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Requirements for Clinical Nurse Specialist Licensure in Ohio Employer Duty to Report Misconduct PUBLICATION OF THE OHIO BOARD OF NURSING Spring 2005 Volume 3 Issue 2 Requirements for Clinical Nurse Specialist Licensure in Ohio Employer Duty to Report Misconduct

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Page 1: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Requirements

for Clinical

Nurse Specialist

Licensure in Ohio

Employer Duty to

Report Misconduct

P U B L I C A T I O N O F T H E O H I O B O A R D O F N U R S I N G

Spring 2005 • Volume 3 Issue 2

Requirements

for Clinical

Nurse Specialist

Licensure in Ohio

Employer Duty to

Report Misconduct

Page 2: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

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Page 3: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing 3

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Page 4: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Meet Your Board9

6 Letter from thePresident

7 President’s Message

10 Board News

19 Duplicate Licenses

22 Payment Failures

26 Board DisciplinaryAction

29 Address Change

contentsSpring 2005 I Volume 3 Issue 2

Momentum is published by the

Ohio Board of Nursing17 South High Street, Suite 400

Columbus, Ohio 43215-7410Phone: 614-466-3947

Fax: 614-466-0388www.nursing.ohio.gov

PresidentYvonne M. Smith, MSN, RN, CNS

Vice-PresidentMary Jean Flossie, LPN, LNHA

Executive DirectorJohn M. Brion, RN, MS

EditorCynthia R. Snyder, JD

Editorial AssistantRosa M. Smith

The mission of the OhioBoard of Nursing is to actively

safeguard the health of thepublic through the effectiveregulation of nursing care.

Information published in theMomentum is not copyrighted and

may be reproduced. The Boardwould appreciate credit for the

material used.

Advertisements contained hereinare not necessarily endorsed by the Ohio Board of Nursing.

The publisher reserves the right to accept or reject

advertisements for Momentum.

The Ohio Board of Nursing is an equal opportunity employer.

MOMENTUM is produced at no cost to Ohio taxpayers

Momentum reaches every Nurse and DialysisTechnician, every Hospital and Nursing SchoolAdministrator in the State of Ohio. Over 192,000copies are addressed and mailed statewide. Estimatedreadership is well over 540,000 with each issue.

Meet the Board Staff9

Clinical Nurse Specialist Licensure in Ohio23

Employer Duty to Report Misconduct25

Created byPublishing Concepts, Inc.

Virginia Robertson, [email protected]

14109 Taylor Loop Road • Little Rock, AR 72223501.221.9986 or 800.561.4686

www.thinkaboutitnursing.comFor advertising information contact:

David Brown, V.P. Sales at501.221.9986 or 800.561.4686

[email protected] 8

Note: The automated telephone verification line,614-752-3980, is no longer in service. Pleaseremove this number from any listings or distributionlists. License verifications may be obtained on ourweb site at www.nursing.ohio.gov or by calling theBoard office at 614-466-3947. Thank You.

Budget Testimony of John Brion20

Page 5: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since
Page 6: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

As President of the OhioBoard of Nursing, one of myresponsibilities is to representthe Board in public. In doingso, I frequently have an oppor-tunity to speak with licenseesand certificate holders aroundthe state. Through these inter-actions, I sometimes find thatconfusion exists regarding thedifference between the Boardof Nursing and professionaland specialty nursing associa-tions. Although both groupsshare concern for patients inthe healthcare system, the gen-eral purposes, functions andactivities of the Board and the

associations differ markedly.The role of the Board of Nursing is to

actively safeguard the health of the public.This mission is achieved through the effec-

tive regulation of nursing care, dialysis technicians, and, justrecently, community health workers. The state legislatureestablished the Board of Nursing and statute mandates theBoard structure and function. Under the current law, theBoard consists of 13 members, 8 of whom are RegisteredNurses, 4 who are Licensed Practical Nurses, and 1 who servesas the consumer member. One of the Registered Nurse mem-bers must hold a certificate of authority to practice as anAdvance Practice Nurse. Board members are appointed by theGovernor, with the advice and consent of the Ohio Senate.

The Board of Nursing is a public regulatory body and itsmembers are considered to be public officials. As such, allBoard meetings are public and all deliberations of the Board(excluding certain disciplinary and personnel matters) mustbe conducted in a public forum. Board papers, records, andfiles (electronic and otherwise) are public records and are sub-ject to disclosure under the state public records laws. In addi-tion, Board members are subject to the scrutiny of the publicand must comply with certain reporting and financial disclo-sure requirements. This is consistent for all licensure and reg-ulatory boards in Ohio.

The purpose of the Board of Nursing is to enforce the statelaw and rules that regulate nursing practice. This processbegins with the licensure function. The Board of Nursing ischarged with assessing the qualifications of each individualseeking licensure as a nurse, dialysis technician, or communi-ty health worker in Ohio. The review is based upon standardsset in law and rule that are designed to assure an individual cansafely perform the function for which he or she is licensed.Following licensure, the Board’s responsibilities continue. Oneof the most challenging duties of the Board is to investigateand take disciplinary action against licensees who are allegedto have violated the Nurse Practice Act. Clearly this is done toinsure that licensed nurses continue to meet safe practice stan-

dards and do not pose a threat to the safety of the public.Additional responsibilities of the Board include approving pre-licensure nursing education programs, granting approval forindividuals to sit for the licensure exam, approving continuingeducation programs, and monitoring continuing educationcompliance.

In contrast, professional associations and specialty organi-zations are not public entities and perform a function quite dif-ferent from that of the Board. These groups are comprised ofmembers who voluntarily pay dues to join and become activein the organization to varying degrees. Professional organiza-tions are typically run by a board of trustees whose membersare individually elected by association members. The OhioNurses Association (ONA), and the Licensed Practical NursesAssociation of Ohio (LPNAO) are two associations that offermembership to nursing professionals without regard to spe-cialty practice. Other organizations offer membership to nurs-es who share a common interest such as practice setting ornursing specialty. Many of these are national organizationsthat have established state and local chapters. Organizationsthat address specific interests include the Ohio League forNursing, the Ohio Association of Advance Practice Nurses, theOhio State Association of Nurse Anesthetists, and those repre-senting critical care nurses, operating room nurses, schoolnurses, and others.

Associations such as these provide a forum for practition-ers to develop professional standards, discuss current issues,and work collectively to promote the economic and generalwelfare of nurses. They frequently engage in legislative advo-cacy and provide a voice to the profession on matters of leg-islative interest. Professional organizations can also assistmembers in addressing workplace issues and others that arenot matters of nursing law or rules. While they provide mem-ber representation in a variety of ways, associations do notenforce nursing law and rules. They do, however, work withboards and other interest groups to develop laws and rules rel-evant to the profession. This in turn allows associations toassist in enhancing patient safety and the quality of care deliv-ered by professional nurses.

In my professional experience, I am fortunate to have thevantage point of being closely involved in both types of organ-izations. Membership in a nursing association has afforded mea wide variety of benefits. Mentoring, professional growth, col-legiality...all can be found in an organization of those devotedto common career goals. My experience on the Board ofNursing has provided another view of nursing. Understandingnursing regulation and participating in the political process isyet another area in which nurses have an impact. As healthcare professionals we need to be informed and involved.Whether volunteering as an association member or serving asa board member for the Ohio Board of Nursing, we not onlyenhance our professional status, but promote the profession ofwhich we are members.

f r o m t h e p r e s i d e n t

6 MOMENTUM

Yvonne M. SmithMSN, RN, CNSPresident

Page 7: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing 7

President’s Message:The Board of Nursing has received

several comments and complaintsabout its role in the current discussionrelating to medication aides. It isimportant to understand that the med-ication aide proposal was first formal-ly proposed in a 2004 report issued bythe Nursing Facility ReimbursementStudy Council. This group is a panelconsisting of legislators, state agencypolicymakers, interest groups, andconsumer representatives. It is currently chaired by RepresentativeShawn Webster (R-Millville).

The impetus for the medication aideproposal is the long-term care indus-try, both in Ohio and nationally. Thereare other proponents of the conceptincluding Governor Bob Taft, and theOhio Department of Aging. The Boardof Nursing is historically resistant topropositions to create new categoriesof health care practitioners to performnursing tasks and activities.

As the agency that regulates thepractice of nursing in Ohio, the Boardhas been asked to comment on variousaspects of this proposal. The positiontaken by the Board has been consis-tent with the mission of the Board toprotect the public safety. Represen-tatives of the Board have stated thatthe Board has adopted no position onthe merits of a medication aide propos-al. The Board has, however, indicatedthat if such a practitioner is to be cre-ated in Ohio it should be done in sucha way as to protect the interests of thepublic, and should operate under theauspices of the Board of Nursing.

As the discussions of the issue haveevolved from last fall until now, it hasbecome apparent that there is sufficientsupport within the legislative communi-ty that a medication aide proposal willbe adopted into law. For this reason, theBoard has sought to provide insight onissues specific to each of the variousproposals under discussion. This shouldnot be interpreted as the Board endors-ing the concept of medication aides, norshould the Board be viewed as cooper-ating in an effort to undermine the prac-tice of nursing in Ohio.

The Board was pleased to welcome two new members at its March2005 meeting. Filling a registered nurse position is Kathleen O’Dell,

RN, M.Ed., of Greenville Ohio. She replaces Pat Schlecht, RN, MSN whoconcluded her second term on the Board. Ms. O’Dell is currently aNationally Certified School Nurse, working in the Greenville CitySchools. She has been active in both education and nursing circles sinceobtaining her Ohio nursing license in 1970. The perspective of a schoolnurse is new to the Board and should prove very enlightening.

Completing the unexpired term of Diann Caudill LPN, is J. Jane

McFee LPN. Ms. McFee has practiced as an LPN for 26 years in a vari-ety of settings. She currently works in the Pre-Anesthesia TestingAdvanced Admissions Department of Bay Park Community Hospital inOregon Ohio. Ms. McFee has served on the Board of Nursing oncebefore and has been an active participant on the Nurse Education andPractice Advisory Committee. She has also been active with nursingprofessional associations including LPNAO.

The Board extends both new members a very warm welcome.

New MembersNew Members

The Ohio Board of Nursing is again recruiting NCLEX® readers. Underthe Americans with Disabilities Act, students who need a reader dur-ing the examination are granted an accommodation to have one. It is the responsibility of the Ohio Board of Nursing to maintain a list of qualified readers for use when the occasion arises.

Readers must be available for a time period of 1-2 days of testing at aspecified time and place, sign an NCLEX ® Reader Agreement, followthe guidelines given, and remain with the candidate during the entiresession. The reader must be able to read aloud accurately and clear-ly and have the ability to pronounce medical/nursing terms correctly.

Readers may not be:

a faculty member in a basic/undergraduate nursing program within 6months of reading duties; an instructor in any courses, workshops ortutoring activities that involve coaching on test questions similar incontent to those on the examination within the previous 6 months; or

a student in a nursing education program preparing for licensure.

The test administrator, Pearson-Vue, will pay readers a small honorari-um. The test administrator will contact readers from the list submittedby the Ohio Board of Nursing to determine availability. Readers maydecline an assignment without being deleted as a reader.

If you are interested, please contact Norma Selders RN MS, Manager:Education, Licensure and Nursing Practice at the Ohio Board ofNursing, 17 South High Street, Suite 400, Columbus, Ohio 43215 orby email: [email protected].

NCLEX® READERS NEEDED

Page 8: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

8 MOMENTUM

Join Our Nursing Team!Every nurse has a unique vision of nursing. The hopes and dreams of a career that

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Current opportunities:

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or visit Career Opportunities on our website at www.akrongeneral.org.

“A great thing about nursing at Akron GeneralMedical Center is that I have a fulfilling career that payswell, too. It gives me the flexibility to spend time with my family. – Ed Ingol, RN, BSN, PACU

Akron General has been repeatedly named “One of America's Best Hospitals” by US News & World Report,one of the nation's “100 Most Wired Hospitals” for use of technology by Hospitals & Health Networks magazine,

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Our State Board magazines are direct mailed to everylicensed nurse in the followingstates–one million and growing!

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Page 9: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Anne Barnett, BSN, RNC isserving her first term on the OhioBoard of Nursing. She was appointedto the Board by Governor Bob Taft inMarch, 2003.

Anne completed her nursing educa-tion in 1970 at the Good SamaritanSchool of Nursing in Zanesville, Ohio.She spent her first years of practice as acharge nurse in a specialty surgical unitof Good Samaritan Hospital. In this roleshe performed the full range of nursingduties including medication administra-tion, medical treatments, patient assess-ments, and patient care planning.

After serving many years in thisacute care role, Anne shifted focus tothe area of home care. She served as ahome care patient manager for a num-ber of years where she managed acaseload of between 25 and 30patients. This position required her tocoordinate the provision of all typesof home care services to be providedby a variety of health care disciplines.

After 20 years of providing directnursing care services, Anne assumed amanagement role in the Good SamaritanHospital’s home care department. Sheserved as a Patient Care Coordinatorand Manager for the main office as wellas several branch offices. In this capaci-ty, she was involved with qualityimprovement and risk managementplanning, budget and financial matters,patient care policies and procedures.She was also responsible for the coordi-nation of JCAHO preparations, and thehiring and evaluation of agency staff.During this time she completed aBachelor of Science in Nursing (summacum laude) at Ohio University.

For the past five years, Anne hasmanaged Good Samaritan’s WoundManagement Center. In this role shewas instrumental in developing a newprogram/product from its inception tocompletion and implementation.

Over the years Anne has been veryactive with the Ohio Council for Home

Care. She has served onits Compliance andReimbursementCommittee, EthicsCommittee, and StrategicPlan Committee. She hasalso worked with theCouncil for Home Careas a CPR instructor andas part of CQI teams.

In terms of communi-

ty involvement, Annehas served as a memberof the Perry CountyHealth Department andas a Southeast DistrictTrustee for the OhioAssociation of Boards ofHealth. She has alsobeen active with thePerry County HeartCoalition.

Dennis Corrigan is not your typi-cal Registered Nurse. In the first place,he is a man. (Board of Nursing surveydata show that men represent only 4percent of nurses in Ohio.) In the sec-ond place, nursing is his second career.Thirdly, he plays harmonica and is thelead singer in a blues/rock band.

As a Compliance Agent for theBoard, Dennis Corrigan RN investi-gates nursing complaints in the north-ern part of the state. Results of theseinvestigations are compiled in reportsthat are submitted to the Board forreview and further action as neces-sary. Dennis has served in this rolewith the Board since 2001.

Dennis came to the practice ofnursing by a more circuitous routethan many. Following high school,Dennis attended college at OhioWesleyan University in Delaware Ohio.At Ohio Wesleyan he studied liberalarts and played football but left schoolwithout obtaining his degree. Fromthere he moved into the realities of theworking world and secured a job witha wastewater treatment plant. Afterfourteen years in this venue, he decid-ed to pursue a different course.

Embarking upon a second career,Dennis enrolled in the nursing pro-gram at Lakeland Community College

and graduated with an AssociatesDegree in Nursing. He becamelicensed as a Registered Nurse in 1991.During the ten years that followed,Dennis worked in a variety of highacuity intensive care units, emergencydepartments, and trauma centers.These include: Surgical Intensive CareUnit at University Hospitals ofCleveland; Surgical Intensive CareUnit and Level One TraumaUnit/Emergency Department at Mt.Sinai Hospital of Cleveland; IntensiveCare Unit and Emergency Departmentfor the Lake Hospital System; andMedical Intensive Care and CardiacCare Units at Cleveland Veteran’sHospital.

In addition to being a RegisteredNurse, Dennis completed training atthe Crisis Prevention Institute locatedin Brookfield, Wisconsin and is aCertified Instructor for NonviolentCrisis Intervention. He has also under-gone National Certified InvestigatorTraining (CLEAR) in basic and special-ized programs at Eastern KentuckyUniversity.

Not content to simply pursue a sec-ond career, Dennis also has a secondjob. Evenings and weekends will findhim playing harmonica and singinglead vocals for a blues/rock band.

Ohio Board of Nursing 9

Meet Your Board

b o a r d n e w s

Meet the Board StaffMeet the Board Staff

Page 10: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

b o a r d n e w s

The Ohio Board of Nursing meets sixtimes per year with the meetings begin-ning on Thursday and continuing untilbusiness is completed the followingFriday. The Board may also meet onWednesdays prior to the Board meetingas a whole or in small groups to discussspecific items or issues, to participate in

continuing education activities, or toconduct a public rules hearing (general-ly in November). Watch for formal noti-fication of the date, time and location ofrules hearings. Summaries of thesemeetings or hearings are presented tothe full Board during a regularly sched-uled Board meeting for information and

possible action by the Board. TheThursday meeting begins promptly at9:00 AM. The public is invited to attend,however, potential attendees shouldcontact the Board office at 614/466-6940prior to the scheduled meeting to deter-mine if there have been any changes inthe location of the session.

January 20-21, 2005

March 17-18, 2005

April 18-19 (retreat)

May 19-20, 2005

July 21-22, 2005

September 15-16, 2005

November 16-17-18, 2005

January 19-20, 2006

March 16-17, 2006

(retreat – T.B.A)

May 18-19, 2006

July 20-21, 2006

September 21-22, 2006

November 15-16-17, 2006

January 18-19, 2007

March 15-16, 2007

(retreat – T.B.A)

May 17-18, 2007

July 19-20, 2007

September 27-28, 2007

November 14-15-16, 2007

All meetings of the advisory groups

begin at 10:00 AM (unless other-

wise noted) and are held in the

Board office. Because space is lim-

ited, if you have an identified need

to attend one of these meetings,

please contact the Board office at

614/466-9970 to determine space

availability, as well as any change

in the location, date or times from

those listed.

The Advisory Group on Nursing

Practice and Education Issues

will meet February 10; June 9;

August 11; October 13; and

December 8, 2005.

Chair: Kathleen Driscoll

The Advisory Group on Dialysis

will meet February 15; April 26;

June 21; August 16; and October 18,

2005.

Chair: Debra Broadnax

The Advisory Group on Continuing

Education will meet February 18;

June 17; and October 21, 2005.

Chair: Lisa Klenke

The Committee on Prescriptive

Governance will meet April 11 and

October 17, 2005.

Chair: Joanne Navin

Dates and Location of Scheduled Board Meetings

Advisory Groups/Committees

10 MOMENTUM

2005 MembersOhio Board of Nursing Term Expires

Yvonne M. Smith, MSN, RN, CNS, President Canton 2005

Mary Jean Flossie, LPN, LNHA, Vice President Massillon 2005

Kathleen Driscoll, JD, MS, RN West Chester 2005

Lisa Klenke, MBA, RN, CNAA Coldwater 2005

J. Jane McFee, LPN Perrysburg 2005

Anne Barnett, BSN, RNC Junction City 2006

Bertha Lovelace, RN, BA, CRNA Cleveland 2006Supervising Member for Disciplinary Matters

Debra Broadnax MSN, RN, CNS Columbus 2007

Elizabeth Buschmann, LPN Oregon 2007

Judith Brachman, Consumer Member Columbus 2007

Cynthia Krueger, RN, MSN Napoleon 2007

Teresa L. Williams, LPN West Union 2007

Kathleen O’Dell, RN, M.Ed., N.C.S.N Greenville 2008

RECRUIT NURSES. thinkaboutitnursing.com

Page 11: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

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Page 12: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

12 MOMENTUM

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Page 13: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Nursing education…pass it on.

N u r s i n g . I t ’ s R e a l . I t ’ s L i f e .

If you want to know more about making a differencethrough a career in nursing education, visit us online at:www.nursesource.org

Teaching the nurses of tomorrow is…

Page 14: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

14 MOMENTUM

It’s a Small World for IndianaWesleyan Nursing Alums

Julia Leatherman was teaching at anursing school in India when anothernurse, Robyn Bullock, came to speak at a ceremony for nursing students.

The two women never had met, eventhough both were Indiana natives. But theyquickly discovered a common bond: bothhad nursing degrees from IndianaWesleyan University.

The odds of that happening increaseeach year as hundreds of nursing studentsearn their degrees at IWU through one ofthe following avenues of study:

The traditional four-year program thatleads to Bachelor of Science degree in

nursing and prepares students forcareers in a variety of settings.

The Master of Science degree inCommunity Health Nursing, whichprepares nurse specialists foradvanced practice in a variety of set-tings, both locally and globally.

The Master of Science degree in Primary Care Nursing, which prepares registered nurses to becertified as adult, family or geronto-logical nurse practitioners.

The RNBS completion program,which is aimed at registered nurses whowant to complete the requirements for aBachelor of Science degree.

The traditional program is offered in state-of-the-art nursing skills simulation laborato-ries and classrooms on IWU’s main campusin Marion, Ind.

The RNBS program is offered at multiplesites throughout Indiana, Kentucky and Ohio— as well as online and the graduate pro-grams are now offered off-campus acrossthe state of Indiana, with plans to expand toonline in May, 2005.

The two nurses who met halfwayaround the world in India followed different

paths to their IWU degrees. Ms. Bullockearned her Bachelor of Science degree innursing through the traditional program.Ms. Leatherman earned a Master ofScience degree in Community HealthNursing from IWU.

The two women used their nursing edu-cations to pursue different careers but with ashared desire to be servant leaders.

At the time they met in India, Ms. Bullockwas associated with the Emmanuel HospitalAssociation, which is based in New Delhi,and oversees 19 hospitals and four nursingschools in India.

Ms. Leatherman works for an agency thatserves developmentally delayed infants andalso is an independent wellness consultantin Goshen, Ind. She was in India as part of aRotary Club-sponsored program to eradi-cate polio.

Both women were prepared for theirexperiences by the opportunity given to allIWU nursing students to learn about othercultures and the effect that culture has onhealth beliefs and behavior.

Compassionate care is a key element inthe nursing educational formula at IWU.Nursing faculty believe people are createdby God, in His image, and consequently,have intrinsic worth and value.

The foundation for all nursing programs atIWU is a blend of scientific reasoning, techno-logical skills and a compassionate heart.Students learn to provide holistic care for indi-viduals by attending to their physical, psycho-logical, social and spiritual needs.

All IWU nursing programs are accreditedby the Commission for Collegiate NursingEducation and the Indiana State Board ofNursing. IWU nursing graduates historicallyhave one of the highest rates in the nationwhen it comes to passing their nationalnursing exams.

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Page 15: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing 15

P R O M E D I C A H E A L T H S Y S T E M

Critical Care NursingMore opportunities than

you can imagine

Equal Opportunity Employer.

W W W . P R O M E D I C A . O R G

If you’re a Critical Care Nursing professional eager to advanceyour career, expand your skills, maximize your compensationand benefits – look no further than ProMedica HealthSystem. Here you’ll have four leading hospitals to choosefrom – The Toledo Hospital, Toledo Children’s Hospital,Flower Hospital and Bay Park Community Hospital – withover a dozen Critical Care Units. The technology is up to theminute, the career growth never ending and the teamworkand camaraderie second to none.

Choose your Hospital. Secure your Future.It’s time you discovered the exceptional RN Critical CareNursing career opportunities now available for you atProMedica Health System – along with our competitive payrates and comprehensive benefits that include 401K, pensionplan, health and dental plans and generous time off.

Nursing GraduatesThe ProMedica Nursing Intern Program provides a scheduledbonus incentive. To learn more about the Nursing GraduateProgram, please contact the individual at each facility listed below.

Bay Park Community HospitalNursing opportunities, please contact: Wendy Papenfuss Phone: 419-690-7800Fax: 419-697-7746 Email: [email protected]

Flower HospitalNursing opportunities, please contact: Dot Barnes Phone: 419-824-1516Fax: 419-824-1762Email: [email protected]

The Toledo Hospital/Toledo Children’s HospitalNursing opportunities, please contact:Kara ZimmerlyPhone: 419-291-5984Fax: 419-479-6097Email: [email protected]

800.561.4686 • [email protected] Concepts, Inc. • 14109 Taylor Loop Road • Little Rock, Arkansas 72223

is the official publication of the Ohio Board of Nursing and is addressed and mailedto all 192,000 nurses and dialysis technicians in the state of Ohio.

Publication Schedule for 2005-2006:July 15, 2005 • October 14, 2005 • January 16, 2006Copy and space reservations due 15 days before publication dates.For Advertising Information and Reservations please call or e-mail David Brown

Available for Purchase:• Current Law (dated December 31, 2004) and Rules

(dated February 1, 2005), $9 if shipped; $6 if picked up atthe Board office. Single copies only are available.

• Combined Board Publications, $14.50-Includes the currentlaw and rules of the Board and a copy of all Board brochuresincluding; Facts About the Ohio Board of Nursing brochure andContinuing Education Requirements for RN’s, LPN’s andDialysis Technicians in Ohio. Single copies only are available.

Please use the order form on this page.

ORDER FORMUse this form to order Board publications. All orders mustbe pre-paid. This form and fee should be made payable toTreasurer, State of Ohio and sent to Attention: Administration,Ohio Board of Nursing, 17 South High Street, Suite 400,Columbus, Ohio, 43215-7410.

Name________________________________Agency ______________________________Address______________________________________________________________________________________________________

Telephone Number _____________________E-mail address ________________________

Please send me the following checked items. I have

enclosed the appropriate fees, totaling $_________II Current Law and Rules-$9 II Combined Board Publications-$14.50Unless otherwise noted, the materials listedabove may be duplicated. All orders must bepre-paid. NOTE: No cash will be accepted.

Judson offers a comprehensive employ-ment package including health/dental/, 403(b), employer-funded pension plan, freeonsite parking, onsite fitness center andtuition reimbursement.

For consideration for one of our positions,or to tour our beautiful campus, pleasecontact Lindsey Howell at (216) 791-2055or fax a resume to (216) 791-2481.

RN FT 10:30pm to 7:00am Mon-FriLPN/RN FT 2:30pm to 11:00pmLPN/RN PT 10:30pm to 7:00amLPN/RN Every Weekend 6:30am to 3:00pm & 2:30pm to 11:00pmLPN/RN PRN AL or Nursing, all shiftsShift Differential & Premium Pay available

Judson at University Circle2181 Ambleside DriveCleveland, Ohio 44106www.Judsonretirement.org

Page 16: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

About Our HospitalsSt. Charles Mercy Hospital, one of our community hospitals,is located in the suburban area of Oregon. It is a 390-bedfacility that offers services such ad Med/Surg, Surgical, CardiacRehab, Transitional Care, Obstetrics with Special Care Nursery,Cardiac and Intensive Care as well as Emergency Services.

St. Anne Mercy Hospital, our newest hospital, is located in West Toledo, near the Michigan border, shopping and restaurants. It is a 100-bed facility that offers services such as Med/Surg,Surgical, Cardiac and Intensive Care, Obstetricswith Special Care Nursery as well as EmergencyServices and Physician Offi ces.

St. Vincent Mercy Medical Center is a level I Trauma Center that offers services in Med/Surg,Surgical, Cardiac and Intensive Care, BurnCenter, Transitional Care, Open Heart Surgery,Emergency Services including Life Flight, and Community Clinics.

Mercy Children’s Hospital, a joint venture withthe Medical College of Ohio, is located on the St. Vincent campus and offers many of the same services.

To fi nd out more, visit www.mercyweb.org,call 419-251-5550 or send your resume

to the recruitment offi ce at:

2200 Jefferson Ave. • Toledo, OH 43624Fax: 419-251-7749

St. Vincent Mercy Medical Center

St. Charles Mercy Hospital

St. Anne Mercy Hospital

Mercy Children’s Hospital

Distinguished Hospitals for “An Outstanding Patient Experience”

16 MOMENTUMA d v e r t i s e m e n t

Page 17: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing 17

EOE

Mercy’s focus on Excellence inHealthcare helps you take your career to a higher level.Working with professionals who share your high quality standards is anexhilarating experience that will enhance your career and advance your

profession. That’s why you owe it to yourself to explore a future withMercy Health Partners. Here you’ll have the freedom to reach the outer limits

of your potential in a supportive and stimulating setting focused onexcellence.

Believeit.

Mercy Health Partners Metro DivisionLocated in Toledo and one of Northwest Ohio’s largest employers, this division of Mercy Health Partners consists of two Community Hospitals, one Medical Center and one Children’s Hospital. Ancillary affiliates include opportunities in home care, community clinics, and LifeFlight.

RN Opportunities At Mercy Health Partners:SIGN-ON BONUS UP TO $3,000

Full-time, Part-time, and Per-Diem positions available.Flexible Scheduling/4, 6, 8 and 12 hour shifts available.

• ICU • Step-Down • Med/Surg Telemetry • Emergency Department• Surgical Services • Acute Rehab • CCU • Step-Down ICU • Step-Down CCU

• Medical/Surgical • Float • Psychiatric Services • Cardiac ICU • Step-Down Cardiac • Vascular • Renal • Pulmonary • Intermediate Medical/Surgical • Neuroscience

• Medical Surgical/Trauma ICU • Surgical Services

A d v e r t i s e m e n t

Page 18: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

18 MOMENTUM

Become a TriHealth nurse and enjoy:• WORKPLACE STABILITY• IMMEDIATE HEALTH CARE COVERAGE• SIGN-ON-BONUSES• GENEROUS SHIFT INCENTIVES• FLEXIBLE WEEKEND OPTIONS• NEW HIRE SUPPORT PROGRAMS

Bethesda North Hospital/HR10500 Montgomery RoadCincinnati, Ohio 45242513-745-1151 • 513-745-1239 FAX

Good Samaritan Hospital/HR375 Dixmyth AvenueCincinnati, Ohio 45220513-872-2655 • 513-872-3672 FAX

CYNDY, RN, 15-YEAR EMPLOYEE

www.trihealth.com

Why do I stay here? I can sum it up in one word:

caring.~ Annette Young RN, 15-year employee

Visit www.trihealth.com for a complete listing of nursing opportunities. Apply on line or fax or send your resume to:

TriHealth is growing with major expansions at Good Samaritan Hospital and Bethesda North Hospital and a new Bethesda medical center beingbuilt in Warren County. Excellent career opportunities await outstanding

Registered Nurses who want to play a vital role in“caring for people first.”

Equal Opportunity Employer We stand in support of equality for and advancement of all people based on their qualifications and actions alone without regard to color, gender, age, religion, national origin or disability.

DO IT. FOR YOU.800.561.4686 • [email protected] Concepts, Inc. • 14109 Taylor Loop Road • Little Rock, Arkansas 72223

is the official publication of the Ohio Board of Nursing and is addressed and mailedto all 192,000 nurses and dialysis technicians in the state of Ohio.

Publication Schedule for 2005-2006:July 15, 2005 • October 14, 2005 • January 16, 2006Copy and space reservations due 15 days before publication dates.For Advertising Information and Reservations please call or e-mail David Brown

TM

A nursing community

that takes pride in each other.

Join the nursing community at FairviewHospital and begin a career that changes asyou do – a career that is full of opportunity andgrowth potential. Fairview is a 500-bed acutecare teaching hospital that offers state-of-the-arttechnology in a community hospital setting.

Thanks to preceptor guidance, a collaborative environment and the resources of theCleveland Clinic Health System, you will findeverything you need to reach your full potential.Fairview takes you where you want to go!

• Medical / Surgical Units • Skilled Nursing Unit • Medical Rehab • Critical Care

• Emergency Department

Full and part-time positions, and a variety of shifts available.

Become part of Fairview and enjoy generousbenefits, excellent compensation and the work/life balance that every nurse needs. Please forwardyour response, specifying area of interest, to:Fairview Hospital, Human Resources, 18101Lorain Avenue, Cleveland, OH 44111 or fax to(216) 476-7023. www.fairviewhospital.org. EOE.

Advance your career with a MSN or BSN degree

inNursing fromCleveland State University.Cleveland State is proud to offer the following

accredited graduate and undergraduate programs in nursing:

The graduate program is fully accredited bythe Commission on Collegiate Nursing

Education (CCNE) and the undergraduateprogram is fully accredited by the National

League for Nurses (NLN)

In addition, the following interdisciplinarycertificate programs are also available:

School Nurse LicensureEducation

GerontologyFor more information, call 216-687-3598

www.ims.csuohio.edu/Nursing

MASTER’S DEGREEPopulation HealthForensic Nursing

Clinical Nurse LeaderMSN/MBA

BACHELOR’S DEGREEBasic Program

Accelerated ProgramRN-BSN

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Page 19: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

d u p l i c a t e l i c e n s e s

Duplicate 2003-2005 RN LicensesRN-101506, APPELBAUM, BERNARDINERN-261514, BAILEY, ANDRARN-255421, BAKER, TARARN-287900, BAUER, JERIRN-242336, BEDUYA, FILIPINARN-188795, BEENE, DEBRARN-234374, BLACKBURN, ANNARN-287647, BLAKE, JOHNRN-271552, BOYATT, BARBARARN-291919, BROOKS-HAYDEN, ALFREDARN-300038, BROWN, TRACYRN-190269, BURRIS, MARYRN-277147, CAMPBELL, JENNIFERRN-227924, CAREW, SUZANNERN-304868, CARTER, ADRIANNERN-291924, CHELL, AMYRN-267014, CONLEY, SUSANRN-277235, COUSE, JENNYRN-212235, COVIELLO, KARENRN-138640, COX, JERIRN-270141, DEHL, IVENARN-179996, DELGADO, SUZANNERN-304330, DENNISON, CAROLRN-278301, DER, GABRIELLARN-148320, DETWILER, LESLIERN-233812, DORAN, PAULRN-235435, EDIC, TERESARN-274872, ENGLAND, PAMELARN-253116, FITZPATRICK, CAROLYNRN-217434, FITZWATER, LORIRN-268816, FREEMAN, KIMRN-262131, GNEUHS, JULIARN-140164, GREGORY, JANICERN-106500, GROVES, PENNYRN-308946, GUZMAN, MIRANDARN-223000, HARRIS, STEPHANIERN-272846, HATFIELD, JANETRN-210469, HAWKEY, LINDARN-099104, HENKEL, JANERN-089718, HOBSTETTER, NANCYRN-186878, HUEY-TARCHICK, SUSAN

RN-190222, HULLER, JANERN-201486, IUBELT, PATRICIARN-235083, JANSEN, CHERYLRN-228733, JARVIS, BRENDARN-236142, JOHNSON, LOUANNERN-191575, JOY, DONNARN-172924, KALAL, MARILYNRN-307666, KAMON, AMYRN-290575, KISSINGER, BRIANRN-097301, KRAUS, LINDARN-210359, KUDER, ANGELARN-293801, LAB, CARLARN-079492, LIMONGI, KATHLEENRN-207105, LUCHINI, JEANRN-284232, LUDE, SHIRLEYRN-274646, LUYSTER, FELICIARN-163483, MALONEY, KELLYRN-296942, MARKS, SEANARN-270285, MCCAIN, TAMARARN-182556, MITCHELL, SANDRARN-154521, NANTZ, CAROLRN-230722, NAPIER, CATHERINERN-308406, PACKARD, AMYRN-188099, PELFREY, KATHRYNRN-276902, PEREZ, AMYRN-101100, PLEIMAN, DONNARN-218047, PROFFITT, LAURARN-282678, REIDENBACH, ADAMRN-282936, RHOADS, COLLEENRN-305252, RIEGER, KRISTINARN-266791, SABO, SHEILARN-239146, SECOR, KATHLEENRN-209908, SHELTON, JANRN-277599, SHORT, THERESARN-201126, SIVAK, MADELINERN-227435, SNIDER, BRENDARN-145353, SOMMER, SUSANRN-127122, STOUT, JUDITHRN-286466, TAZI, GEORGERN-189797, VOYLES, JULIERN-277356, WALTERS, KATHRYNRN-241618, WARNER, KATHRYNRN-226733, WENDLE, CONSTANCE

RN-132397, WHITEHEAD, MARILYNRN-229524, WIENER, STEPHANIERN-296487, WILLIAMS, LINDARN-184972, ZIADEH, DEBRA

Duplicate 2004-2006 LPN LicensesPN-049307, AKERS, CAROLPN-103754, BENDER, KARENPN-109333, BLAZER, DOROTHYPN-061973, BLESSING, NANCYPN-092084, COFFEY, MARYPN-067971, CORNELL, THERESAPN-054424, DISMON, THELMAPN-038567, DUNLAP, ELEANORPN-054136, GRIFFITHS, VIOLETPN-112929, HILL, SAYWARDPN-095939, HUTCHINSON, MARIANPN-023905, JONES, JOANPN-103958, KAYCROSS, ELLAPN-029717, LEE, JANELLPN-095122, LOHN, GAILPN-114218, MAGNUSSON, DAGNYPN-057042, MCNALLY, DIANEPN-101265, MOSIER, JEFFERYPN-101705, NEAL, SUZZANNEPN-091567, PARR, LISAPN-054611, RODRIGUEZ, ALICEPN-114141, SALVATORE, DINAPN-023194, SCHAPEL, LINDAPN-098362, SMITH, SHERRIPN-108716, SULLIVAN, RHONDAPN-112134, SWITSER, MICHELLPN-104133, SWITZER, ANNAPN-070053, WALKER, JULIEPN-104944, WARRICK, NELLIEPN-104979, WHEELER, CLIFTONPN-113711, WHITE, JILLPN-093481, WILLIS, DALE

Current as of 3/4/05 / Dec. ‘04 – Feb. ‘05

Ohio Board of Nursing 19

REGISTERED NURSESRENEW ON-LINE!

You may now choose to renew on line! When you receive your renewal application in mid-May, you will find an instruction sheet

that will identify the website to use and instructions for renewing on-line. The paper renewal application will also include a “user

number” and a “password” that are unique to you. These will allow you to renew your license on-line.

With on-line renewal, you must have a VISA or MasterCard credit card; we are unable to accept a bank debit card at this time.

You may, of course, renew by returning the renewal application with a check as you have done in the past…. It is your choice.

Due to the large number of Registered Nurses and Advanced Practice Nurses who will be renewing this year, Board Staff will

not be able to offer technical assistance with the on-line renewal. If you have any difficulty, please simply renew by mail.

Page 20: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

20 MOMENTUM

Editor’s Note: The two year biennial budget submittedby Governor Bob Taft, proposes to consolidate all stateboards and commissions within one of three state cabi-net agencies. The Board of Nursing would become part ofthe Ohio Department of Health. Also in this budget, lan-guage is included to create a pilot program for the recog-nition of medication aides working in long term care set-tings. During budget deliberations, each agency, andcurrently each board and commission, is asked to dis-cuss its budget with a legislative committee in both theHouse and the Senate. The following is testimony provid-ed by Ohio Board of Nursing Executive Director JohnBrion, RN, MS to the Human Services Subcommittee ofthe House Finance Committee on February 23, 2005.

Chairman Hoops, and Members of theCommittee,

My name is John Brion and I am theExecutive Director of the Ohio Board of Nursing.I am a masters prepared registered nurse withprofessional experience in emergency and trau-ma nursing, nursing education, and publichealth administration. I have served in my cur-rent position with the Board since April 2002.

Thank you for the opportunity to be here todayto testify, on behalf of the Board of Nursing.

The mission of the Ohio Board of Nursing isto protect the public through the effective regu-lation of nursing care. To ensure the mission iscarried out, a Board consisting of twelvelicensed nurses and one public memberappointed by the Governor, oversee the Boardstaff and activities. Nursing is regulated by theState because of the significant risk of harm tothe public if not practiced by competent andscrupulous individuals. The vulnerability of indi-viduals who seek nursing care creates a situa-tion in which unsafe and incompetent practi-tioners present a real and serious threat to pub-lic safety. The staff and members of the Boardare dedicated to the mission of public protec-tion and take a great deal of pride in the effi-ciency with which we carry out the regulatoryfunctions entrusted to us.

The Board of Nursing, with nearly 200,000licensees, is the largest of the state’s regulatoryboards in number of licensees. The dedication ofour 56 person staff allows us to be one of themost efficient Boards in terms of staff to licens-ee ratio (1/3512). The fiscal accountability ofour board has also resulted in a very low operat-ing cost per licensee of just $25 per year. We cur-rently issue licenses and certificates to regis-tered nurses, licensed practical nurses, dialysistechnicians and advanced practice nurses.

Effective this month, we began to certify a newcategory of community based health careprovider, the community health worker. Thereis also language in the budget that would createanother new category of health care worker, theMedication Aide, to be regulated by the Boardof Nursing. Our Board currently assures eligibil-ity and issues licenses for over 6,700 newly grad-uated nurses each year. This same efficient staffalso verifies the qualifications of over 2,000nurses from other states who seek Ohio licen-sure each year. The Board also surveys,inspects, and grants approval to the 110 exist-ing pre-licensure nurse education programs aswell as overseeing the process of approval forany new nursing education programs in thestate. Through the regulatory processes of issu-ing licenses or certificates and approving pre-licensure nursing educational programs, theBoard protects the public by permitting onlyindividuals who meet statutory qualifications topractice nursing.

The Board has been diligent in efforts todevelop and implement the Nurse EducationGrant Program that was created by the legisla-ture in 2003. In September of this year Boardstaff will begin to oversee the awarding andmanagement of nearly $2,000,000 in grantfunds to Ohio nursing education programsintended to address the state’s nursing short-age by allowing those programs to increasetheir enrollment capacity.

Total funding for operations of the Board ofNursing come from individual licensure feesdeposited in the 4K9 rotary fund. The Board’sbudget appropriations are, in turn, made by thelegislature from this 4K9 fund. Historically theBoard has generated significantly more in rev-enue for the 4K9 fund than has been appropriat-ed to us for daily operations. The extensive func-tions of the Board are totally supported by thefees collected from licensees. Our operationshave no impact whatsoever on the state’sGeneral Revenue Fund.

The Board’s present staff of 56, who areresponsible for all facets of licensure and regu-lation, has increased by only 6% since 2001 whilethe work and responsibility of the Board contin-ues to grow at a significantly higher rate. As theBoard’s responsibility has increased over theyears, and as the number of disciplinary actionshas increased seven fold, we have found our-selves rising to the challenge to produce these

admirable results with existing staffing andfunding levels. In fact, I would submit to youthat the Board of Nursing could be held up as anexample of government efficiency and effective-ness. We continuously demonstrate great suc-cess in safeguarding the health of Ohioans withthe absolute minimum staffing level necessaryto effectively regulate nursing care and servenearly 200,000 licensees.

The work of the board is divided into fourunits: Nurse Education, Practice and Licensure;Discipline; Monitoring; and Administration. As aBoard, our focus is really twofold: providingappropriate and timely services to the nearly200,000 individual licensees and 110 nurse educa-tion programs we regulate; and, more important-ly, to advocate for the health and safety of thepublic by responding to complaints that involve,among other things, allegations of patient abuse,felony convictions, drug or alcohol impairment,and practice deficiencies by registered nurses,licensed practical nurses, advanced practicenurses, and dialysis technicians. The role of safe-guarding the public is one to which Board mem-bers and staff are very dedicated and take veryseriously. This commitment to public safety isdirectly related to the unique structure and com-position of the Board as one whose work is drivenby a dedicated staff of nurses and other highlymotivated professionals.

The Board expects to receive over 3,500complaints about licensees this year from a vari-ety of sources, including employers who arerequired by law to report violations of the NursePractice Act. The number of complaints to theBoard has significantly increased since 2001.This increase can, in large part, be attributed tothe fact that Board of Nursing investigators haveworked diligently to forge collaborative relation-ships within the nursing community in our state.This process has been greatly enhanced by thefact that 7 of the 8 investigators on our staff areregistered nurses whose professional creden-tials and expertise afford them the trust andconfidence of those with whom they interact.Our investigators work closely with staff attor-neys to prepare the cases, which are thenreviewed by the Board Supervising Member forDisciplinary Matters and, when appropriate,addressed by the entire Board.

Additional structural and proceduralchanges implemented at the Board includestreamlining of the investigatory process, a

b u d g e t o u t l o o k

House Testimony of John Brion RN, MSExecutive Director of the Ohio Board of Nursing

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Ohio Board of Nursing 21

reduction in the number of managers, realign-ment of staff positions and duties to more rapid-ly process cases. These changes have allowed forthe tremendous increase in the number of com-plaints we investigate, the speed with whichcomplaints are addressed and a tremendousamount of growth in the overall disciplinarywork of our Board. In the past 3 years com-plaints against licensees have nearly tripled andare expected to exceed 3,500 in this calendaryear. The number of actions taken by the Boardin the past three years has increased seven foldfrom 96 to over 600 per year.

In keeping with the Board’s mission to pro-tect the public, those most serious cases involv-ing a nurse who presents a danger of immediateand serious harm to the public are dealt withexpeditiously by use of summary licensure sus-pension. In such cases investigators work close-ly with law enforcement and then quickly com-municate their findings and concerns with staffattorneys, the manager of the discipline unit,the Executive Director and the Board President.The current structure of the Board helps to facil-itate such quick communication and allows fordecisive action in response to serious threats topublic safety. Such quick and decisive actionmay not be possible within the many layers of alarger agency.

While cases before the Board that present agreat and ongoing threat to public safety oftenresult in the permanent revocation of a nurse’slicense, most of the disciplinary actions taken bythe Board result in less severe sanctionsimposed upon the nurse’s license such as a fine,reprimand, suspension, or probation. Thesesanctions frequently allow the nurse to practicein certain settings and under certain conditionswhile being monitored by Board staff to assurepublic safety. The monitoring of such licenseesis assigned to a Monitoring Agent who, becauseof his or her education and licensure as a regis-tered nurse, is uniquely qualified to evaluatenursing practice. These same Monitoring Agentsare also responsible for evaluating the compli-ance of licensees who participate in two pro-grams that are alternatives to the disciplinaryprocess, the Alternative Program for ChemicalDependency (for nurses with substance abuseproblems) and the Practice Intervention andImprovement Program, a program that requiresnurses to obtain additional education toimprove practice skills. Because of this monitor-ing, nurses are able to remain employed in nurs-ing positions while posing little threat to publicsafety. Consistent with the increase in com-plaints and Board actions the demands on ourMonitoring Unit have also increased significant-ly. It is projected that the number of nursesbeing monitored by the Board will reach 1,000

licensees by the end of the current calendaryear, nearly doubling the 550 licensees subjectto monitoring in 2001.

Mr. Chairman, my purpose in sharing thisinformation with you is to illustrate the fact thatthe Board of Nursing has been successful inefforts to be both efficient and effective in fulfill-ing its mission to safeguard the health of Ohio’spublic. It is the opinion of our Board that our cur-rent size, structure and unique staffing mix,which relies heavily upon the expertise of the reg-istered nurses and other dedicated professionalswe employ is what has allowed us to realize suchhigh levels of efficiency and effectiveness. OurBoard, driven by its mission to protect the healthof the public, is concerned that any significantchange to the current structure has the potentialto impede, rather than enhance, our mission. TheBoard is concerned that our ability to performour statutory function with the efficiency andeffectiveness currently demonstrated will beseverely compromised if we are subsumed by alarge state agency.

Our Board has consistently demonstrated itsfundamental commitment to the goals of gov-ernmental efficiency and accountability. As agovernment agency we are dedicated to maxi-mizing our service to the public and support anyefforts that will allow us to do so more effective-ly. We do not see, however, how the attainmentof these goals will be advanced by changing thecurrent structure of our highly functional, inde-pendent regulatory board to fit within the manylayers of a large government agency. Our currentstructure, under the guidance of 13 gubernatori-al appointees, openly and directly reports to theGovernor’s office as well as to the Office ofBudget and Management. This is done while stillexercising the independent judgment so neces-sary to effectively regulate the profession forwhich our Board of registered and licensedpractical nurses is uniquely qualified.

While the specifics of the consolidation planhave yet to be determined, there has been dis-cussion about combining investigative, support-ive and administrative functions. It is the opin-ion of our Board that losing control of thesefunctions would pose a serious threat to our mis-sion to effectively protect the public. As a Boardwe have worked diligently to refine our opera-tions to make all Board activities as efficientand effective as possible using the resourcesavailable to us. While we have achieved muchsuccess, we continue to strive to become evermore efficient in the regulation of nursing carein Ohio. The Board has a concern that becomingpart of a large, centralized operation does littleto enhance efficiency for our Board, the con-stituencies we serve, or the public we protect.

In this era of increasing fiscal constraints, our

Board remains committed to increased account-ability and the elimination of government waste.As a member of the community of regulatoryboards we are well aware of recent breaches ofthe public trust committed by members withinour community as well as other entities withinstate government. These instances of excess anddisregard for propriety are an embarrassment tous all. The Board of Nursing stands firmly behindthe Governor in his efforts to address these situa-tions. Further, we have used these unfortunateinstances as an opportunity to review our ownoperations to insure that the Board is in compli-ance with all applicable state policies. Our Boardmembers recognize that they occupy positions ofpublic trust and hold themselves, and our staff, tothe highest possible standards.

Mr. Chairman, before I close I would like totake a moment to address another budget issuefor your consideration. There is language in theGovernor’s budget that will place regulatoryresponsibility for an additional category ofhealth care worker, the Medication Aide, withthe Board of Nursing. This newly proposed posi-tion would provide certain limited nursing serv-ices to the residents living in the state’s 900 pluslong term care facilities. The Board has nottaken a position on the merits of the medicationaide proposal; however, it does believe that theregulation of such a position would most appro-priately rest with the Board of Nursing.Language contained in the budget allows for theimplementation of a pilot program to assess thesafety and efficacy of these individuals to admin-ister certain medications to patients in a limitednumber of long-term care facilities across thestate. The Board of Nursing has been identifiedas the entity responsible for developing, imple-menting, and evaluating the medication aidepilot program. While the current languageincludes the formation of an advisory panel aproject of such magnitude will be a considerableundertaking and our Board has concern thatsome time lines may prove unrealistic. In addi-tion to the issue related to the time line, a prin-cipal concern is that a mechanism for the fund-ing and staffing of such a large project was inad-vertently omitted from the proposal. During pre-vious discussions it had been suggested that thefunding for the pilot program should come fromthe 120 facilities selected to participate. Thisfunding will be necessary to allow the Board suf-ficient resources to perform all the new orexpanded functions associated with certifyingmedication aides and completing a programevaluation.

Mr. Chairman, this concludes my testimony.The Board appreciates the opportunity to pro-vide testimony and I will be happy to answer anyquestions.

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There is often a lag-time between when apayment is processed by the bank and whenthe Board receives notification of error orinsufficient funds. Even though a renewedlicense may have been received in the mail,failure of a payment to clear the bank willcause an application to become incomplete.It is not the Board’s intention in publishingthis list to embarrass licensees who fail torender proper payment for their license orcertificate. The purpose is to notify currentand potential employers and to reach theindividual when other avenues have failed.

There are many reasons a personal checkmay not properly ‘clear’ during bank process-ing. It is for this reason that each person list-ed here has been notified by certified mail,using the last known address of record, andgiven 30 days (or more) to render proper pay-ment to the Board. These applications, cer-tificates or licenses, will not be consideredcomplete until proper payment has been ren-dered. If payment is not received within 30days after notice is provided, licensee infor-mation is turned over to the Disciplinary Unitand recommended for investigation oncharges of working without a license.Individuals found to be working on a lapsedlicense will be subject to the penaltiesdefined in ORC Section 4723.99 (B).

Below is a list of those nurses and dialysistechnicians whose renewal applications, cer-tificates, or duplicate licenses are incompletedue to payment failure related to insufficientfunds. The licensee and certificate holderslisted below failed to render payment by thedate this publication went to press.

Registered Nurses

RN 179628 Balogh, CherylRN 284031 Conner, DeborahRN 213908 Driscoll, PamelaRN 081572 Hartmann, MaryRN 269099 Heard, FrancesRN 254146 Jarven, AnnRN 099852 McCutcheon, JaneRN 256289 McDaniel, LindaRN 160634 Robb, ChristopherRN 229036 Sweetland, DundeeRN 300574 Young, Jacque

Licensed Practical Nurses

PN 027403 Allgower, BarbaraPN 109961 Carter, Sandra

PN 084044 Cook, MarlaPN 030448 Curtis, PatriciaPN 091221 Finke, ToniaPN 077423 Freeman, BarbaraPN 105124 Groves, LisaPN 076801 Harper, WandaPN 111709 Headings, AmyPN 116383 Herrman, TerriPN 102088 Highlander, MildredPN 089852 Johnson, KimberlyPN 084336 Keith, AngelaPN 026851 Lauinger, EugeniaPN 016998 Majors, MaryPN 077585 Nickolich, WendyPN 108172 Smith, ElizabethPN 105492 Sobek, Melanie

PN 108400 Stumbaugh, DarlenePN 007905 Tatum, CarolPN 109807 Townsend, StaceyPN 081341 Weaver, CarlottaPN 068305 Zimmerman, Jeanease

If your name is listed here, please contactthe Board at 614-466-9976 to arrange for prop-er payment of your fees. Because the name ofa licensee may be the same as another, pleasedo not assume from the name alone that aparticular individual has a payment failure.You may verify the license number on theBoard’s web site at www.nursing.ohio.gov byclicking on Verification.

Thank You.

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22 MOMENTUM

Page 23: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

APN requirements in generalThe current requirements for obtaining

a Certificate of Authority (COA) to prac-tice as an advanced practice nurse (APN)in Ohio include documentation of holdingboth a “graduate degree with a major in anursing specialty or in a related field thatqualifies the applicant to sit for” an APNcertification exam (CNS, CNM, CNP, orCRNA), and documentation of holdingnational certification as an APN.

Ohio law also requires that ClinicalNurse Specialists, Certified NursePractitioners, and Certified NurseMidwives work with a collaboratingphysician.

History of Law Changes in Ohio related to approval as a CNS

The original law (SB 154, 1996) recog-nizing APNs, including Clinical NurseSpecialists (CNS), became effectiveSeptember 10, 1997. Since that date, eachCNS, CNM, CNP, or CRNA must hold botha Registered Nurse license and a COA inorder to practice in Ohio.

Over time, minor changes occurred inthe requirements for obtaining a COA asa CNS.

Between September 1997 and May1998, the statutory requirements allowedan individual to become a CNS if the indi-vidual held a “masters degree in nursing”,without specifying a particular focus areaor specialty. Also at that time the lawcontained the current requirements thatwould supercede the initial requirementsand become effective on January 1, 2001.These require that each CNS applicantdocument holding BOTH a mastersdegree in nursing AND national certifica-tion as a CNS. Given the small number ofCNS certifying exams available at thetime, obtaining CNS certification wouldbe a challenge for graduates of somegraduate programs once the new require-ments took effect in 2001.

Additionally, during the fall of 1997 andearly 1998, some CNSs in the state andsome nursing educators initiated discus-

sions to address their concern that individ-uals could obtain a COA as a CNS withoutnecessarily having a “clinical” focus totheir masters program. This group suc-ceeded in getting the law revised toinclude new requirements for a CNS thatbecame effective in May 1998. As of thisdate an applicant for a CNS would berequired to document holding a “clinical”masters degree.

During the years between 1997 and2001 informational meetings were heldwith deans and directors of graduate pro-grams, and articles appeared inMomentum addressing the pendingJanuary 2001 requirements for nationalcertification. Still today, there are only afew CNS certifying exams available.Those that are available may not alwaysbe relevant to the focus of some graduateprograms in nursing that are not specifi-cally a CRNA, CNM, or CNP program.Nevertheless, the dual requirements ofdocumenting a master’s degree in a clini-cal area of nursing and CNS certificationmust be met by each new CNS applicantseeking a COA.

Once an individual obtains approval asa CNS in Ohio, the law contains specificpractice requirements, including collabo-rative practice with at least one physician,and development of a written standardcare arrangement with the physician(s).Only CNSs in the area of psychiatric/men-tal health practice are exempt from devel-oping a standard care arrangement, andonly if the CNS is not a prescriber.

Recent Discussions Regarding CNS Regulation

Over the last several years a nationaldiscussion has begun regarding the varietyof licensing requirements for clinicalnurse specialists that exist from state tostate. The discussions have included chal-lenges to the rationale behind the regula-tory scheme for CNS practice in severalstates, including Ohio. Also, graduate pro-grams in Ohio and elsewhere have evolvedin focus areas/specialties that do not read-

ily “fit” into one of the currently availableCNS certifications.

Contemplating CNS Practice or aGraduate Program in Nursing?

Most individuals who attend a nursinggraduate program expect to become an“advanced practice nurse” or APN. InOhio, clinical nurse specialists, certifiedregistered nurse anesthetists, certifiednurse-midwives, and certified nurse prac-titioners are all considered advancedpractice nurses (APNs) under the law.

For graduate students or individualsconsidering graduate programs in nurs-ing, it is important to identify and under-stand the current Ohio licensing and prac-tice requirements for advanced practicenursing. Graduates of nurse practitioner,nurse-midwife, and nurse anesthetist pro-grams have easily identifiable nationalcertification exams available.

The same is not currently true forCNS candidates. Ohio law requires thatthey too obtain a COA which, in turn,requires CNS certification by a nationalcertifying organization approved by theBoard. Eligibility criteria to sit for certi-fying examinations are set by therespective national certifying organiza-tions. As a result, this may not be anoption for graduates of certain types ofmasters programs.

In exploring graduate programs, manymay be appealing in terms of an area ofpersonal interest and the care needs ofpatients, families, and communities. Theinformation presented here is not meantto suggest that the focus of various mas-ters programs are not valuable in prepar-ing students to meet the many challengesfaced in health care delivery today. It isimportant to note, however, that the cur-rent licensing requirements in Ohio lawmay preclude graduates of certain pro-grams from becoming certified as a CNSwithout additional coursework.Advanced practice questions may be

directed to Sue Milne at (614) 466-9566,

or [email protected].

a d v a n c e d p r a c t i c e

Clinical Nurse Specialist Licensure in OhioCurrent Requirements and History of Ohio’s Regulation

Ohio Board of Nursing 23RECRUIT NURSES. thinkaboutitnursing.com

Page 24: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

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Grandview and Southview Hospitals would like toextend our appreciation to our talented nursing staff.Thanks to your skills, dedication and compassion, we’renow being recognized for excellence as one of theNation’s Top 100 teaching hospitals.http://www.kmcnetwork.org/Hospitals/Grandview.cfmEOE

Kettering Medical Center would like to say thank youto all of their facilities’ nurses who have committedtheir life’s work to promoting the physical, mentaland spiritual health of our patients. We’re proud tohave you on our team.

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Page 25: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing 25

The Ohio Board of Nursing(Board) receives a significantnumber of questions regardingemployers’ duty to report nursemisconduct and possible viola-tions of the nursing law andrules. Section 4723.34(A)(1) ofthe Ohio Revised Code (ORC)mandates that reports to theBoard shall be made by everyemployer of registered nurses,licensed practical nurses, ordialysis technicians. Theemployer must report the nameof any current or formeremployee who holds a nursinglicense or dialysis techniciancertificate issued by the Boardwho has engaged in conductthat would be grounds for dis-ciplinary action by the Boardunder ORC section 4723.28.Further, every employer of cer-tified community health work-ers must report any current orformer employee who holds acommunity health worker cer-tificate who has engaged inconduct that would be groundsfor disciplinary action by the Boardunder ORC Section 4723.86 and applica-ble administrative rules.

Conduct by a licensed nurse thatwould be grounds for disciplinaryaction under ORC Section 4723.28includes, but is not limited to, failure topractice in accordance with safe nurs-ing care standards, violations of main-taining professional boundaries, posi-tive drug screens, diversion of drugs,and impairment of the ability to prac-tice nursing. The employer is requiredto report even if the nurse has beenreferred to an employee assistance pro-gram or is participating in a remedia-tion program.

If the employer is not sure aboutreporting a possible violation to theBoard, the employer should err on theside of reporting. This way the Boardcan conduct an investigation, reviewthe facts and circumstances, and makea determination regarding whether aviolation occurred. The law does notrequire that the employer conduct a fullinvestigation and determine if the nursehas violated the law or rules prior to fil-ing a complaint with the Board.

While the Board understands thatnot every practice or medication errorneeds to be reported, employers shou-uld consider, among other things, theegregiousness of the error, the poten-tial or actual harm, and patient out-

come. If a one-time error wasegregious in nature or resultedin patient harm, the incidentshould be reported. Further, ifthe employer is aware of a pat-tern of errors or concerns, theemployer should report theconcern. Even if the employeris not sure there is enough evidence to prove a violation,the employer should file acomplaint so Board investiga-tive agents can conduct adetailed investigation. TheBoard may have other investi-gatory information and thenewly reported informationmay now indicate a more seri-ous problem or a pattern.

Employers who use nursesfrom staffing agencies or travelcompanies need to ensure thatcomplaints are filed with theBoard either by the staffingagency, travel company, or bythe practice setting where thenurse is working on assignment.

Employers should knowthat the Board keeps confiden-

tial all information obtained aboutthose who are under investigation.Revised Code section 4723.28(I)(1)requires that information received bythe Board pursuant to an investigationbe kept confidential. Therefore, the factthat the Board has received informationand is investigating a licensee is confi-dential, and would not be disclosed tothe public. Based on the evidenceobtained during the investigation, theBoard may pursue disciplinary actionor close the complaint.

An employer’s duty to report is clearand unequivocal. Those with questionsmay contact the Board’s DisciplinaryUnit at (614) 466-9558.

e m p l o y e r r e q u i r e m e n t s

Employer Duty to Report Misconduct

Page 26: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

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www.columbuschildrens.comChildren’s is an equal opportunity employer that values diversity. We are committed to fostering an environment

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If There’s a Place in Your Heart for Children,There’s a Place for You Here.

Career opportunities include:Advanced Practice Nurse (CathLab, Neuro, Oncology, PICU)Ambulatory RN (PT & call-in)Clinical Research Coordinator(PCTI-Adults)Clinical Research Nurse(Hematology/Oncology)Hospice NurseNNPProgram Manager - PICUStaff RN Clinical Leader -Hematology/Oncology/BMT

Staff RN• Burns/Ortho/Trauma • Emergency (adult to peds

orientation)• General Surgical/GI • Hematology/Oncology/BMT • Infectious Disease • Endo/Renal • PICU

To apply or to learn more about Children’s, please visit our website.

Camp Nurses/ NurseSupervisor Wanted

Rewarding experience is available to work with

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Stow-Glen Retirement Village, an employee owned and operated LongTerm Care Facility is currently seekingFULL-TIME, PART-TIME, DEDICATED and

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Ashland University Web-Based RN to BSN Program. Get a quality education that suits your busy personal and professional life.

For more information, call: 800-882-1548 ext. 5242

or visit: www.ashland.edu/nursingor e-mail: [email protected]

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VNA HOUSECALLSNURSE PRACTITIONER/APN

Lorain and Cuyahoga CountiesThe Visiting Nurse Association Healthcare Partners ofOhio is an innovative leader in the home health, hospice,and community based care industry. As a member of theVNA HouseCalls team, you will provide primary care andconsultation in collaboration with our physicians. We have an immediate opening for a professional with the following background:Nurse Practitioner with certification inAdult or Family Familiarity with palliativecare and the management of Chronic, progressive illness 5 years of clinical experience in nursing oras an APN Prescriptive authority desired MSN preferred

We offer a competitive salary/benefits package. For confidential consideration, please forward your resume to:Human Resources, VNA of Cleveland, 2500 E. 22nd Street, Cleveland, OH 44115fax: 216/694-4181or email: [email protected]

HEALTH CARE FACILITIESSURVEYOR (RN)The Ohio Department of Healthhas excellent career opportunitiesfor nurses interested in becomingHealth Care Facilities Surveyors.Selected candidates will receivetraining on conducting complianceinspections of a variety of healthcare providers including long termcare. Successful applicants mustbe licensed as a registered nursein Ohio and have two (2) yearscurrent work experience in anacute or long term care facility.Must be able to provide owntransportation. Travel withovernight stays including someevenings and weekends required.Starting salary is $19.70 per hourwith excellent benefits. Interestedapplicants should apply eitheronline at www.odh.ohio.gov orsubmit a civil service application to:Ohio Department of Health, Officeof Human Resources, 246 N. HighStreet, Columbus, Ohio 43215,FAX: 614- 466-3232. Please reference the Position Number(PCN) on your application.

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Attractive wages and excellent benefits! For more information and to apply please

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ICU-RN—Full-time and Part-timeEmergency Room-RN—Part-timeOperating Room-RN—Up to $5,000 Sign-on BonusWound/Skin/Ostomy-RN—Full-time

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Knox Community Hospital in Mt. Vernon, OH is a Progressive 117-bed facility located in the heart of Knox County.

Join our team in one of these Full-time or Part-time positions:

Page 27: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Advanced medical careclose to home.

For more information on these and other positions, or to apply, visit: www.e-mercy.com

At Mercy Health Partners, our mission is to improve the health of our communities. The best way to accomplish our goals is to hire, support and reward an exceptional team. That’s why we strongly promote work/life balance. Our facilities are located throughout suburban Cincinnati, Ohio so you can concentrate on your career, not your commute. We also offer exceptional salaries and one of the area’s most comprehensive benefi ts packages, including 403(b) with company match, a pension plan, FREEparking, and up to 24 paid days off your fi rst year!

Palliative CareContact: Mary Davidson – 513-603-8950

• Nurse Coordinators – Fairfield and Western Hills

AndersonContact: Rachel Dattilo, Nurse Recruiter – 513-624-3200

• Emergency Department Nurse Manager• Orthopedic Nurse Manager• Cardiac Cath Lab Manager• Neonatal Nurse Practitioner• Team Leaders – PACU, Same Day Surgery, Family Birthing• Clinical Education Specialists – Perioperative Services, Critical Care, Perinatal• RN Performance Improvement Coordinator

ClermontContact: Diane Morrison, RN, Nurse Recruiter – 513-735-7534

• RNs – Great work schedule for parents with children. Work 9 months(Sept. – May), get paid for 12 months.

• Shift Lead Clinical Coordinator• ED Clinical Coordinator

Fairfi eldContact: Nancy Scheffel, RN, Nurse Recruiter – 513-682-7229

• Critical Care Nurse Educator • Emergency Department Nurse Manager• Orthopedic Nurse Educator • PACU Nurse Manager• RN House Supervisor • Director Quality/Heart Hospital

Mt. AiryContact: Carla Martina, RN, Nurse Recruiter – 513-853-5760

• Charge Nurses – Telemetry, ED, ICU • LPN/RN – Wound Care Center• RN House Supervisor

Western HillsContact: Human Resources – 513-389-5266

• Senior Behavioral Health Nurse Manager

Home CareContact: Cathy Follmer – 513-981-4501

• Quality & Education Manager • RNsEOE

Mercy Spotlight

We are always seeking RNs with specialties in:

• Behavioral Health • Oncology• Case Management • Ortho• Choices Float Pool • Recovery• CVOR • Rehab• CVU • Same Day Surgery• ED • Surgery• Family Birth • Stress Test Lab• Home Care • Telemetry• ICU • Women’s Specialty• Med/Surg

Weekend Option – Work 24 hours get paid for 36 with full time benefi ts.

Available at various locations.

For immediate consideration,call the Nurse Recruiter listed for

your hospital of choice.

Page 28: PUBLICATION OF THE OHIO BOARD OF NURSING · Nationally Certified School Nurse, working in the Greenville City Schools. She has been active in both education and nursing circles since

Ohio Board of Nursing17 South High StreetSuite 400Columbus, Ohio 43215-7410

614/466-3947

Momentum is the Official Publication of the Ohio Board of Nursing

PRESORTEDSTANDARD

U.S. POSTAGE

PAIDLITTLE ROCK, ARPERMIT NO. 1884

We offer the region better care.

We could offer you a better career. The Health Alliance prides itself on the quality of the care we provide and on the quality of our people who provide it.

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