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Kathryn L The Florida Board of Nursing Meeting Minutes August 2, 2017 West Palm Beach Marriott 1001 Okeechobee Blvd West Palm Beach, FL 33401 Jody Bryant Newman, EdD, EdS Chair Kathryn L. Whitson, MSN, RN Vice Chair Joe Baker, Jr. Executive Director

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Kathryn L

The Florida

Board of Nursing

Meeting Minutes

August 2, 2017

West Palm Beach Marriott

1001 Okeechobee Blvd West Palm Beach, FL 33401

Jody Bryant Newman, EdD, EdS Chair

Kathryn L. Whitson, MSN, RN Vice Chair

Joe Baker, Jr. Executive Director

2 | Page

Florida Board of Nursing Meeting Draft Agenda August 2-4, 2017

West Palm Beach, FL

Board Members:

Jody Bryant Newman, EdD, EdS Consumer– Chair Kathryn L. W hitson, MSN, RN – Vice Chair Cathy Oles Gordon, LPN, BPS Deborah McKeen, CD-LPN, BS Diana Forst, BA, RN Lori Desmond, MSN, RN, NE-BC Derrick C. Glymph, DNAP, CRNA, ARNP, LTC (P) USAR Anna Maria Hubbard, DNP, EdD, CNE, ARNP

Lisa Johnson, MSN/Ed, RN, LPN Vacant, Consumer Vacant, Consumer Vacant, ARNP Vacant, RN

Attorneys:

Lee Ann Gustafson, Senior Assistant Attorney General Diane Guillemette, Assistant Attorney General Matthew Witters, Assistant General Counsel

Louise St. Laurent, Deputy General Counsel

Board Staff:

Joe Baker, Jr., Executive Director Nicole Benson, Program Operations Administrator Melissa Greenfield, Program Operations Administrator Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Debra Owings, Nursing Education Consultant, MSN, RN

Kenia Jean Louis, Regulatory Specialist III

2 | Page

Wednesday @ 4:00 PM Credentials “A” Committee

Required Appearances CNA Applicants for Licensure with criminal, discipline and health history CNA Applicants for Licensure with Juvenile Offenses and False Answers on application LPN, RN and ARNP Applicants for Licensure- Criminal History and Health History only Other Items for Discussion

Education and Credentials “B” Committee

Required Appearances CNA Exemption Applicants Non-Compliance with Section 464.019, FS Ratification Lists Items for Discussion Informational Items

Thursday @ 8:30 AM Credentials “A” Committee

LPN, RN, ARNP Applicants for Licensure with criminal, discipline, and health history (multiple) LPN, RN, ARNP Applicants for Licensure with False Answer on application CNS Applicants Other Items for Discussion

Education and Credentials “B” Committee LPN, RN, ARNP Exemption Applicants Education Credentials Applicants for Licensure under 456.0635, FS CNA Applicants for Licensure under 435.07, FS LPN, RN, ARNP Applicants for Licensure under Section 464.009, FS LPN, RN, ARNP Applicants for License - Other

Thursday @ 1:30 PM Full Board

CNA, LPN, RN, and ARNP Discipline & General Business Reconsiderations Recommended Orders Petitions for Hearing/Modification CNA Informal Hearings LPN, RN, and ARNP Informal Hearings Licensure Informal Hearings CNA Settlement Agreements LPN, RN, and ARNP Settlement Agreements CNA Voluntary Relinquishments LPN, RN, and ARNP Voluntary Relinquishments Practice Issues Advanced Practice Issues Special Education Issues Legislative Issues Declaratory Statements Petitions for Variance and Waiver

Friday @ 8:30 AM Full Board

CNA, LPN, RN, and ARNP Discipline & General Business CNA Motion to Vacate LPN, RN, and ARNP Motion to Vacate CNA Informal Waivers LPN, RN, and ARNP Informal Waivers Reinstatements and Compliance Issues IPN Board Reports

CONTINUING EDUCATION Required within 6 months of licensure

PROBATION (P1) Standard terms

[A] Violate no laws [B] Report changes in address, employer, arrests, or violations of probation or orders from another jurisdiction [C] Quarterly self-reports [D] Quarterly nursing employer reports [G] Tolling

Direct supervision [H] Direct supervision, regularly assigned unit, no employment by nurse registry, nurse employment agency or home health agency, no multiple employers or self-employment

IPN (V6) V6A - must sign IPN contract V6B - must have IPN evaluation and contract if recommended V6C - must have IPN evaluation and contract if recommended; if contract not recommended, probation

Credentials Summary of Conditions

3 | Page

“A”

Wednesday, August 2, 2017 at 4:00 PM

Call to Order

The meeting was called to order by the acting Committee Chair, Ms. Whitson at 4:17 p.m.

Roll Call Board Members:

Kathryn L. W hitson, MSN, RN – acting Committee Chair

Lori Desmond, MSN, RN, NE-BC Cathy Oles Gordon, LPN, BPS Derrick C. Glymph, DNAP, CRNA, ARNP, LTC (P) USAR Absent: Deborah McKeen, CD-LPN, BS – unexcused

Attorneys:

Lee Ann Gustafson, Senior Assistant Attorney General

Board Staff:

Joe Baker, Jr., Executive Director Nicole Benson, Program Operations Administrator Melissa Greenfield, Program Operations Administrator

Kenia Jean-Louis, Regulatory Specialist III

A. Required Appearances

CNA

None

LPN, RN, and ARNP

1. Cassamajor, Joseph Reginald; 1702/188663- Present. A motion was made by Glymph

to approve. Motion passed unanimously.

B. Pending Formal Denial

CNA

None

Credentials “A” Committee

4 | Page

LPN, RN, and ARNP

None

C. Applicants for Licensure

CNA

Prior Board Action

Exam

1. White, Tiffany; 4401/712195- Present. A motion was made by Desmond to deny based

on previous discipline. Motion passed unanimously.

Endorsement

Juvenile Offense

Exam

None Endorsement

None

Criminal History

Exam 1. Hennessy, Shannon Marie; 4401/729305- A motion was made by Glymph to approve with a V6B. Motion passed unanimously.

2. Jones, Leroya; 4401/730333- Present. A motion was made by Glymph to deny based

on crimes related to the practice. Motion passed with Whitson in opposition.

3. Lampkins, Nicole P; 4401/724529- A motion was made by Desmond to deny due to previous discipline and crimes related to the practice. Motion passed unanimously.

4. HayeJackson, Shanna; 4401/727597- A motion was made by Desmond to deny based on crimes related to the practice. Motion passed with Glymph in opposition.

5. Lewis, Flora J; 4401/723955- A motion was made by Desmond to deny based on crimes related to the practice. Motion passed with Desmond in opposition.

6. Cummings, Donnita M; 4401/728602- A motion was made by Gordon to deny based on crimes related to the practice. Motion passed unanimously.

Endorsement

None

5 | Page

False Answer on Application

Exam 1. Coleman, Skylar O; 4401/709517- A motion was made by Gordon to deny based on crimes related to the practice and failure to disclose. Motion passed with Glymph in opposition.

2. Cole, Oladuni D; 4401/672580- A motion was made by Glymph to deny based on prior discipline. Motion passed unanimously.

3. Harris, Ureka S; 4401/715655- A motion was made by Desmond to deny based on crimes related to the practice and prior discipline. Motion passed unanimously.

Endorsement

None

LPN, RN, and ARNP

Criminal History

Exam

None

Endorsement

None

ARNP Upgrade

None

Health History

Exam

1. Presley, Destini; 1702/189484- Present. A motion was made by Desmond to

approve. Motion passed unanimously.

2. Blanco, Mirtha Lidia; 1701/591518- A motion was made by Glymph to approve.

Motion passed unanimously.

3. Lipinski, Michelle; 1702/177559- A motion was made by Glymph to approve. Motion

passed unanimously.

Endorsement

None

6 | Page

D. Other Items for Discussion CNA

None LPN, RN, and ARNP

1. Cameron-Rose, Camica Serinia; 1701/595115- A motion was made by Glymph to

require an appearance. Motion passed unanimously.

The meeting recessed at 4:57 p.m.

7 | Page

Wednesday, August 2, 2017 at 4:00 PM

Call to Order The meeting was called to order by the Committee Chair, Dr. Hubbard at 4:02 p.m.

Roll Call

Board Members:

Anna Maria Hubbard, DNP, EdD, CNE, ARNP- Committee Chair

Jody Bryant Newman, EdD, EdS Consumer Diana Forst, BA, RN

Lisa Johnson, MSN/Ed, RN, LPN

Attorneys:

Diane Guillemette, Assistant Attorney General

Board Staff: Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Debra Owings, Nursing Education Consultant, MSN, RN

A. Required Appearances

LPN, RN, and ARNP

1. Tudor-Pirvutoiu, Florica; 1701/553531- Present. A motion was made by Newman to

approve with a remedial course. Motion passed unanimously.

B. Pending Formal Denial

LPN, RN, and ARNP

None

C. CNA Exemption Applicants

None

Education & Credentials “B” Committee

8 | Page

D. Non-Compliance with Section 464.019, FS

RN Approved to Probation

1. Med-Life Institute- Naples, 1704/200, US70704900- Dr. Lemeul Pierre, owner and

Sylvia Melchiorie Program Director present. A motion was made by Hubbard to place

program on probation. Motion passed unanimously.

2. Med-Life Institute- Lauderdale Lakes, 1704/198, US70703900- Dr. Barbara Barrett,

Nursing Consultant and Dr. Lemeul Pierre, owner present. A motion was made by

Hubbard to deny probation and terminate program due to failure of Program Director

to appear. Motion passed unanimously.

PN Approved to Probation

1. West Lawrence School of Nursing, 1705/164, US70201200- Brian Lawrence

present. A motion was made by Hubbard to place program on probation. Motion was

passed unanimously.

1. 2017 NCSBN RN NCLEX Quarterly Report- informational

2. 2017 NCSBN PN NCLEX Quarterly Report- informational

E. Ratification Lists

1. Internationally Educated Nurse Ratification List- A motion was made by Newman to approve. Motion passed unanimously. 2. Nursing Assistant Training Programs Ratification List- A motion was made by Newman to approve. Motion passed unanimously. 3. Nursing Education Programs Ratification List- A motion was made by Newman to approve. Motion passed unanimously.

F. Items for Discussion

1. Rule 64B9-3.002, F.A.C - Qualifications for Examination- A motion was made by

Newman to request a comparative document of each of the 26 states enacting

legislation for the enhanced Nurse Licensure Compact related to the requirements for

9 | Page

English competency, for review and discussion at the October meeting. Motion passed

unanimously.

2. Rule 64B9-3.0025, F.A.C. - Remedial Courses for Re-Examination- A motion was

made by Newman to issue an order to show cause why remedial course approval

should not be rescinded for the nursing education programs placed on probation.

Motion was passed unanimously.

G. Informational Items

1. Program Closure- Florida Academy of Nursing

2. Program Closure- Azure College (Sebring Campus)

3. Program Closure- Sheridan Technical College

4. Program Closure- Southern Technical Institute (Orlando)

5. Accrediting Bureau of Health Education Schools (ABHES)

6. Program Relocation- Azure College

7. Program Name Change- DeVry to Adtalem

8. OPPAGA Report - June 2017

H. Rules Discussion to Include Curriculum and Simulation Technologies

1. Old Curriculum Rule(s)

A motion was made by Newman to develop a work group to compile current evidence

based data related to simulation technologies and curriculum development. Motion

passed unanimously.

2. Commission of Independent Education Rules Related to LPN and RN courses

The meeting recessed at 5:10 p.m.

10 | Page

Thursday, August 3, 2017 at 8:30 AM

Call to Order The meeting was reconvened by the acting Committee Chair, Ms. Whitson at 8:31 a.m.

Roll Call Board Members:

Kathryn L. W hitson, MSN, RN – acting Committee Chair

Lori Desmond, MSN, RN, NE-BC Derrick C. Glymph, DNAP, CRNA, ARNP, LTC (P) USAR Absent: Deborah McKeen, CD-LPN, BS – unexcused

Attorneys:

Lee Ann Gustafson, Senior Assistant Attorney General

Board Staff:

Joe Baker, Jr., Executive Director Nicole Benson, Program Operations Administrator Melissa Greenfield, Program Operations Administrator

Kenia Jean-Louis, Regulatory Specialist III

A. LPN, RN, and ARNP Applicants for Licensure

Prior Discipline

Exam

1. Allen, Kelli Jo; 1702/190103- A motion was made by Desmond to approve. Motion

passed unanimously.

2. Haynes, Nora; 1701/591472- Present. A motion was made by Glymph to approve.

Motion passed unanimously.

3. Judd, Christine A.; 1701/585803- Present. A motion was made by Desmond to

approve. Motion passed unanimously.

Credentials “A” Committee

11 | Page

Endorsement

1. Cunningham, Johnathon; 1701/590699- A motion was made by Desmond to require

an appearance. Motion passed with Glymph in opposition.

2. Mitchell, Bobby Wayne; 1701/587878- Present with attorney Brian McCarthy. A

motion was made by Glymph to approve. Motion passed unanimously.

ARNP Upgrade

1. Cintron-Cubero, Ivette; 1701/592993- A motion was made by Glymph to deny based

on discipline in another state. Motion passed unanimously.

Prior Board Action

Exam

1. Akintayo, Funke F.; 1701/470327- A motion was made by Glymph to approve with an

amended application. Motion passed unanimously.

Endorsement

None

Criminal History

Exam Endorsement

1. Harshman, Amy; 1701/582730- A motion was made by Glymph to approve. Motion

passed unanimously.

ARNP Upgrade

None

Health History

Exam

None Endorsement

1. Brand, Cynthia Denise; 1701/568838- A motion was made by Desmond to approve.

Motion passed unanimously. ARNP Upgrade

None

12 | Page

False Answer on Application

Exam

Endorsement

Open Case

Exam

Endorsement

Staff Concern

Exam

None Endorsement

None

B. CNS Applicants

None

C. Other Items for Discussion

None

The meeting adjourned at 9:06 a.m.

13 | Page

Thursday, August 3, 2017 at 8:30 AM

Call to Order The meeting was reconvened by the Committee Chair, Dr. Hubbard at 8:30 a.m.

Roll Call Board Members:

Anna Maria Hubbard, DNP, EdD, CNE, ARNP- Committee Chair

Jody Bryant Newman, EdD, EdS Consumer Cathy Oles Gordon, LPN, BPS Diana Forst, BA, RN

Lisa Johnson, MSN/Ed, RN, LPN

Attorneys:

Diane Guillemette, Assistant Attorney General

Board Staff: Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Debra Owings, Nursing Education Consultant, MSN, RN

A. LPN, RN, and ARNP Exemption Applicants

None

B. Education Credentials

LPN, RN, and ARNP

1. Okoro, Nelly Ugboaku; 1702/185715- A motion was made by Hubbard to deny due to

insufficient education. Motion passed unanimously.

Education & Credentials “B” Committee

14 | Page

2. Buron Hernandez, Adirenys; 1701/594086- A motion was made by Hubbard to

approve with a remedial course. Motion passed unanimously.

3. Streeter, Leonilyn Centino; 1701/578746- A motion was made by Hubbard to require

appearance. Motion passed unanimously.

4. Baptiste, Jocelyne Olive; 1701/567116- Present. Allowed to withdraw application.

5. Binns, Vanessa Lucresha; 1701/583172-A motion was made by Hubbard to approve

with a remedial course. Motion passed unanimously.

6. Blair, Alecia Camille; 1701/592989- A motion was made by Newman to approve.

Motion passed unanimously.

7. Bonsell, Pamela; 1701/572161- Pulled

8. Carrion, Elizabeth; 1701/561956- A motion was made by Hubbard to approve with a

remedial course. Motion passed unanimously.

9. Chessum, Joyce Chepkorir; 1701/581761- A motion was made by Hubbard to require

appearance. Motion passed unanimously.

10. Dampayla, Dexter Fernandez; 1701/577660- A motion was made by Newman to

require appearance. Motion passed unanimously.

11. Davis, Paula Geneive; 1701/580249- A motion was made by Hubbard to approve

with a remedial course. Motion passed unanimously.

12. Dennis, Topaz Dale; 1701/548484- A motion was made by Newman to require

appearance. Motion passed unanimously.

13. Diaz Martinez, Maydelin; 1701/589746- A motion was made by Newman to approve

with remedial course. Motion passed unanimously.

14. Diaz Roman, Zuleyka M; 1701/513053- A motion was made by Hubbard to require

appearance. Motion passed unanimously.

15. Dulguime, Kevin Louie Yangson; 1701/567945- A motion was made by Newman to

approve. Motion passed unanimously.

15 | Page

16. Foster Brown, Dahlia Shelly-Ann; 1701/580613- A motion was made by Newman to

approve. Motion passed unanimously.

17. Garcia Ramon, Maryrainys; 1701/591140- A motion was made by Newman to

approved with a remedial course. Motion passed unanimously.

18. Gonzalez Pineiro, Mirielys; 1701/581319- Present. Allowed to withdraw application.

19. Mallas, Evangelia George; 1701/578368- A motion was made by Newman to

approve. Motion passed unanimously.

20. Martinez, Anastasia; 1701/275064- A motion was made by Hubbard to deny due to

education not being equivalent to an RN program. Motion passed unanimously.

21. Melhado-Whyte, Ann Alecia; 1701/576185- A motion was made by Newman to

approve with a remedial course. Motion passed unanimously.

22. Misganaw, Eskedar Tesfaye; 1701/589661- A motion was made by Hubbard to

approve with a remedial course. Motion passed unanimously.

23. Nahuway, Bill Arens Charlie; 1701/578269- A motion was made by Newman to

require appearance. Motion passed unanimously.

24. Noall, Katherine Kim; 1701/587939- Present. A motion was made by Hubbard to

approve. Motion passed unanimously.

25. Oumar Sah, Lawren; 1702/188479- A motion was made by Hubbard to require

appearance. Motion passed unanimously.

26. Perez Mendoza, Nurisleidy; 1701/586348- Present- A motion was made by Newman

to approve with a remedial course. Motion passed unanimously.

27. Perez Puig, Jorge Luis; 1701/572556- Present. A motion was made by Johnson to

approve with a remedial course. Motion passed unanimously.

28. Perez, Lucia E; 1701/587575- Present. A motion was made by Newman to approve

with a remedial course. Motion passed unanimously.

29. Rodriguez Lopez, Oscar; 1702/188488- Present. A motion was made by Newman to

approve with a remedial course. Motion passed unanimously.

16 | Page

30. Silveira Ferrer, Yelena; 1701/590313- A motion was made by Hubbard to approve

with a remedial course. Motion passed unanimously.

31. Thomas, Aswani; 1701/572958- A motion was made by Hubbard to approve. Motion

passed unanimously.

32. Urrutia Garbey, Candida; 1701/586407- A motion was made by Hubbard to approve

with a remedial course. Motion passed unanimously.

33. Vallejo, Aqua Rius Nitura; 1701/581925- A motion was made by Hubbard to

approve. Motion passed unanimously.

34. Velas, Nicodemus Encinas; 1701/583132- A motion was made by Newman to

approve with a remedial course. Motion passed with Forst in opposition.

35. Vergara, Janine Elizabeth Guballa; 1701/580735- A motion was made by Hubbard

to approve. Motion passed unanimously.

36. Vazquez, Juan Manuel; 1701/588623- A motion was made by Hubbard to approve

with a remedial course. Motion passed unanimously.

37. Samuels, Carlene; 1702/189315- A motion was made by Hubbard to approve.

Motion passed with Newman in opposition.

38. Umeh, Nuela Uche; 1701/571868- A motion was made by Hubbard to approve.

Motion passed unanimously.

39. Plummer, Lecia Tisheecka; 1701/590696- A motion was made by Hubbard to

approve with a remedial course. Motion passed unanimously.

The meeting recessed at 9:44 a.m.

The meeting reconvened at 9:57 a.m.

C. Applicants for Licensure under 456.0635, FS

CNA Exam

1. Bryant, Latonya; 4401/729779- A motion was made by Newman to require

appearance. Motion passed unanimously.

17 | Page

2. Benintend, Marcela B; 4401/728650-A motion was made by Hubbard to deny due to

ineligibility. Motion passed unanimously.

3. Gentry, Christopher M; 4401/728897- A motion was made by Newman to deny due to

ineligibility. Motion passed unanimously.

4. Miles, Lavessa A; 4401/727561- A motion was made by Newman to require

appearance. Motion passed unanimously.

5. Skinner, Kimberly A; 4401/721873- A motion was made by Hubbard to deny due to

ineligibility. Motion passed unanimously. Endorsement

None LPN, RN, and ARNP Exam

None

Endorsement

None

D. CNA Applicants for Licensure under Section 435.07, FS

Exam

1. Paulton, Jessica; 4401/713906- A motion was made by Newman to deny due to

ineligibility. Motion passed unanimously.

Endorsement

None

E. LPN, RN, ARNP Applicants for Licensure under Section 464.009, FS

None

18 | Page

F. LPN, RN, ARNP Applicants for License – Other

None

The meeting adjourned at 10:30 a.m.

CONTINUING EDUCATION Required within 6 months of licensure

PROBATION (P3) Standard terms

[A] Violate no laws [B] Report changes in address, employer, arrests, or violations of probation or orders from another jurisdiction [C] Quarterly self-reports [D] Quarterly nursing employer reports [G] Tolling

Direct supervision [H] Direct supervision, regularly assigned unit, no employment by nurse registry, nurse employment agency or home health agency, no multiple employers or self-employment C1

PROBATION (P4) Stayed suspension conditioned on compliance

IPN (V6) V6A - suspension until entry into IPN, suspension stayed while compliant V6B - suspension until IPN evaluation and contract if recommended, suspension stayed while compliant V6C - suspension until IPN evaluation and contract if recommended suspension stayed while compliant; if contract not recommended probation

SUSPENSION (V) V1 - suspend until appearance to demonstrate safety V2 - suspend until appearance to demonstrate safety with IPN coordinated evaluation V3 - suspend for a minimum period and thereafter until appearance to demonstrate safety with IPN coordinated evaluation V4 - suspend until fine and costs/bounced check paid V5A – suspend until compliant with CEs V5F - suspend until compliant with previous final order

REVOCATION V8 - revocation

Summary of Discipline

CE AREA HOURS/OPTIONS TYPICAL CONTENT

Anger Management

4 hr 8 hr

• Definition, assessment, management of anger• Positive anger management tools• Resources

Assessment 2 hr 8 hr 40 hr full course

• Health History, including cultural assessment• Fundamental physical assessment techniques• Assessing body systems: Integumentary,Respiratory, Cardiac, Gastrointestinal, Reproductive, Musculoskeletal, Neurological

Critical Thinking

2 hr 8 hr

• Definition• Characteristics and skills that demonstrate criticalthinking • Strategies to improve ability to think critically

Delegation 2 hr 8 hr

• Aspects that a nurse needs to consider whendelegating • Professional roles that a nurse cannot delegate• Process for effective delegation

Documentation 2 hr 8 hr

• Process of charting• Common charting errors• Implications of poor record keeping• Emerging issues, i.e., faxes, computers, HIPAA• Legal case review

Ethics 2 hr 8 hr (may be combined with Legal Aspects)

• Ethical decision making• Concepts of beneficence, justice and autonomy• History of ethics in nursing• Common ethical issues/case review, frameworks• Resources

Legal Aspects 2 hr 8 hr (may be combined with Ethics)

• Nursing Practice Act: purpose and role of Board;definitions of advanced, professional, and practical nursing; scope of practice; grounds for disciplinary actions • Delegation• Documentation & medical record keeping• Informed consent• Case review

LPN Supervision 30 hr • Per 64B9-15• Note: RNs may take this course; for CE credit forRNs, at least 2 hours must be on the RN role

Medication Administration

16 hr Supervised lab

• Standard abbreviations• Transcription of orders• Calculations, including pediatric dosages• Preparation and administration of oral, parental,intravenous medications, fluids • Legal responsibilities related to medicationadministration, observation, documentation, and record keeping • Common errors and strategies to avoid them

Pain Management

2 hr 8 hr

• Classifying acute and chronic pain• Assessment and reassessment strategies• Barriers to effective pain management; psychologyof pain

Guidelines for Acceptable Disciplinary CE

CE AREA HOURS/OPTIONS TYPICAL CONTENT • Pain intensity scales• Pharmacological pain interventions• Non-pharmacological pain management• Interdisciplinary discharge planning• Patient/family education

Patient Rights 2 hr

• Specific rights protected by federal and state laws• Right to be informed• Right to exercise self-determination• Protection of personal privacy• Forms of abuse• Reporting violations

Pharmacology 16 hr 40 hr

• Classification systems• Drug forms, routes, actions, uses, precautions,interactions, and side effects • Computation and dosages• Asepsis• Resources

Professional Standards Varies

• Programs on Standards from ProfessionalAssociations • Curriculums approved by Professional Associations• Examples (not limited to): Association of OperatingRoom Nurses, Association of Critical Care Nurses, American Nurses Association, Infusion Nurses Society, Oncology Nurses Association

Refresher Remedial Courses

80 didactic and 96 hours clinical

• All disciplinary board-ordered refresher or remedialcourses require didactic and clinical components that are in compliance with 64B9-3.025. • Additional clinical hours in specialized or generalareas may be specified

Universal Protocol

• Agency specific, agency provided in-services onJCAHO requirements for procedural timeout and other standards

Note: 2 & 8 hour courses offered by CE Providers; 40 hour courses may be offered by CE Providers but are more commonly part of a nursing program curriculum.

19 | Page

Thursday, August 3, 2017 at 1:30 PM

Call to Order The meeting was called to order by the Chair, Dr. Newman at 1:30 p.m.

Roll Call Board Members:

Jody Bryant Newman, EdD, EdS Consumer– Chair Kathryn L. W hitson, MSN, RN – Vice Chair Cathy Oles Gordon, LPN, BPS Diana Forst, BA, RN Lori Desmond, MSN, RN, NE-BC Derrick C. Glymph, DNAP, CRNA, ARNP, LTC (P) USAR Anna Maria Hubbard, DNP, EdD, CNE, ARNP

Lisa Johnson, MSN/Ed, RN, LPN

Absent:

Deborah McKeen, CD-LPN, BS- unexcused

Attorneys:

Lee Ann Gustafson, Senior Assistant Attorney General Diane Guillemette, Assistant Attorney General Matthew Witters, Assistant General Counsel

Louise St. Laurent, Deputy General Counsel

Board Staff:

Joe Baker, Jr., Executive Director Nicole Benson, Program Operations Administrator Melissa Greenfield, Program Operations Administrator Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Debra Owings, Nursing Education Consultant, MSN, RN

Kenia Jean Louis, Regulatory Specialist III

Disciplinary Hearings & General Business

2 | Page

I. CNA, RN, LPN, and ARNP Discipline & General Business

A. Reconsiderations CNA

None

LPN, RN, and ARNP

1. Connolly-Leon, Deirdre; 1701/564583- A motion was made by Newman to grant the

request to withdraw. Motion passed unanimously.

2. Brewer, Donna Leah, LPN Case #2016-19053 File #42863- Present with attorney Cynthia

Mikos and sworn in. A motion was made by Newman to deny the request for reconsideration.

Motion passed with Forst and Whitson in opposition.

3. Mills, Jennifer; 1701/565433- Continued

B. Recommended Orders Recused Member: Anna Maria Hubbard

1. Thompson, Lannette, CNA 165217 Case #2016-15829 File #432114–A motion was made by Newman to accept the findings of fact and conclusions of law in the recommended order and the recommendation of the Administrative Law Judge to impose a $250 fine and a V2. Motion passed unanimously. A motion was made by Newman to allow the Department to bifurcate and retain jurisdiction to assess costs. Motion passed unanimously. 2. Delpozzo, Andrea R., CNA 274235 Case #2015-31849 File #606291–Attorney Steven Brownlee present. A motion was made by Newman to reject exception 1. Motion passed unanimously. A motion was made by Glymph to reject exception 2. Motion passed unanimously. A motion was made by Newman to reject exception 3. Motion passed unanimously. A motion was made by Newman to accept the findings of fact and conclusions of law in the recommended order and the recommendation of the Administrative Law Judge to impose a 2 month suspension, followed by one year of Probation, and a CE in Anger Management (8 hrs). Motion passed unanimously. A motion was made by Newman to refer the determination of costs back to DOAH. Motion passed unanimously. Informal Waiver: Mirville, Katiuska Violette, LPN 5204788 Case #2015-17374 File #156036- Present and sworn in. A motion was made by Newman to impose costs of $1,937.30 and a V6A. Motion passed unanimously.

3 | Page

C. CNA Informal Hearings The board, as appropriate, accepted unanimously the following motions: 1). The Department asks that you accept the investigative report into evidence for the purpose of imposing a penalty. 2). The Department asks that you find that the Respondent was properly served and waived the right to a formal hearing (either by failing to respond at all or timely). 3). The Department asks that you adopt the findings of fact and conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of the practice act. Recused Member: Anna Maria Hubbard

1. Brown, Cheniqa T., CNA 166667 Case #2016-23952 File #439188– A motion was made by Newman to impose a V8. Motion passed unanimously. Recused Member: Jody Bryant Newman

2. Tema, Yolette, CNA 259304 Case #2014-11537 File #480129– A motion was made by Whitson to impose a V8. Motion passed unanimously. Recused Member: Diana Forst

3. Padilla, Regina Rose, CNA 286083 Case #2016-20501 File #631013– Present and sworn in. A motion was made by Newman to impose a V8. Motion passed Glymph and Desmond in opposition. 4. Edusei, Jennifer S., CNA 317218 Case #2016-17945 File #665838– A motion was made by Newman to impose a V8. Motion passed unanimously.

D. LPN, RN, and ARNP Informal Hearings

The board, as appropriate, accepted unanimously the following motions: 1). The Department asks that you accept the investigative report into evidence for the purpose of imposing a penalty. 2). The Department asks that you find that the Respondent was properly served and waived the right to a formal hearing (either by failing to respond at all or timely). 3). The Department asks that you adopt the findings of fact and conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of the practice act.

No Recused Members:

1. Loveless, Lisa Kay, RN 9395805 Case #2015-20865 File #508546– A motion was made by Newman to impose costs of $487.63 and a V6B. Motion passed unanimously. Recused Member: Kathryn Whitson

2. O'Sullivan, Wendy Hall, RN 9251841 Case # 2016-07258 File #343660– Present and sworn in. A motion was made by Newman to impose costs of $953.37 and a V6B. Motion passed unanimously.

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3. Toledo, Thelma Junsay, RN 2581182 Case #2016-23981 File #121114– A motion was made by Newman to impose costs of $1,904.81 and a V6A. Motion passed unanimously. Recused Member: Lori Desmond

4. Imhoff, Angela Marie, LPN 5152965 Case #2017-02948 File #96695– Present and sworn in. A motion was made by Forst to impose costs of $339.19, a reprimand, a $250 fine, suspension until completion of a remedial course, and CE’s in Legal Aspects (8 hrs) and Ethics (8 hrs). Motion passed with Johnson in opposition. 5. O'Hara, Sean Patrick, RN 9344134 Case #2016-17810 File #448219– Present and sworn in. A motion was made by Newman to impose costs of $657.46, a V3 for 3 years and a CE in Documentation (8 hrs). Motion passed with Hubbard and Whitson in opposition. 6. Cassidy-Simajchel, Britt Lauren, RN 9165801 Case #2016-09267 File #250546– A motion was made by Newman to impose costs of $2,381.58 and a V6A. Motion passed unanimously. 7. Cassidy-Simajchel, Britt Lauren, RN 9165801 Case #2016-17588 File #250546– A motion was made by Newman to impose costs of $1,131.83 and a V6A. Motion passed unanimously. 8. Aagaard, Ashlie Nicole, LPN 5224628 Case #2017-00060 File #170084– Present and sworn in. A motion was made by Newman to impose costs of $809.12 and a V2. Motion passed with Whitson and Gordon in opposition. Recused Member: Anna Maria Hubbard

9. Toriola, Claudia, RN 9289308 Case #2016-20204 File #239907– A motion was made by Newman to impose costs of $783.78, a $250 fine, a reprimand, 2 years of Probation with Direct Supervision, and CE’s in Patient Rights (2 hrs), Ethics (2 hrs), and Anger Management (2 hrs). Motion passed with Newman in opposition. 10. Ashe, Ina Marcia, LPN 5178592 Case #2016-13014 File #125786– A motion was made by Newman to impose a V8. Motion passed unanimously. 11. Gordon, Valerie, LPN 5188138 Case #2017-02887 File #136657– A motion was made by Newman to impose costs of $12.03 and a V5F. Motion passed unanimously. Recused Member: Diana Forst

12. King, II, Loren D., RN 2834392 Case #2016-24902 File #147229– Present and sworn in. A motion was made by Glymph to impose costs of $596.04 and a V6B. Motion passed unanimously. 13. Zahoranski, Jennifer Elaine, LPN 5191409 Case #2016-17263 File #139081– Present and sworn in. A motion was made by Newman to impose a V8. Motion passed unanimously.

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14. Celestin-Blaise, Sahskia, LPN 5213373 Case #2016-09234 File #161167– Present with attorney Steven Brownlee and sworn in. A motion was made by Newman to refer the case to the Division of Administrative Hearings. Motion passed unanimously. 15. McFadden, Kimberley Anne, RN 9374362 Case #2016-15647 File #480868– A motion was made by Newman to deny the request for continuance due to it being untimely, and impose a V8 with aggravating factors. Motion passed unanimously. 16. Smith, Linda Marie, RN 9340405 Case #2016-23024 File #444051– A motion was made by Newman to impose costs of $71.05 and a V6A. Motion passed unanimously. Recused Member: Derrick C. Glymph

17. Ortiz, Danette, RN 9338109 Case #2017-00061 File #440557– Present and sworn in. A motion was made by Newman to impose costs of $1,243.13, a reprimand, a fine of $250 and a V6A. Motion passed unanimously. Recused Member: Jody Bryant Newman

18. Peddle, Sarah E., RN 3405182 Case #2017-00294 File #363201– A motion was made by Whitson to impose costs of $2,238.24 and a V6A. Motion passed unanimously. 19. Taylor, Timothy R., RN 9374195 Case #2016-23665 File #478924– Present and sworn in. A motion was made by Glymph to impose costs of $1,071.14 and a V6A. Motion passed unanimously.

E. Licensure Informal Hearings CNA

1. Solomon, Gwendolyn; 4401/692539- Present and sworn in. A motion was made by Newman to deny the request due to it not being filed timely. Motion passed unanimously. 2. Gantling, Juan; 4401/718901- A motion was made by Hubbard to uphold the previous denial. Motion passed unanimously. 3. Altemar, Sandra; 4401/713026- Present with attorney Gus Suarez and sworn in. A motion was made by Glymph to vacate the previous denial and approve. Motion failed 2-6 with Glymph and Whitson in favor. A motion was made by Forst to uphold the previous denial. Motion passed with Glymph and Whitson in opposition. 4. Mincey, Veronica; 4401/705043- Present and sworn in. A motion was made by Newman to uphold the previous denial. Motion passed unanimously.

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LPN, RN, and ARNP

1. Arif, Tahira; 1701/542019- Present and sworn in. A motion was made by Newman to uphold the previous denial. Motion passed with Desmond in opposition. 2. Milotova, Petra; 1701/514175- A motion was made by Newman to uphold the previous Intent to Approve with Conditions. Motion passed unanimously.

F. Petitions for Hearing/ Modifications None

G. CNA Settlement Agreements

Recused Member: Jody Bryant Newman- A motion was made by Whitson to approve Settlements 1 and 3. Motion passed unanimously.

1. Stokes, Tyronda Sherrell, CNA 133039 Case #2016-29509 File #193236 ($893.48) 2. Washington, Chrite E., CNA 91845 Case #2016-22131 File #283374 ($834.31)- A motion was made by Hubbard to approve the Settlement Agreement. Motion passed unanimously. 3. Miller, Jacqueline Rae, CNA 151250 Case #2016-24888 File #419536 ($1,244.89) Recused Member: Anna Maria Hubbard- A motion was made by Newman to approve Settlements 4 and 5. Motion passed unanimously.

4. Combee, Magen L., CNA 284229 Case #2015-25960 File #627204 ($1,565.75) 5. Clark, Kesha, CNA 126014 Case #2016-21735 File #395881 ($1,831.26) Recused Member: Diana Forst- A motion was made by Newman to approve Settlements 6 and 7. Motion passed unanimously.

6. Mobley, Lakesha B., CNA 158459 Case #2016-28900 File #424416 ($402.90) 7. Johnson, Trando D., CNA 281904 Case #2016-24825 File #619808 Recused Member: Lori Desmond- A motion was made by Newman to approve Settlements 8-13. Motion passed unanimously.

8. Phinney, Tina M., CNA 157868 Case #2016-19163 File #432492 ($1,619.39) 9. Phinney, Tina M., CNA 157868 Case #2016-17675 File #432492($3,634.96) 10. Sloane, Peggy S., CNA 208230 Case #2016-22166 File #506949 ($632.45) 11. Johnson, Alaina M., CNA 300287 Case #2016-27953 File #648870 ($1,779.98) 12. Turner, Katherine Mary, CNA 177808 Case #2016-24523 File #456423 ($1,877.85) 13. O'Neal-Merriel, Phyllis Rhea, CNA 82497 Case #2016-28044 File #130668 ($561.28)

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H. RN, LPN, and ARNP Settlement Agreements

Recused Member: Anna Maria Hubbard- A motion was made by Newman to approve Settlements 1-2 and 4-7. Motion passed unanimously.

1. Hernandez-Bravo, Cecilia A., aka Acosta, Cecilia, RN 9259291 Case #2013-13815 File #352025 ($2,950.54) 2. Jones-Posey, Jennifer Lee, RN 9230120 Case #2016-04763 File #319539 ($2,050.22)- Attorney Cynthia Mikos present. 3. Folsom III, Kendrick Harrison, RN 9303374 Case #2016-09822 File #402682 ($2,715.28)- A motion was made by Desmond to reject the Settlement Agreement. Motion passed with Whitson in opposition. A motion was made by Desmond to make a counter-offer to impose a V6A. Motion passed with Whitson in opposition. 4. Saint-Sume, Ricardo, LPN 5212886 Case #2015-28051 File #165541 ($1,098.02) 5. Marchi, Edmond, RN 9440740 Case #2016-21691 File #565006 ($1,009.23) 6. Genardo, Nicholas Robert, RN 9417242 Case #2016-14473 File #534897 ($324.67) 7. Curtis, Jamie, RN 9315702 Case #2016-08805 File #416247 ($2,876.74) Recused Member: Diana Forst- A motion was made by Newman to approve Settlements 9 and 10. Motion passed unanimously.

8. Shireman, Rene Lynn Freshwater, RN 9283630 Case #2016-26228 File #379689 ($1,297.61)- Pulled 9. Bourget, Courtney Lynn, LPN 5200427 Case #2014-22026 & 2015-31776 File #150942 ($1,650.22 + $2,904.77= $4,554.99) 10. Burkowsky, Alexandra, ARNP 9202664 Case #2016-27111 File #293220 Recused Member: Lori Desmond- A motion was made by Newman to approve Settlements 11-14. Motion passed unanimously.

11. Crosby, Kimberly Diane, RN 3176012 Case #2016-18228 File #182544 ($1,578.35) 12. Ding, Shuangshuang, RN 9304572 Case #2016-15708 File #401667 ($2,671.21) 13. Jefferson, Alice L., RN 3022522 Case #2017-00761 File #166685 ($533.68) 14. Hagan, Lorraine E., RN 9421547 Case #2017-01149 File #540809 ($619.61) Recused Member: Derrick C. Glymph- A motion was made by Newman to approve Settlement 15. Motion passed unanimously.

15. Nobles, Jody Nichole, RN 9299389 Case #2017-00534 File #398000 ($2,222.01) Recused Member: Kathryn L. Whitson- A motion was made by Newman to approve Settlements 17-20. Motion passed unanimously.

16. McVay, Megan Elizabeth, RN 9419584 Case #2016-09296 File #526179 ($1,194.94)- A motion was made by Desmond to reject the Settlement Agreement. Motion passed unanimously. A motion was made by Desmond to make a counter-offer to impose a reprimand and a $250 fine. Motion passed unanimously. 17. Ortiz, Danette, RN 9338109 Case #2016-18792 File #440557 ($4,378.13) 18. Dannenberg, Deanna Rose, RN 9314626 Case #2016-10628 File #416283 ($2,063.24) 19. Sailor, Lakisha Tiawanna, RN 9404457 Case #2016-13476 File #519740 ($1,197.88)

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20. Sailor, Lakisha Tiawanna, LPN 1331091 Case# 2016-13479 File #70902 ($1,243.70) Recused Member: Cathy Oles Gordon- A motion was made by Newman to approve Settlements 21 and 22. Motion passed unanimously.

21. Grawey, James Guy, RN 9307604 Case #2015-11361 File #407378 ($242.06) 22. Demoura, Marcos Dias, ARNP 9393578 Case #2017-00349 File #497805 ($281.66) Recused Member: Jody Bryant Newman- A motion was made by Whitson to approve Settlements 23-28. Motion passed unanimously.

23. Ortega, Hilary E., RN 9423749 Case 2016-28699 File #504596 ($3,396.05) 24. Davis, Andrew Warren, RN 9216291 Case #2016-25525 File #305223 ($1,827.25) 25. Farquharson, Donna Marie, LPN 1318301 Case #2016-28090 File #69610 ($537.10) 26. Rodgers, Thomas David, LPN 5173542 Case #2016-14015 File #119225 ($3,109.80) 27. Andrews, Kimberly June, RN 3172312 Case #2016-24003 File #182158 ($644.36) 28. Ivey, Susan, RN 3405182 Case #2016-16157 File #206244 ($5,866.30) 29. Butchkoski, Leeanne, RN 9262560 Case #2016-17887 File #359190 ($1,237.55)- Present with attorney Suzanne Hurley and sworn in. A motion was made by Glymph to approve the Settlement Agreement with the addition of a reprimand, which the parties agreed to on the record. 30. Ward, Jolene, LPN 5218716 Case #2016-20907 File #172940 ($1,414.43)- Pulled

I. CNA Voluntary Relinquishments

No Recused Members- A motion was made by Newman to approve Voluntary Relinquishment 1. Motion passed unanimously.

1. Blue, Casey E., CNA 290914 Case #2016-11116 File #636125

J. RN, LPN and ARNP Voluntary Relinquishments No Recused Members- A motion was made by Newman to approve Voluntary Relinquishments 1-5. Motion passed unanimously.

1. Wyman, Ana Maria, RN 9381406 Case #2017-08320 File #458723 2. Avera, Judith Marlene, RN 1643322 Case #2017-04485 File #53355 3. Wright, Michele, RN 2639382 Case #2017-07703 File #127147 4. Fischer, Suzanne M., RN 9371320 Case #2017-01423 File #459800 5. Pena, Nancy, RN 9286005 Case #2017-08051 File #383887 Recused Member: Lori Desmond- A motion was made by Newman to approve Voluntary Relinquishment 6. Motion passed unanimously.

6. Ewing, Robin Virginia, LPN 5178364 Case #2016-13013 File #125140

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Recused Member: Diana Forst- A motion was made by Newman to approve Voluntary Relinquishments 7 and 8. Motion passed unanimously.

7. Lego, Benjamin Fred, RN 9346874 Case #2016-24004 File #451834 8. Palazzolo, Kimberly A. D., ARNP 1216932 Case #2017-04698 File #21757 Recused Members: Lori Desmond, Kathryn L. Whitson, and Jody Bryant Newman- A motion was made by Hubbard to approve Voluntary Relinquishments 9 and 10. Motion passed unanimously.

9. Turpin, Matthew William, RN 9288460 Case #2015-29284; 2015-29298; 2017-03809 File #385247 10. Babmorad, Mary Jo, RN 9367918 Case #2016-24908 File #468907

II. Other

A. Practice Issues None

B. Advanced Practice Issues 1. Update on Advanced Practice Coalition Meeting- Mr. Baker informed the Board that he attended the Advanced Practice Coalition Meeting on July 22nd in Orlando. The Coalition has accepted the offer from the National Council to hire a lobbyist to facilitate Advanced Practice legislation and Public Relations.

C. Special Education Issues None

D. Legislative Issues 1. 2018 MQA Legislation Package- Mr. Baker notified the Board that the three requested

items from the Board have been included and are pending review by the Governor. He

also notified them of a glitch from HB 543 which did not remove the requirement of a

prep course from S.464.008, FS.

E. Declaratory Statements 1. Walter Lampeter, RN 93524032; Reference: Section 464.003(20), FS, regarding scope of practice as related to administration of BOTOX and dermal filler injections by a Registered Nurse. Present. A motion was made by Glymph to deny the petition due to it being outside the scope of practice. Motion passed unanimously.

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The meeting recessed at 5:45 p.m.

Friday, August 4, 2017 at 8:30 AM

Call to Order The meeting was reconvened by the Chair, Dr. Newman at 8:31 a.m.

Roll Call Board Members:

Jody Bryant Newman, EdD, EdS Consumer– Chair Kathryn L. W hitson, MSN, RN – Vice Chair Cathy Oles Gordon, LPN, BPS Diana Forst, BA, RN Lori Desmond, MSN, RN, NE-BC Derrick C. Glymph, DNAP, CRNA, ARNP, LTC (P) USAR

Anna Maria Hubbard, DNP, EdD, CNE, ARNP Lisa Johnson, MSN/Ed, RN, LPN

Absent:

Deborah McKeen, CD-LPN, BS- unexcused

Attorneys:

Lee Ann Gustafson, Senior Assistant Attorney General Diane Guillemette, Assistant Attorney General Matthew Witters, Assistant General Counsel

Louise St. Laurent, Deputy General Counsel

Board Staff:

Joe Baker, Jr., Executive Director Nicole Benson, Program Operations Administrator Melissa Greenfield, Program Operations Administrator Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Debra Owings, Nursing Education Consultant, MSN, RN

Kenia Jean Louis, Regulatory Specialist III

Disciplinary Hearings & General Business

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I. CNA, LPN, RN, and ARNP Discipline & General Business

A. CNA Motion to Vacate None

B. LPN, RN, and ARNP Motion to Vacate None

C. CNA Informal Waivers

The board, as appropriate, accepted unanimously the following motions: 1). The Department asks that you accept the investigative report into evidence for the purpose of imposing a penalty. 2).The Department asks that you find that the Respondent was properly served and waived the right to a formal hearing (either by failing to respond at all or timely). 3). The Department asks that you adopt the findings of fact and conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of the practice act. Recused Member: Derrick C. Glymph

1. Knights, Fitzpatrick M., CNA 283004 Case #2015-30358 File #622865– A motion was made by Newman to impose a V8. Motion passed unanimously. 2. Strickland, III, Joe L, CNA 292914 Case #2017-01493 File #634293– A motion was made by Newman to impose a V8. Motion passed unanimously. Recused Member: Anna Maria Hubbard

3. Davis, Kristi L., CNA 219936 Case #2016-15814 File #514343– A motion was made by Newman to impose costs of $11,112.72 and a V5F. Motion passed unanimously. 4. Wilcox, Seanea L., CNA 290174 Case #2016-07902 File #633773– A motion was made by Newman to impose costs of $982.22 and a V5F. Motion passed unanimously. 5. Ingram, Vakeshia S., CNA 79634 Case #2016-16162 File #341908– A motion was made by Newman to impose a V8. Motion passed unanimously. 6. Huggins, Chelsea L., CNA 273934 Case #2015-11956 File #603822– A motion was made by Newman to impose a V8. Motion passed unanimously. 7. McDaniel, Fredrick R., CNA 27795 Case #2016-15326 File #613648– A motion was made by Newman to impose a V8. Motion passed unanimously. 8. Staggars, Camille S., CNA 514033 Case #2015-31003 File #212881– A motion was made by Newman to impose a V8. Motion passed unanimously.

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Recused Members: Cathy Oles Gordon and Jody Bryant Newman

9. Contreras, Yanitta P., CNA 220886 Case #2016-21439 File #525476– A motion was made by Whitson to impose costs of $785.07 and a V6B. Motion passed unanimously. Recused Member: Jody Bryant Newman 10. Attilus, Yzelia, CNA 58984 Case #2016-29319 File #288781– Present and sworn in. A motion was made by Hubbard to impose a V8. Motion passed unanimously. 11. Briscoe, Jennifer R., CNA 150321 Case #2017-02684 File #423253– A motion was made by Whitson to impose a V8. Motion passed unanimously. Recused Member: Diana Forst 12. Barker, Jeanette N., CNA 193213 Case #2015-07348 File #487842– A motion was made by Newman to impose costs of $1,745.18, a P3 for 1 year and CEs in Legal Aspects (8 hrs) and Ethics (8 hrs). Motion passed unanimously. 13. Nelson, Emilee Noelle, CNA 298678 Case #2017-01065 File #649517– A motion was made by Newman to impose a V8. Motion passed unanimously. 14. Griffin, Alicia Danielle, CNA 294666 Case #2016-29546 Fille #641264– A motion was made by Newman to impose a V8. Motion passed unanimously. 15. Thibeau, Veronica R., CNA 322421 Case #2016-28839 File #594179– A motion was made by Newman to impose a V8. Motion passed unanimously. 16. Anderson, Aurora E., CNA 282912 Case #2015-29522 File #622171– A motion was made by Newman to impose costs of $871.13, a V6B, and a CE in Legal Aspects (8 hrs). Motion passed with Hubbard in opposition. 17. Strawder, Ethel Monika, CNA 91082 Case #2015-06200 File #356979– A motion was made by Newman to impose costs of $89.95, a reprimand, and CEs in Anger Management (8 hrs) and Ethics (2 hrs). Motion passed with Glymph in opposition. 18. Cook, Mercedes T., CNA 276697 Case #2016-15529 File #471396– A motion was made by Newman to impose costs of $1,447.92 and a V6A. Motion passed unanimously. Recused Member: Lori Desmond

19. Williams, Delexis C., CNA 281286 Case #2015-31529 File #606402– A motion was made by Newman to impose a V8. Motion passed unanimously. 20. Bouthot, Dinah Marie, CNA 331942 Case #2016-21440 File #702026– A motion was made by Newman to impose costs of $659.56 and a V6B. Motion passed unanimously.

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21. Groomes, Cedric R., CNA 314372 Case #2016-17697 File #656436– A motion was made by Newman to impose a V8. Motion passed unanimously. 22. Sessions, Shalondra R., CNA 289042 Case #2016-16571 File #633446– A motion was made by Newman to impose a V8. Motion passed unanimously. Recused Member: Deborah McKeen

23. Korley, Heather Lee, CNA 21835 Case #2016-17142 File #381010– A motion was made by Newman to impose a V8. Motion passed unanimously.

D. LPN, RN, and ARNP Informal Waivers The board, as appropriate, accepted unanimously the following motions: 1). The Department asks that you accept the investigative report into evidence for the purpose of imposing a penalty. 2).The Department asks that you find that the Respondent was properly served and waived the right to a formal hearing (either by failing to respond at all or timely). 3). The Department asks that you adopt the findings of fact and conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of the practice act.

Recused Member: Diana Forst

1. Abdal-Khallaq, Munnah, RN 9300421 Case #2016-23943 File #400109– A motion was made by Newman to impose costs of $417.95 and a V5F. Motion passed unanimously. 2. Suchon, Jessica Jill, RN 9177509 Case #2016-23617 File #262227– Pulled 3. Thomas, Roseann, LPN 5150170 Case #2016-29600 File #93126– A motion was made by Newman to impose costs of $27.77 and a V5F. Motion passed unanimously. 4. Green, Kerry Lane Hoeppner, RN 1947482 Case #2016-19811 File #80261– A motion was made by Newman to impose costs of $1,666.06 and a V6A. Motion passed unanimously. 5. Hornung, Kelly Jean, RN 9388678 Case #2016-23243 File #499908– A motion was made by Newman to impose costs of $71.12 and a V6B. Motion passed unanimously. 6. Woodward, Holly Beth, RN 9206120 Case #2016-30034 File #296351– A motion was made by Newman to impose a V8. Motion passed unanimously. Recused Member: Jody Bryant Newman

7. Elsberry, Cynthia Marie, RN 9305979 Case #2016-25894 File #406894– A motion was made by Whitson to impose costs of $504.44 and a V2. Motion passed unanimously. 8. Jenkins, Terry Lamont, LPN 5218079 Case #2016-25235 File #171678– A motion was made by Whitson to impose a V8. Motion passed unanimously.

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9. Harris, Michelle Lynn, RN 9239981 Case #2016-29876 File #333184– A motion was made by Whitson to impose a V8 due to aggravating factors. Motion passed unanimously. 10. France, Kyra Shea Lingo, RN 9361607 Case #2016-10935 File #466442– A motion was made by Whitson to impose costs of $118.10, a V6B, and CEs in Ethics (8 hrs) and Professional Standards (8 hrs). Motion passed Forst and Hubbard in opposition. 11. Lewis, Samantha Marie, LPN 5212901 Case #2016-10304 File #164288– A motion was made by Hubbard to impose costs of $997.90, a $250 fine, a P3 for 1 yr with Standard Terms, and CEs in Ethics (8 hrs) and Professional Standards (8 hrs). Motion passed unanimously. Recused Member: Lori Desmond

12. Nash, Amanda Nicole, RN 9300140 Case #2016-00067 File #399459– A motion was made by Newman to impose costs of $6,058.42 and a V6A. Motion passed unanimously. 13. Kelley, Heather Cherie, LPN 5216384 Case #2016-24368 File #170500– A motion was made by Newman to impose a V8 due to aggravating factors. Motion passed unanimously. 14. Cosby, Cameron Ray, RN 9350923 Case #2016-29351 File #456205– A motion was made by Newman to impose a V8. Motion passed unanimously. Recused Member: Anna Maria Hubbard

15. Kishel, Melissa Christine, RN 9178805 Case #2016-21677 File #265669– A motion was made by Newman to impose costs of $1,265.11 and a V6A. Motion passed unanimously. 16. Seelinger, Stephanie Elizabeth, LPN 5193512 Case #2016-23938 File #142938– A motion was made by Newman to impose costs of $592.34 and a V6A. Motion passed unanimously. 17. Cadet, Marie Cecile, LPN 5155755 Case #2016-21773 File #100309– Pulled 18. O'Malley, Michael Patrick, RN 3335282 Case #2016-23204 File #199002– A motion was made by Newman to impose costs of $1,037.61 and a V6A. Motion passed unanimously. Recused Member: Derrick C. Glymph

19. Mirville, Katiuska Violette, LPN 5204788 Case #2015-17374 File #156036- heard on Thursday. Recused Member: Kathryn L. Whitson

20. Spencer, Donald Wayne, RN 9182101 Case #2015-18521 File #267612– A motion was made by Newman to impose a V8 due to aggravating factors. Motion passed unanimously.

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E. Reinstatements and Compliance Issues CNA

None LPN, RN, and ARNP

1. Sanders, Mikki 1701/9183896- Present and sworn in. A motion was made by Glymph to impose a V5F and completion of a remedial course prior to reinstatement of the license. Motion passed unanimously.

II. Intervention Project for Nurses

1. State Reports

A. May

B. June

2. IPN Agenda Linda Smith provided a brief update on the monthly reports for May and June 2017. She further informed the board that they attended the Impaired Practitioner Summit and met with Surgeon General Philip. She also notified the Board that IPN has received requests to present regarding the new Recognizing Impairment in the Workplace CE.

III. Board Reports

A. Board Chair

Dr. Newman thanked Board Staff and Mr. Baker for their continued hard work.

B. Board Members

Ms. Johnson will be attending the Delegate Assembly with Ms. Forst in the next few weeks.

Dr. Hubbard is on the NCLEX Review Subcommittee, and will be traveling to Chicago soon.

Dr. Glymph attended the Multi Board Workgroup, and will be attending another meeting in November. He has also been selected as a Colonel in the Reserves this week.

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Ms. Desmond attended the NCSBN Tri-Regulator Symposium at the end of last month in Chicago. There was lengthy discussion regarding the current Opioid crisis. Educating legislators on the crisis and options, as well as educating the public and providers has been identified as the first step towards tackling the current crisis. She has been promoted to Director in another area of her hospital starting later this month.

Ms. Forst will also be attending as a delegate to the NCSBN meeting in a few weeks, and thanked everyone for their contributions to the latest edition of the Florida Nursing Quarterly.

C. Board Counsel

1. Rules Reports- Ms. Guillemette gave a brief review of the rules reports and notified the Board that they were moved for adoption yesterday.

June 2017 July 2017 1. Rule 64B9-8.005 - Unprofessional Conduct. A motion was made by Newman to

approve the proposed language. Motion passed unanimously. A motion was made by Newman to acknowledge that the proposed amendment would not have an adverse effect on small businesses or likely directly or indirectly increase regulatory costs to any entity, including government, in excess of $200,000 in the aggregate in Florida within one year after the implementation of the rule. Motion passed unanimously. A motion was made by Newman that a violation of this rule would not constitute a minor violation. Motion passed unanimously.

2. Rule 64B9-5.002 - Continuing Education Requirement. A motion was made by Newman to open the rule for development. Motion passed unanimously. A motion was made by Newman to acknowledge that the proposed amendment would not have an adverse effect on small businesses or likely directly or indirectly increase regulatory costs to any entity, including government, in excess of $200,000 in the aggregate in Florida within one year after the implementation of the rule. Motion passed unanimously. A motion was made by Newman that a violation of this rule would not constitute a minor violation. Motion passed unanimously.

3. Rule 64B9-15.0045 - Certified Nursing Assistant Renewal. A motion was made to amend the language to align with the current $50 renewal fee. Motion passed unanimously. A motion was made by Newman to acknowledge that the proposed amendment would not have an adverse effect on small businesses or likely directly or indirectly increase regulatory costs to any entity, including government, in excess of $200,000 in the aggregate in Florida within one year after the implementation of the rule. Motion passed unanimously. A motion was made by Newman that a violation of this rule would not constitute a minor violation. Motion passed unanimously.

2. Litigation Update- Ms. Guillemette notified the Board that there is one CNA Exemption case on appeal. The DCA upheld the Board’s denial of the request. There will be one case

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from DOAH coming to the October meeting. She recently received a request from a program, but does not believe it will move forward with DOAH. 3. A motion was made by Newman to open rule development to allow the Board to develop a CNA exam application to incorporate it with the standardized DOH application. Motion passed unanimously.

D. Prosecution Services Unit

Mr. Witters gave a brief prosecution report for the Board. A motion was made by Newman to

allow PSU to continue to prosecute cases that are over a year old. Motion passed

unanimously.

E. Executive Director

1. Ratification Lists- A motion was made by Newman to approve the below Ratification Lists. Motion passed unanimously.

A. Nursing Withdrawals B. CE Provider C. Licensure Applicants

2. Draft of DOH Standardized Licensure Application- informational 3. Enhanced Nurse Licensure Compact (eNLC) Implementation Update- Mr. Baker notified the Board that the Commission had a conference call recently to review by-laws and elect officials. Implementation work is continuing to prepare for a “go-live” date in early 2018. Discussion ensued regarding the Compact and how it will impact current processes. Mr. Baker mentioned that other states do not list an option for initial applicants to select a Single State or Multi-State License (MSL) license, they are simply granted a MSL if they qualify for it. He requested the Board do the same. A motion was made by Glymph to remove the option for MSL on the application that was approved at the Long Range Planning Meeting in June. Motion passed unanimously. Ms. Gustafson notified the Board Members that due to the $75 fee for the Conversion application, a Statement of Estimated Regulatory Costs (SERC) would need to be completed and the rule would need to be ratified by the legislature, which could delay implementation for the Compact. She notified the Board that if they were to utilize the current fees of $100 for standard applications, they would not need to pursue a SERC or ratification. A motion was made by Newman to withdraw the previously approved fees for the conversion application in order to promulgate the rule. Motion passed unanimously. Mr. Baker notified the Board Members that Board Staff met with ISU investigators in Jupiter on Wednesday. He officially welcomed Nicole Benson as the new Program Administrator for

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the Licensure Unit. Sheronda McMillan has relocated to Texas, and Dontavia Sanders has been selected as the new Supervisor for the ARNP licensure team. Janet Doke, a Nursing Consultant has been approved to telework from Ft. Myers, which would also allow her to conduct site visits pursuant to the new statute changes this year. He thanked Board staff for their outstanding efforts and dedication to nursing regulation, as well as for the latest issue of the Florida Nursing Quarterly. He notified the members that a Conference Call will need to take place sometime before the end of the month to address additional licensure cases that were not able to be prepared/placed on this agenda- members will be polled next week to determine a date/time for a quorum. He attended the QUIN Council meeting in Tampa on June 16th, as well as the Executive Officer Leadership Summit in June. He also attended the eNLC Transition Commission meeting in Chicago at the end of June. There is another meeting scheduled in Chicago on August 15th for the Interstate Commission. He mentioned the Controlled Substances work group that came out of the Multi-Board Workgroup. The work group will have another meeting at the end of September, and possibly another in November. He will also be speaking to the Florida Nurse Practitioner Network on 8/11.

F. Approval of Minutes (Previous Meeting, Committee Recommendations)

A motion was made by Newman to approve the previous minutes and Committee minutes. Motion passed unanimously.

G. Financial Report

Ms. Forst gave a brief overview of the financial reports for the Board Members.

IV. Adjournment

The meeting adjourned at 11:33 a.m.