedics   NH Board of Nursing has position            not have position statement about
                working in Emergency Departments    statement regarding paramedics working      paramedics functioning in ED. BON
                                                    in Emergency Department setting             does not license paramedics/EMTs
                                                    independently caring for ED patients.       and has no jurisdiction over practice.
                                                                                                If paramedic is delegated to by RN,
                                                                                                rules regarding delegation should be
                                                                                                followed and can be found in Nur 400
                                                                                                under Nurse Practice Act.
                                                                                                Unanimous.

                                                    M/KB, S/TC to conduct non-public
                                                    session for purpose of discussion of
                                                    alleged licensee misconduct. Non-public
                                                    session is authorized by RSA 91-A:3 II
                                                    and Board’s executive and deliberative
                                                    privileges. Minutes of non-public session
                                                    shall be sealed. Board voted as follows:
                                                    Yea: RD, KB, AF, BF, HF, TC, CS, KK,
                                                    JK, BL.
                                                    Non-public session began at 11:38 a.m.
                                                    and ended at 11:59 a.m.


7.0   Adjudicative (Investigator/Prosecutor)
      7.1 Hearings
           7.1.8 S. Stewart, LPN                    Matter scheduled for disciplinary hearing   M/TC, S/CS to accept Voluntary           DN to respond.
                    014726-22                       resolved and signed Voluntary License       Surrender as signed.
                                                    Surrender Agreement received.               Unanimous

      7.2 Consent Decree/Settlement Agreement/
          Voluntary Surrender/ Reciprocal
          Discipline/Practice Restrictions
          7.2.4 K. Welch, RN                        Reviewed and discussed Settlement           M/KK, S/TC to accept Settlement          DN to respond.
                   #058194-21                       Agreement.                                  Agreement as proposed.

                                                                                                                                                          Board Minutes
                                                                                                                                                      December 20, 2012
                                                                                                                                                            Page 9 of 11
              TOPIC                                DISCUSSION                                 ACTION                               FOLLOW-UP
                                                                                            Unanimous.


      7.3 Motion for Reconsideration/Rehearing/
          Continuance
          7.3.1   M. J. Schatz, RN                Reviewed and discussed Motion for         M/KK, S/BL to deny Motion for          DN to respond.
                  #056548-21                      Reconsideration.                          Reconsideration.
                                                                                            Yea: KK, BL, HF, TC, AF, CS
                                                                                            Nay: KB, JK, BF, RD
                                                                                            Motion carries.
9.0   Licensure
      9.1 Licensure
           9.1.1 A. Lambert                       A. Lambert presented oral testimony in    M/KK, S/KK to hold application until   DN to respond.
                  LNA Applicant                   support of petition for NH LNA license.   Board receives references.
                                                                                            Unanimous.

           9.1.4   C. McGinn-Keane                C. McGinn-Keane presented oral            AF recused.                            DN to respond.
                   LNA Applicant                  testimony in support of petition for NH   M/KB, S/BL to grant petition to be
                                                  LNA license.                              licensed as NH LNA.
                                                                                            Unanimous.

           9.1.3   V. Frabotta                    V. Frabotta presented oral testimony in   M/KB, S/AF to deny request to          DN to respond.
                   LNA Program                    support of petition for NH LNA license    receive LNA licensure in NH after
                                                  after successful completion of American   successful completion of LNA
                                                  Red Cross nursing assistant program.      program.
                                                                                            Unanimous.

           9.1.5   A. Bedard                      A. Bedard presented oral testimony in     M/KK, S/KB to grant petition for NH    DN to respond.
                   LNA Applicant                  support of petition for NH LNA license.   LNA license.
                                                                                            Unanimous.

           9.1.7   R. Furman, LPN                 R. Furman presented oral testimony in     MKB, S/AF to grant petition for        DN to respond.
                   #015123-22                     support of petition for renewal of NH     renewal of NH LPN license.
                                                  LPN license.                              Yea: KK, BL, HF, AF, CS, KB, JK,
                                                                                            BF, RD
                                                                                            Nay: TC
                                                                                            Motion carries.

           9.1.6   K. Peck                        K. Peck presented oral testimony in       M/TC, S/BF to grant petition for NH    DN to respond.
                   LNA Applicant                  support of petition for NH LNA license.   LNA license.
                                                                                            Yea: TC, BF, KB, KK, HF, BL, RD
                                                                                            Nay: JK, CS, AF

                                                                                                                                                    Board Minutes
                                                                                                                                                December 20, 2012
                                                                                                                                                     Page 10 of 11
            TOPIC    DISCUSSION                          ACTION                          FOLLOW-UP
                                                        Motion carries.


17.0 Adjournment                                        Meeting adjourned at 3:45 p.m.

                    Next regular meeting:
                        January 17, 2013
                        8:00 a.m.
                        NH Board of Nursing
                        Education Conference Room 100
                        First Floor
                        21 South St
                        Concord, NH 03301



                                                        Respectfully submitted,



                                                        Denise Nies, MSN, RN, BC
                                                        Executive Director




                                                                                                         Board Minutes
                                                                                                     December 20, 2012
                                                                                                          Page 11 of 11

								
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