Career Center Health Holden Training - DOC by umo10194

VIEWS: 20 PAGES: 12

Career Center Health Holden Training document sample

More Info
									                                                                                                                                      DRAFT
                                                               NEW HAMPS HIRE BOARD OF NURS ING
                                                                           MINUT ES
                                                                         March 16, 2006
Recorder: Kathryn Dickson, Executive Secretary

                TOPIC                                  DISCUSS ION                                      ACTION                        FOLLOW-UP
1.0   Call to Meeting                      Board welco med nursing students from          Meeting called to order at 8:30 a.m. with
                                           Rivier.                                        T. Bloo mquist, Chair (TB) presiding.
                                                                                          Board members present: R. Duhaime
                                           New Board member, Christine Naas, LPN,         (RD), G. Barba (GB), H. Featherston
                                           fro m Southern NH Med ical Center was          (HF), M. Potter (MP), L. Morel (LM ), B.
                                           introduced.                                    Howard (BH), S. Dyer (SD), K. A. Day
                                                                                          (KAD), M . Danderson (MD) and non-
                                                                                          voting member today, C. Naas, (CN).
                                                                                          Board staff present: M. Walker (MW), J.
                                                                                          Evans (JE), S. Goodness (SG), K. Dickson
                                                                                          (KD).
                                                                                          Absent: N. Patenaude, Investigator/
                                                                                          Prosecutor (NP) (MW presiding in NP’s
                                                                                          absence).

      1.1 Open Foru m                      Deborah Lindberg, RN, BSN, MBA, fro m
                                           Dart mouth Hitchcock Medical Center
                                           requested clarificat ion of Board’s decision
                                           that is it not within RN scope of practice
                                           to complete paracentesis procedure started
                                           by provider.

      1.2 Addendum
          1.2.1 Additions                                                                 7.2.1    C. B. Settlement Agreement
                                                                                          10.1.1.1 Holden Health Career Training
                                                                                                   Center
                                                                                          11.1.1 Candidate for Membership on
                                                                                                   ARNP Liaison Co mmittee
                                                                                          11.2.1 P & E Reco mmendations

         1.2.2   Delet ions                None

         1.2.3   Appearances                                                              1.1    D. L.                  8:30 a.m.
                                                                                          10.1.3 First Choice          11:00 a.m.
                                                                                          8.1.1 C. B.                   1:00 a.m.
                                                                                                                                             Board M inutes
                                                                                                                                             March 16, 2006
                                                                                                                                               Page 1 of 12
               TOPIC                                   DISCUSS ION                                   ACTION                               FOLLOW-UP
                                                                                        8.1.2 L. T. (Telephone)       1:15 p.m.
                                                                                        10.3.1 CareMed                2:00 p.m.
                                                                                        10.1.1 Holden Health Career   2:30 p.m.

7.0   Adjudicative (Investigator/
      Prosecutor)
      7.2 Consent Decree/Settlement
           Agreement/ Voluntary
           Surrender/ Reciprocal
           Discip line
           7.2.1 C. B. RN                  Reviewed and discussed with C. B. and        M/HF, S/SD to accept proposed               MW to respond.
                                           her attorney, Michael Craig Settlement       Settlement Agreement as written.
                                           Agreement signed on March 13, 2006.          Yea: HF, SD, RD
                                                                                        Nay: LM , BH, M D, M P, GB, KAD
                                                                                        Motion fails. Proposed Settlement
                                                                                        Agreement denied.

                                                                                        M/RD, S/ GB to move to executive session
                                                                                        at 8:55 a.m.
                                                                                        Unanimous.

                                                                                        M/RD, S/ LM to reconvene public meeting
                                                                                        at 9:00 a.m.
                                                                                        Unanimous.

2.0   Approval of minutes
      2.1 February 16, 2006                Reviewed and discussed.                      M/HF, S/MP to accept minutes as written.
                                                                                        Unanimous (See approved February 16,
                                                                                        2006 minutes.)


3.0   Report of Chair/Members
      3.1 Nursing Co mpact Rules           Board held public hearing on February 16,    M/HF, S/ LM to approve Nur 1000 ru les as   MW to contact Attorney Mott-Smith to
                                           2006 fo r Nur 1000 Ad min istrative Ru les   written.                                    file document fo r Jo int Leg islative
                                           related to Nursing Co mpact. There have      Unanimous.                                  Co mmittee on Administrative Rules
                                           been no comments received.                                                               review.

4.0   Report of Executive Director/Staff
      4.1.1 Expense Su mmary Budget
            (Through 3/6/06)
            7430, 7431, 7432               FYI.


                                                                                                                                                              Board M inutes
                                                                                                                                                              March 16, 2006
                                                                                                                                                                Page 2 of 12
                TOPIC                                     DISCUSS ION                                     ACTION                             FOLLOW-UP
      4.1.2 Delivery of Prescript ions by   Reviewed and discussed letter received
            Visit ing Nurse                 fro m Board of Pharmacy related to
                                            delivery of p rescriptions by visiting
                                            nurses:

                                             “Provided that patient/client is unable to
                                            physically accept prescription medicat ions
                                            mailed to his/her home address or for
                                            patients housed in skilled nursing facilit ies
                                            (or other public facilities) that do not
                                            accept delivery fro m public couriers, such
                                            prescription med ications may be delivered
                                            to local VNA office and consequently
                                            delivered, by an agency nurse, directly to
                                            physical location of patient/client. Process
                                            is allowed only when patient/client
                                            specific prescription med ications are being
                                            shipped fro m mail-order pharmacy, as
                                            defined in Ph 902.01(a), and authorized by
                                            Ph 907.01(e)(4) of NH Code of
                                            Admin istrative Ru les. Delivery o f
                                            prescription med ications originating fro m
                                            local pharmacies must be made directly to
                                            patient’s/client’s physical location and
                                            does not allow for process described
                                            above.”

6.0   Report of Investigator/Prosecutor
      6.1   Open files                                                                       Discussion deferred until April meet ing
                                                                                             when Investigator/Prosecutor is present.
7.0   Adjudicative (Investigator/
      Prosecutor)
      7.1 Hearings
           7.1.1 N. L.                      Reviewed and discussed request fro m             M/BH, S/MP to continue to April 20,        MW to respond.
                  Motion to Continue        Investigator/Prosecutor to continue N. L.        2006 meet ing.
                                            matter until April 20, 2006 meeting.             Unanimous.


      7.2 Consent Decree/Settlement
          Agreement/ Voluntary
          Surrender/Reciprocal
          Discip line

                                                                                                                                                         Board M inutes
                                                                                                                                                         March 16, 2006
                                                                                                                                                           Page 3 of 12
                TOPIC                                DISCUSS ION                                       ACTION                              FOLLOW-UP
           7.2.2 K. C. (VS)               Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender as reco mmended.
                                                                                         Unanimous.

           7.2.3   V. W. (VS)             Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender as reco mmended.
                                                                                         Unanimous.

           7.2.4   C. C. (VS)             Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender as reco mmended.
                                                                                         Unanimous.

           7.2.5   K. C. (VS)             Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender upon receipt of signed
                                                                                         agreement.
                                                                                         Unanimous.

           7.2.6   J. U. (VS)             Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender upon receipt of signed
                                                                                         agreement.
                                                                                         Unanimous.

           7.2.7   K. S. (VS)             Reviewed and discussed Vo luntary              M/GB, S/ HF to accept Voluntary              MW to respond.
                                          Surrender.                                     Surrender upon receipt of signed
                                                                                         agreement.
                                                                                         Unanimous.

9.0   Licensure
      9.1 Credentialing Examination for   Reviewed and discussed memo describ ing        No action necessary.
           Psychiatric-Mental Health      result of investigation into psychiatric
           ARNPs                          clin ical nurse specialist and advanced
                                          nurse practitioner credentialing
                                          examination. Recommendation is that
                                          instead of 2 exams, one for clin ical nurse
                                          specialists and one for nurse practitioners,
                                          the exams be co mbined.

10.0 Education
     10.1 Continuing Approval
          10.1.1 Holden Health Career     JE reported on site visit on March 14,         Action deferred until representatives from
                 Center                   2006 to Ho lden Health Career Train ing        Holden Health Career appear at Board
                                          Center. Results of site visit are ext remely   meet ing at 2:30 p.m.

                                                                                                                                                       Board M inutes
                                                                                                                                                       March 16, 2006
                                                                                                                                                         Page 4 of 12
              TOPIC                                   DISCUSS ION                                 ACTION                                FOLLOW-UP
                                         positive and JE reco mmended that the
                                         status of Conditional Approval be
                                         maintained until scores show
                                         improvement while lift ing restriction on
                                         new ad missions.

4.0   Report of Chair/Members            Nursing students from Riv ier Co llege
                                         directed general questions regarding
                                         Board meet ing to members of Board.

10.0 Education
     10.1 Continuing Approval
          10.1.2 Hearts and Minds        Reviewed corrections made to February       M/MP, S/ RD to approve report as              MW to respond.
                 LNA Educational         site visit report.                          corrected and grant Continued Approval of
                 Program                                                             program and coordinator.
                                                                                     Unanimous.

          10.1.4 Crotched Mountain       Reviewed and discussed.                     SD recused.                                   MW to respond.
                 Rehabilitation Center                                               M/GB, S/ RD to grant Continued Approval
                 LNA Educational                                                     of program and coordinator.
                 Program                                                             Unanimous.

          10.1.5 Crotched Mountain       Reviewed and discussed.                     SD recused.                                   MW to respond.
                 Rehabilitation Center                                               M/MP, S/ BH to grant Continued Approval
                 MNA Educational                                                     of program and reviewer as recommended
                 Program                                                             with provision that site visit is necessary
                                                                                     prior to start of next class.
                                                                                     Unanimous.

          10.1.6 American Red Cross –    Reviewed and discussed.                     M/MP, S/HF to grant Continued Approval        MW to respond.
                 Greater Nashua &                                                    of program and coordinator.
                 Souhegan Valley                                                     Unanimous.
                 Chapter
                 LNA Educational
                 Program

          10.1.7 American Red Cross –    Reviewed corrections made to February       M/BH, S/ HF to approve report as              MW to respond.
                 Great Bay Chapter       site visit report.                          corrected and grant Continued Approval of
                 LNA Educational                                                     program and coordinator.
                 Program                                                             Unanimous.

          10.1.8 Unicare                 Reviewed corrections made to February       M/MP, S/ LM to approve report as              MW to respond.

                                                                                                                                                    Board M inutes
                                                                                                                                                    March 16, 2006
                                                                                                                                                      Page 5 of 12
        TOPIC                                    DISCUSS ION                                ACTION                                  FOLLOW-UP
          MNA Educational          site visit report.                          corrected and grant Continued Approval of
          Program                                                              program and coordinator.
                                                                               Unanimous.

10.3 Education Issues
     10.3.2 Nurse Extern Program   Reviewed and discussed whether or not       M/GB, S/ KAD to affirm that students          MW to respond, explaining that Board
                                   students enrolled in Excelsior Co llege     enrolled in Excelsior Co llege nursing        members plan to revise word ing of Nur
                                   nursing program are eligib le to be nurse   programs are not eligib le to be nurse        605.04 (b ) (2) to delete “in that program”
                                   externs. As rules are currently written,    externs as Administrative Rules are           and to replace with “beyond
                                   students are NOT eligib le to be nurse      currently written.                            fundamentals”.
                                   externs since Excelsior does not include    Unanimous.
                                   clin ical nursing courses.

    10.3.3 Multiple NCLEX          Reviewed and discussed suggestions of       M/MP, S/KA D to proceed with the              MW to respond.
           Retakes: Language in    wording in rules with regard to limit ing   following in ru le writing:
           the Rules               number of times applicant should be         Applicants who fail the licensing
                                   allo wed to retake NCLEX.                   examination 3 consecutive times, or who
                                                                               have not passed the examination within 4
                                                                               years of graduation from an approved
                                                                               school of nursing or within 4 years of
                                                                               complet ing the CGFNS process shall
                                                                               submit to the Board a p lan of remediation.
                                                                                The Board shall review and determine
                                                                                   whether or not to approve remediat ion
                                                                                   plan.
                                                                                The applicant shall submit ev idence of
                                                                                   complet ion of the remediat ion plan
                                                                                   prior to be allo wed to take the
                                                                                   examination.
                                                                                Remediat ion plan must be completed
                                                                                   within 1 year prior to taking the
                                                                                   examination.
                                                                                An applicant who has failed 3 times
                                                                                   and has completed remed iation, may
                                                                                   retake the examination 1 additional
                                                                                   time.
                                                                               Unanimous.
                                   Are RN candidates who fail NCLEX-RN                                                       MW to respond.
                                                                               M/HF, S/BH to affirm that applicants
                                   and who choose to take NCLEX-PN,
                                                                               taking the NCLEX-PN based on
                                   allo wed to take NCLEX-PN any number
                                                                               comparable education as described in
                                   of times?
                                                                               301.02(1)(3) may ta ke the NCLEX-PN
                                                                                                                                                         Board M inutes
                                                                                                                                                         March 16, 2006
                                                                                                                                                           Page 6 of 12
                TOPIC                                   DISCUSS ION                                    ACTION                             FOLLOW-UP
                                                                                          one time only.
                                                                                          Unanimous.

           10.3.4 Nursing Faculty          FYI.
                  Shortage

      10.1 Continuing Approval
           10.1.3 First Choice Train ing   Representatives fro m First Choice             M/MP, S/ BH to remove Conditional          MW to respond.
                  Institute                Train ing Institute appeared at the Board to   Approval status and to return status
                                           discuss progress with recru it ment and        designation to Initial Approval of
                                           organizational changes of LPN Program.         program. Program may ad mit new
                                           Present were:                                  students, but may not expand enrollment
                                           Magalie Ferdinand, Director                    beyond what is currently projected.
                                           Robert Ferd inand, Owner                       Unanimous.
                                           Robert Shepard, Attorney
                                           Richard Desautel, RN, LPN Program
                                           Director

11.0 Practice Inquiries and Practice
     Co mmittee Reports
     11.1 Liaison Co mmittee (M P)         MP reported on ARNP summit.

                                           Reviewed ARNP candidate at last meeting
                                           who was not approved based on lack of
                                           education.

                                           Lisa Sullivan, CRNA, has indicated             M/MP, S/ GB to appoint Lisa Su llivan as   MW to respond.
                                           interest in being appointed to ARNP            member of A RNP Liaison Co mmittee.
                                           Liaison Co mmittee.                            Unanimous.

      11.2 P & E Co mmittee                Reviewed and discussed P & E                   M/MP, S/KA D to accept
                                           recommendation to allow a 30-day public        recommendations of P & E.
                                           comment period and then make final             Unanimous.
                                           board decision on clinical practice
                                           inquiries. Further reco mmendation that
                                           board decisions shall be referred to as
                                           “NH Board o f Nursing white paper” rather
                                           than Board advisory.

10.0 Education
     10.3 Education Issues
          10.3.6 Request for               Reviewed and discussed proposal of             M/MP, S/ RD to have JE convene group of

                                                                                                                                                      Board M inutes
                                                                                                                                                      March 16, 2006
                                                                                                                                                        Page 7 of 12
                TOPIC                                  DISCUSS ION                                    ACTION                                 FOLLOW-UP
                  consideration of rule   student-faculty ratio be changed as           educators and directors for discussion of
                  change                  revision of draft rules.                      proposal of revision of d raft ru les.
                                                                                        Unanimous.

           10.3.5 Request for change in   Reviewed and discussed request submitted      M/RD, S/MD to include this request as          MW to respond.
                  faculty-student ratio   by Lynette Ament, Phd, RN, CNM,               part of discussion of task force               Reco mmendations fro m task force to be
                                          FACNM, Associate Professor and Chair,         collaborated by directors and educators in     forthcoming.
                                          UNH Depart ment of Nursing for one-time       10.3.6.
                                          waiver of rule regarding the 8:1 faculty      Unanimous.
                                          student ratio. Request is to allow 9
                                          community health students to be overseen
                                          by 1 faculty member for one clinical
                                          experience.

11.0 Practice Inquiries and Practice
     Co mmittee Reports
     11.2 P & E Co mmittee                RD reported that representatives from                                                        CM C and Elliot to contact Board to be
                                          Catholic Medical Center and Elliot                                                           placed on agenda.
                                          Hospital would like to come before Board
                                          to discuss Board’s determination that it is
                                          not within scope of practice of licensed
                                          nurse to administer bolus Astromorph or
                                          other neuroaxial narcotics.

                                                                                        SG excused at 12:00 noon.

8.0   Adjudicative
      8.1 Petition for Reinstatement of
          Practice Privileges/Return of
          Licensure/Annulment of
          Reprimand
          8.1.1 C. B.                     Reviewed and discussed with C. B.             M/MP, S/MD to reinstate RN license with        MW to respond.
                                          petition for reinstatement of RN license.     two-year probation and restrictions and
                                                                                        conditions pursuant to July 21, 2004
                                                                                        Settlement Agreement.
                                                                                        Unanimous.

          8.1.2 L. T.                     Discussion with L. T. via the telephone       S/MD M/SD, S/ GB to reinstate license          MW to respond.
                Telephone:                regarding petition for reinstatement of       with no restrictions or conditions upon
                Reinstatement Request     LPN license.                                  receipt of four satisfactory responses fro m
                Meeting                                                                 references as provided by Mr. Tate.
                                                                                        Unanimous.

                                                                                                                                                                 Board M inutes
                                                                                                                                                                 March 16, 2006
                                                                                                                                                                   Page 8 of 12
               TOPIC                                  DISCUSS ION                                   ACTION                             FOLLOW-UP

                                                                                      Board informed Mr. T. that it is his
                                                                                      responsibility to contact OIG’s office to
                                                                                      have his name removed fro m the list.

10.0 Education
     10.1 Continuing Approval
          10.1.1 Holden Health Career     Michele Douglas, MS, RN, LPN Program        M/GB, S/SD to maintain Conditional          MW to respond.
                 Center                   Director, Holden Health Career Center       Approval of program and director with no
                                          provided oral testimony regard ing          restrictions on new admissions.
                                          organization’s plan to imp rove future      Unanimous.
                                          NCLEX success for graduates. Also
                                          present at meeting were Judy Readey, RN
                                          and Joann Monks, RN, members of
                                          faculty.

     10.3 Education Issues
          10.3.1 CareMed Educational      Discussion with owners and staff of         Board informed owners and staff that they   MW to respond.
                 Services                 CareMed (Sheryl and S. Jeffery Angus        must cease and desist all advert ising of
                 LNA/LPN Educational      and Jennifer Washburn) related to           LNA and LPN programs and dismantle
                 Programs                 postcard received by MW at her home         website until Board approval has been
                                          advertising CareMed Educational Serv ices   obtained. Programs will not be approved
                                          as private medical t rain ing company       until Board meets with Program Director,
                                          offering LNA and LPN programs before        Martha Aguiar.
                                          they obtained approval fro m NH Board of
                                          Nursing.

                                          Further, Board rev iewed contents of
                                          CareMed website that does not fully
                                          inform public that they are not approved
                                          as educational program in NH.


                                                                                      GB left meet ing at 2:35 p.m.

11.0 Practice Inquiries and Practice
     Co mmittee Reports
     11.3 Request for Board advice re:
           11.3.1 LNA Scope of Practice   Reviewed and discussed whether or not it    M/MP, S/KA D to affirm that it is within    MW to respond.
                  to perform EKC,         is acceptable for LNA to perform EKC,       LNA scope of practice provided they have
                  bladder scan or         bladder scan, or Doppler on resident/       competence as outlined in Nur 305.01 (c)
                  Doppler                 patient if LNA has been instructed on       & (d).

                                                                                                                                                   Board M inutes
                                                                                                                                                   March 16, 2006
                                                                                                                                                     Page 9 of 12
              TOPIC                                     DISCUSS ION                                    ACTION                               FOLLOW-UP
                                           policy and procedure by appropriate           Unanimous.
                                           licensed staff.

          11.3.2 Reconsideration of        Several requests of reconsideration were      M/MP, S/ LM to have P & E research            MW to respond.
                 question re:              reviewed by Board with regard to Board’s      question and make further
                 Paracentesis              opinion that completion of paracentesis       recommendations to Board.
                                           procedure started by provider is not within   Unanimous.
                                           RN scope of practice.

          11.3.3 RN Scope of Practice:     Reviewed and discussed whether or not it      M/MP, S/ RD to affirm that procedure is       MW to respond.
                 Performing carotid        is within scope of practice for licensed      within RN scope of practice provided they
                 massage                   school nurse (RN) to perform carot id         have competence as outlined in Nu r
                                           massage for supraventricular tachycardia      305.01 (c) & (d).
                                           if o rdered by student’s doctor.              Unanimous.

          11.3.4 Reconsideration of        Several co mments and additional              M/MP, S/ RD to reverse original decision      MW to respond.
                 question: Pharmacist      informat ion were reviewed by the Board       and affirm that it is within RN scope of
                 clarification of orders   with regard to RN transcribing telephone      practice to accept a physician’s order that
                 for RN/ LPN               orders fro m pharmacist.                      has been documented and clarified by
                                                                                         licensed pharmacist.
                                                                                         Unanimous.

          11.3.5 RN Scope of Practice:     Reviewed and discussed whether or not it      M/RD, S/ HF to affirm that procedure is       MW to respond.
                 Flushing ICP catheter/    is within RN scope of practice to:            within RN scope of practice provided they
                 Aspirate sample of         Flush intraventricular (IC) catheter        have competence as outlined in Nu r
                 CSF fro m catheter         Aspirate sample of CSF fro m catheter       305.01 (c) & (d).
                                                                                         Unanimous.

15.0 Old Business
     15.2 Board member attendance          Reviewed and discussed. KAD informed
                                           Board that she cannot attend April Board
                                           meet ing.


12.0 Co mmittee Reports and
     Reco mmendations
     12.1 HeM 1201 (M D)                   MD reported on February meeting.

     12.2 Day of Discussion
          12.2.1 RN/LPN Day of             JAE updated Board on plans for Day o f
                 Discussion (JE)           Discussion.
                 Winnipesaukee Expo

                                                                                                                                                        Board M inutes
                                                                                                                                                        March 16, 2006
                                                                                                                                                         Page 10 of 12
               TOPIC                               DISCUSS ION                            ACTION                      FOLLOW-UP
                 Center: Wednesday,
                 June 7, 2006


          12.2.2 LNA Day of            MW updated Board on plans for LNA
                 Discussion (LR)       Day.
                 Winnipesaukee Expo
                 Center: Wednesday,
                 May 24, 2006

     12.3 ADA (LM, SD, M D)            No applicants.

     12.4 Joint Health Council (MW)    MW reported on last meeting.

14.0 National Council                  MW reported on NCSBN M idyear
                                       Meeting in Ch icago that she and RD
                                       attended.

15.0 Old Business
     15.1 ARNPs prescribing for self   Reviewed and discussed.               M/HF, S/SD to affirm that prescriptive
          and family members                                                 practice is reserved for established
                                                                             provider/patient relationships.
                                                                             Unanimous.

16.0 Correspondence/Articles/FYIs
     16.1 News release fro m BON in    FYI.
           CA

     16.2 Conference on Disaster       FYI.
          Preparedness

     16.3 News Release fro m NCSBN     FYI.
          re: NCLEX testing sites

     16.4 NCSBN Board of Director’s    FYI.
          Meeting

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




                                                                                                                                  Board M inutes
                                                                                                                                  March 16, 2006
                                                                                                                                   Page 11 of 12
TOPIC              DISCUSS ION                                ACTION                FOLLOW-UP




        Next meeting:
                April 20, 2006
                8:30 a.m.
                NH Board of Nursing
                Education Conference Roo m 100
                First Floor
                21 South Fruit St
                Concord, NH 03301
                                                 Respectfully submitted,



                                                 Margaret J. Walker, M BA, BS, RN
                                                 Executive Director
                                                 MJW/kd




                                                                                                Board M inutes
                                                                                                March 16, 2006
                                                                                                 Page 12 of 12

								
To top