Delaware



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|Cannon Building |STATE OF DELAWARE |Telephone: (302) 744-4500 |

|861 Silver Lake Blvd., Suite 203 |DEPARTMENT OF STATE |Fax: (302) 739-2712 |

|Dover, Delaware 19904-2467 | |Website: dpr. |

| |DIVISION OF PROFESSIONAL REGULATION | |

PUBLIC MEETING MINUTES: Delaware Board of Nursing

MEETING DATE AND TIME: Wednesday, July 11, 2007 9:00 a.m.

PLACE: 861 Silver Lake Boulevard,

Cannon Building, Conference Room A

Dover, Delaware

MINUTES APPROVED: September 12, 2007

MEMBERS PRESENT

Lucille Gambardella, President, APN Member

Pam Zickafoose, Vice President, RN Member

Wanda Cohee, LPN Member

Joyce Edwards, Public Member

Carolyn Hill, RN Member

Martha Hopkins, Public Member

David Mangler, RN Member

Evelyn Nicholson, Public Member

Cheryl Richter, RN Member

Irene Washabau, LPN Member

DIVISION STAFF/DEPUTY ATTORNEY GENERAL PRESENT

Allison Reardon, Deputy Attorney General

Iva Boardman, Executive Director

Debbie Heinsch, Administrative Specialist II

James Collins, Director

MEMBERS ABSENT

Robert Draine, Public Member

Margaret Ingram, LPN Member

James Vanderwall, Public Member

Rebecca Walker, RN Member

Delaware Board of Nursing Minutes

July 11, 2007

Page 2

ALSO PRESENT

Dana Baker – Delaware Institute of Health Sciences

Sonja Brooks – Delaware Institute of Health Sciences

Joann Baker – Delaware Technical & Community College, Terry Campus

Michael Duva – Delaware Healthcare Association

Kathy Janvier – Delaware Technical & Community College, Stanton Campus

Moonyeen Klopfenstein-Delaware Organization of Nurse Executives

Kerri Watson – Student, Delaware Technical & Community College, Owens Campus

Dr. Gambardella called the meeting to order at 9:09 a.m.

REVIEW OF MINUTES

The Board reviewed the minutes of the meeting held on June 13, 2007. Dr. Zickafoose made a motion, seconded by Ms. Hill, to approve the minutes. The motion was unanimously carried.

The Board reviewed the minutes of the hearing held for Emilia Bryant on June 13, 2007. Ms. Washabau made a motion, seconded by Ms. Nicholson, to approve the minutes. The motion was unanimously carried.

The minutes of the hearing held for Stephanie Nussrallah on June 13, 2007 were tabled.

ADOPTION OF THE AGENDA

Dr. Zickafoose made a motion, seconded by Mr. Mangler, to adopt the agenda as presented. The motion was unanimously carried.

ACTIVITIES REPORT

The report was reviewed without action.

UNFINISHED BUSINESS

Licensure Issues

Hypnotherapy as Nursing Practice – Dr. Gambardella shared results of the online research that she conducted. The Colorado Board of Nursing accepts hypnotherapy as nursing practice. Dr. Gambardella suggested that as the Board reviews their rules and regulations that this practice be addressed. Tabled pending, receipt of additional information that was requested at the June 2007 meeting.

Licensure Reinstatement – Stephanie Nussrallah – Members reviewed the satisfactory results of the random urine screen imposed as a condition for licensure reinstatement at the June 13, 2007 hearing.

Delaware Board of Nursing Minutes

July 11, 2007

Page 3

COMMITTEE REPORTS

Joint Practice Committee - Ms. Boardman reported that the committee will meet on July 17, 2007.

Rules and Regulations Committee – Dr. Gambardella reported that the committee will meet on July 16, 2007.

PRESIDENT’S REPORT No report

EXECUTIVE DIRECTOR’S REPORT – Renewal notices to approximately 7500 RN/APN licensees with September expiration dates will be mailed this week. The division’s revised management model will be implemented on October 1, 2007. Ms. Boardman thanked Scott McConnell and Debbie Heinsch for maintaining timely and professional customer services during periods of extremely high volume and decreased staffing due to vacations.

NEW BUSINESS BEFORE THE BOARD

Licensee Applicant Reviews

By Examination

Stacey Durant – LPN applicant, who graduated in June 2005, asks for a waiver of Section 6.3.6 of the Board’s Rules and Regulations. Applicant has had two unsuccessful attempts with NCLEX-PN. Dr. Zickafoose made a motion, seconded by Mr. Mangler, to approve the applicant to take NCLEX-PN. The motion was unanimously carried.

Maria Tabalon– RN applicant, who graduated in August 2006, asks for a waiver of Section 6.3.6 of the Board’s Rules and Regulations. Ms. Washabau made a motion, seconded by Ms. Edwards, to grant approval for the applicant to take NCLEX-RN. The motion was unanimously carried.

Erica Sprout – RN applicant who passed NCLEX-RN and has completed an alternate supervised practice plan at Seaford Center to fulfill the practice requirement. Members reviewed the competed skills checklist and verification of the completed 240 supervised hours. Mr. Mangler made a motion, seconded by Ms. Hopkins, to grant approval to proceed with licensure.

Dawn Piccenti – LPN applicant, with convictions in April 1997 for criminal trespassing, first degree, and in February 1998 for assault, third degree, and criminal trespassing, first degree, seeks licensure. Mr. Mangler made a motion, seconded by Ms. Hill, to propose to deny licensure with the right of the applicant to request a hearing. The motion was unanimously carried.

Katrina Hampton – LPN applicant, with previous convictions in October 2000 for possession of a non narcotic schedule I controlled, in December 1996 for possession of drug paraphernalia, in March 1991 for assault third degree

Delaware Board of Nursing Minutes

July 11, 2007

Page 4

reduced to offensive touching, in January 1991 for concealing goods, wares or merchandise, and in September 1990 for hindering prosecution, seeks

licensure. Ms. Richter made a motion, seconded by Ms. Hopkins, to propose to deny licensure with the right of the applicant to request a hearing. The motion was unanimously carried.

Ade Marcus - RN applicant who passed the NCLEX-RN and completed an alternate supervised practice plan at HRC Manor Care to fulfill the practice requirement. Members reviewed the summary of competencies submitted by HCR Manor Care and verification of the completed 240 supervised hours. Dr. Zickafoose made a motion, seconded by Ms. Washabau, to approve licensure, pending receipt of the Board’s skills checklist. The motion was unanimously carried.

Advanced Practice Nurses

Cynthia Diefenbeck – Psy/Mental Health Clinical Nurse Specialist has completed the required supervised practice hours to meet the practice requirement. Verification from the supervising physician has not yet been received. Dr. Zickafoose made a motion, seconded by Ms. Richter, to approve licensure, pending receipt of the letter and Ms. Boardman’s review and acceptance on behalf of the Board. The motion was unanimously carried.

Jane Mow – Family Nurse Practitioner has completed the required supervised practice hours to meet the practice requirement. Dr. Zickafoose made a motion, seconded by Ms. Nicholson, to approve licensure, pending receipt of the supervising physician’s statement regarding her practice and Ms. Boardman’s review and acceptance on behalf of the Board. Ms. Cohee, Ms. Edwards, Dr. Gambardella, Ms. Hill, Ms. Hopkins, Ms. Nicholson, Ms. Richter, Ms. Washabau and Dr. Zickafoose voted in favor, Mr. Mangler abstained. The motion was carried.

Ana Arias-Oliveras – Neonatal Nurse Practitioner with two unsuccessful attempts at passing the national certification examination, seeks a temporary permit extension. Ms. Washabau made a motion, seconded by Dr. Zickafoose, to approve the permit extension under supervision until the results of the next examination. The motion was unanimously carried.

Ratification of Assignments

11-51-07 Margaret Ingram Contact Person 11-52-07 Rebecca Walker Contact Person

11-53-07 David Mangler Contact Person

11-54-07 Carolyn Hill Contact Person

11-55-07 Carolyn Hill Contact Person

Dr. Zickafoose made a motion, seconded by Ms. Hill, to ratify the above assignments with the exception of 11-51-07, and 11-52-07. The motion was unanimously carried.

Delaware Board of Nursing

July 11, 2007

Page 5

Hearings/Consent Agreements

Jennifer Moore-Rawding Hearing – 10:45 a.m.

Norma Miller Hearing – 11:00 a.m.

Myrna Cuevas Hearing – 11:15 a.m.

Kerri Watson Hearing – 11:30 a.m.

Denene Richardson Hearing – 11:45 a.m.

Emilia Bryant Decision and Order

CLOSED COMPLAINTS

11-27-07 Rebecca Walker Contact Person

11-28-07 Rebecca Walker Contact Person

11-29-07 Rebecca Walker Contact Person

11-31-07 Cheryl Richter Contact Person

Ms. Hill made a motion, seconded by Ms. Hopkins, to close the above complaints. The motion was unanimously carried.

REVIEW OF COMPLIANCE –

Kay Reynolds – RN licensee, whose license was placed on probation in February 2005 for one year, has completed the terms of the consent agreement and requests licensure without probation. Members reviewed the documentation for compliance. Ms. Washabau made a motion, seconded by Ms. Hopkins, to approve the licensee’s request. The motion was unanimously carried.

PRACTICE WITHOUT LICENSURE ISSUES - Ms. Boardman reported that there had been two practice without licensure incidents and that letters were sent to the applicants and the employers.

PRACTICE ISSUES- None

EDUCATIONAL ISSUES

Dedicated Education Unit in Patient Settings – David Mangler – Mr. Mangler reported that he met with Dr. Pappas from the Colorado Board of Nursing while in San Diego. The shift from an incidental to an intentional approach of transitioning new RN graduates into practice seems to be improving the experiences and perceptions of the new RNs and improving patient safety. An important accountability of this process also includes presentation of the findings to nursing educators. Members received copies of Dr. Pappas’ article “Improving Patient Safety and Nurse Engagement with a Dedicated Education Unit”.

Delaware Board of Nursing

July 11, 2007

Page 6

Continuing Education Provider Application – Health Services, Department of Education- Ms. Boardman stated that the application was complete and recommended approval as a continuing education provider. Dr. Zickafoose made a motion, seconded by Ms. Washabau, that Health Services, Delaware Department of Education, be approved as a provider of nursing continuing education. The motion was unanimously carried.

Delaware Institute of Health Sciences – PN Program Status Report and Request to Admit Second Class – The members reviewed the proposal to initiate a part time program beginning in August. Members noted that the first class will graduate in December. CV’s for proposed faculty members Sonja Brooks, Elease Ellis-Coney, Emma Agboh, Godfrey Chukwu, and Shanda Moore were not included. Further clarification is needed regarding conversion of lab hours to theory hours in the part-time program. Members asked about classroom space and school representatives verified that such would be available upon the Board’s approval. Classes will be held from 4-7 p.m. and 8-11p.m. with minimal weekend scheduling. Based on the faculty and program changes after approval for the school to admit students and six months of programming, members determined that the results of the licensure examination of the current students should be available before approval of the proposed program. Ms. Cohee made a motion, seconded by Ms. Richter, that the Board have the examination results of the first class of graduates before acting on the proposal. The motion was unanimously carried.

Leads School of Technology – Correspondence – Members determined that clarification of the expressed concerns be requested and a site visit scheduled as needed.

LICENSURE ISSUES- None

NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. –

Annual Meeting – Chicago, IL – August 7-10, 2007 - The NCSBN Annual Meeting will be held in Chicago from August 4-7 2007. Dr. Gambardella, Dr.Zickafoose, Mr. Mangler and Ms. Boardman would like to attend.

Citizen Advocacy Center – Annual Meeting – Seattle, Washington – October 29-31, 2007 – Ms. Boardman explained the mission of the Citizen Advocacy Center. Ms. Edwards is interested in attending.

Annual Election of Board President and Vice President - Ms. Washabau made a motion, seconded by Ms. Hopkins to nominate Dr. Gambardella for President and Dr. Zickafoose for Vice President. The motion was unanimously carried. There were no other nominations.

LICENSEE APPROVAL

Ms. Richter made a motion, seconded by Dr. Zickafoose, to approve the licensee list as presented. The motion was unanimously carried.

Delaware Board of Nursing

July 11, 2007

Page 7

PUBLIC COMMENT-

Moonyeen Klopfenstein – Stated interest in the discussion about dedicated education units in patient settings and invited Mr. Mangler to present the information at a Delaware Organization of Nurse Executives’ meeting.

Response – Mr. Mangler accepted the invitation.

SCHEDULED MEETING – The next meeting will be held on September 12, 2007 at 9:00 a.m. in Conference Room A at 861 Silver Lake Boulevard, Dover, Delaware.

ADJOURNMENT

There being no further business, Mr. Mangler made a motion, seconded by Ms. Cohee, to adjourn the meeting. The motion was unanimously carried. The meeting adjourned at 10:21 a.m.

Respectfully submitted,

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Debbie Heinsch

Administrative Specialist II

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