Approved as presented January 24, 2014
NORTH CAROLINA BOARD OF NURSING
REGULAR BOARD MEETING
September 19, 2013
MINUTES
Time and Place
of Meeting
A regular meeting of the North Carolina Board of Nursing was held at the
North Carolina Board of Nursing office in Raleigh, North Carolina on
September 19, 2013. Meeting convened at 8:30 a.m.
Presiding
Peggy Walters, RN
Members Present
Pat Campbell, Public Member (sworn into office August 30, 2013)
Maggie Conklin, Public Member
Cheryl Duke, RN
Beverly Essick, RN
Sara Griffith, RN
Martha Ann Harrell, Public Member
Takela Jeffries, LPN
Jennifer Kaylor, RN
Bobby Lowery, RN
Sharon Moore, RN
Bob Newsom, LPN
Jackie Ring, RN
Carol Wilson, LPN
Staff Present
Julia George, RN, Executive Director
Jack Nichols, General Counsel
Linda Burhans, Associate Executive Director – Education/Practice
Brenda McDougal, Associate Executive Director - Operations
Gayle Bellamy, Director of Finance
Angela Ellis, Manager, Executive Office
Ethics Awareness
and Conflict of
Interest
Ethics Awareness and Conflict of Interest Statement was read. See Recusal
Forms (Attachment A). Pat Campbell, Public Member, observed
Administrative Hearings as part of new member orientation.
Administrative
Hearing
Convened at 8:40 am by Sara Griffith, Presiding Officer. Theresa
Gwendolyn Bostic, LPN was present to appeal the Licensure Review Panel’s
decision dated May 9, 2013.
MOTION: Based upon the foregoing Findings of Fact and Conclusions of
Law, the Board enters the following: Ms. Bostic will be issued a
Probationary License for one (1) year. If conditions are not completed after
twenty-four (24) months, Licensee may petition to appear at Licensure
Review Panel to request an extension of probationary conditions in order to
complete the conditions. If Licensee does not request an extension, the
license will be suspended.
Wilson/Passed. Walters, Essick, Duke, Jeffries/Recused.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 2
Board Business
Convened at 10:30 am by Peggy Walters, Presiding Officer.
Ethics Awareness
and Conflict of
Interest
Ethics Awareness and Conflict of Interest Statement was read. See Recusal
Forms (Attachment A)
Consent Agenda
The Consent Agenda be approved as presented.
MOTION: That the Consent Agenda be approved as presented.
Lowery/Passed.
Consent Agenda
The following items were accepted/approved by the adoption of the Consent
Agenda:
• Minutes of May 16, 2013 (Board Meeting)
• Minutes of May 17, 2013 (Administrative Hearing)
• Minutes of July 26, 2013 (Administrative Hearing)
• Board Governance Committee
(a)
Summary of Activities
(b)
Board Member Education Plan (FYI)
(c)
2013 Board Assessment Action Plan (FYI)
• Finance Committee
(a)
Summary of Activities
• Executive Director
(a)
Ratification of Mail Referendum: Proposed Changes to 21
NCAC 36. 0702, .0804 and .0808 (Attachment B)
(b)
2013 Election Report (FYI)
• Education and Practice Committee
(a)
Education Program Activity (Attachment C)
(b)
2013 Second Quarter NCLEX Pass Rates
(c)
Ratification of Mail Referendum to Education/Practice
Committee: Decision Tree for Delegation to UAP
• Hearing Committee
(a)
Settlement Cases (Attachment D)
• Licensure Review Panels
(a)
Licensure Review Panel Report (Attachment E)
• Report on Non-Hearing Discipline, Investigation/Monitoring, Practice
Matters (Attachment F)
(a)
Administrative Actions on Non-Hearing Disciplinary Activities
(b)
Administrative Actions on Non-Hearing Compliance Matters
(c)
Administrative Actions on Non-Hearing Practice Matters
• Advisory Committee Drug Monitoring Programs
(a)
Summary of Activities
• Meetings/Conferences/Liaison Activities:
(a)
NCSBN IT Summit
(b)
NCSBN Discipline Case Management Conference
(c)
NCSBN Annual Meeting
(d)
2013 Drexel University Nursing Education Institute
(e)
NC EMS Advisory Council Meeting
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 3
Meeting Agenda
The Meeting Agenda be adopted as presented.
MOTION: That the Meeting Agenda be adopted as presented.
Lowery/Passed.
Open Comment
Period
The following individuals addressed the Board during Open Comment
Period:
o Nancy Bruton Maree, CRNA, MS, Sharon Pearce, CRNA, MSN and
Vaughna Galvin, CRNA, DNAP: Discussed concerns related to propofol
administration.
Presentation of
Slate of Candidates
for Board Office
Beverly Essick, RN, presented the slate of candidates for the Chair and ViceChair positions for 2014. Candidate for Chair: Peggy Walters, RN.
Candidate for Vice-Chair: Martha Ann Harrell, Public Member. No
nominations were received from the floor.
MOTION: That the slate of candidates for Chair and Vice-Chair be accepted
as presented from the Nominating Committee.
Committee Recommendation/Passed.
MOTION: There being no further nominations from the floor for the positions
of Chair and Vice Chair, the Nominating Committee recommends Peggy
Walters and Martha Ann Harrell be elected by acclamation as the Chair and
Vice Chair of the Board of Nursing for 2014.
Committee Recommendation/Passed.
Finance Committee
• Received and reviewed request for selection of a financial services firm to
fully implement the investment policy of the Board
MOTION: That the Board approve Wells Fargo Advisors as the financial
services firm to manage non-operating funds in accordance with approved
investment policy.
Committee Recommendation/Passed.
• Received and reviewed 4th Quarter Financial Statements as FYI.
Board Governance
• Received and reviewed update from the Ad Hoc Committee on
Board Composition and Tenure. The Committee continues to
collect evidence based data and best practices related to Board
composition and tenure. Phase One and Two of Data Collection,
which included current Board members as well as Board members
who have served over the last 10 years, are complete. Phase
Three of Data Collection will take place this Fall. Current licensees
will be surveyed through the new Gateway system, the general
public through the website and external stakeholders by email. An
article regarding Phase Three of Data Collection will be published in
the Bulletin. The next meeting will be held on December 4th.
Results of all 3 Data Collection phases will be reviewed for any
Board recommendations in January 2014.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 4
Executive Director
Received updates as follows:
• Provided update on activities related to National Council State Boards of
Nursing (NCSBN). Bobby Lowery to continue Chair Role for the Distance
Education Committee; Peggy Walters to chair newly convened
Leadership Academy; Linda Burhans to chair Institute for Regulatory
Excellence (IRE) Committee; and Julie George to continue to Chair
Finance Committee.
• Recognized Kathleen Privette for completion of the IRE Fellowship.
• Provided update on the 110th anniversary of the NC Board of Nursing.
Board of Nursing and status of the book related to the Board’s regulatory
history. Projected publication of the history book is Fall/Winter 2013.
• Provided update on re-designed website and availability of new podcasts
related to internationally educated nurses and Student Practice Event
Evaluation Tool (SPEET).
• Provided update on DORIS, new licensure management system. Board
of Nursing systems to go down October 3rd through October 8th for system
migration. Non-disciplinary portion of DORIS will be completed with
launch of new system. Next phase of development to include disciplinary
processes.
• Provided update on guidelines for immunizations by pharmacists. Boards
of Nursing, Pharmacy and Medicine to provide input related to
immunization questionnaire.
• Provided overview of agenda for October 10, 2013 Board Retreat related
to strategic planning.
• Provided update related to SB 91 signed into law on May 17th regarding
expunged actions.
• Received and reviewed 2013 Strategic Plan Roadmap.
Proposed Strategic
Plan 2014 - 2017
Received and reviewed proposed revisions to Mission, Vision, Values and
draft Strategic Plan for 2014 – 2017 (Attachment G).
MOTION: That the Board approve the following:
1. continued use of the current Mission Statement: “The mission of the
North Carolina Board of Nursing is to protect the public by regulating the
practice of nursing”
2. revised Vision and Values Statements:
Vision: The NCBON excels in advancing public protection in a dynamic
healthcare environment.
Values: “Setting the PACE for Public Protection and Regulatory
Excellence
Professionalism
Accountability
Commitment
Equity/Fairness”
3. 2014 -2017 Strategic Plan
Committee Recommendation/Passed.
Education &
Practice
•
Received and reviewed summary of activities from the Education and
Practice Committee.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 5
•
Received and reviewed Education Consultant’s report regarding Robeson
Community College, Lumberton – PNE Approval Status.
MOTION: That the LPN program at Robeson Community College be
found in compliance with Law and Rules, removed from Initial Approval
status, assigned Full Approval Status, and be resurveyed in eight years.
Lowery/Passed.
• Received and reviewed proposed change practice of automatically
conducting on-site survey visits at all non-accredited nursing programs to
meet NCBON requirement for nursing education program review for
ongoing approval every eight years.
MOTION: That the Board implement a document-only review as an
acceptable review option or alternative to on-site surveys for programs
with a documented record of compliance with the NCBON Education
Laws and Rules. If this option is implemented, the following elements of
the nursing education program ongoing approval process will remain
unchanged:
1. Practice of reviewing national accreditation self study reports for
accredited programs will continue. Accredited programs receive an
on-site survey only if indicated.
2. Practice of conducting on-site surveys for nursing education programs
with any of the following will continue: history of concerns or lack of
compliance with law and rules; annual reports indicating lack of
compliance with law and rules; pattern of faculty and/or student
complaints to the NCBON; poor NCLEX pass rates; or as otherwise
indicated.
Conklin/Passed.
• Received and reviewed proposed revision of NCBON Decision Tree for
Delegation to UAP (Unlicensed Assistive Personnel).
MOTION: That the Board approve proposed revisions of the NCBON
Decision Tree for Delegation to UAP.
Committee Recommendation/Passed.
• Received and reviewed Education and Practice Committee request for
sedation charge.
MOTION: That the Board issue a new charge to the Education and
Practice Committee to study the issues related to Registered Nurse (nonanesthesia provider) administration of diagnostic and therapeutic
procedural sedation, both conscious (moderate) and deep, including the
appropriateness of specific medications or agents.
Committee Recommendation/Passed.
• Received and reviewed proposal from Watts School of Nursing for an
innovative curriculum for implementation in their NCBON approved
Diploma program.
MOTION: That the Board approve the implementation of the innovative
seamless Diploma-BSN curriculum for the currently approved Watts
School of Nursing Diploma Program.
Essick/Passed. Walters/Recused.
Joint Sub
•
Received verbal update on activities. Joint Subcommittee accepted a
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Committee
Page 6
proposal developed by senior staff and the JSC Committee Chair to
explore options to streamline the JSC process for increased efficiency,
better use of resources, and enhanced public protection through timely
resolution of disciplinary cases. The pilot will be evaluated at the November
2014 JSC meeting.
•
Presented NP Compliance Review Six Month Report
Drug Monitoring
Program Statistics
•
Received and reviewed Drug Monitoring Program statistics
Presentation of
Resolutions and
Plaques
Peggy Walters presented Resolution and plaque to Beverly Essick, RN
whose term expires December 31, 2013 (Attachment H).
Executive Session
MOTION:
1:35 pm Executive Session for discussion of legal matters.
Lowery/Passed
Open Session
MOTION:
1:50 pm Open Session
Griffith/Passed
Adjournment
MOTION:
1:50 pm Meeting be adjourned.
Wilson/Passed.
Further, plaques were presented to Peggy Walters and Sara Griffith
recognizing their service in 2013 as Chair and Vice-Chair respectively.
Minutes respectfully submitted by:
9/24/13
Date Submitted
1/24/14
Date Approved
Angela Ellis, Manager, Executive Office
Julia L. George, RN, MSN, FRE
Executive Director
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 7
ATTACHMENT A
RECUSAL FORM
In accordance with The State Ethics Act and the Code of Conduct
for members of the North Carolina Board of Nursing, it is the duty
of every Board member to avoid both conflicts of interest and
appearances of conflict.
This is to inform the Board that I have a conflict or appearance of
conflict related to the following agenda item(s):
Administrative Hearings
I will refrain from any undue participation in the particular matter as
outlined in the Ethics Awareness and Conflict of Interest Reminder and
Policy B5.
Signature of Board Member
September 19, 2013
Date of Meeting
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 8
RECUSAL FORM
In accordance with The State Ethics Act and the Code of Conduct
for members of the North Carolina Board of Nursing, it is the duty
of every Board member to avoid both conflicts of interest and
appearances of conflict.
This is to inform the Board that I have a conflict or appearance of
conflict related to the following agenda item(s):
Administrative Hearings
I will refrain from any undue participation in the particular matter as
outlined in the Ethics Awareness and Conflict of Interest Reminder and
Policy B5.
Signature of Board Member
September 19, 2013
Date of Meeting
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 9
RECUSAL FORM
In accordance with The State Ethics Act and the Code of Conduct
for members of the North Carolina Board of Nursing, it is the duty
of every Board member to avoid both conflicts of interest and
appearances of conflict.
This is to inform the Board that I have a conflict or appearance of
conflict related to the following agenda item(s):
Administrative Hearings
I will refrain from any undue participation in the particular matter as
outlined in the Ethics Awareness and Conflict of Interest Reminder and
Policy B5.
Signature of Board Member
September 19, 2013
Date of Meeting
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 10
RECUSAL FORM
In accordance with The State Ethics Act and the Code of Conduct
for members of the North Carolina Board of Nursing, it is the duty
of every Board member to avoid both conflicts of interest and
appearances of conflict.
This is to inform the Board that I have a conflict or appearance of
conflict related to the following agenda item(s):
Administrative Hearings and M21 Watts School of Nursing
I will refrain from any undue participation in the particular matter as
outlined in the Ethics Awareness and Conflict of Interest Reminder and
Policy B5.
Signature of Board Member
September 19, 2013
Date of Meeting
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 11
ATTACHMENT B
ISSUE: Mail Referendum: 21 NCAC 36. 0702 Issuance of a License by a Compact Party State
21 NCAC 36. 0804 Process for Approval to Practice
21 NCAC 36. 0808 Inactive Status
BACKGROUND: A Public Hearing regarding the above listed Rules was held on Friday, July 26,
2013 at the regularly scheduled Board meeting for Administrative Hearings. The comment period
for this Rule ended at 5:00 pm on August 30, 2013. No verbal or written comments were received.
On September 3, 2013, Board members were emailed a mail referendum related to proposed
revisions to 21 NCAC 36. 0702, .0804 and .0809 and directing staff to proceed with the
Rulemaking Process. Eleven (11) of thirteen (13) members responded to approve 21 NCAC 36.
0702, .0804 and .0809 as amended and direct staff to proceed with the Rulemaking Process.
ACTION REQUIRED: That the Board ratify the September 3, 2013 mail referendum approving 21
NCAC 36. 0702, .0804 and .0808 and directing staff to proceed with the Rulemaking Process.
21 NCAC 36. 0702 is proposed to be amended as published in the NCR 28:1, pages 14-16, as
follows:
21 NCAC 36 .0702 ISSUANCE OF A LICENSE BY A COMPACT PARTY STATE
For the purpose of the Compact:
(1)
A nurse applying for a license in a home state shall produce evidence of the nurse’s
primary state of residence. Such evidence shall include a declaration signed by the
licensee attesting to the licensee's primary state of residence. Further evidence that
may be requested includes, but is not limited to:
(a)
Driver's license with a home address;
(b)
Voter registration card displaying a home address;
(c)
Federal income tax return declaring the primary state of residence;
(d)
Military Form No. 2058 – state of legal residence certificate; or
(e)
W2 from US Government or any bureau, division or agency thereof indicating
the declared state of residence.
(2)
A nurse changing primary state of residence, from one party state to another party
state, may continue to practice under the former home state license and multistate
licensure privilege during the processing of the nurse's licensure application in the
new home state for a period not to exceed 30 days. 90 days.
(3)
The licensure application in the new home state of a nurse under pending
investigation by the former home state shall be held in abeyance. The 30-day 90-day
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 12
period in Item (2) of this Rule shall be stayed until resolution of the pending
investigation.
(4)
The former home state license shall no longer be valid upon the issuance of a new
home state license.
(5)
If a decision denying licensure is made by the new home state, the new home state
shall notify the former home state within 10 business days and the former home state
may take action in accordance with that state's laws and rules.
(6)
As of July 1, 2005, no No individual shall be issued a multistate licensure privilege
unless the applicant provides evidence of successful completion of the licensing
examination developed by the National Council of State Boards of Nursing, Inc.
(7)
A nurse on a visa from another country applying for licensure in a party state may
declare either the country of origin or the party state as the primary state of
residence. If the foreign country is declared the primary state of residence, a single
state license will be issued by the party state.
(8)
A license issued by a party state is valid for practice in all other party states unless
clearly designated as valid only in the state which issued the license.
History Note: Authority G.S. 90-171.82(6); 90-171.83(a)(b); 90-171.85(b); 90-171.87(4);
Eff. July 1, 2000;
Amended Eff. November 1, 2013; July 1, 2012; July 1, 2005.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 13
21 NCAC 36. 0804 is proposed to be amended, with changes, as published in the NCR 28:1,
pages 14-16, as follows:
21 NCAC 36 .0804 PROCESS FOR APPROVAL TO PRACTICE
(a) Prior to the performance of any medical acts, a nurse practitioner shall:
(1)
meet registration requirements as specified in 21 NCAC 36 .0803;
(2)
submit an application for approval to practice;
(3)
submit any additional information necessary to evaluate the application as requested;
and
(4)
have a collaborative practice agreement with a primary supervising physician.
(b) A nurse practitioner seeking approval to practice who has not practiced as a nurse practitioner
in more than two years shall complete a nurse practitioner refresher course approved by the Board
of Nursing in accordance with Paragraphs (o) and (p) of 21 NCAC 36 .0220 and consisting of
common conditions and their management directly related to the nurse practitioner's area of
education and certification. A nurse practitioner refresher course participant
[
] shall be granted an approval to practice that is limited to clinical activities required by the
refresher course.
(c) The nurse practitioner shall not practice until notification of approval to practice is received
from the Board of Nursing after both Boards have approved the application.
(d)
The nurse practitioner's approval to practice is terminated when the nurse practitioner
discontinues working within the approved nurse practitioner collaborative practice agreement, or
experiences an interruption in her or his registered nurse licensure status, and the nurse
practitioner shall so notify the Board of Nursing in writing. The Boards shall extend the nurse
practitioner's approval to practice in cases of emergency such as injury, sudden illness or death of
the primary supervising physician.
(e) Applications for approval to practice in North Carolina shall be submitted to the Board of
Nursing and then approved by both Boards as follows:
(1)
the Board of Nursing shall verify compliance with Rule .0803 and Paragraph (a) of
this Rule; and
(2)
the Medical Board shall verify that the designated primary supervising physician
holds a valid license to practice medicine in North Carolina and compliance with
Paragraph (a) of this Rule.
(f) Applications for approval of changes in practice arrangements for a nurse practitioner currently
approved to practice in North Carolina shall be submitted by the applicant as follows:
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
(1)
Page 14
addition or change of primary supervising physician shall be submitted to the Board
of Nursing and processed pursuant to protocols developed by both Boards; and
(2)
request for change(s) in the scope of practice shall be submitted to the Joint
Subcommittee.
(g) A registered nurse who was previously approved to practice as a nurse practitioner in this state
who reapplies for approval to practice shall:
(1)
meet the nurse practitioner approval requirements as stipulated in Rule .0808(c) of
this Section; and
(2)
complete the appropriate application.
(h) Volunteer Approval to Practice. The North Carolina Board of Nursing shall grant approval to
practice in a volunteer capacity to a nurse practitioner who has met the qualifications to practice as
a nurse practitioner in North Carolina.
(i) The nurse practitioner shall pay the appropriate fee as outlined in Rule .0813 of this Section.
(j)
A Nurse Practitioner approved under this Section shall keep proof of current licensure,
registration and approval available for inspection at each practice site upon request by agents of
either Board.
History Note: Authority G.S. 90-18(13), (14); 90-18.2; 90-171.20(7); 90-171.23(b);
Recodified from 21 NCAC 36.0227(c) Eff. August 1, 2004;
Amended Eff. November 1, 2013; January 1, 2013; December 1,
2009; November 1, 2008; January 1, 2007; August 1, 2004.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 15
21 NCAC 36. 0808 Inactive Status is proposed to be amended, with changes, as published in
the NCR 28:1 pages 14-16, as follows:
21 NCAC 36 .0808 INACTIVE STATUS
(a) Any nurse practitioner who wishes to place her or his approval to practice on an inactive status
shall notify the Board of Nursing in writing.
(b) A nurse practitioner with an inactive approval to practice status shall not practice as a nurse
practitioner.
(c) A nurse practitioner with an inactive approval to practice status who reapplies for approval to
practice shall meet the qualifications for approval to practice in Rules .0803(a)(1), .0804(a) and (b),
.0807, and .0810 of this Section and receive notification from the Board of Nursing of approval
prior to beginning practice after the application is approved by both Boards.
(d) A nurse practitioner who has not practiced as a nurse practitioner in more than two years shall
complete a nurse practitioner refresher course approved by the Board of Nursing in accordance
with Paragraphs (o) and (p) of 21 NCAC 36 .0220 and consisting of common conditions and
management of these conditions directly related to the nurse practitioner's area of education and
certification certification. in order to be eligible to apply for approval to practice. A nurse practitioner
refresher course participant [
] shall be granted an approval to practice that is limited to clinical
activities required by the refresher course.
History Note: Authority G.S. 90-18(13); 90-18.2; 90-171.36; 90-171.83;
Recodified from 21 NCAC 36 .0227(g) Eff. August 1, 2004;
Amended Eff. November 1, 2013; January 1, 2013; December 1,
2009; December 1, 2006; August 1, 2004.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 16
ATTACHMENT C
Ratification of Full Approval Status
• Barton College, Wilson – BSN
• Beaufort County Community College, Washington – ADN
• Beaufort County Community College, Washington – PNE
• Catawba Valley Community College, Hickory – ADN
• Davidson County Community College, Lexington – ADN
• Randolph Community College, Asheboro – ADN
• Sampson Community College, Clinton – ADN
• Sampson Community College, Clinton – PNE
• Wayne Community College, Goldsboro – ADN
• Wayne Community College, Goldsboro – PNE
Ratification to Approve the Following Expansions in Enrollment
• Mayland Community College, Spruce Pine – ADN – additional 22 students for a total of 80
beginning in Fall 2013
FYI
•
•
East Carolina University, Greenville – BSN – ending Alternate Entry MSN program and
moving to an Accelerated BSN program in Summer 2014
NLNAC (National League for Nursing Accrediting Commission, Inc.) formally changed its
name to ACEN (Accreditation Commission for Education in Nursing, Inc.) effective May 6,
2013
ACEN/CCNE Accreditation Decisions
• Catawba Valley Community College, Hickory – ADN – ACEN continuing accreditation
• Central Piedmont Community College, Charlotte – ADN – Application for ACEN candidacy
accepted
• Davidson County Community College, Lexington – ADN – ACEN continuing accreditation
• Randolph Community College, Asheboro – ADN – ACEN continuing accreditation
• Sampson Community College, Clinton – ADN – granted initial accreditation from ACEN
• Sampson Community College, Clinton – PNE – granted initial accreditation from ACEN
• UNC-Greensboro, Greensboro – BSN – CCNE continuing accreditation
• Wayne Community College, Goldsboro – ADN – ACEN continuing accreditation
• Wayne Community College, Goldsboro – PNE – ACEN continuing accreditation
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 17
ATTACHMENT D
The Hearing Committee met on June 21, 2013 and reviewed the following Settlement Cases:
Reviewed 3
candidates for
Settlement
Lynne Lawson Carter, RN# 68704:
Ms. Carter will be required to have an evaluation by a Board
participating Addictionologist to determine the propensity for substance
abuse or chemical dependency. Ms. Carter will be required to follow all
recommendations of the Addictionologist. If diagnosed with chemical
dependency, Ms. Carter will be monitored consistent with the
requirements for the Chemical Dependency Discipline Program (CDDP)
for three (3) years. Additionally, Ms. Carter will be issued a
Probationary license for a minimum of twelve (12) months.
Michelle M. Raemore, RN# 258375:
Charges dismissed regarding falsification of application.
Tammy Worrell, RN# 97918:
Ms. Worrell’s NP Approval to Practice will be suspended for one (1)
year. However the Board will stay the suspension and issues a
probationary license for twelve (12) months.
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 18
ATTACHMENT E
The Licensure Review Panel met on May 9, 2013 and submits the following report regarding
actions taken:
Reviewed 4
candidates for
reinstatement
Mary Jane Lahman, RN# 96638: will not be reinstated at this time; may
not request to appear at LRP any sooner than May 2015; may not be
listed as a NAII, NAI or Medication Aide. Prior to anticipated appearance,
Licensee must be re-evaluated by a Board approved neurophysiologist.
ACCEPTED
Theresa Gwendolyn Bostic, LPN# 65453: issued a probationary license
with probationary conditions for twelve (12) months and must submit
evidence of successful completion of a Board approved “Professional
Nursing Practice: An Update”; course to be completed within three
(months) of signed Order. DECLINED
Kristen Jo Beaman, RN# 248127: required to enroll in Board’s
Alternative Program (AP), sign Contracts I & II and comply with
conditions of the program. Licensee will not be required to be evaluated
by Addictionologist; may return to nursing practice without appearing
before Re-entry Committee. ACCEPTED
Tiffany Jamarica Jackson, RN# 210373: license will be reinstated
contingent upon approval to safely return to practice following fitness for
duty evaluations. Licensee will be required to be evaluated by a
psychiatrist and a separate physical health examination. With approval to
return to practice by both providers, Ms. Jackson shall be issued a
probationary license with conditions. ACCEPTED
The Licensure Review Panel met on July 11, 2013 and submits the following report
regarding actions taken:
Reviewed 5
candidates for
reinstatement
Julie Blackann (Couch) Smith, RN# 233999: Reinstate without
conditions ACCEPTED
Carissa Fields, RN# 189474: Reinstate Probationary License; same
conditions contingent upon completion of continued competency
requirements - ACCEPTED
Laura Wade, RN# 224106: Must sign Chemical Dependency Discipline
Program (CDDP) Contract I; initial assessment for treatment, then must
sign Chemical Dependency Discipline Program (CDDP) Contract II ACCEPTED
Georgina Adkins, RN# 210630: Must sign Chemical Dependency
Discipline Program (CDDP) Contract I & II; limit hours to max average 24
hrs. per week for one (1) year; eight (8) hour shifts. Must follow up with
Dr. Hamm prior to lifting one (1) year restrictions – ACCEPTED
Gewena Heath Stringer, LPN# 64389: Reinstate without conditions
ACCEPTED
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 19
The Licensure Review Panel met on August 8, 2013 and submits the following report
regarding actions taken:
Reviewed 5
candidates for
reinstatement
Ruth Anne (Rainey) Woods, RN# 202533 – Reinstate license with
probationary conditions with drug screening for six (6) months after return
to work ACCEPTED
Deborah Wilson Thomas, RN# 130057 - Reinstate license with
probationary conditions with drug screening eighteen (18) months;
suspend for two (2) years if unsuccessful; remain drug free (alcohol OK)
ACCEPTED
Amy Ellison, RN# 139374 – Upon successful completion of RN
Refresher Course, probationary conditions will be issued ACCEPTED
Anissa Aycock, LPN# 54746 – Must sign Chemical Dependency
Discipline Program (CDDP) Contract I and II, successfully complete
Refresher Course and continue in therapy a minimum of six (6) months
extending at least three (3) months into her return to employment
ACCEPTED
Carrie Wilson, RN# 203404 - Must sign Chemical Dependency
Discipline Program (CDDP) Contract I and II; must petition RR after
showing compliance with drug screening for a minimum of three (3)
months. ACCEPTED
Reviewed 1
candidate for
extension of
probationary
conditions
Carmalinda Early, RN# 166450 NP - Extension granted for an additional
six (6) months (12) ACCEPTED
Reviewed 1
candidate for
endorsement
Stacy Wild, RN Endorsement - Must sign Chemical Dependency
Discipline Program (CDDP) Contract I and II ACCEPTED
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 20
ATTACHMENT F
TOOK THE FOLLOWING ACTIONS REGARDING NON-HEARING ACTIVITIES
BY THE ADOPTION OF THE CONSENT AGENDA
Ratified Absolutions as follows:
Brenda Beeson, RN (Jamestown)
Nancy Driver, RN (Elon)
W. Kathleen Harwell, RN (Charlotte)
Tessa Higgins, LPN (Asheville)
Ratified Issuance of Cease & Desist as follows:
Monica Monroe Hayes, LPN (Greensboro) – failure to maintain licensure; practicing without a license
Jillian Kraft Starcala, RN (Jacksonville) – fraud; misrepresented credentials
Ratified the Issuance of Reprimands as follows:
Joan Joyce Carl, RN (Allegany, NY) – unsafe practice; failure to maintain minimum standards
Sabrina Ann Davis, LPN (Charlotte) – fraud; falsification of application seeking licensure
Kathy Ann James, RN (Weeki Wachee, FL) – fraud; falsification of application seeking licensure
Alexander Stronach Jones, RN (Homestead, FL) – fraud; falsification of application seeking licensure
K. Olivia Marshburn, RN (Hampstead) – unsafe practice
Lakesha Janean Nance, RN (Charlotte) – fraud; falsification of application seeking licensure
Lauren Susanne Watson, RN (Burlington) – action in another jurisdiction
Ratified the Issue of Reprimand with Conditions as follows:
Theresa Ann Abuharb, LPN (Raleigh) – failure to maintain licensure; practicing without a license
Susan Seelig Chase, LPN (Garner) – neglect; failure to assess/evaluate
Kathleen Foard Davies, RN (Marshall) – exceeding scope
Suzanne Zimmerman Fain, RN (Reidsville) – neglect; failure to administer prescribed medications
Laura Collins Inman, LPN (Ash) – documentation errors; falsification of medical records
Annie Norwood Lennon, LPN (Greensboro) – withholding crucial health care information
Teresa McCain Miller, RN (Beaufort) – exceeding scope
Jessica Knowles Murphy, RN (Charlotte) – unsafe practice; failure to maintain an accurate medical record
Karie Pittman, RN (Greenville) – impaired on duty; alcohol
Wendy Sue Thayer, LPN (Raleigh) – withholding crucial health care information
Ratified Revocation of Privilege to Practice as follows:
Traci McKinney, Compact LPN (Roan Mountain, TN) – impaired on duty; drugs
Ratified Issuance of Probation as follows:
Tamara Ann Abraham, RN (Fayetteville) – court conviction; DWI
Berrie Grey Bunn, LPN (Rocky Mount) – exceeding scope; inappropriate prescribing
Sarrah Humphreys Cahoon, RN (Gloucester) – court conviction; criminal charges-convictions-nolo
contendere plea
Bianca Hume Caughman, RN (Willow Springs) – neglect; failure to assess/evaluate
Justin Michael Glasgow, LPN (Wilmington) – neglect; failure to perform prescribed treatments
Kristie Ann Hall, LPN (Havelock) – documentation errors; failure to maintain an accurate medical record
Patricia Dianne Martin, LPN (Eden) – diversion of drugs; controlled substances
Christine Lynn McCambridge, RN (Mooresville) – exceeding scope; inappropriate prescribing (NP)
Ashley Marie Terrell, RN (Durham) – court conviction; criminal charges – convictions – nolo contendere
plea
Ratified Probation with Drug Screening:
Kimberly Lee Brown, LPN (Charlotte) – action in another jurisdiction
Veda Zambelli Carter, LPN (Kinston) – impaired on duty; drugs
John A. Hopper, Jr., RN (Murphy) – action in another jurisdiction
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Mary Juan Munday, RN (Statesville) – impaired on duty; drugs
Norma Long Pigford, RN (Raleigh) – impaired on duty; drugs
Maureen Elizabeth Wendling, LPN (Marion) – positive drug screen
Ratified Suspension of Probationary License as follows:
CDDP:
Wendy Jane Cleaves, RN (Wilmington)
Daphne Marie Faircloth, RN (Autryville)
Drusilla Ann Frazier, LPN (Raleigh)
Kristen D. Hayslett, RN (Charlotte)
Laura McDaniel Henry, RN (Gastonia)
Laura Hyde Lipe, LPN (China Grove)
Brenda Church Powers, RN (Linwood)
Lisa June Urso, RN (Wilmington)
Carrie Ann Wilson, RN (Whiteville)
Illicit Drug and Alcohol/Intervention Program:
Anne Marie Flynn, RN (Winston Salem)
Natlaie Morgan Nesbitt, RN (Charlotte)
Ashleigh Ann Rogers, RN (Raleigh)
Ashley Brooke Scott, RN (La Grange)
Holly Marie Smith, RN (Hickory)
Stephanie Smith Wade, RN (Kinston)
Probationary License – Drug Screening:
Angela Jean Thompson, LPN (Autryville)
Marueen Elizabeth Wendling, LPN (Marion)
Ratified Probationary License – Staff Reinstatements as follows:
Judy Anne Bullis, RN (Gastonia)
Carol Honeycutt Hill, LPN (China Grove)
Ratified CDDP Reinstatements as follows:
Georgina Ann Adkins, RN (Berwind, WV)
Karen Sue Bennett, RN (Charlotte)
Erik C. Brown, RN (Garner)
Kevin Michael Cameron, RN (Farmville)
Jane Ann Bower Coe, RN (Boone)
Ellen Marie Dibble, RN (Jacksonville)
Joseph Alderman Eadon, RN (Charlotte)
Marites Turallo Edwards, RN (Durham)
Laurie Ben Grimes, RN (Goldsboro)
Patricia Howell Lohr, RN (Lexington)
Carol Elaine Long, RN (Rutherfordton)
Thomas Lee McCora, LPN (Salisbury)
Saundra Butler Meares, RN (Lumberton)
Dawn McLaughlin Norman, RN (Charlotte)
Terry Butner Samuels, RN (Winston Salem)
David Emerson Williams, RN (Raleigh)
Accepted the Voluntary Surrender as follows:
Cynthia Lynn Arnold, RN (Wilmington) – positive drug screen
Lisa Crandall Blum, RN (Mebane) – diversion of drugs; controlled substances
Chascilee Amber Collins, LPN (Lagrange) – abandonment
Angela Brown Dalhouse, LPN (Goldsboro) – impiared on duty; drugs
Rebecca Rae Franklin, RN (Asheville) – impiared on duty; alcohol
Page 21
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 22
Latanya Cherie Franklin, RN (Matthews) – unsafe practice; failure to maintain minimum standards
Amy Willett George, RN (Whitsett) – impaired on duty; drugs
Sharon Rankin Hager, LPN (Alexis) – neglect; failure to make home visits
Kimberly Jane Hall, RN (Spruce Pine) – positive drug screen
Carol Honeycutt Hill, LPN (China Grove) – diversion of drugs; controlled substances
Lori Renae Hudson, LPN (Locust) – sexual misconduct
Peter P. Kantorowski, II, RN (Greenville) – failed to maintain accurate records related to controlled
substances
Mary Phillips Link, RN (Charlotte) – violating conditions imposed by the Board
Kristin Nichole Morris, Compact LPN (Travelers Rest, SC) – diversion of drugs; controlled substances
Anita Lynn Neville, LPN (Ash) – diversion of drugs; controlled substances
Felicia Dawn Riggs, RN (Newport) – documentation errors; discrepancies in documentation of controlled
substances
Vanessa A. Simpson – Futrelle, LPN (Stedman) – violating conditions imposed by the Board
Randy Lee Starnes, Jr., RN (Concord) – diversion of drugs; controlled substances
Danielle Pennell Tessener, RN (Taylorsville) – impaired on duty; drugs
Zeenat Amanda Usuff, LPN (Concord) – impaired on duty; alcohol
Amanda Caroline Willard, LPN (Reidsville) – diversion of drugs; controlled substances
Kimberly M. Wilson, RN (Eden) – neglect; failure to maintain accurate record
Sandra Cox Wolfe, RN (Ayden) – impaired on duty; drugs
Ratified acceptance of Voluntary Surrender for failure to comply with Alternative Program as follows:
Christopher Jared bEaumont, RN (Charlotte)
Tammy Elizabeth Fowler, RN (Whiteville)
Jeffrey Todd Godde, RN (Mebane)
Cathy Dane Granberry, RN (Salisbury)
Laurel Roy Howard, RN (Fairview)
Morgan Brown Lunsford, RN (Clyde)
Sara Jane Martinez, RN (Greensboro)
Stephanie Joan Mayer, RN (Apex)
Ericka Denise Morgan, RN (Wilmington)
Curtis June Perkins, Jr., LPN (Asheville)
Brooke Holland Spencer, RN (Gastonia)
Yakov P. Sukhorukov, LPN (Leland)
Lauren Michelle Tate, RN (Rocky Mount)
Deborah Costner Taylor, RN (Belmont)
Ratified Suspension for violating conditions imposed by the Board as follows:
Sandra Thornton Ayesh, RN (Charlotte)
Andrea Howell Barlowe, RN (Roanoke Rapids)
Kristen Jo Beaman, RN (Mount Olive)
Brittany Allison Bissette, RN (Raleigh)
Amanda Kaye Britt, RN (Lumberton)
Berrie Grey Bunn, LPN (Rocky Mount)
Cristyl Rose Carmack, LPN (Carolina Beach)
Joshua Daniel D’alessandro, LPN (Cary)
Daphne Marie Faircloth, RN (Autryville)
Shay Babb Futrell, LPN (Seaboard)
Dora Easter Hailey, LPN (Lexington)
Donna Seay Hankins, LPN (Gastonia)
Kelly Jenkins Hill, RN (Charlotte)
Daniel Robert Lawrence, Jr., RN (Fayetteville)
Angela Jean Laws, LPN (Spindale)
Teresa Annette Maultsby, LPN (Riegelwood)
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 23
Linda Whitt McCormick, RN (Lexington)
Susan Harrington Milligan, RN (Apex)
Maryjane Abana Okafor, RN (McLeansville)
Ashlyn Elizabeth Purser, RN (Charlotte)
Xymena Solano, RN (Statesville)
Lisa June Urso, RN (Wilmington)
Wilhelmina Phyllis Wilson, LPN (Anchorage, AK)
Ratified Suspension with Stay as follows:
Carol McLellan Cassidy, LPN (Marshall) – neglect; medication/treatment/care errors
Karen Pierce Darby, RN (Grand Bay, AL) – action in another jurisdiction
Crystal Carroll Dunn, RN (Pineville) – abandonment
Denise Brinkley Muncy, RN (Greensboro) – neglect; failure to administer prescribed medications
Elizabeth Ann Patton, RN (Clemmons) – documentation errors; failure to maintain an accurate medical
record
Kathy Richardson Vanhoy, RN (Winston Salem) – documentation errors; falsification of medical records
Ratified Completion of Probation as follows:
Jeffery Bond, RN (Gastonia)
Jane Clarke Dillingham, RN (Holly Springs)
Clarese Fabrizio, RN (Charlotte)
Jennifer Cole Fry, RN (Canton)
Carolyn Gatewood, LPN (Morven)
Judith Ann Harrell, RN (Aydlett)
Lynn Harrell House, Jr., RN (Scotland Neck)
Pamela Manuel, LPN (Danbury)
Angela McAferty, RN (Gastonia)
Rhonda Beth McCoy, RN (Cherokee)
David C. Michael (Malisa), RN (Raleigh)
Michelle Rae Peterson, RN (Mooresville)
Karen Poor, RN (Denver)
Alan Ramsey, RN (Concord)
Jennifer Virginia Ridgley, RN (Asheville)
Shameka Rudd, LPN (Rocky Mount)
William Lewis Smith, RN (Winston Salem)
Carolyn Parsley Starnes, RN (Denver)
Edward L. Stephens, RN (High Schoals)
Sandra Annette Strickland, RN (Stokesdale)
Tamela S. Van Dyke, RN (Durham)
Bruce Wilson, LPN (Marion)
Sharon Benton Wilkinson, RN (Raleigh)
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 24
ATTACHMENT G
Mission Statement:
“The mission of the North Carolina Board of Nursing is to protect the public by regulating the
practice of nursing”
Vision Statement:
The North Carolina Board of Nursing excels in advancing public protection in a dynamic healthcare
environment.
Values Statement:
“Setting the PACE for Public Protection and Regulatory Excellence
Professionalism
Accountability
Commitment
Equity/Fairness”
Strategic Plan 2014 – 2017:
Strategic Objective #1: Enhance public protection through the Board’s proactive leadership by
a. Maintaining resources and flexibility to support the Board’s mission without the use of public
funds
b. Ensuring equitable, efficient and effective regulatory processes
c. Collaboarating with external stakeholders to address impacts of Health Care Reform
Strategic Objective #2: Advance best practices in nursing regulation by
a. Implementing evidence-based decision-making to improve outcomes
b. Facilitating innovations in Education and Practice
Minutes, Regular Board Meeting, NC Board of Nursing 9/19/2013
Page 25
ATTACHMENT H
IN APPRECIATION
of
Beverly Essick
WHEREAS,
the North Carolina Board of Nursing is charged with the
responsibility of regulating the practice of nursing in
order to assure safe nursing care for the public; and
WHEREAS,
membership on the Board reflects a commitment to the
public and the profession and a willingness to provide
leadership in nursing in North Carolina; and
WHEREAS,
Board activities have required much time and energy
from members; and
WHEREAS,
you have willingly and actively participated in numerous
activities as a member of the Board; therefore, be it
RESOLVED,
that the North Carolina Board of Nursing recognize and
express appreciation for the many contributions made
by you and the leadership role you have provided in
North Carolina; and be it further
RESOLVED,
that a copy of this resolution be attached to the minutes
of this meeting and a copy be given to you.