BOARD OF NURSING Professional and Vocational Licensing ... · [§127A-13] Additional powers in an...

BOARD OF NURSING Professional and Vocational Licensing Division

Department of Commerce and Consumer Affairs State of Hawaii

MINUTES OF MEETING

The agenda for this meeting was filed with the Office of the Lieutenant Governor as required by Section 92-7(b), Hawaii Revised Statutes (“HRS”).

Date: Tuesday, July 11, 2017 Time: 8:30 a.m. Place: Queen Liliuokalani Conference Room

King Kalakaua Building 335 Merchant Street, 1st Floor Honolulu, Hawaii 96813

Members Present: Glenda Tali, PhD., MS, APRN, Vice Chair Jomel Duldulao, Public Member Judy Kodama, MS, RN, MBA, CNML. Katharyn Daub, MS, RN, EdD

Thomas Joslyn, MS, CRNA Olivia Kim, LPN Karen Boyer, RN, MS, FNP Members Excused: Iris Okawa, Public Member

Tammie, Napoleon, DNP, APRN Staff Present: Lee Ann Teshima, Executive Officer (“EO”) Shari Wong, Deputy Attorney General (“DAG”) Lisa Kalani, Secretary Guests: Jared Redulla, Dept. of Public Safety, Narcotics Enforcement Division Jennifer Fujio, Daniel K. Inouye, College of Pharmacy Laura Reichhardt, Hawaii State Center for Nursing Dean Yamamoto, Dept. of Public Safety, Narcotics Enforcement Division Jon Ching, Kaiser Permanente Joanna Smith, UH Hilo Call to Order: The Vice Chair called the meeting to order at 8:40 a.m. at which time quorum was

established and excused Ms. Okawa and Ms. Napoleon from today’s meeting. She also announced that today’s meeting coincides with the date of the Board of Nursing’s first meeting, July 11, 1917.

Board of Nursing Minutes of July 11, 2017 Meeting

Vice Chair’s Report: Announcements/Introductions The Vice Chair introduced the Board’s newest member Karen Boyer and asked

her to say a little bit about herself. The Board and staff members also introduced themselves.

The Vice Chair asked the audience to introduce themselves.

Approval of the Previous Minutes – June 1, 2017

The Vice Chair called for a motion in regards to the minutes of the May 4, 2017 meeting. There being no corrections, upon a motion by Ms. Daub, seconded by Mr. Joslyn, it was voted on and unanimously carried to approve the minutes of the June 1, 2017 meeting as circulated.

Executive Officer’s Conferences/Seminars/Meetings Report:

2017 NCSBN Discipline Case Management Conference, June 12-14, 2017, Pittsburgh, Pennsylvania

The DAG reported the conference was very good and she will be providing a written report to the EO. All the event presentations are available on NCSBN’s webpage.

2017 Tri-Regulator Symposium, July 25-26, 2017, Chicago, Illinois The EO reported that she will be attending. 2017 NCSBN Annual Meeting, August 16-18, 2017, Chicago, Illinois The EO reported that Ms. Kodama, Mr. Joslyn, Vice Chair, Ms. Napoleon, Ms.

Daub and Ms. Kim will be attending. 2017 NCSBN NCLEX Conference, September 25, 2017, Chicago, Illinois The EO reported that Ms. Boyer will be attending instead of Ms. Daub.


2017 Legislature

The EO reported on the status of the following bills: SB 984, HD1, CD1 Relating to Workers’ Compensation Physician This bill was transmitted to the Governor’s office for his approval/veto. As of

7/7/17 no evidence that Governor has approved yet. HB 912, HD2, SD1 Relating to Nursing Act 88 was signed into law on 7/5/17, effective upon approval. SB 505, SD1, HD2, CD1 Relating to Health Act 66 was signed into law 7/3/17, effective 7/1/17. Amendments to Title 16, Chapter 89 – Status Report The EO reported that the DAG is still working on her review and that any non-

substantive corrections will be sent to office services.

Amendments include, but is not limited to the following:

• Placing a limit (3) as to how many times a candidate may sit for the NCLEX before being required to take a remedial course;

• Allows the Board to require all nurse applicants to obtain an additional background check, including a self-query report from the National Practitioner Data Bank;

• Includes failure to report oneself or the director of nursing, nursing supervisor, peer or colleague, any disciplinary action, termination or resignation of a nurse before conclusion of any disciplinary proceeding as “unprofessional conduct”;

• Amends APRN “recognition” to APRN “license”; and

• Allows the Board to conduct a random audit of the renewal of APRNs with prescriptive authority compliance with the continuing education requirement.

The DAG left the meeting 8:57 a.m. Continuing Competency Program (“CCP”)

Inquiry from Nadine Luke Cho – Continuing Education – Art Therapy Class? The Board discussed an inquiry from Ms. Cho asking if a CE Art Therapy for Non-

Art Therapists could be credited towards the CE learning activity option to renew her Hawaii nurse license.


The Board reviewed the information submitted for the course/workshop and

determined that the provider of the course does not appear to fall under a recognized national certifying body or local and national nursing or other professional association recognized by the Board.

Based on the information provided, it was the consensus of the Board to deny Ms.

Cho’s request. Joanna Smith – CE Tracker and Documentation Tool The EO asked Ms. Smith to address the Board regarding her CE Tracker and

Documentation Tool. Ms. Smith stated she worked on 2 separate forms for potential standardization of attestation documentation that the Board may consider using to help both licensees and the board. The forms are meant to help licensees with tracking, and to help the board streamline the verification process.

The EO stated that normally a summary chart prepared by the individual is not

acceptable as evidence. Ms. Smith stated it is mainly meant for the licensee to be able to track whatever

competences they’ve performed, not necessarily to be submitted as evidence. Mr. Joslyn stated these are great tools, however if it is posted on the Board’s

webpage there needs to be a disclaimer that these are only tools for the licensee and not to be used as evidence should they be selected for audit.

Evan Weiner – CE Broker The Board reviewed a request from a CE broker that maintains CEs for the

individual nurse. The EO stated that as this no-cost report would not be from the individual nurse but from a third party that receives the information directly from the provider, if the Board is okay with this, it should be okay to accept as evidence of completion of CE’s.

After a brief discussion, the Board by consensus agreed to accept reports from

this CE broker and other organizations that track and verify directly from the provider an individual nurses CEs.

Criminal Background Checks – Status Report on Implementation

The EO stated we have encountered some problems with employers that also

require a criminal background check/fingerprint. When a nurse applies for license, they go and get fingerprinted thinking it will cover both the employer and us, and it does not. The Board will also be discussing how to handle some of the reports that have been received in executive session.


GEPN Student Temporary Nurse License

The EO reported that she still has to discuss with the DAG whether or not statutory

amendments have to be made in order to implement a temporary license for GEPN students.

Correspondence

Inquiry Regarding Emergency/Disasters and Compact License The Board deferred responding to the following email questions below from the

last meeting for additional information on any State law that allows licensees from other states to come to Hawaii during a State of Emergency and “practice” without a Hawaii license.

“I am a volunteer with the Kidney Community Emergency Response team

and we are gathering information on the following items and would appreciate it if you’d take the time to answer a few questions:

1. If a nurse licensed in another state is needed to provide dialysis services in

an emergency or disaster situation such as a hurricane or earthquake what steps would the nurse need to take?

2. Would the nurse be able to complete the process on line? 3. Is there any pending legislature moving toward becoming a compact state? 4. What is the timeframe one might expect if applying for emergency licensure? “

During the discussion, the Board reviewed the following section: (emphasis added)

[§127A-13] Additional powers in an emergency period. (a) In the event of a state of emergency declared by the governor pursuant to [section] 127A-14, the governor may exercise the following additional powers pertaining to emergency management during the emergency period:

(2) Relieve hardships and inequities, or obstructions to the public health, safety, or welfare, found by the governor to exist in the laws and to result from the operation of federal programs or measures taken under this chapter, by suspending the laws, in whole or in part, or by alleviating the provisions of laws on such terms and conditions as the governor may impose, including licensing laws, quarantine laws, and laws relating to labels, grades, and standards;

(3) Suspend any law that impedes or tends to impede or be detrimental to the expeditious and efficient execution of, or to conflict with, emergency functions, including laws which by this chapter specifically are made applicable to emergency personnel;


It was the consensus of the Board to respond to Ms. Deziel questions as follows:

1. If a nurse licensed in another state is needed to provide dialysis services in an emergency or disaster situation such as a hurricane or earthquake what steps would the nurse need to take? Answer: Based on the statute cited above, the nurse from another

state would have to ensure that his/her license is current and unencumbered and that he/she has their credentials if working as a nurse during a State of Emergency.

2. Would the nurse be able to complete the process on line?

Answer: Not applicable.

3. Is there any pending legislature moving toward becoming a compact

state? Answer: Not at this time.

4. What is the timeframe one might expect if applying for emergency licensure?

Answer: Not applicable.

In accordance with HAR §16-201-90, the above interpretation is for informational

and explanatory purposes only. It is not an official opinion or decision and therefore is not binding on the Board.

Aidan Hamilton, Remote Area Medical Nurse Volunteer The Board reviewed the following emailed inquiry: “I am writing you on behalf of Remote Area Medical (RAM) — a non-profit whose

mission is to provide free, quality healthcare to the indigent. To accomplish this mission, RAM relies on the generosity of physicians, dentists, nurses, and optometrists, who volunteer their time to serve those in need. Therefore, it is imperative that we understand the legal requirements of medical volunteer licensure in Hawaii.

May nurses licensed to practice within Hawaii volunteer their time in Hawaii? If so,

what is the necessary paperwork that in-state nurses need to complete to volunteer? If possible, please either attach the necessary paperwork to your response or provide a link to the paperwork. To whom is the paperwork submitted and when must the paperwork be submitted?


May nurses licensed to practice within another state volunteer their time in

Hawaii? If so, what is the necessary paperwork that out-of-state nurses need to complete to volunteer? If possible, please either attach the necessary paperwork to your response or provide a link to the paperwork. To whom is the paperwork submitted and when must the paperwork be submitted?...”

During the discussion, the Board reviewed the following section: (emphasis added)

§457-1 Purpose. In order to safeguard life and health, any person

practicing or offering to practice as an advanced practice registered nurse, a registered nurse, or a licensed practical nurse in this State for compensation shall be required to submit evidence that the person is qualified to so practice, and shall licensed as provided in this chapter. It shall be unlawful for any person not licensed under this chapter to practice or offer to practice nursing as an advanced practice registered nurse, a registered nurse or a licensed practical nurse; or to use any sign, card, or device, or in any manner indicate or imply that the person is an advanced practice registered nurse, a registered nurse or a licensed practical nurse.

After careful consideration, the Board determined that in order to safeguard the

residents of this State in the practice of nursing, all individuals who practice or offer to practice nursing, notwithstanding any other law to the contrary, shall be required to hold a current and active Hawaii nurse license. Therefore, it was the consensus of the Board to respond to the questions as follows:

May nurses licensed to practice within Hawaii volunteer their time in Hawaii? Answer: Yes, with a current and active nurse license. If so, what is the necessary paperwork that in-state nurses need to complete to

volunteer? Answer: No separate paperwork or application as long as the individual has a current and active Hawaii nurse license. May nurses licensed to practice within another state volunteer their time in

Hawaii? Answer: Yes, if they hold a current and active Hawaii nurse license. If so, what is the necessary paperwork that out-of-state nurses need to complete

to volunteer?


Answer: Any applicant for a Hawaii nurse license shall complete the

endorsement application that is available on the Board’s web page.

In accordance with HAR §16-201-90, the above interpretation is for informational

and explanatory purposes only. It is not an official opinion or decision and therefore is not binding on the Board.

Diane Okumura, Question regarding nursing practice The Board reviewed the following emailed inquiry: “A question came up regarding if facilities are required to obtain current licensure

status of PMD (Private Medical Doctor) as they give orders to RNs for meds, treatment, etc. I looked in NCSBN model act and only states follow orders from physician. Is there a concern if the facility does not obtain current license? (The facility is questioning whether they need to obtain the current license of the Dr. before they receive orders from the Dr.).

Also, a question came up from one of the surveyors regarding nurses dispensing

meds if they take meds out of stock supply. The “stock supply” is what the facility purchases from the pharmacy and uses the stock medications (i.e.: Tylenol, milk of magnesia, cough medicines, etc.) I was told that the Board did make a determination regarding narcotics but this question pertains only to over the counter drugs, which may apply across the board for stock meds – can you please clarify?”

After some discussion, it was the consensus of the Board to refer Ms. Okumura to

the Office of Health Care Assurance (“OHCA”) on her question for facility’s requirements on PMD license information. OHCA is the appropriate State agency that performs all state licensing activities on healthcare facilities, agencies and organizations in Hawaii, including on-site state licensing surveys and Medicare certification surveys and for nurses “dispensing” stock meds of OTC drugs, an RN may use reasonable judgment in carrying out prescribed medical orders of a licensed physician or APRN or other licensed health care provider listed under the definition of “The practice of nursing as a registered nurse” in HRS 457-2.

The DAG returned to the meeting 9:33 a.m.

Article entitled “Spotting impairment in the healthcare workplace” The Board was provided with an Article entitled “Spotting impairment in the

healthcare workplace” for their information. The article talks about the risk factors, peer pressures, stress, family history of addictions, etc. It also talks about recognizing some of the signs of impairment like missing medications, discrepancies in medical reports and frequent request for patient needing more


pain medications. The article goes on to talk about what we should do and that we have a requirement to not only possibly save their life but also a requirement to disclose this. It is a very well written article.

Sharilyn Butteling, Inquiry on TelePsych Practice The Board reviewed the following emailed inquiry:

“I presently work at Aloha House which is a non-profit community based dual diagnosed program. I am their RN and recently became a PMHNP-BC. I am waiting for my license to be processed in July sometime. However, in the meantime Aloha House asked me to find out how I may work out of my home on days where I cannot get to the office due to accidents, fires, weather or other unforeseen problems and still see my clients. I may also use Tele-psychiatry on a regular basis if Aloha House wants me to work more hours.

Therefore, I wanted to start any process I can until I get my license in. Aloha

House is already starting the credentialing process with the different insurance companies.

At this point I would be contracted out by Aloha House as an LLC business. I have

done telepsychiatry with another PsychNP for a year as she does telepsych out of her home on Maui with a clinic in Arizona. Her situation is different as the health company set up all of her software equipment to be encrypted and she has a license in AZ to practice.

So my question is how does one set up a telepsychiatry so that it follows the rules

and regulations of the State of Hawaii BON have put in place?” The Board reviewed the definition of “Telehealth” under HRS §457-2 that states: "Telehealth" means the use of telecommunications as that term is defined in

section 269-1, to encompass four modalities: store and forward technologies, remote monitoring, live consultation, and mobile health; and which shall include but not be limited to real-time video conferencing-based communication, secure interactive and non-interactive web-based communication, and secure asynchronous information exchange, to transmit patient medical information, including diagnostic-quality digital images and laboratory results for medical interpretation and diagnosis, to support long-distance clinical health care while a patient is at an originating site and the nurse is at a distant site, patient and professional health-related education, public health and health administration, to the extent that it relates to nursing.


It was the consensus of the Board to refer Ms. Butteling to the definition of

“Telehealth” in HRS Chapter 457 as there are no further nurse licensing requirements to perform telehealth.

Summer Hobbs, Question on Resort Care Nursing The Board reviewed the following email inquiry: “I am an RN who has relocated to Hawaii. I have an opportunity to be a nurse

living on site at a new geriatric and special needs resort. I know I will require personal nursing insurance. Do I need to inform the board of nursing if I accept this position?

Also, does the resort require a permit or permission to advertise that a nurse lives

on site and can provide non-invasive care? If there were tenants who require invasive care such as IV therapy or colostomy care etc would we need a special permit for that?”

The Board reviewed the following definition in HRS 457-2 in conjunction with this

inquiry: "The practice of nursing as a registered nurse" means the performance of

professional services commensurate with the educational preparation and demonstrated competency of the individual having specialized knowledge, judgment, and skill based on the principles of the biological, physical, behavioral, and sociological sciences and nursing theory, whereby the individual shall be accountable and responsible to the consumer for the quality of nursing care rendered. The foregoing may include but shall not be limited to observation, assessment, development, implementation, and evaluation of a plan of care, health counseling, supervision and teaching of other personnel, and teaching of individuals, families, and groups in any stage of health or illness; administration, supervision, coordination, delegation, and evaluation of nursing practice; provision of health care to the patient in collaboration with other members of the health care team as autonomous health care professionals providing the nursing component of health care; or use of reasonable judgment in carrying out prescribed medical orders of a licensed dentist, physician, osteopathic physician, or podiatrist licensed in accordance with chapter 448, 453, 460, or 463E; orders of an advanced practice registered nurse licensed in accordance with this chapter; or the orders of a physician assistant licensed pursuant to chapter 453, practicing with physician supervision as required by chapter 453, and acting as the agent of the supervising physician.

(b) Definitions applicable to this chapter shall also include those used in the NCSBN Model Nursing Practice Art and the Model Nursing Administrative Rules unless the context otherwise requires. Where a definition in the NCSBN Model Nursing Practice Act or Model Nursing Administrative Rules conflicts with a


definition in chapter 457 or 436B, the definitions contained in chapter 457 or 436B and the rules of the board shall apply.

After some discussion, it was the consensus of the Board to respond to Ms. Hobbs

inquiry as follows: I am an RN who has relocated to Hawaii. I have an opportunity to be a nurse

living on site at a new geriatric and special needs resort. I know I will require personal nursing insurance. Do I need to inform the board of nursing if I accept this position?

Answer: No, you do not need to notify the Board of your new nurse

position. Also, does the resort require a permit or permission to advertise that a nurse lives

on site and can provide non-invasive care? If there were tenants who require invasive care such as IV therapy or colostomy care etc would we need a special permit for that?

Answer: You may contact the Office of Health Care Assurance (“OHCA”)

on your question for facility’s requirements or permits/license information. OHCA is the appropriate State agency that performs all state licensing activities on healthcare facilities, agencies and organizations in Hawaii, including on-site state licensing surveys and Medicare certification surveys.

The Board also wanted to inform Ms. Hobbs of the definition of “The practice of

nursing as a registered nurse” definition as it pertains to the provision of IV therapy or colostomy care by a registered nurse.

Working Solutions – July 2017 The Board was provided with a copy of the current Working Solutions for their

information. Hawaii State Ms. Reichhardt reported that they have received more survey responses this past Center for Nursing: renewal than in the last two years. Applications: The Board moved into Executive Session. Executive Session: At 9:44 a.m. upon a motion by Ms. Daub, seconded by Mr. Joslyn, it was voted on

and unanimously carried to move into Executive Session in accordance with HRS, 92-5(a) (1) and (4), “To consider and evaluate personal information relating to individuals applying for nurse licensure;” and “To consult with the board’s attorney


on questions and issues pertaining to the board’s powers, duties, privileges, immunities, and liabilities”.

At 10:15 a.m. upon a motion by Mr. Joslyn, seconded by Mr. Duldulao, it was voted on and unanimously carried to move out of executive session.

Chapter 91, HRS The Vice Chair called for a recess from the meeting at 10:15 a.m., to discuss and Adjudicatory Matters: deliberate on the following adjudicatory matters pursuant to Chapter 91, HRS:

In the Matter of the License to Practice Nursing of Mary Anne J. Espiritu formerly known as Mary Ann Jandoc; RNS 2015-77-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order.

Upon a motion by Ms. Kodama, seconded by Ms. Daub, it was voted on and unanimously carried to approve the Board’s Final Order and require the Respondent complete within 30 days of the approved Board’s Final Order continuing education courses. After completion, submit within 60 days proof of completion of continuing education courses.

In the Matter of the License to Practice Nursing of Karen M. Kang, R.N.; RNS 2017-13-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order; Exhibit “1”

Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and

unanimously carried to approve the Board’s Final Order In the Matter of the Registered Nurse License of Laura Lynn Smith formerly

known as Sukanlaya Hughes, Board of Nursing’s Final Order Upon a motion by Mr. Joslyn, seconded by Mr. Duldulao, it was voted on and

unanimously carried to approve the Board’s Final Order In the Matter of the Registered Nurse License of Jill M. Sexton, Board of

Nursing’s Proposed Final Order. Upon a motion by Mr. Joslyn, seconded by Ms. Daub, it was voted on and

unanimously carried to approve the Board’s Proposed Final Order In the Matter of the License to Practice Nursing of John E. Sulecki, RNS 2015-74-

L, Monitor’s Assessment Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and

unanimously carried to approve the Monitor’s Assessment.


Following the Board’s review, deliberation, and decisions in these matters, pursuant to Chapter 91, HRS, the Vice Chair announced that the Board was reconvening its scheduled meeting at 10:50 a.m.

Applications: Licensed Practical Nurses

Ratification List Upon a motion by Mr. Joslyn, seconded by Mr. Duldulao, it was voted on and unanimously carried to ratify the attached list of LPNs – 18879 - 18915. LPN Applicants Upon a motion by Mr. Joslyn, seconded by Mr. Duldulao, it was voted on and unanimously carried to approve the following applications:

Berzil Kelii Gemma Oliverio

Upon a motion by Mr. Joslyn, seconded by Ms. Daub, it was voted on and unanimously carried to deny the following application pursuant to HRS §§457-12(a)(3), (6) & (9), 436B-19(8), (12) & (14): Nicola Webb

Registered Nurses Ratification List

Upon a motion by Mr. Joslyn, seconded by Ms. Kim, it was voted on and unanimously carried to ratify the attached list of RNs – 86598 - 86958. RN Applicants Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the following applications:

Linda Bigay Nadezhda Cooper-Irving Fernand Jean-Baptiste Susan Kain Carly Kissane Matthew Marabito Bonnie Moses Louis Munoz Carrie Ann Quezaire Julia Sims


Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and unanimously carried to deny the following application pursuant to HRS §§457-7(b)(2) and 457-12(a)(8)

Kelly Lippert

Upon a motion by Mr. Joslyn, seconded by Mr. Duldulao, it was voted on and unanimously carried to approve a conditional license for Ms. Tasaki pursuant to her contacting Pu’ulu Lapa’au within thirty (30) days to schedule an evaluation and to report their recommendations to the Board within sixty (60) days so that the Board can review the recommendations and determine the conditions of the license that may include but not be limited to, monitoring with a substance abuse counselor who shall submit quarterly reports, attendance of weekly AA/NA meetings, drug testing, notification to all current and future employers of conditional license with the submission of quarterly reports and notification of any conviction or any judgment, award, disciplinary sanctions, order, or other determination, which adjudges or finds that applicant is civilly, criminally or otherwise liable for any personal injury, property damage or loss caused by conduct in the practice of nursing.

Melissa Tasaki

Advanced Practice Registered Nurse (APRN)

Ratification List Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and unanimously carried to ratify the attached list of APRNs and APRN-Rx. APRN Applicants for Prescriptive Authority Upon a motion by Mr. Joslyn, seconded by Ms. Kodama, it was voted on and unanimously carried to defer the following application for failing to meet the national certification requirement for prescriptive authority pursuant to HRS 457-8.5(5) and HAR 16-89-119(4): §457-8.5 Advanced practice registered nurse; qualifications; licensure; endorsement; fees; eligibility. (a) The board shall grant an advanced practice registered nurse license to a nurse who has: (5) A current, unencumbered certification of having passed a national certification examination that measures role and population-focused competencies and is recognized by the board;


§16-89-2 Definitions. As used in this chapter: "Certification" means a form of specialized credentialing, under sponsorship of a recognized national certifying body that has verified an applicant's advanced knowledge, skills, and abilities in defined areas of nurse practice specialties as listed in section 16-89-85. §16-89-85 Recognized national certifying body; certification. (a) National certifying bodies recognized by the board to certify the advanced practice registered nurse specialty include: (1) The American Nurses Credentialing Center; (2) The Pediatric Nurses Certification Board ; (3) The National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties; (4) The Council on Certification of the American College of Nurse-Midwives; (5) The National Board of Certification and Recertification for Nurse Anesthetists; and (6) The American Academy of Nurse Practitioners. (b) The board may recognize other national certifying bodies accredited by the ABNS or the NCCA, which provide competency-based certification examinations reflective of APRN knowledge of and expertise in their nursing specialties. §16-89-119 Prescriptive authority eligibility requirements. (a) The requirements for prescriptive authority are as follows: (4) Proof of a current, unencumbered certification for specialized and advanced nursing practice from a national certifying body recognized by the board;

Debra D. Soto Licenses with Conditions

After some discussion it was the consensus of the Board not to remove the conditions on Ms. Doherty’s expired license and should she submit a restoration application or re-reapply for license, the Board will assess at that time if conditions are still applicable.

Julia Doherty

Criminal Background Checks – Status Report on Implementation

Upon a motion by Mr. Joslyn, seconded by the Vice Chair it was voted on an unanimously carried to delegate the following to the EO:

• If nurse applicant answered “Yes” to prior conviction and provided documents and CBC report matches information that applicant provided, then EO to prepare for BON review or approve as delegated;


• If nurse applicant answered “Yes” to prior conviction and provided documents and CBC DOES NOT match information that applicant provided, i.e. additional conviction on CBC record, then EO to prepare for BON review or approve as delegated:

• If nurse applicant answered “Yes” to pending investigation and provided documents and CBC report matches information that applicant provided, then EO to prepare for BON review or approve as delegated; and

• If nurse applicant answered “Yes” to pending investigation and provided documents and CBC report DOES NOT match information that applicant provided, i.e. additional arrest or convictions on CBC record, then EO to prepare for BON review or approve as delegated.

Election/Announcement The EO asked for volunteers for Board Chair and Vice Chair. Of Board Chair and Vice Chair The current Vice Chair, Ms. Tali volunteered for position of Board Chair and Mr. Joslyn

volunteered for position of Vice Chair. There being no opposition, the Board by consensus appoints Ms. Tali as the Board Chair

and Mr. Joslyn and the Vice Chair. Next Meeting: The Chair announced the next scheduled Board meeting as August 3, 2017, and

asked if everyone was available to attend. Thursday, August 3, 2017 8:30 a.m. Queen Liliuokalani Conference Room

King Kalakaua Building, 1st Floor 335 Merchant Street

Honolulu, Hawaii 96813 Adjournment: There being no further business to discuss, the meeting was adjourned at 11:06

a.m. Reviewed and approved by: Taken by: /s/ Lee Ann Teshima______ /s/ Lisa Kalani_________ Lee Ann Teshima, Lisa Kalani, Secretary Executive Officer LAT/lk 7/25/17 [ X ] Minutes approved as is. [ ] Minutes approved with changes; see minutes of _____________________________.

ADVANCED PRACTICE REGISTERED NURSES

RATIFICATION LIST

July 11, 2017

APRN ONLY

Current Requirements:

Memorie Tiapula, Family NP

Michaela Windhol, Family NP

James Bell, Family NP

Sung Min Cho, Family NP

Meghan Damelio, Adult-Gerontology Primary Care NP

Johann R. Hepner, Adult Psychiatric and Mental Health NP

Leslie Menchetti, Family NP

Deborah Rodman, Family NP

Doris Golden Teal, CRNA

Victoria Habibi, Family NP

Adeline Kline, Family NP

Stephanie R. Wilhelm, Family NP

Sachi L. Seaburn, CRNA

Amy V. Condon, Family NP

Shelby Louise Smith, Adult-Gerontology Acute Care NP


APRN W/ PRESCRIPTIVE AUTHORITY

Memorie Tiapula, Family NP

James Bell, Family NP


Amy Fleming, CRNA

Johann R. Hepner, Adult Psychiatric and Mental Health NP

Lianne Higa, Adult CNS

Leslie Menchetti, Family NP

Deborah Rodman, Family NP

Victoria Habibi, Family NP

Adeline Kline, Family NP

Leslie Sullivan, Family NP

Stephanie R. Wilhelm, Family NP

Amy V. Condon, Family NP

Shelby Louise Smith, Adult-Gerontology Acute Care NP


RN RATIFICATION LIST 7/11/17

RN 86598 DEMORAIS KIMBERLY A

RN 86599 ZALESIAK ALISON M

RN 86600 ELKINS CHRISTY M

RN 86601 WALLACE NICHOLAS

RN 86602 INGRAM MELISSA S

RN 86603 MANIBO COLEEN C

RN 86604 DE LEON TIFFANY

RN 86605 DUROSCA GEFFREY

RN 86606 FINCH TANAE M

RN 86607 DELA VEGA BEVERLY A

RN 86608 ROBINSON DIAN AUDREY

RN 86609 PETERS EDWIN A

RN 86610 HORACIUS MICHELE M

RN 86611 WEEKS HELLOIZA N

RN 86612 PETERS SOPHIA R

RN 86613 BISENIO MICHAEL A P

RN 86614 SILETTI CRYSTAL K

RN 86615 LIU MICHELLE K

RN 86616 INIBA AMY JEAN

RN 86617 MATA MAUREEN

RN 86618 MARTINEZ ARZOLA IVON

RN 86619 BRINKLEY JEANELLE L

RN 86620 EDWARDS PAUL T

RN 86621 WHITE KAITLIN M

RN 86622 JEPSEN PATRICIA L

RN 86623 HILLCOAT GENA M

RN 86624 MOJICA JEANISA

RN 86625 MCCLURE JOHN D

RN 86626 WOODS-BURNS TRACY T

RN 86627 SKOP-BUALUAY MELISSA

RN 86628 NYE LORI E

RN 86629 EMMEL CHENGCHENG

RN 86630 MCCOY GRACE

RN 86631 CHU BETTY

RN 86632 BROOKS SAUNDRA

RN 86633 HUFF LAURA E

RN 86634 HO JOANIE C

RN 86635 ROTOLA KAYLEIGH S

RN 86636 MATIS BRITTANY C

RN 86637 LIM DOREEN

RN 86638 BURGESS MELINDA J

RN 86639 NWAEZEAPU CHRISTOPHE

RN 86640 LINDSAY BRITTON D

RN 86641 TERWISSCHA ASHLEY K

RN 86642 LACKEY JAMES D

RN 86643 CLARK COURTNEY R

RN 86645 CZAPSKI JOANNE M

RN 86646 KIM JU YUN

RN 86647 GISI MCKAHLE D

RN 86648 PARKER PEGGY S

RN 86649 MARTIN WILLIAM M

RN 86650 BUSSE KATHRYNE A

RN 86651 TIERNEY BRIAN J

RN 86652 GUERRIER SIDNEY H

RN 86653 BRAZA MARIO HENDRICH

RN 86654 BAUCICOT OLNICK BIEN

RN 86655 HODGES HEATHER G

RN 86656 LAZATIN MA CONSUELO

RN 86657 HEPNER JOHANN R

RN 86658 MARION JANELLE L

RN 86659 ARAIZA-ARANA HANNA

RN 86660 BOREL LIANA M

RN 86661 CURTIS PATRICIA C

RN 86662 EISENBERG VICTORIA

RN 86663 SIMONS KAYTLIN M

RN 86664 DERIENZO NICOLE R

RN 86665 HIRSCHEL JENNIFER J

RN 86666 GAUL VIKKI L

RN 86667 DECKER KATHERINE C

RN 86668 WILHELM STEPHANIE R

RN 86669 CARTER HOLLI M

RN 86670 EVANS ROCHELLE M

RN 86671 EPSTEIN ANN H

RN 86672 FREIRE JESSICA L

RN 86673 GIMPEL ANECIA K

RN 86674 HUTCHINSON MELISSA R

RN 86675 HARTMAN ASHLEY D

RN 86676 KUJALA KELSEY A

RN 86677 LANDMAN MADELYN M

RN 86678 OSIPYAN KARINA L

RN 86679 GUIN RAMONA L

RN 86680 ACOSTA LIAN C

RN 86681 GUADALUPE MARCO H

RN 86682 BARRETT MARGIT F

RN 86683 WISLER JULIA C

RN 86684 PILIPOVIC SABINA

RN 86685 EVANS ANNA G

RN 86686 YANOS ZACKERY K

RN 86687 BOSWELL-CLINE LEZLI

RN 86688 CASH AMY J

RN 86689 GONZALEZ JOALIZE M

RN 86690 CAMEJO NELTHROPP BAR

RN 86691 SINGER DAVID S

RN 86692 SHAW EMILY L

RN 86693 MALLOY MAGDALENA A

RN 86694 HORST STACIE B

RN 86695 HOUDE ASHTON A

RN 86696 KOOISTRA JENNIFER W

RN 86697 MURRAY ARIELLE K

RN 86698 TREKELL SARAH K

RN 86699 PONIEWAZ CARISA L

RN 86700 ANDERSON NANCY J

RN 86701 HEARD TANYA A

RN 86702 HUML-VANZILE MICHELL

RN 86703 HEILAND GUY J

RN 86704 DAVIS RYAN K

RN 86705 GEBHARDT STEPHANIE R

RN 86706 IRICK KATHLEEN M

RN 86707 JONES GRETCHEN A

RN 86708 WALLACE LAUREN E

RN 86709 RENAMIRAVI ANEESH

RN 86710 MELTON TITISHA M

RN 86711 VICK HUNTER R

RN 86712 MINNICK AMY V

RN 86713 MONSERRAT MARTHA J

RN 86714 USHER KARON R

RN 86715 ZURCHER OLIVIA H

RN 86716 HOLCOMBE ASHLEIGH M

RN 86717 TRAHAN MELISSA A

RN 86718 DUMLAO JOCELYN ASHLE

RN 86719 STEGMAN JOHN F JR

RN 86720 ROBERTSON JAIME R

RN 86721 BECKER NATALIE C

RN 86722 MCCORD TRICIA J

RN 86723 KITCHEN LATREKIA U

RN 86724 LIPSCOMB MOYNA L

RN 86725 THAYER JULIE A

RN 86726 BARRETTA MARY C

RN 86727 CESPEDES MERIAM

RN 86728 REYES SARAH H

RN 86729 LAGUERRE DALIDA

RN 86730 SACRO CARMELA DIZON

RN 86731 GOLD MEGAN CHRISTINE

RN 86732 MERCADO SARAH M

RN 86733 BROADWATER VALERIE

RN 86734 SINVIL RONY

RN 86735 ARCHER CALIN S

RN 86736 TWINAM JENNIFER M

RN 86737 MEYERINK ALICIA L

RN 86738 LAZO JAILYN

RN 86739 YAGO JUNARIZA L

RN 86740 CHANCE SHANTEL V

RN 86741 AMERTIL JOEL

RN 86742 UMIPIG ROBIN M

RN 86743 WILLIAMS ERICKA T

RN 86744 BURKE JESSICA N

RN 86745 GONZALEZ ILSE V

RN 86746 O'CONNOR RICHARD J J

RN 86747 GRAYLESS HOLLY L

RN 86748 MILLER SEMETRA L

RN 86749 GRISSOM CHRISTINE E

RN 86750 CALVERT ALICIA R

RN 86751 STUART TONYA S

RN 86752 YANG JIANXIN

RN 86753 BELL TAMI L

RN 86754 GREENHALGH CHRISTINE

RN 86755 RAMOS AARON D C

RN 86756 VIDUYA PRISCILLA MAR

RN 86757 ENCINA LEA C

RN 86758 URATSUKA KELSEA Y

RN 86759 LAGUNDINO JENNIFER H

RN 86760 WARNER KIMBERLY D

RN 86761 FLORES APRIL ROSE ED

RN 86762 DORNEVILLE ERNEST F

RN 86763 WILCOXON JANAE N

RN 86764 BANEZ MA CLAUDIA G

RN 86765 YIN HALINA'OKONA'AO

RN 86766 ORTIZ SHANNA D

RN 86767 DE LANCEY BRIDGET V

RN 86768 SINCLAIR LAING MARIE

RN 86769 BARRETTO AIDA K

RN 86770 ANDREWS DANIELLE E

RN 86771 LYFORD KATIE L

RN 86772 HALL MARJORIE L

RN 86773 GOLDNER GALE M

RN 86774 WAUGH JAMIE R

RN 86775 FRANKLIN SARAH K R

RN 86776 WILLIAMS AMY L

RN 86777 RAUCH JESSICA A

RN 86778 CAMPOS MELBA A

RN 86779 RADEMACHER ELIZABETH

RN 86780 WRIGHT GRACE K

RN 86781 DARCE HILDA W

RN 86782 TOLLEY STACIA L

RN 86783 HOWELL MONIKA L

RN 86784 BROSIUS NATHAN R

RN 86785 VERGARA DEANNE M

RN 86786 PIERCE SHERLYLYNN D

RN 86787 SCHMITTOU MAGEN R

RN 86788 SNELLER CARRIE L

RN 86789 SAULTER MIA L

RN 86790 BELOCURA ROMEO R

RN 86791 SLOWEY BRITTANY S

RN 86792 CAPOLUPO JOSEPH A

RN 86793 CURTIS ISABELLE J C

RN 86794 HILL BRITTANY A

RN 86795 HARVEY SHEREE L

RN 86796 COLEMAN ASHLEY M

RN 86797 KEFFER VICIE L

RN 86798 PYE HANNAH C M

RN 86799 OERMANN ALYSON R

RN 86800 HOSGOOD DANIELLE N

RN 86801 HARRIS LACEY M

RN 86802 EMERSON REBEKAH K

RN 86803 BROWN CYNTHIA A

RN 86804 COVEY KATY L

RN 86805 MOORE KARA L

RN 86806 FORD JERI L

RN 86807 BIGLEY ROBERT C

RN 86808 SMITH PHYLLIS F

RN 86809 LILLARD LAFONDA Y

RN 86810 FOLEY MAURA N

RN 86811 NARWAL HARDEEP K

RN 86812 KIMURA MILANI R

RN 86813 PARKER JILLIAN R

RN 86814 COWART CODY L

RN 86815 STEMPLE THERESA A

RN 86816 HIDLAY ANNEYVA M

RN 86817 LAU ELAINE Y

RN 86818 CLARK BRYAN A

RN 86819 HOUSAND MIRIAM

RN 86820 FOSTER LISA H

RN 86821 BECKER HILARY E

RN 86822 BULLINGTON ANGELA D

RN 86823 NORVILLE MYKAH C

RN 86824 GOFF ASHLEY M

RN 86825 GREASON ACIA T M

RN 86826 DICKERSON BOBBI L

RN 86827 SANTOS EMANUELA G

RN 86828 KOCIAN STACY R

RN 86829 LABUGUEN KATHLEEN M

RN 86830 ELTINE ELOUSE

RN 86831 FELICIANO MARIA L

RN 86832 ALADIN KATIANA

RN 86833 CRISP LAURA J

RN 86834 CHASTAIN BECKI A

RN 86835 ALFARO MARICHU

RN 86836 ANTONIO LEILANI G N

RN 86837 ASPARO MARY JOY E

RN 86838 ALEXANDRE FLORE C

RN 86839 ADEBAYO TEMITOPE A

RN 86840 ABREU SANCHEZ MARIE

RN 86841 CHUA MA CAMILLE R

RN 86842 LYNCH NICOLE M

RN 86843 SARTE CHERYL-LYN A

RN 86844 CHRISMAN AMANDA N

RN 86845 DOTY MORGAN A

RN 86846 CASTRO MARIA KRISTIN

RN 86847 KUBO MICAH Z S

RN 86848 SHASHOK MELISSA M

RN 86849 WALLACE BRITTANY L

RN 86850 ROSE CHRISTOPHER A

RN 86851 BORDELON CATHERINE N

RN 86852 SMITH LANCE A

RN 86853 ALLAIRE MICHELLE M

RN 86854 ASHCRAFT COURTLAND E

RN 86855 ANESTOR ROSELYNE

RN 86856 JEAN NICOLE L

RN 86857 FRANCIS SOPHIA S

RN 86858 KHALIFE RACHA J

RN 86859 SEN LORENZO

RN 86860 KOWALCZYK ALYSSA M

RN 86861 DIAZ-AMARAN CRISTNIE

RN 86862 PAGANO KRISTENE L

RN 86863 GRANAI KIMBERLY A

RN 86864 GLASNER ALLEDA

RN 86865 DELGADO LIZET M

RN 86866 COLON LISA D

RN 86867 FANNINGS CRISTY ANN

RN 86868 GARGANERA JUAN MIGUE

RN 86869 BOMBANE JAY L

RN 86870 CHERY KERLYNE

RN 86871 OLSON TONI M

RN 86872 CORPUZ ERWYN M

RN 86873 ARANA ARAIZA HECTOR

RN 86874 LYNCH MICHELLE

RN 86875 IRISH CHRISTOPHER J

RN 86876 JOYCE-JONES STEPHANI

RN 86877 RADER SARAH D

RN 86878 BODLE LYNNE S

RN 86879 FLAVIN DANIELLE

RN 86880 STRAWINSKI MICHELLE

RN 86881 VILLANUEVA ROSALBA

RN 86882 THOMPSON MARGARET C

RN 86883 SIPLINGER KELLY R

RN 86884 NOVAK ASHLEY M

RN 86885 REDMAN SHIRLEY J

RN 86886 THOMAS AGSONTINA M

RN 86887 SHADLE SHAINA M

RN 86888 DENEEN CINDY

RN 86889 TATUM JANICE L

RN 86890 DECKER CARLY B

RN 86891 ALVAREZ MARIA L

RN 86892 COLLINS RIA ROSE G

RN 86893 CHEEK LINDA P

RN 86894 HAWKS GREGG M

RN 86895 JOHNSON JENNIFER L

RN 86896 KUNEWA RAYLENE L

RN 86897 RAKOTZ BRITTANY P

RN 86898 JUNIO DONNA MAE O

RN 86899 PACIUS JUCALE

RN 86900 PIERRE-CHERELUS SEVE

RN 86901 MORGAN AVA-MONIQUE V

RN 86902 MANZHURA DENIS A

RN 86903 YARBROUGH KORTNEY E

RN 86904 HAMPSMIER LILLIAN N

RN 86905 SAN LUIS PATRICK B

RN 86906 IGAWA SHARON H

RN 86907 NERA MARIELLE F

RN 86908 SINGSON PATRICK JASO

RN 86909 MUNSAYAC LORENZO D C

RN 86910 LAKANDULA PRITCHMARL

RN 86911 JOSEPH BERLINE

RN 86912 SANCHEZFERNANDEZ RON

RN 86913 TALAID JULIE ANN R

RN 86914 SANTIAGO KATHERINE G

RN 86915 THOMAS SAMANTHA BLES

RN 86916 COLLEY KIRBY D

RN 86917 TSUJI HUI Q

RN 86918 DE LA ROSA ELIESER

RN 86919 CASTRO CAROLINE A

RN 86921 BOWMAN KRISTINE A

RN 86922 OLDHAM DAVID R

RN 86923 SUBIA MARVIN T

RN 86924 JUAREZ SERGIO

RN 86925 SIZOO SUSAN G S

RN 86926 OSUNA PERLITA Y

RN 86927 DEARMITT MALISSA A

RN 86928 RAMIREZ CHRISTINA S

RN 86929 WITTIG JESSICA

RN 86930 ANDRE ANISE

RN 86931 SIPIN JANICE T

RN 86932 SUMNER TYLER S

RN 86933 PARFAIT CASSANDRA

RN 86934 PAULO PAULINE R

RN 86935 DORSAINVIL MORANIE M

RN 86936 DRESCHER JAMES KENNE

RN 86937 DESHA MALUHIA ROSE

RN 86938 CAPARROS MA RENZEL T

RN 86939 JAUREGUI VICTOR D

RN 86940 PIO PAMELA JOY B

RN 86941 MUSTAIN JACKIE

RN 86942 LUMBANG RAECEE DE LA

RN 86943 LEONE JON-PIERRE

RN 86944 KALAWE ELLIE-JEAN L

RN 86945 ESHPETER COREY J

RN 86946 ESTIMABLE MARCELUS G

RN 86947 JOSE ROXANNE B

RN 86948 STEWART JULIE C

RN 86949 LEAL LOIDA N

RN 86950 CASINO KRYSTA L

RN 86951 ROBINSON JASON A

RN 86952 DUENAS ROGELIO

RN 86953 POWERS LAKESHA T

RN 86954 NAGATORI JENNY M

RN 86955 THUENER KRISTOFER K

RN 86956 GARCIA HYGIEA MAE L

RN 86957 KRUSE CHRISTINE R

RN 86958 CALLISON LINDA G

LPN RATIFICATION LIST 7/11/17

LPN 18879 ALAKE OLUWABUSAYO

LPN 18880 MAURICE-LEBRUN BEATR

LPN 18881 MALTSEV YEVGENIY

LPN 18882 BERMUDEZ ASHLEY C

LPN 18883 WILLIAMS CURTIS CORA

LPN 18884 AZARD PEGELIONNE

LPN 18885 BERNARD JEAN

LPN 18886 FOSTER SHENEE

LPN 18887 HISH CINDY J

LPN 18888 KUTSCHBACH JULIA R

LPN 18889 SCANNELL ANNE L

LPN 18890 BARRETT TIFFANY

LPN 18891 DOMINGO ELSIE ROCHEL

LPN 18892 TALENS KATHLEEN

LPN 18893 DEWEESE HAYLA G

LPN 18894 SOHAYDA ELEXIS N

LPN 18895 MORINE MARIJO

LPN 18896 VINCENT BETTY J

LPN 18897 KAUFMANN JANETTE ANN

LPN 18898 TUFNELL JANET M

LPN 18899 JEAN CHARLES ESTHER

LPN 18900 HUGHES SHAWNA L

LPN 18901 AUBEL NATACHA

LPN 18902 MCDEARMON LASHONDA

LPN 18903 YARDLEY JASON

LPN 18904 AKINS DOMINIQUE

LPN 18905 ESPIRITU KALAYAAN R

LPN 18906 WILLIAMS AMY L

LPN 18907 GOOD LISA D

LPN 18908 BENJAMIN MANESSE

LPN 18909 THOMPSON MEYGAN D

LPN 18910 SHOLARS RACHEL R

LPN 18911 RODRIGUEZ CRUZ DE KI

LPN 18912 DIKILATO CHAD B

LPN 18913 KARLSON STEPHAINE L

LPN 18914 ABDULLAH NAHEELAH R

LPN 18915 GONZALES PHOEBE L L

BOARD OF NURSING Professional and Vocational Licensing ... · [§127A-13] Additional powers in an...

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Transcript of BOARD OF NURSING Professional and Vocational Licensing ... · [§127A-13] Additional powers in an...