august meeting minutes - florida board of nursing · non-compliance with section 464.019, fs,...

Version II

Kathryn L

The Florida

Board of Nursing

August Meeting Minutes

August 7-9, 2019

Sanibel Harbour Marriott17260 Harbour Point Drive

Fort Myers

Kathryn Whitson, MSN, RN Chair

Diana Forst, BA, RN Vice Chair

Joe Baker, Jr. Executive Director

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Florida Board of Nursing Meeting Draft Agenda August 7-9, 2019

Fort Myers

Participants in these public meetings should be aware that these proceedings are being recorded and that an audio file of the meetings will be posted to the board's website.

Board Members:

Kathryn L. Whitson, MSN, RN– Chair

Jody Bryant Newman, EdD, EdS Consumer

Diana Forst BA, RN – Vice Chair

Deborah McKeen, CD-LPN, BS

Lori Desmond, MSN, RN, NE-BC

Derrick C. Glymph, DNAP, CRNA, APRN, COL, AN, USAR

Lisa Renee Johnson, MSN/Ed, RN, LPN

Heather Baumwald, Consumer

Francine Paschall, MBA, DNP, RN, CENP

Mary Julie Talmadge, DNP, APRN

Vacant, LPN

Vacant, Consumer

Vacant, Educator

Attorneys:

Deborah Loucks, Senior Assistant Attorney General

John Fricke, Assistant Attorney General

Matthew Witters, Chief Legal Counsel

Ann Prescott, Assistant General Counsel

Board Staff:

Joe Baker, Jr., Executive Director

Nicole Benson, Program Operations Administrator

Sherri Sutton-Johnson, MSN, RN, Director of Nursing Education

Janet Doke, BSN, RN, Nursing Education Consultant

Aprille Alward, Regulatory Supervisor Zoё McCook, Regulatory Specialist III

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Wednesday @ 4:00 PM Education and Credentials “B” Committee

Required Appearances

CNA Exemption Applicants

Non-Compliance with Section 464.019, FS, Approval of Nursing Education Programs

Non-Compliance with 64B9-15.005(6), FAC, Standards for Certified Nursing Assistant Training Programs

Non-Compliance with Section 464.019(11), FS, Accreditation Requirement

Ratification Lists

Items for Discussion

Informational Items

Thursday @ 8:30 AM Credentials “A” Committee

Required Appearances

CNA Applicants for Licensure with criminal, discipline and health history and open cases

LPN, RN and APRN Applicants for Licensure with criminal, discipline and health history and open cases

Multi-State Upgrade Applicants

Other Items for Discussion Education and Credentials “B” Committee

LPN, RN, APRN Exemption Applicants Education Credentials Applicants for Licensure under Section 456.0635, FS CNA Applicants for Licensure under Section 435.04, FS LPN, RN, APRN Applicants for Licensure under Section 464.009, FS LPN, RN, APRN Applicants for License - Other

Thursday @ 1:30 PM Full Board

CNA, LPN, RN, and APRN Discipline & General Business Reconsiderations Recommended Orders CNA Informal Hearings LPN, RN, and APRN Informal Hearings Licensure Informal Hearings Petitions for Hearing/Modifications CNA Settlement Agreements LPN, RN, and APRN Settlement Agreements CNA Voluntary Relinquishments LPN, RN, and APRN Voluntary Relinquishments Petition to Re-Issue Amended Final Order Practice Issues Advanced Practice Issues Special Education Issues Legislative Issues Declaratory Statements Petitions for Variance and Waiver

Friday @ 8:30 AM Full Board

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

CONTINUING EDUCATION Required within 6 months of licensure

PROBATION (P1) Standard terms

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

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

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

Credentials Summary of Conditions

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Wednesday, August 7, 2019 at 4:00 PM

Call to Order: The meeting was called to order at 4:05 PM

Roll Call: Board Members:

Lisa Renee Johnson, MSN/Ed, RN, LPN -Chair





Attorneys:


Board Staff:




A. Required Appearances

CNA

None

LPN, RN, and APRN

1. Chua, Mary Fe C; 1701/645694-Present. A motion made by Paschall to approve with remedial course. Motion passed unanimously. 2. Silva, Hirlani Araujo da; 1701/636876-Present. A motion made by Newman to approve with remedial course. Motion passed unanimously. 3. Karki, Sumnima; 1701/645365- A motion made by Paschall to continue. Motion passed unanimously. 4. Contreras, Oscar A; 1701/640422-Present. A motion made by Forst to approve with remedial course. Motion passed unanimously.

Education & Credentials “B” Committee

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B. Pending Formal Denial

CNA

None LPN, RN, and APRN

1. Santiago, Reinaldo; 1702/194339-Present. A motion was made by Paschall to

approve. Motion passed with Newman opposed.

C. CNA Exemption Applicants

None

D. Non-Compliance with Section 464.019, FS, Approval of Nursing Education Programs

1. American Medical Academy, Inc, ADN, US70706700, 1704/232-Present. A motion was made by Paschall to deny based on section 464.019, FS. Motion passed unanimously.

E. Non-Compliance with Section 464.019(11), FS, Accreditation Requirement

1. Antigua College International, Inc, BSN, US70502300, 1704/239- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 2. Antigua College International, Inc, ADN, US70706900, 1704/240- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 3. Azure College, ADN, US70701200, 1704/152- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 4. Azure College, ADN, US70707200, 1704/255- Pulled 5. Bethesda College of Health Science, ADN, US70701600, 1704/169- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously.

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6. Burnett International College, ADN, US70700000, 1704/139- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 7. Carleen Health Institute of South Florida, BSN, US70501200, 1704/168- A motion made by Newman to terminate based on section 464.019(11), FS. Motion passed unanimously. 8. Carleen Health Institute of South Florida, BSN, US70502100, 1704/229- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 9. Carleen Health Institute of South Florida, ADN, US70706500, 1704/227- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 10. Concorde Career Institute- Miramar, ADN, US70409900, 1704/84- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 11. Emergency Education Institute, ADN, US70705600, 1704/216- Pulled 12. Emiraza College, ADN, US70702900, 1704/173- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 13. Fernandina Beach College of Allied Health, ADN, US70704500, 1704/201- Pulled 14. FMI Career School, ADN, US70707400, 1704/241- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 15. Gwinnett Institute, ADN, US70706000, 1704/214- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 16. Health Career Institute, ADN, US70705500, 1704/209- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 17. Hebron Technical Institute, ADN, US70702100, 1704/166- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 18. Hope College of Arts and Sciences, ADN, US70700200, 1704/144- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 19. Hosanna College of Health, Inc, ADN, US70706100, 1704/212- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously.

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20. Ideal Professional Institute, Inc, ADN, US70706300, 1704/218- Present. A motion made to deny a request for continuance. Motion passed with Newman opposed. A motion made by Paschall to terminate based on section 464.019(11), FS. Motion passed unanimously. 21. International Institute for Health Care Professionals, Inc, ADN, US70703200, 1704/174- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 22. Jay College of Health Sciences, Inc., BSN, US70501900, 1704/228- Pulled 23. Jay College of Health Sciences, Inc., ADN, US70706400, 1704/226- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 24. Medical Prep Institute of Tampa Bay, ADN, US70703300, 1704/180- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. Break for 10 minutes at 6:12. 25. Miami Regional College, ADN, US70701300, 1704/157- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 26. Orlando Medical Institute, Inc, ADN, US70706600, 1704/233- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 27. Premiere International College, ADN, US70705100, 1704/205- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 28. Siena College of Health, ADN, US70707000, 1704/220- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 29. South Florida Medical College, ADN, US70704800, 1704/202- A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously. 30. Southern Technical College, ADN, US70701400, 1704/162- Present. A motion made by Johnson to terminate based on section 464.019(11), FS. Motion passed unanimously.

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F. Non-Compliance with 64B9-15.005(6), FAC, Standards for Certified Nursing Assistant Training Programs

1. Osceola Technical College, 1341, 4402/345- Present. A motion made by Johnson to place the program on probation based on non-compliance with 64B9-15.005(6), FAC. Motion passed with Newman opposed.

G. Ratification Lists

1. CNA Training Programs- A motion made by Johnson to approve. Motion passed unanimously. 2. Nursing Education Programs- A motion made by Johnson to approve. Motion passed unanimously. 3. Internationally Educated Ratification List- A motion made by Johnson to approve. Motion passed unanimously.

H. Items for Discussion 1. Florida Center for Nursing (FCN)- A Review of Florida Nurse Education Program

Graduate Passage Rates on the NCLEX: CY 2018- A lot of really good information is provided. Some of the concerns brought up will be addressed by the Board in the long-range planning meeting.

2. Credentialing Agencies- A request was made to find the retention policy of each agency. Josef Silny retains records for 2 years and all other agencies retain records for 5 years.

I. Informational Items

1. Accreditation Commission for Education in Nursing (ACEN)- Substantive Change Actions 2. Accreditation Commission for Education in Nursing (ACEN)- Accredited Nursing

Programs ADN 3. Accreditation Commission for Education in Nursing (ACEN)- Accredited Nursing

Programs BSN 4. Accreditation Commission for Education in Nursing (ACEN)- Programs with Candidate

Status 5. Commission on Collegiate Nursing Education (CCNE)- Accredited Nursing Degree Programs 6. Commission on Collegiate Nursing Education (CCNE)- New Applicants for Accreditation

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7. Schools and Programs to be Considered at the July 2019 Accrediting Bureau of Health Education Schools (ABHES) Commission Meeting

8. Concorde Career Institute Teach-Out 9. Closure Notification for Care Hope College, ADN, US70702800, 1704/186 10. Ave Maria University Correspondence Regarding Accreditation 11. Premiere International College Correspondence Regarding ACEN Candidacy 12. 2019 2nd Quarter NCLEX-PN Score Reports - Jurisdiction Program Summary of All

First-Time Candidates Licensed in All Jurisdictions 13. 2019 2nd Quarter NCLEX-PN Score Reports - Number and Percent Passing of First-

Time Candidates Educated in NRB Jurisdictions, By Degree Type 14. 2019 2nd Quarter NCLEX-RN Score Reports - Jurisdiction Program Summary of All

First-Time Candidates Licensed in All Jurisdictions 15. 2019 2nd Quarter NCLEX-RN Score Reports - Number and Percent Passing of First-

Time Candidates Educated in NRB Jurisdictions, By Degree Type 16. CNA 2019 2nd Quarter First Time Passage Rates 17. Voluntary Program Closure Letter for Emergency Education Institute, ADN,

US70705600, 1704/216 The meeting was recessed at 6:42

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Thursday, August 8, 2019 at 8:30 AM

Call to Order The meeting was called to order by Committee Chair, Mrs. McKeen at 8:31 AM

Roll Call Board Members:

Deborah McKeen, CD-LPN, BS- Committee Chair

Kathryn L. Whitson, MSN, RN



Absent:


Attorneys:


Board Staff:



A. Required Appearances

CNA

1. Gallegos, Gazelle; 4401/774062- Present. A motion was made by Desmond to approve. Motion passed unanimously. 2. Bridges, Ebony; 4401/767910- Present. A motion was made by Glymph to approve. Motion passed with Desmond in opposition.

LPN, RN, and APRN

1. Bucher, Tracy Marie; 1711/637349- Present with attorney Cynthia Mikos. A motion was made by Glymph to approve. Motion failed with Desmond and Whitson in opposition. A motion was made by McKeen to approve. Motion passed unanimously. 2. Soto, Marilyn; 1701/622490- Present. A motion was made by McKeen to deny based on applicant’s inability to communicate in the English language. Motion passed unanimously.

Credentials “A” Committee

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B. Pending Formal Denial

CNA

None

LPN, RN, and APRN

1. Mena, Arkyn Lazaro; 1711/636915- Present. Applicant verbally waived their 90 days to

allow time for their criminal case to be resolved.

C. Applicants for Licensure

CNA Prior Board Action

Exam

1. Walker, Erica; 4401/552790- A motion was made by Whitson to approve. Motion passed

unanimously.

2. Roberts, Thaddnesha D; 4401/651906- A motion was made by Glymph to approve.

Motion passed unanimously.

Endorsement

None

Juvenile Offense

Exam

None

Endorsement

None

Criminal History

Exam

1. Mitchell, Masheria K; 4401/777654- A motion was made by Glymph to approve. Motion

passed with Whitson in opposition.

Endorsement

2. Green, Amie Sueann; 4401/771189- A motion was made by Whitson to approve. Motion

passed unanimously.

3. Moore, Cantrell Renee; 4401/508709- A motion was made by Whitson to deny based on crimes related to the practice. Motion passed unanimously.

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Discipline History

Exam

None Endorsement

None

Health History

Exam

None

Endorsement

None

False Answer on Application Exam

1. Schermerhorn, Jennifer L; 4401/771610- A motion was made by Whitson to deny based on recentcy of crimes related to the practice and failure to disclose her criminal history on her application. Motion passed unanimously. 2. Hogan, Sharee N; 4401/772375- A motion was made by Desmond to deny based on failure to disclose criminal history and criminal history. Motion failed with Glymph and McKeen in opposition. A motion was made by Glymph to approve with an amended application. Motion passed with Desmond in opposition.

Endorsement

3. Lewis, Dominique; 4401/773085- A motion was made by Whitson to approve. Motion passed unanimously.

Open Case Exam

None

Endorsement

None

LPN, RN, and APRN

Discipline History

Exam

1. Bracht, Kimberly M; 1701/651091- Present. A motion was made by Desmond to approve. Motion passed unanimously. 2. Hollis, Traceen Samone; 1702/200303- A motion was made to approve for a Single State license. Motion passed unanimously.

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3. Williams, Tania Catherine; 1701/636751- Present. A motion was made by Glymph to approve. Motion passed with Whitson in opposition.

Endorsement

4. Thompson, Roberta Lynalda; 1702/201267- A motion was made by Glymph to approve with a V6B. Motion passed unanimously. 5. Harlan, Kelsey Renae; 1702/201496- A motion was made by Whitson to approve. Motion passed unanimously. 6. Newlun, Cassie Lynn; 1701/566640- Present. A motion was made by Whitson to approve for a Multi-State license. Motion passed with Glymph in opposition. 7. Battani, Jennifer Renae; 1701/647108- Present. A motion was made by Desmond to approve for a Multi-State license with a remedial course. Motion passed unanimously. 8. Heemsath, Melissa M; 1701/651280- A motion was made by Glymph to deny based on failure to comply with the prior final order. Motion passed unanimously. 9. Wallace-Montgomery, Elizabeth A; 1702/182799- A motion was made by McKeen to deny based on failure to comply with prior final order. Motion passed unanimously.

APRN

10. Sim, Phyllis Ann; 1711/638783- A motion was made by McKeen to require an appearance. Motion passed unanimously. 11. Metayer, Shawn Wade; 1711/639055- A motion was made by Whitson to approve. Motion passed unanimously.

Prior Board Action Exam

1. Nash, Shakita Ireneca; 1702/168364- A motion was made by Glymph to approve. Motion

passed unanimously.

Endorsement

2. McGarrigle, Michael Lincoln; 1701/652019- Present with attorney Cynthia Mikos. A

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

APRN

None

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Criminal History

Exam

1. Kemner, Sabrina; 1701/654107- Present. A motion was made by Desmond to approve. Motion passed unanimously. 2. Gonzalez, Samantha Caitlyn; 1701/654207- Present. A motion was made by Glymph to approve applicant to take the NCLEX. License will not be issued until a resolution for the case is received. Motion passed unanimously. 3. Pryer, Jennifer Regina; 1701/584118- A motion was made by Glymph to approve for a Single State license. Motion passed unanimously. 4. Edmond, Jerson; 1701/656751- Present with attorney Cynthia Mikos. A motion was made by Glymph to approve for a Single State license. Motion passed unanimously.

Endorsement

5. Kielas, Dominic Emil; 1701/656015- Present. A motion was made by Whitson to approve. Motion passed unanimously. 6. Zamora, Lisa Michelle; 1701/626708- A motion was made by Whitson to approve with a V6B. Motion passed unanimously.

APRN

7. Ismail, Valerie Smith; 1711/638594- Present. A motion was made by Desmond to approve. Motion passed unanimously.

Health History

Exam

None

Endorsement

1. Ellis, Teresa Ann; 1701/636012- A motion was made by Glymph to deny based on inability to practice with skill and safety. Motion passed unanimously.

APRN

None

Multi-State Upgrade

1. Ashigbadi, Louella Jean; 1702/63986- A motion was made by McKeen to deny based

ineligibility. Motion passed unanimously.

2. Lawrence, Laura Lee Simmons; 1701/114744- A motion was made by Whitson to deny

based on ineligibility. Motion passed unanimously.

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False Answer on Application Exam

1. Onalaja, Adeola Salamot; 1701/636351- Present. A motion was made by Glymph to approve for a Single State license with an amended application with probation concurrent with the applicant’s LPN license. Motion passed unanimously. 2. Limprevil, Myrtha A; 1701/650193- A motion was made by McKeen to approve for a Single State license. Motion passed unanimously.

Endorsement

3. Curry, Deanna Carol; 1701/615955- A motion was made by Glymph to approve with a V6B. Motion passed unanimously. 4. Franks, Karen Sue; 1701/650367- A motion was made by Glymph to require an appearance. Motion passed unanimously. 5. Torres, Marilyn; 1701/542685- A motion was made my Whitson to deny based on

ineligibility due to Section 464.009 (1)(c). Motion passed unanimously.

APRN

6. Fulks, Penny Laine; 1711/638530- A motion was made by Desmond to require an

appearance. Motion passed unanimously.

Other

Open Case Exam

None

Endorsement

None

APRN

None

Staff Note Exam

1. Marquez-Fernandez, Teresa Elizabeth; 1701/656134- Present. A motion was made by Desmond to approve to take the NCLEX test. License will not be issued until a resolution is reached for the pending case. Motion passed unanimously.

Endorsement

2. Maldonado Collazo, Coralys; 1701/628245- A motion was made by Glymph to require an

appearance. Motion passed unanimously.

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APRN

None Multi-State Upgrade

3. Thomas, Patricia Peterson; 1701/302622- A motion was made by McKeen to require an appearance. Motion passed unanimously.

D. Other Items for Discussion

CNA

None

LPN, RN, APRN

None

The meeting adjourned at 11:34 AM

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Thursday, August 8, 2019 at 8:30 AM

Call to Order: The meeting was called to order at 8:32 AM


Lisa Renee Johnson, MSN/Ed, RN, LPN- Chair






Attorneys:


Board Staff:




A. LPN, RN, and APRN Exemption Applicants

None

B. Education Credentials

LPN, RN, and APRN

Exam

1. Alvarez, Charles Bryan Ventura; 1701/656550- A motion was made by Paschall to approve. Motion passed unanimously. 2. Amiel, Pierre Jean-Paul Manuel; 1701/616437- A motion was made by Johnson to deny based on lack of education comparable to U.S. requirements. Motion passed unanimously. 3. Blinishta, Gabriela; 1701/644828- Present. A motion was made by Paschall to approve. Motion passed unanimously

Education & Credentials “B” Committee

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4. Cadignan, Ylses Meghan; 1701/610584- A motion was made by Paschall to deny. Motion was not seconded. A motion was made by Newman to require an appearance. Motion passed unanimously. 5. Cartagena, Anais; 1701/393335- Present. A motion was made by Newman to approve with a remedial course. Motion was not seconded. A motion was made by Paschall to approve. Motion passed with Newman opposed. 6. Castillo Benitez, Beatriz; 1701/632613- A motion was made by Forst to require an appearance. Motion passed unanimously. 7. Erskine, Dainia Alecia; 1701/627449- A motion was made by Newman to approve. Motion passed unanimously. 8. Gautam, Lusan; 1701/645426- A motion was made by Johnson to approve. Motion passed with Talmadge opposed. 9. Gorski, Brenda Facunla; 1701/643065- A motion was made by Paschall to approve with a remedial course. Motion passed unanimously. 10. Moss, Shawnique Nicole; 1701/651156- A motion was made by Johnson to approve with a remedial course. Motion passed unanimously. 11. Negash, Senait Tsegay; 1701/633876- A motion was made by Newman to approve. Motion passed unanimously. 12. Okafor, Chiweta Theresa; 1701/606765- A motion was made by Newman to approve. Motion passed unanimously. 13. Ortiz-Negron, Sheila Judith; 1701/639233- A motion was made by Newman to approve. Motion passed unanimously. 14. Rodriguez, Alexandra Camille; 1701/628234- A motion was made by Forst to require an appearance. Motion passed with Newman opposed. 15. Rose-Dawson, Marsha Elaine; 1701/643620- A motion was made by Newman to approve. Motion passed unanimously. 16. Soares, Javana Stacey-Ann; 1702/194322- A motion was made by Newman to deny based on lack of education comparable to U.S. requirements. Motion passed unanimously. 17. Sunda, Lilian Kerubo; 1701/653288- A motion was made by Newman to approve. Motion passed unanimously.

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18. Ankoma, Serwaa Bonsu; 1701/651951- A motion was made by Paschall to approve with a remedial course. Motion passed unanimously. 19. Esguerra, Diane Ross Valenzuela; 1701/648353- A motion was made by Talmadge to approve. Motion passed with Newman opposed. 20. Ciucu, Lidia; 1701/635990- Present. Application was withdrawn. 21. Sadio, Ann Beatriz Lagmay; 1701/536813- Present. A motion was made by Paschall to approve with a remedial course. Motion passed unanimously. 22. McGregor, Brooke; 1702/200024- A motion was made by Newman to deny based on a lack of education requirements. Motion passed unanimously. 23. Sanico, Paulo Miguel Villaruel; 1701/649046- A motion was made by Paschall to approve. Motion passed unanimously.

Endorsement

None

C. Applicants for Licensure under 456.0635, FS

CNA Exam

1. Elder, Ashley L; 4401/710059- A motion made by Newman to deny on

456.0635, FS. Motion passed unanimously

Endorsement

None

LPN, RN, and APRN Exam

None Endorsement

None

D. CNA Applicants for Licensure under Section 435.04, FS

Exam None

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Endorsement None

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

Exam None

Endorsement

None

APRN

None

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

Exam

1. Dumas, Leandra; 1702/198891- Motion made by Newman to deny based lack

of education requirements. Motion passed with Forst and Talmadge opposed.

Endorsement

None

APRN

None

Meeting adjourned at 9:39 AM

CONTINUING EDUCATIONRequired within 6 months

PROBATION (P3)Standard terms

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

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

PROBATION (P4)Stayed suspension conditioned on compliance

IPN (V6)V6A - suspension until entry into IPN, suspension stayed while compliantV6B - suspension until IPN evaluation and contract if recommended, suspension stayed while compliantV6C - suspension until IPN evaluation and contract if recommended suspension stayed while compliant; if contract not recommended probation

SUSPENSION (V)V1 - suspend until appearance to demonstrate safetyV2 - suspend until appearance to demonstrate safety with IPN coordinated evaluationV3 - suspend for a minimum period and thereafter until appearance to demonstrate safety with IPN coordinated evaluationV4 - suspend until fine and costs/bounced check paidV5A – suspend until compliant with CEsV5F - suspend until compliant with previous final order and costs from current case are paidV9- suspend until new student loan payment terms are established, followed by probation for the duration of the loan and a fine equal to 10 percent of the defaulted loan amount

REVOCATIONV8 - revocation

Summary of Discipline

McCookZ

Highlight

CE AREA HOURS/OPTIONS TYPICAL CONTENT

Anger Management

4 hr 8 hr

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

Assessment 2 hr 8 hr 40 hr full course

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

Critical Thinking

2 hr 8 hr

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

Delegation 2 hr 8 hr

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

Documentation 2 hr 8 hr

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

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

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

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

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

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

Medication Administration

16 hr Supervised lab

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

Pain Management

2 hr 8 hr

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

Guidelines for Acceptable Disciplinary CE

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

Patient Rights 2 hr

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

Pharmacology 16 hr 40 hr

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

Professional Standards Varies

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

Refresher Remedial Courses

80 didactic and 96 hours clinical

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

Universal Protocol

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

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

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Thursday, August 8, 2019 at 1:30 PM Call to Order: The meeting was called to order at 1:34 PM








Lisa Renee Johnson, MSN/Ed, RN, LPN



Absent:


Attorneys:





Board Staff:






Court Reporter: Martina Reporting Services, John Martina- Phone Number: 239-334-6545

Disciplinary Hearings & General Business

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

A. Reconsiderations CNA

1. Etlinger, Eleanor CNA 301071 Case #2016-07981 File #652751- Present and sworn in. A motion was made by Glymph to deny the reconsideration. Motion passed with Talmadge opposed. 2. Jackson, Tradarius; 4401/640655- A motion was made by McKeen to uphold previous denial. Motion passed unanimously.

LPN, RN, and APRN

1. Knight, Sara Christin; 1701/627455- A motion was made by Whitson to approve withdraw request. Motion passed unanimously. 2. Williams, Brittany; 1702/200569- Present and sworn in. A motion was made by Forst to vacate the intent to deny and approve for a single state license. Motion passed with Glymph and Whitson opposed. 3. Herr, Amanda T; 1702/198616- A motion was made by Glymph to approve withdraw request. Motion passed unanimously. 4. Kierczynski, Desiree 1701/630575- A motion was made by Glymph to approve withdraw request. Motion passed unanimously.

Education Programs

None

B. Recommended Orders LPN, RN, and APRN No Recused Member: Heather Baumwald Absent

1. Elizabeth, Katie RN 9278405 Case #2017-04133 File #374903- A motion was made by Whitson to adopt the RO and impose costs of $13,954.96. Motion passed unanimously.

Education Programs

1. Emergency Education Institute, ADN, US70705600, DOAH Case #18-1872 File

#1704/216- A motion was made by Whitson to extend the probationary status of the

program for the 2018 year. Motion passed unanimously.

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

Recused Member: Derrick Glymph

1. Johnson, Carol CNA 30918 Case #2018-19482 File #326531- A motion was made by Whitson to impose costs of $315.65 and V9 with a fine of $2017.94. Motion passed unanimously. No Recused Member 2. Kirksey, Latesha L. CNA 197782 Case #2017-23584 File #434739- A motion was made by Whitson to impose costs of $103.63 and V5F. Motion passed unanimously.

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

Recused Member: Lori Desmond 1. Terrien, Robert LPN 753961 Case #2018-07712 File #16085- Present with Attorney Juan Santos, Esq., and sworn in. A motion was made by Whitson to pull the case. Motion passed unanimously.- Pulled Recused Member: Kathryn Whitson 2. Harris, Cherish Tatorria LPN 5212709 Case #2018-22545 File #166190- Present and sworn in. A motion was made by Forst to impose a V8. Motion passed unanimously. No Recused Member: Heather Baumwald- Absent 3. Levins, Jodi Lynn RN 9258228 Case #2017-21659 File #352712- Present and sworn in. A motion was made by Whitson to impose costs of $180.78 and V3 suspend for 18 months. Motion passed unanimously. 4. Levins, Jodi Lynn APRN 9258228 Case #2018-24382 File #352712- Present and sworn in. A motion was made by Whitson to impose costs of $140.67 and V3 suspend for 18 months. Motion passed unanimously.

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Recused Member: Francine Paschall and Kathryn Whitson

5. Rivera, Gizelle Cabrera RN 9448731 Case #2018-02722 File #572433- Present and sworn in. A motion was made by Forst to impose costs of $490.12 and a V6B. Motion passed unanimously. Recused Member: Lori Desmond and Heather Baumwald- Absent 6. Naitamar, Hajer RN 9443865 Case #2018-16738 File #543589- A motion was made by Whitson to impose costs of $207.51 and a P3 for 1 year standard terms. Motion passed unanimously. 7. Parrish, Brandy LPN 5170063 Case #2018-20503 File #88362- Continued

E. Licensure Informal Hearings CNA

1. Robinson, Marketa; 4401/768273- Present and sworn in. A motion was made by Desmond to withdraw the notice of intent and approve the application. Motion passed with Mckeen, Newman, and Johnson opposed.

LPN, RN, and APRN

1. Clayton, Andrea Katrina; 1702/188917- Present and sworn in. A motion was made by Desmond to uphold denial. Motion passed unanimously. 2. Jones-Thompson, Rainell Roberta; 1702/198755- Present with Attorney Blair Jackson and sworn in. A motion was made by Desmond to vacate previous order and require compliance with previous order and pay the collection agency fee and complete a remedial course before the issuance of a new license. Motion passed with Paschall, Johnson, Newman and Whitson opposed. 3. Schoone-Davie, Christine; 1702/196505- A motion made by Newman to vacate the prior order and reissue a correct notice of intent to deny. Motion passed unanimously.

Education Programs

1. International Training Careers, 1324, 4402/332- A motion was made by Newman to deny

request. Motion passed unanimously.

F. Petitions for Hearing/ Modifications None

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G. CNA Settlement Agreements Recused Member: Lori Desmond- A motion made by Whitson to approve. Motion passed unanimously.

1. Arencibia, Juan M. CNA 344220 Case #2017-05580 File #720884 ($1,569.98) No Recused Member- A motion made by Whitson to approve. Motion passed

unanimously. 2. Michel, Anquette A. CNA 272698 Case #2018-10698 File #593886 ($1,600.12) No Recused Member: Heather Baumwald- Absent- A motion made by Whitson to

approve Settlements 3 and 4. Motion passed unanimously. 3. Frazier, Sherice N. CNA 322223 Case #2018-09907 File #684737 ($1,005.84) 4. Johns, Lacey R. CNA 324068 Case #2018-15155 File #688474 ($939.59) Recused Member: Kathryn Whitson- A motion made by Forst to approve Settlements

5 and 6. Motion passed unanimously. 5. Malcolm, Icylin R. CNA 291004 Case #2018-28707 File #629159 6. Jackson, April CNA 110247 Case #2018-28869 File #148405 ($1,407.19) Recused Member: Derrick Glymph- A motion made by Whitson to approve

Settlements 7 and 8. Motion passed unanimously.

7. Jackson, Deerika D. CNA 199570 Case #2018-28286 File #472783 ($1,128.85) 8. Warmington, Mikhail CNA 316498 Case #2019-10168 File #670159

H. LPN, RN, and APRN Settlement Agreements No Recused Member: Heather Baumwald- Absent- A motion made by Whitson to approve Settlements 1-4. Motion passed unanimously.

1. Clements, Sharon L. APRN 2638962 Case #2018-24337 File #127103 ($877.79) 2. Schultz, Beth RN 9380126 Case #2018-00482 File #490572 ($1,691.05) 3. Bush, Yvette T. RN 9422317 Case #2018-12635 File #538168 ($1,457.51) 4. Tiso, Autumn LPN 5199593 Case #2018-06520 File #150458 ($4,831.64) Recused Member: Lori Desmond- A motion made by Whitson to approve

Settlements 5 and 6. Motion passed unanimously. 5. Sams, Danylle Renae LPN 5220896 Case #2018-22269 File #171984 ($1,307.57) 6. Howard, Carol Ann LPN 5196701 Case #2018-22212 File #146425 ($890.12)

Recused Member: Kathryn Whitson- A motion made by Forst to approve Settlements 7,8, and 10-14. Motion passed unanimously.

7. Turner, Nicola Renee RN 9418699 Case #2017-20285 File #522947 ($3,867.37) 8. Thurston, Timothy Damian LPN 5185501 Case #2017-10294 File #132805 ($2,526.00) 9. Mayfield, Kimberly W. RN 9330287 Case #2018-21675 File #397068 ($1,685.64)- A motion was made by Forst to dismiss this case. Motion passed unanimously.

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10. Chapel, Lottie Marie RN 9342703 Case #2018-21983 File #444566 ($1,578.90) 11. Braxton, Angela C. LPN 1337771 Case #2017-20500 File #71583 ($305.05) 12. Witzgall, Kristy Gail RN 9439815 Case #2018-08382 File #565322 ($352.29) 13. Hernandez, Maria RN 9452385 Case #2018-15936 File #576978 ($4,598.70) 14. Hernandez, Jessica Misla RN 9224480 Case #2014-07561 File #316125 ($4,101.82) Recused Member: Diana Forst- A motion made by Whitson to approve Settlements

15, 17-18. Motion passed unanimously.

15. Coronado, Nicole RN 9435904 Case #2016-29650 File #559825 ($2,290.58) 16. Castleman, Nathan RN 9324697 Case #2018-23446 File #426318 ($1,071.95)- A motion made by Johnson to reject the settlement. Motion passed with Glymph, Desmond, and McKeen opposed. A motion made by Johnson to present a counter-offer to add 1 year of probation standard terms and 8 CE hrs. of Anger Management to the existing agreement. Motion passed with Desmond opposed. Break for 5 minutes at 5:40 PM Lisa Johnson left at 5:40 PM 17. Valdivieso, Marta RN 9325729 Case #2018-08593 File #424740 ($795.49) 18. Plata, David L. RN 9327411 Case #2018-15670 File #428117 ($1,173.39) Recused Member: Derrick Glymph- A motion made by Whitson to approve

Settlements 19 and 20. Motion passed unanimously. 19. Griffis, Marie A. RN 9449797 Case #2018-26209 File #567055 ($2,392.99) 20. Morant, Dashawnda Nicole RN 9390919 Case #2018-19623 File #501506 ($3,516.68) No Recused Member- A motion made by Whitson to approve. Motion passed

unanimously. 21. Posey, Marjorie Elizabeth RN 1715832 Case #2018-15791 File #59520 ($4,237.34)

I. CNA Voluntary Relinquishments No Recused Member- A motion made by Whitson to approve Voluntary Relinquishments 1-3. Motion passed unanimously.

1. Telesh, Timothy CNA 281642 Case #2019-10642 File #600083 2. Bolin, Melinda CNA 244661 Case #2019-10655 File #566876 3. Larrabee, Jennifer B. CNA 303630 Case #2019-05122 File #654894 Recused Member: Lori Desmond- A motion made by Whitson to approve Voluntary

Relinquishments 4 and 5. Motion passed unanimously. 4. Charles, Amanda CNA 317450 Case #2018-21342 File #676343 5. Wright, Christopher W. CNA 229004 Case #2018-15534 File #452771

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Recused Member: Kathryn Whitson- A motion made by Forst to approve Voluntary Relinquishments 6 and 7. Motion passed unanimously.

6. Estadt, Hayley M. CNA 328461 Case #2017-11396 File #692620 7. Pate, Mary L. CNA 318660 Case #2018-15526 File #577020 Recused Member: Francine Paschall- A motion made by Whitson to approve. Motion

passed unanimously. 8. Burger, Kelly L. CNA 281377 Case #2017-16762 File #615687

J. LPN, RN, and APRN Voluntary Relinquishments No Recused Member- A motion made by Whitson to approve Voluntary Relinquishments 1-3. Motion passed unanimously.

1. Colegrove-Green, Cynthia RN 1320292 Case #2019-01370 File #28887 2. Whitson, Lalaynya RN 9401216 Case #2018-16158 File #516615 3. Frazer, Christopher C. LPN 5196123 Case #2018-21014 File #145221 Recused Member: Julie Talmadge 4. Rushing Charline LPN 1335281 Case #2018-21480 File #71327- Pulled Recused Member: Derrick Glymph- A motion made by Whitson to approve Voluntary

Relinquishments 5 and 6. Motion passed unanimously. 5. Haber, Bryan Christopher RN 9349028 Case #2017-00588 File #454109 6. Whitson, Amanda RN 9455673 Case #2017-22784 File #583618 Recused Member: Kathryn Whitson- A motion made by Forst to approve Voluntary

Relinquishments 7 and 9. Motion passed unanimously. 7. Hubler, Regina Suzanne RN 3323232 Case #2018-23814 File #197725 8. Dewitt, Robin Leigh RN 9170394 Case #2018-11046 File #256463- Pulled 9. Kirk, Lisa Atkinson RN 2936752 Case #2019-04779 File #157811 No Recused Member: Heather Baumwald- Absent- A motion made by Whitson to

approve. Motion passed unanimously. 10. Barrientos, Judith P. RN 9441500 Case #2018-04830 File #556250 Recused Member: Francine Paschall and Kathryn Whitson- A motion made by Forst

to approve. Motion passed unanimously. 11. Greywall, Rebecca Lynn RN 9492324 Case #2018-20495 File #616883

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K. Petition to Re-Issue Amended Final Order 1. Ideal Professional Institute, ADN, US70706300, DOAH Case #17-6838, 1704/218- Present with Attorney Gregory Ochalek. A motion made by Whitson to vacate the final order. Motion passed unanimously. A motion was made by Whitson to re-enter the final order. Motion approved unanimously.

II. Other

A. Practice Issues

B. Advanced Practice Issues

C. Special Education Issues

D. Legislative Issues

Break for 10 minutes at 3:36 PM

E. Declaratory Statements 1. MacDonell, Marie; RN 1549022, 1701/45673; Reference: The Nurse Practice Act,

regarding whether the insertion of coude urinary catheters is a part of the basic scope of practice for a Registered Nurse.- Present and sworn in. After discussion, the request was withdrawn.

2. McDonough, John P APRN 3344982, 1711/200008; Reference: Section 456.072, FS

and Section 464.018, FS, regarding whether licensee, John McDonough, may describe himself as, or his professional duties as those of, a “nurse anesthesiologist” without subjecting his Florida nursing licenses to discipline under Section 456.072, FS or Section 464.018, FS.- Present with Attorney Cynthia Mikos and sworn in. A motion was made by Whitson that FANA does meet the standing as an intervenor. Motion passed unanimously. A motion was made by Glymph that FMA, FOMA, and FSA do not meet the standing as an intervenor because their members are not regulated by the Nurse Practice Act. Motion passed unanimously. A motion was made by Newman to approve the use of the term “nurse anesthesiologist” as a descriptor along with CRNA and that such use would not be grounds for discipline against his license. Motion passed unanimously.

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F. Petition for Waiver and Variance 1. All State Home Health Institute, 1509, 4402/537; Reference: 64B9-15.007, FAC,

regarding approval and renewal of New Certified Nursing Assistant Training Programs- A motion was made by Newman to deny the petition. Motion passed unanimously.

2. Agape Academy of Sciences, 1504, 4402/539; Reference: 64B9-15.005, FAC, regarding

standards for Certified Nursing Assistant Training Programs- A motion was made by Paschall to deny the petition. Motion passed unanimously.

3. Livecchi, Vicente Julius; 1701/644190; Reference: 64B9-3.0025(2), FAC, regarding

Remedial Courses for Re-Examination- Represented by Attorney Cynthia Mikos. A motion was made by Paschall to grant the petition. Motion failed with Paschall, Forst, Talmadge and Whitson for. A motion was made by Desmond to reconsider. Motion passed with Newman and Johnson opposed. A motion was made by Paschall to approve. Motion passed with Johnson and Newman opposed.

4. Hendricks, Sarah; 1702/199862; Reference: 64B9-3.002(3), FAC, regarding

Qualifications for Examination- Present and sworn in. A motion was made by Newman to continue to October meeting. Motion passed unanimously.

The meeting was recessed at 6:15 PM

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Friday, August 9, 2019 at 8:30 AM

Call to Order The meeting was called to order at 8:32 AM










Absent:

Heather Baumwald, Consumer- Unexcused

Lisa Renee Johnson, MSN/Ed, RN, LPN- Unexcused Attorneys:





Board Staff:






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

A. CNA Motion to Vacate None

Disciplinary Hearings & General Business

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

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

No Recused Member

1. Villalobos, Chelsea CNA 308607 Case #2016-27325 File #662925- A motion was made by Whitson to impose costs of $1,321.51 and a V6B. Motion passed unanimously. 2. Allen, D’Alvelyn CNA 349474 Case #2017-21208 File #716981- A motion was made by Whitson to impose a V8. Motion passed unanimously. 3. Dowdell, Kimberly E. CNA 297052 Case #2016-29110 File #633563- A motion was made by Whitson to impose a V8. Motion passed with Talmadge opposed. 4. Sawyer, Alstelaundra CNA 168452 Case #2018-10199 File #351796- A motion was made by Whitson to impose costs of $635.51, a Reprimand, $250 fine, and CE- 8 hrs. ethics. Motion passed unanimously. 5. Washington, Gavianna G. CNA 268287 Case #2017-21505 File #596451- A motion was made by Whitson to impose costs of $758.51 and a V6B. Motion passed unanimously. Recused Member: Lori Desmond 6. Vaughn, Leslie CNA 298841 Case #2017-17718 File #622056- A motion was made by Whitson to impose costs of $798.01 and a V9 with a fine of $10,090.00. Motion passed unanimously. 7. Chatman, Ericka S. CNA 212217 Case #2017-21846 File #501900- A motion was made by Whitson to impose costs of $299.04 and a V9 with a fine of $1,639.47. Motion passed unanimously. 8. Dix, Qweshia CNA 304791 Case #2018-19063 File #658039- A motion was made by Whitson to impose a V8. Motion passed unanimously.

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Recused Member: Kathryn Whitson

9. Algarra, Tania CNA 127033 Case #2017-15504 File #395902- A motion was made by Forst to impose a V8. Motion passed unanimously. 10. Gibson, Amanda G. CNA 326920 Case #2018-05977 File #692691- A motion was made by Forst to impose a V8. Motion passed unanimously. 11. Martin, Carlo L. CNA 110007 Case #2018-24614 File #166614- A motion was made by Forst to impose a V8. Motion passed unanimously. 12. Marshall, Stephanie D. CNA 293416 Case #2015-27109 File #617076- A motion was made by Glymph to impose a V8. Motion passed unanimously. 13. Crigger, Cheyenne C. CNA 322276 Case #2018-11254 File #665277- A motion was made by Forst to impose costs of $324.94 and a V6B. Motion passed unanimously. 14. Dudley, Jarrien A. CNA 333992 Case #2019-08556 File #704265- A motion was made by Forst to impose a V8. Motion passed unanimously. Ms. McKeen was recused in this case. 15. Lynch, Lauren CNA 350050 Case #2018-05329 File #729124- A motion was made by Forst to impose a V8. Motion passed unanimously. 16. Sigman, Anna Marie CNA 155130 Case #2018-13316 File #429699- A motion was made by Forst to impose costs of $1,609.10 and a V6B. Motion passed unanimously. 17. Mitchell, Levita CNA 344358 Case #2018-17879 File #720003- A motion was made by Forst to impose costs of $239.19, a Reprimand, a $100.00 fine, and CE- 2 hrs.in Ethics and 2 hrs. Legal Aspects. Motion passed unanimously. Recused Member: Derrick Glymph 18. Denrow, Roshandra D. CNA 111647 Case #2018-00636 File #259000- A motion was made by Whitson to a V8. Motion passed unanimously. 19. Grant, Antionette L. CNA 114920 Case #2019-09916 File #131192- Present and sworn in. A motion was made by Newman to impose a V8. Motion passed unanimously. 20. Smith, Michelle E. CNA 356552 Case #2019-10826 File #740098- A motion was made by Whitson to impose a V8. Motion passed unanimously. Recused Member: Julie Talmadge

21. Davis, Ashley Q. CNA 280505 Case #2017-05854 File #619696- A motion was made by Whitson to impose a V8. Motion passed unanimously.

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Recused Member: Francine Paschall 22. Gervois, Mirlande CNA 56191 Case #2017-15243 File #194903- A motion was made by Whitson to impose costs of $1,339.46 and a V9 with a fine of $2,715.00. Motion passed unanimously. Recused Member: Francine Paschall and Kathryn Whitson

23. Williams, Liza B. CNA 117618 Case #2018-10589 File #170589- A motion was made by Forst to impose costs of $688.79, a Reprimand, a $150.00 fine, and CE- 8 hrs. in Ethics within 6 months of the order. Motion passed unanimously. A motion was made by Newman to reconsider. Motion passed unanimously. A motion was made by McKeen to remain with the previous motion for discipline. Motion passed with Newman opposed. Recused Member: Lori Desmond and Heather Baumwald- Absent 24. Marshall, Amber D. CNA 326929 Case #2016-11187 File #691273- A motion was made by Whitson to impose a V8. Motion passed unanimously.

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

Recused Member: Lori Desmond

1. Wheeler, Chrystal Beth RN 9432212 Case #2017-01286 File #547505- Present and sworn in. A motion was made by Whitson to impose costs of $1,767.06 and a V6B. Motion passed unanimously. 2. Fladell, Suzanne Bentley LPN 1128041 Case #2018-26133 File #50112- A motion was made by Paschall to impose costs of $273.24, a Reprimand, a $250.00 fine, and CE- 2 hrs. Ethics and 2 hrs. Legal Aspects to be completed within 6 months of the order. Motion passed with Newman and McKeen opposed. 3. Daughtry, Karen Lynelle RN 9398360 Case #2018-08345 File #507490- A motion was made by Paschall to impose costs of $256.35 and a V2. Motion passed unanimously. 4. Tyubina, Maria Andreyevna RN 9354320 Case #2018-13685 File #461007- A motion was made by Whitson to impose costs of $531.26 and a V6A. Motion passed unanimously. 5. Oleson, Heather L. RN 9413876 Case #2016-29874 File #509857- A motion was made by McKeen to impose a V8 due to this being the third infraction. Motion passed unanimously.

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6. Ekunkonye, Ajigunwa A. RN 9294466 Case #2017-18799 File #393036- A motion was made by Whitson to impose costs of $162.98 and a V9 with a fine of $2,129.52. Motion passed unanimously. 7. Tilly, Marc Joseph RN 9283063 Case #2018-19167 File #377567- A motion was made by Whitson to impose costs of $4,713.45 and a V6A. Motion passed unanimously. 8. Reimer, Adam Joel LPN 5170043 Case #2018-15410 File #115482- A motion was made by Whitson to impose a V8. Motion passed unanimously. Recused Member: Francine Paschall 9. Dominique, Gamintz LPN 5208472 Case #2017-21387 File #155898- A motion was made by Whitson to impose costs of $22.73 and a V5F. Motion passed unanimously. 10. Saxon, Destiny A. LPN 5207761 Case #2018-04019 File #159108- A motion was made by Whitson to impose costs of $6,542.28 and a V6A. Motion passed unanimously.

No Recused Member

11. Anderson, Jessica A. LPN 5179730 Case #2018-13348 File #126691- A motion was made by Whitson to impose costs of $5,307.52 and a V6A. Motion passed unanimously. 12. Thompson, Laura Krissonjia RN 9388725 Case #2018-01666 File #497971- A motion was made by McKeen to impose a V8. Motion passed unanimously. 13. Callanan, Darlene M. RN 9315637 Case #2018-13815 File #414640- Present and sworn in. A motion was made by Whitson to impose costs of $979.46 and a V6A. Motion passed unanimously. 14. Frazier, Jessica L. RN 9390845 Case #2018-19402 File #503389- A motion was made by Whitson to impose a V8. Motion passed unanimously. 15. Ellis, Mary Anne RN 9295600 Case #2018-10425 File #396205- A motion was made by Whitson to impose costs of $231.34 and a V5F. Motion passed unanimously. 16. Ross, Jennifer Paige RN 3143762 Case #2017-20999 File #179208- A motion was made by Whitson to impose a V8. Motion passed with Talmadge opposed. Recused Member: Derrick Glymph

17. Rizzo, Lindsay Nicole RN 9372387 Case #2018-08658 File #477849- Present and sworn in. A motion was made by Whitson to impose costs of $1,200.24 and a V6B. Motion passed unanimously.

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18. Pierre, Nicolas RN 9414873 Case #2018-06877 File #533108- A motion was made by Paschall to accept the settlement agreement, which was recently signed between the parties, with costs of $912.44. Motion passed unanimously. Recused Member: Diana Forst 19. Hayes, Darlene Michelle LPN 1271911 Case #2016-25614 File #64846- Present and sworn in. A motion was made by Whitson to impose costs of $1,861.63 and a V6B. Motion passed unanimously. 20. Ghigliotti, Paul V. LPN 981221 Case #2018-10225 File #35123- A motion was made by Whitson to impose costs of $1,135.44 and a V5F. Motion passed unanimously. 21. Sands, Jason RN 9214931 Case #2017-18025 File #300342- A motion was made by Whitson to impose costs of $1,038.98 and a V9 with a fine of $2,389.98. Motion passed unanimously. 22. Hall, Jeffrey Clint RN 9307807 Case #2017-08537 File #404496- A motion was made by Whitson to impose costs of $260.53 and a V6B. Motion passed unanimously. 23. Bernard, Kristina M. RN 9472049 Case #2018-21042 File #423210- A motion was made by Whitson to impose costs of $208.26 and a Reprimand. Motion passed unanimously. Recused Member: Kathryn Whitson 24. Miller, Jamie L. RN 9352973 Case #2017-14905 File #456284- Continued 25. Kurbatzky, Elena RN 9322749 Case #2018-18533 File #425061- Pulled No Recused Member: Heather Baumwald- Absent 26. Scott, Sherry S. RN 9388637 Case #2017-18302 File #499482- A motion was made by Whitson to impose a V8. Motion passed unanimously. 27. Meadows, Stephen M. RN 9426551 Case #2018-22819 File #539249- A motion was made by Whitson to impose costs of $1,175.00 and a V6A. Motion passed unanimously. 28. Stuber, Brian Charles RN 9275146 Case #2019-00816 File #361649- Present and sworn in. A motion was made by Whitson to impose costs of $1,384.42 and a V6B. Motion passed unanimously. 29. Barksdale, Angela Lynn RN 3254232 Case #2018-08210 File #190552- A motion was made by Whitson to impose costs of $1,709.63 and a V6A. Motion passed unanimously.

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Recused Member: Lori Desmond and Heather Baumwald- Absent 30. Whiddon, Alisha Hope LPN 5215322 Case #2018-11161 File #168878- A motion was made by Whitson to impose costs of $735.14 and a V6A. Motion passed unanimously. Recused Member: Francine Paschall

31. Nunnery, Nicole M. RN 9426044 Case #2018-18299 File #543375- Present and sworn in. A motion was made by Glymph to impose costs of $918.70, V6B, a Reprimand, and 8 hrs. CE in Legal Aspects of Nursing within 6 months of the final order. Motion failed with McKeen, Glymph, and Desmond for. A motion was made by Desmond for a V6B. Motion failed with Desmond, Glymph, and McKeen for. A motion was made by Newman to impose costs of $918.70 and V6B with Talmadge and Forst opposed. 32. Heath, Timberli LPN 5174977 Case #2018-05028 File #121689- Present and sworn in. A motion was made by McKeen to impose costs of $1,192.78, a $250 fine, a reprimand and CE-8 hrs. of Ethics and 8 hrs. Legal Aspects. Motion passed with Newman opposed Break for 10 minutes at 10:00 AM Recused Member: Francine Paschall and Kathryn Whitson

33. Larkin, Jennifer Michelle LPN 5173136 Case #2018-07824 File #116623- A motion was made by Glymph to impose costs of $277.13 and a V6B. Motion passed unanimously.

E. Reinstatements and Compliance Issues CNA

None

LPN, RN, and APRN

1. Cameron, Brooke Jeanette LPN 1175801 Case #2014-02770 File #55000- Present and sworn in. A motion was made by Glymph to reinstate. Motion passed unanimously Credential A- Revisit Fulks, Penny- A motion was made by Glymph to reconsider the previous vote from Credentials A. Motion passed unanimously. This will be pulled from the agenda and the application will be reviewed by staff at the office.

II. Intervention Project for Nurses

1. State Reports

A. May 2019

B. June 2019

2. IPN Committee Agenda

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Dr. Shannon Large gave a report on the current level of participants in the program. The Annual DOH site visit was completed to ensure IPN is meeting requirements of the contract. Education initiatives have also been implemented and conducted around the state at different conferences and facilities. There is an upcoming training for all providers and evaluators around the state as well.

III. Board Reports

A. Board Chair

Ms. Whitson would like to thank the staff for their fantastic job in processing the applications.

B. Board Members

Dr. Paschall would like to thank PSU for moving cases and keeping the Board on target. She has been working on the Alarm Fatigue Committee where they are discussing how to address the issue around nurses and the issue of fatigue in this area. Dr. Glymph presented at to the APRNs at FIU about what we do as a Board concerning regulation and it was well received. He would like to thank Mr. Baker for the assistance on the presentation. Dr. Glymph will be attending the CRNA Annual Congress Meeting in Chicago. Ms. Desmond has been doing presentations to residency groups about professionalism as viewed by the Board. Ms. Forst will be attending the NCSBN Annual Meeting in Chicago this month and she would like to thank the Board for the opportunity to attend.

C. Board Counsel

1. Rules Report A. June 2019 B. July 2019 C. August 2019

Counsel asked for Board input on JAPC letters objecting to these rules. The members offered the following comments as justification for moving the rules forward.

Rule 64B9-15.005: Consideration being made for catastrophic events, sudden

unexpected medical issue or death.

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Rule 64B9-15.007: Consideration being made for catastrophic events, sudden unexpected medical issue or death. The school would be responsible to show proof of students who have tested but have applied as a challenger instead of checking the box for course completion.

A motion was made by Whitson to delegate to her, review language drafted by Mr. Fricke for the two rules discussed. Motion passed unanimously. A motion was made by McKeen to allow Ms. Whitson to review annual report information provided by Mrs. Loucks. Motion passed unanimously.

2. Litigation Update- The hearing was held June 19th to address the accreditation of

schools and the ALS ruled against the petitioner seeking an emergency injunction. There is also a DOAH hearing on an application that is pending denial.

D. Prosecution Services Unit

1. August 2019 Prosecutor’s Report- Mr. Witters gave a brief prosecution report for the

Board. A motion was made by Whitson to allow PSU to continue to prosecute cases

that are over a year old. Motion passed unanimously

E. Executive Director

1. Ratification Lists- A motion was made by Whitson to approve. Motion passed unanimously. A. CE Provider B. Licensure Applicants 1. CNA 2. LPN 3. RN 4. APRN

2. Florida Center for Nursing (FCN)- A Review of Florida Nurse Education Program Graduate Passage Rates on the NCLEX: CY 2018- FYI

Mr. Baker gave a verbal update of the following items: He attended an informative Executive Officer Summit in June; Mrs. Sutton-Johnson and he worked w/ CSU on complaints for citations for programs which didn't comply w/ FCN survey; He is working on NLC Policy Committee; He gave an update on the phone migration project; Nicole Benson was congratulated on earning RPI Facilitator certification; Melissa Greenfield and her new baby are doing well and we look forward to having her back in the office in early October; He and Ms. Benson will attend the NLC Commission and NCSBN meetings this month; He will be attending FNPN education conference 8/16-17 and giving a BON update; Ms. Benson is attending the Tri-Regulator Symposium in September; He advised that Willie Edwards, CRNA, former chair, passed away last month; The Department is working with the Governor’s Office on board appointments and hope to have additional information soon; An update on 2020 meeting locations was also provided.

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F. Financial Report

1. May 2019 Revenue Report 2. June 2019 Revenue Report Ms. Forst gave a brief overview of the financial reports.

G. Approval of Minutes (Previous Meeting, Current Committee Recommendations)

1. June 2019 Meeting Minutes- A motion was made by McKeen to approve. Motion passed unanimously.

2. Current Committee Minutes- A motion was made by Whitson to approve. Motion passed unanimously.

IV. Adjournment The meeting adjourned at 12:46 PM

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Kathryn L

The Florida

Board of Nursing

Long Range Policy Planning Agenda

August 9, 2019 To convene 15 minutes after the conclusion of the Full Board

Meeting

Sanibel Harbour Marriott

17260 Harbour Point Drive Fort Myers, FL 33908

Kathryn Whitson, MSN, RN Chair

Diana Forst, BA, RN Vice Chair

Joe Baker, Jr. Executive Director

Version III

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Call to Order The meeting was called to order at 1:42 PM










Absent:

Heather Baumwald, Consumer- Unexcused

Lisa Renee Johnson, MSN/Ed, RN, LPN- Unexcused

Attorneys:





Board Staff:






A. Rules for Review

1. Rule 64B9-4.002, FAC- Requirements for Licensure- Paragraph number three specifying the specialty boards, should (3)(e)- identifying standards or scope of practice for the specialty remain in the rule? It was agreed this will stay in the rule.

2. Rule 64B9-8.005, FAC- Unprofessional Conduct A. Addition of Violation for Restraining Patients Without Order- This situation is

covered well in other areas and was is agreed that this will not be added.

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3. Rule 64B9-8.006, FAC- Disciplinary Guidelines; Range of Penalties; Aggravating and Mitigating Circumstances

A. Reformatting the Disciplinary Guidelines- Florida discipline following discipline in another jurisdiction guideline changed to impose the same penalty as if the crime had occurred in Florida. The guidelines will be revised by Mr. Witters, Mr. Fricke and Ms. Loucks.

B. Discussion regarding Addition of CNA Standards- Because they are not

nurses they should not be included in the nursing standards and currently do not have their own.

4. Rule 64B9-3.008(4)- Licensure by Endorsement A. Discussion regarding Inclusion of Graduation from an Approved Program to

Satisfy Remedial Course Requirement- Someone who would be looking for approval to do this would need to apply for a variance or waiver.

5. Rule 64B9-3, FAC- Applications for Initial Licensure

A. Proposed Application Updates- A motion was made by Paschall to open rules 64B9-3.002, 64B9-3.008, 64B9-3.016 to make changes and change the effective date. Motion passed unanimously. A motion was made by Whitson to acknowledge that the proposed amendment would not have an adverse effect on small businesses or likely directly or indirectly increase regulatory costs to any entity, including government, in excess of $200,000 in the aggregate in Florida within one year after the implementation of the rule. Motion passed unanimously. A motion was made by Whitson that a violation of this rule would not constitute a minor violation. Motion passed unanimously.

B. Items for Discussion 1. Review of Board Meeting Documents

A. Review Summary of Discipline 1. V5F violation – suspend until compliant w/ prior board order

a. Requirement to Pay Costs for Current Case to Lift Suspension- A motion made by Desmond to include the costs with the V5F. Motion passed with Talmadge opposed.

B. Review Guidelines for Acceptable Disciplinary CE- Discussion to add a Topic

Area on professional conduct or language such as “focusing on”. NCSBN has a course on Ethics and Professional Conduct that could be added to the list. Sherri Sutton-Johnson will do research and report back to the Board in October.

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2. English Competency Examinations A. Occupational English Test- Present. Gave a presentation on the OET for

proficiency of English for nurses specifically. This test is based on language used in the workplace rather than daily English language usage. Each skill receives a separate score without a cumulative end score. The cost would be approximately $400.00. They are meeting with NSCBN staff soon and we will get an update following that discussion.

B. International Test of English Proficiency (iTEP)- C. Michigan Language Assessment (formerly Michigan English Language

Assessment Battery)- Present. Gave a presentation on the changes to this organization. All skills are tested in one sitting with one cumulative score available. The cost would vary from $124.00 - $164.00. A motion was made by Paschall to open rule 64B9 3.002(4)(b) to change the score to overall score of 55 with a score of a minimum speaking score of 55 and the name to Michigan English Test (MET). Motion passed unanimously. A motion was made by Whitson to acknowledge that the proposed amendment would not have an adverse effect on small businesses or likely directly or indirectly increase regulatory costs to any entity, including government, in excess of $200,000 in the aggregate in Florida within one year after the implementation of the rule. Motion passed unanimously. A motion was made by Whitson that a violation of this rule would not constitute a minor violation. Motion passed unanimously.

3. Credentialing Agencies- Sherri Sutton-Johnson will compile a list for a topic of

discussion at the October meeting. 4. Education Evaluation Records Retention- Josef Silny maintains records for two years.

All other agencies retain information for five years. 5. Nursing Education Clinical Training and Curriculum- Clarification needed about

training sites that will be appropriate. 6. Discussion of Nurse Licensure Compact Specific CE Requirements- Florida and Laws

and Rules should cover this subject. 7. CNA Training Program Renewal Deadline Clarification- Outreach is already being

conducted. Sherri Sutton-Johnson will review federal guidelines to see if changing the renewal date would be possible.

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8. Background Screening- Criminal History Matrix- Criminal History Matrix-A motion made by McKeen to add trespassing, resisting arrest without violence, and reckless driving and possession of alcohol by a person under the age of 21 to category 1. A motion made by McKeen to reconsider. The motion passed unanimously. A motion made by McKeen to have reckless driving with a qualifier as a category 2 and all others in a category 1. Motion passed unanimously.

9. Medical Marijuana Discussion

A. NCSBN National Nursing Guidelines for Medical Marijuana- Staff should use the information provided in these guidelines and continue to advise on existing disciplinary violations for unsafe practice.

10. The NCSBN 2019 Environmental Scan- FYI 11. Overview of Roles and Responsibilities for Probable Cause Panels- Mr. Witters gave a

brief overview.

C. 2019 Legislation Implementation 1. House Bill 831- Electronic Prescribing- No action taken. 2. House Bill 23- Telehealth- No action taken. A. http://www.flhealthsource.gov/telehealth/ B. Revise Disciplinary Guidelines, if needed C. Define “substantially similar”, if needed

D. 2020 Proposed Legislation 1. Senate Bill 188- Relating to the Department of Health- to be refiled. We have asked to have cleanup language included from the 2017 session. 2. S. 464.019(11), FS- Accreditation Required

A. Discussion regarding RN Programs which will be unable to meet Accreditation deadline- possible legislation to provide the Board rule making authority concerning this particular statute. The Board members supported this effort by consensus.

E. Other- None

I. Adjournment The meeting was adjourned at 5:05 PM

http://www.flhealthsource.gov/telehealth/