The Georgia Board of Nursing met May 15-17, 2019 in

May 15-17, 2019 Board Meeting Minutes 1

The Georgia Board of Nursing met May 15-17, 2019 in Building B of the Professional Licensing Boards Division of the Secretary of State located at 237 Coliseum Drive, Macon, Georgia 31217. WEDNESDAY, MAY 15, 2019 MEMBERS PRESENT

Janice Izlar RN, CRNA, DNAP, President Tracey Blalock, RN, MSN, MBA, NEA-BC Tammy Bryant, RN, SN, MBA, NEA-BC Linda Floyd, RN, EdD, PMHNP-BC Merry Fort, RN, BS K. Andrea Phipps, LPN (by phone) Darrell Thompson, RN, DNP, ACNP-BC, FNP-BC Blair Train, Consumer Member

MEMBERS ABSENT

Debra Amick, RN, MSN, CJCP, CPHQ, NE-BC Rebecca Coleman, RN, DNP, RNC-OB, C-EFM Tina Fletcher, LPN Tracy Torgerson, RN, MSN, CRNI

STAFF PRESENT

Jim Cleghorn, Executive Director Janet Freeman, RN, BSN, Nursing Consultant - Legal/Discipline Tara Miller, RN, BSN, Nursing Consultant - Legal/Discipline Edye Johnson, RN, BSN, Nursing Consultant - Legal/Discipline Kirsten Daughdril, JD, Assistant Attorney General Izlar called the meeting to order at 10:00 a.m. on Wednesday, May 15, 2019. A quorum to conduct disciplinary matters was

present.

EXECUTIVE SESSION Train moved, Bryant seconded and the Board voted to enter into Executive Session in accordance with O.C.G.A. §§ 43-1-2(k); 43-1-19(h), 43-26-5(c) and 43-26-11, to deliberate on applications and enforcement matters and to receive information on applications, investigative reports and pending cases. The motion passed unanimously.

At the conclusion of the executive session on Wednesday, May 15, 2019 Izlar declared the meeting to be “open” pursuant to the Open and Public Meeting Act, O.C.G.A. §§ 50-14-1 et seq. No votes were taken during executive session. CASE REVIEW (RNI=Registered Nurse Investigative Case Number, LPNI=Licensed Practical Nurse Investigative Case Number)

LPNI190455 – Train moved to license with a Letter of Concern (Criminal). Bryant seconded the motion and it carried unanimously. RNI191188 – Bryant moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Blalock seconded the motion and it carried unanimously.


LPNI190089 – Blalock moved to refer to the Attorney General’s Office for a public consent order to include three (3) years probation, quarterly reports (personal, employer), courses in Professional Accountability and Legal Liability for Nurses, Narcotic Drugs: Handling and Documentation, Documentation: A Critical Aspect of Client Care, and a fine of $500 for Unprofessional Conduct. Fort seconded the motion and it carried unanimously. RNI181227 – Thompson moved to refer to the Attorney General’s Office for a public reprimand to include a fine of $500 for Unprofessional Conduct and courses in Professional Accountability and Legal Liability for Nurses, Sharpening Critical Thinking Skills, Disciplinary Actions: What Every Nurse Should Know and Risk Advisor for Advanced Practice Nurses: Know Your Risk for Legal Action. Fort seconded the motion and it carried unanimously. LPNI170259 – Fort moved to rescind the previous motion and to renew the license and place a hold. Licensee must submit documentation within ten days of adjudication. Close the case pending receipt of the final disposition. Train seconded the motion and it carried unanimously. RNI181145 – Floyd moved to close the case with no disciplinary action. Bryant seconded the motion and it carried unanimously. RNI190970 – Train moved to close the case with a Letter of Concern (Unprofessional Conduct). Bryant seconded the motion and it carried unanimously. RNI190153 – Thompson moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Fort seconded the motion and it carried with Blalock abstaining. RNI190376 – Blalock moved to refer to the Attorney General’s Office for a public reprimand to include a fine of $500 for unprofessional conduct, five (5) years monitoring, two (2) years narcotic restrictions, quarterly reports (self, employer, aftercare, psychotherapy, medication management), quarterly hair follicle testing (Hairstat 10) for 12 months, monthly PEth for 12 months, quarterly urine drug screenings throughout order, Substance Abuse Stipulations, standard work restrictions and a course in Understanding Substance Use Disorder in Nursing, Righting a Wrong: Ethics and Professionalism in Nursing and Disciplinary Actions: What Every Nurse Should Know. Fort seconded the motion and it carried unanimously. RNI191115 – Phipps moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Thompson seconded the motion and it carried unanimously. RNI191224 – Thompson moved to refer to the Attorney General’s Office for a private consent order to include a fine of $500 for a Continuing Education violation. Blalock seconded the motion and it carried unanimously. RNI181171 – Fort moved to table pending receipt of the 72-hour evaluation. Refer to the Attorney General’s Office for Inpatient MPE if evaluation is not completed. Train seconded the motion and it carried unanimously. LPNI190063 – Floyd moved to close the case with no disciplinary action. Bryant seconded the motion and it carried unanimously. LPNI180304 – Train moved to send an investigative letter requesting courses in Professional Accountability and Legal Liability for Nurses; Documentation: A Critical Aspect of Client Care; Disciplinary Actions: What Every Nurse Should Know and Residents Rights. Bryant seconded the motion and it carried unanimously. RNI191195 – Floyd moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of


mental physical examination within thirty days of petition. Table application pending receipt of MPE results. Bryant seconded the motion and it carried unanimously. LPNI190238 – Blalock moved to refer to Investigations to obtain facility investigation related to fraud. Thompson seconded the motion and it carried unanimously. LPNI190453 – Phipps moved to refer to the Attorney General’s Office for a private consent order to include a fine of $500 for a continuing education violation. Thompson seconded the motion and it carried unanimously. RNI190345 – Fort moved to close the case with no disciplinary action. Thompson seconded the motion and it carried unanimously. LPNI170179 – Floyd moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within 30 days of the petition. Bryant seconded the motion and it carried unanimously. LPNI190456 – Train moved to refer to the Attorney General’s Office for a private consent order to include a fine of $500 for a continuing education violation. Bryant seconded the motion and it carried unanimously. RNI181082 – Bryant moved to send an investigative letter requesting courses in Documentation: Accurate and Legal, Sharpening Critical Thinking Skills, Ethics of Nursing Practice and Professional Accountability and Legal Liability for Nurses. Blalock seconded the motion and it carried unanimously. RNI190425 – Blalock moved to reinstate license and to refer to the Attorney General’s Office for a public consent agreement to include five (5) years probation, two (2) years narcotic restriction, quarterly reports (self, employer, aftercare, psychotherapy, medication management), substance abuse stipulations, standard work restrictions – no more than 40 hour work week, only 8 hour shifts, no work in high risk areas (ER, L&D, OR, ICU), courses in Understanding Substance Use Disorder in Nursing, Disciplinary Actions: What Every Nurse Should Know, and Professional Accountability and Legal Liability. Thompson seconded the motion and it carried unanimously. RNI190409 – Thompson moved to close the case with a Letter of Concern (Positive Drug Screen). Fort seconded the motion and it carried unanimously. LPNI190458 – Fort moved to send the applicant a letter requesting an outpatient mental physical examination from a Board approved evaluator as a consideration of the application. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. Need recent drug screens and safe to practice statement. Phipps seconded the motion and it carried unanimously. RNI191194 – Floyd moved to deny the application. May reapply with 24 months of documented continuous sobriety. Refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. May petition to lift with submission of mental physical examination within 30 days of the petition. Bryant seconded the motion and it carried unanimously. RNI180841 – Train moved to refer to the Attorney General’s Office for a public reprimand to include five (5) years probation, quarterly reports (self, employer, aftercare, psychotherapy, medication management), Substance Abuse Stipulations, quarterly hair follicle testing (Hairstat 5) for 12 months, monthly PEth for 12 months, quarterly urine drug screenings throughout the order, standard work restrictions, must submit final disposition of court case within 10 days of adjudication, courses in Understanding Substance Use Disorder in Nursing, and Disciplinary Actions: What Every Nurse Should Know. Bryant seconded the motion and it carried unanimously. RNI181209 – Blalock moved to refer to the Attorney General’s Office for a private consent order to include a fine of $1,000 for falsification of renewal applications (2015 and 2017). Thompson seconded the motion and it carried unanimously.


RNI181221 – Thompson moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within 30 days of the petition. Fort seconded the motion and it carried unanimously. RNI191205 – Fort moved to refer to the Attorney General’s Office for a private consent order to include a fine of $500 for a continuing education violation. Blalock seconded the motion and it carried unanimously. RNI190805 – Floyd moved to refer to the Attorney General’s Office for a revocation. Train seconded the motion and it carried unanimously. RNI190852 – Train moved to close the case with no disciplinary action. Bryant seconded the motion and it carried unanimously. LPNI190448 – Bryant moved to refer to Attorney General’s Office for a public consent order to include five (5) years probation, quarterly reports (self, employer, aftercare), Substance Abuse Stipulations, quarterly hair follicle testing (Hairstat 5) for 24 months, quarterly urine drug screenings throughout order, standard work restrictions, courses in Understanding Substance Use Disorder in Nursing, and Disciplinary Actions: What Every Nurse Should Know. Blalock seconded the motion and it carried unanimously. RNI191043 – Blalock moved to refer to the Attorney General’s Office for a private consent order to include five (5) years monitoring, quarterly reports (self,employer,aftercare, psychotherapy), Substance Abuse Stipulations, monthly PEth for 24 months, quarterly urine drug screenings throughout order, standard work restrictions, courses in Understanding Substance Use Disorder in Nursing and Disciplinary Actions: What Every Nurse Should Know. Thompson seconded the motion and it carried unanimously.

RNI190403 – Phipps moved to deny the request. Thompson seconded the motion and it carried unanimously.

RNI181441 – Fort moved to rescind the previous motion and approve the request to terminate the consent order. Train seconded the motion and it carried unanimously. LPNI180224 – Phipps moved to refer for an investigative interview. Floyd seconded the motion and it carried unanimously.

LPNI170199 – Train moved to reinstate the license and refer to the Attorney General’s Office for a public consent agreement to include five (5) years probation, two (2) years narcotic restriction, quarterly reports (self, employer, aftercare), substance abuse stipulations, monthly PEth for 12 months and quarterly urine drug screenings throughout order, standard work restrictions and courses in Understanding Substance Use Disorder in Nursing, Disciplinary Actions: What Every Nurse Should Know, and Narcotic Drugs: Documentation and Handling. Bryant seconded the motion and it carried unanimously. RNI180092/RNI190291 - Bryant moved to refer to the Attorney General’s Office for a three (3) month suspension. Lift suspension with a public consent order to include five (5) years probation, two (2) years narcotic restrictions, quarterly reports (self, employer, aftercare), quarterly Hairstat (5) for 12 months, quarterly urine drug screenings throughout the order, Substance Abuse Stipulations, work restrictions, and courses in Understanding Substance Use Disorder in Nursing and Disciplinary Actions: What Every Nurse Should Know. Fort seconded the motion and it carried unanimously. RNI180676 – Blalock moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within 30 days of the petition. Thompson seconded the motion and it carried unanimously. RNI180141 – Bryant moved to refer to the Attorney General’s Office for a public reprimand to include a fine of $500 for a violation of the consent order and to include courses in Righting a Wrong: Ethics and professionalism in Nursing and Disciplinary Actions: What Every Nurse Should Know. Blalock seconded the motion with Fort abstaining.


RNI191201 – Thompson moved to send the applicant a letter requesting an outpatient mental physical examination from a Board approved evaluator as a consideration of the application. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. Refer to the Attorney General’s Office for a private consent order with a $500 fine for each falsification (2014 and 2016) resulting in a $1,000 fine. Fort seconded the motion and it carried with Floyd abstaining.

RNI160381 – Fort moved to refer to the Attorney General’s Office to lift the suspension with a public consent order to include two (2) years probation and quarterly reports (self, employer). Blalock seconded the motion and it carried unanimously.

RNI191198 – Train moved to send the applicant a letter requesting an outpatient mental physical examination from a Board approved evaluator as a consideration of the application. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. Bryant seconded the motion and it carried with Floyd abstaining. RN190644 - Blalock moved to refer to the Attorney General’s Office for a Cease and Desist and to refer the complaint to the Georgia Composite Medical Board. Floyd seconded the motion and it carried unanimously. LPNI180303 – Blalock moved to refer to the Attorney General’s Office for a summary suspension. May petition to lift with documentation of addiction treatment (along with safe to practice statement), enrollment in aftercare and $500 fine for Unprofessional Conduct. Fort seconded the motion and it carried unanimously. 2803362 – Thompson moved to license upon completion of application. Reviewed practice history. Meets definition of the practice of nursing. Fort seconded the motion and it carried unanimously. ATTORNEY GENERAL’S OFFICE (RNI=Registered Nurse Investigative Case Number, LPNI=Licensed Practical Nurse Investigative Case Number)

RNI190954 – Bryant moved to close the case. Train seconded the motion and it carried unanimously. RNI190834 – Blalock moved to close the case. Thompson seconded the motion and it carried unanimously. LPNI180049 – Thompson moved to rescind the previous motion and remove the three-month suspension. All other terms remain the same. Blalock seconded the motion and it carried unanimously. RNI191024 – Fort moved to close the case. Phipps seconded the motion and it carried unanimously. RNI190729 – Blalock moved to rescind the previous motion and refer for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Thompson seconded the motion and it carried unanimously.

RNI191025 – Train moved to close the case. Floyd seconded the motion and it carried unanimously. RNI190502 – Train moved to close the case with no disciplinary action. Bryant seconded the motion and it carried

unanimously. RNI190504 – Train moved to close the case with no disciplinary action. Bryant seconded the motion and it carried



unanimously.


RNI180656 – Thompson moved to rescind the previous motion. Amend to private with same terms. Bryant seconded the motion and it carried unanimously.

RNI180726 – Thompson moved to rescind the previous motion. Amend to private with same terms. Bryant seconded the

motion and it carried unanimously. RNI170376 – Fort moved to rescind the previous motion and accept the consent order as presented. Thompson seconded

the motion and it carried unanimously. LPNI170358 – Floyd moved to approve the request to continue to work for current home health employer. Phipps seconded

the motion and it carried unanimously. RNI180512 – Train moved to rescind the previous motion. Two (2) years probation with same terms. Bryant seconded the

motion and it carried unanimously. RNI180276 – Phipps moved to rescind the previous motion and to refer for a public consent order to include two (2) years

probation, quarterly reports (self, employer, supervising physician), a fine of $500 for Unprofessional Conduct, restrict ability to prescribe controlled substance with the exception of Schedule IV and V and the following Schedule III: Testosterone, Nandrolone Decanoate, Oxyandrolone and Stanozolol. Train seconded the motion and it carried with Blalock opposing.

RNI170777 – Blalock moved to refer for a private consent order to include three (3) years monitoring, quarterly reports (self,

employer, psychotherapy, medication management), substance abuse stipulations, work restrictions, courses in Understanding Substance Use Disorder in Nursing, Narcotic Drugs; Handling and Documentation and Disciplinary Actions: What Every Nurse Should Know. Bryant seconded the motion and it carried unanimously.

RNI190645 – Thompson moved to reduce the fine to $6,750 for Unlicensed Practice. Maintain public order. Fort seconded the motion and it carried unanimously.

RNI191071 – Fort moved to close the case. Phipps seconded the motion and it carried unanimously.

INVESTIGATIVE INTERVIEWS (RNI=Registered Nurse Investigative Case Number, LPNI=Licensed Practical Nurse Investigative Case Number) RNI180822 – Bryant moved to close the case with a Letter of Concern (Unprofessional Conduct) related to violation of medication policy. Thompson seconded the motion and it carried unanimously. LPNI180089 – Blalock moved to close the case with a Letter of Concern (Narcotic Handling). Thompson seconded the motion and it carried unanimously. LPNI190148 – Floyd moved to refer to the Attorney General’s Office for a public consent order to include a fine of $500 for Unprofessional Conduct and to include courses in Critical Thinking, Ethics, Documentation and Professional Accountability. Train seconded the motion and it carried unanimously. LPNI190937 – Floyd moved to license with a public consent agreement to include a fine of $2,200 for 26 months of Unlicensed Practice. Fort seconded the motion and it carried unanimously. RNI180626 – Bryant moved to close the case. Fort seconded the motion and it carried unanimously. RNI190030 – Train moved that, upon receipt of safe to practice statement from licensee’s psychiatrist, close the case with a Letter of Concern (Unprofessional Conduct). If not received within thirty days, refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Bryant seconded the motion and it carried unanimously.


RN180815 – Fort moved to refer to the Attorney General’s Office for a public reprimand to include a fine of $500 for Unprofessional Conduct, courses in Ethics of Nursing Practice, Sharpening Critical Thinking Skills, and Prescribing for APRNs. Thompson seconded the motion and it carried unanimously. RNI191013 – Bryant moved to close with a Letter of Concern (Unprofessional Conduct). Fort seconded the motion and it carried unanimously. RNI181260 – Blalock moved to send an investigative letter requesting courses in Professional Accountability and Legal Liability for Nurses, Disciplinary Actions: What Every Nurse Should Know and Narcotic Drugs: Handling and Documentation. If no receipt of CE by May 17, 2019 refer to the Attorney General’s Office for a private reprimand to include a $500 for CE violation. Fort seconded the motion and it carried unanimously. RNI180071 – Thompson moved to table pending receipt of peer review. Train seconded the motion and it carried unanimously. RNI191087 - Thompson moved to table pending receipt of additional information. If not received within 30 days deny the application. Fort seconded the motion and it carried unanimously. LPNI160285 – Fort moved to reinstate with a public consent agreement to include a fine of $500 for Unprofessional Conduct, courses in Professional Accountability and Legal Liability for Nurses, Disciplinary Actions: What Every Nurse Should Know and Narcotic Drugs: Handling and Documentation. Blalock seconded the motion and it carried unanimously. LPNI190090 – Bryant moved to refer to the Attorney General’s Office for an outpatient mental physical examination from a Board approved evaluator. Results are to be reviewed by the Investigative Committee and the Legal/Discipline Nurse Consultant. If non-compliant, refer for a voluntary surrender or indefinite suspension and deny the renewal. May petition to lift with submission of mental physical examination within thirty days of petition. Upon receipt of the MPE results, refer to the Attorney General’s Office for a public reprimand to include a fine of $500 for falsification of renewal application. Floyd seconded the motion and it carried unanimously. RNI190924 – Floyd moved to close the case with a Letter of Concern (Unprofessional Conduct). LICENSES ADMINISTRATIVELY ISSUED

Floyd moved to accept the licenses administratively issued by staff between March 1, 2019 and April 30, 2019. LPN012380 Sally M Hill LPN022812 Michelle Antoinette Simpson LPN028087 Barbara J. Ward LPN028519 Melissa Carolyn Broom LPN028791 Beverly Dawn Brackett LPN028874 Sheila R Hall Howington LPN029080 Kathern L Thomas LPN032485 Debra F O'Connor LPN033752 Georgette Orea Anaba LPN037039 Donna Laura McKeithen LPN038334 Barbara J Scott Williams LPN039522 Angela Denise Parham LPN040741 Debbie L Warfield LPN041437 Tina Maria Farmer Alexander LPN042561 Bridgett L Wilburn Hill LPN042570 Tambra Colline Norton Holmes LPN043448 Felicia Cassandra Lee Wiggins LPN043724 Marcella Helen Reeves Bamford LPN044051 Avis Bullard

LPN044557 Sherry Jean Gibson LPN044590 Sybil Patricia Cummings Eversley LPN044707 Kelvin Lee LPN044714 Emily Susie Winn LPN044823 Tabitha Lynne Scott LPN045441 Marilyn Denise French LPN045557 Gloria L Monts LPN046164 Kimberly Audretta Bennings LPN047021 Laura Gail Allison LPN047331 Kathleen Marie Holland LPN048126 Deborah Grace Kernea LPN049402 Tanya Renee Borders LPN050035 Shelby Jean Branch LPN050346 Ruth Ann Johnson Diaz LPN050644 Cathy Edwina Crapse LPN051211 Donna Jean Duffield LPN051674 Sabrina Yvette Norman LPN052647 Melinda Rena Scott LPN053417 Angela Cale Davis


LPN054256 Mary Belle Walker LPN054497 Alisa Yvette Hines LPN054740 Sandra Denise Jackson LPN055339 Teru Rainey Parker LPN055590 Tawanna Rose Watson LPN055652 Jesse Mack Hillis, Jr LPN055728 Laurie Marie Newman LPN055854 Robin Lisa Costello Aldridge LPN056015 Christine Robinson LPN056552 April Dawn Poole LPN057425 Tara Melinda Moss LPN057435 Kelly Lorraine Dunn LPN057436 Susan Gail Goff LPN057527 Margaret Louise Clark LPN057869 Jacqui Boyette Arrington LPN059472 Annice Elizabeth Lingerfelt LPN059543 Nancy Iree Kicklighter LPN059963 Theresa Deloris Major LPN060171 Lakenyona Deshone Price LPN060290 Loresa Terroshelle Crawford LPN060653 Katrina Dawson-McMillan LPN060787 Lorelei C Matthews LPN061311 Angel Terry Lewis LPN061475 Tanya J Leonard LPN061503 Barbara Jean Womack LPN061747 Kimberly Michelle Williams LPN062112 April Marie Hester LPN062305 Jennifer Michelle Chabek LPN062317 Melissa Dyane Harris LPN062452 Kimberly Thompson LPN062527 Maria Deshea Foster LPN062650 Constance Demetrica Jones LPN062805 Samatha Elaine Lewis LPN062876 Shannon Nicole Lethco LPN063137 Celisca Mullis Ethridge LPN063579 Marie Eleanor McGinn LPN064299 Stephen Jonathan Morgan LPN064708 Alysia Dawn Russell LPN064783 Amanda Leigh Chauvenne LPN064784 Alysa Snipes LPN065547 Shufeng Zhang LPN066138 Elizabeth Camille Seay LPN066258 Rosalind Ford LPN066384 LaTricia Juan Tolliver LPN066444 Christa Ellen Neal LPN066755 Natalie Jean Murria LPN066885 Charlene Anita Walton LPN066982 Antionette Tanisha Brown LPN067058 Lettina Rae Cave LPN067283 Sandra L. Booker-Dixon LPN067442 Eleanor Frances McBride LPN068060 Lisa Overholt LPN068185 LaCinda S. Evans LPN068576 Felicia Denise Holloman

LPN068735 Melissa Nychelle Marshall LPN068738 Veleta Renee Kaas LPN068769 Robin M. Quimby LPN068815 Cynthia Alison Brown LPN068944 Zaneta Lorese Lakes LPN069123 Cynthia Diane Gazaway LPN069271 Peaches Eloise-Cherlyn Richards LPN069497 Christie L Bell-Smith LPN069681 Tawanna R. Willis LPN069895 Latae A. Grant LPN070069 Tiffany Latrice Garrett LPN070200 Angel Regina Glynn LPN070217 Elena Lorraine Ortiz LPN071093 Tonya Michelle Logan LPN071312 Celina Larraine Mitchell LPN071604 Dana Lynn Burchfield LPN071898 Natasha Delois Murry LPN071916 Brandi Davis Taylor LPN072107 Sharon Denise Cooper LPN072515 Erin Moreland Thomas LPN072544 Kimberly Ann Chandler LPN072774 Christy Lynn Pendley LPN072814 Na'Imah Anisha Faison LPN073102 Erica Renee' Davis LPN073561 Lisa Ann Hooks LPN073906 Victoria Andrese Scruggs LPN074093 Stephen Gerald Molineaux LPN074470 Alice Evans LPN074588 Betty Jo Bradford LPN074609 Crystal Tawanda Davis LPN074668 Trenia Renee Stokes LPN074759 Matthew James Harmon LPN074768 Sonia Patricia Skepple LPN075205 Linnett Gwendolyn Gibbs LPN075339 Laurie Foster LPN075384 Brenda Fowler Stafford LPN075534 LaTonya Ann Cash LPN076140 Frantz Fonrose LPN076481 Porsche Morlene Wells LPN076788 Jovan Kimberly Pooser LPN077258 Defene Roberson Robinson LPN077563 Kindal Lynn Lewis LPN077805 Camille Angella Robinson LPN078000 Amy Rayenelle Childers Dennis LPN078002 Beth Horton Gibby LPN078771 Angela S Head LPN078919 KaShae Vonette Smith LPN079053 Diana Deloris Shine LPN079579 Vennessa Gay Cates LPN079608 Ann Marie Thompson-Gay LPN079786 Colleen Marie Odom LPN080375 Angela Winnette Thomas LPN080751 Brenda Sue Crocker Hamilton LPN080870 Maya Nahira Whitehead


LPN080929 Sametris Winkfield LPN080938 Nicole Noel Chovanec LPN080957 Abidemi O Awonaike LPN081091 Briana Leigh Fulbright LPN081108 Marsha Melania Ellis LPN081204 Jacqueline Danielle Wahlert LPN081603 Judy Gayla Green LPN082516 Lakeia Deanna Howard LPN083134 Jennifer Blige Bulle LPN083141 Christine Evelyn Tilley LPN083193 Janna Odett Smith LPN083296 Jennifer Eileen Chavous Bowen LPN083636 LaTrice Michell Williams LPN083824 Amiee Elizabeth Davis LPN083837 Misty Hilliard Johnston LPN084221 Jamie Melissa Holladay LPN085112 Nichole Renee Brown LPN085128 Pamela Jean Bell LPN085246 Shereka Shanek Singleton LPN085272 Adejumoke Yetunde Adelekan LPN085340 Diana Millsaps Gregg LPN085375 Marissa Latigue Phillips LPN085655 Isabel Santiago Pulley LPN085696 Shanika Carlotta Hawkins LPN085778 Stephanie Michelle Peterson LPN086010 Kala Renee Sanks LPN086072 Cheryll Mayesha Young LPN086166 Valentine Maruti Masinde-Barthel LPN086439 Gwendolyn Broady LPN086468 Erica Latasha Lindsey LPN086472 Tamara Renae George LPN086501 Jody Deweese Minshew LPN086596 Uraina Dione Payton LPN086617 Eva Edith Sanchez LPN086694 Michell Autillia Boksa LPN086768 Tara Lynn Madison LPN086895 Samantha Lynn Peek LPN086914 Kortney Elaine Gaskin LPN086934 Eleanor Elizabeth Duncan LPN086963 Mia DeEdgra Wooten LPN087192 Kamica Veronica Bryant LPN087596 Brandy Gayle Poole White LPN087727 Thaddeus Vaughn Ivey, II LPN087754 Christy Ann Addington LPN087828 Christy Inez Roberson LPN088141 Elizabeth Ashlee Abernathy LPN088169 Edna Mitchell LPN088241 Anita Michele Armstrong LPN088300 Carmen Leah Ranjel LPN088329 Joy Funmilayo Olofintuyi LPN088512 Ariana Gabrielle Bell LPN088607 Sarah Elaine Adams LPN088640 Brandy Nicole Mcatee LPN088736 Phillisa Danielle Johnson

LPN088759 Linda Sue Dawson LPN088998 Jessica Sue Haggard LPN089120 Clarine Raeshelle Holland LPN089155 Dustin Chase Russell Fitzgerald LPN089167 Tearra Nicole Hannibal LPN089181 Judith Rose Lee-Harrington LPN089289 Tanya Lejeune Fulbright LPN089395 April Alderson Gibson LPN089503 Chanelle Renee Bonds LPN089960 Natalie Amanda Davis LPN090404 Emily Megan Giles LPN090441 Jessica Ann Howard LPN090506 Denise Michelle Difranco LPN090720 Andrea La-Don Mullgrav Monroe LPN090844 Deyonia Tucker LPN091238 Tenille LaShaun Daniel LPN091335 Kayla Brooke Hunter LPN091358 Leslie Loraine Heidelberg LPN091496 Tiffany Gail Lewis LPN091583 Jennifer Lynn Dean LPN091595 Zachary James Irving LPN091606 Andrea Monique Tisdale LPN091747 Tasha Monique Green LPN091991 Darlene W Lewis LPN092146 Amberleigh Jean Rector LPN092267 Trellace Monique Williams LPN092307 Arlecia Marie Covington LPN092393 Jennifer Lynn Cobb LPN092608 Jena Lea Casas LPN092620 Randi Myckail Kauth LPN092702 Charo Ladawn Randolph LPN092735 Constance Diane Goble LPN092859 Ashley Danielle Griffin LPN092956 Jessica Jo Carder LPN093002 LaToya Brenee Faniel LPN093144 Diana Thao Do LPN093148 Dara Leighann Lamb LPN093241 Ronda Ann Ashley LPN093392 Aaliyah Alechia Smith LPN093534 Letitia Renee Jean-Simon LPN093597 Kathryn Lucille Thomas LPN093780 Cassandra Bush Savoy LPN093902 Ashley Murray LPN093994 Melissa Ann Putnam LPN094085 melissa ann murry LPN094121 Adam Drew Fink LPN094190 Jerrica Leigh Butler LPN094354 Elana Marie Coronado Duncanson LPN094358 Melanie Lynn Tinley LPN094389 Melissa Dawn Smith LPN094466 Dawn Victoria Wingo LPN094551 Vicki Georgia Royal LPN094612 Brandi Nichol Mcgee LPN094670 Kayla Renada Mitchell


LPN094695 Calandra Delaine Simmons LPN094783 Pamela Marie Duncan LPN094900 Misha Nychel Collins LPN095527 Kim C Smith LPN095622 Dontavious Travon Gooden LPN095661 Katrina Benson Studdard LPN095690 Megan Nicole Davis LPN095824 Salud C Lopez LPN095846 Jacquelin Pierre Louis LPN096075 Kentrece Theresa Moss LPN096883 Scott Cary Sullivan, III LPN096953 Emma Lorretta Gibson LPN097037 Bianca Ursula Mezier LPN097269 Cristhian Janet Aguilar LPN097285 Valeria Contreras LPN097286 Naomie Vernous Jerome LPN097287 Kenyetta Moncia Fountain LPN097288 Shavavia Reanna Hyman LPN097289 Carrie LeAnn Farmer LPN097290 Shelby Cheyenne Jones LPN097291 Caitlin Marie Davis LPN097292 Janette Michelle Minshew LPN097293 Chasity Grace Hazeltine LPN097294 Lakeeria Nicole Lumpkin LPN097295 Pamela Annazette Smoot LPN097296 Dalton Kyle Gray LPN097297 Carissa Dena Duncan LPN097298 Christin Bishop Batista LPN097299 Gloria Ann Morris LPN097300 Eden Melissa Evans LPN097301 Sylvia Demetria Minor LPN097302 April Pinson Sauls LPN097303 Samantha Michelle Morrow LPN097304 Iesha Monique McGee LPN097305 Nakole Lynne Williams LPN097306 Francis Lurtrice Hutchins LPN097307 Talena Tarie Pope LPN097308 Vandi Burnsed Ryan LPN097309 Alyssa Miranda Turner LPN097310 MY-KIM THI DANG LPN097311 Dayana Natary Copado LPN097312 Jacy Lynn Taylor LPN097313 Albertina Sarpong LPN097314 Paulet Beverley Thompson LPN097315 Michelle Denise Long LPN097316 Hannah Nicole Burroughs LPN097317 Olufolake Adenike Opaleye LPN097318 Raquel Wilson LPN097319 Erick Lajpop LPN097320 Jericka Sinqiust Shanta Kennedy LPN097321 Latonya Shelon Ferrell LPN097322 Jacquel Singleton LPN097323 Perla Nerves Gonzalez LPN097324 Emily Suzanne Smith

LPN097325 Mulas Malasikwanda LPN097326 Kyong Ah Ham LPN097327 Mauretta Nicole Veal LPN097328 Tamekia Shantel Hood LPN097329 Tiffany Danyle Smith LPN097330 Amy Diana Buchanan LPN097331 Michelle Arlene Eastham LPN097332 Anissa Raccine Beddingfield LPN097333 Tanesia Tashoi Wright LPN097334 Charmane E Pearson LPN097335 Rachel Lynn Fox Hatcher LPN097336 Tara Sarita Apollon LPN097337 Jonathan Lewis Crowder LPN097338 Eunice Aku Adu LPN097339 SHUNDRA OWENS VICKERY LPN097340 Gabriella Nadine Sealander LPN097341 Dorothy Regina Durham LPN097342 Vicki Michelle Webb LPN097343 Devianie Winnie Williams LPN097344 Haley Lin King LPN097345 Amanda Nicole Lacey LPN097346 Ja'Vaunna Stackhouse LPN097347 Kayla Julie-Ann Bingham LPN097348 Khadijah McLachlan LPN097349 Tracy Morton Bell LPN097350 Ashley Marie Anastasio LPN097351 Katrina Janelle Austin LPN097352 Theresa Lynn McWilliams LPN097353 Oneke Asah Agbor LPN097354 Judith Awiti Gordon LPN097355 Laurie Jackson LPN097356 Janice Ashland Gunn LPN097357 Shelbi Dene Singletary LPN097358 Dale Robert Vought LPN097359 Shatina Willis LPN097360 Christine M Tondee LPN097361 Tamadrian Durron Fuller LPN097362 Macy Lynn Edmonds LPN097363 Ashley Jean Bailem LPN097364 Tracy Ann Baretela LPN097365 Vernay Lakeisha Ramsey LPN097366 Sharon Nicole Mingo LPN097367 Ashton Elizabeth Lanier LPN097368 OLUBUKOLA HOLLOWAY LPN097369 Malory Manders Northrup LPN097370 Juanita Lee Reddoch LPN097371 Kristen Faith Atkins LPN097372 Jalissa Latrice Patterson LPN097373 Brenda Gail Wigand LPN097374 Sha'Quana Semaj Myers LPN097375 Bridget Lucinda Reed LPN097376 Kacie Elizabeth Wise LPN097377 Blair Michaelle Van Kirk LPN097378 Sarah Alice Ward


LPN097379 Shawanna Kon Trel Glynn LPN097380 Brittany Alexis McDowell LPN097381 Ashley Elaine Gay LPN097382 Sakari Heywood-Howard LPN097383 Rebecca Louise Johnson LPN097384 Sara Catherine Fender LPN097385 Amy Nicole McManus LPN097386 Heather Marie Pieratt LPN097387 Brooklyn Marie Dyer LPN097388 Courtnee Nicole Cox LPN097389 Siera Kaitlin Griner LPN097390 Kelly Dawn Carpenter LPN097391 Morgan Lee Long LPN097392 Laquanda Nikki Fails LPN097393 Brett Michael Nichols LPN097394 Anzie McCoy LPN097395 Sabrina Leann Bowen LPN097396 Nicole D Lewis LPN097397 Jessica Lynnesha Hill LPN097398 Camela Eileen Trower LPN097399 Marcela Slapnik LPN097400 Amber Nicole Massey LPN097401 Velissa Ann Caffey LPN097402 Jean Ann Bethea LPN097403 Jamilah Latifah Warnick LPN097404 Teondra Cieara Moore LPN097405 Ellen Nyambura Muthui LPN097406 Brandi LaChelle Garrett LPN097407 Danielle Katherine Warlitner LPN097408 Casey Freedom Thornton LPN097409 Elecia Torres Cruz LPN097410 Cimberly Dawn Gregori LPN097411 Renesha Jaquise Patterson LPN097412 Darienne Ajia Johnson LPN097413 Talashia Brown LPN097414 Taylor LaRae Iosefa LPN097415 Arker Kenneth Honore-Joseph LPN097416 Kayleigh Mary Cotto LPN097417 Jennifer Fowler Garrison LPN097418 Lexun Desert Johnson LPN097419 Shanai S Smith LPN097420 Irma Rebecca Stevens LPN097421 Ese Sharon Ovadje LPN097422 Danielle Alecia Walch LPN097423 Emily Anne Erwin LPN097424 Erika Morales LPN097425 Geraldine L Moore LPN097426 Sequeoia Lynn Madden LPN097427 Ashley Shonta Spencer LPN097428 Christy Michelle Phillips LPN097429 Alisa Ann Jones LPN097430 Jacquelyn Reed LPN097431 Nicole Lin Costley LPN097432 Jessica Lynn Sowell

LPN097433 Urenna Immaculata Duruji LPN097434 Eunice Cyin Kim LPN097435 Katrina Denise King LPN097436 Deonna Lenshai Coney LPN097437 Hunter Jordan Payne LPN097438 Angela Marie Zimerla LPN097439 Latisha Ann Watson LPN097440 Trishana Nicole Williamson LPN097441 Ejiro Jiro Ovadje LPN097442 Casilda Serrano LPN097443 Debra Ann Robertson LPN097444 Jane Elizabeth Van Meter LPN097445 Monique Jeanette Batchelor LPN097446 Kelly Ann Cuddy LPN097447 Maquela Denise Wilson LPN097448 Heather Rae Santistevan LPN097449 Marcie Caldwell LPN097450 Etta Nicole Luke LPN097451 Rachel Marie Mackee LPN097452 Michael Anthony Sicola LPN097453 Stephanie Marie Alexander LPN097454 Floydtecia Machelle Walker RN049369 Rebecca G Douglas RN049398 Charlotte L Ingram RN049658 Yvonne D Harris RN050399 Elisabeth Anne Bailey RN051010 Kathy Lynn Schnell Landstreet RN052894 Norma Gallardo Rouse RN053923 Polly Alisa Brown Astin RN053966 Wanda Kay Osbourn RN054024 Carol Lynn Morgan RN056584 Pamela Ann Ingoldsby Pomar RN057297 Thea Hall Burke RN060504 Tamra Jo James Casper RN060593 Janet Lisska Crowers RN062403 Beverly Ann Gardner Hardeman RN062864 Pamela Lynn Pressnall RN066827 Allan Edward Smith RN066863 Eva Loretta Whittle Warder RN068403 Carolyn Brown Martin RN069021 Christy Suzanne Banks RN069252 Pamela Jo Evans RN069359 Rose Marie Kelley RN069812 Sarah Jane Quinn RN070830 Miriam Nissley Webster RN071579 Lori Miller Harrell RN071794 Patricia D Vorees RN072773 Terri Diane Dewberry RN072956 Geraldine Beatrice Harper RN073132 Monette King Smoak RN073149 Ruth Ann Kitchens RN073456 Susan Elizabeth Shea RN073756 Tina Helen Wooten RN074702 Sandra Lea Cox


RN074899 Mary Barbara Hixon RN075102 Sandra Lee Jordan Nemetz RN076483 Diane Elizabeth Hobbs Morgan RN077174 Wanda Louise Shirley RN077302 Sonja Elizabeth Neely RN077362 Panesa Cecelia Payne RN077611 Jan Ellen Smith RN078351 Susan Jane Borich Thomson RN079888 Lisa Uber Ferrara RN080639 Melisa J. Wyllie RN080828 Mary Sue Brown RN081525 Melissa Miller Farrington RN081677 Anna Poteet Lewis RN081771 Sherrie Jayne Saunders Phillips RN084081 Carmen Vanessa Chapman RN084111 Carolyn Diane Livsey RN084846 Janice Bonnie Ballard RN085390 Joycelyn Brenda Jones-Davis RN085841 Vicki Lynn Duke RN087835 Marla Faith McAlvin RN087868 Deborah Ann Scott RN089239 Cecilia Kay Ramey Davis RN089613 Hazel Aline McIver RN090022 Jack Wilmer Weathers RN091172 Janice Marie Harper-Baptiste RN091226 Kathleen A Urda Foley RN093394 Tammy Leigh Hamilton RN093466 Tracy Carol Hoffman Whitehouse RN093676 Jean Streat McKie RN093701 Janet Rodgers Anderson RN094617 Jill Lynne Stager Singer RN095552 Cheryl Lynn Armour RN096485 Kim Ann Trevathan Daigle RN097090 Terri L Bass Brinson RN097382 Debra D Fritch RN097396 Cynthia Yvonne Garland RN097555 Alesa Marie Bennett RN097756 Irona Liggins-Spikes RN097960 Yvette Marie Patterson RN098092 Bernice Scott RN099583 Jo Norene Nicholson Williams RN100175 Geraldine Williams Smith RN100769 Alfreda Mae Gibson RN101031 Ruth Lavern West RN101272 Mary Elaine Walsh RN101307 Cathy Coretti Aquinde RN101549 Barbara Jean Bell RN101561 Helen Kathryn King-Cox RN102266 Lee Ann Cleghorn RN102465 Eileen Sewell Stone RN103259 Joyce Faye Anderson RN103452 Angelia Rose Newsome RN104434 Laura Denise Hull RN104562 Tammy Jo Runnels Cook

RN104941 Linda Sue Oesterling Manis RN105357 Debra Sue Alaniz RN105741 Kimberly LaVerne Selvaggi RN105861 Chandra Jacinta Anderson Spencer RN106734 Pamela Jo Chapman Kimbrel RN107087 Jill Elaine Barnes RN107466 Maredyth Linden Walters RN107497 Nancy Sue Hamilton Weaver RN107941 Lawrence David Williams, Jr RN108568 Clara Victoria Duffie RN108815 Theresa Ann Farrell McClure RN109269 Cynthia McClendon Johnson RN112929 Carol Sorrell Mathis RN113064 Bennie Joe Mullins, Jr. RN113548 Kimberly Evans RN115108 Lourdes Irene Valle Cody RN115727 Kenneth Domingo Mann RN116250 Paulette Alma Pye RN116874 Paula Brown Pitts RN116940 Roberta Lynne Ramsey RN117008 Tracey Luanna Metcalf Slagle RN117297 Carol Lou Mcdaniel RN117332 Mark Allan Daigle RN117494 Sarah Pearson Velasquez RN117525 Glenn Clinton Shedd RN117584 Joyce Ann Wool RN118143 Debra Denise Shurling Pruitt RN118269 Robin Jane Henry Sherrod RN118333 Marianne Kimes RN118359 Tessamy Lynne Shaw Goodwin RN118475 Susan Lamoureux Lundie RN118584 Caren Dugan Schepisi RN118821 Elizabeth Grace Molock RN118909 Gracie Mae Adams RN119664 Deborah Rizek Colehower RN121276 Aurelia Allen RN122899 Elizabeth Ann Lookabill RN122951 Elizabeth Lee Gove RN124304 Ginger S Dunn RN124893 Allen Ted Hufstetler RN125106 Angela Rebecca Goble Hornsby RN127267 Angela Lynette Duke RN127271 Imani Glenda Renea Stokes Saafir RN127992 Hazel O'Neal Ellis Patterson RN128053 Brenda Lorraine Cohran RN128460 Sharon Ann Quarterman RN128803 Sue Ellen Bingham RN129009 Tracey Lynn Weeks Murray RN129048 Janet Elizabeth Allen Garris RN129224 April Goodwin Beltran RN129301 Angela Christine Kellett RN129381 Thomas Edwin Dodd RN129481 Jennifer Nicole Hall RN129502 Rhashida Suki-Tse Evans


RN129539 Elizabeth A Greenway RN129834 Rachel Pauline Webber RN129896 Jonathan Glenn Kent RN130189 Stacey Norine Strickland RN130270 Andrrea Michelle Zellner RN130371 Sheri Denise Hill RN130782 Sonia Ann Lue RN131411 Darlene Delane Allred Johnson RN131591 Ghena Griffith Wilson RN131630 Robert Dillard Knight RN132362 Robeena I Inayat RN133853 Pamela Rene Stubbs-Heaggans RN134524 Leah Armstrong Vaughan RN134875 Kanae Wolf Gilliland RN134925 Donna Marie Trawick RN135005 Kathy Elaine Fain RN135411 Christina Vasbinder Hawkins RN135508 Gregory L. Victor RN135588 Griselda Amelia Batts RN136687 Donna Marie Fletcher RN137388 Tracy Johanna Torgerson RN137630 Darlene Maria Hunter RN137748 Kerry-Ann Renee Freeman RN138025 Erica Suzanne Thompson RN139762 Renee Sutton Hicks RN139826 Brandi Tyson Watson RN140153 Rachel Mae Perlman RN140458 Shequila Ann Byrd RN140463 Sandy Marie Conner RN140571 Amy D O'Shaughnessy RN140643 Tabatha Renee Thompson RN141537 Felecia Charelle Lane RN142457 Cynthia Louise Landers RN142517 Jessica De Sanctis Polizzi RN142687 Shirin S Noorani RN142912 Irina Jocher RN143677 Mandy Renee Schumacher RN144073 Tanya Gayle Owens RN144095 Nicol Pristene Acolatse RN144350 Gerald Adam Chadwick RN144419 Shana A Horan RN144600 Jill Candace Davis RN144883 Karen Lee Shaul RN145053 Virginia Tittle Kee RN145431 Barbara Jarrell Perkins RN146742 Flora Veray Freeman RN147508 Brenda Denise Lambert RN147694 Lori Sue Sethman Fisher RN147913 Octavia Moore Hedge RN148020 Peitra Ann Blount RN148278 Julie Spivey Crews RN148409 Lauzya Maria Nel Van Rensburg RN148674 Demetra Adams Davis RN149051 Carol Ann Kent

RN149210 Latasha Renee Smith RN150106 Tonya Cranford Beck RN150128 Charles Kenneth Dudley, Jr. RN150335 Florence O. Achilihu Adiele RN151428 David Alan Goodwin RN151948 Dorothy McIntosh RN152067 Moreen Ngozi Areh RN152081 Michael Alan Fugazzi RN152639 Natashia Lenore-May Rea RN152695 Lakeysha Myrie Daniels-Williams RN152917 Patricia M Dolan RN152959 Susan Annette Beckett RN153070 Andrea Gedon RN153375 Phyllis Shanyisa Shiluli RN153594 Carla Lynette Lewis RN153755 April May Thomas RN153941 Carolyn Kay Satterfield Clevenger RN154200 Sheila M Rodgers RN154521 Jennifer Denise Hamrick RN154957 Toluwatope Ibukun Adekunle RN155022 Susan Ethel Knowlton Coe RN155378 Brittany Marie Newberry RN155532 Cheryl Annette Keen RN155575 Linda Denise Torrey Dugeon RN156615 Bradford Scott Woodward RN158261 Tron Arna Barlow RN158391 Clovalyn Dalvenia Jeffrey-McGann RN158713 Regina Lynn Akins RN158853 Dushon Veronica Copper RN158893 Jamie Renee Slump RN159373 Sonia Martinez Davis RN159448 Shannon Leigh Whitwell RN160112 Venice Jacqueline Phillips RN160628 Jasmine Neoki Young RN160659 Shelisa Rena Taylor RN161284 Patricia Renea Winston RN161575 Amanda Methe Lilienthal RN162145 Christy Ann Moore RN162230 Feather Katrice Holbrook RN162468 Sonia Evon Hughes RN163166 Kristin Lynn Blackwelder RN163190 Sonya Coutee' Wallace RN163322 Patrice McCowan Gurley-Draine RN164227 Ruby Alicia Alderman RN164277 Janelle Diane Koziara RN164739 Kathryn Mori RN165065 Dani Nicole Clark RN165092 Maryanne Therese Sandberg RN165199 Georgianne Ashley Summer RN165501 Melanie Lakish Tyler RN165702 Amanda Leigh Shore RN165777 Katina Denise Ward RN165803 Jerel Keith Harris RN165931 Brandi Melissa Pinckney


RN166084 Eleanor Dodd Hollinger RN166477 Allison Hope Blair RN166929 Kerri Ann Youngblood RN167114 Yuko Taira Medina RN167323 Olufisayo Deborah Adejuyigbe RN167616 Carey Elizabeth Waters RN167887 La' Vonda Lynette Boatwright RN168298 Deborah Neely Holsted RN168427 Danielle Tobi Forrest RN168709 Nancy Jean Krohn RN168780 Kevin Wayne Anderson RN169414 Shannon Renee Adams RN169649 Deborah Ann Dumphy RN170103 April Alleyne Wood RN170212 Kristan N. Drake Langdon RN170619 Lee Ann Sikes Ryle RN172180 Nina Marcela Myer RN172195 Melissa Rae Anderson RN172390 Kathleen Windsome Brown RN172521 Natavan Jefferson RN172813 Michelle Therese Marson RN172924 Keri Davis Levin RN172994 Eunice Alindogan Sharma RN173508 Leslie Morrell Ponder RN173976 Kathleen Marie Callahan RN174646 Maria Elizabeth Andrea Francis-

Smith RN174764 Christina Mae Woodard RN174905 Cynthia Diane Aaron RN175102 Sherry Lynn Myers RN175481 Teresa Ann Crum RN175868 Ty W. Overly RN175895 Marci Kay Golden RN175937 Cheryl Lanette Flint RN176088 Terry Dorothea Jones RN176238 Kianne Cadeblyn Harris RN176794 Charlotte Denise Jackson-Shannon RN176900 Ayodeji Moses Oluloro RN177463 Christina G. Ingles RN177720 Kristen Lea Hulgan RN177770 Thamu Eboni Huston RN177988 Danah Martrece Evans RN177993 Melanie Jeane Norton RN178446 Chrystal Gayle Hamilton RN178486 Patricia Marie Stewart RN179113 Victoria Mae Lee RN179159 Cecelia Easie-Witter RN179634 Leah Meryl Gennings RN179754 Melanie Nicole Aiken RN180557 Nichelle Latoya Jackson RN180706 Levy Dorcely RN180771 Tiffany Danelle Stewart Jackson RN180895 Brandi Moore Webb RN181313 Janet Weller Herb

RN181458 Harrison Chidiebere Ojimma RN181513 Chennel Caprice Key Broom RN181713 Charissa Ann Calvelage RN182847 Gary Dean Bradford RN182934 Lillie Ruth Green RN183023 Brenda Sue Williams RN183206 Patricia Ann Edwards RN183213 Lakisha Taswell White RN183246 Debra Anne Chancey-Shepherd RN183544 Christi Rae Lanphier RN183601 Paula Maxine Spence RN183834 Jennifer Hardy Casella RN184281 Desiree Ann Riley RN184544 Joey Lea Rubin RN184590 Carrie Frances Barr RN184698 Irene Obiageri Ibenyenwa RN184992 Veronica Wangui Ndegwa-Gibbons RN185198 Merecia Lachele Jackson RN185318 Olga Colac RN185352 Nadine Shahine Henry-Ladge RN185390 Trinetta Marie Gipson RN185486 Dennis Lebron Mullens RN185858 Imani Ashia Harriott RN185957 Janice Lee Gatty RN186006 Debbie Ann Marie Grant RN186324 Kara Kristine Cabezas RN186330 Cheryl Elaine Tharp RN186672 Pamela Teresa Sampson RN186916 Elaine Moise Adams RN187097 Dawn Gwen Bell RN187120 Jamie Ann Haddix RN187179 Melissa Ann Glover RN187576 Joyce Esther Mukuriah RN188166 Stanley Slaughter, Sr. RN189160 Marla Jean Riley RN189200 Ericka Teal Taylor RN189254 Sheila Beth Sonnenberg RN189261 Maria Theresa Manuel Pagsisihan RN190105 Jolly Maria Thomas RN190237 Amanda Renee Moody RN190299 Jody Elizabeth Crouch RN190543 Debra Marie Alexander RN190733 Cheryl Ann Jemmott RN190933 Cheryl Renee Gregory RN191394 Kaylan Elizabeth Bifaro RN191953 Marval Melissia Ketchup RN192072 Yolanda Johnson-Pierce RN192180 Micah McMorris-Williams RN192440 Keneka Vontese Allen RN193729 Debrayda Giovanni Bryant RN193840 Jamesica Shaunte Perry RN194028 Crystal McCoy Llewellyn RN194297 Tiffany Susanne Dittman RN194341 Kimberly Nicole Amedee


RN194451 Deborah C Johnson RN194462 Jody Christopher Criswell RN194911 Yolanda Renee Jefferson-Strong RN195156 Timothy Michael Putman RN195161 Stacy Whyte-Pierre RN195188 Kristin Sharp Tucker RN195398 Annie Lauren Cawthon RN195425 Monica Lindsey Bennett RN195678 Paulette Johnson RN196093 Jamie S Crofoot RN196166 Sheila Gail Williams RN196304 Tiffany Renay Sutton RN196348 Joy Ann Barrett RN197623 Luann Bee Vevea RN197668 Keshala Anderson Newton RN198212 Ashley Jacob Kuruvilla RN198682 Mark Charles Hyleman RN199043 Lisa C Stewart RN199276 Lisa M Bowers RN199444 Arletta Cormier Poole RN200054 Tina Marie Fletcher RN200151 Talisha Michelle Lloyd RN200232 Leah Christine Gaither RN200240 Renea June Justice RN200297 Stephanie Elizabeth Philmon RN200458 Salema Coaxum RN200657 Denise Paulette Shows RN200786 Rhianon Star Dulaney RN201008 Antoinette Marschael Holmes RN201027 Nicola Tamara Salmon RN201630 Anna Catherine Booth RN201751 Katherine Moseley Shepherd RN201872 Lavern Novia Palmer RN201901 Lesley Ellen Weems Evans RN202209 Travis Michael Woodley RN202410 Taisha Rochelle Huguley RN202714 Cleopatra Sibrinna Flowers RN202803 Pamela Ann Waters RN202888 Tammie Jarrell Cornejo RN202956 Ashley Marie Carlson RN203119 Maegan Elizabeth Deloach RN203206 Mary Kathryn Deason Perritt RN203213 Ashley Hill Adams RN203295 Christopher Gamaro Chang RN203390 Tammy Hostutler Hughes RN203480 Shannon Latrice Paschal RN203501 Abigail Copeland Zakrzewski RN203598 Deia Otelia Seale RN203624 Angela Michelle Rucker RN204144 Joyce Renee Murigu RN204306 Stephanie Stanley Read RN204565 Serene Palmer RN205188 Frederick Tamale Ssenjakko RN205345 Carmen Lovett White

RN205391 Duane Kenneth McLain RN205414 Quiana Bailey Lushington RN205508 Telawo Ruth Chea Obodo RN205551 Brittany Lynn Baggett RN205674 Lisa Renee Woodard RN205756 LaDuana Alicia Bradley RN205766 Kimberly Michele Sutton RN205803 Adrienne Elise Knight RN205804 Lindsay Michelle Rogers Ryan RN206429 Fanny Cloud RN206767 Shannon Renee Stone RN206972 Jamice Gresham Harden RN207040 Yvonne Dettmann Conaway RN207397 Marquitta Cherrish Crawford RN207434 Brandi LeAnn Hammond RN208019 Jaclyn Camille Collins RN208393 Monica Lynn Palmore RN208406 Yvona V Williams RN208575 Jessica Dale Russell RN208760 Christopher Andrew Williams RN209104 Elizabeth Anne Lengsas RN209116 Rachel Ragina Taylor RN209342 Amanda Lee Groover RN209391 Ashley Lewis Satterfield RN209462 Mikan Philomene Kone RN209504 Sirare Hezron Babere RN209623 Caroline Woodall Overgaard RN209830 Karlene Stacy Ann Graham RN209874 Jeanne Elizabeth Follett RN210313 Brittany Kenyatta Rhodes RN210378 Laura Jean Vogt RN210842 Yakirah Janeen Lee RN211100 Dorothy B Brown RN211443 Kisa Jane Huenink RN211600 Amanda Beck Bucao RN212023 Jeffrey Andrew Forbrick RN212084 Tiffany Nicole Simerley RN212162 Stefanie Terese Starcic RN212866 Satia Renee Rose Devane RN213083 Roslyn Denise Greenwood White RN213296 Kellie Hice Whitener RN213553 Tiffany Rachels Payne RN213562 Angela Mun-Yan Chin RN213661 Tamiku Sharvelle Thompson RN213827 Mary Cameron Leyda RN213984 Lorna Brown RN214083 Turquoise Perrymond Allen RN214095 Corrie Margaret Sepcich RN214189 Samantha Denise Jelks RN214298 Georgia Delisa Brown RN214672 Kim LaFourche RN214706 BESEM AYUK-NGO TABE RN214744 Sonjia June Jones RN214900 Lisa Orme Gazan


RN214985 Kristi Lloria Childs RN215173 Whitney Conner Walls RN215372 Dawn Carlisle Cruikshank RN215493 Jennifer Tarizona Thompson RN215598 Doungphon Nelson RN215765 Michele Martin RN215926 Daryl Alexandra Benton RN216043 Winston Scott Douglas, II RN216135 Sherri Ann Fincham RN216142 Kyla Megan Kitchens RN216315 Angelica Joy Huff RN216412 Elizabeth Mary Alexander RN216500 Kacey Marie Griffin RN216526 Lacie Ann Goodman RN216541 Helene Catherine Bayombi RN216685 Afua Ntiwa RN216932 Michael Allen Relyea RN217011 Victoria Lenore Gordon RN217092 Yelitza Mari Guzman RN217157 Rachel Bell Belcher RN217224 Rebekah Ashley Perkins RN217419 Summer Ann Ginn RN217493 Alexa Martha McElhaney RN217674 Tina Marie Moseley RN217980 Tanika Chenell Owens RN218174 Veronica Jo Shahan RN218291 Caroline DeJarnett Flexer RN218668 Kim Thi Le RN218669 Ebony Laquanda Smith RN218682 Tracy Joyce Mitchum RN219548 Mary-Theresia Kemni Wallang-

Nwaha RN219710 Shola Adewunmi RN219768 Turana Marie Nicholson RN219881 Morgan Lyndsey Roberson RN220109 Vera N Mahou RN220225 Eleanor Allison Lazar RN220249 Shakesha Lashae Williams RN220289 Caylin Brooke Parker RN220459 Megan Bryer Boyd RN220493 Mallory Savannah Sahni RN220792 Brandon Blakely Bisso RN220804 Robert William Moughton RN221028 Portia Chine Effinger RN221067 Olivia Ann Simpson RN221112 Kia Marie Kess RN221240 Lashonda Ermine Callahan RN221322 Tina Lynne Johnston RN221486 Tacara Nichole Hemingway RN221552 MariaGorrathy Nkiru Ejike RN221633 Elizabeth Marie Searles RN221637 Ryan Matthew Murphy RN222344 Paige Burkett Kenway RN222383 Machelle Dunn Rybicky

RN222418 Audra Holland RN222551 Caitlin Stamey Wertenberger RN222684 Anglia O'Neal Dailey RN222714 Robert Andrew Bell RN222758 Marsha Figueroa RN222801 Krista Rae Plauer RN223095 Angela Darlene Gerrald RN223165 Amy Lynn Fouts RN223317 Latoya Evette Westbrook RN223414 Tiffany Renee Lee RN223465 Ashley Fletcher Darley RN223490 Erin Lane Thomas RN223542 Tricia Antoinette Rumble RN223743 Ji Na Beak Croft RN223878 Whitney Loriel Winston-Parker RN224061 Taquita Shanee Milner RN224144 Leila Marie Maxim RN224306 Cedric Andre Miller, Jr. RN224358 Yasmin Naomi Norris RN224544 Kimberly Dawn Bryan RN224567 Christopher James Ryals RN225286 Virginia Paige Williamson RN225316 Latonia Queen Howard RN225373 Elijah James Jackson RN225494 Bridgette Yolanda McCorvey RN225540 Tayako Nichelle Vaughn RN225736 Stacy Wideman RN225743 Courtney Joanne Bell RN225812 Melissa Joan Murgas Lindsay RN225870 Lynette Ames Wilkins RN225881 Patricia Ann Torres RN225971 Becky Chika Sigler RN226037 Kimberly S Shank RN226051 Laura Maria Gonzalez RN226102 Elianor Harper RN226843 Stephane Allien Williams RN226925 Tyrone Myron Smith RN227131 Chika Ngozi Ezenekwe RN227446 Rebecca Williams Morosky RN227454 Kimberla Karone Gates RN227455 Shameeka Reshae Gray RN227540 Denise Pennicooke RN227622 Michael Anthony Posada RN227633 Chemille Patricia Berry RN227761 Tariska Jenise Greenerl RN227849 Terri Lynn Day LeDoux RN227898 Paul Robert Garrard RN227913 Chandylor Vanita Wimes-Peterson RN227975 Sarah Nanette Rice RN228036 Kelia Shay Lyle RN228038 Kelly Way Polo Wheeler RN228272 Emma Parker Hogsed RN228403 Blair Elizabeth Tomlinson RN228448 Emily Corish Miller


RN228588 Richard Baxter Rhodes RN228650 Imani Rashida Mackey RN228651 Charlie Cullen Tripp Powell RN228789 Tal'Ja Sharra Fletcher RN228794 Jodene Marie Nagel RN228969 Darlene Moses RN228992 Mary Natsai Matshoba RN229017 Hannah Nyambura Wairagu RN229572 Heather Brown Wanner RN230073 Jennifer Zerbarini Fuller RN230299 Beverly Medlin RN230320 Melissa Carey Pascarella RN230389 Keldreca Shuntae Thomas RN230429 Trisha Eunice Duru RN230495 Ashley Renae Robinson RN230853 Shannon Lynne Monteleone RN230856 Jillian Nykole Johnson RN230867 Sonya Mohammad Habib RN230904 Jazmin Samantha Raadsen RN230963 Aleena G. Herrick RN231078 Julie Goulding Shrewsbury RN231084 Valencia Latrice James RN231172 Jonnie Denise Dennis RN231208 Dwan Burns Driskill RN231235 Carolyn Rodriguez RN231295 Kathleen Joyce Castellano RN231339 April Antonia Gordon RN231477 Faith Selena Hunter RN231495 Jeannie Dianne Steele RN231529 Courtney Lofton Hayes RN231601 Oliver Boamah Duah RN231614 Erica Lee Inmon RN231654 Hannah Kawa Aruna RN231937 Tamekia Katrice Dunn RN232132 Christina Caroline Holmes RN232246 Farah Zaheer Rahim RN232356 Afsha Hussaini RN232394 Tiffany Nicole Gordon RN232443 Grisel Segovia RN232484 Elizabeth Grace Patterson RN232613 Annie Bell Holmes RN232836 Danae Lenell Noel RN232844 Robert Shelton Sizemore, III RN232916 Mallory Yancey Washington RN233002 Ashley Renee Sepanski RN233082 Jessica Lee Montgomery RN233085 Callie Renee Palmer RN233285 Jennifer Caitlin Morris RN233401 Judy Ann McCoy RN233631 Cierra Nicole Williams RN233677 Mitchell Lee Gorno Boles RN233699 Dama Leatrice Doyle RN233722 Tevis Jerome Gordon-Crawford RN233804 Georgina Benson

RN233946 Evelyn Leigh Raby RN234058 Kayce Alexandra Anthony RN234091 Danielle Nicole Moore RN234132 Tiffany Carole Fedell RN234607 Brianna Carolyn Jo Ramseur RN234700 Lauren Michelle Russ RN234780 Melody Crystal Turner RN234920 Christiana Aruck Ojongnfong RN234968 Raven Symone Fulton RN235319 Erin Michelle Edwards RN235467 Julie G Bird RN235561 Tiffany Nicole Spencer-Moye RN235563 Kimberly Wren Seago RN235647 Sherna Lee Latoya Wedderburn RN235865 Kay Ann Arnold Keller RN235911 Mariam Aderoju Dosunmu RN236553 Cassaundra Rene Talbert RN236578 Joshua Chase Alexander RN236601 Jennifer Marie Schnetzer RN236611 Kimberly Elizabeth Weber RN236887 Alkeisha Desha Davis RN237099 Kerllanne Occeus RN237161 Magalie Figaro RN237645 Brooke Shihui Yang RN237866 Carmella Amanda Gaither RN237905 Rose Elizabeth Brooks RN237964 Katherine Shea Davis RN238100 Nichole Monroe RN238242 Keona Shardaye McMorris RN238641 Terrald Felan Horne RN238768 Jorge L Mena RN239040 Kenneth Greg Evans RN239081 Ronda michelle Robbins RN239160 Shakell Lanae Dismuke RN239182 Tamika Alicia Jones RN239255 Ashley Suzanne Evans RN239256 Shana Brooke Bradley RN239465 Matthew Ronald Henderson RN239648 Jessica Lea Kalbach RN239703 Macy Leah Lammert RN240062 Melissa Ann Morris RN240144 Kelly Diana Bryant Dumais RN240275 Jeannine Patricia Torres RN240496 Jeri Lynn Long RN240542 Racheal Renea Tyson RN240783 Kelsey Blaine Hendricks RN241337 Felicia Olayemi Enoch RN241359 Nichola Antionette Patton RN241377 Amber LeAnn Jones RN241507 Rosemary Jingwa Degoh RN241584 Rolyn Munah Clarke RN241676 Frances Nmachi Uneanya RN241856 Katherine Elizabeth Bosma RN241986 Elisabeth Leigh Kirkland


RN242190 Robin Kyle Gutierrez RN242623 Amanda Elizabeth Taylor RN242704 Mary Twum Arthur RN242738 Derek Lee Duran RN242781 Kiki Toyaa' Reid RN243021 Donna Faye Goolsby RN243114 Ebote Ngite Nnoko RN243434 Robin Selina Coleman RN243653 Nishaben Tejas Patel RN243701 Norma Jean Bond RN243703 Marie Yolaine Dupont RN243974 Charlene Shantel Chippy RN244589 Angelique Raffinee Lawson RN244846 Cassandra Nichole Prater RN245082 Dannyel Marie Smith RN245117 Dana Marie Stone RN245140 Catherine Anne Ambrose RN245569 Kathryn Sullivan Seewald RN245636 Christina Marie Merryman RN245698 Vanessa Innocent RN245723 Dina NMN Khaimova RN245733 Stephanie Charmaine Brown RN245754 Erica Michelle Holt RN245854 Tamika Miller RN245963 Tarsha Shonta Epps RN246093 Risa Michelle Kish RN246137 Janna Brooke Jones Kersh RN246267 Maria A Chuma-Okere RN246291 Terrica Leann Ward RN246458 Joan Sutton Straughan RN246599 Olushola Nadine Cole RN247099 Christopher Joseph Duncan RN247489 Vivian Lynn Prince RN247624 Andreaette Cole RN247645 Laura-Ann Jude Kadlewicz RN248368 Melina Renee' Rolo RN248374 Tyler Jameson Sanders RN248390 Jason Wilson Baxley RN248428 Alden Foster Callaway RN248458 LORNA DEANN SALES RN248557 Andrea Diana Sims RN248638 Raven Booth Anderson RN248647 Juanita Lynn Knowles RN249037 Tessa Dawn Marie McEwen RN249490 Carmen Cherice Peeler RN249784 Lauren Elizabeth Kirk RN249825 Katherine Neely Lanier RN249841 Danielle Nicole OFarrell RN249880 Robert Dean Lee RN249894 Kathryn Ann Schmidt RN249921 Heather Leigh Stanfield RN249962 Ashley C. Parker RN249988 Zabria Kiona Jordan RN250084 Devan Jo Peek

RN250208 Paula Mullins Ball RN250209 Emily Anne Fox RN250284 Binu Thomas RN250347 Briaunna Antionette James RN250485 Ceta Joy King RN250580 Brittany Lee Griffy RN250694 Eureka Bolden Bryant RN250883 Linda Danielle Holland RN251155 Hilary Anne Wells RN251189 Sara Lynn Harshman RN251265 Bethany Joy Kohs RN251423 Kelsey Elizabeth Hooper RN251446 Donna Lynn Shafer RN251450 Justine Nicael Scott RN251528 Marjorie Marilyn White RN251775 Crystal LaWanda Price RN251934 Jessica Shepherd Vinson RN252096 Nicholas Jerome Ringfield RN252203 Rosemary N Chofor RN252214 Blondell Elizabeth Tackoor RN252556 Jessica Danielle Malloy RN252638 Yelena K Pocitovii RN252787 Paulette Dongmo Nanfack RN252823 Ann E Dellinger RN252988 Bahiyyah Alia Bost RN253387 Donia Olivia Mowlavi RN253388 Tomiko Johnnetta Atkins RN253453 Petrina Felicena Ellis RN253564 Takiela Michelle Johnson RN253671 Verna L Titus RN253799 Paula Nicole Trimiar RN254308 Chelsea Nicole Overby RN254393 Shaneka Quaona Stevenson RN254499 Emily Leeann Vickery RN254702 Gabriella Lindsay McIntyre RN254809 Megan Frances Cimperman RN254952 Jyoti Karki RN255016 Hannah Claire Chancy RN255247 Karen Leslie Lillard RN255309 Markeisha Javona Wilder RN255317 Abigail Marie Grahek RN255340 Dawn R. Fike RN255359 Doreen Claudette Dockery RN255453 Charlotte Ann Ahlheim RN255555 Tracie Tiara Swinger RN255578 Sara Anne Satterfield RN255624 Abigail Marie Jessup RN255691 Amelie Tchounga Poujol RN255754 Aju Varghese Alex RN255868 Kanika Kwashay Bradshaw RN255943 Tiffany Sandiford Gibson RN255968 Ros-Gassandre A Cassamajor RN256028 Kristin Pandora Swart RN256130 Sharon Rebecca Patel


RN256305 Alexus Nicole Slappy RN256340 Michelle Patricia Roggero RN256456 Jessica Rae Slone RN256790 Terri Lynn Watkins RN256822 Rosemarie Angelet Miller-Morgan RN257203 Neontae Wright RN257518 Madeleine Oster RN257528 Emily Schober Klingman RN257673 Lauren Michelle Byrd RN257690 Hannah Louise Kelly RN257879 Annmarie Kathleen Bodnia RN257926 Megan Cole Roper RN258043 Jennifer Mazzell RN258054 Patricia Kathleene Peacock RN258072 Debra K. Bradley RN258118 Bentley Lauren Klein RN258307 Angela M. Daniels RN258321 Courtney Marie Henson Corbett RN258495 Nafeesah Michelle Walker RN258549 Ashley Nicole Smith RN258648 Natalie Patrice Kennedy RN258734 Shelly Latrice Dodson RN258810 Jessica Ann Smith RN258881 Chelsea Ann Mobley RN258992 Carmette Rose Marie James RN259005 Ansley Akin Pulsifer RN259254 Roberta Nicole Sanchez RN259264 Tana Lynne Stephenson RN259265 Hannah Huntington Dalby RN259276 Jessica Alyse Palombo RN259380 John Gilbert Maynard RN259422 Ashley Callahan Pruitt RN259465 John Elbert Driver, III RN259515 Mary Hannah Arrington RN260130 Tyler Isaiah Hanke-Diego RN260171 Emily Kathleen Matre RN260410 Michelle Logan Hosfelt RN260964 Agnes Kakaire RN261296 Leslie Brook Tzen RN261647 Alisa Michelle Bolding RN261667 Kimberly Paige Weeks RN261765 Marie Julie Fidele RN261768 Rebecca Jean Faulkner RN261905 Tracy Elizabeth Beauge RN261906 Michelle Marie Mason RN261912 Devra Donise Logan RN262094 Eloi Gante Gordoncillo RN262204 Rebecca Michelle Gloss RN262359 Shavonne Amanda Blake-Morris RN262684 Nellie Page Johnson Cheek RN262798 LaTonya SanJuanta Johnson RN262839 Chanel Jovon Roberts RN262881 Mila Michele Huffman RN263143 Ashley Rekieta Alkire

RN263325 Karen Modupe Amiwero RN263510 Rosangelly Colon-Torres RN263516 Freda Fosu RN263628 Ghana Marie McGowan RN263863 Nicole Brooke Allen RN264093 Hillari Cobb Garren RN264182 Lauren Ashley Douglas RN264190 Steven Edward Rowell RN264225 Christopher James Howatt RN264370 Sabrina DeAnne Evans RN264498 Courtney Leigh Fiveash RN264616 Deirdre Lee Emery RN264636 Ryan Michael Huber RN264678 Rebecca Webb RN264752 Yazminn Milagros Rogers RN264843 Morgan Arielle Stallworth RN264845 Caroline Emily Johnston RN264883 Matthew Kelly Robinson RN264904 Latisha LC Isaac RN265155 Elizabeth Ruth Edden RN265161 Michael Joseph Nuce RN265169 Deirdre Kathleen Geraghty RN265183 Merrily Carol Grant RN265201 Sheilah Marie Aldecoa Padayhag RN265261 Jheanell Ada Francis RN265405 Mary Rachel Smith RN265727 Allison Michelle Nichols RN265735 Jennifer Lynn Hopkins RN265896 Alexandra Adams RN266018 Stephanie Fong McElreath RN266103 Richard Mwanzia Mutisya RN266185 Patrick Ryan Scoles RN266222 Ramata Bangura RN266261 Tamara R Moore RN266337 Carly Marie Santone RN266389 Doreen Jobila Williams RN266398 Sandra Darla Besper RN266437 Katherine Jayne Branch RN266535 Holley Elizabeth Allen RN266575 Kaitlyn Marie McGregor RN266594 Brittany Chenine Bonilla RN266673 Denise Du RN266741 Latasha Shirelle Huckaby RN266942 Sharon Odetta Griffith RN267002 An-gel Stephanie Kenneally RN267142 Jennifer Ann Hammond RN267358 Lagairio Johnson RN267628 Desmon Khristopher Devery RN267840 Pierre O. Raymond RN267865 Donna Marie Braff RN268093 Wanda Hannon Barrett RN268156 Kalaria Doriana Obiwo RN268169 Brittney Evette Alexander RN268309 Elizabeth Brosnan Wilkes


RN268385 Sara Rebekah Houston RN268427 Jacob Edward Young RN268503 Kristen Ashley Harley RN268508 Debra Nicole Grantham RN268611 Chastity Slocumb RN268619 Amanda Kaye Eldridge RN268631 Calyn Abigail Kelly RN268795 Quinterria Tenicia Wilson RN268798 Jenna Marie Roberts RN268857 Lori McCall Mason RN268900 Justina Barrett RN269026 Olaide Oluwatomi Ojeniyi RN269092 Delicia Deanna Gibson RN269102 Wesley Whitfield Long RN269301 Natasha Marie Walton RN269627 Teresa Marie Lyons RN269630 Natalie Halligan Akins RN269689 Kyle Austin McCreery RN269861 Mary Rose Caprara RN269904 Charlotte Elizabeth Cobb RN270086 Lauren Nicole Titus RN270131 Artesia Lynn Huff RN270280 Thu Truong Lau RN270364 Brittney Precina Gethers RN270379 Brittany Lynne Evans RN270413 Ashley Nicole Scott RN270428 Michelle Tracey DeSouza RN270629 Grace Myers RN270837 Gibbs Elliott Wiksell RN270893 Carol Lynne VanBuul RN270965 Tiffany LeAnn Douglas RN271099 Karis Rebecca Antokal RN271515 Rachel Sierra Martinez RN271835 Lisa May Everitte RN271848 Erin Alanna Stott RN271883 Aimee Anne Gavette RN272001 Margaret Louise Sams RN272017 Alyssa Raquel Austin RN272060 Kristin Kayla Beasley RN272355 Kaitlin Victoria Bomar RN272363 Kara Slavoski RN272513 Cameron Goller RN272527 April Marie Blancher RN272531 Dayana Regis RN272564 Erica Jean Wingate RN272584 Allison Renee Heinrich RN272616 John Lee Stanton, Jr. RN272635 Ashten Crews Warren RN272705 Jamesia Ja'Quez Jackson RN272731 Amisha G Patel RN272819 William Hiroshi McAneny RN272898 Erin Leigh Archibald RN272997 Cassandra Kim Ganthier RN273110 Charis Charmain Putmon

RN273146 Koushyllia Iriani Culpepper RN273415 Jamie LaRhonda Blake RN273551 Neal Ferrell Taylor, Jr. RN273992 Shantoria Moniquea Williams RN274083 Patricia Haysom Zuniga RN274096 Kendra Tinnis Foreman RN274221 Helen Joy Sharp RN274290 Austin James Williamson RN274332 Jennifer Alison Tyson RN274668 BRYAN SCOTT TURGEON RN274884 La Sandra Tanesha Barnes-Sinclair RN275188 Janet Easton Whittaker Hill RN275269 Megan Lyn Powell RN275426 Delois Conley RN275487 Preston Tyler Vickery RN275672 Kristin Beth Peterson RN276000 Tiffani Linh Tran RN276218 Joshua Paul DeGrandpre RN276352 Sara-Page Red RN276366 Melissa Gail Hixson RN276593 Bradley Lalanne RN276961 Wildel Kent Jones RN277001 Natisha Patrease Romero RN277227 Ashley Small RN277558 Melissa Jeanne Haynie RN277641 James Kevin Quinn RN277839 Wendy Elizabeth Lorance RN279101 James Robert Slatton RN279978 Kathleen Christina Cronin RN280141 Aliza Miranda Lurie RN280348 Dawn Sherrill Elliott RN280363 Corshonta Shaleik Wooden RN280533 Thomas Carroll Stuckey RN281287 Rebecca Marie Lanci RN281537 Samantha Rae Parker RN281997 Kari-Ann Markisha Dixon RN282103 Dawn Renee Dennis RN282284 Juliana Bernardo da Silva Zardo RN282818 Marian Vanita Lott RN282827 Alexandra Gastillo Siojo RN283560 Otniel Hernandez RN283878 Sharon Denise Davis RN283915 Cynthia Anne Brown RN283940 Katie Lynn Price RN283942 Patricia Okyere RN284106 Katherine Sara Scotellaro RN284392 Kennedy Asia Dela Cruz RN284419 Hanbi Hong RN284433 Rosemarie Krueger RN284507 Jeremy Lynn Adams RN284563 Katrina Lynette Cheek RN284647 Dobgima Erick RN284665 Daine Margot Phillips RN284700 Talita A. R, Soares


RN284719 James Allen Septer RN284725 Anastasia Bernice Watts RN284730 India Dawn Hollinquest RN284746 Anna Lidia Wojtaszek RN284795 Amber Knowles Yeargan RN284797 Noelle Christine Radcliffe RN284801 Sung Eun Ji RN284802 Kimmeone Yusetta Morgan RN284803 Pearl Shin Chun RN284804 Mary Ann Mitchell RN284805 Kenneth Todd Langley RN284806 Cheryl Denise Hoskins RN284807 Courtney Paige Delaney RN284808 Jason Edward Jones RN284809 Laquindy Shantell Morgan RN284810 Kiften Stephens Carroll RN284811 Tatiana Vyacheslavovna

Medvedeva RN284812 Brea Deann Kilpatrick RN284813 Tiffany Renae Johnson RN284814 Debra Lee Muglio RN284815 Nikoleta Lambrinos RN284816 Donna Rena Jordan RN284817 Lindsay Pietrina Macaluso RN284818 Ordeen Lorna McLean RN284819 Meseret Abtew Birara RN284820 Delicia Renea Watkins RN284821 Joshua Dewey Williams RN284822 Jocelyn Elise Vincent RN284823 Justin David Wallace RN284824 Daniel Mark Perrine RN284825 Keryn M'liss Rich RN284826 Jennifer Nicole Romine RN284827 Tiffany Ann Seguin RN284828 Tina Lynn Newman RN284829 LeAnn Dannette Dexter RN284830 Anne Rene Davis RN284831 Christina Rose Tisci RN284832 Racquel Arianne Brewster RN284833 Ronnie Richard Robert Adams RN284834 Amber Charvai Baskin RN284835 Thedoshia Jordan Cooper RN284836 Alexis Catherine Chisman RN284837 Lindsey Brooke Swift RN284838 Magdaly Carrera RN284839 Marie Nancy Nelson RN284840 Darjae Thompson RN284841 Sandra Nassejje Zizinga RN284842 Brandi Michelle Blount RN284843 Margaret Anne Urquhart RN284844 Darlene Angela Wilson RN284845 Lauren Renee Penner RN284846 Jessica Ann Becker RN284847 Ronald Louis Hamilton

RN284848 Carisma Delfina Darthard RN284849 Samuel Broni Kodua RN284850 Jennifer J Jones RN284851 Savanna Nicole Whitt RN284852 Sarah Rose Tyser RN284853 Kelechi Ruth Ukegbu RN284854 Mary Elizabeth Nuttall RN284855 Daniel Leroy Endara RN284856 Teressa Ann Martin RN284857 ISAAC CHIKODI OGBUAGU RN284858 Angela Dawn Phillips RN284859 Courtney Nicole Richardson RN284860 Cassandra Edmonson Smith RN284861 Frank Anthony DeGennaro RN284862 Jessica Terry Pierce RN284863 Rachel Maye Baron RN284864 Carla Lindsay Albright RN284865 Ashley Elizabeth Anderson RN284866 Catherine Beauvais-Lacasse RN284867 Griffin Marie Houser RN284868 Mary Chestine Bano Lao RN284869 Christina Marie Chambers RN284870 Jane Antony RN284871 Regina Kennedy Johnson RN284872 Cynthia Elaine Davidson RN284873 Cassandra Marie Hall RN284874 Melanie Isabel Davis RN284875 Tonyail Sherese Townsend RN284876 Krystal Ellen Labrew RN284877 Adrian Mayol Moreno RN284878 Adaeze Esther Jaji RN284879 Constance Lee Kaufer RN284880 Sarah Jayne Lefler RN284881 Cynthia Suzanne Lomax RN284882 Nicole McKissick RN284883 Edward Walker Neill RN284884 Susan Lisa Morgan RN284885 Christopher Lance Vallio RN284886 Elizabeth Stockdale Murphy RN284887 Antoine Aka Koffi RN284888 Jaquelyn Kelsey Brook RN284889 Daphne Angelique Walters RN284890 Lakesiha Ann Ware RN284891 Rachel Elizabeth Parker RN284892 April Dawn Blackstock RN284893 Gabriel Vladimir Cespedes RN284894 Maureen Ogechukwu Onyima RN284895 Lindsey Marie Kolp RN284896 Jeremiah Alden D'Annunzio RN284897 Rebekah Lynne Grobbelaar RN284898 Cherrielyn De Jesus Tongco RN284899 Jeannie Cimiotti RN284900 Alicia Ann Lockett RN284901 Jennifer Collins


RN284902 Timra Shea Cloud RN284903 Amanda Kristen Robinson RN284904 Samantha Antonia Thorpe RN284905 Teresa George Poovan RN284906 Linda Joyce Cahela RN284907 Amanda Rose Rhodes RN284908 Ann Margaret Malone RN284909 Nneka Ikeakor Harrison RN284910 Pamela Charlene Hill RN284911 Jhon O'Neal Shavers RN284912 Janelle Marie Rupp RN284913 Sunu Jose RN284914 Erica Leigh Kimbrell RN284915 Anne Wahu Mwaniki RN284916 Arlene Chevette Heard RN284917 John Thomas Faulkner RN284918 Krista Elaine Williams RN284919 Meghan Agnes Boop RN284920 Rustin Gerard Arcement RN284921 Lydia Marie Reed RN284922 Marlee Rae Malcom RN284923 Wesley Scott Barlow RN284924 Lori Marie Allmon RN284925 M. Courtney Guy Keith RN284926 Julie Michelle Hedge RN284927 Sheri-Ann Heronie Alexander RN284928 Ngozi Stella Ikeme RN284929 Gregory Lee Gannon RN284930 Jessica Lynn Mollison RN284931 Tiffany Alice Horn RN284932 Devin Lynn Lacey RN284933 Dwan Howard Robinson RN284934 Chelsea Lynn Powell RN284935 Itzel Martinez Mojica RN284936 Halie Nichole Riley RN284937 Candace Gabrielle Inglett RN284938 Titilola Rashidat Ayetigbo RN284939 Rhea Christia Enerio Naliponguit RN284940 NellieMae Violet Haynes RN284941 Seneca Lind Hagen RN284942 Laura Helen Riccardi RN284943 Christine Michelle Smith RN284944 Benita Kinard RN284945 Dawn Louise Drummond RN284946 Sara Lynn Bell RN284947 Korinne Liana Edwards RN284948 Andrea Tate Goodwin RN284949 Lisa Marie Howard RN284950 Regina Dibello RN284951 Tara Humagain RN284952 Victoria Marie Miller RN284953 Judy Parrish Arehart RN284954 James Jeremy Hundley RN284955 Evens Mesadieu

RN284956 Calvonne A Pittman RN284957 Caryl Liandra Sorhaindo-Jacob RN284958 Caitlyn Olivia Newbrey RN284959 Laura Ellen Rosselot RN284960 Johnell Lynn Stanley RN284961 Joelle Patricia Puccio RN284962 Taylor Brooke Sides RN284963 Michelle Renee Kinney RN284964 Tatyana Treaga Fran-Kenya Carter RN284965 Katie Brooke Jones RN284966 Rosalinda Terrazas RN284967 Mashaia Sheron McCommons RN284968 Damilola Ganiyat Ademola RN284969 Randall Kyle Shrader RN284970 Carlos Darnell Adams RN284971 Deanamarice Lopez RN284972 Jonathan Manning Mackey RN284973 Sabrina Michele Stover RN284974 Madge Renee Bowman RN284975 Carlistra Electra Brown Beasley RN284976 Chris Noh RN284977 Brandi Christine Burnsed RN284978 Kayla Brooke McNair RN284979 Torshe'a Michelle Epps RN284980 Marlene Hesselton RN284981 Arrienne Lian Hudnall RN284982 Yvonne Elizabeth Hughes RN284983 Julia Marie Davila RN284984 Kathryn Leigh Bradshaw RN284985 Danielle Kathryn Thron RN284986 Stacy Genevieve House RN284987 Brittany Ray Yates RN284988 Jennifer Barden Pope RN284989 Kimberly Lynn Hadley RN284990 Candler Leanza Campbell RN284991 Derrick Bryant Storball RN284992 Laura Beth Wendt RN284993 Alicia Dawn Gaddy RN284994 Mariam Traore RN284995 Ruth Ellen Radecki RN284996 Jamie Denise Subuh RN284997 Jessica Regelski RN284998 Lynn O. Marie Rodriguez-King RN284999 Ronda Denise McLean RN285000 Priscilla Wootan RN285001 Steven Suarez RN285002 Nakesha Trenee Durham RN285003 Tansy Lee Parmer RN285004 Michaela Carder Alexander RN285005 Brian Wood Sanderson RN285006 Preeti Amrutlal Patel RN285007 Jennifer Rocha RN285008 Aleyssa Mathew Kooplicat RN285009 Derrick Gerard Smith


RN285010 Peter James Martin RN285011 Lenora Johnson RN285012 Taylor M Lowe RN285013 Jennifer Eluku RN285014 Nicholia Angelee Coote RN285015 David Charles Lee RN285016 Dana Marie Hill RN285017 Lisa Darleen Estes RN285018 Deborah Ann Thomas RN285019 Ashley Elizabeth Eckhart RN285020 Caryn Fauntella Ortega RN285021 Victoria Jeanine Chin-You Knight RN285022 Donna Wilcox Howard RN285023 Olukemi Esther Adesanya RN285024 Mariana Zarco Salgado RN285025 Lindsey Sapp Lewis RN285026 Lourdes Elena Priest RN285027 Emily Hogan Reeves RN285028 Chanai Genell Perkins RN285029 Shyni Varghese RN285030 Maria Adelaida Pena RN285031 Adam Kenneth Webb RN285032 Alexis Amanda Milton RN285033 Shenaya Diane Henderson-Atwater RN285034 Christine Ann Milo RN285035 Christine Marie Graham RN285036 Theresa Kathleen Kleinschmidt RN285037 Aramide Halimat Okunowo RN285038 Lauren Rose Owen RN285039 Jacintah Wamaitha Ndungu RN285040 Daniel Thomas Conger RN285041 Melanie Gaye Morrison RN285042 Melanie Overby Lacy RN285043 Debra Ann Gomes RN285044 LaToyna Antionette Jackson RN285045 Misty Dawn Tucker RN285046 Kenisha Trinette Peer RN285047 Memma Nchelem RN285048 Samantha Michelle Beauchamp RN285049 Brittany R Holliday RN285050 Jimmie Lee Fowler III RN285051 John Howard Turnham RN285052 Cristal LaGail Trotter RN285053 Sheila Renee Knauf RN285054 Kimberly Marie Chang RN285055 Yvonne Akua Addo RN285056 Alexandria Herrington Vernon RN285057 Tonia J Harvester RN285058 Elizabeth Wells Wood RN285059 Deborah Anne Dainis RN285060 Stephanie Lynn Collopy RN285061 Milton Christopher Leverette RN285062 Bridget Renee Taylor RN285064 Steven Eric Stammer

RN285065 Kyle Edward Oswald RN285066 Myoung-Hee Son RN285067 Carlos Alfredo Rodriguez RN285068 Seenjen Regala Polumbarit RN285069 Lynn Smith RN285070 Sol Patricia Gonzalez RN285071 Jennifer Ann Hale RN285072 Akeysha Theresa Green RN285073 Deborah Sue Turner RN285074 Maricela Valadez RN285075 Michael Paul Catala RN285076 Orlita Phyliss Albert-Lacy RN285077 Ashley Taylor Smith RN285078 Stacey Lynn Chandler RN285079 De'Asia Lee Harrison RN285080 Suzette Gwin RN285081 Janette Patricia Valentine RN285082 Lynne Lewis Taylor RN285083 Angela Helen Deitzel RN285084 Jael Jisselle Harding RN285085 Neisha Natalee Braham RN285086 Lara Ashley Marshall RN285087 Somy Alex RN285088 Nicole TristanI Dorgan RN285089 Tamika Michelle Reese RN285090 Juavie D Starks RN285091 Leigh Kirsti Cally James RN285092 Sandra Afor Ezema RN285093 Daniela Martinez-Rodriguez RN285094 Nicole Shree Gadson RN285095 Natey Selam Tesfay RN285096 Keisha Leconte RN285097 Katie Ann Reeves RN285098 Denise Elizabeth Samuel RN285099 Daphlyne Sanon RN285100 Yakia Chenelle Voltz RN285101 Zoraya Lisbeth Chica RN285102 Sinatria Terrell Badger RN285103 Anthony Jackson, Jr. RN285104 Evelyn Nwando Inya-Agha RN285105 Farrah P Mahotieres RN285106 Joseph William Phillips RN285107 Stephanie Ann Correa RN285108 Towana Yondora Devoe RN285109 Eileen Compagno Dauterive RN285110 Faith Ilobekemen Edokpa RN285111 David Ralph Hixon RN285112 Brittni Janee' Hill RN285113 Jamila Ismail Suleiman RN285114 Shana-Gay Shantel Mitchell RN285115 Jessica Brook Barra RN285116 Donna Louise West RN285117 Jordan Genevieve Fritz RN285118 Amanda McCue Womack


RN285119 Kirsten Erin McAlister RN285120 Samantha Louise Sugarman RN285121 Tonya Renee Lee RN285122 Sheena Lee Wilson RN285123 Andrea Patreace Vaughn RN285124 Brittany Jane Scroggins RN285125 Anne Wanjiku Waweru RN285126 Christopher Allen Tickle RN285127 Jenny Lee Mosley RN285128 Reagan Elizabeth Mills RN285129 Amy Corene McGuire RN285130 Rajean Doneshia Adams RN285131 Kristin Marie Kane RN285132 Karlee Brook Parsons RN285133 Brenda Sue Alexander RN285134 Lucia Enriquez RN285135 Esse Antoinette Davi RN285136 Chad Allen Peters RN285137 Rickey Nathaniel DeLaigle RN285138 Shannon Lee Vargo RN285139 Margaret Ann Okamura RN285140 Heather Leanna Painter RN285141 Gradeirah Latifah Butler RN285142 Na'Quetta Clarice Thompson RN285143 Sarah Catherine Tishel RN285144 Jamonica Montrese Watson RN285145 Lauren Angela Gibson RN285146 Clarel Neuvieme RN285147 Erika Cannon Gossett RN285148 Natosha Orphelia George Wiliiams RN285149 Kara Elizabeth Mosenthin RN285150 Allie Nicole Etzel RN285151 Anneisha Maloneyann Mignott RN285152 Suzanne Marie Kronsberg RN285153 Dina Keo RN285154 Allison Bethany Antonio RN285155 Tjuana Yolandra McNeilly RN285156 Laide Monsur Mutiu RN285157 Phoebe Ann Swanson RN285158 Kareen Dacia Crawford-Fante RN285159 Natasha Nicole Davis RN285160 Cynthia Lavaud RN285161 Beverly Joseph Thompson RN285162 Persia Victoria Moran RN285163 Cheryl Lynn Kowal RN285164 Michelle Lynne Knotts RN285165 Mary Miracle Herzog RN285166 Marie Roselyne Antenor RN285167 Vanessa Albarran RN285168 Amber Iruona Kent RN285169 Alison Jones Colvin RN285170 Martelle Rayner RN285171 Jodie Diane Brawthen RN285172 Allison Marie Clement

RN285173 Kristine Anne Cofield RN285174 Adetunji Adewale Adenipekun RN285175 Shanae Jeanette Baines RN285176 Regina Marie Rosa RN285177 Steven Russell Kirkpatrick RN285178 ASHLEY AKUNNA HOLMES RN285179 Melanie Elaine Rebello RN285180 Teresa Lynn Reed RN285181 Stephanie Elaine Parker RN285182 Jennifer Jurisich Roeling RN285183 Rachelle Ann Smith RN285184 Jyothy Ann Philip RN285185 Emelyn Balabis Pacifico RN285186 Ginger Diane Shipman RN285187 Nancy Kay Peiter RN285188 Nikki Gillian Realin RN285189 Janet Olga Reyes RN285190 Trinity Barnes RN285191 Crystal Lynn Mann RN285192 Ashley Jan Payne RN285193 Abbi Leigh Staley RN285194 Jean Annette Machulis RN285195 Theodore Joy Kwabla Kumawu RN285196 Melissa Lynn Dietzen RN285197 Gina Alice Barrow RN285198 Joy Onyinyechukwu Obi, Jr. RN285199 Kristin Nicole Anderton RN285200 Nereida Lynn Henderson RN285201 Ruth Ellen Gangaram RN285202 Jeanette L Baker RN285203 Elizabeth Chloe Steimel-Langley RN285204 Christina Jo Priest RN285205 Shannon Nicole McGrath RN285206 Ma. Glamorfe Vila Cahanding RN285207 Amanda R Carpenter RN285208 Lois Elaine Wagy Gilham RN285209 Samantha Michelle Clark RN285210 Tracy Hutchison RN285211 Dawn Renee Burns RN285212 Anne Russell Scillieri RN285213 Glinda Danielle Wortham RN285214 Terronica Shanqontell Beckham RN285215 Allison Mary Vale RN285216 Jessica Lynn Smith RN285217 Lindsay Anne Morris RN285218 Cassidy Shea Judd RN285219 Srijana Khadka RN285220 Alishia Brooke West RN285221 Vanessa Fernandes Seifert RN285222 Bernadette Elizabeth Walsh RN285223 Melissa Ann Zarzeczny RN285224 Annie Pearl Taylor RN285225 Jacqueline Shasteen Moore RN285226 Catherine Michelle Carpenter


RN285227 Natalie Desiree Hill RN285228 Shannon Leigh Kelton RN285229 Anya Garcelle Momon RN285230 Lindsey Kathleen Jackson RN285231 Asha Oluseyi RN285232 Teshara Elise Felder RN285233 Kristine Joy Sibayan Torres RN285234 Megan Nicole Carpenter RN285235 Hannah Camille Granitz RN285236 Carrol Lavern Chue RN285237 Hannah Elizabeth Friley RN285238 Macarena Walker RN285239 Sara Dawn Geyer RN285240 Spencer Matthew Graham RN285241 Nia Heshima Hubbard RN285242 Larissa Alexeevna Dmitriew RN285243 Meghan Ashley Reed RN285244 Ruth Agatha Stewart RN285245 Katherine Elizabeth Lynch RN285246 Timothy Dale Merriweather RN285247 Marlee Elizabeth Woheel RN285248 Sandra Lee Garrett RN285249 Allison Diane Harris RN285250 Mallory Claire Thorington RN285251 Samantha Renee Garbowski RN285252 Madison Montgomery Graham RN285253 Rachael Lynn Hayduke RN285254 Takisha Willis Baker RN285255 Anahit Galadjian Cahoon RN285256 Mallory Paige Moore RN285257 Robin Victoria Hamby RN285258 Alaina Camille Barham RN285259 Anne Marie Dornisch RN285260 Latoya Lorrian Johnson RN285261 Ashley Racine Rheams RN285262 Alicia Marie Szczesniak RN285263 Jennifer Lynn Zakutansky RN285264 Michael Egbujionuma RN285265 Valentine Maruti Masinde-Barthel RN285266 Karen Denice Hawkins RN285267 Tena Deaton RN285268 Shelby Layne Wallin RN285269 Leigh Fisher Applegate RN285270 Ronice Chervonda Graham RN285271 Renee Louise Canning RN285272 Tiffany Shiphon Dudley RN285273 Anila Oliver RN285274 Eymy Diana Chacon RN285275 Kelly Kay Beaulieu RN285276 Marija Dragutinovic RN285277 Janine April Ferrer Dumlao RN285278 Amber Annette Wright RN285279 Timothy Scott Widenor RN285280 Cynthia Cavallaro

RN285281 Michele Dennis Adams RN285282 Sophiat Bello RN285283 Kayley Brianna Crooms RN285284 Irina Coliba RN285285 Juliana Soares Cavalcante Iizuka RN285286 Priscilla Chiwaya Bwalya RN285287 Precious Joy Route RN285288 Lisa Ann Eisenhower RN285289 Elvia Marie Waters RN285290 Kristen Kaye Thompson RN285291 Melanie Elaundria Lamar RN285292 Jack William Mounce RN285293 Kaley Meghan Lindsey RN285294 Karlee DeAnne Arnold RN285295 Janina Carmen Zilvinskis RN285296 June Elizabeth Wilks RN285297 Melissa Faye Townsend RN285298 Angela Rachelle Snodgrass RN285299 Kirby Jewel Dowiat RN285300 Seghen Belay RN285301 Hollyn Sabrina Ashe RN285302 Chandre Yvette Williams RN285303 Shahatra Latoya Allen RN285304 Sally Ann Hughes RN285305 Donna L Harp RN285306 Kevin Wade Trantham RN285307 Erica Lee Smith RN285308 Victoria Anne McLaughlin RN285309 Taeho Kim RN285310 Carina Huizar RN285311 Roshanda Monique Tate RN285312 Misgana Gezahegn RN285313 Christopher Meacham RN285314 Yared Negatu Bezabih RN285315 Adrian Rena Loadholt RN285316 Victoria Emanueli Yateri RN285317 Melissa Ann Sapp RN285318 Joshua Allen Hood RN285319 Felisha Nicole Johnson RN285320 Autumn-Marie Jean Garrison RN285321 Adrienne Marie Glover RN285322 Amber Sanders RN285323 Lauren Wiersma Jones RN285324 Susan Marie Ellis RN285325 Holli Hand McManus RN285326 Julie Kathleen Hernandez RN285327 Brian Joel Kilgo RN285328 Michelle Ruth Penno RN285329 Markesha Hightower RN285330 Erica Reshae Poe RN285331 Christopher Charles Gambino RN285332 Vanessa Andrea Russell RN285333 Brenda Edwards Bleetan RN285334 Thao Nguyen


RN285335 Teona Lacole Klein RN285336 Janet Louise Crawford RN285337 Shushana Tamara Smith Walker RN285338 Brianna Atsoi Okorley RN285339 Nicole Anderson Black RN285340 Ifeoluwa Williams Akintokun RN285341 Michael Ronald Corbin RN285342 Amy Nicole Weippert RN285343 Chelsea Darlene Mullis RN285344 Donell Marecheau RN285345 Brianna Wood Freckleton RN285346 Shawna Cox Laporte RN285347 Megan Carroll Luff RN285348 Leah Nicole Person RN285349 Ashley Aun-yahmahlettah Hardy RN285351 Antoinette Nicole Taylor RN285352 Emily Doyle Wuerdeman RN285353 Amber Kym Rettig RN285354 Nora Hutchins Bennett RN285355 Rebecca Dormaine Davenport RN285356 Betty Jean Jenkins RN285357 Alexys B. Lawrence RN285358 Dovie P Banks RN285359 Patricia Marie Jacobs RN285360 Zubia Ainy Khurjawala RN285361 Carol Elaine Schmekel RN285362 Mary Anerose Gubio Guzman RN285363 Teresa Carol Walker RN285364 Jennifer Leigh Cox Nail RN285365 Kathryn Leigh Ramos RN285366 Randall William Chiappetti RN285367 Jermagne Dale De Leon Echavez RN285368 Melody Christine Simmons RN285369 Kenya Pleabra Jashone Hester RN285370 Katherine Yessenia Hernandez

Flores RN285371 Michele Lynn Lynch RN285372 Joanna Clara Ratchford RN285373 Robin Kelly RN285374 Molly Alison Pinkard RN285375 Luz Ester Rodriguez-Lennon RN285376 Whitney Perdomo RN285377 Kristen Michelle Hensen RN285378 Sherika Sassonia Shanieh

Heywood RN285379 Ryan Thomas Shuford RN285380 Karen Denise Suggs RN285381 Floribirth Ugo Nwokocha RN285382 Christal Marie Ruth RN285383 Margaret Mary Hendler RN285384 Nichole Annette Moench RN285385 Jessica Alison Rainwater RN285386 Michael Steven Sand RN285387 Mabel Gonzalez Rimes

RN285388 Margaret S. Ann Horn RN285389 Erin Kathleen Hartke RN285390 Kristen Marie Schultz RN285391 Violet Frances Rice RN285392 Julia Renee Jewett RN285393 Laura Grace Schuster RN285394 Ariel Wade RN285395 Melissa Susan Vaughan RN285396 Jennifer Ann Bell RN285397 Tameka Andrea Walker RN285398 Sujitha Jacob Pallikal John RN285399 Lisa Renae Taylor RN285400 April Helen Charpentier RN285401 Anna Carissa Mazo Romero RN285402 Brooke Leigh Cornish RN285403 Tiffany Latasha Lowe RN285404 Bessie Reyes Sripada RN285405 Maizie Gwen Kineman RN285406 Shelby Dawn Samuelson RN285407 Sandra Ramirez RN285408 Laurie Gayle Lockaton RN285409 Kyoungae Lee RN285410 Joyce Anita Chambers RN285411 Wendy Michelle Hetzel RN285412 Lauren Ashley Johnson RN285413 Tina LyShann Steede RN285414 Amburly Ann Clifton RN285415 Kari Elizabeth Rohder RN285416 Teena Thomas RN285417 Judy Anderson RN285418 Maglyne Badeau-Juste RN285419 Timothy William Mislan RN285420 Valerie Denise Smith RN285421 Elizabeth Whitney Shannon RN285422 Frances Ann Jenson RN285423 Nancy Herlan Brady RN285424 Victoria Omodunke Ojo RN285425 Dorothy Elaine Campbell RN285426 Denise Michelle Boyd RN285427 Kimberly Gail Luckman RN285428 Melanie Dawn Mazzarella RN285429 Haley Boinest Hughett RN285430 Amy Rebecca Nichols RN285431 Marissa Joy Abts RN285432 Priscilla Rose Saunders RN285433 Susan Wamaitha Wamunyu RN285434 Jazmin Kayana Walters RN285435 Clint Everette Bennett RN285436 Monique Rochelle Perkins RN285437 Kaitlin Nicole McDaniel RN285438 Lindsay Brooke Robinson RN285439 Molly Jo McGinn RN285440 Barbara Dominique Perrier RN285441 Vincent Zangandou


RN285442 Kaley Nell Phillips RN285443 Destiny Rae Campbell RN285444 Rebekah Elizabeth Davenport RN285445 Nicole Anne Clem RN285446 Quenisha M. Greene RN285447 Haley Renay Mucci RN285448 Joelle Louise Ince RN285449 Terica Diane Johnson RN285450 Trudy Lynne Kirkpatrick RN285451 Susan Elizabeth Karhoff RN285452 Brittany Grace Victoria Hogue RN285453 Jeffrey Jude Louissaint RN285454 Latosha Marie Felton RN285455 Erin A Miller RN285456 Connor John Flynn RN285457 Emily Nicole Havens RN285458 Amie Lynn Heath RN285459 Tara Alexa Fisher RN285460 Rebecca Marie Wasser RN285461 Tracy Maureen Childress RN285462 John Palmer Cabaniss RN285463 Sarah Elizabeth Braun RN285464 Adetola Jumoke Makanjuola RN285465 Courtney Lee Mares RN285466 Andre Ricardo O'Connor RN285467 Trieshia Jennell Thornton RN285468 Melissa Karmen Cody RN285469 Sydney Blair Killen RN285470 Olufemi Olawale Fanusi RN285471 Dee Caree Middlebrooks RN285472 Ashley Renee Jones RN285473 Kaitlyn Elizabeth Van Way RN285474 Pamela Witek RN285475 Bianca Rosa Trevino RN285476 Heather Christine Wilson RN285477 Karina Szypulski RN285478 Chinwe N Ngwu RN285479 Seth Avery Sawyer RN285480 Katrina Cecilia Hill RN285481 Joye Christina Ellis RN285482 Patricia Ann Ecosta RN285483 Rosemarie Siazon Tibayan-Hickey RN285484 Kayla Janae Catholic RN285485 Steven Craig Grace RN285486 Amber Raney RN285487 Erika Fox RN285488 Shereen Patrice Walker

Stephenson RN285489 Keimon Gernard Henderson RN285490 Sandra Lynn Blanks RN285491 Kayla Elise Capizzano Cross RN285492 Colleen Marie Helmerichs RN285493 Brooke A Dryzmala RN285494 Michael Francis Leonard

RN285495 Erin Melissa Hamilton RN285496 Kim Michelle Harris RN285497 Shantavia Sharaill Henry RN285498 Judith Palestine Currie RN285499 Brittany Christine Palmer RN285500 Joshua Franklin Parker RN285501 Ximena Ramirez-Guarnizo RN285502 Nathan Lawrence Smock RN285503 Antris Jenelle Scales RN285504 Laura Jean Smith RN285505 Courtney Danielle Patterson-

Manfredi RN285506 MaryEllen Cook RN285507 Yolanda Shonta Britton RN285508 Hawa Mathar Siyah RN285509 Roshena Martina Craddick RN285510 Suleka Osman Abdulkadir RN285511 Rebecca Corazon Worasutr RN285512 Claudia Sue Taylor RN285513 Kami Lee Prentice RN285514 Khrystie Joycebryen Glassmaker RN285515 Joseph Paal Rains RN285516 Teresa Yvette Davis RN285517 Brittaney Ruth Rank RN285518 Alicia Bailey RN285519 Constance Lisa Armstrong RN285520 Darrin Edward Bizal RN285521 Charlene Ann Boccuti RN285522 Susamma Abraham RN285523 Wendy B Breeding RN285524 Kenesha Sherica Clarke RN285525 Thomas Joseph Marks RN285526 Vanessa Erica Ginter RN285527 Chni Numochn Golding RN285528 Amanda Anne Merritt RN285529 Odette Kamala Daley-Jeffery RN285530 Gina Ditta-Donahue RN285531 Mary Ellen Smith RN285532 Thomas Edward Baribeault RN285533 Donna Jean Wyman-Lewis RN285534 Lord Christian Basilgo Gonzales RN285535 Kathleen Anne Diatta RN285536 Evelyne Mbe Laka RN285537 Kiria Vincent RN285538 Kari-Anne Lynn Johnson RN285539 Kashae Mizan Ferguson RN285540 Stacy Marie Lehman RN285541 Lena Wainer RN285542 Jessica Fulcher Nichols RN285543 Britany Morgan Sides RN285544 Jennifer Michelle Rauch RN285545 Kara Ann Carter RN285546 Patricia A Jewell RN285547 Brenita Naomi Glover


RN285548 Dorothy Luhan Hogencamp RN285549 Naomi Stanage Morson RN285550 Caitlin Elizabeth Wood RN285551 Samantha Danielle Zeisloft RN285552 Timothy Robert Paisley RN285553 Emily Ann Lee RN285554 Arelys Ava Kammeraad RN285555 Kari L Love RN285556 Alexa Rae Minnick RN285557 Shaundra M Lee RN285558 Kalani Kay Jenkins RN285559 Bridget Munge Ngalle RN285560 Candace Itua Oghinan RN285561 Jason Martin Plunkett RN285562 Susan Diane Stocks RN285563 Nicole Jo Scalf RN285564 Mae Angelica Cadalzo Pahinag RN285565 Jennifer Latrice Russell RN285566 Daphnee Aurore St. Aime RN285567 Lehong Diana Thi Pham RN285568 Meredith Nicole Oberlin RN285569 Stephanie Michelle Pershina RN285570 Makela Janai Richardson RN285571 Megan Elizabeth Pratt RN285572 Stephanie Laren Riesche RN285573 Gina Ninan RN285574 Ashley Gracia Ajagbe RN285575 Mary Koottanpara Philip RN285576 Katherine Christine Sprague RN285577 Barbara Jeanne Johnson RN285578 Deonne Astrid Paul Aponte RN285579 Kelli Christine Munoz RN285580 Nemylynne Anguluan Pasicolan RN285581 Judy Katherine Lerch RN285582 Rikencia Lochardyne Laguerre RN285583 Brenda Joyce Gadson RN285584 Rosemarie Jingle RN285585 Robyn Lynn Moore RN285586 Joy Ellen Muir RN285587 Paige Turner Johnson RN285588 Gerald Robert Lebel RN285589 Connie Rena Lee RN285590 Katherine Rose Kachel RN285591 Theodore Gerald Lomax RN285592 Sarah Elizabeth Montgomery RN285593 Sabitri Maharjan RN285594 Manet Lemuel-Byfield RN285595 Cynthia Marie McGrath RN285596 Caroline Emily Luckie RN285597 Kim Lorene Morton RN285598 Ashley Brooke Maddox RN285599 Omobolaji O Davies RN285600 Shelley Morrill Salmond RN285601 Younghee Lim

RN285602 Stacey-Ann Recallea Peart Green RN285603 Andrea Marie Cornell RN285604 Laurisa Jewel Paul RN285605 Shadhi Ajlani RN285606 Allan Masacayan Ereno RN285607 Frenzy Ruffiel Garcia Perez RN285608 Andrea Nicole Ritter RN285609 Remi Onajide RN285610 Elise Louise Schmidt RN285611 Brendalyn Chinet Nicholas RN285612 Giselle Reneisha Mills RN285613 Kimbra Elaine Webb RN285614 Danielle Kara Druliner RN285615 Aris Jade Lonon RN285616 Svetlana Patrice Caine RN285617 Ashley Brooke Lovett RN285618 Octavia Louise Kelly RN285619 Esther Okunogbe Oki RN285620 Nastassia Danyielle Davis RN285621 Patricia Ann Davis RN285622 Monica Da Silva Escamilla RN285623 Caitlin Donnelly Ruland RN285624 Kathleen Keating Hedden RN285625 Peggy Grandy Gallup RN285626 Karen Domingo Hoffman RN285627 Matthew Tyler Motley RN285628 Cheryl Lynn Miller RN285629 Anna Cottrell Payton RN285630 Frankie Earl Green RN285631 Miranda Courtney Boman RN285632 Priscilla Takyiwaa Badu RN285633 Darlene Frances Engel RN285634 Reema John RN285635 Helen Ebere Iheonye RN285636 Elizabeth Hornick Ward RN285637 Emily Winona Bundrick RN285638 Constance Joan Bradley RN285639 Jacque Danielle Sands RN285640 Marcia Ann Bergfeld RN285641 Meghan Renae Cantrell RN285642 Mohini Harshvadan Patel RN285643 Setasha Nichau Jones RN285644 Tamekia Deloris Spann RN285645 Landree Leigh Jones RN285646 Mark William Weipert RN285647 Regeena Alukkaran Anthony RN285648 Kristin Leigh Dicus RN285649 Hemlata Chaudhary RN285650 Angela Beth Adams RN285651 Marybeth Diana Myslo RN285652 Sarah Jane Jimenez RN285653 Jennifer M Zeigler RN285654 Tifaun Andrena Williams RN285655 Donna Bucher Stallings


RN285656 Angela Monserrat Saspa RN285657 Eugine Sibinda Papa RN285658 Ardrika Trenee Pendergrass RN285659 Jillian Ann Quintal RN285660 Sherri Ann Simoni RN285661 Edelle Joy Ocampo RN285662 Jerotha Onraette Graham RN285663 Dana Marie Register RN285664 Laura Rebecca Deloglos RN285665 Sharon Renee' Super RN285666 Mary Grace Dorothy Roldan Ortega RN285667 Kathy Lyn Kirby RN285668 Rose Mary Custer RN285669 Latoyia Nakeeta Battle RN285670 Victoria Gorni-Attipoe Ashitei RN285671 Faith Virginia Bartolotta RN285672 LaTonya Tiarra Sallywhite RN285673 Natalie Zoe Dean RN285674 Heather Hudspeth RN285675 Ruth Ann Blevins RN285676 Marcia Joy Yoder RN285677 Sheila Ann Groves RN285678 Jolly Mariam Thomas RN285679 Lawrence Gakunga RN285680 Celeste Lashon Fields-Shelton RN285681 Leslie Ellen Hill RN285682 Laura Elizabeth Flinn RN285683 Soukaina Jasmin RN285684 Patrick Dollete Deslate RN285685 Lou Ann Earnhardt RN285686 Jennie Christina Curtis RN285687 Sandra Maurita Beasley RN285688 Julia Ann Crowder RN285689 Lesley Eve Nighman RN285690 Megan Leigh Stroud RN285691 Marjorie Susan Sargent RN285692 Kelsey Nicole Harris RN285693 Emily S Castleberry RN285694 Teila Imoni Sherrod RN285695 MARIYA GEORGE

CHERIYAMPURATHU RN285696 April Jamea Wilcox RN285697 Kayla Susanne Moon RN285698 Patricia Akuabata Ehighibe RN285699 Hana Marie Scarborough RN285700 Laurene Patricia Baker-Quick

RN285701 Olawumi Emmanuel Adegoke RN285702 Stacey Leanne Harris RN285703 Betty Lou Blackford RN285704 Rachel Wylie DeShields RN285705 Alicia Jane Vizen RN285706 Angela Joy Wentworth RN285707 Latasha Tashee Allen RN285708 Chelsae Lauren Gregoria RN285709 Tammy Lynn Hickman RN285710 Alphena Venecie Dyer-Mantack RN285711 Debra Sue Green RN285712 Theresa Bernice Copeland RN285713 Joyce Carolyn Bocade RN285714 Alethea Hope Tucker RN285715 Ursula Kay Brewster RN285716 Cheryl Denice Burcham RN285717 Bree Lynn Shipley RN285718 Stephany Lynn Scheeler RN285719 Sune Simpson RN285720 Marjorie Fils Aime RN285721 Ashley Lynn Phillips RN285722 Erin Dawn Coleman RN285723 Frederick Owusu-Annan RN285724 Kristen Alyse Spicher RN285725 Michele Lee Altobelli RN285726 Ginnie Rebecca Schuder RN285727 Troy D Rudeseal RN285728 Kiana Shanice Greene RN285729 Katherine Elizabeth Nickels RN285730 Ifeyinwa N Okonkwo RN285731 Wallonda Tenise Pittman RN285732 Kaitlyn Rana Dawson RN285733 Henry Victoriano Nuqui, Jr. RN285734 Shannon Shalene Moran RN285735 ShayQuanda Anitha Zaynah Gibbs RN285736 Janai Alexis Yelverton RN285737 Michaela Perry Mavilia RN285738 Rashonna Tyree Jones RN285739 Jeehan Manuel Manalansan RN285740 Ebony Shaunette Baker RN285741 Lindsey Ann Waterhouse RN285742 Arlene Aretha Taylor Rose RN285743 Sophia Marie Artist RN285744 Hannah N Williams RN285745 Samantha Ann Clark

Bryant seconded the motion and it carried unanimously.

LICENSES REINSTATED ADMINISTRATIVELY

Train moved to accept the licenses administratively issued by staff between March 1, 2019 and April 30, 2019. LPN028087 Barbara J. Ward LPN041437 Tina Maria Farmer Alexander


LPN051211 Donna Jean Duffield LPN051793 Tammy Lynn Crisp LPN055728 Laurie Marie Newman LPN062452 Kimberly Thompson LPN064299 Stephen Jonathan Morgan LPN064708 Alysia Dawn Russell LPN065547 Shufeng Zhang LPN066282 Sonya DeJuan Harris-Burns LPN066444 Christa Ellen Neal LPN067442 Eleanor Frances McBride LPN068735 Melissa Nychelle Marshall LPN068815 Cynthia Alison Brown LPN071312 Celina Larraine Mitchell LPN072515 Erin Moreland Thomas LPN072760 Adama Mbye LPN074470 Alice Evans LPN083369 Alexis Tandiwe Oliver LPN085773 Kim Michelle Toth LPN091189 Ansley Christman Irvin LPN091669 Sarah Grace Millican RN046404 Catherine Clemmer Morris RN050399 Elisabeth Anne Bailey RN053966 Wanda Kay Osbourn RN055175 Marie Bonita Savage RN062403 Beverly Ann Gardner Hardeman RN068403 Carolyn Brown Martin RN069359 Rose Marie Kelley RN069812 Sarah Jane Quinn RN070830 Miriam Nissley Webster RN072773 Terri Diane Dewberry RN073432 Susan Ann Powell RN075088 Phyllis Miranda Hoskins RN077302 Sonja Elizabeth Neely RN080639 Melisa J. Wyllie RN081771 Sherrie Jayne Saunders Phillips RN084081 Carmen Vanessa Chapman RN084111 Carolyn Diane Livsey RN091172 Janice Marie Harper-Baptiste RN091226 Kathleen A Urda Foley RN093701 Janet Rodgers Anderson RN096064 Vernessa Terrell Jones RN097909 Ruth Neeman RN098092 Bernice Scott RN101031 Ruth Lavern West RN101695 Julie Stanley RN102266 Lee Ann Cleghorn RN102465 Eileen Sewell Stone RN105741 Kimberly LaVerne Selvaggi RN105861 Chandra Jacinta Anderson Spencer RN107113 Catherine Collins Powell RN112041 Dell Renee Griner RN112929 Carol Sorrell Mathis RN115537 Alfonso Noli Combong RN116940 Roberta Lynne Ramsey

RN117297 Carol Lou Mcdaniel RN118475 Susan Lamoureux Lundie RN118584 Caren Dugan Schepisi RN118909 Gracie Mae Adams RN119283 Jennifer Ann Aksoy RN119664 Deborah Rizek Colehower RN122951 Elizabeth Lee Gove RN125954 Elizabeth Emma Lively RN129301 Angela Christine Kellett RN129381 Thomas Edwin Dodd RN129834 Rachel Pauline Webber RN130834 Deborah Ann James RN134925 Donna Marie Trawick RN135411 Christina Vasbinder Hawkins RN135988 Henry Louis Hurt RN136687 Donna Marie Fletcher RN138025 Erica Suzanne Thompson RN142885 Helen Aiguokun Edoimioya RN144600 Jill Candace Davis RN145768 Valerie Lynn Johnson RN145816 Christiaan Xsasx Van Damme RN148020 Peitra Ann Blount RN148674 Demetra Adams Davis RN149051 Carol Ann Kent RN150047 Jennifer Gean Carter RN152137 Alyson Beth Martin RN152717 Jill Marie Abramson RN153379 Bryan Todd Affolter RN154200 Sheila M Rodgers RN154521 Jennifer Denise Hamrick RN154680 Stevens Lee Chancey RN157024 Minette Castillano Peralta-Reyes RN158261 Tron Arna Barlow RN159508 Lisa Denean Johnson RN163505 Harriet Lee Young RN164227 Ruby Alicia Alderman RN167616 Carey Elizabeth Waters RN168298 Deborah Neely Holsted RN169414 Shannon Renee Adams RN170039 Mary Martha Brock RN174690 Denise Jackson Hughes RN174764 Christina Mae Woodard RN175372 Lashonda Ricks Gordon RN177993 Melanie Jeane Norton RN183213 Lakisha Taswell White RN185719 Claudia Laverne Holmes RN185957 Janice Lee Gatty RN186692 Crystal McKala Rahn RN187179 Melissa Ann Glover RN187265 Michelle Stella Wansky RN187333 Catherine Jane Etheridge RN187576 Joyce Esther Mukuriah RN188323 Stacy Lynn Cline RN190505 Maureen Ndidi Ogbu


RN191953 Marval Melissia Ketchup RN193346 Kenneth Elisha Conn RN193840 Jamesica Shaunte Perry RN194258 Shalnah Allinah Velasquez RN194297 Tiffany Susanne Dittman RN195678 Paulette Johnson RN196348 Joy Ann Barrett RN197218 Jennifer Laurie Wright RN199168 Sharika Shentey McGrue RN202803 Pamela Ann Waters RN204880 Leslie Carol King RN205551 Brittany Lynn Baggett RN205766 Kimberly Michele Sutton RN208575 Jessica Dale Russell RN208718 Antonia Marlene Martin RN212084 Tiffany Nicole Simerley RN212162 Stefanie Terese Starcic RN214095 Corrie Margaret Sepcich RN214805 Amy Doris Mitchell RN214821 Joyce Kristine Ross-Moore RN216412 Elizabeth Mary Alexander RN217087 Danielle Lynn Garner RN217419 Summer Ann Ginn RN219019 Frieda T. McMillian RN220309 Tiffany Nichole Fordham RN221637 Ryan Matthew Murphy RN223490 Erin Lane Thomas RN224567 Christopher James Ryals RN225316 Latonia Queen Howard RN227853 Anna Victoria McLendon RN229035 Anastasia Chefon Davis RN229572 Heather Brown Wanner RN231084 Valencia Latrice James

RN233811 Jacqueline Marie McGriff RN233860 Fiona Clare O'Donoghue RN235561 Tiffany Nicole Spencer-Moye RN235776 Jennifer Lynn Carroll RN236505 Karissa Marie Gipson RN236953 Peixin Wang RN239703 Macy Leah Lammert RN240311 Angela Rita Dugas RN240783 Kelsey Blaine Hendricks RN243434 Robin Selina Coleman RN244445 Tasha Michelle Price RN245592 Linda Lee Guido RN246137 Janna Brooke Jones Kersh RN246882 Hayley Rousseau Hotchkiss RN246929 Mandy Merleen Ramirez RN247199 Trisha Ann Ebel RN247624 Andreaette Cole RN248016 Joel Alvarez Rigal RN248557 Andrea Diana Sims RN249037 Tessa Dawn Marie McEwen RN251997 Karol Lynn Dalton-Kempke RN254672 Elizabeth Lorren Cherry Walters RN256130 Sharon Rebecca Patel RN262204 Rebecca Michelle Gloss RN262881 Mila Michele Huffman RN264093 Hillari Cobb Garren RN264472 Esco LeTrent Ward RN265261 Jheanell Ada Francis RN266942 Sharon Odetta Griffith RN268306 Charlene Rebecca Small RN268634 Takara Lynn Lopez RN271106 Diana Virginia Morrison

Thompson seconded the motion and it carried unanimously.

PROBATION TERMINATIONS BETWEEN MEETINGS (RNI=Registered Nurse Investigative Case Number) (LPNI = Licensed Practical Nurse Investigative Case Number)

Phipps moved to accept the following terminations of probation between meetings. RNI120261 RNI160195 LPNI 140001 RNI130205 LPNI150028 Bryant seconded the motion and it carried unanimously. APPROVED ADA ACCOMODATIONS

Fort moved to ratify the following ADA testing accommodations approved by staff using Board guidelines:

APPLICANT DIAGNOSIS RECOMMENDED ACTION

2701979 ADHD 3 extra hrs. - in separate room




Blalock seconded the motion and it carried unanimously.

APPROVED PRECEPTORSHIP APPLICATIONS Floyd moved to ratify the following nontraditional applicant preceptorships that were approved by staff using Board guidelines:

APPLICANT LICENSE OBTAINED BY METHOD LOCATION

2772492 Exam Coliseum Medical

Phipps seconded the motion and it carried unanimously.

APPROVED RE-ENTRY PROPOSALS

Train moved to ratify the following reentry proposals that were approved by staff using Board guidelines:

APPLICANT METHOD LICENSE OBTAINED LOCATION TEMPORARY PERMIT ISSUE DATE

2774112 Reinstatement NAVICENT 2/22/2019

2779163 Endorsement Southern Grace Hospice 2/23/2019

2729001 Endorsement Three Rivers AHEC 3/5/2019

2690772 Exam International NAVICENT 3/9/2019

2715894 Reinstatement Three Rivers AHEC 3/21/2019

2788911 Reinstatement Ycarte 3/25/2019



2776021 Endorsement Northeast Georgia Medical Center

3/29/2019

2786161 Reinstatement Foothills AHEC 3/25/2019

2785376 Endorsement

Redmond Wound Care and Hyperbarics

4/2/2019

2681110 International Examination

Southwest Georgia Area Health Edu Center

4/10/2019

2797668 Endorsement Ycarte Health Career Center 4/15/2019

2788271 Reinstatement Three Rivers AHEC 4/24/2019



2678710 Exam International KSU Wellstar College of HHS 5/6/2019

2761738 Endorsement KSU Wellstar College of HHS 5/6/2019

2792134 Endorsement KSU Wellstar College of HHS 5/6/2019

2790658 Reinstatement KSU Wellstar College of HHS 5/8/2019

2800465 Initial Authorization Just Us Kids 5/1/2019

2796618 Initial Authorization Southwest Medical & 5/6/2019


Rehab Clinic 2796211 Reinstatement Ycarte 4/24/2019

Blalock seconded the motion and it carried unanimously.

INVESTIGATIVE COMMITTEE A (LPNI = Licensed Practical Nurse Investigative Case Number) (RNI=Registered Nurse Investigative Case Number)

Bryant moved to ratify the following cases from the May 2, 2019 Investigative Committee meeting: LPNI160359 LPNI180056 LPNI180294 LPNI180346 RNI170835 LPNI180272 RNI190693 RNI190304 RNI181346 RNI190130 RNI190695 RNI181394 RNI190100 RNI190965 RNI191101 RNI190644 RNI190934 RNI190815 RNI180123 RNI191001 LPNI190411 RNI170689 LPNI190107 LPNI190449 RNI190374 RNI191164 RNI170245 RNI191111 RNI190906 RNI171108 RNI160932 Thompson seconded the motion and it carried unanimously.

INVESTIGATIVE COMMITTEE B (LPNI = Licensed Practical Nurse Investigative Case Number) (RNI=Registered Nurse Investigative Case Number)

Fort moved to ratify the following cases from the April 25, 2019 Investigative Committee meeting:

RNI190920 RNI190846 RNI190594 RNI170551 RNI191039 LPNI190338 LPNI160285 RNI180564 RNI191103 RNI191110 LPNI190268 LPNI190339 RNI190982 RNI190780 LPNI180386 RNI181123 RNI181144 RNI181270 RNI180057 LPNI180238 LPNI180350 LPNI190414 RNI180594 RNI180676 LPN190090 LPNI190314 LPNI180280 RNI190924 RNI180246 RNI181107 RNI190467 RNI190915 RNI191082 RNI191084 RNI191140

Phipps seconded the motion and it carried unanimously.

REQUEST TO LIFT NARCOTIC RESTRICTIONS (RNI=Registered Nurse Investigative Case Number) (LPNI = Licensed Practical Nurse Investigative Case Number)

Floyd moved to accept the following recommendations for the cases listed below:

RECOMMENDED ACTION RNI160167 Lift narcotic restrictions. RNI140669 Lift narcotic restrictions. RNI151278 Lift narcotic restrictions. RNI140472 Lift narcotic restrictions.

Train seconded the motion and it carried unanimously.

PRIVATE CONSENT AGREEMENTS FOR FAILURE TO DISCLOSE (RNI=Registered Nurse Investigative Case Number, LPNI=Licensed Practical Nurse Investigative Case Number)

Blalock moved to ratify the Private Consent Agreements for licensure with a fine of $500 for failure to disclose

arrest(s)/disciplinary action on applications that were issued according to the Board’s policies. RNI191158 LPNI190461 Fort seconded the motion and it carried unanimously.


PRIVATE CONSENT AGREEMENTS FOR UNLICENSED AND UNAUTHORIZED PRACTICE (LPNI = Licensed Practical Nurse Investigative Case Number) (RNI=Registered Nurse Investigative Case Number)

Fort moved to ratify the Private and Public Consent Agreements for unlicensed/unauthorized practice that were issued according to the Board’s policies. RNI191161 RNI191165 RNI191172 RNI191173 RNI191183 RNI191190 RNI191236 RNI191243 RNI191246 RNI191258

Thompson seconded the motion and it carried unanimously.

APPROVAL OF BOARD MINUTES

Train moved to accept the May 2, 2019 Investigative Committee A meeting minutes as presented. Fort seconded the motion and it carried unanimously.

Phipps moved to accept the April 25, 2019 Investigative Committee B meeting minutes as presented. Bryant seconded the motion and it carried unanimously.

Blalock moved to accept the April 18, 2019 teleconference meeting minutes as presented. Fort seconded the motion and it carried unanimously.

Thompson moved to accept the April 18, 2019 executive session teleconference meeting minutes as presented. Fort

seconded the motion and it carried unanimously. NCSBN MIDYEAR MEETING

Bryant, Izlar and Thompson provided and overview of the NCSBN 2019 Midyear Meeting. Specific discussion was held regarding the Next Generation NCLEX and the national legislative overview.

There being no further business, the meeting adjourned on Wednesday, May 15, 2019 at 5:38 p.m.


THURSDAY, MAY 16, 2019 MEMBERS PRESENT

Janice Izlar RN, CRNA, DNAP, President Tracey Blalock, RN, MSN, MBA, NEA-BC Tammy Bryant, RN, SN, MBA, NEA-BC (by phone) Tina Fletcher, LPN (by phone) Linda Floyd, RN, EdD, PMHNP-BC Merry Fort, RN, BS K. Andrea Phipps, LPN (by phone) Darrell Thompson, RN, DNP, ACNP-BC, FNP-BC Blair Train, Consumer Member

MEMBERS ABSENT

Debra Amick, RN, MSN, CJCP, CPHQ, NE-BC Rebecca Coleman, RN, DNP, RNC-OB, C-EFM Tracy Torgerson, RN, MSN, CRNI

STAFF PRESENT

Jim Cleghorn, Executive Director Kirsten Daughdril, JD, Assistant Attorney General

Kim Gallogly, Education Consultant VISITORS PRESENT (During Executive Session, Visitors are excused unless scheduled for personal appearances)

Josh Huffaker Casaundra Wyatt Quetina Pittman-Howell Saundra King Sasha Kaniga Kathryn Hornady Jason Shuffift Richard Lamphier Izlar called the meeting to order at 8:30 a.m. on Thursday, May 16, 2019. A quorum to conduct disciplinary matters was

present. EXECUTIVE SESSION Blalock moved, Train seconded and the Board voted to enter into Executive Session in accordance with O.C.G.A. §§ 43-1-2(k); 43-1-19(h), 43-26-5(c) and 43-26-11, to deliberate on applications and enforcement matters and to receive information on applications, investigative reports and pending cases. The motion passed unanimously.

At the conclusion of the executive session on Thursday, May 16, 2019 Izlar declared the meeting to be “open” pursuant to the Open and Public Meeting Act, O.C.G.A. §§ 50-14-1 et seq. No votes were taken during executive session.

PERSONAL APPEARANCE

APP 2736739 – A personal appearance was held in the matter of applicant Marta-Ines Castillejo. No vote was taken and the case was tabled until the June 13, 2019 meeting.

APP 2750798 – A personal appearance was held in the matter of applicant Carolyn Nicole Latham. No vote was taken and

the case was tabled until the June 13, 2019 meeting.


RULE ADOPTION HEARING 410-9 Izlar called the rule adoption hearing to order. A court reporter was present. Cleghorn noted that comments regarding the rules had been received from the Technical College System of Georgia (TCSG). Izlar invited TCSG representatives to provide verbal comments regarding the proposed rules. Izlar reiterated that faculty qualifications had not been changed in the proposed rules and affirmed that the Board’s long-term goal was for all programs to be nationally accredited. Izlar noted that it would be important for this goal to be implemented at a time that was right for all parties. Izlar discussed the faculty/student ratios in inpatient practice settings. She noted that the recommendation for a lower faculty/student ratio had originated with the Nursing Education Committee and that the Board had taken multiple steps to review and consider the information as it related to patient safety. Gallogly provided information regarding an informal survey of TCSG clinical sites in rural and urban areas and noted that, in acute care settings, the faculty/student ratio was typically 1:8 or 1:6. She explained that in some nursing homes, assisted living facilities or rehabilitation centers the ratio may still be 1:10. Gallogly cited information from the Journal of Nursing Education and Practice stating that boards of nursing have been recommended to change faculty/student ratios to 1:8 to maintain patient safety. Floyd cited an article from the same publication which recommended a faculty/student ratio of 1:6 in inpatient settings. She noted that, in addition to patient safety, lower ratios enabled faculty members to give guidance and support to nursing students; increased student access to faculty members; increased student learning, evaluation and critical thinking skills. Izlar clarified that no changes were being made to regulations regarding the use of simulation in practical nursing education programs. She explained that the Nursing Education Committee had recommended that regulations regarding simulation which had existed in Board policy were being incorporated into the rules. Izlar noted that the proposed language also broadened the clinical settings that could be used for practical nursing education programs.

The Board believes it is necessary to amend 410-9 to align the regulations for practical nursing education programs with the requirements for registered nursing education programs (410-8). The proposed amendments were reviewed and approved by the Nursing Education Committee.

From a policy perspective, the proposed amendments provide guidelines for minimum standards and content areas for curriculum; ensure that practical nursing educators are appropriately credentialed; and, ensure that practical nursing education programs are providing evidence based education. The proposed amendments are drafted to ensure that graduates of practical nursing education programs in Georgia are competent and safe to practice with reasonable skill and safety.

The proposed amendments protect the public and ensure competent practitioners by providing practical nursing education programs with reasonable and uniform standards; requiring qualified faculty; and, providing for administrator qualifications and appropriate, evidenced based curriculum.

The Board utilized best practices from other nursing regulators and national guidelines and standards to develop the proposed amendments. The Nursing Education Committee, comprised of nursing educators from across the state contributed to and approved the proposed amendments. Board met with TCSG representatives and requested comments from all stakeholders.

The proposed amendments will affect faculty and students of practical nursing education programs and consumers of health care.

The Board noted that any economic impact would arise from the proposed change to 410-9-.05(9) which lowers the faculty/student ratio in actual, interactive learning activities in inpatient practice settings. This change is being proposed to provide for the safety of patients/clients, students, and faculty members. To minimize the economic impact, the Board has provided routine updates to the Technical College System and the programs that will be impacted. Additionally, the Board delayed the implementation of the proposed provision until August 1, 2020 to allow additional time for budgeting and implementation. The Board discussed revising the language regarding the regulation of simulation in practical nursing education programs and noted that the rules would be adopted as posted and then staff would work with TCSG to draft language for the Board to consider.


Train moved to adopt 410-9-.01. 410-9-.01 General Requirements (1) Rules for practical nursing education programs shall provide reasonable and uniform standards within which flexibility and creativity, based upon prevailing educational principles, are possible. (2) A parent institution is defined as an educational institution that is part of the University System of Georgia, the Technical College System of Georgia or a nonprofit postsecondary institution. The board reserves the right to approve any parent institution outside of these categories. (3) The nursing education program must be an integral part of a parent institution accredited by the Southern Association of Colleges and Schools Commission on Colleges (also referred to as the Commission on Colleges of the Southern Association of Colleges and Schools). (4) The relationship of the nursing education unit as a program, department, division, school, or college to the parent institution must be delineated on a current organizational chart in accordance with the structural or functional plan of the parent institution. (5) A parent institution shall grant a diploma or certificate and maintain the locus of control and fiscal responsibility for the planning, implementation, teaching, and evaluation of the nursing education program. (6) The nurse administrator shall assume authority and responsibility for the administration, planning, implementation, and evaluation of the nursing education program. This will include oversight of and budgeting for the program, selection and evaluation of qualified faculty, and evaluation of program outcomes. A percentage of time for, and description of, administrative responsibilities and must be identified. The Board must be notified within 30 days of a change in the nurse administrator. (7) The minimum length of a nursing education program shall be four (4) academic quarters or three (3) academic semesters, each of which shall include nursing courses with learning activities in classes, simulated settings, and practice settings. (8) The course of study for initial licensure may be offered through an approved combination of on site, distance learning, or online teaching/learning strategies. Clinical learning activities may not be offered exclusively through electronic modalities. (9) The majority of learning activities in practice settings must be taught by nursing faculty members according to Rules 410-9-.05 and 410-9-.06. (10) Adequate financial resources shall be provided for the effective operation of the nursing education program and the professional development of faculty. (11) Faculty workload must be allocated to maintain a ratio of one full time faculty member for each twenty (20) students enrolled in the nursing education program. (12) The nursing education program shall maintain a written plan for continuous quality assessment and improvement which includes, but is not limited to: organization and administration; curriculum; faculty; students; performance of students and graduates; and educational facilities and resources. (13) Implementation of the plan for continuous quality assessment and improvement plan with program decision-making actions or maintenance shall be documented. (14) All information, course materials, and documentation pertaining to the nursing education program shall be accurate and current. (15) Current, accurate, consistent, written information, including but not limited to, the course of study, admissions, options for advanced placement, acceleration, part-time study, articulation, progression, graduation, health requirements, the potential for criminal background checks and expanded medical profiles, and appeal process shall be published. (16) The process for verifying the current license or certificate of any student who holds a health-related license or certificate must be documented. (17) Board representatives shall conduct scheduled site visits to nursing education programs within six months of a national nursing accreditation site visit. At its discretion, the Board may schedule site visits more frequently. A nursing education program may request a site visit. (18) Representatives of the parent institution and/or the nursing education program shall be notified of any Board meeting at which action is to be taken relative to the program and shall be sent documentation of the action(s) in writing. (19) Representatives of the parent institution and/or the nursing education program may appeal any board action within 90 days of written notification. (20) To be approved as first-time writers of the licensing examination, applicants must have graduated from a nursing education program with initial, full or conditional approval at the time of graduation. 410-9-.01 General Information. Amended (1) A new nursing education program means the initial establishment of a nursing education program or the re-establishment of a closed nursing program. A new nursing education program is approved for one location or address only.


(2) A new nursing education program in this state shall have applied for and received Board approval as provided in Rule 410-9-.02 prior to the initial enrollment of students. (a) The Board Laws and Rules shall be followed in the development of a new nursing education program. (b) Graduates of a nursing education program which does not have Board approval shall be denied admission to the licensure examination. (c) It is a misdemeanor for any individual, corporation, or association to conduct a nursing education program in this state without Board approval pursuant to O.C.G.A. Sec. 43-26-42(7). (3) Any program, which has had Board approval as of the effective date of this Rule shall be permitted to continue operation, unless its approval has been withdrawn. (4) Any program whose approval status has been withdrawn pursuant to Rule 410-9-.03(5), must apply for approval as a new nursing education program as provided in Rule 410-9-.02. (5) All nursing education programs and affiliated campus locations will be issued the same NCSBN program code number. (6) Program Approval Statuses: (a) Developmental Approval. The Board may grant Developmental Approval to a proposed nursing education program when compliance with Board Laws and Rules have been demonstrated pursuant to Rule 410-9-.02(4). (b) Provisional Approval. The Board may grant Provisional Approval to a new nursing education program when compliance with Board Laws and Rules have been demonstrated pursuant to Rule 410-9-.02(8). (c) Full Approval. The Board shall grant Full Approval to a nursing education program which has demonstrated compliance with all Board Laws and Rules. 1. Full Approval may be granted to a new nursing education program pursuant to Rule 410-9-.02(10). 2. The Board shall continue Full Approval of a nursing education program, or grant Full Approval to a nursing education program on Conditional Approval, when review of the most recent annual report, the most recent site visit report, the most recent annualized licensing examination passing percentage, for its graduates on their initial examination and any other pertinent data reveals compliance with all Board Laws and Rules. 3. Full Approval is continuous unless the program is notified in writing to the contrary by the board. (d) Conditional Approval. The Board may impose Conditional Approval on a nursing education program which has demonstrated noncompliance with any of the Board Laws or Rules. 1. Conditional Approval may be imposed on a new nursing education program pursuant to Rule 410-9-.02(11). 2. Conditional Approval may be imposed on a nursing education program when review of the most recent annual report, the most recent site visit report, the most recent annualized licensing examination passing percentage for its graduates on their initial examination, or any other pertinent data reveals noncompliance with Board Laws or Rules. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Fort seconded the motion and it carried unanimously.

Bryant moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Thompson seconded the motion and it carried unanimously. Floyd moved to adopt 410-9-.02. 410-9-.02 Nursing Education Program Approval (1) Developing Programs. (a) The Board may grant developmental approval to a proposed nursing education program when compliance with Rules 410-9-.03(1) has been documented. (b) The Board may grant initial approval to a nursing education program with developmental approval when compliance with Rule 410-9-.03(2) and (3) has been documented. Initial approval is required prior to the enrollment of at least twenty (20) students in the first nursing courses. (c) The Board may continue initial approval prior to the graduation of the first class when review of materials specified in Rule 410-9-.03, the most recent annual report, and most recent site visit report, and program responses to it document compliance with the rules.


(d) The Board may grant full approval to a nursing education program with initial approval when review of the most recent annual report, the most recent site visit report, and program responses to it document compliance with the rules. At least eighty (80) percent of all graduates must pass the licensing examination as first-time writers within one (1) calendar year of the graduation date. (e) If the program is not eligible for full approval after graduation of the first class, conditional approval may be imposed according to Rule 410-9-.02(3). (2) Established Programs. (a) The Board may continue the full approval of a nursing education program for any period of time, up to and including, ten (10) years. Approval is based upon documentation of compliance with rules relating to annual reports, the most recent site visit report and program responses to it, a passing percentage of at least eighty (80) percent of all first-time writers on the licensing examination over the four (4) most recent calendar years and documentation of accreditation by a national nursing accrediting body recognized by the Board. (b) A nursing education program, with full approval, must submit a written assessment and plan of action for review by the Board if the passing percentage of all first-time writers on the licensing examination is less than eighty (80) percent in a calendar year. (c) A nursing education program, with full approval, must submit a written evaluation of the plan of action for review by the Board if the passing percentage of all first-time writers on the licensing examination is less than eighty (80) percent for a second consecutive calendar year. A site visit by Board representatives will be scheduled. (3) Conditional Approval. At any point during the initial approval period for developing programs or within the approval cycle for established programs, the Board may impose conditional approval on a nursing education program for reasons, including but not limited to, the following conditions: review of any annual report reveals noncompliance with the rules; review(s) of the most recent site visit report(s) and program response(s) to it reveal continued, documented noncompliance with the rules; and/or the passing percentage of first-time writers on the licensing examination was less than eighty (80) percent for two (2) consecutive cohorts and/or the four-year average was less than eighty (80) percent. (4) Granting of Full Approval for a Nursing Education Program on Conditional Approval. (a) The granting of full approval will require documentation of outcome measures, including but not limited to NCLEX-PN results, on an annual basis until compliance with conditions identified in Rule 410-9-.02(3) is documented. (b) The granting of full approval may be for any period of time, up to and including, ten (10) years, as determined by the board. If conditional approval has been imposed for noncompliance with the identified four-year passing percentage on the licensing examination, the Board at its discretion may grant full approval for one (1) year. The one (1) year approval is based upon the program having documented evidence of at least two (2) most recent consecutive cohorts of a passing percentage of at least eighty (80) percent of its first-time writers in each calendar year even though the four-year average is not eighty (80) percent. (5) Withdrawal of Approval. The Board may withdraw the approval of a nursing education program on conditional approval when continued, documented noncompliance with the rules fails to be corrected within a time period specified by the Board. In order for students, who are currently enrolled in at least one nursing course when approval is withdrawn, to be eligible for licensure upon graduation, the nursing education program must submit a written plan for their completion of the program or for their transfer to another approved nursing education program. Prior to the actual date of withdrawal of approval, the nursing program will continue to have time-limited conditional approval so that students will be identified as having graduated from an approved program and be eligible for licensure by examination. (6) Reinstatement of Withdrawn Approval. (a) Representatives of the parent institution and/or the nursing education program may appeal in writing to the Board for reconsideration of withdrawn approval within ninety (90) days of written notification. (b) Upon written request, representatives of the parent institution and/or the nursing education program may appear before the Board to review its findings regarding program deficiencies and/or the adequacy of the program’s plan of action. (c) After documentation of compliance with rules, as determined by the Board, a nursing education program may petition the Board in writing for reinstatement of approval status and permission to enroll students. (d) If approval is not reinstated, the parent institution must comply with all rules for the development and implementation of a new nursing education program. (7) Reconstitution of a Nursing Education Program. (a) If a program, which has had its approval withdrawn, decides to develop and implement a reconstituted (new) nursing education program, it must document compliance with Rule 410-9-.03. At its discretion, the Board may not require the fee for new programs and the feasibility study if conditional approval has previously been imposed on the program. (b) The average passing percentage of the first class must be at least eighty (80) percent. If compliance with this rule is not documented, approval will be withdrawn.


410-9-.02 New Nursing Education Program Development. Amended (1) Definitions. (a) "Affiliating Clinical Facility" refers to a contracted health care agency utilized by a sponsoring agency for clinical experience of the students enrolled in a Board-approved nursing education program. (b) "Approved Nursing Education Program" located in this state means a nursing education program approved by the board as meeting criteria established by the board. An "approved nursing education program" located outside this state means a nursing education program that the board has determined to meet criteria similar to and not less stringent than criteria established by the board. In order to be approved by the board, a nursing education program must be one that is offered by: 1. A unit of the University System of Georgia accredited by the Commission on Colleges of the Southern Association of Colleges and Schools; 2. An institution of the Technical College System of Georgia; 3. A postsecondary institution of higher education that is accredited by a regional accrediting agency recognized by the United State Department of Education; or 4. A postsecondary institution of higher education that is not accredited in accordance with subparagraph (3) of this paragraph, but whose curriculum has been determined by the board to meet criteria similar to and not less stringent than criteria established by the board for other approved nursing education programs. (c) "Campus laboratory" refers to the area in the classroom building which has been designed and organized to simulate the actual hospital patient care setting and where students shall obtain initial practice on each other and/or mannequins prior to experience at the affiliating clinical facilities. (d) "Clinical learning focus objectives" refer to those outcomes and competencies to be gained by student assignment to a specific affiliating clinical facility and/or area within the agency. (e) "Clinical rotation plan" refers to the schedule by which students shall be assigned to and rotated through the appropriate experiences available at each affiliating clinical facility. (f) “Library" refers to published literature, audiovisual aids, and all other educational materials available to faculty and students in the nursing education program. (g) "Master Curriculum Plan" refers to the written summary showing the sequence of all courses offered in the nursing education program. It includes the number of contact or actual clock hours for each theory and clinical component of each course, the total hours of theoretical and clinical per semester, and the total hours of theory and clinical for the entire program. 1. Theory includes those learning activities which occur in the classroom and campus 'laboratory setting. 2. Clinical includes pre- and post-conferences, actual patient care experience, and other patient-centered learning activities which occur in the clinical facility. (h) "Sponsoring Agency" refers to a parent institution of the nursing education program. The parent institution shall provide financial and administrative support during the establishment and operational existence of a Board-approved nursing education program. Any change in the parent institution's accreditation or affiliation shall be reported to the Board within thirty (30) days of such change. (i) "Survey of need" refers to statements from potential affiliating clinical facilities' on agency letterhead which describe the following: 1. Each agency's current staffing patterns; 2. The current number of vacancies per type of nursing personnel category; 3. The projected utilization of each level of nursing personnel within the facility. (j) "Syllabus" refers to a written summary of a course in the nursing education program. It includes the course title and number, its credit distribution, placement in the curriculum sequence, prerequisite and co-requisite courses, a course description, learning goals or objectives, related learning activities, and clinical experience, if appropriate. (2) At least twelve (12) months prior to the initial enrollment of students, the administrator of a sponsoring agency considering establishment of a nursing education program must submit a letter to the Board indicating intent to develop a program. The letter of intent shall include the following information: (a) “Survey of Need”, which demonstrates that current needs cannot be met by existing nursing education programs within a fifty (50) mile radius of the proposed establishment site; (b) Evidence that adequate clinical facilities are available for student experience; 1. Each potential affiliating clinical facility should submit a letter: (i) expressing willingness to contract with the proposed new nursing education program for student experience; and (ii) describing the specifics about nursing programs already utilizing the facility; and (iii) describing how the new program's clinical experience needs shall be met without overloading the agency. 2. At least three (3) licensed hospital or nursing home beds must be available for every one (1) student practical nurse at any given time;


3. At least 40% of the total required clinical experience hours must be obtained in the hospital setting. (c) The availability of classroom and campus laboratory facilities and a library for the program; (d) Evidence of financial resources for the planning, implementation and continuation of the program; and (e) The estimated number of qualified applicants for initial and future classes. (3) At least ten (10) months prior to the initial enrollment of students, the administrator of the sponsoring agency shall submit to the Board the following information: (a) The official name of the proposed nursing education program; (b) The anticipated starting date of the program, the number of classes to be admitted per calendar year and the time(s) of admission of those classes, and the anticipated maximum number of students to be admitted per class; (c) The mailing address and other contact information for the program; (d) A completed Clinical Facilities Information Sheet provided by the board which includes all requested information about the affiliating agencies; (e) The Clinical Facility Self-Study Report from each proposed clinical facility which includes a current contract agreement between the sponsoring agency and the clinical facility. (4) After the Board has received and reviewed the letter of intent and the materials pursuant to Rule 410-9-.02(2) and (3), the Board shall conduct site visits to the proposed nursing education program and all of its affiliating clinical facilities. (a) If compliance with Board Laws and Rules has been demonstrated, the Board will grant Developmental Approval. (b) If Developmental Approval is not granted, a written explanation shall be provided to the proposed nursing education program. (5) At least eight (8) months prior to the initial enrollment of students, the following materials shall be submitted as Report I: (a) The administrative structure of the sponsoring agency which demonstrates the lines of authority for the new nursing education program; (b) A Nursing Faculty Qualification Record and evidence of current Georgia licensure as a registered nurse which demonstrates compliance with Rule 410-9-.08, of the Practical Nursing Education Program Director or consultant who has been employed to continue the initial development of the new nursing education program; (c) The program purpose, philosophy, and student terminal objectives pursuant to Rule 410-9-.06; (d) A Master Curriculum Plan as described in Rule 410-9-.02(1)(f) and consistent with Rule 410-9-.07; (e) The syllabi for all courses in the curriculum as described in Rule 410-9-.02(1)(j); (f) Access to school/program catalog; (g) All program and student policies as required by Rule 410-9-.10 (2). (6) At least four (4) months prior to the initial enrollment of students, the following materials pertaining to each course to be offered during the first half of the curriculum shall be submitted as Report II: (a) The specific theoretical and clinical objectives/competencies for each unit of study within each course; (b) The student learning and progress evaluation procedures. (7) At least one (1) month prior to the initial enrollment of students, the completed Nursing Faculty Summary Sheet, and the Nursing Faculty Qualification Records, and evidence of Georgia Registered Nurse licensure of the Practical Nursing Department Director and all nursing faculty shall be submitted as Report III. All nursing faculty must demonstrate the qualifications as set forth in Rule 400-3-.08. (8) Provisional Approval shall be considered after the Board, reviews Reports I, II, and III and must be granted prior to the enrollment of students. (a) If Provisional Approval is not granted, an explanation shall be included in the report to the school. (b) A new program granted Provisional Approval will remain on Provisional Approval for two years or until its first graduating class has taken its initial licensing examination, whichever is earlier, and the examination results are reviewed by the Board. (9) No later than one (1) month after the initial enrollment of students, the following materials shall be submitted as Report IV: (a) The actual start date of the program; (b) The actual number of students enrolled; (c) The projected completion/graduation date of the first graduates of the program. (10) The program shall be eligible for Full Approval if it has demonstrated compliance with all Board Laws and Rules, and if 80% of its initial graduating class have passed their initial licensing examination after graduation during the period of Provisional Approval. (11) The program shall be placed on Conditional Approval if it has demonstrated noncompliance with any of the Board Laws or Rules, or if less than 80% of its initial graduating class have passed their initial licensing examination during the period of Provisional Approval. (a) While on conditional approval, the program must demonstrate compliance with all Board Laws and Rules and the program must achieve a 80% pass rate of its graduates who have taken their initial licensing examination.


(b) Failure to achieve Full Approval within a three (3) year period shall result in Withdrawn Approval pursuant to Rules 410-9-.03 and 410-9-.04. (12) Graduates of a nursing education program which does not have Board approval shall be denied admission to the licensure examination. (13) No later than six (6) months after the initial enrollment of students, the following materials pertaining to each course to be offered during the remainder of the program's curriculum shall be submitted as Report V: (a) The specific theoretical and clinical objectives/competencies for each unit of study within each course; (b) Written plans for the utilization of affiliating clinical facilities as described in board rules; (c) The student learning and progress evaluation procedures if different from materials submitted in Report II; (14) It is the responsibility of the sponsoring agency to electronically submit each required report to the board at least four (4) weeks prior to the scheduled board meeting at which the report is to be considered. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Blalock seconded the motion and it carried unanimously.

Floyd moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Train seconded the motion and it carried unanimously. Fort moved to adopt 410-9-.03 ? 410-9-.03 Development and Implementation of New Nursing Education Programs (1) To obtain approval by the Board for the development of a new nursing education program, the chief administrative officer of a parent institution proposing the development and implementation of a new nursing education program must submit a letter of intent to the Board. The following information must be included: (a) A completed application signed by the chief administrative officer of the parent institution; (b) Documentation from the governing body granting permission to proceed with development of a nursing education program; (c) A board-approved feasibility study, completed within one year of the date of the letter, which includes, but is not limited to: rationales for the establishment of the proposed nursing education program documenting an educational need which cannot be met by existing nursing education programs; financial resources; educational facilities and resources; faculty members; resources for electronic and simulated learning; and practice settings; (d) Evidence of accreditation of the parent institution by the Southern Association of Colleges and Schools Commission on Colleges; (e) A written plan for the recruitment and appointment of a qualified nurse administrator and faculty members to teach courses across the curriculum; and (f) The nonrefundable, required fee which does not guarantee any approval status; (g) Documentation of the appointment of a registered nurse, currently licensed in Georgia, with the nursing education and expertise necessary to develop and implement the proposed nursing education program and assess its outcomes; (h) Documentation of projected revenue sources (federal, state, private, grants, gifts) and expenditures for five (5) fiscal years to support the development and implementation of the proposed nursing education program. The information must include, but is not limited to: appointment of sufficient qualified nursing faculty members (consistent with Rule 410-9-.05); appointment of administrative personnel and support services; and provision of print and non-print learning resources, academic support courses, and educational resources in compliance with Board rules; (i) A written description for each practice setting proposed for learning activities with a letter of commitment from practice setting personnel to include the possible impact on existing, affiliating nursing programs; and (j) A five-year timeline for the development and implementation of the nursing education program which includes cohorts of students and faculty members; and (k) A proposed timeline for initiating and expanding the program. (2) The nurse administrator and at least two (2) (full-time or part-time) faculty members with the nursing education and expertise necessary to develop and implement the nursing education program and assess its outcomes, must be appointed by the parent institution to submit the following materials for Board review at least twelve (12) months prior to the enrollment of students in the first nursing course(s): (a) Faculty qualification records for the nurse administrator and faculty members;


(b) Program purpose or mission statement; (c) Program philosophy/assumptions; (d) Goals/outcomes of the curriculum; (e) Written plan for the organization and development of the curriculum; (f) Curriculum plan, consistent with Rule 410-9-.04, showing the placement, sequence, and credit distribution of all nursing and non-nursing courses; (g) Syllabus for each nursing course to include the title, credit distribution, prerequisites and corequisite courses, goals/outcomes, and course outline; (h) Plan for continuous quality assessment and improvement consistent with Rule 410-9-.01(13); (i) Information specific to the nursing education program, including but not limited to, admissions, options for advanced placement, acceleration, part-time study, articulation, progression, graduation, health requirements, the potential for criminal background checks and expanded medical profiles, and appeals; (j) A current financial report including expenditures to date consistent with Rule 410-9-.03(1)(h); (k) A plan for the recruitment of students; and (l) Current catalog and student handbook for the parent institution. (m) Any substantive changes since the review of previous reports; (n) Detailed information for each nursing course in the curriculum consistent with Rule 410-9-.04; (o) Faculty qualification records for any new faculty members; (p) A description of any additional practice setting(s) with a written commitment from practice setting representatives to include the possible impact on existing affiliating nursing programs; and (q) An update on projected enrollment; (3) Board representatives will conduct site visits to a developing nursing education program as necessary. (4) Nursing education programs with initial approval are required to comply with all Board rules. Rule 410-9-.03. Changes in Approval Status Categories and Grounds (1) Conditional Approval may be imposed on a new nursing education program pursuant to Rule 410-9-.02(11). (2) Conditional Approval may be imposed on a nursing education program when review of the most recent annual report, the most recent site visit report, the most recent annualized licensing examination passing percentage for its graduates on their initial examination, or any other pertinent data reveals noncompliance with Board Laws or Rules. (a) The Board shall notify the program in writing of the cited deficiencies and the Board's recommendations and suggestions for correcting the deficiencies. (b) The program must respond in writing to the Board's recommendations and suggestions within six (6) weeks of receipt of the notification and must include a plan of action to correct the cited deficiencies. The plan of action should be implemented immediately by the program. (c) If the deficiencies are not corrected within the time period specified by the Board in its response to the program's plan of action (but no longer than six (6) months), the program shall be placed on Conditional Approval. (d) If the deficiencies are corrected within the Board-specified time period (but no longer than six (6) months), the program shall be granted Full Approval. (3) Conditional Approval status shall be conveyed to the program in writing. (a) The program has ninety (90) days from the date of the notification to request in writing a reevaluation by the Board. The program must provide documentation of corrected deficiencies for consideration of reinstatement of the program to Full Approval status. (b) If a reevaluation request is not made, the approval status decision of the Board shall remain in effect. (4) If the deficiencies have not been corrected within one (1) year from the date of Conditional Approval status notification, the program's approval status shall be Withdrawn. (5) Programs placed on Conditional Approval status must notify currently enrolled and potential students in writing of the program's Conditional Approval status. This statement must include the possibility that the program may have its approval Withdrawn at the end of one (1) year from the date of Conditional Approval notification, and that the Board may require the transfer of remaining students to other nursing programs to complete their programs of study. (6) Withdrawn Approval. The Board may Withdraw Approval status from a nursing education program which has demonstrated continued noncompliance with any of the Board Laws or Rules. (a) The Board may Withdraw Approval from a new nursing education program as provided in Rule 410-9-.02(11)(b). (b) The Board may Withdraw approval when a nursing education program fails to correct documented deficiencies within one (1) year following the date of written notification of Conditional Approval status. (c) Withdrawn Approval is sent to the program by certified mail.


1. The program has ninety (90) days from the date of the notification to request, in writing, a reevaluation by the Board. The program must provide documentation of corrected deficiencies for consideration of reinstatement of the program to Conditional or Full Approval status. (a) If a reevaluation request is made and there is documentation to verify that appropriate corrective actions have been implemented, the Board may grant reinstatement of Conditional Approval for up to six (6) months. (b) If a reevaluation request is made and there is documentation to verify correction of all deficiencies, the Board may grant Full Approval. (c) If a reevaluation request is not made, the approval status decision of the Board shall remain in effect. 2. The notification will state the effective date of the Withdrawal of Approval. Within thirty (30) days of receipt of the notification, the program will submit to the Board a written plan for graduating all students who had been admitted before approval status was withdrawn as provided in Rule 410-9-.14. 3. Any program whose approval status has been Withdrawn, must apply for approval as a new nursing education program as provided in Rule 410-9-.02. (7) With any change in approval status the program sponsors may present any evidence for the Board to consider addressing the alleged deficiencies in writing and/or appearance before the board. (8) The Board may grant or impose the following changes in approval status categories. (a) From Developmental Approval to Provisional Approval for a new nursing education program pursuant to Rule 410-9-.02(8). (b) From Provisional Approval to Full Approval for a new nursing education program pursuant to Rule 410-9-.02(10). (c) From Provisional Approval to Conditional Approval for a new nursing education program pursuant to Rule 410-9-.02(11). (d) From Full Approval to Conditional Approval for a nursing education program pursuant to Rule 410-9-.03. (e) From Conditional Approval to Full Approval for a nursing education program pursuant to Rule 410-9-.03. (f) From Conditional Approval to Withdrawn Approval for a nursing education program pursuant to Rule 410-9-.02(11)(b) and 410-9-.03. (g) From Withdrawn Approval to Conditional Approval or Full Approval for a nursing education program pursuant to Rule 410-9-.03. (9) The following deficiencies shall be inclusive of, but not limited to, those which the Board considers grounds for a change in approval status if the deficiencies are not corrected within the time period specified in Rules 410-9-.02. (a) Any curriculum change(s) made without Board notification pursuant to board rules. (b) Failure to adhere to required theoretical content pursuant to Rule 410-9-.06. (c) Failure to adhere to required educational facilities, resources, and support services pursuant to board rules. (d) Failure to adhere to required school rules and policies pursuant to board rules. (e) Failure to adhere to required nursing faculty qualifications pursuant to Rules 410-9-.07 and 410-9-.08. (f) Failure to adhere to required clinical experience guidelines pursuant to board rules. (g) Failure to adhere to required instructor/student ratios pursuant to Rule 410-9-.07. (h) Failure to submit required reports and/or maintain required records pursuant to board rules. (i) Failure to maintain an annualized licensing examination passing percentage of 80% or greater for the program's graduates on their initial examination. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32. Blalock seconded the motion and it carried unanimously.

Phipps moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Bryant seconded the motion and it carried unanimously. Train moved to adopt 410-9-.04. 410-9-.04 Curriculum (1) The nursing education program shall be consistent with the mission/purpose, outcomes, and policies of the parent institution and the established and emerging standards of nursing education and practice. (2) Faculty shall develop the curriculum so that the philosophy/assumptions, outcomes, written plan for its organization and development, teaching/learning strategies, assessment of outcomes and policies are internally consistent. (3) The curriculum shall contain no less than six hundred eighty-five (685) clock hours of theoretical nursing and general education content, and no less than four hundred eighty-five (485) clock hours of planned clinical practice for each student.


(4) At least 40% of the total required clinical experience hours must be obtained in hospitals, inpatient rehabilitation centers or outpatient surgical centers. (5) The curriculum must be inclusive of learning activities in class, simulated settings, and practice settings, in reality-based situations, incorporating caring and the promotion, maintenance, and restoration of health or end-of-life care with people of all age groups who have commonly occurring acute and long-term physical and mental health problems, illnesses, and experiences. (6) Programs may substitute clinical simulation for not more than 75% of the clinical clock hours required in the study of obstetrics and pediatrics only. (a) Simulation may not be used as a substitute for clinical clock hours in any other required clinical experience area. (b) Programs that utilize clinical simulation as a substitute for clinical clock hours must provide evidence to the Board that the clinical simulation lab meets the standards set by the Certified Healthcare Simulation Educator program and accreditation standards for simulation centers. (7) Practice-based learning activities shall occur in diverse settings representative of the continuum of health care and with opportunities for students to engage in learning activities that enable the goals of the curriculum. (8) The curriculum shall be inclusive of current and emerging issues in nursing, health care, and society. (9) Teaching/learning strategies, activities, and interactions must include opportunities for praxis, reflection, critical thinking, clinical reasoning, and decision-making. (10) Teaching/learning strategies, activities, and interactions must facilitate the transition to professional practice by incorporating concepts, including but not limited to: accountability; the provision and coordination of care; advocacy; and collaboration. (11) Various strategies shall be used in the assessment and evaluation of student outcomes. (12) Students enrolled in a nursing education program leading to initial licensure may participate in cooperative internship experiences or programs. Academic credit may be awarded provided that the relationship between the academic and employment aspects of the course is clearly delineated consistent with Rules 410-9-.04; 410-9-.05(10); 410-9-.05(11); 410-9-.06(2), and 410-9-.08. 410-9-.04 Changes in Approval Status Categories and Grounds. Amended. (1) Conditional Approval may be imposed on a new nursing education program pursuant to Rule 410-9-.02(11). (2) Conditional Approval may be imposed on a nursing education program when review of the most recent annual report, the most recent site visit report, the most recent annualized licensing examination passing percentage for its graduates on their initial examination, or any other pertinent data reveals noncompliance with Board Laws or Rules. (a) The Board shall notify the program in writing of the cited deficiencies and the Board's recommendations and suggestions for correcting the deficiencies. (b) The program must respond in writing to the Board's recommendations and suggestions within six (6) weeks of receipt of the notification and must include a plan of action to correct the cited deficiencies. The plan of action should be implemented immediately by the program. (c) If the deficiencies are not corrected within the time period specified by the Board in its response to the program's plan of action (but no longer than six (6) months), the program shall be placed on Conditional Approval. (d) If the deficiencies are corrected within the Board-specified time period (but no longer than six (6) months), the program shall be granted Full Approval. (3) Conditional Approval status shall be conveyed to the program in writing. (a) The program has ninety (90) days from the date of the notification to request in writing a reevaluation by the Board. The program must provide documentation of corrected deficiencies for consideration of reinstatement of the program to Full Approval status. (b) If a reevaluation request is not made, the approval status decision of the Board shall remain in effect. (4) If the deficiencies have not been corrected within one (1) year from the date of Conditional Approval status notification, the program's approval status shall be Withdrawn. (5) Programs placed on Conditional Approval status must notify currently enrolled and potential students in writing of the program's Conditional Approval status. This statement must include the possibility that the program may have its approval Withdrawn at the end of one (1) year from the date of Conditional Approval notification, and that the Board may require the transfer of remaining students to other nursing programs to complete their programs of study. (6) Withdrawn Approval. The Board may Withdraw Approval status from a nursing education program which has demonstrated continued noncompliance with any of the Board Laws or Rules. (a) The Board may Withdraw Approval from a new nursing education program as provided in Rule 410-9-.02(11)(b). (b) The Board may Withdraw approval when a nursing education program fails to correct documented deficiencies within one (l) year following the date of written notification of Conditional Approval status. (c) Withdrawn Approval is sent to the program by certified mail.


1. The program has ninety (90) days from the date of the notification to request, in writing, a reevaluation by the Board. The program must provide documentation of corrected deficiencies for consideration of reinstatement of the program to Conditional or Full Approval status. (a) If a reevaluation request is made and there is documentation to verify that appropriate corrective actions have been implemented, the Board may grant reinstatement of Conditional Approval for up to six (6) months. (b) If a reevaluation request is made and there is documentation to verify correction of all deficiencies, the Board may grant Full Approval. (c) If a reevaluation request is not made, the approval status decision of the Board shall remain in effect. 2. The notification will state the effective date of the Withdrawal of Approval. Within thirty (30) days of receipt of the notification, the program will submit to the Board a written plan for graduating all students who had been admitted before approval status was withdrawn as provided in Rule 410-9-.15. 3. Any program whose approval status has been Withdrawn, must apply for approval as a new nursing education program as provided in Rule 410-9-.02. (7) With any change in approval status the program sponsors may present any evidence for the Board to consider addressing the alleged deficiencies in writing and/or appearance before the board. (8) The Board may grant or impose the following changes in approval status categories. (a) From Developmental Approval to Provisional Approval for a new nursing education program pursuant to Rule 410-9-.02(8). (b) From Provisional Approval to Full Approval for a new nursing education program pursuant to Rule 410-9-.02(10). (c) From Provisional Approval to Conditional Approval for a new nursing education program pursuant to Rule 410-9-.02(11). (d) From Full Approval to Conditional Approval for a nursing education program pursuant to Rule 410-9-.03(4). (e) From Conditional Approval to Full Approval for a nursing education program pursuant to Rule 410-9-.03(4). (f) From Conditional Approval to Withdrawn Approval for a nursing education program pursuant to Rule 410-9-.02(11)(b) and 410-9-.03(4). (g) From Withdrawn Approval to Conditional Approval or Full Approval for a nursing education program pursuant to Rule 410-9-.03(5)(c) (9) The following deficiencies shall be inclusive of, but not limited to, those which the Board considers grounds for a change in approval status if the deficiencies are not corrected within the time period specified in Rules 410-9-.02 and 410-9-.03. (a) Any curriculum change(s) made without Board notification pursuant to board rules. (b) Failure to adhere to required theoretical content pursuant to Rule 410-9-.07. (c) Failure to adhere to required educational facilities, resources, and support services pursuant to board rules. (d) Failure to adhere to required school rules and policies pursuant to board rules. (e) Failure to adhere to required nursing faculty qualifications pursuant to Rules 410-9-.08 and 410-9-.09. (f) Failure to adhere to required clinical experience guidelines pursuant to board rules. (g) Failure to adhere to required instructor/student ratios pursuant to Rule 410-9-.08. (h) Failure to submit required reports and/or maintain required records pursuant to board rules. (i) Failure to maintain an annualized licensing examination passing percentage of 80% or greater for the program's graduates on their initial examination pursuant to Rule 410-9-.03. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Phipps seconded the motion and it carried unanimously.

Fort moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Floyd seconded the motion and it carried unanimously. Train moved to adopt 410-9-.05. 410-9-.05 Faculty (1) A nursing faculty member includes any registered nurse, appointed by the parent institution, regardless of the institutional designation, who is engaged in teaching/evaluation in classes, simulated settings, and practice settings. (2) The nurse administrator and nurse faculty members of any nursing education program must be currently licensed as registered nurses in Georgia and authorized as advanced practice nurses (if applicable) from the initial date of appointment.


(3) Faculty who are assigned to practice settings in another state or country shall comply with the relevant nurse practice act in that jurisdiction. (4) The nurse administrator, who is appointed with the authority and responsibility for the development, administration, and evaluation of the nursing program(s) within the nursing unit, must have at least a baccalaureate degree in nursing, a minimum of three (3) years of licensed registered nursing practice within the preceding seven (7) years and one (1) year of teaching experience in a nursing education program. (5) Any registered nurse, appointed by the parent institution, who is engaged in teaching/evaluation in classes, simulated settings and practice settings, must have had a minimum of three (3) years of licensed registered nursing practice within the preceding seven (7) years. (6) Faculty members shall have the nursing education, expertise, and professional development necessary to enable the goals/outcomes of the curriculum. (7) For any course with a nursing title and number, a qualified registered nurse faculty member must be the coordinator. (8) Faculty members must be available to direct, coach, mentor, and critique students engaged in learning activities in classes, simulated settings, and practice settings. (9) Effective August 1, 2020, a faculty/student ratio of at least one (1) registered nurse faculty member for no more than eight (8) students engaged in actual, interactive learning activities in inpatient practice settings must be maintained to provide for the safety of patients/clients, students, and faculty members. (10) Faculty members shall participate in and document the development, implementation, and evaluation of the nursing education program. (11) Policies in effect for nursing faculty, including workload, shall be consistent with those in effect for all faculty appointed by the parent institution. (12) The process of selection, approval, and role development, and delineation of responsibilities of full-time and part-time faculty members shall be documented. (13) Out of state nursing education programs that have faculty and students engaged in learning activities in Georgia practice settings must comply with the Nurse Practice Act. (14) An international nursing educator, who is not licensed as a registered professional nurse in Georgia and who is participating as an exchange visitor in a nursing education program, may direct, coach, mentor, and critique students engaged in learning activities in classes and simulated settings under the following conditions: (a) Responsibility for any course, in which the international nursing educator participates, must be assumed by a faculty member appointed by the parent institution; (b) Monetary compensation to the international nursing educator must not be provided by the parent institution; (c) Until licensure by examination has been granted, the international nursing educator must not be involved in actual, interactive learning activities with students and patients/clients in practice settings; and (d) At least ninety (90) days prior to the first day of the exchange period, the Board of Nursing must be notified of the academic and regulatory credentials of the international nursing educator for a one-time period not to exceed all or part of a quarter or semester. 410-9-.05 Organization and Administration. Amended (1) A written organizational plan shall indicate the lines of authority, responsibility and communication of the nursing education program to its governing body; to its clinical affiliates; to its advisory committee, and within the nursing education program itself. (2) The authority and responsibility for the administration of the nursing education shall be placed with the program director as approved in Rule 410-9-.08(3). (3) Any agency or institution that is utilized by a practical nursing education program shall be one that is authorized to conduct business in the state of its location. (4) The length of the curriculum shall be consistent with the requirements as provided in Rule 410-9-.07(3). (5) The availability of faculty for directing and critiquing students during theoretical and clinical learning activities shall be consistent with the requirements as provided in Rules 410-9-.08(1) and 410-9-.09(7). Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Fort seconded the motion and it carried unanimously.


Blalock moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Bryant seconded the motion and it carried unanimously. Floyd moved to adopt 410-9-.06. 410-9-.06 Learning Activities with Preceptors (1) Learning activities with preceptors may be included in a curriculum on a limited basis. (2) The student shall be enrolled in the course in which the learning activities with preceptors occur and shall not be compensated by the practice setting during this time. (3) The process of selection, approval, and role development of preceptors shall be documented by the nursing education program. (4) The preceptor shall be currently licensed as a registered nurse, licensed practical nurse or medical doctor according to the Nurse Practice Act or the statute in the state/country in which the practice setting is located and have a minimum of one (1) year of clinical experience. (5) The preceptor for a practical nurse student may be a non-nurse provided that the designated nursing faculty member serves as the co-preceptor. (6) The preceptor or co-preceptor shall be educated at preferably the same or higher level as the student and have at least one year of work experience in the practice setting in which the learning activity occurs. (7) The preceptor or co-preceptor shall have the education and/or expertise to enable the learning goals of the student. (8) The preceptor shall be selected collaboratively by the designated nursing faculty member and the registered nurse responsible for nursing care in the practice setting. (9) The licensee shall serve as preceptor for no more than two (2) students at any given time. (10) Each student and preceptor shall have a readily available, designated nursing faculty member who is responsible for the learning activities in compliance with Rules 410-9-.04 and 410-9-.05(10), (11). (11) The designated nursing faculty member shall meet with students and preceptors prior to and throughout the learning activities to clarify roles, learning goals, and the assessments of outcomes. 410-9-.06 Purpose, Philosophy, and Objectives. Amended. (1) The nursing education program's purpose, philosophy, and objectives shall be written by the nursing faculty and approved by the school's administration and the program's advisory committee. They shall form the basis for planning, implementing, and evaluating the total program curriculum.

Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Fort seconded the motion and it carried unanimously.

Blalock moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Phipps seconded the motion and it carried unanimously. Floyd moved to adopt 410-9-.07. 410-9-.07 Students (1) Policies for nursing students shall be comparable to those for all students enrolled in the parent institution except in such instances where the nature of the nursing major may require variance. Students must be high school graduates or have documented equivalent education. (2) Students shall have opportunities to evaluate learning activities, full-time and part-time faculty members, preceptors, educational resources, and practice settings. (3) An applicant who has graduated from an international nursing education program and is required by the board to satisfy a curricular deficiency in an approved nursing education program in order to establish eligibility for licensure by examination must be considered as an unlicensed student.


410-9-.07 Curriculum. Amended. (1) Curriculum refers to a total written plan of theoretical and clinical learning activities which shall result in the attainment of the nursing education program's objectives by graduates of the program. (a) The curriculum shall be developed and presented on a post-secondary educational level. (b) It shall be developed and presented by the faculty utilizing sound educational concepts and methods of teaching. These shall include the appropriate sequencing, correlating of theoretical and clinical experiences, and integrating of learning throughout the entire program. (c) It shall prepare the students to safely perform the activities and to function in the situations described in the program's objectives. (d) A Master Curriculum Plan shall be developed pursuant to Rule 410-9-02(1)(f). 1. A copy shall be retained for each class record; 2. A copy shall be made available to all students enrolled in the program; 3. A copy shall be provided to the Board in the program's annual report and the Practical Nursing Program's Self-Study Report and at any time that there shall be a proposed revision. (e) A Clinical Rotation Plan shall be developed pursuant to Rule 410-9-.02(l)(d). 1. A copy shall be retained for each class' record; 2. A copy shall be made available to all students enrolled in the program; 3. A copy shall be made available to all appropriate affiliating clinical facilities; 4. A copy shall be provided to the Board in the program's annual report and the Practical Nursing Program Self-Study Report and at any time that there shall be a revision of the one on file in the Board office. (2) The curriculum emphasis should be on the utilization of the nursing process in the provision of care by practical nurses to patient/clients and their families throughout the life cycle in a variety of health care settings for: (a) the promotion of health; (b) the prevention of illness and injury; and (c) the restoration and maintenance of physical and mental health. (3) Length of the Curriculum. The program of study shall be consistent with the program's learning objectives and methods of instruction, except that: (a) a full time program shall NOT be conducted longer than eighteen (18) months; and (b) a part time program shall NOT be conducted longer than thirty-six (36) months. (4) Curriculum Objectives. There shall be written statements of specific, measurable, theoretical and clinical outcomes and competencies for each course in the curriculum which shall be achieved by students enrolled in the program. The curriculum objectives shall be in accordance with the nursing education program objectives. (5) Minimum Curriculum Content. An approved program of instruction or its equivalent shall contain no less than six hundred eighty-five (685) clock hours of theoretical nursing and general education content, and no less than four hundred eighty-five (485) clock hours of planned clinical practice for each student. Said program shall include the following subjects: (a) Theoretical Content: 1. Required Content - The curriculum must include, but is not limited to, the following theoretical content areas and must contain a total of no less than six hundred eighty-five (685) clock hours. (i) Anatomy and Physiology (ii) Basic Microbiology (iii) Medical Terminology (iv) Basic Nutrition (v) Basic Pharmacology (vi) Medication Administration (vii) Principles of IV Therapy (viii)Legal and Ethical Healthcare Issues (ix) Professional and Customer Relationships (x) The Nursing Process and Critical Thinking Skills (xi) Physical Assessment Techniques (xii) Cardiopulmonary Resuscitation (xiii) Principles and Skills of Nursing Practice (xiv)Basic Emergency Care


(xv) Geriatric Nursing Care (xvi) End of Life Nursing Care (xvii) Medical Surgical Nursing Care (xviii) Obstetrical Nursing Care (xix) Pediatric Nursing Care (xx) Mental Health and Illness Nursing Care (xxi) Community Health Nursing Care and Health Care Delivery Systems (xxii) Leadership and Management Skills (xxiii)English (xxiv) Math (xxv) Psychology (xxvi) Sociology (xxvii) Chemistry (xxviii) Computer Literacy (xxix) National Practical Nursing Licensure Examination Preparation (b) Required Clinical Experience: All of the following clinical experience areas must be provided in the curriculum: 1. Basic Emergency Care 2. Professional and Customer Relations 3. Physical Assessment Techniques for All Body Systems 4. Skills and Principles of Nursing Practice 5. Medication Administration 6. Intravenous Therapy Techniques 7. Health Maintenance and Prevention of Illness and Injury 8. Documentation of Nursing Care 9. Nursing Care of Aging Clients 10. Nursing Care of the Terminally Ill 11. Medical Surgical Nursing Care 12. Obstetrical Nursing Care 13. Pediatric Nursing Care 14. Mental Health and Illness Nursing Care 15. Community Health Nursing Care 16. Nursing Leadership and Management. (6) The curriculum's effectiveness shall be evaluated at the specific intervals indicated by the Board to determine and verify in writing the attainment of the program's objectives. (a) The course/teacher/clinical experience evaluations shall be conducted each quarter / semester pursuant to board rules. (b) The individual student theoretical and clinical learning and progress evaluations shall be conducted for each course pursuant to board rules. (c) The graduate evaluations shall be conducted for each graduate pursuant to board rules. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31; 43-26-32 and 43-26-41(a)(1). Fort seconded the motion and it carried unanimously.

Bryant moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Blalock seconded the motion and it carried unanimously. Train moved to adopt 410-9-.08. 410-9-.08 Employment of Unlicensed Students and/or Graduates Prior to Licensure (1) Unlicensed students, in conjunction with faculty members and/or preceptors, are exempt from licensure during the practice of nursing that is an integral part of a curriculum in a nursing education program.


(2) Students, who are not otherwise licensed or certified, shall be employed only as unlicensed nursing personnel. They shall not represent themselves as nursing students nor assume responsibilities within the scope of practice of a licensed practical nurse. (3) Graduates, who are not otherwise licensed or certified, shall be employed only as unlicensed personnel prior to licensure. They shall not assume responsibilities within the scope of practice of a licensed practical nurse. (4) The registered nurse supervising employed unlicensed students and/or graduates prior to licensure is referred to Rules 410-9-.08(2) and 410-9-.08(3) regarding job responsibilities. 410-9-.08 Nursing Faculty. Amended. (1) Number of Nursing Faculty. An adequate number of nurse faculty members, as necessary for quality education, must be employed to carry out the nursing education program's purpose and objectives. (a) Such an adequate number shall be reasonably proportionate to the: 1. Number of students enrolled; 2. Frequency of admissions; 3. Education and experience of faculty members; 4. Number and location of affiliating clinical facilities; and 5. Total responsibilities of the faculty. (b) The availability of faculty for directing and critiquing students during clinical learning activities shall be based upon criteria which ensures the safety of patients/clients; AND 1. Shall be documented in writing at a ratio of NOT more than ten (10) students per one (1) instructor. 2. The sponsoring agency shall consider a lower ratio when clinical space, patient acuity and patient census are insufficient to accommodate the ten (10) to one (1) ratio. (c) The majority of nursing faculty shall be full time employees of the sponsoring agency. (2) Qualifications for Employment. (a) The nursing education program director and all nursing faculty members: 1. Shall hold a current Georgia license in good standing from the initial date of employment as a registered professional nurse. 2. Shall have had a minimum of three (3) years of licensed nursing practice within the preceding seven (7) years. (b) In addition to the qualifications set forth in subsection (a) above, the director of a nursing education program shall have at least a baccalaureate degree in nursing and one (1) year of teaching experience in a nursing education program, (included in the required three (3) years of nursing practice). (c) The program director and each member of the nursing faculty shall maintain professional competence through such activities as continuing education programs, nursing practice, and/or academic study courses, and shall submit documentation of these activities in writing annually to the Board in the program's Annual Report, or Practical Nursing Program's Self-Study Report. (d) The sponsoring agency shall submit evidence that all faculty members meet minimum requirements of the Board pursuant to Rule 410-9-.08. A Nursing Faculty Qualification Record and a copy of the current Georgia Registered Nurse license must be submitted to the Board within one (1) month of the faculty member's employment. (3) Faculty Functions. (a) The nursing education program director shall supervise all nursing faculty, shall be the administrative coordinator for the program, and shall be the direct communicator with the Board. (b) The nursing faculty shall participate in the development, implementation, instruction, evaluation, and revision of the entire nursing education program. The faculty shall: 1. Seek recommendations from the practical nursing program's advisory committee for establishing policies for the recruitment, selection, admission, progression, dismissal, and counseling of students. 2. Develop and evaluate the theoretical and clinical learning activities of the program. 3. Direct and supervise student learning in the classroom and clinical areas. 4. Participate in the counseling and guidance of students related to the course of instruction. 5. Establish a system to maintain essential records that will be used to evaluate a student's progress. 6. Interpret changing practices in the utilization of the graduate practical nurse and adjust the educational program to accommodate these changes. 7. Develop short and long range plans for strengthening the program based upon the feedback obtained from the program's evaluations. 8. Be readily available for consultation with clinical preceptors and students during preceptorial learning experiences. (4) Faculty Organization.


(a) The nursing faculty shall hold regular (at least monthly) nursing faculty conferences to discuss the nursing education program and maintain nursing faculty meeting minutes as a written record of discussions and decisions. (b) Policies in effect for nursing faculty shall be consistent with those in effect for all faculty employed by the sponsoring agency. (c) There shall be a written school policy for the selection, orientation, and utilization of full time and part time nursing faculty.

Authority: O.C.G.A. §§ 43-1-25, 43-26-1, 43-26-5(a)(2), 43-26-5(12) and 43-26-41. Fort seconded the motion and it carried unanimously.

Fort moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Phipps seconded the motion and it carried unanimously. Blalock moved to adopt 410-9-.09. 410-9-.09 Performance of Graduates (1) Acceptable performance on the licensing examination for each nursing education program shall be a passing rate of at least eighty (80) percent of its first-time writers in any given cohort. (2) A passing percentage of at least eighty (80) percent of all first-time writers on the licensing examination over the four (4) most recent years must be maintained. (3) Noncompliance with this Rule may result in a change in approval status in accordance with Rule 410-9-.02. 410-9-.09 Preceptor and Preceptorial Learning Activities. Amended. (1) Definitions. (a) The "preceptor" holds a valid Georgia license as a registered professional nurse, licensed practical nurse, or medical doctor, with a minimum of one year of clinical experience. (b) "Preceptorial learning activities" refer to those clinical learning activities which are provided under the direct leadership and supervision of a preceptor. (2) The preceptor shall be selected through the cooperative effort between the nursing faculty and the clinical affiliate representatives. (3) Preceptorial learning activities may be included in a curriculum when the following criteria are met: (a) Appropriate theory shall be coordinated with the preceptorial clinical experience. (b) There shall be a written school policy for the selection, orientation, and utilization of clinical preceptors. (c) The nursing education program shall maintain documentation which demonstrates that all nursing clinical preceptors meet requirements provided in Rule 410-9-.09. (4) Prior to and throughout the preceptorial learning activities, faculty shall interact with preceptors, individually or in a group, to clarify roles, learning activities, and the critique/evaluation of student learning and progress. (5) The preceptor/student ratio shall not exceed the ratio of one (1) preceptor to two (2) student practical nurses in the hospital, doctor's office, or clinics, or one (1) preceptor to four (4) student practical nurses in the nursing home. (6) The preceptor may evaluate students' clinical performance after the students' initial assessments by the nursing program's faculty. (7) The preceptor and students must have a readily available designated nursing faculty member who is responsible for the preceptor learning activities. (8) The preceptorial learning activities must be scheduled on The Clinical Rotation Plan pursuant to Rule 410-9-.02(1)(d). (9) There shall be written Clinical Learning Focus Objectives pursuant to Rule 410-9-.02(1)(c) for all preceptorial learning activities. Authority: O.C.G.A. §§ 43-1-25, 43-26-1, 43-26-5(a)(2), 43-26-31 and 43-26-32(1.1). Train seconded the motion and it carried unanimously.

Floyd moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Bryant seconded the motion and it carried unanimously. Fort moved to adopt 410-9-.10.


410-9-.10 Educational Facilities, Resources, and Practice Settings (1) The parent institution shall provide for and maintain facilities, resources, and services for the effective development and implementation of the nursing education program. (2) Classes, simulated settings, equipment, and supplies should facilitate the learning goals of the curriculum. (3) Adequate storage space, with security as appropriate, must be provided for supplies, equipment, and materials. (4) Comprehensive, current, and pertinent print, non-print and electronic learning resources must be available for faculty and student needs. (5) Office and meeting space, with appropriate furnishings and equipment, must be provided for the nurse administrator, faculty members, and staff. (6) Administrative personnel and support services must be available to meet the needs of faculty members and students. (7) The parent institution shall maintain a written agreement with any agency that provides educational facilities and resources for the nursing education program which delineates the responsibilities of all involved parties. (8) Any practice setting affiliating with a nursing education program must have documented approval by appropriate regulatory bodies (if applicable). (9) Any practice setting affiliating with a nursing education program must have available and appropriate personnel, facilities, and resources to enable collaborative planning, implementation, and evaluation of learning activities. (10) The parent institution shall maintain a written agreement with each practice setting in which actual, interactive learning activities occur that delineates the responsibilities of involved parties. 410-9-.10 School Requirements: Rules and Policies. Amended (1) School Rules: (a) Theoretical class size shall be determined by the institution based on the number of faculty members, adequacy of clinical resources, availability of learning resources, and documented survey of need within a fifty (50) mile radius. (b) The students' total scheduled instructional time for classroom and clinical experiences shall not exceed forty (40) hours per week. (c) The nursing education program shall comply with the Occupational Safety and Health Administration's current guidelines for occupational exposure to blood-borne and airborne Pathogens. The policy shall be reviewed annually and revised as necessary in writing. (d) The nursing education program shall have a policy regarding the use of social media by students and faculty in relation to patient privacy and care and federal guidelines. (e) The practical nursing education program shall maintain an annualized licensing examination passing percentage rate of eighty percent (80%) or higher for the program's graduates on the initial examination as provided in Rules 410-9.-03 and 410-9-.04. (f) A student shall be considered to have successfully completed a program when the student has satisfied all performance and learning objectives of an approved program and has met the institution's established graduation requirements. (g) All nursing faculty and preceptors, if utilized, shall meet requirements as provided in Rules 410-9-.08 and 410-9-.09 before assuming duties in the program. (h) The nursing program shall maintain nursing faculty meeting minutes of all decisions pertinent to the operation and revision of the program. (i) Student clinical experience shall include all required health care areas provided in Rule 410-9-.07: 1. Clinical experiences should be correlated with theoretical content; 2. The clinical experience instructor-student ratio shall not exceed a one (1) to ten (10) ratio; 3. At least three (3) licensed hospital or nursing home beds shall be available for every one (1) student practical nurse at any given time in a clinical affiliate; 4. At least 40% of the total board-required clinical experience hours must be obtained in the hospital setting. (j) A nursing program faculty member or a Board-approved preceptor shall be: 1. Present in the clinical facility to which students are assigned for direct patient care and be present on the unit; 2. Responsible for the clinical instruction and supervision of the program's student practical nurses. (k) The program's instructors shall provide appropriate clinical focus objectives to each clinical affiliate prior to student assignment provided in Rule 410-9-.02(1)(c). (l) The Clinical Rotation Plan for student learning activities shall be provided to each affiliating clinical facility prior to student assignment provided in Rule 410-9-.02(1)(d). (2) School Policies: (a) Policies related to the practical nursing education program shall be published in a student handbook or catalogue; and (b) The policies set forth below shall be included:


1. Academic Standards. The academic standards policy shall include a clearly defined grading system for the program and a policy for course progression and graduation. 2. Curriculum. The curriculum policy shall reflect the board's hourly and theoretical content and clinical experience area requirements provided in Rule 410-9-.07(5) as the minimum curriculum. 3. Student Grievance. The student grievance policy shall define the authority chain which is to be followed for student grievances at the institution. 4. Occupational Safety and Health Administration's Guidelines. The policy shall describe a plan for educating students on the Federal Occupational Safety and Health Administration's guidelines (O.S.H.A.) and the Centers for Disease Control's (C.D.C.) guidelines and any other regulations applicable to the safety of students and patients in the practice of nursing. 5. Student Health. The student health policy shall include the health examinations and immunizations (as currently recommended by the Centers for Disease Control) required to ensure the health, safety, and welfare of students and patients prior to the beginning of student clinical experiences.

Authority: O.C.G.A. §§ 43-1-25, 43-26-1, 43-26-5(a)(2), 43-26-31 and 43-26-32(1.1). Train seconded the motion and it carried unanimously.

Blalock moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Floyd seconded the motion and it carried unanimously. Train moved to adopt 410-9-.11. 410-9-.11 Reports (1) By July 1 of each year, each nursing education program with enrolled students must provide the board with an annual report, on a form provided by the board, pertaining to the previous year (July 1 of the previous year to June 30 of the current year). The report may include but not be limited to institutional, accreditation and program information, enrollment, attrition and retention data and other program and curricular updates. (2) The board must receive written reports by a specified date for review at a designated board meeting. Reports include, but are not limited to: advance site visit information; program responses to site visit reports; offering of a nursing course(s) at an off-campus site prior to implementation; new tracks within an approved program; and development of major curricular or program changes prior to implementation. (3) A written explanation must be provided to the board by any eligible program without graduating students. 410-9-.11 Educational Facilities and Clinical Affiliates. Amended (1) Educational facilities, campus classrooms, nursing practice laboratory, and the library for the program shall be available to meet the objectives of the program and the needs of the students and faculty. (a) The campus laboratory: 1. Shall be separate or screened from the classroom(s). 2. Shall contain sufficient equipment, supplies and resources (such as mannequins, models, textbooks, and audiovisual aids), to permit simulated nursing skill practice. 3. Shall provide a secure location for syringes and needles. (b) A library located at the instructional site shall: 1. Provide texts, audiovisuals, and periodicals, to include practical nursing journals, no older than five (5) years, on the curriculum being taught. 2. Make available to faculty and students a current copy of the Georgia Board of Examiners of Licensed Practical Nurses' Laws and Rules. (2) Clinical Affiliates. (a) All clinical affiliates for a program shall be approved by the board prior to utilization for student experiences. The program shall submit the required materials as provided in Rule 410-9-.13(2)(c)(1). (b) There shall be a written signed agreement between the program and each clinical affiliate which meets the following criteria: 1. The agreement shall be annually reviewed and revised/renewed as necessary.


2. The agreement shall ensure that the nursing faculty maintains the responsibility for the selection and supervision of student learning activities. (c) The clinical facility's nursing service department shall maintain: 1. A written organizational chart which indicates a clear chain of command for nursing personnel. 2. A copy of current policies and procedures as they relate to the Licensed Practical Nurse shall be available to the board at site visits or as requested. (d) An orientation shall be conducted for program faculty and each new group of students at the clinical facility. Authority: O.C.G.A. §§ 43-1-25, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Floyd seconded the motion and it carried unanimously.

Fort moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Thompson seconded the motion and it carried unanimously. Floyd moved to adopt 410-9-.12. 410-9-.12 Discontinuance of a Nursing Education Program (1) The dean/director shall notify the Board in writing of the intent to discontinue a nursing education program at least one year prior to the discontinuance. (2) The dean/director shall submit a written plan for discontinuance of the program to include the: (a) Timetable; (b) Plan for students to complete the course of study or transfer to an approved nursing education program; and (c) Provision for permanent retention of student and graduate records. (3) When a class is not admitted in a given year, the nursing education program must close unless approval has been granted by the Board based on the justification for continuation submitted to the Board. (4) If a program is discontinued, the parent institution must provide for the completion of the course of study by all currently enrolled students either by continuing courses until those students have graduated, in accordance with 410-9-.02(5), or by transferring them to an approved nursing education program. Prior to the transfer of students, the parent institution must negotiate a written agreement, which delineates all responsibilities assumed by the participating parties. It must be signed by the respective administrative officers and submitted to the Board of Nursing for its review upon request. (5) The parent institution is responsible for providing for the permanent retention and security of student and graduate records. (6) If the parent institution also closes, advice should be sought from the Board concerning the permanent safekeeping and availability of records of the nursing education program.

410-9-.12 Board Site Visits to Nursing Education Programs and Their Clinical Affiliates. Amended. (1) Site visits to the practical nursing education program and clinical affiliates shall be conducted by board representatives to verify compliance with board laws and rules. All requested documentation shall be received by the Board prior to the site visit. (2) Site visits are conducted: (a) Initially and as needed for all new programs until the program achieves Full Approval status. (b) To the new clinical affiliate(s) during the practical nursing education program's next routine visit. (c) At the Board's discretion. (d) Upon request from a program for a site visit or a visit by the board's nursing education consultant.

Authority: O.C.G.A. §§ 43-1-25, 43-26-2, 43-26-5(a)(4)-(6), 43-26-31 and 43-26-32(1.1). Fort seconded the motion and it carried unanimously.

Phipps moved that the formulation and adoption of these rules does not impose excessive regulatory cost on any licensee and any cost to comply with the proposed rules cannot be reduced by a less expensive alternative that fully accomplishes the objectives of the applicable laws as required by O.C.G.A. § 50-13-4. Bryant seconded the motion and it carried unanimously.


Train moved to repeal 410-9-.13. 410-9-.13 Reports and Records. Amended. (1) Reports and records shall be required of each practical nursing education program for documentation of compliance with applicable Georgia law and Board rules. (2) Reports submitted to the Board from schools by the practical nursing education program's nurse director shall include the following reports: (a) An Annual Report form and requested documentation shall be submitted each year which covers the previous calendar year and shall include: 1. General information on the program including, but not limited to name, addresses, telephone and fax numbers, email address and information regarding the program administrator. 2. Data on instructor-student clinical ratios to include a current "Nursing Faculty Preceptor Summary Sheet," and nursing faculty summary for all nursing faculty and all preceptors. 3. Data on clinical sites utilized and contract dates. 4. Data on program enrollments, withdrawals, and graduates. 5. Data on the program's course offerings to include a current "Master Curriculum Plan" provided to Rule 410-9-.02(1)(f). 6. A description of anticipated program changes for the coming year. (b) Any corrections to the Annualized Licensing Examination Passing Percentage Rate Report shall be returned to the board within ten (10) working days of receipt of the initial report. Proof of the correction such as copy(ies) of previous NCLEX-PN Scores-Report(s) shall be provided to verify the erroneous information. (c) Site Visit Report Materials shall include the following forms: 1. The Clinical Facility Information Sheet shall provide a complete listing of all clinical affiliates and basic information on each facility. The sheet is also submitted whenever there is a change in clinical facilities. 2. The Clinical Facility Self-Study Report shall be completed by the Director of Nursing Services or appropriate management at the clinical affiliate and shall be submitted to the board. (d) The Nursing Faculty Summary Sheet shall be submitted to the board by the program director as a listing of all full time and part time nursing employees of the program and all preceptors. (e) The Nursing Faculty Qualification Record shall be completed by each nursing faculty member. Each preceptor shall complete a Preceptor Qualification Record. 1. The Nursing Faculty Qualification Record shall include secondary education, nursing licenses in other states, date of original licensure, and evidence of current Georgia licensure as a registered nurse. 2. A complete listing of all nursing employment for the seven (7) years preceding the date of submission of Nursing Faculty Qualification Record. (f) The Practical Nursing Program Site Visit Response shall address the board's recommendations and shall be submitted to the Board within six (6) weeks after the program's receipt of the Site Visit Report. The Practical Nursing Program Site Visit Response shall include the program’s plan to correct the deficiencies cited in the Site Visit Report. (g) The Practical Nursing Program Self-Evaluation Report shall be submitted to the Board each time the program's Annualized Licensing Examination Passing Percentage Report falls below the eighty percent (80%) level for its graduates on the initial examination. 1. The Practical Nursing Program Self-Evaluation Report shall be received by the board within six (6) weeks of the program's receipt of the Final Annualized Licensing Examination Passing Percentage Report. 2. The Practical Nursing Program Self Evaluation Report shall address the areas of: admission and grading requirements; curriculum sequencing; course materials development dates and reference materials publication dates; testing practices; practical nursing review course and/or test-taking strategies offerings to students; correlation of clinical experiences with appropriate theory. (h) Proposed Program Change Notifications are to be submitted to the board within thirty (30) days as provided in Rule 410-9-.14. (3) Reports to Schools from the Board. The program's Annualized Licensing Examination Passing Percentage Report is prepared by the board's nursing education consultant and covers the calendar year from January 1st through December 31st of the preceding year. (4) Program Records. (a) The practical nursing education program shall make available upon request, all program policies as provided in Rule 410-9-.10. (b) Current agreements with all clinical affiliates shall be maintained. (c) Nursing Faculty Meeting Minutes shall be made available upon request. (d) The practical nursing education program's Advisory Committee Meeting Minutes shall be made available upon request. (e) Program evaluations shall include:


1. Evaluations of the course, faculty, and clinical facilities completed by the students each semester. 2. Annual evaluations of the program by the program's graduates. (f) Annual statistics on the program's enrollments, withdrawals, and graduates. (g) The program's curriculum materials shall include: 1. The Program's Master Curriculum Plan for each class currently enrolled. 2. All course materials for each curriculum offering. This shall include, but not be limited to, lesson plans, handouts, student clinical evaluation tools, texts/references list, and a clinical experience facilities listing. 3. The program's Master Clinical Rotation Plan and each course's Clinical Rotation Plan for each class currently enrolled. (5) Student records. Students currently enrolled shall have a file which includes, but not limited to, admission materials, documentation of theoretical and clinical progression in the program's curriculum plan, and health records. (6) Final program transcript. Transcripts shall identify each course in the curriculum plan, include the earned grades and explain the grading system, and state the theoretical and clinical hours the student was present for each course. Blalock seconded the motion and it carried unanimously. Floyd moved to repeal 410-9-.14. 410-9-.14 Program Changes Requiring Board Approval and Board Notification and Procedures for Approval. Amended (1) The following proposed changes in the practical nursing education program require board approval prior to their implementation. The program shall electronically submit the information to the board at least four (4) weeks prior to the board meeting at which the changes will be considered. (a) The addition of new clinical facility(ies) for actual student patient care experience. The following materials must be submitted: 1. A revised Clinical Facilities Information Sheet as provided in Rule 410-9-.13. 2. A Clinical Facility Self Study Report as provided in Rule 410-9-.13. 3. A copy of the current signed contract between the proposed clinical affiliate(s) and the program's sponsoring agency. 4. The Clinical Learning Focus Objectives for the experience for the proposed facility(ies) as provided in Rule 410-9-.02(1)(d). 5. The Clinical Rotation Plan which demonstrates student assignment at the proposed facility(ies) as provided in Rule 410-9-.02(1)(e). 6. A description of student supervision at the facility. If new nursing faculty or preceptors are to be utilized, submit an updated Nursing Faculty Summary Sheet and Nursing Faculty Qualification Record(s), Preceptor Summary Sheet and Preceptor Qualification Record as provided in Rule 410-9-.13. (2) The following changes in the practical nursing education program may be implemented by the program, but require board notification within thirty (30) days of the implementation. Practical Nursing Education Program name change requires the former name, new name, and effective date. Fort seconded the motion and it carried unanimously. Thompson moved to repeal 410-9-.15. 410-9-.15 Guidelines for Discontinuance of a Nursing Education Program. Amended. (1) After the notification to the board of intent to discontinue the practical nursing education program, the school may not admit new students. (2) The program shall continue to meet the standards for approval until all of the enrolled students have graduated. (3) An institution closing a practical nursing education program shall provide for permanent storage of the transcripts of its graduates and the name, title, department, and address of who is responsible for keeping the records shall be conveyed to the board in writing. Train seconded the motion and it carried unanimously.


EDUCATION REPORT A. NCLEX Reports –

Programs With 2018 Year To Date NCLEX Pass Rate Below 80%

Program Type

School Pass Rate Number of Exam

Writers

RN Dalton State College 50% 2

RN Herzing University 66.67% 30

PN Georgia Northwestern Technical College 76.92% 39

PN Southern Crescent Technical College 78.95% 19

B. Initial Site Visits Conducted 2019 YTD (Developing/Initial Programs)

Program Site Visit Date Compliance/Recommendations

Oconee Fall Lines Technical College (Bridge)

3/6/19 The program is in compliance with all rules and regulations.

Andrew College 3/12/19

The program is in compliance with all rules and regulations. Recommendation: Provide computerized testing across the curriculum for all course exams/exit exams.

Board rule 410-8.-12(3) require all programs with initial approval to have a site visit during the development phase. It was recommended that the Board accept the site visit reports. C. Site Visits Conducted 2019 YTD (Conditional Approval)

Program Site Visit Date Compliance/Recommendations

Atlanta Technical College 3/21/19 (ASN)

The program is in compliance with all rules and regulations except 410-8-.09(2) NCLEX performance (4 year 73.04%) Recommendations: 1. Continue to recruit credentialed faculty and NA. 2. Review tests with students. 3. Provide students with an additional open lab to develop skills and promote critical thinking.

Shorter University 4/9/19 (BSN)

The program is in full compliance with all rules and regulations except for 410-8-.09(2) NCLEX performance (4 year 77.92%).

Georgia Northwestern Technical College

4/10/19 (ASN)

The program is in full compliance with all rules and regulations except 410-8-.09(2) NCLEX performance (4 year-78.56%)


Georgia Northwestern Technical College

4/10/19 (PN)

The program is in full compliance with rules and regulations except 410-9-.09(e) NCLEX performance (4 year-78.17%)

It was recommended that the Board accept the site visit reports. D. Corrective Action Plans (CAP): Central Georgia Technical College: CGTC has implemented and revised several strategies to improve NCLEX success and improve student learning outcomes. Below is a summary of the strategies.

1. Reevaluation of the TEAS attempts and cut score. 2. Continue to evaluate course materials yearly for evidenced based and contemporary. 3. Review of grading practices across the curriculum between each course/faculty. 4. Review and revision of test plan to correlate with NCLEX test plan. 5. Remediation of students who score below 80% on unit exams. 6. Live NCLEX Review from ATI 7. Review level scoring from ATI and unit exams. 8. Correlation of clinical and theory. 9. Increased professional development for faculty. 10. Review student workload. 11. Strategies to decrease wait time from graduation to testing. Working with Advisory Board regarding hiring practices. 12. Adaptive quizzing 13. Test anxiety workshops.

Shorter University/Brady School of Nursing: Shorter has implemented several strategies to improve NCLEX success. Below is a summary of strategies.

1. ATI capstone live review continues 2. Nurse Tim adopted previously and was confirmed 3. Professional Development continues for all faculty 4. vSim added for Pediatric content 5. Simulated hospital for specialties 6. Boot camp for skills lab 7. Unfolding case studies 8. Course revision for OB/Peds (split content).

Southern Crescent Technical College: SCTC has instituted several strategies to improve NCLEX success. Below is a summary of the strategies.

1. Revision of course sequencing 2. Instituted formal NCLEX review and preparation 3. Fully integrated ATI 4. Formal remediation process instituted. 5. ATI live review 6. 4 hour Test Taking Success seminar

E. Substantive Changes/Notifications: University of West Georgia: The RN to BSN program, currently offered as a two-semester 100% online program, will change to a four consecutive semester 100% online program effective Fall of 2019. The current program’s plan of study has been in place since 2011 and was converted to 100%


online in 2016. Based on program review, student and employer feedback, and today’s complex healthcare environment, Tanner Health System School of Nursing (THS SON) has made changes to deliver a more robust plan of study that will ensure BSN prepared Registered Nurses are ready to meet the needs of persons, communities, and healthcare systems. The program changes will also meet the needs of our RN to BSN students, who are generally working full-time as Registered Nurses; the new model assures that students are never taking more than nine credit hours per semester. Please see the old and new program models below, noting the addition of five new courses and modification of existing courses for the new model. Old Model (Two Semesters):

Fall Credits Spring Credits

Professional Practice Issues and 3 Leadership in Healthcare 8 Concepts (3 credit hours) Communities (leadership/management and Nursing Research and EBP for RNs 3 community/public health content (3 credit hours) with a clinical component of 120 hours) Holistic Health Assessment for RNs 3 (3 credit hours)

Total Credit Hours 9 Total Credit Hours 8

New Model (Four Consecutive Semesters):

Fall Credits Spring Credits

Introduction to Scholarly Writing 1 Nursing Informatics for RNs 3

Transition to Professional Nursing 3 Professional Nursing Practice 3

Practice for RNs Issues for RNs

Pathophysiology for RNs

3

Nursing Research and EBP for 3

RNs


Summer Credits Fall Credits

Holistic Health Assessment for RNs 3 Leadership in Healthcare 8 Communities for RNs (clinical Introduction to Healthcare component of 120 hours in the Communities for RNs (focus on 3 community/public health or acute community/public health) care setting)


1. Herzing University has appointed Dr. Karen Armstrong as Chair of the Nursing Program. She is credentialed and has an active Georgia license. This appointment is in compliance with applicable Board rules.

2. Chattahoochee Technical College is opening a satellite LPN program in Jasper, Georgia at their Appalachian campus

beginning January 2020. The program has secured Perkins grant funding for the skills lab equipment and will hire 2 FT faculty members exclusively for this campus.

3. Coastal Pines Technical College: Rebecca Salko, MSN has accepted the position as ASN Program Chair, effective date

4/1/19. She is experientially qualified and credentialed to hold this position and has an active Georgia license. This appointment is in compliance with applicable Board rules.

Based on Board Rule 410-8-.11(2) it was recommended that the Board accept and approve the substantive changes.


F. South College-Developing/Initial Program Request

1. South College is requesting initial approval for the proposed LPN-BSN program and LPN prelicensure for Fall 2020. As a result of the timeline, South College has provided documentation to support initial approval. If granted, South University will begin the process of student recruitment. Please see summary and supporting documentation in the portal.

2. Feasibility: Currently based on Bureau of Statistics/employment numbers there are approximately 26,000 LPN’s in Georgia and expected need of 12% additional LPN’s to meet needs of skilled nursing facilities, MD/NP offices, Home Health, Assisted Living facilities, Mental Health-substance abuse facilities. Programs in Georgia (predominantly TCSG) are graduating 300 plus per year. As a result of the shortage facilities across Georgia has resurgence of PN’s in acute care facilities as well with hospitals now employing PN’s for ambulatory settings of large campus locations. No new PN programs have been developed recently.

3. Associate Dean (Dr. Aleta Harper) and Faculty (3) have been secured for the program in Atlanta and have the credentials to administer and support the program. The two faculty Dr. Leila Casteel, DNP, APRN-BC and Chisa Huffman, MSN, MBA, and Dr. Donna Wallace, DNP, CPNP, have been secured to shepherd the program. All are currently faculty with South College that will oversee the development of the program.

1. Full Proposal includes curriculum (quarter) for Both LPN prelicensure and LPN-BSN.

a. Curriculum and credit hour allotment are appropriate for the LPN and LPN-BSN program- 180 credit hours (quarter) for LPN-BSN with 630 clinical hours and 80 quarter credit hours and 510 clinical hours for prelicensure program). LPN-BSN-6 quarters to complete, LPN prelicensure-4 quarters to complete. This is nursing credits only—core requires additional quarters to complete prior to start of program.

b. Curriculum includes all required components-core and nursing and are degree level core courses. c. The core includes the required science sequence-currently “C” or better is required for admission in the proposal.

Additionally, the core includes English, Math, Statistics, Humanities Elective, Communication, Personal Develop, Psychology, Human/Growth and Development, Abn. Psychology, Sociology, Chemistry, Nutrition

2. The mission and philosophy of the nursing unit are appropriate for the program 3. CCNE Accreditation for programs in TN 4. SACSCOC: 2021 next reaffirmation visit 5. NPEC approval for 5/1/18-4/30/19. 6. Method of Delivery: Face to Face/Hybrid (90% F2F, 10% hybrid). 7. Admission criteria:

a. 2.5 b. “C” in sciences c. 40 students per cohort (2 admissions per year) d. Please see grading scale.

8. Template for systematic Plan of Evaluation a. Same template that is used for other programs in TN and NC will be used in Georgia-same student learning

outcomes. Ten appropriate outcomes. 9. Physical Space

a. >50,000 sq. ft. Century Parkway, Atlanta, Georgia. Adequate space for classrooms, laboratories, simulation center. 10. Budget Projections

a. Appropriate for support of the program 11. Plan for recruitment of faculty

a. Two faculty have been recruited to teach in Atlanta program-CV’S included. Both have the qualifications/credentials according to board rules to teach in the program. (Casteel and Huffman).

12. Plan for recruitment of students a. Recruitment will change from the proposal if the Board approves recommendations of 80 per year (2 admission

cycles of 40). Y1: 80, 13. Documentation of projected revenue

a. Projected revenue and expenditures is appropriate and supports the mission of the program. 14. Feasibility Component

a. Clinical facilities indicate a need for increased nursing staff of all levels to meet needs across the state. Georgia agencies will benefit from additional graduates who may choose to work in the area. Currently, Chattahoochee


Technical College and Lanier Technical College are the closest to the ATL area offering LPN. There is not an LPN-BSN option in the geographic area.

15. Grading Scale: a. A-100-94; B-93-87; C-86-80; D-79-74; F-73- b. 80 is required for progression and 80% is required on all testing

16. Clinical Site Procurement: a. The following sites has provided letters of support for clinical placement.

i. CHSGa (employs over 1100 LPN’s in their centers) ii. Kaiser iii. Georgia Department of Behavioral Health iv. A G Rhodes v. See letters of support from previous proposal (Wellstar/Floyd Medical Center).

Based on Board Rule 410-8-.02(1)(b) it was recommended that the Board grant initial approval to South College with the following recommendations.

1. Limit admissions to two admissions per year for each track. 2. Continue to secure clinical sites. 3. Ensure that $1000 application fee is received prior to granting full approval.

G. Nursing Education Committee Meeting Report The Nursing Education Committee met by teleconference on April 25, 2019.

A discussion of the rules and regulations pertaining to 410-8-.05(6) (FT/PT percentages), 410-8-.05(4) (NA experience), and the new posted rules for PN programs (410-9). Environmental scan revealed curriculum revision opportunities, new program considerations, and outcomes of new programs initiated.

NEC provided update on site visits and substantive change manual.

D/D orientation outcomes were discussed

Discussed options with testing—paper and pencil vs computer based testing.

Discussed flipped classroom and calculation of clock hours. H. Other

1. Georgia Deans and Directors Meeting update (June-Saint Simons Island, Georgia). 2. Lanier Technical College is currently non-compliant with board rule 410-8-.12(2). The college has been unable to secure the

second faculty (PT or FT) to meet the requirements of program development/initial approval. The NA was secured with the expectation that 2 faculty from current PN program would transfer to the RN program. However, only 1 FT MSN prepared nursing faculty transferred to the RN program as of January 2019 and was shared with PN program until end of this semester. The program is slated to begin August 2019. The college had an unsuccessful search this month to fill the position and is planning to repost for potential candidates in the coming weeks. It was recommended that the Board change the program’s approval status to developmental approval pending compliance with all Board rules. The program cannot admit students while in developmental approval. Additionally, clinical space has not been secured for fall. Enrollment expectation: 20

Train moved to approve all recommendations. Fort seconded the motion and it carried unanimously.

EXECUTIVE DIRECTOR’S REPORT Cleghorn provided information regarding the following items:

Application, Complaint and Discipline Statistics PLB System Issues ORBS Update eNotify Update CE Broker Update


2019 RN Renewal Period 2019 LPN Renewal Period 2019 NCSBN Delegate Assembly

INVESTIGATION RESOLUTION REPORT

The Board reviewed the Investigation Resolution Report and noted that the cases, regardless of priority level, were in Investigations for an average of 238 days (based on the last twelve months). For the last six months, cases were in Investigations for an average of 236 days. Board members noted the improvement and directed staff to express the Board’s appreciation to the Investigative Division. CORRESPONDENCE – CITY OF ATLANTA

The Board reviewed correspondence in the form of a resolution from the Atlanta City Council. SENATE BILL 168

The Board discussed Senate Bill 168 and noted that the Governor had signed the bill. Cleghorn provided a brief overview regarding the implementation of the provisions of the bill and the technological updates that may be required.

APRN COMMITTEE

The Board reviewed the list of APRN Committee members and noted that Jim Masiongale had resigned. The Board directed staff to send a call for applications to all CRNAs and to post the vacancy on the Board’s website. The Board will review applications at the July 2019 meeting. NATIONAL LEGISLATIVE OVERVIEW

The Board reviewed information regarding legislation in other states affecting nursing regulation.

APRN COMPACT

The Board reviewed information regarding proposed updates to the APRN Compact. MENTAL PHYSICAL EXAMINATION PROVIDER

The Board reviewed information regarding Dr. Richard F. Camino-Gaztambide and directed staff to add him to the list of approved Mental Physical Examination providers.

PROPOSED DISCIPLINE SPECTRUM GUIDELINES

The Board reviewed the proposed discipline spectrum guideline and noted the helpfulness of such a tool. The Board reviewed the Sanctioning Reference Guide created by the Virginia Board of Nursing. The Board will review the items at the July 2019 meeting. APRN CONSENSUS MODEL FORUM

Cleghorn provided an overview of the APRN Consensus Model Forum that was held in Chicago on April 10, 2019. He noted that NCSBN will continue the dialogue with stakeholders regarding any future updates to the model.


EXECUTIVE SESSION Blalock moved, Fort seconded and the Board voted to enter into Executive Session in accordance with O.C.G.A. §§ 43-1-2(k); 43-1-19(h), 43-26-5(c) and 43-26-11, to deliberate on applications and enforcement matters and to receive information on applications, investigative reports and pending cases. The motion passed unanimously.

At the conclusion of the executive session on Thursday, May 16, 2019 Izlar declared the meeting to be “open” pursuant to the Open and Public Meeting Act, O.C.G.A. §§ 50-14-1 et seq. No votes were taken during executive session.

There being no further business, the meeting adjourned on Thursday, May 16, 2019 at 4:45 p.m.


FRIDAY, MAY 17, 2019 MEMBERS PRESENT

Janice Izlar RN, CRNA, DNAP, President Tracey Blalock, RN, MSN, MBA, NEA-BC Linda Floyd, RN, EdD, PMHNP-BC Merry Fort, RN, BS Darrell Thompson, RN, DNP, ACNP-BC, FNP-BC Blair Train, Consumer Member

MEMBERS ABSENT

Debra Amick, RN, MSN, CJCP, CPHQ, NE-BC K. Andrea Phipps, LPN Rebecca Coleman, RN, DNP, RNC-OB, C-EFM Tammy Bryant, RN, SN, MBA, NEA-BC Tina Fletcher, LPN Tracy Torgerson, RN, MSN, CRNI

STAFF PRESENT

Jim Cleghorn, Executive Director Izlar called the meeting to order at 8:30 a.m. on Friday, May 17, 2019. A quorum to conduct disciplinary matters was present.

BOARD POLICY REVIEW

The Board concluded its review of existing policies and referred the proposed amendments to the Attorney General’s Office for review prior to being forwarded to the Governor’s Office for certification. RULES 410-11 – REGULATION OF ADVANCED PRACTICE REGISTERED NURSES

The Board reviewed the proposed amendments. The proposed amendments will be presented at the July 2019 meeting for posting. CONTINUING COMPETENCY AUDITS

The Board reviewed the current process for continuing competency audits and made no changes. AUTHORITY TO ADMINISTRATIVELY LICENSE APPLICANTS WITH A POSITIVE CRIMINAL BACKGROUND

The Board reviewed the proposed guidelines for use by staff and directed staff to begin using the new matrix for issuing and renewing licenses for applicants with a positive criminal background.

GEORGIA COMPOSITE MEDICAL BOARD RULE CHANGES

The Board reviewed proposed amendments to Georgia Composite Medical Board Rules 360-32-.05 which regulates delegation by a physician to an advanced practice registered nurse. The Board expressed no concerns regarding the proposed language.


INVESTIGATIVE INTERVIEW FORM

The Board reviewed proposed changes to the Investigative Interview Form and directed staff to make additional updates to allow the form to be used for broader use beyond substance use disorder. LEGISLATIVE OVERVIEW

The Board reviewed and discussed the following bills introduced during the 2019 General Assembly: House Bill 287 – Preceptor Tax Incentive Program Senate Bill 207 – Georgia Board of Healthcare Workforce Study Committee on Evaluating and Simplifying Physician Oversight of Physician Assistants and Advanced Practice

Registered Nurses Senate Bill 168 – Nurse Practice Act (Nurse Licensure Compact, Licensure Definitions, Mandatory Reporting) House Resolution 448 – Safe Staffing Research House Bill 551 – Penalites for Failure to Register with the Prescription Drug Monitoring Program House Bill 374 – Medication Aides / Medication to Hospice Patients Senate Bill 267 – Creation of a Community Midwife Board

NCSBN APRN ROUNDTABLE

Thompson provided an update regarding the April 9, 2019 NCSBN APRN Roundtable meeting.

There being no further business, the meeting adjourned on Friday, May 17, 2019 at 11:34 a.m. _______________________________________ Janice Izlar, President

______________________________________ James D. Cleghorn, Executive Director

Documents

The Georgia Board of Nursing met May 15-17, 2019 in