keeping up with the board of nursing

Keeping Up With the Board of

Nursing

Sue A. Tedford, MNSc, RNArkansas State Board of Nursing

Executive Director

Mission

The mission of the board of nursing is to protect the public

and act as their advocate by effectively regulating the

practice of nursing.

Board Members

• Appointed by the Governor• 4 year terms (maximum is 2 terms)• 13 members

6 RNs4 LPNs/LPTNs1 APN1 consumer1 older than 60 years

1 APN with Prescriptive Authority

2 Baccalaureate Degree or higher RNs

2 Associate Degree RNs

2 Diploma RNs

4 LPNs or LPTNs

1 Consumer

1 Representative of the Older Population

Board Composition

Proposed Changes 17-87-201

Board Composition• Increase the number of APNs from

one to two• Only one of the APNs will be required

to have Prescriptive Authority• Decrease the number of RNs from six

to five

Other Proposed Changes

• Prescriptive Authority Committee• General clean up• Rules

• Chapter 1- new definitions• Chapter 2 – refresher course for endorsements (>5 yrs)• Chapter 3 – only clean up • Chapter 4 – change in titles (APRN, CNP), refresher

course if out >2 years, Prescribing Anorexiant Drugs• Chapter 6 – new program requirements, student:faculty

ratio

Only ASBN has the authority to determine in Arkansas

• Nurse Practice Act/Rules• Position Statements• Decision Making Model• Delegated Medical Acts (99-2)

Scope of Practice

Number of Nurses

Education Update

Arkansas Nursing Programs

Associate Degree: 15Baccalaureate Degree: 11

Diploma: 2 Total RN: 28

Practical: 27

2008 2009 2010 2011 20120

500

1000

1500

2000

2500

Number of AR Graduates

RNPN

Doctorial Programs

Arkansas State UniversityUniversity of ArkansasUniversity of Arkansas for Medical

SciencesUniversity of Central Arkansas

Licensure of New Grads

Process• Take exam• Results to ASBN next business day• Temporary permit automatically null & void

PUSH notification

• Issuance of license• License appears on Registry Search next

business dayPUSH notification

Licensure of New Grads

• Allowed to take NCLEX without official transcript

• ASBN must have official transcript to issue license

• May hold issuance of license if other issues arise (i.e. complaint)

Bottom Line

If there isn’t an active license (or temporary permit) displayed on the Registry Search, the nurse cannot work as a nurse (may work in an unlicensed position)

Enforcement Update

2008 2009 2010 2011 20120

200

400

600

800

1000

1200

1400

1600

1800

Number of Investigations

Types of Cases

• Drug Related Prescription medicationsStreet drugs

• Practice IssuesMedication issuesDocumentationBoundary crossings

• ConvictionsWaiver Requests (ACA 17-87-312)Nonwaiver Requests

Social Media

Revoke Suspend Surrender Probation LOR LOW0

20

40

60

80

100

120

140

160

180 Disciplinary Action FY 12

When Should You Report a Nurse to

the Board of Nursing?

Violation of the Nurse Practice Act and/or Rules

Were there significant circumstances involving the system which caused

or contributed to the error?

Did the nurse play a role in the error?

Did the nurse conceal the error?

YES

REPORT TO BON

YES

Did the nurse conceal the error?

Are the stories from all involved consistent?

REPORT TO BON

NO

NO

REPORT TO BON

YES

Are the stories from all involved consistent?

Is there a substance use disorder or medical condition which contributed to the error?

REPORT TO BON or EAP

NO

YES

YES

REPORT TO BON

Was the nurse terminated?

Is there a substance use disorder or medical condition which contributed to the error?

REPORT TO BON or EAP

NO

YES

REPORT TO BON

YES

Was the nurse terminated?

Is there a history of other similar or serious errors by this nurse?

REPORT TO BON

NO

YES

REPORT TO BON

YES

Is there a history of other similar or serious errors by this nurse?

Counsel nurse, action plan for remediation.

REPORT TO BON

NO

YES

• Applies to RNs and LPNs only• 24 compact states• May work in any other compact state• If primary state of residence changes,

may work for 30 daysDriver’s licenseVoter registrationFederal tax return

Compact Licensure

www.ncsbn.org

Compact Licensure

• Practice or Educator• Enrolled in a nursing program• Scholarship vs. loan• Fall 2011 & Spring 2012 - $71,100• Educator loans – 15• Practice loans - 34

Faith A. Fields Scholarship/Loan

Types of Programs attended by receipients

• Issued one time• No expiration date• Verify licensure on ASBN

Registry • Renewal every two years

Permanent Licensure Cards

• Check current status• Updated every 24 hours• Primary source verification• Push notifications

Registry Search

All licenses listed

Click on name of nurse

• Employers who subscribe can enter the license number of each nurse on staff

• Emails will automatically be sent when specific criteria change

Information Pushed

• Name change• Change in license status

IssuedNull & VoidExpired

• Placed under investigation• Multistate• Disciplinary action

• All renewals must be reviewed & approved by ASBN staff

• Shows on ASBN Registry on the 2nd business day

• Don’t wait until the last day of the month

Online Renewals

Renewal Process

RenewalASBN

approvalRegistry updated

License #: R012345License Status: Pending

• Back-up if ASBN registry is down• Check out-of-state license status• Disciplinary documents

www.nursys.com

Nursys

Did you know????

• Graduate must apply for a temporary permit within 90 days of graduation

• Temporary permits are no longer printed – information is available on the ASBN Registry Search

• New graduates working on a temporary permit sign their legal name followed by LPN or RN

Did you know????

• Nurse managers may be disciplined for allowing a nurse to work without a valid license to practice

• You can find us on Facebook• You can follow us on Twitter

New & Upcoming

Online Applications

• Application and criminal background check combined

• Available for all applications except internationally educated nurses

• Payment by credit card or e-check

Six Digit License Numbers

•Old number ----- L45435•New number ---- L045435

ASBN is 100 years old!

9th Annual Expo Saturday Dec 1, 2012•T-Shirt design winner•Centennial Pin

Birthday party – March 5th, 2013Luncheon – June 8th, 2013

• Video contest• Compassionate Nurse & Educator

of the Year Awards & Others

10/2010

MADISON

BENTONBOONECARROLL

CRAWFORD

WASHINGTON

BAXTERMARION

SEARCYNEWTON

FULTON

IZARD

STONE

SHARP

INDEPENDENCE

CLAY

CRAIGHEAD

RANDOLPH

GREENE

MISSISSIPPI

POINSETT

CROSSCRITTENDEN

ST.FRANCIS

JACKSON

WOODRUFF

WHITE

VANBUREN

FAULKNER

CLEBURNE

CONWAY

PERRY

FRANKLIN

LOGAN

YELL

JOHNSON

POPE

SEBASTIAN

SCOTT

MONTGOMERY

HOWARD

POLK

PULASKI

JEFFERSONGRANT

SALINEGARLAND

HOTSPRING

MONROE

ARKANSAS

LONOKE

PRAIRIE

PHILLIPS

LEE

LINCOLN

DESHA

DREWBRADLEY

CLEVELANDDALLAS

OUACHITA

CALHOUN

CLARK

HEMPSTEADNEVADA

SEVIER

LITTLERIVER

MILLER

COLUMBIA

LAFAYETTE

ASHLEYUNIONCHICOT

LAWRENCE

PIKE

NW Health

September

NW Health

September

Baxter Regional

May 7

Baxter Regional

May 7 St. Bernard’sSt. Bernard’s

White County

October

White County

October

Jefferson Regional

Feb 19

Jefferson Regional

Feb 19

Ashley Co. Med Ctr.

April 4

Ashley Co. Med Ctr.

April 4

St. Michael’s

August 6

St. Michael’s

August 6

• ASBN State-wide Workshops• Nursing: Kaleidoscope of Practice

• November 8, 2012 – Henderson State University

• 2013 Workshops

• 8th Annual CE Cruise • April 14-21, 2013

Coming Up

ADMINISTRATION

Sue A. Tedford, MSN, RN, ASBN Executive Director

Susan Lester, Executive Assistant to the Director

Fred Knight, General Counsel

Mary Trentham, MNSc, MBA, APN_BC, Attorney SpecialistLouAnn Walker, Public Information Coordinator/ASBN Update Editor

ACCOUNTINGDarla Erickson, CPA, Administrative Services Manager

Gail Bengal, Fiscal Support Specialist

Sydni Williams, Administrative Specialist II

Andrea McCuien, Administrative Specialist II

BOARD STAFF

DISCIPLINE/PRACTICE

Phyllis DeClerk, RN, LNCC, ASBN Assistant Director

Deborah Jones, MNSc, RN, ASBN Program Coordinator

Patsy Dooley, Legal Support Specialist

Christine Brown, Legal Support Specialist

Carmen Sebastino, Legal Support Specialist

INFORMATION SYSTEMS

Carlos Miller, Information Systems Coordinator

Patty Smith, Legal Support Specialist

Daria Carpenter, Licensing Coordinator

BOARD STAFF

EDUCATION

Karen McCumpsey, MNSc, RN, CNE, ASBN Assistant Director

Tammy Claussen, MNS, RN, CNE, ASBN Program Coordinator

Jill Hasley, MNSc, RN, ASBN Program Coordinator

Margie Brauer, Licensing Coordinator/Endorsements

Carla Davis, Licensing Coordinator/Examinations

Lori Gephardt, Administrative Specialist III

Ellen Harwell, Licensing Coordinator/Advanced Practice

Susan Moore, Licensing Coordinator/Renewals

Mary Stinson, Licensing Coordinator

BOARD STAFF

501.686.2701

www.arsbn.org

Let us hear from you…..