9 state board of nursing - pa department of state...13 [heather j. mccarthy, esquire, board...

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1

COMMONWEALTH OF PENNSYLVANIA 1

DEPARTMENT OF STATE 2

BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS 3

4

F I N A L M I N U T E S 5

6

MEETING OF: 7

8

STATE BOARD OF NURSING 9

10

TIME: 9:17 A.M. 11

12

Board Room B 13

One Penn Center 14

2601 North Third Street 15

Harrisburg, Pennsylvania 17110 16

17

Friday, March 2, 2018 18

19

20

21

22

23

24

25


2

State Board of Nursing 1 March 2, 2018 2

3 4 BOARD MEMBERS: 5 6 Linda L. Kmetz, PhD, RN, Chairperson 7 Ian J. Harlow, Commissioner of Professional and 8

Occupational Affairs/Katelin Lambert, Director of 9 Operations, Designee of the Commissioner of 10 Professional and Occupational Affairs 11

Ann Michele Coughlin, MBA, MSN, RN, Vice Chair 12

Robert E. Ames, Public Member - Absent 13 Suzanne Hendricks, BSBH, RN, LPN 14 Sue E. Hertzler, LPN 15 Linda A. Kerns, Esquire, Public Member 16 Kessey J. Kieselhorst, MPA, RD, LDN, CPHQ - Absent 17 Sherri Luchs, RN - Absent 18 Kristin Malady, BSN, RN - Absent 19 John M. O’Donnell, DrPH, RN, CRNA, MSN 20 Jason R. Owen, Esquire, Public Member 21 Bridget E. Vincent, MSN, CRNP, APN-BC, CCRN 22 23 24 BUREAU PERSONNEL: 25 26

Judith Pachter Schulder, Esquire, Board Counsel 27 Megan E. Castor, Esquire, Board Counsel 28 Carole Clarke Smith, Esquire, Board Counsel 29 Ariel O’Malley, Esquire, Board Counsel 30 Margaret A. Sheaffer, Esquire, Board Prosecution 31 Liaison 32 Cynthia K. Miller, Board Administrator 33 Andrea L. Costello, Esquire, Board Prosecutor 34 Jason T. Anderson, Esquire, Board Prosecutor 35 Keith E. Bashore, Esquire, Board Prosecutor 36 Lindsay Szymanski, Esquire, Board Prosecutor 37 T'rese Evancho, Esquire, Board Prosecutor 38 Ricky Lewis, Esquire, Board Prosecutor 39 Adam Morris, Esquire, Board Prosecutor 40

J. Karl Geschwindt, Esquire, Board Prosecutor 41 Heather McCarthy, Esquire, Board Prosecutor 42 William A. Newport, Esquire, Board Prosecutor 43 David J. Schertz, Esquire, Board Prosecutor 44 Timothy Smith, Esquire, Board Prosecutor 45 Matthew Sniscak, Esquire, Board Prosecutor 46 Laurette Keiser, MSN, RN, Executive Secretary 47 Wendy Miller, MSN, RN, Nursing Practice Advisor 48 Leslie House, MSN, RN, Nursing Practice Advisor 49 50


3

State Board of Nursing 1 March 2, 2018 2

3 4 ALSO PRESENT: 5 6 Patricia Donovan, YTI Career Institute 7 Phil Krebs, YTI Career Institute 8 Kathie Simpson, RN, Executive Director, Pennsylvania 9 Nursing Peer Assistance Program 10 Jay Thomas, MS, MPA, CRNA, Vice President, 11 Pennsylvania Association of Nurse Anesthetists 12

Mary Lou Taylor, CRNA, BSN, Secretary, Pennsylvania 13 Association of Nurse Anesthetists 14 Jodie Szlachta, Ph.D., MSN, CRNA, President, 15 Pennsylvania Association of Nurse Anesthetists 16 Derek Reckard, MSN, PHRN, CRNA, Pennsylvania 17 Association of Nurse Anesthetists 18 Pam Wrobleski, MPM, CASC, CRNA, Pennsylvania 19 Association of Nurse Anesthetists 20 Jessica Poole, DNAP, MSN, CRNA, Pennsylvania 21 Association of Nurse Anesthetists 22 Jennifer Sporay, RDN-AP, CSO, LDN, CNSC, Pennsylvania 23 Academy of Nutrition and Dietetics 24 Ilona R. Garrity, MBA, RD, LDN, Pennsylvania Academy 25 of Nutrition and Dietetics 26

Britte Earp, Ridge Policy Group 27 Andrew Harvan, Pennsylvania Medical Society 28 Suzanne Wurster, MSN, RN, CEN, Director of 29 Professional Development, Pennsylvania State Nurses 30 Association 31 Jennifer Eden, Education Affiliates 32 Mary Marshall, Director, Workforce & Professional 33 Services, The Hospital and Healthsystem Association 34 of Pennsylvania 35 36 37 38 39 40

41 42 43 44 45 46 47 48 49 50


4

*** 1

State Board of Nursing 2

March 2, 2018 3

*** 4

The regularly scheduled meeting of the State 5

Board of Nursing was held on Friday, March 2, 2018. 6

Linda L. Kmetz, PhD, RN, Chairperson, called the 7

meeting to order at 9:17 a.m. Ian J. Harlow, 8

Commissioner of Professional and Occupational Affairs, 9

was not present at the commencement of the meeting. 10

*** 11

[Chairperson Kmetz requested members of the Board and 12

staff to introduce themselves as well as visitors in 13

attendance.] 14

*** 15

Adoption of the Agenda 16

CHAIRPERSON KMETZ: 17

May I have a motion for the adoption of 18

today’s agenda? 19

DR. O’DONNELL: 20

So moved. 21

MS. COUGHLIN: 22

Second. 23


All in favor? Opposed? Abstentions? 25


5

[The motion carried unanimously.] 1

*** 2

Adoption of Minutes 3

[The December 7, 2017 and January 19, 2018 minutes 4

were tabled so that additional revisions can be made.] 5

*** 6

Report of Prosecutorial Division 7

[Jason T. Anderson, Esquire, Board Prosecutor, 8

presented the following Consent Agreements: File No. 9

17-51-05600, File No. 17-51-07810, and File No. 17-51-10

13584.] 11

*** 12

[Keith E. Bashore, Esquire, Board Prosecutor, 13


16-51-14032 and File No. 16-51-14843, and File No. 17-15

51-08817. 16

Members Hendricks and Kerns were recused from the 17

discussion on File No. 16-51-14032 and File No. 16-51-18

14843.] 19

*** 20

[T’rese Evancho, Esquire, Board Prosecutor, presented 21

the following Consent Agreements: File No. 15-51-22

02709, File No. 16-51-06251, and File No. 17-51-06951. 23

Members Coughlin and Hendricks were recused from 24

the discussion on File No. 16-51-06251.] 25


6

*** 1

[J. Karl Geschwindt, Esquire, Board Prosecutor, 2


16-51-08698, File No. 17-51-00595, File No. 17-51-4

03948, File No. 17-51-04053, and File No. 17-51-07513. 5



07513.] 8

*** 9

[Ricky Lewis, Esquire, Board Prosecutor, presented the 10

Consent Agreement for File No. 16-51-09729.] 11

*** 12

[Heather J. McCarthy, Esquire, Board Prosecutor, 13

presented Consent Agreements for File No. 17-51-04748 14

and File No. 17-51-07931. 15


discussion on File No. 17-51-04748.] 17

*** 18

[Adam Morris, Esquire, Board Prosecutor, presented the 19

following Consent Agreements: File No. 17-51-04713, 20

File No. 17-51-06280, File No. 17-51-06601, and File 21

No. 17-51-02932 and File No. 17-51-01297. 22



01297.] 25


7

*** 1

[William Newport, Esquire, Board Prosecutor, presented 2


06876, File No. 16-51-08156, File No. 16-51-08531, 4

File No. 16-51-14695, File No. 16-51-15012, File No. 5

17-51-10759, File No. 17-51-11237, and File No. 17-51-6

05380. 7



*** 10

[David J. Schertz, Esquire, presented the Consent 11

Agreement for File No. 16-51-05272.] 12

*** 13

[Margaret A. Sheaffer, Esquire, Board Prosecutor, 14

presented Consent Agreements for File No. 17-51-11319 15

and File No. 17-51-12081. 16



*** 19

[Timothy Smith, Esquire, Board Prosecutor, presented 20


02576, File No. 17-51-05667, File No. 17-51-05995, 22

File No. 17-51-12794, and File No. 17-51-14106. 23




8

05995. Members Coughlin and Hendricks were recused 1

from the discussion on File No. 17-51-14106.] 2

*** 3

[Matthew Sniscak, Esquire, Board Prosecutor, presented 4


01593, File No. 17-51-00856, File No. 17-51-06558, 6

File No. 17-51-13118, File No. 18-51-00206, File No. 7

18-51-00236, and File No. 17-51-03525.] 8

*** 9

[Lindsay Szymanski, Esquire, Board Prosecutor, 10

presented the Consent Agreements for File No. 14-51-11

07088 and File No. 17-51-01097.] 12

*** 13

Regulation Update – Regulations Status Summary 14

[Judith Pachter Schulder, Esquire, Board Counsel, 15

informed the Board that the Fees regulation (16A-5142) 16

was under review by the Office of General Counsel, 17

Office of Budget, and Office of Policy. Ms. Pachter 18

Schulder projected publication of the regulations in 19

proposed form in late spring. There were no new 20

updates on the remaining pending regulations.] 21

*** 22

Legislative Update – Pennsylvania Update 23


referred to Senate Bill 354 as signed by Governor Wolf 25


9

into Act 6 of 2018. Ms. Pachter Schulder discussed 1

significant provisions of Act 6 including expungement 2

of continuing education violations and practicing on a 3

lapsed licensed up to six months. Both categories of 4

offenses can be expunged following five years of non-5

discipline. 6

Act 6 also requires that all criminal matters and 7

reciprocal discipline be reported within 30 days. Ms. 8

Pachter Schulder discussed that 21.29a, 21.156b and 9

21.723a require that reciprocal actions be reported to 10

the Board within 90 days and criminal charges and 11

convictions be reported within 30 days. The 12

Department’s view is that because Act 6 follows the 13

regulatory amendments, all reciprocal and criminal 14

actions be reported within 30 days. She noted a 15

notice to be placed on the Board's website announcing 16

the 30 days reporting requirements. The last 17

significant provision in Act 6 is the inclusion of 18

immediate temporary suspensions for Boards that do not 19

have this provision within their Acts. 20

Ms. Pachter Schulder referred the Board to House 21

Bill 2092 related to the nurse staffing standards in 22

hospitals.] 23

*** 24

[Ian J. Harlow, Commissioner of Professional and 25


10

Occupational Affairs, entered the meeting at 9:28 1

a.m.] 2

*** 3

Legislative Update (Continued) 4

[Ms. Pachter Schulder discussed Section 807-A in House 5

Bill 2092 regarding protections for professional 6

nurses including refusal of assignments and 7

retaliation. She mentioned that the Board receives 8

frequent inquiries/messages from licenses about extra 9

work time, practicing on patients without training, 10

and performing services outside of an individual’s 11

capability or education as explanations for not 12

accepting an assignment.] 13

*** 14

Report of Commissioner 15


Occupational Affairs, updated the Board on Executive 17

Order 2017-03 and an upcoming Advisory Committee 18

Meeting. He stated St. Francis University was 19

assisting with the collection of data, which was 20

approximately 45 percent complete and on target for 21

the May 25, 2018 deadline. A report with statistical 22

and factual information will then be issued to the 23

Governor and each of the Boards. He noted that the 24

Advisory Committee determined it was not appropriate 25


11

to make recommendations for each of the licensing 1

Boards, but a report will be provided to each Board 2

for its input. 3

Commissioner Harlow stated the Pennsylvania 4

Licensing System (PALS) was approximately 85 percent 5

complete and 3.5 percent below projected expenditures. 6

All initial licensure applications will be moved to 7

PALS. 8

Commissioner Harlow explained the administrative 9

process for licensing operations being completed 10

through PALS. He encouraged the Board and associations 11

to provide feedback to his office or the Board 12

Administrator on the system. 13

Commissioner Harlow presented statistics 14

regarding PALS renewals, reporting that the Nursing 15

Board had 1,300 licensees successfully completing 16

their renewals out of 51,000 in a two-day period and 17

noting nine requests for help desk support. 18

Commissioner Harlow discussed answering calls 19

regarding PALS. He and Ms. Keiser have been working 20

to provide additional staff on the phones and to 21

obtain approval for another staff position. He 22

mentioned temporarily bringing on 20 Bureau-wide 23

annuitants to assist with the transition of PALS. Mr. 24

Harlow stated the basic processing time for 25


12

applications for the Board was less than 10 days.] 1

*** 2


Occupational Affairs, exited the meeting at 9:38 a.m.] 4

*** 5

Legislative Update – Pennsylvania Update (Continued) 6


continued with explaining the expungement process in 8

Act 6. The process would be handled administratively 9

by following the criteria as set forth specifically in 10

the statute subsequent to a licensee requesting an 11

expungement. The request for expungement may only be 12

approved one time. She stated there are no waivers, 13

provisions, or special considerations within the 14

limited terms in the act. 15

Dr. O’Donnell questioned whether the Board would 16

be informed of a second offense. Ms. Pachter Schulder 17

explained the prosecuting attorneys would provide 18

information of a second offense and perhaps address 19

the matter similarly to a DUI expungement. She also 20

noted that there is no time limit for a request for 21

expungement.] 22

*** 23

Legislative Update – National Update – No Report 24

*** 25


13

Report of Board Chairperson – No Report 1

*** 2

Report of Committees 3

Probable Cause Committee 4

[Suzanne Hendricks, BSBH, RN, LPN, reported that the 5

Probable Cause Committee moved on the following: 15 6

Petitions for Appropriate Relief, 52 Petitions for 7

Mental and Physical Examinations, and three Petitions 8

for Immediate Temporary Suspension.] 9

*** 10

Application Review Committee 11

[Ann Michele Coughlin, MBA, MSN, RN, Vice Chair, 12

stated the Application Review Committee met and will 13

also be meeting later in the day to review 14

applications.] 15

*** 16

Advanced Practice Committee 17

[John M. O’Donnell, DrPH, RN, CRNA, MSN, noted the 18

Advanced Practice Committee will meet later in the 19

day.] 20

*** 21

RN/PN Practice, Education, & Regulation – No Report 22

*** 23

Dietitian-Nutritionist 24

[Jennifer Sporay, RDN-AP, CSO, LDN, CNSC, PA Academy 25


14

of Nutrition and Dietetics, was requested to update 1

the Board on a recent meeting of the Academy. Ms. 2

Sporay reported that the Academy is preparing a draft 3

Bill to update and expand its statute to include more 4

than just title protection.] 5

*** 6

IT & Communication Issues 7

[Suzanne Hendricks, BSBH, RN, LPN, met with Katelin 8

Lambert, Director of Operations, last Board meeting, 9

who will be reviewing specific eAgenda issues. She 10

also had not received any recent reports of Board 11

member problems.] 12

*** 13

Report of Board Members Who Attended a Meeting on 14

Behalf of the Board 15

[Chairperson Kmetz reported on attending the NCSBN 16

Standards Development Committee Meeting January 30-31, 17

2018, in Chicago. She recommended that the Board 18

withdraw membership in the American National Standards 19

Institute (ANSI), as the organization deals more with 20

manufacturing standards, not regulatory standards. 21

Chairperson Kmetz stated the charge of the 22

Standards Development Committee will be changing. The 23

role of the Committee will be to provide oversight of 24

the model roles and the model act, as well as 25


15

continuing to develop standards and interpretive 1

statements based on the model roles and model act. 2

Chairperson Kmetz noted that additional information 3

will become available after the Midyear Meeting.] 4

*** 5

Report of Executive Secretary 6

[Laurette Keiser, MSN, RN, Executive Secretary, stated 7

the Board received the National Council Licensure 8

Examination-Registered Nurse (NCLEX-RN) draft for 2019 9

and a request for Board comment. The Board members 10

attending the Delegate Assembly will be requested to 11

vote on the draft, as well as the other delegates in 12

August. 13

Ms. Keiser stated the National Council was still 14

considering the Exam User category, which was brought 15

up at the last Delegate Assembly in relation to using 16

NURSYS for verifications. Updates will be provided as 17

they become available. 18

Ms. Keiser informed the Board that prescriptive 19

authority approval numbers will now have the prefix 20

Nurse Practitioner Prescriptive Authority (NPPA), 21

which is important in terms of renewals for Certified 22

Registered Nurse Practitioners (CRNPs). She also 23

discussed contacting the DEA, as well as the 24

Pennsylvania Coalition of Nurse Practitioners to 25


16

inform them of the addition of the prefix. A 1

notification has also been added to the website. 2

Ms. Keiser updated the Board that there are 3

amendments being made to the Probable Cause eAgenda. 4

Ms. Keiser referred to prior discussion related 5

to Board members visiting the Peter M. Winter 6

Institute for Simulation, Education, and Research 7

(WISER), in conjunction with the Board meeting. The 8

Commissioner suggested a select group of Board members 9

request approval to visit the Institute. 10

Dr. O’Donnell, as the Associate Director of the 11

Peter M. Winter Institute for Simulation, Education, 12

and Research, added that all Board members would be 13

welcomed and proposed a 2- to 4-hour interactive 14

learning experience for the Board members. Board 15

members, Board staff, and association representatives 16

voiced their interest in the visit. Dr. O’Donnell 17

noted that his supervisor at the institute, Dr. Paul 18

Phrampus, would be most willing to host the Board.] 19

*** 20

[The Board recessed from 9:54 a.m. until 10:03 a.m.] 21

*** 22

Advanced Practice Nursing Committee Meeting 23

[Jodie Szlachta, CRNA, PhD, President of the 24

Pennsylvania Association of Nurse Anesthetists, and 25


17

Derek Reckard, President-Elect, discussed two bills 1

affecting nurse anesthetists: The CRNA Designation 2

Bill, Senate Bill 274, regarding title protection, 3

passed in the Senate by Senator John R. Gordner and 4

currently in the House Professional Licensure 5

Committee chaired by Representative Mark Mustio; and 6

House Bill 719, a companion bill introduced by 7

Representative Bryan Cutler, also in the House 8

Professional Licensure Committee with House 9

Representative Mustio as Chairman. 10

Dr. Szlachta informed the Board that Pennsylvania 11

has the most nurse anesthesia educational programs in 12

the United States. She also discussed challenges for 13

military nurse anesthetists. Dr. O’Donnell discussed 14

practices for CRNAs within the military designated as 15

licensed independent providers. 16

Dr. Szlachta also discussed House Bill 789, a 17

provision and supervision bill introduced by 18

Representative Jim Christiana, and Senate Bill 960, a 19

companion bill introduced by Senator Tom Killion, 20

requiring nurse anesthetists who work in a hospital to 21

be supervised by a physician. She stated this bill 22

was not supported by studies reflecting safety or 23

outcome measures of CRNA practice, as well as being 24

contrary to State Board of Nursing regulations and the 25


18

2010 Institute of Medicine (IOM) Report that prompts 1

the use of all APRNs to full scope of practice. 2

Dr. Szlachta next discussed that CRNAs are 3

reviewing their protocols regarding obtaining informed 4

consent in light of the June 2017 Pennsylvania Supreme 5

Court decision in Shinal vs. Toms, wherein the Court 6

ruled that physicians may not delegate to others their 7

obligation to provide sufficient information in order 8

to obtain a patient’s informed consent. 9

Dr. Szlachta discussed legislation being 10

supported by health organizations regarding CRNAs and 11

CRNPs obtaining informed consents. Ms. Marshall 12

stated The Hospital and Healthsystem Association of 13

Pennsylvania (HAP)was working with the Pennsylvania 14

Medical Society to draft language for an amendment to 15

the MCARE Act to address this issue. There was 16

discussion regarding including supervision language to 17

reflect the practice between physicians and nurse 18

anesthetists. 19

Dr. Szlachta referred to a ketamine workgroup 20

convened by Dr. Arlene Seid to establish guidelines 21

for the use of ketamine in non-anesthetic 22

circumstances. She noted that the group will be 23

addressing the identification of appropriate 24

facilities, required monitoring, safety concerns and 25


19

protocols, and required personnel or care team to both 1

administer and/or be present during the administration 2

of ketamine by bolus or infusion. 3

Dr. O’Donnell further explained that ketamine as 4

a sedative-hypnotic IV anesthetic could be used for 5

induction of general anesthesia as well as a variety 6

of sedation, as well as a substitute for opioids due 7

to the opioid crisis. 8

Ms. Marshall mentioned that HAP convened an 9

Advanced Practice Professionals group in 2013 and some 10

of the work from that group resulted in an Advanced 11

Practice Professional’s guidebook on the utilization 12

in a hospital setting. Ms. Marshall plans to 13

reconvene that group to not only update that guidebook 14

but also consider developing an Advanced Practice 15

Professionals Conference. 16

Ms. Pachter Schulder requested an update with 17

regard to the status of midwives on an advanced 18

practice standing. Ms. Vincent suggested organizing a 19

meeting of midwives, anesthetists, and CRNPs to 20

discuss advanced practice. 21

Jessica Poole, DNAP, MSN, CRNA, Pennsylvania 22

Association of Nurse Anesthetists, pointed out that 23

CRNAs in Pennsylvania attempting to volunteer for 24

disaster relief were being denied or sent to the 25


20

facilities to work as registered nurses at the 1

bedside, not able to administer anesthesia. 2

Chairperson Kmetz thanked Dr. O’Donnell for 3

arranging this appointment.] 4

*** 5

For Your Information 6

[Chairperson Kmetz noted house projects. She also 7

noted the Institute of Regulatory (IRE)Summary from 8

Dr. Petula, as well as the IRE Conference presentation 9

and videos available on the National Council of State 10

Boards of Nursing website. 11

Ms. Hertzler will be visiting Honduras with 12

Hershey Penn State medical students, nurses, doctors, 13

and nonmedical family members in order to organize 14

medical brigades to address malnourished children. The 15

children and their families will be taken to the 16

Honduras Feeding Clinic. The parents will be trained 17

on nutritional foods and cooking. 18

Ms. Hertzler also stated medications will be 19

taken into the villages in Honduras to treat people.] 20

*** 21

[Pursuant to Section 708(a)(5) of the Sunshine Act, 22

the Board entered into Executive Session with Judith 23

Pachter Schulder, Esquire; Megan E. Castor, Esquire; 24

Carole Clarke Smith, Esquire, and Ariel O’Malley, 25


21

Esquire, at 10:28 a.m. for the purpose of conducting 1

quasi-judicial deliberations on matters that are 2

pending before the Board. The Board returned to open 3

session at 11:56 a.m.] 4

*** 5

MOTIONS 6

MS. PACHTER SCHULDER: 7

During Executive Session, the Board 8

engaged in quasi-judicial deliberations 9

under Section 708(a)(5) of the Sunshine 10

Act, and the Board members who recused 11

themselves will identify themselves for 12

the record where they recused. 13

Katelin Lambert is serving as the 14

designee of the Commissioner of 15

Professional and Occupational Affairs. 16

Is there a motion to adopt the 17

Consent Agreements for which members 18

Hendricks, Kerns, and Luchs were 19

recused? That is File No. 16-51-14032, 20

File No. 17-51-04053, File No. 17-51-21

07513, File No. 17-51-04748, File No. 22

17-51-02932 and File No. 17-51-01297, 23

File No. 17-51-12081, File No. 17-51-24

05667, and File No. 17-51-05995? 25


22

MS. COUGHLIN: 1

So moved. 2

DR. O’DONNELL: 3

Second. 4


All those in favor? Opposed? 6

Abstentions? 7

[The motion carried. Suzanne Hendricks and Linda A. 8

Kerns were recused from deliberations and voting on 9

the motion. Katelin Lambert abstained from voting on 10

the motion. 11

The Respondent's name for File No. 16-51-14032 is 12

Kristin R. Boyer, RN. The Respondent's name for File 13

No. 17-51-04053 is Sharon E. Durivage, RN. The 14

Respondent's name for File No. 17-51-07513 is Tamica 15

Trent, LPN. The Respondent's name for File No. 17-51-16

04748 is David M. Burgess, RN. The Respondent's name 17

for File Nos. 17-51-02932 and 17-51-01297 is Kevin 18

Robert Costello, RN. The Respondent's name for File 19

No. 17-51-12081 is Sarah Ashley Kain, RN. The 20

Respondent's name for File No. 17-51-05667 is Lisa M. 21

McKnight, RN. The Respondent's name for File No. 17-22

51-05995 is Rosalie Sawchak, RN.] 23

*** 24



23

Is there a motion to approve the Consent 1

Agreement in Item No. 28, which is 16-2

51-06251, for which members Coughlin and 3

Hendricks are recused? 4

DR. O’DONNELL: 5

So moved. 6

MR. OWEN: 7

Second. 8



Abstentions? 11

[The motion carried. Anne Michele Coughlin and 12

Suzanne Hendricks were recused from deliberations and 13

voting on the motion. Katelin Lambert abstained from 14

voting on the motion. 15

The Respondent is Katie B. Maringelli, LRN.] 16

*** 17


Is there a motion to adopt the Consent 19

Agreement for which members Hendricks, 20

Kerns, and Luchs were recused? That is 21

File No. 17-51-10759. 22

MS. COUGHLIN: 23

So moved. 24

MR. OWEN: 25


24

Second. 1



Abstentions? 4




the motion. 8

The Respondent’s name is Angela D. Smay, RN.] 9

*** 10



Agreement for which members Ames, 13

Coughlin, and Hendricks were recused? 14

This is Item No. 56, File No. 17-51-15

14106. 16

DR. O’DONNELL: 17

So moved. 18

MS. HERTZLER: 19

Second. 20



Abstentions? 23

[The motion carried. Ann Michele Coughlin and Suzanne 24

Hendricks were recused from deliberations and voting 25


25

on the motion. Katelin Lambert abstained from voting 1

on the motion. 2

The Respondent’s name is Carol Dougherty Hackman, 3

RN.] 4

*** 5


Is there a motion to grant the Motion to 7

Deem Facts Admitted and authorize 8

Counsel to prepare an Adjudication and 9

Order in the matter of Frederick J. 10

Maljan? That is File No. 16-51-05037, 11

for which members Hendricks, Kerns, and 12

Luchs were recused. 13

MS. COUGHLIN: 14

So moved. 15

MR. OWEN: 16

Second. 17



Abstentions? 20




the motion.] 24

*** 25


26


Is there a motion to authorize Counsel 2

to prepare an Adjudication and Order in 3

the matters of Alexandra Amico, RN, 15-4

51-11021, and Jason Christopher 5

Rostkowski, RN, 16-51-05862, for which 6

members Hendricks, Coughlin, and Ames 7

were recused? 8

DR. O’DONNELL: 9

So moved. 10

MR. OWEN: 11

Second. 12



Abstentions? 15

[The motion carried. Suzanne Hendricks and Ann 16

Michele Coughlin were recused from deliberations and 17

voting on the motion. Katelin Lambert abstained from 18

voting on the motion.] 19

*** 20


Is there a motion to authorize Counsel 22

to prepare an Adjudication and Order in 23

the matter of Angela Maria Cabassa, RN, 24

File No. 17-51-02603, for which members 25


27

Hendricks, Kerns, and Luchs were 1

recused? 2

MS. COUGHLIN: 3

So moved. 4

MR. OWEN: 5

Second. 6



Abstentions? 9




the motion.] 13

*** 14


Is there a motion to adopt the draft 16

Adjudications and Orders for which 17

members Hendricks, Kerns, and Luchs were 18

recused? That is Abbie N. Conway, LPN, 19

File No. 17-51-00490; Lisa Marie Hunter, 20

LPN, File No. 17-51-01170; Susan B. 21

Reamer a/k/a Susan B. Varriano, LPN, 22

File No. 17-51-03423; Deborah Markert, 23

LPN, File No. 16-51-07366; Rocco A. 24

Petrillo, LPN, File No. 16-51-14118; 25


28

Matthew R. Pittman, LPN, File No. 17-51-1

02734; Tammy L. Macefe, RN, File No. 15-2

51-14624; Jessica Jean Kodack, LPN, File 3

No. 17-51-05685; Christine M. Reif, RN, 4

a/k/a Christine M. Reif Bisignani, RN, 5

File No. 16-51-14804; Kristen E. Keyser, 6

LPN, File No. 17-51-01478; Jessica Lee 7

Sharpes, RN, File No. 17-51-01459; and 8

Francis Eugene Showers, LPN, File No. 9

17-51-01791? 10

MR. OWEN: 11

So moved. 12

DR. MCDONELL: 13

Second. 14



Abstentions? 17




the motion.] 21

*** 22



Adjudication and Order in the matter of 25


29

Hope Marie Carneval, LPN, File No. 16-1

51-0607, for which members Ames, 2

Coughlin, and Kerns were recused? 3

DR. O’DONNELL: 4

So moved. 5

MR. OWEN: 6

Second. 7



Abstentions? 10

[The motion carried. Ann Michele Coughlin and Linda 11

A. Kerns were recused from deliberations and voting on 12


the motion.] 14

*** 15



Adjudications and Orders, for which 18

members Ames, Coughlin, and Hendricks 19

were recused? That is Elizabeth Ann 20

Marie Konoza, LPN, File No. 13-51-07141; 21

Scott L. Lehman, File No. 16-51-07707; 22

Shane Sackett, LPN, File No. 15-51-23

14364; Raymond J. Shackleton, RN, File 24

No. 16-51-07347; and Wendy Lynn Walters, 25


30

LPN, File No. 16-51-09969? 1

MR. OWEN: 2

So moved. 3

DR. O’DONNELL: 4

Second. 5



Abstentions? 8

[The motion carried. Ann Michele Coughlin and Suzanne 9

Hendricks were recused from deliberations and voting 10

on the motion. Katelin Lambert abstained from voting 11

on the motion.] 12

*** 13


Is there a motion to adopt the VRP 15

Agreements, and those are items 3 16

through 21 on the agenda; File No. 17-17

51-05679, File No. 17-51-08101, File No. 18

17-51-09721, File No. 17-51-10971, File 19

No. 17-51-11174, File No. 17-51-12169, 20

File No. 17-51-12318, File No. 17-51-21

12452, File No. 17-51-12753, File No. 22

17-51-12945, File No. 17-51-12946, File 23

No. 17-12947, File No. 17-51-12948, File 24

No. 17-51-13016, File No. 17-51-13078, 25


31

File no. 17-51-13124, File No. 17-51-1

13447, File No. 17-51-13649, and File 2

No. 17-51-13788? 3

MS. COUGHLIN: 4

So moved. 5

MS. HERTZLER: 6

Second. 7



Abstentions? 10


*** 12

[Katelin Lambert, Designee of the Commissioner of 13

Professional and Occupational Affairs, exited the 14

meeting.] 15

*** 16



Agreements beginning at No. 22; File No. 19

17-51-05600, File No. 17-51-07810, File 20

No. 17-51-13584, File No. 17-51-08817, 21

File No. 15-51-02709, File No. 17-51-22

06951, File No. 16-51-08698, File No. 23

17-51-00595, File No. 17-51-03948, File 24

No. 17-51-07931, File No. 17-51-04713, 25


32

File No. 17-51-06280, File No. 17-51-1

06601, File No. 16-51-06876, File No. 2

16-51-08156, File No. 16-51-08531, File 3

No. 16-51-14695, File No. 16-51-15012, 4

File No. 17-51-11237, File No. 17-51-5

05480, File No. 16-51-05272, File No. 6

17-51-11319, File No. 16-51-02576, File 7

No. 17-51-12794, File No. 17-51-06558, 8

File No. 17-51-13118, File No. 18-51-9

00206, File No. 18-51-00236, File No. 10

17-51-03525, File No. 14-51-07088, and 11

File No. 17-51-01097? 12

MS. COUGHLIN: 13

So moved. 14

MS. HENDRICKS: 15

Second. 16



Abstentions? 19

[The motion carried unanimously. The Respondent’s 20

name for File No. 17-51-05600 is Kwamaine Dahneen 21

Mathis a/k/a Kwamaine Dahneen Sampson, RN, LPN. The 22

Respondent’s name for File No. 17-51-13584 is Keith E. 23

Flesch, RN, PTA. The Respondent’s name for File No. 24

17-51-08817 is Jaime Lynn Farrell, RN. The 25


33

Respondent’s name for File No. 15-51-02709 is Michael 1

Scott Martin Jr., RN. The Respondent’s name for File 2

No. 17-51-06951 is Lynne Merrill Sullivan, RN. The 3

Respondent’s name for File No. 16-51-08698 is Krista 4

Maree Elbaz, RN. 5

The Respondent’s name for File No. 17-51-00595 is 6

Christina Sredzinski Kuzak, LPN. The Respondent’s 7

name for File No. 17-51-03948 is Rhonda Marie 8

Ashcraft, RN. The Respondent’s name for File No. 17-9

51-07931 is Michael A. Rodriguez, LPN. The 10

Respondent’s name for File No. 17-51-04713 is Amy Lynn 11

Clement, RN, a/k/a Amy Lynn Larreur, NP. The 12

Respondent’s name for File No. 17-51-06280 is Kari 13

Stewart Larosa, RN. The Respondent’s name for File 14

No. 17-51-06601 is Patricia A. Long, RN. The 15

Respondent’s name for File No. 16-51-06876 is Darryl 16

Joseph Silwedel, RN. The Respondent’s name for File 17

No. 16-51-08156 is Jennifer Lynn Yatsky, RN. 18


Janelle Christine Lacey, LDN. The Respondent’s name 20

for File No. 16-51-14695 is Tiffany C. Smith, LPN. 21


Deborah J. Foote Moore, RN. The Respondent’s name for 23

File No. 17-51-11237 is Danika Catherine Alexander, 24

LPN. The Respondent’s name for File No. 17-51-05380 25


34

is Zachary Clayton Knepp, LPN. The Respondent’s name 1

for File No. 16-51-05272 is Christine A. Wackowski, 2

RN, CRNP. 3


Jennifer E. Ritchey, RN. The Respondent’s name for 5

File No. 16-51-02576 is Karol Kalinowski, RN. The 6

Respondent’s name for File No. 17-51-12794 is Faith 7

Christin Barnhart, RN. The Respondent’s name for File 8

No. 17-51-06558 is Risa Dawn Barker, RN. The 9

Respondent’s name for File No. 17-51-13118 is Lisa 10

Roberts Shaffer, RN. The Respondent’s name for File 11

No. 18-51-00206 is Julia Alexandra Kirillova, RN. The 12

Respondent’s name for File No. 18-51-00236 is 13

Stephanie A. Tustin, RN. The Respondent’s name for 14

File No. 17-51-03525 is Sarah E. Kemick, CRNP, RN, 15

LPN. The Respondent’s name for File No. 14-51-07088 16

is Monna Raines Shank a/k/a Monna Sue Whitesel, RN. 17


Jessica Rachel Pikna, RN.] 19

*** 20



Agreement in File No. 17-51-00856? 23

MS. COUGHLIN: 24

So moved. 25


35

MR. OWEN: 1

Second. 2



Abstentions? 5

[The motion carried. Suzanne Hendricks opposed the 6

motion. The Respondent’s name is Barbara Kirkner 7

Combs, RN.] 8

*** 9


Is there a motion to reject 16-51-09729 11

and 15-51-01593 as too lenient? 12

DR. O’DONNELL: 13

So moved. 14

MS. HENDRICKS: 15

Second. 16



Abstentions? 19


*** 21


Is there a motion to grant the Motion to 23

Enter Default and Deem Facts Admitted 24

and authorize Counsel to prepare 25


36

Adjudications and Orders in the matters 1

Nicholas John Adamczyk, LPN, File No. 2

17-51-09077; Miriam Eileen Ashby, LPN, 3

File No. 15-51-13108; Jari B. Collins, 4

RN, File No. 17-51-05573; Leslie A. 5

Collins, RN, File No. 16-51-14877; 6

Kimberly A. Dattilo, LPN, File No. 17-7

51-07041; Tracie Kelly Elam a/k/a Tracie 8

Rochelle Elam, LPN, File No. 16-51-9

02033; Eric Jon Freed, LPN, File No. 17-10

51-06597; Sarah Louise Garcia, RN, File 11

No. 15-51-08204; Phillis Mae 12

Holderfield, RN, File No. 17-51-01161; 13

Linda L. Irvine, RN, File No. 16-51-14

06806; Kimberly N. Reeves, RN, File No. 15

16-51-00877; Michael William McPhee, RN, 16

File No. 17-51-01677; Barbara Ann Moten, 17

LPN, File No. 17-51-07820; Kelly L. 18

Miller, RN, File No. 15-51-12336; 19

Stewart W. Marshall, LPN, File No. 16-20

51-10448; Christine Ann Loffert, RN, 21

File No. 16-51-12829; Alyssa Mary 22

Scheil, RN, a/k/a Alyssa M. Gates, RN, 23

File No. 17-51-07360; James J. Schwartz, 24

RN, File No. 16-51-15030; Sacharissia 25


37

Colette Simitzis, LPN, File No. 16-51-1

06917; Cynthia Summerton, LPN, File No. 2

17-51-01732; Janelle Lorraine Trice, 3

LPN, File No. 15-51-14821; Mark D. 4

Volmer, RN, File No. 16-51-07282; Linda 5

Weigand, RN, File No. 17-51-05885; and 6

Sabrina Danielle White, RN, File No. 17-7

51-01487? 8

MS. HENDRICKS: 9

So moved. 10

MS. HERTZLER: 11

Second. 12



Abstentions? 15


*** 17


Is there a motion to adopt the following 19

Hearing Examiner’s Proposals: Mary 20

Monzo Aleszczyk, RN, File No. 15-51-21

14884; Lisa Cherry, RN, File No. 16-51-22

08834; Janet E. Combs, RN, File No. 16-23

51-12756; Carla Frances Lorandeau, RN, 24

File No. 16-51-03633; Miosoty E. Ramos-25


38

Bauza, RN, File No. 15-51-08696; Michael 1

Bruce Lowers, RN, File No. 16-51-12835; 2

Ryan G. Wesoloski, GPN, File No. 17-51-3

07090; and Maria Zeltner, RN, File No. 4

16-51-03565? 5

DR. O’DONNELL: 6

So moved. 7

MS. HENDRICKS: 8

Second. 9



Abstentions? 12


*** 14


Is there a motion adopt and substitute 16

the Board order in the matter of Heather 17

Lynn Brown, File No. 16-51-03789? 18

MS. HENDRICKS: 19

So moved. 20

MR. OWEN: 21

Second. 22



Abstentions? 25


39


*** 2



Adjudications and Orders in the matters 5

of Barbara Ann Anders, RN, File No. 16-6

51-08556; Roberta Leigh Bolden, LPN, 7

File No. 16-51-05867; Leilani Suyat 8

Bonagua, RN, File No. 16-51-10462; Jami 9

Marie Bonilla, LPN, File No. 16-51-10

07170; Maria Gonda Caiaccia, RN, File 11

No. 15-51-13262; Samuel Louis Coleman, 12

File No. 15-51-06716; Stacey Lynn 13

Crabtree, LPN, File No. 17-51-04365; 14

Wendi Alexis Dardano, RN, File No. 16-15

51-00909; Theodore N. Dowie, LPN, File 16

Nos. 14-51-02105, 15-51-07042, 16-51-17

12545; Venus Q. Dunagan, LPN, File No. 18

15-51-08662; Lisa M. Elia, RN, File No. 19

16-51-07086; Leslie Marie Frazier, File 20

No. 17-51-05637; Sarah Galloway, RN, 21

File No. 16-51-09413; Althea M. George, 22

LPN, File No. 16-51-07956; Shawn A. 23

Gibson, LPN, File No. 15-51-00946; Dean 24

F. Grein Jr., RN, File No. 16-51-06435; 25


40

Tina Marie Hadden, LPN, File No. 16-51-1

14141; Angela Marie Hamilton, RN, File 2

No. 16-51-10440; Elina Hernandez, LPN, 3

File No. 15-51-04542; Irene Muyang 4

Igwacho, LPN, File No. 16-51-13230; 5

Janet Broomfield Johnson, RN, File No. 6

17-51-01177; Tineia Marie Rose, RN, LPN, 7

File No. 15-51-02003; Michelle Lynn 8

Kries, RN, File No. 16-51-02750; Jawanna 9

T. Milledge, RN, File No. 14-51-05631; 10

Kellye L. Mahaley, RN, File No. 16-51-11

06797; Sanjay Patrick, LPN, File No. 15-12

51-07527; Elizabeth A. Leming, LPN, File 13

No. 13-51-07951; Lauren Michelle 14

McMullen, LPN, File No. 16-51-07649; 15

Alexander McEnery Knipper, RN, File No. 16

16-51-12926; Christina Marie Morrison, 17

LPN, File No. 15-51-03719; Mary Steiner, 18

LPN, File No. 14-51-11307; Angel Tobias, 19

LPN, File No. 17-51-02169; Arian Wagner, 20

RN, File No. 16-51-04681; Melissa 21

Washington, LPN, File No. 15-51-12147; 22

and Victoria E. Wilt, RN, File No. 15-23

51-13199? 24

DR. O’DONNELL: 25


41

So moved. 1

MS. HENDRICKS: 2

Second. 3



Abstentions? 6


*** 8


Is there a motion to adopt the following 10

draft Adjudications and Orders as 11

amended: Tammi Lee Crow, LPN, File No. 12

16-51-06249; Mary Lou Freund, LPN, File 13

No. 15-51-14932; and Towanda J. Wright, 14

LPN, File No. 15-51-00429? 15

MS. COUGHLIN: 16

So moved. 17

DR. O’DONNELL: 18

Second. 19



Abstentions? 22


*** 24

DR. O’DONNELL: 25


42

I make a motion to grant the stay as 1

indicated in the Beth Patterson-DeArmitt 2

case. 3

MS. COUGHLIN: 4

Second. 5



Abstentions? 8


*** 10

Miscellaneous 11


noted programs that were continued on provisional 13

status at the last meeting and returning for the April 14

meeting. The Board decided to send a letter informing 15

the programs on provisional status for more than two 16

years of the need to come before the Board for a 17

status update.] 18

*** 19

Adjournment 20


Is there any other business in front of 22

the Board? If not, may I have a motion 23

for adjournment? 24

MS. HENDRICKS: 25


43

I make a motion that we adjourn the 1

meeting. 2

DR. O’DONNELL: 3

Second. 4



Abstentions? 7


*** 9

[There being no further business, the State Board of 10

Nursing Meeting adjourned at 12:16 p.m.] 11

*** 12

CERTIFICATE 13

14

I hereby certify that the foregoing summary 15

minutes of the State Board of Nursing meeting, was 16

reduced to writing by me or under my supervision, and 17

that the minutes accurately summarize the substance of 18

the State Board of Nursing meeting. 19

20

21

Adam Beck, 22

Minute Clerk 23

Sargent’s Court Reporting 24

Service, Inc. 25


44

STATE BOARD OF NURSING 1 REFERENCE INDEX 2 March 2, 2018 3

4 TIME AGENDA 5 6 7 9:17 Official Call to Order 8 9 9:17 Introduction of Board Members/Audience 10 11 9:19 Adoption of Agenda 12 13

9:20 Report of Prosecutorial Division 14 15 9:25 Regulation Update 16 17 9:26 Legislative Update 18 19 9:30 Report of Commissioner 20 21 9:39 Legislative Update (cont.) 22 23 9:41 Report of Committees 24 25 9:54 Recess 26

10:03 Return to Open Session 27 28 10:04 Appointment – Advanced Practice Nursing 29 Committee 30 31 10:25 For Your Information 32 33 10:28 Executive Session 34 11:56 Return to Open Session 35 36 11:57 Motions 37 38 12:15 Miscellaneous 39

40

12:16 Adjournment 41 42 43 44 45 46 47 48 49 50

9 state board of nursing - pa department of state...13 [heather j. mccarthy, esquire, board...

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