KUDOS TO OHIO NURSES!

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LPN RENEWALALERT:

JULY 1, 2018 – OCT. 31, 2018

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MOMENTUM is produced at no cost to Ohio taxpayers.

contentsSPRING 2018 I Volume 16 Issue 2

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ThinkNurse.com

pcipublishing.com

Ohio Board of Nursing 3

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4 MOMENTUM

The Board said goodbye and thank you to several Board members in the last few months, all with tenures of at least eight years: Maryam Lyon, RN, served as Board

President and Chair of the Advisory Group on Dialysis; Janet Arwood, LPN, served as Board Vice-

President; and J. Jane McFee, LPN, served many years as Vice-President and Chair of Continuing

Education. We thank each of them for their service, commitment to the Board, and dedication to

public protection.

We are happy to welcome new members to the Board. Governor Kasich appointed Sandra

Beidelschies, MSN, RN; Daniel Lehmann, LPN; and Deborah Knueve, LPN. Lastly, Lauralee

Krabill, RN, and I are both pleased to be reappointed to the Board!

Each year, the Board timely completes a five-year review of applicable administrative rules as

required by Section 106.03, ORC. In addition, individual rules not slated for five-year review may

be revised to comply with legislative changes or for technical or non-substantive reasons. Since

2005, as part of rule review, the Board

conducts a “plain English” review of its

rules and amends or rescinds rule

language that is obsolete, ineffective,

contradictory or redundant.

This year, following recent changes in

federal law permitting CNPs to prescribe

Suboxone, the Board will promulgate rules

regarding Medication Assisted Treatment

(MAT), in collaboration with the Medical

Board. Also, the Governor’s Cabinet Opiate

Action Team (GCOAT) is discussing rules

to address prescribing for chronic pain. In

2013, GCOAT established Guidelines for

chronic pain prescribing, and now state

boards and cabinet agencies will be

working collaboratively to implement

prescribing rules for chronic pain.

Concepts and discussion points for

both the MAT and chronic pain prescribing

rules were discussed with the Advisory Committee on Advanced Practice Registered Nursing at its

January 29, 2018 meeting, and the Committee on Prescriptive Governance at its March 5, 2018

meeting. The Board will review and discuss MAT rules starting at the April meeting and will continue

its review and discussion at the Board meetings throughout the rulemaking process this year. The

Board asks for your comments and input. Please send related information, protocols, best practice

materials, questions, or concerns to rules@nursing.ohio.gov.

I urge you to continue to check the Board website at www.nursing.ohio.gov for information about

the 2018 rulemaking process, draft rules, practice, and licensure. The Board offers a free

announcement service distributed via email to your work or personal account. Subscribers to this

eNews service will receive news about rules hearings, potential law changes, etc. You may subscribe

for this service on the Board website or receive information via social media. •

F R O M T H E P R E S I D E N T

Each year, the Board timely completes a five-year review of applicable administrative rules as required by Section 106.03, ORC. In addition, individual rules not slated for five-year review may be revised to comply with legislative changes or for technical or non-substantive reasons.

Patricia A. Sharpnack, DNP, RNPresident

6 MOMENTUM

F R O M T H E E X E C U T I V E D I R E C T O R

Betsy J. Houchen,RN, MS, JDExecutive Director

We are pleased to work to provide public protection and regulatory excellence through our Board’s operational work and by collaborating with state and national organizations.

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organizationons.s. •

Ohio Board of Nursing 7

LICENSED PRACTICAL NURSES (LPNS)RENEWAL 2018

If you hold an active LPN license in Ohio, your license is valid

through October 31, 2018. LPN renewal begins on July 1, 2018.

The 2018 renewal will be the second LPN renewal completed

online in the new 3.0 Ohio eLicense system, a comprehensive

professional regulatory license system used by a variety of state

licensing boards.

It is estimated that 55,000 LPN licenses will be renewed this

renewal cycle. The earlier you renew, the better chance you have

to avoid issues with your license close to the renewal deadline.

Licensees may use a computer in the Board office to renew online

with staff assistance (if needed) on business weekdays between

8:00 am and 5:00 pm.

Renew Timely

• Renew ASAP. Incomplete applications will not be

accepted by the online system. Waiting until a deadline

and realizing you do not have all the information

needed to complete the application may prevent you

from renewing timely.

• If you wait to renew until close to the September 15th

fee deadline and encounter any difficulties or cannot

provide all the information, the application will be

incomplete and you will then pay a late fee on or after

September 16, 2018. The late processing fee is the $65

renewal fee plus an additional $50 fee. The total late

renewal fee is $115.

• If you wait to renew until close to the October 31st

deadline and encounter any difficulties or cannot provide

all the information, the application will be incomplete

and your license will lapse on November 1, 2018. You

cannot work as a nurse as long as your license is

lapsed. You must then apply for reinstatement of your

license. The reinstatement process takes additional

time to process. Please take the necessary steps to avoid

this possibility from happening to you.

Must Pay by Credit or Debit

• Fees must be paid online at the time of renewal. Use

Master Card, VISA or Discover credit or debit cards.

If you do not have this type of personal credit or debit

card, you can obtain these pre-paid cards at local

stores to use for renewal.

• If the fee is not paid when you submit your application,

the application will be incomplete and will not be

processed until you submit all required fees. All fees

are non-refundable.

Additional Information May Be Required

• If you are asked to provide documentation of

citizenship, court documents or other information

that may be required as part of your application,

please be prepared to upload the documents

electronically through the online system. This

information is usually required of applicants who

answer “yes” to one of the additional information

questions on the renewal application.

• No hardcopies of court documents or other information

required as part of your application will be accepted.

Waiting until a deadline and then realizing you do

not have all the information and in the form needed

to upload the documents electronically through the

online system will prevent you from renewing.

• Incomplete renewal applications cannot be accepted

by the system. If all required documents are not

provided electronically, the renewal application is

incomplete and will not be processed.

Continuing Education Renewal Requirements

• You must complete the continuing education (CE)

requirements by October 31, 2018 to maintain

licensure.

• You are not required to submit documentation of CE

when you renew your license, but you must attest on

the renewal application that you met or will meet the

CE requirement by October 31, 2018. Failure to comply

with CE requirements may be grounds for disciplinary

action. For more information on CE, please refer to

the CE FAQ online at www.nursing.ohio.gov. under the

Continuing Education page.

Watch for additional information regarding LPN renewal

by checking the Board website at www.nursing.ohio.gov. Also,

on the website, click on “Subscribe to eNews, Facebook,

and Twitter” to sign up to receive Board updates and alerts

regarding renewal. Thank you for your cooperation and

assistance in making this renewal a success. •

LEGAL REQUIREMENTS for APRN Standard Care Arrangements

The Board frequently receives questions from Advanced Practice Registered Nurses (APRNs), employers, and facilities about requirements for standard care arrangements (SCA). CNMs, CNPs, and CNSs must practice in accordance with a SCA. See Section 4723.431, Ohio Revised Code (ORC), and Rule 4723-8-04, Ohio Administrative Code (OAC).

Not later than thirty days after first engaging in practice, Section 4723.431(A), ORC, requires that CNMs, CNPs, and CNSs establish a written SCA with each physician or podiatrist with whom the APRN collaborates. That section also requires that the physician or podiatrist be authorized to practice in Ohio and “practice in a specialty that is the same or similar to the nurse’s nursing specialty.” Section 4723.431(D), ORC specifies that CNSs with national certification in psych/mental health may collaborate with a physician who practices in pediatrics, primary care or family practice, or psych/mental health.

The SCA must include the signature of the APRN and each collaborating physician or podiatrist, but a physician’s designated representative may sign on behalf of others if the requirements of the rule are met. Rule 4723-8-04(C), OAC. For purposes of this rule, a physician’s designated representative means a physician who serves as the department or unit director or chair, within the same institution, organization, or facility department or unit, and within the same practice specialty, that the nurse practices, and with respect to whom the physician has executed a legal authorization to enter collaborating agreements on the physician’s behalf.

Rule 4723-8-04(C), OAC requires that the SCA include the date it is executed and the date of the most recent review. Also, the rule specifies that the SCA must include the complete name, specialty and practice area, business address, and telephone number where each collaborating physician or podiatrist and APRN who is party to the SCA may be reached at any time. When a designated physician signs on behalf of other physicians, a list of all the physicians subject to the SCA should be attached to or incorporated within the SCA. The SCA also must include:

• A statement of services offered by the CNM, CNP, and CNS. • A plan for incorporation of new technology or procedures.• Quality assurance provisions.• A plan for coverage of patients in instances of emergency or

planned absences either of the CNM, CNP, or CNS, or the collaborating physician or podiatrist.

• A process for resolution of disagreements regarding matters of patient management.

• An arrangement regarding reimbursement under the medical assistance program, i.e., Medicaid.

When prescribing, CNMs, CNPs, and CNSs must comply with Sections 4723.481 and 4723.482, ORC, and Chapter 4723-9, OAC. Rule 4723-8-04(C), OAC, requires the SCA to include the following when prescribing:

• Provisions to ensure timely direct, personal evaluation of the patient with a collaborating physician or the physician’s designee when indicated.

• Additional prescribing parameters for drugs or therapeutic devices, including: provisions for use of FDA approved drugs for indications that are not FDA approved (off-label use); provisions for use of FDA approved drugs reviewed by the committee on prescriptive governance (CPG) subsequent to the effective date of the SCA; provisions for the use of drugs previously reviewed by the CPG but approved by the FDA for new indications subsequent to the date of the SCA; and provisions for the use and prescription of any schedule II controlled substances.

• If prescribing to minors, provisions for complying with Section 3719.061, ORC.

• Provisions for obtaining and reviewing Ohio Automated Rx Reporting System (OARRS) reports and engaging in physician consultation as required by Section 4723.487, ORC, and by Rule 4723-9-12, OAC.

• A procedure for the CNM, CNP, or CNS and the collaborating physician, or a designated member of an institution’s quality assurance committee composed of physicians of the institution, organization, or agency where the CNM, CNP, or CNS has practiced during the period covered by the review, to conduct at least a semiannual periodic review of the following for the CNM, CNP, or CNS: a representative sample of prescriptions written, a representative sample of schedule II prescriptions written, and provisions to ensure all of the requirements of Rule 4723-9-12, OAC, the standards and procedures for review of the OARRS, are being met.

• Quality assurance standards consistent with Rule 4723-8-05, OAC.

The Board periodically receives requests for a SCA form or template. The Board does not provide a SCA template or form because SCAs are legal agreements that must be practice-specific for the CNM, CNP, and CNS and the collaborating physician or podiatrist. The CNM, CNP, or CNS and the collaborating physician or podiatrist are to develop and agree upon the SCA content.

The Board does not review or approve SCAs and does not require SCAs to be submitted to the Board unless requested. Rule 4723-8-04, OAC, requires that the APRN’s employer retain the current copy of the SCA and that APRNs retain copies of previous SCAs for at least three (3) years.

Questions may be sent to practiceAPRN@nursing.ohio.gov. Other APRN practice laws, rules and guidance may be accessed on the Board’s website at http://www.nursing.ohio.gov/Practice-APRN.htm. Please consider consulting with your employer or legal counsel when necessary. •

8 MOMENTUM

Ohio Board of Nursing 9

10 MOMENTUM

ADMINISTRATION OF SPECIFIC DRUGS BY RNs

Are RNs prohibited from administering low dose ketamine for purposes of pain control or treatment of depression? Can an RN administer propofol for sedation? What about methotrexate? The Board has recently received questions about RN administration of these specific drugs. RNs are informing the Board that they may be asked to administer ketamine due to shortages of other drugs or because a prescriber is decreasing the use of other drugs, or that propofol is the sedation drug ordered by some physicians. Further, RNs question the use of methotrexate, which may be used for various purposes, including termination of ectopic pregnancies.

While there is no list of medications that RNs may administer, questions about drug administration should first be considered by reviewing the purpose for which the drug is ordered and the clinical circumstances in which the medication will be administered. This type of analysis will help determine whether the administration is within the RN licensed scope of practice, and whether the drug administration is otherwise prohibited by law. See Sections 4723.01(B) and 4723.151, Ohio Revised Code (ORC). In addition to understanding why the medication is ordered, clinical circumstances are also determining factors as to whether the RN may safely administer the drug in accordance with acceptable standards of care established in Chapter 4723-4, Ohio Administrative Code (OAC).

For example, AG Opinion 2005-012 (addressing Section 4723.151(C), ORC), specifies that nurses are prohibited from administering methotrexate, or any other drug, for the purpose of terminating a live pregnancy including ectopic pregnancies. The RN may administer methotrexate for other purposes, such as treatment of rheumatoid arthritis and other conditions, but the RN is responsible for identifying if there are any contraindications to the administration of the methotrexate, including verifying that a patient is not pregnant before implementing the order for the drug.

A RN, who is not a CRNA, is not authorized to administer medications like ketamine and propofol, or any other drug for the purpose of deep sedation and/or general anesthesia. If the purpose is for mild or moderate sedation, the RN may administer the drug in the prescriber ordered dosage. In addition, if the medication is ordered for pain control, the RN may administer the drug in the prescriber ordered dosage, but if the RN believes the dosage may result in deep sedation, the RN should discuss this with the prescriber before administering the drug. See Rule 4723-4-03(E) and (F), OAC

The Board has published an Interpretive Guideline regarding RN administration of IV medications for purposes of procedural moderate sedation that addresses RN administration of sedating drugs. The IG may be of interest to those who have questions. See “Utilizing Interpretive Guidelines,” and other practice resources at www.nursing.ohio.gov (click on the Practice RN and LPN link).

Relevant rules, summarized below, also can be accessed on the Board website at the Law and Rules link.

• Rule 4723-4-03(D)(4), OAC, requires a RN to have a specific current order, from an authorized prescriber, for the medication, treatment or regimen that the nurse is to administer or carry out. Standards governing the individual’s professional practice, including the administration of specific drugs by RNs are found in Chapter 4723-4, OAC.

• Rule 4723-4-03(E), OAC, states that the RN will timely implement the order, unless the RN believes or has reason to believe the order is inaccurate, not properly authorized, not current or valid, is harmful or potentially harmful to the patient, or is contraindicated by other documented information that the RN is required to seek for clarification of the order.

• Rule 4723-4-03(J), OAC, states that the RN shall use acceptable standards of safe nursing care as a basis for any observation.

• Rules 4723-4-03 and 4723-4-06, OAC, further govern competency in practice and the standards of nursing practice respectively, requiring that the RN who is implementing an order make a case-by-case decision based upon competent and safe nursing practice. The RN must determine if appropriate resources, including supportive personnel, are available to implement an order. Rule 4723-4-06(H), OAC requires the implementation of measures to promote a safe environment for each patient.

In addition, RNs should review employer policies as they relate to nursing practice, because employers may choose to adopt policies that are more restrictive than the Nurse Practice Act and administrative rules. Work policies may restrict RNs from administering specific types or classifications of drugs.

Please contact the Board at practiceRNandLPN@nursing.ohio.gov if you have questions. Please subscribe to eNews on the Board website at www.nursing.ohio.gov or follow social media for updates and alerts. •

Ohio Board of Nursing 11

12 MOMENTUM

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nunursrseses wwasas ffirirstst eenanactcteded iin n ththe e OhOhioio RRevevevisisisededed CCCodododeee (O(O(ORCRCRC))) ininin

ththee fafallll ooff 20200303. . InIn 2201013,3, tthehe llananguguagage e wawas s exexpapap ndndndededed ttto o

ininclcludude e pepersrsononss whwhoo cocontntraractct wwitithh nunursrsseseses,, dididialalalysysysisisis

tetechchninicicianans,s, mmededicicatatioion n aiaidedess anand d cecertrtififieiedd cococommmmmmunununititity y y

hehealalthth wwororkekersrs. . ThThisis aartrticiclele iiss prprovovidideded aass anan oovevervrvieieww ofofof ttthehehe

dudutyty ttoo rerepoportrt mmisiscocondnducuctt anand d foforr didiscscusussisionon ppururpoposeseses s s

fofocucuseses s onon llicicenensesedd nunursrseses..

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thththeee BoBoB arard d bebe mmadadee byby eeveveryry pperersosonn oror ggovoverernmnmenentatal l enentitityty

thththatatat eeempmpmploloysys, , oror cconontrtracactsts ddirirecectltlyy oror tthrhrououghgh aanonoththerer pperersoson n

ororor gggovovovererernmnmnmenene tatal l enentitityty fforor tthehe pprorovivisisionon oof f seservrviciceses bby,y,

rereregigigistststerererededed nnnurrurseses,s, llicicenensesedd prpracactiticacall nunursrseses, , didialalysysisis

tetetechchchnininiciciciananans,s,s, mmmedededicicicaatatioionn aiaidedes,s, oor r cecertrtififieied d cocommmmununitity y hehealalthth

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bybyby lllawawaw ttto o o rererepopoportrtrt mmmisisiscococondndnducucuct t t ofofof aaa nnnururursese ooututsisidede oof f ththeieirr rorolele aas s

emememplplployoyoyererer.

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cocorprpororatatatioioionsnsns,,, bububusisisinenenessssss tttrururustststs,s,s eeestststatatateseses,, papapartrtrtnenersrshihipsps aandnd

asassosociciatatioionsnsns. SeSeSeeee SeSeSectctctioioionnn 1.11 595959(C(C(C),),), OOORCRCRC. WiWiWiththth rregegarardd toto

asassosociciatatioionsns,, rererepopoportrtrtinining g g wowowoulululd dd nononottt bebebe rrreqeqequiuiuirerereddd asasas ttoo itits s

memembmbererss gegenenerarallllly,y,y bbbututut aaasss tototo llliciicenenensesesed dd nununursrsrseseses wwwhohho aaarere

ememplployoyeded bby y oror cconontrtracactt wiwithth tthehe aassssocociaiatitionon ttoo prprovovididee

nunursrsiningg seservrviciceses..

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whwhereree ththereree isis oonlnly y ononee pepersrsonon llicicenensesed d byby tthehe BBoaoardrd, , anand d

ththt atat pperersoson n isis tthehe nnurursese wwhoho eengngagageded iinn ththee mimiscscononduductct,, ththenen

ththeee ememplployoyerer iiss rereququirireded ttoo rerepoportrt tthehe mmisiscocondnducuct t ththrorougugh h

ththee nunursrsrsee. InIn ooththerer wworordsds, , ththee nunursrsee mumustst sselelf-f-rerepoportrt hhisis oorr

heher r mimiscsconnondudud ctct oon n bebehahalflf ooff hihis s oror hherer eempmploloyeyer r oror cconontrtracactitingng

enntitityty.. IfIf tthehe nnnururu sese rrefefususeses, , ththe e ememplployoyerer rrememaiainsns ooblbligigatateded

under r ththee lalaww toto cccomomo plplyy wiwithth tthehe sstatatututete.

When: SeSectctioion n 4747723232 .3.34(4(A)A),, ORORCC fufurtrtheherr mamandndatateses tthahatt

reports to thehe BBoaoardrd bbee maamadeded wwhehen n anan eempmploloyeyer r oror cconontrtracactotor r

“knows or has rereasasonon ttoo bebelililieveve e”e” tthahatt aa cucurrrrenent t oror fforormemerr

employee or person pprorovivididingng sserrerviviv ceces s unundederr a a cocontntraractct, , whwho o

holds a license or certifificacatete iissssueued d ununundeder r ChChapapteter r 47472323, , hahas s

engaged in conduct that wowoululdd bebe ggroroununundsds fforor ddisisciciplplininarary y

action by the Board under Ohhioio llawaw oor r ruuruleles.s. ExExamamplpleses

include, but are not limited to, ffaiailulurere ttoo prprp acactiticece iin n

accordance with acceptable and prevaililining g ststanandadarddrdss s ofof ssafafee

nununursrsrsinininggg cacacarere, , fafaililurure e toto mmaiaintntaiainn prprofofesessisiononalal bbououndndararieies,s,

popoposisisitititiveveve dddrururug g g scscrereenens,s, ddiviverersisionon oof f drdrugugs,s, oor r ththe e imimpapairirmementnt

ofofof ttthehehe aabibibilililitytyty tttoo prprp acactiticece nnurursisingng.. TThehe eempmploloyeyerr oror cconontrtracactotorr

isisis rrreqeqequiuiuirerered d d tototo rrrepepepororort t t ththee nunursrsee evevenen iif f nono aactctioionn hahas s bebeenen

tatatakekeken nn ininin rrregegegarararddd tototo ttthehehe nnnururu sese’s’s eempmploloymymenent t oror cconontrtracact,t, iif f ththe e

nunursrse e hahahass bebebeenen rrefefefererrered d d tototo aann ememplployoyeeee aassssisistatancncee prprogograram,m,

ororor iiif ff thththeee nununursrsrse e e isisis pppararartititicicicipapapatititingngng iinn a a rerememedidiatatioionn prprogograram.m.

AdAdAddididitititionononalalallylyly,, ananan eeempmpmplololoyeyeyer rr ororor cccononontrtrtracacactotorr isis rreqequiuireredd toto rrepeporort t

mimimiscscononduduductctct eevevenn ififif ttthehehe eempmpplololoyeyey rr bebebelililieveveses tthahat t ththe e mamatttterer hhasas

alalrereadaddy y y bebebeenenen rrrepepeporororteteted d d tototo ttthehehe BBBoaoaoardrdrd bbby y y anananototo heherr enentitityty.. FForor

exexamamplple,e, aaannn emememplplployoyoyererer iiis ss stststililill ll rererequququiririrededed tttooo rererepopoportrtrt aa nnurursese wwhoho

hahas s didivevertrtededd nnararcocotititicscs eevevenn ififif ttthehehe eempmpplololoyeyey rr bebebelilil eveveses tthehe

inincicidedentnt wwasas rrepeporororteteted d d tototo ttthehehe BBBoaoaoardrdrd bbby y y lalalaww w enenenfofoforcrcrcemememenenent.t.t

IfIf aann ememplployoyerer ooor rr cococontntntrararactctctororor iiis ss unununsususurerere iiif ff aaa nununursrsrse’e’e s s

cocondnducuct t shshououldld bbe e rerepoportrtrtededed, , , thththe e ememplplployoyyerer sshohohoulululd d d rerepopop rtrtrt ttthehehe

sisitutuatatioion,n, sso o ththatat tthehe BBoaoardrd cccananan iiinvnvnvesesestititigagagatetete,, rerereviviviewewew ttthehehe fffacacactststs

anand d cicircrcumumststananceces,s, aandnd mmakakee a aa dededetetetermrmrminininatatatioioion nn asasas ttto oo whwhwhetetetheheher rr

aa viviololatatioionn ofof tthehe NNurursese PPraractcticicee AcAcActtt hahahass ococcucurrrrededed.. AAAnn

ememplployoyerer oorr cocontntraractctoror iiss nonot t rereququirirededed tttoo o cococompmpmpleleletetete aaa fffululull ll

ininveveststigigatatioion n bebefoforere rrepeporortitingng tto o ththee BoBoararrd dd – thththeee rererepopoportrtrtinining gg

ststanandadardrd iiss “r“reaeasosonn toto bbelelieieveve.”.” EvEvenen iif f anan eempmpplololoyeyey rr oror

cocontntraractctoror iiss ununcecertrtaiainn whwhetetheherr ththereree isis eenonougugh h evevvidididenenencecece tttoo o

prprovove e a a viviololatatioion,n, tthehe ccononduductct sshohoululd d bebe rrepepororteted d tototo ttthehehe

BoBoarard.d. InIn ssomomee ininststananceces,s, tthehe BBoaoardrd mmayay hhavavee ototheheherr

ininveveststigigatatorory y ininfoformrmatatioion,n, aandnd tthehe nnewewlyly rrepepororteted d cocondnducuct t

mamay y ththenen iinddndicicicatatatee aa momorere ssererioiousus ppatatteternrn oor r prproboblelem.m. IfIf tthehe

rerepoportrt iiss mamadede iinn gogoododod fffaiaiaiththth, , ththereree isis iimmmmununitity y frfromom ccivivilil

liliababililitity y foforr rerepoportrtining.g. SeSeee SeSectctioionn 47472323.334141,, ORORC.C

AA rerepoportrt tto o ththe e BoBoararddd cacann bebebe mmadadee byby ccomomplpletetiningg a a

CoCompmplalainint t FoFormrm tthahat t isis aavavailililababablelele iiinn thththee DiDiscscipiplilinene aandnd

CoCompmplilianancece ssecectitionon oof f ththee BoBoarardd wewebsbsititee atat ee wwwwww.nunursrsining.g.gg

ohohioio.g.govovg . . TThehe ffororm m cacan n bebe ssububmimittttedded bbby y ememaiaiail,l,l, fffaxax oor r reregugulalar rvv

mamailil.. TThehe ffacactt ththatat tthehe BBoaoardrd hhasas rrececeieiveveddd inininfofoformrmatatatioioionn ababouout t

anand d isis iinvnvesestitigagatitingng aa nnurursese iiss coconfnfididenentitialal. ThThee ininititiaiatitionon oof f

anan iinvnvesestitigagatitionon iis s nonott didiscsclolosesedd toto tthehe ppubublilic.c. CoCoCompmplalalaininintststs

anand d ininfoformrmatatioionn obobtatainineded ddururiningg ththee ininveveststigigatatororyy prprococesesss

araree coconfnfididenentitialal ppurursusuanant t toto SSecectitionon 4472723.3 2828(I(I),), OORCRC. BBasaseded

onon eevividedencncee obobtatainineded ddururining g ththee ininveveststigigatatorory y prprococesess,s, tthehehe

BoBoarardd mamay y pupursrsueue ddisisciciplplininarary y acactitionon oorr clclososee ththee cocompmplalainint t

wiwiththouout t acactitionon. IInn ththee inintetererestst oof f prprototecectitingng tthehe ppubublilicc anand d

papatitienentt sasafefetyty,, alalwawaysys rrepeporortt a a nunursrsee ifif yyouou rreaeasosonanablbly y bebelilieveve e

ththee nunursrsee hahass enengagagegedd inin ccononduductct tthahat t wowoululdd bebe ggrorounundsds fforor

didiscscipiplilinanaryry aactctioionn. •

DUTY TO REPORT MISCONDUCT

14 MOMENTUM

CONTINUING EDUCATION (CE) FOR VOLUNTEER SERVICES

SeSectctioion n 47474545.0.04,4, OORCRC aandnd RRululeses 4472723-3-1414-0-03(3(L)L), , OAOAC C and 4723-8-10((B))((4( )),), OOACAC,, auththorizizee LPLPNsNs, RNRNss, aandndAPAPAPRNRNRNsss tototo ooobtbtb aiainn upup ttoo eieighght t hohoururss ofof CCEE byby ppprorovivididingnghehealalthth ccararee seservrviciceses aass aa vovoluluntnteeeer,r, iiff ththee fofollllowowining g condndititioionsns aarere mmetet::

1.1. ThThe e lilicecensnseeee ppprorovividedess hehealalthth ccarare e seservrviciceses tto o anan inindididigegentntt aandndd uuninininsnsnsurururededed pppererersososonn.n.

2.2 HeHealalthth ccararee seservrviciceses aarere pprorovivideded d iwiwithththiinin ttthehehelilicecensnseded sscocopepe ooff prpracactiticece....

3.3.33. HeHeHeHealalalalthththth ccccararararee ee seseseservrvrvrviciciciceseseses aaaarererere pppprorororovivividedededdd asasas aaa vvvolololununu teteerer..

44.4 OnOnOnee e hohoh ururur oooff f CECECE mmmayayay bbbeee awawawawarararardedededd d fofoforrrr eveveveverereryy y isisisi txtxtxtyy y miminunutetess spspenent t prprovovididiningg hehealalthth ccarare e seservrviciceses aas saa vovoluluntnteeeer.r.

5.5. DoDocucumementntatatioionn ofof ssererviceces s mumust include the fofollllowowining g anand d mumustst bbee mamainintatainineded fforor ssixix yyeaearsrs::

•• A A sisigngneded sstatatetemementnt ffroromm a a pepersrsonon aat t ththe e hehealalththcacarere ffacacililitity y oror llococatatioionn whwherere e ththhe e heheh alallththth ccarare e servrviciceses wwereree pepe frfrforormemeddd veveveriririfyfyfyinining:g:g:

•• ThThe e dadatete aandnd ttimimee pepeririodod tthehe llicicenenseseeepepeperfrfrfororormememed d d thththee e hehehealalalththth cccarararee e seseservrvrviciciceseses;;;

•• ThThatat tthehe rrececipipieientnt oof f ththe e heehealalalththth cccarararee e seseservrvrviciciceseses wawas s inindidigegentnt aandnd uunininsnsurureded;; anand d

•••• ThThThThatatatat tttthehehehe llllicicicicenenenensesesesee eee prprprprovovovovididididedededed ttthehehe hhheaeaealtltlthh h cacacarerer seseseservrvrvrvicicici eseseses aaaassss aa aa vovovovolulululuntntntnteeeeeeeerrrr.

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6.6. PrPresess s ““SuSubmbmitit..”” ReReququeseststs rrececeieivevedd ononlilinene aarere pprorocecesssseded iin n 2-2-2-333 bububusisisinenessss dddayays.s.

1.1. IfIf yyouou hhavavee alalrereadady y reregigiststerereded oonn ththee BoBoarard’d’ss neneww poportrtalal,, skskipip ttoo StStepep ##3.3. 2.2. IfIf yyouou aarere aa fifirsrst t titimeme uuseser,r, tthehenn reregigiststerer oonn ththee BoBoarard’d’ss neneww pporortatal:l:ww

•• NaNavivigagatete ttoo ththee neneww e-e-LiLicecensnsee HoHomeme PPagagee atat hthttptps:s:////elelicicenensese.o.ohihio.o.gogovvp g ..vvvv•• ChChoooosese ththee LoLogiginn / / CrCreaeatete aann AcAccocoununtt ooptptioion.n.tt•• ChChoooosese tthehe ““II HAHAVEVE AA LLICICENENSESE”” bubuttttonon..

3.3. LoLoLog g g inin ttoo yoyourur aaccccouountnt aat t hthttptps:s:////elelicicenensese.o.ohihio.o.gogovvp g aandndvv4.4. ClClicickk k onon tthehe llininkk ““OpOptitiononss”” fofounundd inin tthehe LLicicenensese bboxox..5.5. ClClicickk onnon tthehe llininkk ““ChChanangege AAddddreressss.”.”6. PrPresesss ““SuSubmbmbmitit..”” YoYourur aaddddreressss cchahangngee wiwillll bbee auautotomamatiticacalllly y apapplplieied d toto yyouourr lilicecensnsee oror ccerertitificficatate.e.

Note: If you u dodo nnotot ffololloolowww ththesesee ininststruructctioionsns, , yoyourur aaddddreressss wwilill l nonot t bebe uupdpdatateded oonn ththee pupublblicic pporortatal l anand d yoyouu mamay y not receive any y cocorrrresespoponddndenenencece ffroromm ththee BoBoarard.d.

For questions, contact OOnlnlininee SySyststemmem SSupuppoportrt aatt 61614-4-46466-6-39394747 aandnd sselelecectt “O“Optptioionn 1”1” ((weweekekdadaysys 88amam-5-5pmpm, , exexceceptpt for holidays). If you need asssisiststanancece aaftftererer bbususininesesss hohoururs,s, eemamailil nunursrsining.g.reregigiststraratitionon@d@dasas.o.ohihio.o.gogovvg g g aandnd iincncluludede aa vvbrief description of the issue, yoyourur fifirsrst t anand dd lalal stst nnamame,e, ttelelepephohonene nnumumbeber,r, eemamailil aaddddreressss,, anand d lilicecensnsee nunumbmberer, , ifif you have it.

How Do I Change My NAME with the Board?

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Ohio Board of Nursing 15

16 MOMENTUM

The Board is required to review and approve curriculum revisions

resulting from a change in the Program’s philosophy, conceptual

framework, or organizing theme. Certain types of curriculum changes,

such as modification of course hours, changes in a course position within

the curriculum plan, or any revision that does not result from a change in

philosophy, conceptual framework, or organizing theme, do not require

Board approval prior to implementing the changes.

Submitting Curriculum Revisions for Board Approval

Rule 4723-5-16, OAC, specifies that the written request include the following:

• Rationale for the proposed curriculum revision;

• Revised philosophy, conceptual framework or organizing theme, or

program objectives or outcomes that result in the curriculum

change;

• Proposed total curriculum plan;

• Course syllabus or outline for each nursing course that includes at

least the title of the course; number of theory hours; number of

clinical and laboratory hours; course description; course objec-

tives or outcomes; teaching strategies; methods of evaluation; a

topical course outline; and planned implementation date and

the impact on currently enrolled students.

It is important for the Program to consider if the proposed curriculum

revision will impact currently enrolled students. Rule 4723-5-12(B), OAC,

prohibits a Program from implementing changes to policies, including

curriculum revisions that impact the education progression or completion

requirements for currently enrolled students. The Program must address any

potential impact in the request submitted to the Board, and verify with

students that the implementation of the revisions does not impact their

progression or completion of the Program.

Process

Rule 4723-5-16(A), OAC, requires the Board to approve curriculum revisions

resulting from a change in the Program’s philosophy, conceptual framework,

or organizing theme, and the proposed revisions must meet the requirements

of Rule 4723-5-13, OAC, for registered nursing education programs, and Rule

4723-5-14, OAC, for practical nursing education programs.

The information must be submitted to the Board at least ten weeks

before the Board meeting at which it is anticipated the Board will review it.

Board staff will contact the Program if additional information is needed

prior to the Board reviewing and approving the curriculum change at its next

scheduled meeting. It is important to remember that the proposed curriculum

revision cannot be implemented until approved by the Board.

FAQs

Question: The Program is changing hours within the curriculum plan and

implementing the new plan beginning with a new cohort of students. Is Board

approval required prior to implementing these changes?

Answer: No. Changing theory, laboratory, or clinical hours within the

curriculum are not changes that require Board approval. The Program

Administrator is required to report the changes in the Program’s Annual

Report and other publications and notifications, as appropriate.

Question: If we are changing the Program outcomes or objectives, is Board

approval required?

Answer: Yes, if the change in outcomes or objectives is a result of revising the

Program’s philosophy, conceptual framework, or organizing theme.

Question: If we are changing objectives within a course, does this require

Board approval?

Answer: No. If the revised objectives were limited to a specific course, these

changes are at the discretion of the faculty responsible for teaching the

course and are not a curriculum revision.

Question: If the Program is only changing the philosophy and not the

conceptual framework, is Board approval necessary?

Answer: Yes. If the curriculum is being revised due to the change in

philosophy, then Board approval is required.

Question: A student failed a course during the last semester the course was

offered and the course is no longer offered because of the curriculum revision.

Since it is not possible for the student to repeat the course, what are our

obligations to the student under the administrative rules?

NURSING EDUCATION PROGRAM CURRICULUM REVISIONS

Nursing education programs (Programs) often ask if they need to request Board approval for a curriculum revision, and what is the process for obtaining approval. Chapter 4723-5, Ohio Administrative Code (OAC), governs pre-licensure nursing education programs, including the requirements related to curriculum revisions.

Answer: Programs are advised to carefully

consider the content of their progression policies.

This is an example of why it is important for the

Program to review its progression policy with

respect to currently enrolled students and

determine how the curriculum revision will

impact them.

The administrative rules require the

Program to follow the progression policy that

was in place for students when they began the

Program. The same policy applies to those

students as long as they are continuously enrolled

in the Program. Therefore, the Program needs to

plan for this situation prior to implementing any

curriculum revisions, even those that do not

require Board approval.

To avoid this situation, the Program may

consider continuing to offer courses until all

students who could be impacted by the change

have had opportunity to retake the course, if that

is one of the provisions in the progression policy.

If the progression policy that applied to a student

allowed the student to re-take a failed course,

the Program would need to make the course

available to the student. But if a student fails a

course, and the progression policy that applied

required the student to complete any new

requirements or courses as a condition of the

student continuing in the Program, the Program

would follow the policy and require the student

to complete the new requirements, rather than

re-taking the failed course.

Question: Is the Program required to notify

students of the curriculum revision?

Answer: Yes. The administrative rules require

that Programs distribute the curriculum

objectives or outcomes, course objectives or

outcomes, teaching strategies and evaluation

methods to each student. See Rule 4723-5-13, OAC,

for registered nursing programs and Rule 4723-5-

14, OAC, for practical nursing programs. •

Ohio Board of Nursing 17

18 MOMENTUM

NTSB ISSUES RECOMMENDATIONS FOR HEALTH CARE PROVIDERS

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SaSafefetyty BBoaoardrd SSafafetety y ReRecocommmmenendadatitionon,, I-I-1414-1-1 aandnd 22 ((20201414).). •

Current MembersOhio Board of Nursing City Term Expires

Patricia A. Sharpnack, DNP, RN PresidentChardon 2021

Brenda K. Boggs, LPN, Vice PresidentGermantown 2019

Sandra Beidelschies, MSN, RNUpper Sandusky 2021

Matthew Carle, JD, Consumer MemberBlacklick 2019

Barbara Douglas, RN, APRN-CRNAChardon 2020

Current MembersOhio Board of Nursing City Term Expires

Nancy Fellows, RNWilloughby Hills 2020

Erin Keels, RN, APRN-CNPColumbus 2018

Lisa Klenke, RNColdwater 2019

Deborah Knueve, LPNColumbus Grove 2021

Lauralee Krabill, RNSandusky 2021

Current MembersOhio Board of Nursing City Term Expires

Daniel Lehmann, LPNDayton 2020

Sandra A. Ranck, MSN, RN Supervising MemberAshtabula 2018

Joanna Ridgeway, LPNHilliard 2018

Advisory Groups and CommitteesAll meetings of the advisory

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Ohio Board of Nursing 19

20 MOMENTUMwww.ncsbn.org

Ohio Board of Nursing 21www.ncsbn.org

22 MOMENTUM22 MOMENTUMwww.ncsbn.org

Ohio Board of Nursing 23www.ncsbn.org

24 MOMENTUMwww.ncsbn.org

Ohio Board of Nursing 25www.ncsbn.org

26 MOMENTUMwww.ncsbn.org 8.17.11

Ohio Board of Nursing 27

Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

January 2018 Monitoring Actions

board disciplinary actions

The following includes lists of Board disciplinary actions taken at public meetings regarding licensed nurses or certificate holders. You can review the type of action taken by checking the individual’s credential at the Ohio eLicense Center at: http://www.nursing.ohio.gov/Verifica-tion.htm#VERInfo, or by clicking on License and Certificate Verification on the Board of Nursing’s website (www.nursing.ohio.gov). You may also request a copy of a public disciplinary record by completing the electronic form on the Board’s website at: http://www.nursing.ohio.gov/iw-DisciplineRecReq.htm or by clicking on Discipline Records Requests on the Board’s website.

Adams Andrea P.N. 155482Adams Lisa P.N. 094210Adkins Rebecca R.N. 282637Alnoubani Muna R.N. 304829Ashcraft Rhonda R.N. 308615Bailey Christina R.N. 372334 P.N. 139374Balog Maegan R.N. 391457Banks Lori P.N. 108792Barger Kelly P.N. 105131Becker Stacy R.N. 390569Berry Michelle R.N. 334081Billings Jesse P.N. 141906Bish Lynn P.N. 105113Bodnar Mark R.N. 396018Bohme Melissa R.N. 227352Bosley Mary R.N. endorseBowman Tonya P.N. 120610Boycan Chipps Sierra P.N. 153590Bradley Violet P.N. 133419Brouse Ashley R.N. 351860Cadwell Heather R.N. 276824Capell Wilburn DTI 005258Caraveo Dawn D.T. 001054Carmichael Crystalee P.N. 119499Case Kimberly R.N. 394852Caupp Jessica R.N. 318861Cerha Michelle P.N. 095378Chambers Valerie R.N. 337496Chanowski Kevin P.N. 129150Chenault Sarah R.N. 411858Chin Rita R.N. endorseChristensen Laura R.N. 365749Clark Michael R.N. 289148Clement Benjamin R.N. 378029Coates Dusty R.N. 315847Collins Samantha P.N. 121264Compton Deborah R.N. 316883

Comstock Randall P.N. 141250Congeni Karen R.N. 293435Conley Jodi R.N. 278478Conteh Alieu P.N. 149148Coppess Jennifer R.N. 410319Cupps Rita R.N. 233002Curry Kathy R.N. 378255Cvijanovic Carol R.N. 241646Daley Jessica R.N. NCLEXDalrymple Rebekah R.N. 366604Daria Jeanette R.N. 413759Davis Adrianna P.N. endorseDavis Muhammad R.N. 418167 P.N. 130381Dawson Shannon R.N. 413332 P.N. 148086Decorte Beth P.N. 113489Deitch Holly R.N. 309431 P.N. 104693Dixon Darrell P.N. 115238Dizon Rolando P.N. 162034Donchess Sheri R.N. 260078Donnally Anna P.N. 146170Dorsten Emily R.N. 375153Douglass Kayshia P.N. 153649Durinka Kelly P.N. 102412Eckerman Amy P.N. 131293Erdy Brenda R.N. 199380Evans Jennifer R.N. 301996Ferrer-Arrington Yvonne R.N. endorseFinn-Smith Elizabeth R.N. 220444Finsel Alesia R.N. 211846Flynn Natalie R.N. 266263 CNP 09772Fox Julie R.N. 342795Frazier Crystal P.N. 097744Frazier Jeanne R.N. 344632 P.N. 041215Freshwater Jacqueline P.N. NCLEX

Fry Melissa R.N. 357423Garber Tiffany DTI applicantGarcia Taylor DTI 005234Geisler Gregory R.N. 399277George Taaffe P.N. 137474Gettings Lori R.N. 392195Gibson Lori R.N. 369619Glosser Stephen R.N. 383192Goetz Margaret R.N. 159619Greene Amanda R.N. 368825Grunden Jason R.N. 341833Guenther Becky R.N. 270737Haas Cara P.N. 122447Haas-Dugan Marylynn R.N. 196980Hall Syreeta P.N. 135425Hall Tamara P.N. 128684Halleran Rachel R.N. 419746Halley Angel R.N. 319627Hamm Eric P.N. 153502Hauser Jennifer P.N. 135558Hawkins Jeanette P.N. NCLEXHeavelyn Darden P.N. 134676Henry Steven P.N. 135283Herrold Rex P.N. 164209Hines Kristen R.N. 377924Hobbs Elizabeth P.N. 121847Hoffman Dawn P.N. 110978Holman Hughes Melessia R.N. 324521Hopkins Kelly R.N. 312965Hosey Leon R.N. 306665Howdeshell Ethel R.N. 251273 CNP 08855Hutchinson Marian P.N. 095939Johnson Dennis P.N. 081126Johnson Lisa P.N. 120066Jones Leslie R.N. 366274Jones Linette R.N. 318465Jones Robert R.N. 315597

Abbott Amanda R.N. 353314Allen Angela R.N. 393913 P.N. 115234Archbold Cassidy P.N. 134078Ballenger Catherine R.N. 376909Barosky April R.N. 359562 P.N. 131352Baughman Amber R.N. 307973Bennett Jessica R.N. 340844Binion LaWanda R.N. 424815Bliss Brandon R.N. 317369Bricker Shelley R.N. 251181Burns, Jr. Bernard P.N. 161237Butler Bobbi R.N. 327213Callahan Jill R.N. 371258Caston Cherice P.N. 165040Clemmons Ebony R.N. 227549 P.N. 077010Clemons Mary R.N. 188649 CRNA 00171Daniel Jennifer P.N. 102631Delsignore Sandra R.N. 336945Dunn Kristen P.N. 134779Etgen Michelle P.N. 130371Goble James P.N. 092280Greene Angela R.N. 394685 P.N. 110879Hall Leah P.N. 102021Hannah Debra R.N. 241446

CNP 04889Hanson Jennifer R.N. 328478Hice Jeffrey R.N. 308432Hightower Deshannon R.N. 344932 P.N. 102779Hinton Jennifer R.N. 271347Hockman Rhonda P.N. 112166Holman Tonesia R.N. 421617 P.N. 139071Horton Jessica R.N. 350433Jacobsen Bethany R.N. 350460 P.N. 126754James Miranda P.N. 159650Johnson Mary R.N. 372304Jones Tawana P.N. 127521Kennard Taryn P.N. 156396King Laura P.N. 139441Kornmiller Diana R.N. 384372 P.N. 139610Krajacic Lindsay R.N. 326037Legler Bailey R.N. 410466Lunney Melody R.N. 332867MacGregor Lynnette P.N. 056812Mason Tammy R.N. 299518Matusiak Alicja R.N. 359101 CNP 16032Mbodj Mohamed R.N. 400812 P.N. 128027McDaniel Elizabeth R.N. 361083

Melton Jennifer R.N. 341254 P.N. 100756Moodie-Adams Claudia R.N. 316369Moss Jessica P.N. 126682Musani Margaret P.N. 158916Neeley Meghan R.N. 387232Osborn Renita R.N. 392894 P.N. 142972Pawlowicz Erin R.N. 296978Ray Chelsea R.N. 401304 P.N. 150571Robinson Keena P.N. 155256Robinson Sharita P.N. 128963Rodgers Ann R.N. 280168Rucker Edla R.N. 268770 CNP 10100Savage John R.N. 410747Seamster Latoya P.N. 149242Silva Elizabet P.N. 110113Sims Brittny DT 004006Thomas Tanisha P.N. 156032Tingelstad Kimberly P.N. 121238Van Der Voort Dustin R.N. 339581Williams Lori R.N. 328322Williams Taneesha P.N. 158638Wilson Emilee R.N. 405176Wolf Patricia R.N. 302489 CNP 07017Woods Heather P.N. 140747

January 2018 Disciplinary ActionsLast Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

March 2018 Monitoring Actions

28 MOMENTUM

Abbott Amanda R.N. 353314Adamski Barbara P.N. 044402Allen Danielle R.N. 426246 P.N. 137733Anderson Ella R.N. 302050Bahns Todd R.N. 283692Barosky April R.N. 359562 P.N. 131352Bartley Courtney R.N. 328430Bennett Jessica R.N. 340844Benson Clista R.N. 329975Black Amber R.N. 377530Bollmer Amy P.N. 126998Bond Chambrell R.N. 409499 P.N. 147739Bosner Kelsie P.N. 159951Boyd Cynthia P.N. 115358Brown Melissa P.N. 118003Carnahan Doreen R.N. 281440Channell Theresa R.N. 376632 P.N. 120336Chapman Carree R.N. 333053Chapman Twanta P.N. 112145Clark Barbara P.N. 109791

Collene Crystal R.N. 372030Craft Crystal R.N. NCLEX P.N. 115066Creer Kimberly P.N. 124590Crutcher Lisa R.N. 376716Daria Jeanette R.N. 413759Darrington Lisa R.N. 398271 P.N. 132955Days Kathy R.N. 231225England Kayla R.N. 419688 P.N. 147313Enochs Connie P.N. 085450Esquivel-Rodriguez Amanda R.N. 445637 P.N. 114304Ferrell Britni P.N. 142871Garrison Karen R.N. 328473Geisler Gregory R.N. 399277Gonzalez Brandi R.N. 355911Gross Kristen R.N. 342504Haas-Dugan Marylynn R.N. 196980Haggard Kelly R.N. 264630Hagwood Elissa P.N. 158084Hanson Lisa P.N. 109230Jafar Bridget P.N. 115469

James April P.N. 111741Johnson Margaret R.N. 137462Keister Nichole DTI 005143King Karen P.N. 098035Kitts Neysa R.N. 327012Krohmer Lydia P.N. 079137Kubincanek Troy R.N. 347868Kuehner Amberly R.N. 282608Langenkamp Amanda P.N. 164208LaRock Frank P.N. 101128Latham Lori P.N. 163685Leitschuh Andrea R.N. 369681 P.N. 138346Lemaster Andrew R.N. 359743 P.N. 129167Linna Erica R.N. 286447Martaus Angela P.N. 158261Mays Amy P.N. 109729McAfee Alfreda R.N. 373605McDonald Kristen R.N. 385753McEndree Karly R.N. 380560McGinnis Jeanne R.N. 320815Melton Jennifer R.N. 341254 P.N. 100756

January 2018 Disciplinary ActionsLast Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

Jones Shelly P.N. 053855Jones Stephanie MAC applicantJones Thirkeshia P.N. NCLEXJones Tracie R.N. 293674 P.N. 087979Justice Derek R.N. 300970Key Katherine R.N. 372984Kidd Brandy P.N. 158265Kirk Angel P.N. 147619Kirkendall Angela P.N. 121383Kish James R.N. 196032Klawonn Kristina R.N. 365704 P.N. 122399Knight Penny P.N. 103588Kolanko Lindsay R.N. 333176Kolcun Angelique P.N. 105215Lang Alicia P.N. 113701LaRue Denise MAC 000092Latham Lori P.N. 163685Lawhorn Brandy P.N. 139972Lee Sheena R.N. 380597 P.N. 133447 CNP 020753Leister Lauretta R.N. 349835Lieder Mary R.N. 154205 CNP 07002 CTP 07002Mahilo Sarah R.N. 330620Mancini Rita R.N. 414724Marcum Leanna P.N. 162721Marshall Ebony R.N. 413603Marston Angela P.N. 143163Martin Kristine P.N. 122003Matthews Kimberly P.N. 119531Mayer Samantha R.N. 400811Maynard Christina P.N. 146658McCormick Brendan R.N. 258409McCoy April R.N. 355036McGinnis Jeanne R.N. 320815McGucken Rachel R.N. 389734Mearns Alice R.N. 384325Melley Charles P.N. 150579Miller Penni R.N. 325943Monroe Erica P.N. 121893Monstwil Kenneth R.N. 256439Morgan Angelina P.N. 150873Muetzel Megan P.N. NCLEXNapier Jessica P.N. 150108Noble Darlene R.N. 254817Noonan Catherine R.N. 356958Okagu Driemonnetta P.N. 155279Otieno Susan P.N. 142877Pack Heather R.N. 410859Page Tammy P.N. 109984Parabtani Stephanie R.N. NCLEX

Parrigin Rebecca P.N. 158945Pascarella Leila R.N. endorsePatkowski Irene R.N. 184893Paul Melinda P.N. 102957Payne Linda R.N. 280722Perakovic Sherry R.N. 267740 P.N. 094709Pernell Cristy P.N. NCLEXPeters Matthew R.N. 362938Pierce Tammy P.N. 111308Plaster Christine P.N. 113853Porta Carissa R.N. 227085 CNP 09046Price Tara P.N. 103887Puskar Terrisa P.N. 119747Rader David R.N. 171063Reilly Cara R.N. 252103Ricciardo Heather R.N. 433249Rill Candice-Anne R.N. 369809Rolen, Jr. Michael P.N. 149694Rook Joshua P.N. 151163Rowland Nicole R.N. 388863Rush Colleen P.N. 139469Rutherford Christina R.N. 323227Saunders Shelley R.N. 406855 P.N. 111432Scroggs Zachary P.N. 129831Sellers Matthew P.N. 157402Sellman Lee R.N. 326267Semelsberger Dawn R.N. 260510Shambarger Jennifer R.N. 316301Shaw Marlena P.N. endorseShimandle Sharon R.N. 168537 CNS 04347 CRNA 06696Shirley Shalia DT 005100Short Lisa R.N. 291700Shrewsbury Douglas R.N. 398788 CNP 15504 CTP 15504Silvernell Stephanie P.N. 072351Smith Angela R.N. 216303Smith Cathryn P.N. 120978Smith Deborah P.N. 153565Smith Erica R.N. 411500Smith Lori R.N. 305805Smith Samara P.N. 140354Smith Sherita P.N. 130628Smith Tiffany P.N. 127805Soltay Christy R.N. 347166Spencer Kaitlyn R.N. 353226Spicer Kelly R.N. 284402Stack Kathryn R.N. 383195Stacy Shawn P.N. 131419Stawicki Rachelle R.N. 383762

Steele Gina R.N. 425481Stewart Amanda P.N. 138804Stone Kevin R.N. 356447Stratton Cody R.N. 315060Suiter Julie P.N. 082761Tait Linda R.N. 421907Thier Penny R.N. 178450Thom Kathryn P.N. 102485Thomas Julie R.N. 273572Tighe Shannon R.N. 411466Todd Tracie R.N. 424229Torres Suzanne R.N. 315304Tuggle Gina R.N. 341422Turner Tammy R.N. 336872Tylicki Cortney P.N. 145784Vickers Deborah P.N. 086841Wagel Amber P.N. 141934Walker Nicolette P.N. 160139Walls Shawn R.N. 365897Walls Shelia P.N. 107091Walters Jo R.N. 192005Warner Beth P.N. 116813Wash Jennifer R.N. 283968Washington Dorothy R.N. 300569Wears Tonya P.N. 108768Weber Anthony P.N. 151232Weber Carly R.N. 402330Weisburn Megan R.N. 358345Wells Joby P.N. 154524Westfall Angela R.N. 348161Wettmarshausen Sylvia R.N. 355627Wheeler Tiffany R.N. 404327Whelan Emily R.N. 358005Whetsel Shannon P.N. 117072White Amber P.N. NCLEXWhitney Danielle R.N. 409744 P.N. 122878Wilbon Tiahna P.N. 159687Williams Jaleesa P.N. endorseWilliams Tiffany P.N. 142287Willis Charmaine P.N. 154883Wireman Danielle R.N. 257798Withers Christina P.N. 147949Woodall Loretta P.N. 129717Woods Christina R.N. 356346 P.N. 118979Wright Ashley P.N. 160515 D.T. 002747Wright Krystal P.N. 155693Yeagley Diane P.N. 136740Young-Cole Jennifer R.N. 366104Zarick Jennifer R.N. 409222Zavala Sherri P.N. 101005Zimmerman Tana R.N. 311343

Ohio Board of Nursing 29

Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

March 2018 Disciplinary Actions

Menasian Carey R.N. 253056Miller Ryan R.N. 349400 CNP 12144Muetzel Megan P.N. 167366Myers Bryana P.N. 164205Myers Tamara P.N. 065695Owens Callen R.N. 355665Owusu Nana Yaa R.N. 378330 Appaih-Kromah P.N. 128745Parmer Michelle R.N. 392046 P.N. 147185Pflager Kirk R.N. 314303Prince-Paul Mary R.N. 231816Rahe Heather R.N. 284717Raines Lucy P.N. 120073Reilly Cara R.N. 252103

Rice Della R.N. 165020 CNP 08424Roberts Michael R.N. 382834Rockwell Johanna R.N. 188485Sexton Stephanie P.N. 145267Shambarger Jennifer R.N. 316301Shiflet Elizabeth R.N. 389368 P.N. 133634Shrewsbury Douglas R.N. 398788Simmerman Patricia R.N. 264727Simons Rebecca P.N. 126396Sims-Weekes Regina R.N. 357580Stakolich Molly R.N. 378795Starrett Amanda P.N. 131330Stephens Jennifer R.N. 312431Swaim Peggy R.N. 438527 P.N. 120576

Taylor Sanita R.N. 350112 P.N. 120800Tharp Bobetta P.N. 107024Tomaro Mirella P.N. 112188Travis Sarah R.N. 358232Trotter Jessica P.N. 162943Turnock Stacey P.N. 124565Vitale Amanda R.N. 392624Walters Rachel R.N. 297961Walton Alicia P.N. 102827Waters Latasha P.N. 160369Wells Brittany R.N. NCLEX P.N. 156272Williams Shannon P.N. 145646Willison Rochelle P.N. 144930

Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

March 2018 Monitoring Actions

Adamson Leanne R.N. 282433Adkins Rebecca R.N. 282637Alexander Javona P.N. NCLEXAllemeier Stacey P.N. 119279Archbold Cassidy P.N. 134078Bacon Amanda R.N. 395407Bailey Jeffrey R.N. 165192 CRNA 02885Baker Amanda R.N. 332538Baker Kitzi R.N. 418049Baker Lori P.N. 107187Baldrick Kimberly P.N. 086462Baldwin Melinda R.N. endorseBarger Michelle P.N. 090669Bauer Susan R.N. 208897Beach Dionna P.N. 126622Becker Lauren P.N. 163075Beni Matthew R.N. 355024Bennett Barbara P.N. 138287Berenics Sherri P.N. 089007Beverly Stefanie P.N. 119494Binegar Cali P.N. NCLEXBodnar Mark R.N. 396018Boss Kayleigh P.N. 160518Brooks Rikki P.N. 142883Brosch Annemarie R.N. 267728Browning Amy R.N. 237161Broyles Melissa R.N. 387114Bryant Lybrinia P.N. 157391Buchinger Nathan R.N. 437386 CRNA 019478Buckley Debra P.N. 149446Bullock Sharon P.N. 090343Burkhart Linda R.N. 201506Buyer Ann P.N. 097138Cadwell Jason R.N. 369622Calhoun Rebecca P.N. 156076Callahan Bobbie P.N. 089984Cardona Isabel P.N. 164798Cecil Miranda P.N. 135371Centifanti Christine R.N. 181134Chambers Megan R.N. 310299Chandler-Arthur Jillian R.N. 345188 P.N. 125732Chomor Greta R.N. 322340Clark Miesha P.N. 155705Clonch Dena P.N. 158923Coke Amanda P.N. NCLEXColborn Joann R.N. 413873Coleman Monique P.N. NCLEXConner Tonya P.N. 092820Cook Samantha P.N. 140278Cooper Lanette P.N. 085014Cox Rhonda P.N. 143350Creeks Julie R.N. 260012Croftcheck Jessica R.N. 247482Cross David R.N. 409728Cross Veronica R.N. 430641Custer Michelle R.N. 250332Dardinger Eric R.N. 329189 CNP 14549

Darus Lisa R.N. 223582Daugherty Aaron P.N. 151962Davis Chelsey P.N. 134538Davis Julie P.N. 123594Deck Brooke R.N. 363335Dejene Yenealem R.N. 333890DelSignore Sandra R.N. 336945Deran Jennifer P.N. 137078Diem Natalie P.N. 111492Dillon Leslie P.N. 061792Dizon Rolando P.N. 162034Docs Sheryl R.N. 185690Dosztal Debra R.N. 304725Doyle Deanna R.N. 313290Duff Ryan R.N. 402964Dulaney Ryan P.N. NCLEXEllis Dannielle P.N. 160671Evans Megan R.N. 412204Ferguson Richard P.N. NCLEXFicere Amanda R.N. 314860Flowers Kelly P.N. 149143Folczynski Michael R.N. 378556Fombo Stephania R.N. 433740Foos Jamie P.N. 128294Ford Dawn R.N. 252282Ford Dolan D.T. applicantForgette Donette R.N. 326469Fossett Steven DTI 005392Fox Jaymie P.N. 115589Frazer Susan P.N. 140824Friend Leada P.N. 143191Gilbert Amy R.N. 368843 P.N. 106408Grandberry James P.N. 143628Greene Amanda R.N. 368825Guarneri Debra R.N. 249949 P.N. 089431Guerini Alison R.N. 312959Hachtel Kim R.N. 278919Haluska Susan R.N. 237849Hart Brett R.N. 288220Hartman Monica R.N. 281446Hayes Kelley R.N. 326233Hayman Janice R.N. 344593Haywood Connie R.N. 292008Heenan Mary R.N. 291537Hempfling Ruth R.N. 221696Hilbert Thomas R.N. 382271Hill Falon R.N. 328422Hobes Terra P.N. 119515Holbrook Mary Ann R.N. 197768Hollands Robert P.N. 127003Hoover John P.N. 117252Horn Jodi R.N. 249707Hostetter Heidi P.N. 155884Howard Toni R.N. 418245Huber Abigail P.N. 134246Hudson Kathleen R.N. 303100Hugebeck Kristen P.N. 144033Hughey Rebekah P.N. 097798Huls Joni R.N. 208188 P.N. 057467

Inal Jennifer R.N. 337878Isaac Shauntae P.N. 122893Isaac Tonya P.N. 156478Jansen Carole R.N. 145518Johnson Daniel R.N. 359634 P.N. 128903Johnson Doreen R.N. 225473Jones Dana P.N. 129895Jones Diane R.N. 418441Jones Jeffrey R.N. 413823Jones Linda P.N. 096725Jones Robert R.N. 315597Kellogg Jessica P.N. 144255Kinney Bryan R.N. 395098Klacza Boguslaw P.N. 098446Klump Roberta R.N. 151072Knight Kimberly R.N. 342001Koester Amanda R.N. 381001Koontz-Quidetto Clarissia R.N. 339230Krupar Natalie R.N. 374321Laird Matthew R.N. endorseLanham Rachelle R.N. 305366Latham Linda P.N. 112691Law-Horton Latera P.N. 148985Leister Lauretta R.N. 349835Linden Cassandra R.N. 363644Lopez Jimmy R.N. NCLEX P.N. 156254Love Jentle R.N. 397935Luning Beth R.N. 431944 P.N. 154307Lynch Kenya R.N. 422153 P.N. 123408Maczuga Andrea R.N. 373720Malys, III Michael R.N. 385089Mangol Rebecca R.N. 430791 P.N. 103910Manz Catherine P.N. 123734Marteny Tammy P.N. 123660Martin Brenda R.N. 228582Martinez Patricia R.N. 310787Massie Leona P.N. 126615Maxwell Margaret R.N. 270927 P.N. 063902Mayle Lisa P.N. 129867Mazziotta Cameron R.N. 420848McCarty Harry R.N. 298198McCormack Paul R.N. 353020McKinney Rhonda R.N. 305853Meek Lynn P.N. 148783Miller Aaron R.N. 379520Miller Desiree R.N. 314882Miller Michael R.N. 257094Moline Sara R.N. 355719Montgomery Shaquila DTI 005144Moore Valerie R.N. 303185Moore Sims Barbara P.N. 079504Morris Keri R.N. 285552Mulle Sophia P.N. 129015Murray Donita P.N. NCLEXNaylor Kathleen R.N. 368630 CNP applicant

30 MOMENTUM

Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1

March 2018 Disciplinary Actions

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