Nursing bulletin |
Previous | 24 of 29 | Next |
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
This page
All
|
VOLUME 4 { NO 2} EDITION 11 { Official Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . WINTER 08 Elected Members - take office EDUCATION SUMMIT # 5 Random Audits to begin this summer WINTER 2008 BULLETIN NC BOARD OF NURSING Nursing Bulletin is the official publication of the North Carolina Board of Nursing. Office Location 3724 National Drive, Ste 201 Raleigh, NC 27612 Mailing Address P. O. Box 2129 Raleigh, NC 27602 Telephone ( 919) 782- 3211 Fax ( 919) 781- 9461 Automated Verification ( 919) 881- 2272 Website www. ncbon. com Office Hours 8 a. m. to 5 p. m., Monday through Friday Board Chair Alexis B. Welch, RN, Ed. D. Executive Director Polly Johnson, RN, MSN, FAAN Editor David Kalbacker Artists Clifford Adams Paulette Young Photography DayMeetsNight Photography Mission Statement The North Carolina Board of Nursing is committed to protecting the health and well- being of the public through regulating the deliv-ery of safe, effective nursing care. Advertisements contained here-in are not necessarily endorsed by the North Carolina Board of Nursing. The publisher reserves the right to accept or reject advertise-ments for the Nursing Bulletin. All art ( photos, paintings, draw-ings, etc.) contained in this publi-cation is used under contractual agreement. 126,000 copies of this document were printed and mailed for a cost of $. 12 per copy The North Carolina Board of Nursing is an equal opportunity employer. CREATED BY: Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 Virginia Robertson, President vrobertson@ pcipublishing. com FOR ADVERTISING INFORMATION: Greg Jones gjones@ pcipublishing. com 501.221.9986 • 800.561.4686 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC VOLUME 4 { NO 2 } EDITION 11 Table of 11 14 Foundation for Nursing Excellence 18 Frequently Asked Questions 27 Education Summitt # 5 CONTENTS 10 NC Board of Nursing Julie George selected as new Executive Director 15 Nomination Form for 2008 Election 16 Random Audits to begin this Summer 17 Elected Members - Take Office North Carolina Foundation for Nursing Excellence Transition to Practice Project Underway 23 DEPARTMENTS: 6 l e t t e r s t o t h e e d i t o r 7 f r o m t h e e x e c u t i v e d i r e c t o r 8 f r o m t h e c h a i r 21 t h e B r e a k R o o m 25 S u m m a r y o f A c t i o n s 28 C l a s s i f i e d s 29 2 0 0 8 W o r k s h o p R e g i s t r a t i o n F o r m ? { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . Nurse artist featured This issue’s cover art was painted by Clifford Guy Adams, LPN. Having been an LPN since leaving the Air Force in 1993, Adams has been employed in long term care and wound nursing. “ I never pursued art as a career, maintained it only as a hobby until recently,” confessed Adams. “ I’ve done pencil portraits for coworkers and charity organizations, watercolors of family members and religious illustrations in acrylic. Between working in our family business ( a Spanish language newspaper) and home schooling our two youngest children ( Adams has two boys and two girls), only now am I devoting more time to the pursuit of a career in art.” “ This cover is a caricature of long term care and as nurses how we traverse all barriers of race, religion and age,” notes Adams. Adams is currently working on building his art portfolio with the goal of having a gallery show in the not too distant future. The artist may be reached at clifgy@ gmail. com. Send letters to: Editor, Nursing Bulletin, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 or Email, david@ ncbon. com e t t e r s t o t h e ED I T O R L EDITOR’S NOTE I was recently given a binder of the Board’s newsletters from the early 1990s. I was amazed to read that in 1993 more than 13,000 of the state’s 95,000 nurses voted in the annual election for members to the Board. Now, 15 years later, a mere 2600 nurses, out of a total of more than 126,000, made the effort to vote in the Board’s last election. If the elec-tion process were a patient – now might be a good time to call the rescue squad! While the election is many months away, your ideas and suggestions to increase voter participation would be greatly welcomed. You may recall that for the past several years, we even offered spa holidays as an incentive to those voting in the annual election. We are no longer offering the trips because, not only did it not increase voter turnout, but more than half of the holiday trips were never used. The Year 2008 promises to be a busy one for the NC Board of Nursing. We will complete the transition to a cardless licensure system with the 2008 licensure renewals so that all licensure verification can only be done through our database. This can be done directly through our Web site at www. ncbon. com. Beginning July 2008, each licensee shall attest to having met the continuing competence requirements by completing one of the approved learning activity options. At the same time, we will begin the random audit process for proof of compliance with the Board’s continuing competence requirements. Those licensees who will be audited will be informed of this at the time they receive their postcard notice of licensure renewal. Please refer to page 16 for further information on these requirements and the auditing process. In collaboration with the NC Medical Board, we will also begin random compliance reviews of nurse practitioners to assure compliance with their approval to practice requirements as set forth in law and rules. Through an agreement with the NC Medical Board, we are excited to report that as of January 2008, the Board of Nursing is the single verification source of licensure and approval to practice information for nurse practitioners in North Carolina. In addition, all applications for approval and renewal will now be processed through the Board of Nursing Web site and office. We expect to greatly enhance the efficiency of our service to NPs with these major changes, but it should be noted that both the NC Medical Board and NC Board of Nursing continue to have joint regulatory authority for nurse practitioners in our state. In the midst of all the above activities, the Board and staff will be welcoming a new Executive Director. After a national search, Julia George, RN, MSN, has been appointed to fill the Executive Director position beginning July 7, 2008. Julie is currently the Associate Executive Director for Programs here at the Board. She is already known to many of you and is well- positioned to assume the role of Executive Director. After more than eleven years as Executive Director and 20 years on staff here at the Board, I am looking forward to this transition – both for me and for the Board! Over these years, the Board has become a proactive partner in patient safety and public protection. I am proud of our many accomplishments in our journey toward excellence in regulation. As with any important journey, there are always new challenges to face, and I am confident that the Board will successfully manage these challenges with new leadership. Polly Johnson, RN, MSN, FAAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC f r o m t h e E x e c u t i v e D i r e c t o r 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . I am humbled to accept the position as the new Chair of the NCBON. For the past three years, I have had a great role model, Dr. Beverly Foster, RN, whom I have learned to respect for her objectivity and consensus building skills. As I turn my attention to you, the licensed nurses of North Carolina, I offer two guiding principles of life as a nurse. The first principle is that of excellence. Excellence is about being and doing your best, all the time, about having a higher standard than the world around us. Achieving excellence requires consistency, focus, and hard work more than it requires being brilliant. The second principle is that of character. Character is the array of personal attributes that define who you are. You have the capacity to act according to what is true and right in all circumstances. As RNs or LPNs, we are expected to be the “ Angels of Mercy.” The power of example is so crucial to the future of our practice. There is a high expectation from our patients that we be the very best example for safe patient care. Do everything you can to build character for nursing. The year 2008 will be a year of difference as policy changes in the previous three years will come to fruition. Remember continued competency audits start July 1, 2008. Are you competent? Nursing educators, remember those education rule changes? Please continue to produce the best nursing workforce for our great state. I want to thank my family, my nursing colleagues, my coworkers at Lenoir Community College, and my fellow BON colleagues for their support. It takes a team to implement the mission of the NCBON: The NCBON is committed to protecting the health and well- being of the public through regulating the deliv-ery of state, effective nursing care. Just as our country was founded by a trust in God, I too want to acknowledge a loving Heavenly Father in whom I put my faith and trust every day. In gratitude and humility, I will serve with excellence and character and “ stand a little taller” with you. With best wishes Alexis B. Welch, RN, Ed. D. Chair f r o m t h e c h a i r p e r s o n 10 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . PICTURED ABOVE North Carolina Board of Nursing: From Left to Right: Sara Griffith, Ramon Whichello, Deborah Jenkins, Gale Adcock, Paul Rusk, Cynthia Morgan, Alexis Welch, Martha Harrell, Pam Edwards, Mary Ann Fuchs, Jan Floyd, Carolyn Moffett, Joan Guilianelli, Dan Hudgins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N How do I complete the self assessment and learning plan required by the Continuing Competence rules? All nurses are required to reflect on their personal nursing practice strengths and opportunities for growth or improvement as they begin each two year license renewal period. This thoughtful self assessment must address four dimensions of practice: 1 - Professional Responsibility 2 - Knowledge- Based Practice 3 - Legal/ Ethical Practice 4 - Collaboration Required information and related documents are available on the Continuing Competence section of the Board’s Web site at: www. ncbon. com. ( From the Board’s homepage, hover on Quick Links and click on Continuing Competence.) While self assess-ment and learning plan templates are available on this site, each nurse may make revisions or substitute alternative assess-ment and planning tools if better suited to their practice. These documents are not computer- interactive and are not sub-mitted to the Board after completion. They may be printed for use and are retained by the nurse to guide their learning activi-ties throughout their two year renewal period. The eight approved learning activity options are also available on the Board Web site. Example # 1: Julie Nesta is an RN with 10 years experience. She works in an Intensive Care Unit and plans to continue working in this setting. She bases her self assessment and learning plan on the patient care, ethical, and legal issues she commonly encounters in a critical care environment. Julie decides to focus on some of the newer patient care modalities being used in her unit and plans to obtain national certification ( Learning Option # 1) in critical care nursing within her next renewal period. Example # 2: Jim Jones is an LPN with one year experience. He works on an acute care hospital unit but is planning to seek a position in long term care within the coming year. He bases his self assessment and learning plan partially on his current practice and partially on the needs he identifies for his future role in a geriatric practice setting. Jim decides to focus on bet-ter understanding the care of diabetic patients and on increas-ing his knowledge about caring for geriatric patients. He plans to complete 15 contact hours of Continuing Education in these areas while also working at least 640 hours in active practice ( Learning Option # 8) within his next renewal period. Example # 3: Kristin Smith is an RN who has not practiced nursing for the past 15 years but has maintained an active license and plans to continue doing so. She bases her self assessment and learning plan on a “ What if?” scenario: What if I return to active nursing practice within the next six to 12 months? What type of position will I seek? What patient population will I care for? What are my current nursing practice strengths and oppor-tunities for growth and improvement in preparation for this role? Kristin decides that she would possibly seek a pediatric staff nurse position in her local hospital if she returned to work. Therefore, she plans to complete 30 contact hours of Continuing Education ( Learning Option # 2) focused on the care of children within her next renewal period. In addition, as a result of the reflective assessment process, Kristin recognizes that the advances in nursing over the past 15 years are signifi-cant and that her knowledge and skills are not current. She decides that she will complete a Board- approved refresher course ( Learning Option # 3) in the renewal period prior to her actual return to active nursing practice. What do I do if my practice changes significantly within a two year license renewal period? Can I change my self assessment and learning plan? Yes, self assessments and learning plans are dynamic documents, able to be amended or changed as your nursing practice and learning needs change. If audited, you would simply reference the reason for your revised goals and focus. F s Frequently Asked Questions A Q. Q A. Q. A. C 14 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Raleigh, NC -- At its January Board meeting, the North Carolina Board of Nursing announced the selection of Julia L.( Julie) George, RN, MSN, FRE to serve as the next Executive Director of the Board. George will fill the position on July 7, 2008, upon the retirement of Mary P. ( Polly) Johnson, RN, MSN, FAAN, who has been the Board’s Executive Director for the past eleven years. George has been a registered nurse for over 34 years and has held various positions on the staff of the Board for 12 years. She currently serves as Associate Executive Director for Programs. Since 2001, George has been actively involved in efforts to re- frame regulatory initiatives related to prac-tice errors and discipline. She has been instrumental in developing policy and programs focused on patient safety, remediation and quality improvement. In 2005 George was the recipient of the Board’s Employee Excellence Award. This award recognizes outstanding achievement of a Board staff member nominated by their peers. In 2007, George was among the inaugural cohort of nurse regulators to complete a four year Fellowship with the National Council of State Boards of Nursing ( NCSBN) Institute for Regulatory Excellence. She currently serves on the Board of Directors for NCSBN. The North Carolina Board of Nursing is the state agency responsible for licensing North Carolina’s more than 126,000 nurs-es. In addition to issuing, renewing and reinstating licenses of RNs and LPNs, the Board approves and monitors the state’s nursing education programs which lead to initial licensure, investigates complaints against licensed nurses and maintains the Nurse Aide II registry. Founded in 1903, the North Carolina Board of Nursing was the first in the nation. Julie George selected as new Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC NOMINATION FORM for 2008 ELECTION Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2008 Although we have just completed a successful Board of Nursing election, we already are getting ready for 2008. This year the Board will have three openings: one for an RN who is an advanced practice nurse; one for an RN who is a practical nurse educator; and one for a RN staff nurse. This nomination form is for you to tear out and use. The form must be com-pleted and postmarked on or before April 1, 2008. Following are instructions for completing the form and guidelines for nominations. Be sure to follow all the instructions. Because all Board members serve four year terms, no LPN position is open during the 2008 election. Instructions Nominations for all RN positions shall be made by submitting a completed petition signed by no fewer than 10 RNs ( for an RN nominee) eligible to vote in the election. The minimum requirements for an RN to seek election to the Board and to maintain member-ship on it are as follows: 1. Hold a current unencumbered license to practice in North Carolina 2. Be a resident of North Carolina 3. Have a minimum of five years of experience in nursing 4. Have been engaged continuously in a position that meets the criteria for the specified Board position, for at least three years immediately preceding the election, except for the RN at- large position Minimum ongoing- employment requirements for the RN member shall include continuous employment equal to or greater than 50% of a full- time position that meets the criteria for the specified Board member position, except for the RN at- large position. If you are interested in being a candidate for one of the positions, visit our website at www. ncbon. com for additional information, including a Board Member Job Description and other Board- related information. You also may contact Angela Ellis, executive assistant, at angela@ ncbon. com or ( 919) 782- 3211, ext. 259. After careful review of the information packet, you must complete the nomination form and submit it to the Board office by April 1, 2008. Guidelines for Nominations 1. RNs can petition only for RN nominations. 2. Only petitions submitted on the nomination form will be considered. Photocopies or faxes are not acceptable. 3. The certificate number of the nominee and each petitioner must be listed on the form. ( The certificate number appears on the upper right- hand corner of the license.) 4. Names and certificate numbers ( for each petitioner) must be legible and accurate. 5. Each petition shall be verified with the records of the Board to validate that each nomi-nee and petitioner holds appropriate North Carolina licensure. 6. If the license of the nominee is not current, the petition shall be declared invalid. 7. If the license of any petitioner listed on the nomination form is not current, and that finding decreases the number of petitioners to fewer than ten, the petition shall be declared invalid. 8. The envelope containing the petition must be postmarked on or before April 1, 2008, for the nominee to be considered for candidacy. Petitions received before the April 1, 2008, deadline will be processed on receipt. 9. Elections will be held between July 1 and August 15, 2008. Those elected will begin their terms of office in January 2009. Please complete and return nomination forms to 2008 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129. We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN ( circle one), whose Certificate Number is ______________________, to be placed in nomination as a Member of the N. C. Board of Nursing in the category of ( check one): RN- Advanced Practice Nurse RN – Practical Nurse Educator RN, Staff Nurse Address of Nominee __________________________________________________________________ Telephone Number: ( Home) _______________________ ( Work) _____________________________ E- mail Address: ______________________________________________________________________ PETITIONERS - ( At least 10 petitioners per candidate required. Only RNs may petition for RN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2008 NAME SIGNATURE CERTIFICATE NUMBER ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Please complete and return nomination forms to 2008 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 16 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . Random Audits to begin this summer Random audits of compliance with Continuing Competence requirements will be implemented for licensees renewing or reinstating beginning July 1, 2008. For example, for those nurses selected for audit through the random automated process, reminder notices sent out in May for renewals due in July 2008 will include notification of the random audit. Should you be selected for an audit, evidence of having met Continuing Competence requirements is due no later than the license renewal date or upon reinstate-ment. Audited licensees failing to submit timely, acceptable, and complete evidence of having met the requirements will be issued a license in accordance with Board policy, but they are then subject to compli-ance review and disciplinary proceedings. A summary of Continuing Competence requirements, learning options, and acceptable evidence of having met chosen learning options is available on the Board’s Web site: www. ncbon. com. Click on Continuing Competence under Quicks Links on the Board’s homepage to review this information. Should you have ques-tions, contact: Tammy Edelen, tammy@ ncbon. com or call 919 782- 3211 ext 281 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Elected Members - take office • Pamela B. Edwards, RN, MSN, Ed. D. Pamela B. Edwards is returning to the Board of Nursing after a two year hiatus. She is cur-rently an Associate Chief Nursing Officer in the Duke University Health System and Specialty Director of the MSN Nursing Education Program at Duke. Edwards has more than 29 years of nursing experience in a variety of healthcare settings. “ I believe that my nursing experience coupled with my current role in nursing education allows me a unique understanding of both edu-cation and practice. I look forward to serving on the Board again,” noted Edwards. • Joan Guilianelli, LPN Joan Guilianelli is a new member to the Board of Nursing. With more than 30 years in the pro-fession, Guilianelli brings a wealth of experience to the Board. “ All nurse’s roles change over time; I feel my expe-rience in numerous patient settings can be of great value as the Board revaluates nursing scope of practice,” Guilianelli reports. Originally from New York, Guilianelli now works at the Durham Veterans Medical Center. While she has worked in many areas including ICU and CCU, Guilianelli has for the past ten years worked in urology, an area where she has held certifi-cation for more than eight years. • Mary Ann Fuchs, RN, MSN Chief Nursing and Patient Care Services Officer for Duke University Hospital and Health Systems, was elected to a four-year term on the Board of Nursing. Previously, Fuchs was fulfilling the remaining term of Jackie Ring, RN, MBA, who resigned. Fuchs has more than 25 years of nursing experience. In addi-tion to being a member of the Board Governance Committee, Fuchs serves on the Joint Subcommittee of the Board of Nursing and the Medical Board that regulates nurse practitioners. • Martha Ann Harrell of Fayetteville has been reap-pointed to a second four year term as a public member to the Board of Nursing. In addi-tion to serving on Licensure Review Panels, Harrell is a member of the Board’s Audit Committee. • Paul Rusk, LPN was appointed to the Board to fulfill the remaining term of Lynn Lancaster, formerly an LPN who recently completed her education and is now licensed as an RN. Rusk has more than 26 years of nursing experience and is currently the Director of Azalea Place, an assisted living community in Wilmington, NC. Rusk is an experienced Board member having served in previous years. In addition to serving on Licensure Review Panels, he is also a member of the Audit Committee. 18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . OUR MISSION To improve the health outcomes for citizens of North Carolina by enhancing the practice of nursing through leader-ship development, research and demonstration projects. OUR VISION To become a significant conduit through which innovative ideas related to health and healthcare can be evaluated and dis-seminated to the principal arenas of professional nursing and healthcare practice in North Carolina. We will know we are achieving our vision when we: 1. Improve patient safety and nurse competence using a statewide, evidence- based model for transitioning new graduates into practice. 2. Reduce turnover of newly licensed nurses by 15 percent during the first year of practice through implementation of statewide transition to practice model. ( NOTE: Some lit-erature indicates that 35 percent - 60 percent of new nurses change jobs during the first year of employment.) 3. Enhance patient safety by implementing a learning and quality improvement approach to reducing errors and potential for errors in healthcare delivery settings statewide. ( Use Just Culture and nurse competency assess-ment tools to identify risk areas for safe patient care and estab-lish learning/ corrective measures plans.) 4. Attract human and financial resources beyond our imme-diate geographic location; and, 5. Develop evidence based strategies for improving care delivered by all health professionals. ACTIVITIES TO DATE • The Foundation sponsored two invitational conferences focusing on improving health care delivered to citizens of NC. The Patient Safety Symposium was held to update attendees on patient safety initiatives nationally and across North Carolina and to identify opportunities to enhance patient safety through collaboration among NC’s leading health care entities. This symposium was the first of its kind held in North Carolina. A research conference titled Building an Evidence- Based Transition to Nursing Practice was held with the objective of identifying core competencies needed by new nurses regardless of practice setting and developing reliable measures to assess their competence. This conference was partly funded by a grant from Agency for Healthcare Research and Quality ( AHRQ). • Transition to Nursing Practice Project – In 2004, the NC Institute of Medicine issued a report on North Carolina’s nurs-ing workforce with the recommendation that the NC Board of Nursing convene a work group to study options to improve school- to- work transitions for new nurses. The Foundation, in collaboration with the NC Center for Nursing and NC AHEC Programs, began meeting to develop strategies for an evidence-based nurse transition program. New nurses are entering into an increasingly complex health-care environment. The goal of the Transition to Nursing Practice Project is to ensure that new nurse graduates are afforded the opportunity to gain confidence and competence as they enter the workforce, thus enhancing patient safety and increasing retention in the workplace. Currently, there is no statewide model or standardized approach to support the transition from student to entry level safe practitioner. Nor is there any standard measurement of the time required or the extent to which new grads improve their competence and confidence following their entry into the work-force. In early 2006, the FNE convened an information session to share the vision of a future transition to practice program in NC and received ideas from nurse educators, employers, and practi-tioners. Stakeholders who represent the diversity of nursing practice and education across our state continue to help guide this work. In June 2006, the FNE received a grant from the BCBSNC Foundation to support a two year planning phase for this collab-orative project. In August, October and December 2007, data related to com-petence development and risk for errors was collected from newly licensed registered nurses and their preceptors in selected hospitals across North Carolina as Phase I of this project. Preliminary analysis of data should be available by March 2008 to inform the planning for Phase II of the project. The long- term project goal is to create an evidence- based statewide transition to practice program for new nurse graduates by 2015. • Building a Just Culture Community in North Carolina – Just Culture, a term coined by David Marx, an engineer and attorney, is described as follows: On one side of the coin, it is about creating a reporting environment where staff can raise their The Foundation for Nursing Excellence (“ the Foundation”) was created by the NC Board of Nursing in 2002 as a non- profit corporation organized to improve health outcomes for the citizens of North Carolina by enhancing the practice of nursing and to support projects whose efforts will provide new and innovative methodologies related to nursing regulation and safe, effective nursing practice. c o n t i n u e d o n p a g e 2 0 FOUNDAT I O N FOR NU R S I N G EXCELLENCE { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . . hand when they have seen a risk or made a mis-take. On the other side of the coin, it is about having a well- established system of accountabili-ty. A Just Culture must recognize that while we as humans are fallible, we do generally have control of our behavioral choices. Just Culture philosophy makes a distinc-tion between human error, at- risk behavior and intentional reckless behavior by looking at why an event happened in a systematic manner and determining whether the actions of the individual warrant counseling, remediation or punishment. Just Culture uses a framework designed to enhance patient safety by implementing a learning and quality improvement approach to reducing errors and potential for errors The NC Board of Nursing has adopted this framework for evaluating practice- relat-ed complaints. The NC Center for Hospital Quality and Patient Safety is facilitating a collaborative with several NC hospitals to implement a Just Culture environment. NC Board of Nursing is piloting a Just Culture partnership with six hospitals to pro-mote consultation and assist employers in identifying events that can be addressed in the practice setting versus those that would benefit from board intervention. The Foundation, working in collaboration with key stakeholders, seeks to extend this learning and quality improvement framework into a variety of healthcare settings with the long term goal of creating a statewide Just Culture Healthcare Community. Planning meetings have begun with the first priority focused on extension of this Just Culture environment into long- term care settings. MAKE A DONATION The Foundation is supported financially through contributions from individuals, foundations and organizations that share the goal of improving the quality and safety of patient care. Tax- deductible contributions can be made to the Foundation by visiting our Web site at www. ffne. org. Click on “ Make a Donation.” Contact Us: Foundation for Nursing Excellence P. O. Box 2129, Raleigh, NC 27602 Telephone: 919- 782- 3211 Fax: 919- 781- 9461 c o n t i n u e d f r o m p a g e 1 8 Name& Address C H A N G E If requesting a name change, complete this form and return to the Board office with a photocopy of a document that reflects your new legal name ( i. e. driver’s license, social security card, marriage license or court document.) Name changes are usually processed within two to three business days from date of receipt. You can confirm that the change has been made by verifying your license on our Web site, www. ncbon. com, and clicking on VERIFY LICENSE or by calling our automated verifi-cation line at ( 919) 881- 2272. RN Cert. Number __________________________ LPN Cert. Number __________________________ NAII Listing Number ________________________ Provide name ( no nicknames) and address for Board records. Please print clearly. name: _________________________________________________________ ( first) ( middle) ( last) address:__________________________________________________________ city: ___________________ __________ state: ____ zip/ postal code: _________ date of birth: _________________ social security number: _____-____-______ other last names: __________________________________________________ daytime phone number: ___________________________ signature:_______________________________________ date: ____________ email: _______________________________________ For RN and LPN only: You are required to update the following information for each change of address submitted: Primary State of Residence: ____________ Are you on active duty as an Armed Forces Nurse: ( circle one) YES NO Please note that a duplicate license reflecting the changes will no longer be issued due to the Board going cardless January 01, 2007. Mail form and document to: NORTH CAROLINA BOARD OF NURSING Attn: Barbara Nelson P. O. Box 2129 Raleigh, NC 27602 Or fax to: ( 919) 781- 9461 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC " It is NOT how much you do, but how much love you put in the doing." – Mother Theresa " The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest." – William Osler the BREAK r o o m 22 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Carolina Board of Nursing Calendar Board Meeting May 15- 16, 2008 September 18- 19, 2008 Administrative Hearings April 24, 2008 July 25, 2008 Licensure Review Panels March 13, 2008 April 4, 2008 May 8, 2008 June 12, 2008 Education/ Practice Committee April 9, 2008 August 27, 2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC North Carolina Foundation for Nursing Excellence Transition to Practice Project Underway Successfully transitioning newly licensed registered nurses ( RNs) into entry- level practice is a long- standing issue in the U. S. The North Carolina Foundation for Nursing Excellence, created by the NC Board of Nursing, in collaboration with the NC Center for Nursing and the NC AHEC Programs, has implemented a multiphase Transition to Practice Study that will provide data to determine the essential components of an evidence- based state- wide transition requirement for newly licensed nurses and will contribute to the evi-dence base for best practices related to transition experiences for newly licensed nurses. Phase I of the study, supported with a grant from Blue Cross Blue Shield North Carolina Foundation, included newly licensed RNs in acute care hospitals. ( A detailed explanation of the study can be found at www. ffne. org). Data collection for this phase will be completed in February 2008, and the completion of data analysis is targeted for summer 2008. The anticipated outcome of Phase I is to identify factors contributing to safe practice and critical areas of need for focused competence development for newly licensed RNs entering practice. This information will provide the evidence for the next phase of the transition pilot to create intervention activities intended to enhance competence development for the delivery of safe, effective care by newly licensed nurses entering practice. Planning for and recruitment of participants for Phase II of this study are currently underway. Phase II will have a dual focus: replication of phase I with newly licensed RNs in practice settings other than acute care hospitals and newly licensed LPNs in all practice settings ( including, but not limit-ed to, acute care); and an intervention or demonstration project that will be developed based on the data analysis of phase I. Please consider participating in this very important project. An interest form can be found on the Foundation for Nursing Excellence’s Web site. The staff would be delighted to talk with you about the project or answer any questions that you might have and can be reached at email@ ffne. org. Nurses Represent N. C. in NCLEX Development The following nurses represented North Carolina in the NCLEX item development program for the first half of 2007: • Laura B. Clark, member, RN item writing panel • Becky Ann Foushee, member, RN item review panel • Sharon G. Nelson, member, RN item review panel • Reginaldo Horwitz, alternate, RN item review panel .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC ADMINISTRATIVE MATTERS • Approved modification of online application for license renewal to allow nurses to make voluntary charitable contri-butions to the Foundation for Nursing Excellence at the time of license renewal. • Approved implementation of plan to revise composition and charge of Education and Practice Committee • Approved NC Board of Nursing Communication Plan • The Board approved proposed changes to the Nursing Practice Act to be taken to the 2009 General Assembly. In addition to technical changes and clarification regarding what records are public or non- public in a disciplinary case, proposed changes in the NPA would authorize the Board to: ( 1) order the production of records in the course of an inquiry or investigation; ( 2) enter into consent orders with licensees or applicants requiring participation in remediation programs; and ( 3) at its discretion, conduct criminal history background checks on persons who are applying for renewal, reinstatement, or retuning to active practice. EDUCATION/ PRACTICE MATTERS Summary of Actions related to Education Programs Ratified mail referendum Waive 21NCAC 36.0317 Administration ( c) ( 2) and approve Heather Jacobs as interim program Director for Robeson Community College, Lumberton – ADN program. Ratified Full Approval Status for the following nursing educa-tion programs Alamance Community College, Graham – ADN Vance- Granville Community College, Henderson – ADN Ratified Expansion in Enrollment in the following nursing edu-cation programs Presbyterian School of Nursing at Queens University of Charlotte, Charlotte – BSN – Increase of 60 for a total of 180 students beginning Spring 2008 Assigned Warning Status Brunswick Community College, Supply – PNE Assigned Warning Status due to NCLEX Pass Rates For 2006- 2007, the national pass rate is 87 percent for RN and 88 percent for PN; 95 percent of this is 83 percent for RN and 84 percent for PN. The two year pass rate is a true calculation of the total number of first time test passers dur-ing the two year period January 1, 2006, through December 31, 2007, divided by the total number of first time test takers. The following programs did not meet the Standard for the calendar year 2007. Their two year pass rates for the time frame of January 1, 2006, to December 31, 2007, are reflected as well as their single year pass rates for 2006 and 2007. The following programs did not meet the Standard for the calendar year 2006 and were already on Warning. Their 2007 pass rates are reflected. These programs are continued on Warning Status for a second year, and a focused survey will be scheduled. The following program did not meet the Standard for the cal-endar years 2005, 2006 and 2007. This is the second year on warning status; they were assigned approval with stipulations in 2005. A focused survey will be scheduled. c o n t i n u e d o n p a g e 3 0 SUMMARY of ACTIONS In keeping with public records and open meetings laws, the North Carolina Board of Nursing posts all actions in the Nursing Bulletin or on its website, at www. ncbon. com. A regular meeting of the Board was held on January 24- 25, 2008, in Raleigh. The following is a summary of the Board’s actions. From the January 24- 25, 2008, Board Meeting Program 2006 2007 2 year Fayetteville State University, Fayetteville – BSN None 64% 64% UNC- Pembroke, Pembroke – BSN None 68% 68% Western Carolina University, Cullowhee – BSN 85% 77% 81% Brunswick Community College, Supply – ADN None 58% 58% Caldwell Community College and Technical Institute, Hudson – ADN 90% 71% 80% James Sprunt Community College, Kenansville – ADN 77% 85% 80% Lenoir Community College, Kinston – ADN 97% 61% 80% Region A Nursing Consortium, Clyde – ADN 84% 71% 77% Rowan- Cabarrus Community College, Salisbury – ADN 100% 69% 82% Southeastern Community College, Whiteville – ADN 83% 74% 77% Rockingham Community College, Wentworth – PNE 80% 76% 78% Program 2006 2007 2 year Bladen Community College, Dublin – ADN 53% 81% 66% Foothills Nursing Consortium, Spindale – ADN 71% 71% 71% Randolph Community College, Asheboro – ADN 71% 88% 78% Rockingham Community College, Rockingham – ADN 74% 64% 68% Program 2005 2006 2007 2 year North Carolina A& T State University, Greensboro – BSN 69% 69% 84% 76% April 7, 2008, 8: 00 a. m. – 3: 30 p. m., Friday Center, Chapel Hill, NC Keynote address on Conceptual Learning presented by Jean Giddens, Ph. D. Workshop and poster sessions highlighting innovative approaches that are working in NC for sharing educational resources, utilization of technology, evidence- based teaching practices, faculty development, recruitment and retention of faculty, and clinical teaching. Targeted Audience: Nurse educators including faculty, practice partners, staff development educators, and preceptors both of students and new nurses. Objectives: 1. Discuss innovative approaches being used in NC nursing education. 2. Identify characteristics of environments that support innovation in nursing education. 3. Describe the use of concept based curriculum in managing content saturation. 4. Identify teaching learning strategies that support the development of conceptual thinking. Registration: Forms available on- line on the Education page at www. ncbon. com. Cost: $ 100 – includes all materials, continental breakfast, and lunch. Contact hours awarded: 5.5 – will be awarded for attending workshop in its entirety. No partial credit will be awarded. EDUCATION SUMMIT # 5 The NC Board of Nursing is approved as a provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC NC Board of Nursing Workshop Registration Form 2008 Continuing Competence Update ( 1.0CHs) Information sessions related to board requirements for demonstration of continuing competence. No fee required for cont comp sessions. Questions/ Directions? Contact Paulette at ( 919) 782- 3211, ext. 244, or via e- mail at PAULETTE@ ncbon. com. LEGAL SCOPE OF PRACTICE ( 2.3 CHs) The purpose of this offering is to provide information and clarification regarding the legal scope of practice parameters for licensed nurses in North Carolina. $ 40.00 Fee. Questions/ Directions? Contact Pamela Trantham 919/ 782- 3211 ext. 279 OR Pamela@ ncbon. com YOU DO NOT NEED TO COMPLETE/ SUBMIT THIS FORM FOR THE ONLINE WORKSHOPS! Go to www. ncbon. com Select Events at top of homepage - Go to “ Workshops and Conferences”. Click on “ Board Sponsored Workshops” - Click on the link - follow instructions. Orientation Sessions for Administrators of Nursing Services and Mid- Level Nurse Managers ( 4.6 CHs) ( Raleigh- NCBON- 10a- 3: 55p) ONLINE WORKSHOPS! Information sessions regarding the functions of the Board of Nursing and how these functions impact the roles of the chief nurse administrator and mid- level nurse manager in all types of nursing service settings. Registration fee of $ 40.00. PLEASE CHECK THE APPROPRIATE WORKSHOP BELOW June 11, 2008 October 22, 2008 Registration at least two weeks in advance of a scheduled session is required. No refunds will be made if canceled within 10 days of the workshop, and last minute transfers to another date will be granted on a space available basis. For directions, please go to: http:// www. ncbon. com- Contact- Directions ( limit 20 people per session) Questions/ Directions? Contact Linda Blain 919/ 782- 3211 ext. 238 OR Lindab@ ncbon. com Rev Up Your Nursing Practice! NCBON Regional Workshops Registration fee of $ 40.00 for entire workshop. Seating is limited. All workshops listed below begin and end at the same time. Contact hours pending. Questions/ Directions: Paulette Young – 919- 782- 3211 ext. 244 or PAULETTE@ ncbon. com OBJECTIVES: NCBON consultants will help you kick your nursing practice into high gear! By the end of the interactive workshop, you should be able to: 1) Discuss the continuing competence requirements, 2) Practice within your legal scope, 3) Identify the steps involved in the investigative process, and 4) Describe the NCBON's role as a resource for recovering nurses. AGENDA 8: 30 a. m. – 9: 15 a. m. Welcome, Introductions and Board Update 9: 15 a. m. – 9: 45 a. m. Continuing Competence 9: 45 a. m. – 10: 00 a. m. Break 10: 00 a. m. – 11: 30 a. m. Legal Scope of Practice 11: 30 a. m. – 1: 00 p. m. Lunch ( on your own) 1: 00 p. m. – 1: 45 p. m. Investigative Process and Outcomes 1: 45 p. m. – 2: 00 p. m. Break 2: 00 p. m. – 3: 15 p. m. Alternative Programs/ Recovering Nurse 3: 15 p. m. – 3: 30 p. m. Q& A, Evaluations PLEASE CHECK THE APPROPRIATE WORKSHOP BELOW March 27, 2008 - Pitt County Memorial Hospital Auditorium 2100 Stantonsburg Road , Greenville, NC May 21, 2008 - Mountain Area Health Education Ctr 501 Biltmore Avenue, Asheville, NC Co- provided by MAHEC July 15, 2008 - Carolinas Medical Center, College of Health Sciences, Room 190 ( Auditorium) 1200 Blythe Blvd - Charlotte, NC SCHEDULED PRESENTERS Julia L. George, RN, MSN – Assoc Executive Director - Programs Eileen Kugler, RN, MSN, MPH, FNP - Practice Consultant Kathy Chastain, RN, MN – Manager- Practice Carol Walker, RN, MS, CS - Practice Consultant Kay McMullan, RN, MSN - Director of Investigations/ Monitoring Kathy Chastain, RN, MN – Manager- Practice Receiving Contact Hour Certificates: For all workshops listed on this registration form, contact hour certificates will be presented to participants who attend the selected workshop in its entirety. 30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Education & Practice Committee approved the Rapid Sequence Intubation Position Statement at the December 6, 2007, Education and Practice Committee Meeting. The statement is online at www. ncbon. com under “ Practice,” - “ Position Statements.” The Education and Practice Committee received an FAQ as information related to “ LPNs Administering and Reading TB Tests” and “ Nurse Role in Sports Assessment.” The FAQ can be found on the NCBON Web site ( www. ncbon. com) under Practice – Practice FAQ ( Numbers 13 and 14, respectively). INVESTIGATION AND MONITORING ACTIONS Received reports and Granted Absolutions to two RNs, one LPN. Removed probation from the licenses of 17 RNs and eight LPNs. Accepted the Voluntary Surrender from 19 RNs and five LPNs. Suspended the licenses of 11 RNs and two LPNs. Reinstated the licenses of 19 RNs and one LPN. Number of Participants in the Alternative Program for Chemical Dependency: 147 RNs and 11 LPNs. Number of Participants in the Chemical Dependency Program ( CDDP): 79 RNs, four LPNs Number of Participants in Illicit Drug/ Alcohol Program: 37 RNs, 10 LPNs. SUMMARY of ACTIONS c o n t i n u e d Registration Payment/ Information Section PLEASE INDICATE THE FOLLOWING: Title/ Date of Workshop( s); ____________________________________________________ ____________________________________________________ ____________________________________________________ Registration fee: $ 40.00 per session per person for all workshops except for Continuing Competence Update. NON REFUNDABLE ( Unless Workshop Cancelled) General Information: NAME:________________________________________________________________________ TITLE:________________________________________________________________________ NAME OF PRACTICE IN WHICH YOU ARE EMPLOYED ( ex: ABC Cancer Center): ______________________________________________________________________________ Home ADDRESS: _____________________________________________________________________ CITY: ______________________________ STATE: ______ ZIP: ___________ HOME PH#: (____)________________ E- MAIL ADDRESS: __________________________________________________ Please give complete address as you will be mailed/ emailed a confirmation and/ or directions. Make checks payable to North Carolina Board of Nursing or pay by credit card. Registration fee covers course materials. Credit Card Type: MasterCard Visa Expiration Date: Month: _____ Year: _____ Cardholder Name ( as it appears on Credit Card):___________________________________ Cardholder Billing Address: _____________________________________________ CITY: ________________________________ STATE: _________ ZIP: _________ Total Amount: $____________________ Cardholder Signature: ________________________________________________ ( Credit card payment cannot be accepted via fax or phone.) Credit Card Number: NC Board of Nursing Workshop Registration Form 2008 cont. YOU CAN REGISTER ONLINE! To be placed on the roster for the Orientation Sessions Workshop or the Rev Up Your Nursing Practice Regional Workshop, go to www. ncbon. com: Select Events at top of homepage, Go to “ Workshops and Conferences”, Click on “ Board Sponsored Workshops”, Click on desired workshop. ( If you register online, please do not submit this form.) The North Carolina Board of Nursing is an Approved Provider of continuing nurs-ing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditaion.
Object Description
Description
Title | Nursing bulletin |
Contributor | North Carolina. Board of Nursing. |
Date | 2008 |
Subjects |
North Carolina. Board of Nursing--Periodicals Nurses--Licenses--North Carolina--Periodicals Nursing--North Carolina--Periodicals |
Description | Winter 2008 (Volume 4 {Number 2} Edition 11) |
Type | Text |
Language | English |
Digital Characteristics-A | 702 KB; 20 p. |
Digital Format | application/pdf |
Related Items | Recent issues also available via the World Wide Web.; http://www.ncbon.com/; http://worldcat.org/oclc/57243106/viewonline |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_borndigital\images_master\ |
Full Text | VOLUME 4 { NO 2} EDITION 11 { Official Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . WINTER 08 Elected Members - take office EDUCATION SUMMIT # 5 Random Audits to begin this summer WINTER 2008 BULLETIN NC BOARD OF NURSING Nursing Bulletin is the official publication of the North Carolina Board of Nursing. Office Location 3724 National Drive, Ste 201 Raleigh, NC 27612 Mailing Address P. O. Box 2129 Raleigh, NC 27602 Telephone ( 919) 782- 3211 Fax ( 919) 781- 9461 Automated Verification ( 919) 881- 2272 Website www. ncbon. com Office Hours 8 a. m. to 5 p. m., Monday through Friday Board Chair Alexis B. Welch, RN, Ed. D. Executive Director Polly Johnson, RN, MSN, FAAN Editor David Kalbacker Artists Clifford Adams Paulette Young Photography DayMeetsNight Photography Mission Statement The North Carolina Board of Nursing is committed to protecting the health and well- being of the public through regulating the deliv-ery of safe, effective nursing care. Advertisements contained here-in are not necessarily endorsed by the North Carolina Board of Nursing. The publisher reserves the right to accept or reject advertise-ments for the Nursing Bulletin. All art ( photos, paintings, draw-ings, etc.) contained in this publi-cation is used under contractual agreement. 126,000 copies of this document were printed and mailed for a cost of $. 12 per copy The North Carolina Board of Nursing is an equal opportunity employer. CREATED BY: Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 Virginia Robertson, President vrobertson@ pcipublishing. com FOR ADVERTISING INFORMATION: Greg Jones gjones@ pcipublishing. com 501.221.9986 • 800.561.4686 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC VOLUME 4 { NO 2 } EDITION 11 Table of 11 14 Foundation for Nursing Excellence 18 Frequently Asked Questions 27 Education Summitt # 5 CONTENTS 10 NC Board of Nursing Julie George selected as new Executive Director 15 Nomination Form for 2008 Election 16 Random Audits to begin this Summer 17 Elected Members - Take Office North Carolina Foundation for Nursing Excellence Transition to Practice Project Underway 23 DEPARTMENTS: 6 l e t t e r s t o t h e e d i t o r 7 f r o m t h e e x e c u t i v e d i r e c t o r 8 f r o m t h e c h a i r 21 t h e B r e a k R o o m 25 S u m m a r y o f A c t i o n s 28 C l a s s i f i e d s 29 2 0 0 8 W o r k s h o p R e g i s t r a t i o n F o r m ? { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . Nurse artist featured This issue’s cover art was painted by Clifford Guy Adams, LPN. Having been an LPN since leaving the Air Force in 1993, Adams has been employed in long term care and wound nursing. “ I never pursued art as a career, maintained it only as a hobby until recently,” confessed Adams. “ I’ve done pencil portraits for coworkers and charity organizations, watercolors of family members and religious illustrations in acrylic. Between working in our family business ( a Spanish language newspaper) and home schooling our two youngest children ( Adams has two boys and two girls), only now am I devoting more time to the pursuit of a career in art.” “ This cover is a caricature of long term care and as nurses how we traverse all barriers of race, religion and age,” notes Adams. Adams is currently working on building his art portfolio with the goal of having a gallery show in the not too distant future. The artist may be reached at clifgy@ gmail. com. Send letters to: Editor, Nursing Bulletin, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 or Email, david@ ncbon. com e t t e r s t o t h e ED I T O R L EDITOR’S NOTE I was recently given a binder of the Board’s newsletters from the early 1990s. I was amazed to read that in 1993 more than 13,000 of the state’s 95,000 nurses voted in the annual election for members to the Board. Now, 15 years later, a mere 2600 nurses, out of a total of more than 126,000, made the effort to vote in the Board’s last election. If the elec-tion process were a patient – now might be a good time to call the rescue squad! While the election is many months away, your ideas and suggestions to increase voter participation would be greatly welcomed. You may recall that for the past several years, we even offered spa holidays as an incentive to those voting in the annual election. We are no longer offering the trips because, not only did it not increase voter turnout, but more than half of the holiday trips were never used. The Year 2008 promises to be a busy one for the NC Board of Nursing. We will complete the transition to a cardless licensure system with the 2008 licensure renewals so that all licensure verification can only be done through our database. This can be done directly through our Web site at www. ncbon. com. Beginning July 2008, each licensee shall attest to having met the continuing competence requirements by completing one of the approved learning activity options. At the same time, we will begin the random audit process for proof of compliance with the Board’s continuing competence requirements. Those licensees who will be audited will be informed of this at the time they receive their postcard notice of licensure renewal. Please refer to page 16 for further information on these requirements and the auditing process. In collaboration with the NC Medical Board, we will also begin random compliance reviews of nurse practitioners to assure compliance with their approval to practice requirements as set forth in law and rules. Through an agreement with the NC Medical Board, we are excited to report that as of January 2008, the Board of Nursing is the single verification source of licensure and approval to practice information for nurse practitioners in North Carolina. In addition, all applications for approval and renewal will now be processed through the Board of Nursing Web site and office. We expect to greatly enhance the efficiency of our service to NPs with these major changes, but it should be noted that both the NC Medical Board and NC Board of Nursing continue to have joint regulatory authority for nurse practitioners in our state. In the midst of all the above activities, the Board and staff will be welcoming a new Executive Director. After a national search, Julia George, RN, MSN, has been appointed to fill the Executive Director position beginning July 7, 2008. Julie is currently the Associate Executive Director for Programs here at the Board. She is already known to many of you and is well- positioned to assume the role of Executive Director. After more than eleven years as Executive Director and 20 years on staff here at the Board, I am looking forward to this transition – both for me and for the Board! Over these years, the Board has become a proactive partner in patient safety and public protection. I am proud of our many accomplishments in our journey toward excellence in regulation. As with any important journey, there are always new challenges to face, and I am confident that the Board will successfully manage these challenges with new leadership. Polly Johnson, RN, MSN, FAAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC f r o m t h e E x e c u t i v e D i r e c t o r 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . I am humbled to accept the position as the new Chair of the NCBON. For the past three years, I have had a great role model, Dr. Beverly Foster, RN, whom I have learned to respect for her objectivity and consensus building skills. As I turn my attention to you, the licensed nurses of North Carolina, I offer two guiding principles of life as a nurse. The first principle is that of excellence. Excellence is about being and doing your best, all the time, about having a higher standard than the world around us. Achieving excellence requires consistency, focus, and hard work more than it requires being brilliant. The second principle is that of character. Character is the array of personal attributes that define who you are. You have the capacity to act according to what is true and right in all circumstances. As RNs or LPNs, we are expected to be the “ Angels of Mercy.” The power of example is so crucial to the future of our practice. There is a high expectation from our patients that we be the very best example for safe patient care. Do everything you can to build character for nursing. The year 2008 will be a year of difference as policy changes in the previous three years will come to fruition. Remember continued competency audits start July 1, 2008. Are you competent? Nursing educators, remember those education rule changes? Please continue to produce the best nursing workforce for our great state. I want to thank my family, my nursing colleagues, my coworkers at Lenoir Community College, and my fellow BON colleagues for their support. It takes a team to implement the mission of the NCBON: The NCBON is committed to protecting the health and well- being of the public through regulating the deliv-ery of state, effective nursing care. Just as our country was founded by a trust in God, I too want to acknowledge a loving Heavenly Father in whom I put my faith and trust every day. In gratitude and humility, I will serve with excellence and character and “ stand a little taller” with you. With best wishes Alexis B. Welch, RN, Ed. D. Chair f r o m t h e c h a i r p e r s o n 10 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . PICTURED ABOVE North Carolina Board of Nursing: From Left to Right: Sara Griffith, Ramon Whichello, Deborah Jenkins, Gale Adcock, Paul Rusk, Cynthia Morgan, Alexis Welch, Martha Harrell, Pam Edwards, Mary Ann Fuchs, Jan Floyd, Carolyn Moffett, Joan Guilianelli, Dan Hudgins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N How do I complete the self assessment and learning plan required by the Continuing Competence rules? All nurses are required to reflect on their personal nursing practice strengths and opportunities for growth or improvement as they begin each two year license renewal period. This thoughtful self assessment must address four dimensions of practice: 1 - Professional Responsibility 2 - Knowledge- Based Practice 3 - Legal/ Ethical Practice 4 - Collaboration Required information and related documents are available on the Continuing Competence section of the Board’s Web site at: www. ncbon. com. ( From the Board’s homepage, hover on Quick Links and click on Continuing Competence.) While self assess-ment and learning plan templates are available on this site, each nurse may make revisions or substitute alternative assess-ment and planning tools if better suited to their practice. These documents are not computer- interactive and are not sub-mitted to the Board after completion. They may be printed for use and are retained by the nurse to guide their learning activi-ties throughout their two year renewal period. The eight approved learning activity options are also available on the Board Web site. Example # 1: Julie Nesta is an RN with 10 years experience. She works in an Intensive Care Unit and plans to continue working in this setting. She bases her self assessment and learning plan on the patient care, ethical, and legal issues she commonly encounters in a critical care environment. Julie decides to focus on some of the newer patient care modalities being used in her unit and plans to obtain national certification ( Learning Option # 1) in critical care nursing within her next renewal period. Example # 2: Jim Jones is an LPN with one year experience. He works on an acute care hospital unit but is planning to seek a position in long term care within the coming year. He bases his self assessment and learning plan partially on his current practice and partially on the needs he identifies for his future role in a geriatric practice setting. Jim decides to focus on bet-ter understanding the care of diabetic patients and on increas-ing his knowledge about caring for geriatric patients. He plans to complete 15 contact hours of Continuing Education in these areas while also working at least 640 hours in active practice ( Learning Option # 8) within his next renewal period. Example # 3: Kristin Smith is an RN who has not practiced nursing for the past 15 years but has maintained an active license and plans to continue doing so. She bases her self assessment and learning plan on a “ What if?” scenario: What if I return to active nursing practice within the next six to 12 months? What type of position will I seek? What patient population will I care for? What are my current nursing practice strengths and oppor-tunities for growth and improvement in preparation for this role? Kristin decides that she would possibly seek a pediatric staff nurse position in her local hospital if she returned to work. Therefore, she plans to complete 30 contact hours of Continuing Education ( Learning Option # 2) focused on the care of children within her next renewal period. In addition, as a result of the reflective assessment process, Kristin recognizes that the advances in nursing over the past 15 years are signifi-cant and that her knowledge and skills are not current. She decides that she will complete a Board- approved refresher course ( Learning Option # 3) in the renewal period prior to her actual return to active nursing practice. What do I do if my practice changes significantly within a two year license renewal period? Can I change my self assessment and learning plan? Yes, self assessments and learning plans are dynamic documents, able to be amended or changed as your nursing practice and learning needs change. If audited, you would simply reference the reason for your revised goals and focus. F s Frequently Asked Questions A Q. Q A. Q. A. C 14 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Raleigh, NC -- At its January Board meeting, the North Carolina Board of Nursing announced the selection of Julia L.( Julie) George, RN, MSN, FRE to serve as the next Executive Director of the Board. George will fill the position on July 7, 2008, upon the retirement of Mary P. ( Polly) Johnson, RN, MSN, FAAN, who has been the Board’s Executive Director for the past eleven years. George has been a registered nurse for over 34 years and has held various positions on the staff of the Board for 12 years. She currently serves as Associate Executive Director for Programs. Since 2001, George has been actively involved in efforts to re- frame regulatory initiatives related to prac-tice errors and discipline. She has been instrumental in developing policy and programs focused on patient safety, remediation and quality improvement. In 2005 George was the recipient of the Board’s Employee Excellence Award. This award recognizes outstanding achievement of a Board staff member nominated by their peers. In 2007, George was among the inaugural cohort of nurse regulators to complete a four year Fellowship with the National Council of State Boards of Nursing ( NCSBN) Institute for Regulatory Excellence. She currently serves on the Board of Directors for NCSBN. The North Carolina Board of Nursing is the state agency responsible for licensing North Carolina’s more than 126,000 nurs-es. In addition to issuing, renewing and reinstating licenses of RNs and LPNs, the Board approves and monitors the state’s nursing education programs which lead to initial licensure, investigates complaints against licensed nurses and maintains the Nurse Aide II registry. Founded in 1903, the North Carolina Board of Nursing was the first in the nation. Julie George selected as new Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC NOMINATION FORM for 2008 ELECTION Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2008 Although we have just completed a successful Board of Nursing election, we already are getting ready for 2008. This year the Board will have three openings: one for an RN who is an advanced practice nurse; one for an RN who is a practical nurse educator; and one for a RN staff nurse. This nomination form is for you to tear out and use. The form must be com-pleted and postmarked on or before April 1, 2008. Following are instructions for completing the form and guidelines for nominations. Be sure to follow all the instructions. Because all Board members serve four year terms, no LPN position is open during the 2008 election. Instructions Nominations for all RN positions shall be made by submitting a completed petition signed by no fewer than 10 RNs ( for an RN nominee) eligible to vote in the election. The minimum requirements for an RN to seek election to the Board and to maintain member-ship on it are as follows: 1. Hold a current unencumbered license to practice in North Carolina 2. Be a resident of North Carolina 3. Have a minimum of five years of experience in nursing 4. Have been engaged continuously in a position that meets the criteria for the specified Board position, for at least three years immediately preceding the election, except for the RN at- large position Minimum ongoing- employment requirements for the RN member shall include continuous employment equal to or greater than 50% of a full- time position that meets the criteria for the specified Board member position, except for the RN at- large position. If you are interested in being a candidate for one of the positions, visit our website at www. ncbon. com for additional information, including a Board Member Job Description and other Board- related information. You also may contact Angela Ellis, executive assistant, at angela@ ncbon. com or ( 919) 782- 3211, ext. 259. After careful review of the information packet, you must complete the nomination form and submit it to the Board office by April 1, 2008. Guidelines for Nominations 1. RNs can petition only for RN nominations. 2. Only petitions submitted on the nomination form will be considered. Photocopies or faxes are not acceptable. 3. The certificate number of the nominee and each petitioner must be listed on the form. ( The certificate number appears on the upper right- hand corner of the license.) 4. Names and certificate numbers ( for each petitioner) must be legible and accurate. 5. Each petition shall be verified with the records of the Board to validate that each nomi-nee and petitioner holds appropriate North Carolina licensure. 6. If the license of the nominee is not current, the petition shall be declared invalid. 7. If the license of any petitioner listed on the nomination form is not current, and that finding decreases the number of petitioners to fewer than ten, the petition shall be declared invalid. 8. The envelope containing the petition must be postmarked on or before April 1, 2008, for the nominee to be considered for candidacy. Petitions received before the April 1, 2008, deadline will be processed on receipt. 9. Elections will be held between July 1 and August 15, 2008. Those elected will begin their terms of office in January 2009. Please complete and return nomination forms to 2008 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129. We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN ( circle one), whose Certificate Number is ______________________, to be placed in nomination as a Member of the N. C. Board of Nursing in the category of ( check one): RN- Advanced Practice Nurse RN – Practical Nurse Educator RN, Staff Nurse Address of Nominee __________________________________________________________________ Telephone Number: ( Home) _______________________ ( Work) _____________________________ E- mail Address: ______________________________________________________________________ PETITIONERS - ( At least 10 petitioners per candidate required. Only RNs may petition for RN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2008 NAME SIGNATURE CERTIFICATE NUMBER ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Please complete and return nomination forms to 2008 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 16 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . Random Audits to begin this summer Random audits of compliance with Continuing Competence requirements will be implemented for licensees renewing or reinstating beginning July 1, 2008. For example, for those nurses selected for audit through the random automated process, reminder notices sent out in May for renewals due in July 2008 will include notification of the random audit. Should you be selected for an audit, evidence of having met Continuing Competence requirements is due no later than the license renewal date or upon reinstate-ment. Audited licensees failing to submit timely, acceptable, and complete evidence of having met the requirements will be issued a license in accordance with Board policy, but they are then subject to compli-ance review and disciplinary proceedings. A summary of Continuing Competence requirements, learning options, and acceptable evidence of having met chosen learning options is available on the Board’s Web site: www. ncbon. com. Click on Continuing Competence under Quicks Links on the Board’s homepage to review this information. Should you have ques-tions, contact: Tammy Edelen, tammy@ ncbon. com or call 919 782- 3211 ext 281 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Elected Members - take office • Pamela B. Edwards, RN, MSN, Ed. D. Pamela B. Edwards is returning to the Board of Nursing after a two year hiatus. She is cur-rently an Associate Chief Nursing Officer in the Duke University Health System and Specialty Director of the MSN Nursing Education Program at Duke. Edwards has more than 29 years of nursing experience in a variety of healthcare settings. “ I believe that my nursing experience coupled with my current role in nursing education allows me a unique understanding of both edu-cation and practice. I look forward to serving on the Board again,” noted Edwards. • Joan Guilianelli, LPN Joan Guilianelli is a new member to the Board of Nursing. With more than 30 years in the pro-fession, Guilianelli brings a wealth of experience to the Board. “ All nurse’s roles change over time; I feel my expe-rience in numerous patient settings can be of great value as the Board revaluates nursing scope of practice,” Guilianelli reports. Originally from New York, Guilianelli now works at the Durham Veterans Medical Center. While she has worked in many areas including ICU and CCU, Guilianelli has for the past ten years worked in urology, an area where she has held certifi-cation for more than eight years. • Mary Ann Fuchs, RN, MSN Chief Nursing and Patient Care Services Officer for Duke University Hospital and Health Systems, was elected to a four-year term on the Board of Nursing. Previously, Fuchs was fulfilling the remaining term of Jackie Ring, RN, MBA, who resigned. Fuchs has more than 25 years of nursing experience. In addi-tion to being a member of the Board Governance Committee, Fuchs serves on the Joint Subcommittee of the Board of Nursing and the Medical Board that regulates nurse practitioners. • Martha Ann Harrell of Fayetteville has been reap-pointed to a second four year term as a public member to the Board of Nursing. In addi-tion to serving on Licensure Review Panels, Harrell is a member of the Board’s Audit Committee. • Paul Rusk, LPN was appointed to the Board to fulfill the remaining term of Lynn Lancaster, formerly an LPN who recently completed her education and is now licensed as an RN. Rusk has more than 26 years of nursing experience and is currently the Director of Azalea Place, an assisted living community in Wilmington, NC. Rusk is an experienced Board member having served in previous years. In addition to serving on Licensure Review Panels, he is also a member of the Audit Committee. 18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . OUR MISSION To improve the health outcomes for citizens of North Carolina by enhancing the practice of nursing through leader-ship development, research and demonstration projects. OUR VISION To become a significant conduit through which innovative ideas related to health and healthcare can be evaluated and dis-seminated to the principal arenas of professional nursing and healthcare practice in North Carolina. We will know we are achieving our vision when we: 1. Improve patient safety and nurse competence using a statewide, evidence- based model for transitioning new graduates into practice. 2. Reduce turnover of newly licensed nurses by 15 percent during the first year of practice through implementation of statewide transition to practice model. ( NOTE: Some lit-erature indicates that 35 percent - 60 percent of new nurses change jobs during the first year of employment.) 3. Enhance patient safety by implementing a learning and quality improvement approach to reducing errors and potential for errors in healthcare delivery settings statewide. ( Use Just Culture and nurse competency assess-ment tools to identify risk areas for safe patient care and estab-lish learning/ corrective measures plans.) 4. Attract human and financial resources beyond our imme-diate geographic location; and, 5. Develop evidence based strategies for improving care delivered by all health professionals. ACTIVITIES TO DATE • The Foundation sponsored two invitational conferences focusing on improving health care delivered to citizens of NC. The Patient Safety Symposium was held to update attendees on patient safety initiatives nationally and across North Carolina and to identify opportunities to enhance patient safety through collaboration among NC’s leading health care entities. This symposium was the first of its kind held in North Carolina. A research conference titled Building an Evidence- Based Transition to Nursing Practice was held with the objective of identifying core competencies needed by new nurses regardless of practice setting and developing reliable measures to assess their competence. This conference was partly funded by a grant from Agency for Healthcare Research and Quality ( AHRQ). • Transition to Nursing Practice Project – In 2004, the NC Institute of Medicine issued a report on North Carolina’s nurs-ing workforce with the recommendation that the NC Board of Nursing convene a work group to study options to improve school- to- work transitions for new nurses. The Foundation, in collaboration with the NC Center for Nursing and NC AHEC Programs, began meeting to develop strategies for an evidence-based nurse transition program. New nurses are entering into an increasingly complex health-care environment. The goal of the Transition to Nursing Practice Project is to ensure that new nurse graduates are afforded the opportunity to gain confidence and competence as they enter the workforce, thus enhancing patient safety and increasing retention in the workplace. Currently, there is no statewide model or standardized approach to support the transition from student to entry level safe practitioner. Nor is there any standard measurement of the time required or the extent to which new grads improve their competence and confidence following their entry into the work-force. In early 2006, the FNE convened an information session to share the vision of a future transition to practice program in NC and received ideas from nurse educators, employers, and practi-tioners. Stakeholders who represent the diversity of nursing practice and education across our state continue to help guide this work. In June 2006, the FNE received a grant from the BCBSNC Foundation to support a two year planning phase for this collab-orative project. In August, October and December 2007, data related to com-petence development and risk for errors was collected from newly licensed registered nurses and their preceptors in selected hospitals across North Carolina as Phase I of this project. Preliminary analysis of data should be available by March 2008 to inform the planning for Phase II of the project. The long- term project goal is to create an evidence- based statewide transition to practice program for new nurse graduates by 2015. • Building a Just Culture Community in North Carolina – Just Culture, a term coined by David Marx, an engineer and attorney, is described as follows: On one side of the coin, it is about creating a reporting environment where staff can raise their The Foundation for Nursing Excellence (“ the Foundation”) was created by the NC Board of Nursing in 2002 as a non- profit corporation organized to improve health outcomes for the citizens of North Carolina by enhancing the practice of nursing and to support projects whose efforts will provide new and innovative methodologies related to nursing regulation and safe, effective nursing practice. c o n t i n u e d o n p a g e 2 0 FOUNDAT I O N FOR NU R S I N G EXCELLENCE { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . . hand when they have seen a risk or made a mis-take. On the other side of the coin, it is about having a well- established system of accountabili-ty. A Just Culture must recognize that while we as humans are fallible, we do generally have control of our behavioral choices. Just Culture philosophy makes a distinc-tion between human error, at- risk behavior and intentional reckless behavior by looking at why an event happened in a systematic manner and determining whether the actions of the individual warrant counseling, remediation or punishment. Just Culture uses a framework designed to enhance patient safety by implementing a learning and quality improvement approach to reducing errors and potential for errors The NC Board of Nursing has adopted this framework for evaluating practice- relat-ed complaints. The NC Center for Hospital Quality and Patient Safety is facilitating a collaborative with several NC hospitals to implement a Just Culture environment. NC Board of Nursing is piloting a Just Culture partnership with six hospitals to pro-mote consultation and assist employers in identifying events that can be addressed in the practice setting versus those that would benefit from board intervention. The Foundation, working in collaboration with key stakeholders, seeks to extend this learning and quality improvement framework into a variety of healthcare settings with the long term goal of creating a statewide Just Culture Healthcare Community. Planning meetings have begun with the first priority focused on extension of this Just Culture environment into long- term care settings. MAKE A DONATION The Foundation is supported financially through contributions from individuals, foundations and organizations that share the goal of improving the quality and safety of patient care. Tax- deductible contributions can be made to the Foundation by visiting our Web site at www. ffne. org. Click on “ Make a Donation.” Contact Us: Foundation for Nursing Excellence P. O. Box 2129, Raleigh, NC 27602 Telephone: 919- 782- 3211 Fax: 919- 781- 9461 c o n t i n u e d f r o m p a g e 1 8 Name& Address C H A N G E If requesting a name change, complete this form and return to the Board office with a photocopy of a document that reflects your new legal name ( i. e. driver’s license, social security card, marriage license or court document.) Name changes are usually processed within two to three business days from date of receipt. You can confirm that the change has been made by verifying your license on our Web site, www. ncbon. com, and clicking on VERIFY LICENSE or by calling our automated verifi-cation line at ( 919) 881- 2272. RN Cert. Number __________________________ LPN Cert. Number __________________________ NAII Listing Number ________________________ Provide name ( no nicknames) and address for Board records. Please print clearly. name: _________________________________________________________ ( first) ( middle) ( last) address:__________________________________________________________ city: ___________________ __________ state: ____ zip/ postal code: _________ date of birth: _________________ social security number: _____-____-______ other last names: __________________________________________________ daytime phone number: ___________________________ signature:_______________________________________ date: ____________ email: _______________________________________ For RN and LPN only: You are required to update the following information for each change of address submitted: Primary State of Residence: ____________ Are you on active duty as an Armed Forces Nurse: ( circle one) YES NO Please note that a duplicate license reflecting the changes will no longer be issued due to the Board going cardless January 01, 2007. Mail form and document to: NORTH CAROLINA BOARD OF NURSING Attn: Barbara Nelson P. O. Box 2129 Raleigh, NC 27602 Or fax to: ( 919) 781- 9461 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC " It is NOT how much you do, but how much love you put in the doing." – Mother Theresa " The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest." – William Osler the BREAK r o o m 22 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Carolina Board of Nursing Calendar Board Meeting May 15- 16, 2008 September 18- 19, 2008 Administrative Hearings April 24, 2008 July 25, 2008 Licensure Review Panels March 13, 2008 April 4, 2008 May 8, 2008 June 12, 2008 Education/ Practice Committee April 9, 2008 August 27, 2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC North Carolina Foundation for Nursing Excellence Transition to Practice Project Underway Successfully transitioning newly licensed registered nurses ( RNs) into entry- level practice is a long- standing issue in the U. S. The North Carolina Foundation for Nursing Excellence, created by the NC Board of Nursing, in collaboration with the NC Center for Nursing and the NC AHEC Programs, has implemented a multiphase Transition to Practice Study that will provide data to determine the essential components of an evidence- based state- wide transition requirement for newly licensed nurses and will contribute to the evi-dence base for best practices related to transition experiences for newly licensed nurses. Phase I of the study, supported with a grant from Blue Cross Blue Shield North Carolina Foundation, included newly licensed RNs in acute care hospitals. ( A detailed explanation of the study can be found at www. ffne. org). Data collection for this phase will be completed in February 2008, and the completion of data analysis is targeted for summer 2008. The anticipated outcome of Phase I is to identify factors contributing to safe practice and critical areas of need for focused competence development for newly licensed RNs entering practice. This information will provide the evidence for the next phase of the transition pilot to create intervention activities intended to enhance competence development for the delivery of safe, effective care by newly licensed nurses entering practice. Planning for and recruitment of participants for Phase II of this study are currently underway. Phase II will have a dual focus: replication of phase I with newly licensed RNs in practice settings other than acute care hospitals and newly licensed LPNs in all practice settings ( including, but not limit-ed to, acute care); and an intervention or demonstration project that will be developed based on the data analysis of phase I. Please consider participating in this very important project. An interest form can be found on the Foundation for Nursing Excellence’s Web site. The staff would be delighted to talk with you about the project or answer any questions that you might have and can be reached at email@ ffne. org. Nurses Represent N. C. in NCLEX Development The following nurses represented North Carolina in the NCLEX item development program for the first half of 2007: • Laura B. Clark, member, RN item writing panel • Becky Ann Foushee, member, RN item review panel • Sharon G. Nelson, member, RN item review panel • Reginaldo Horwitz, alternate, RN item review panel .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC ADMINISTRATIVE MATTERS • Approved modification of online application for license renewal to allow nurses to make voluntary charitable contri-butions to the Foundation for Nursing Excellence at the time of license renewal. • Approved implementation of plan to revise composition and charge of Education and Practice Committee • Approved NC Board of Nursing Communication Plan • The Board approved proposed changes to the Nursing Practice Act to be taken to the 2009 General Assembly. In addition to technical changes and clarification regarding what records are public or non- public in a disciplinary case, proposed changes in the NPA would authorize the Board to: ( 1) order the production of records in the course of an inquiry or investigation; ( 2) enter into consent orders with licensees or applicants requiring participation in remediation programs; and ( 3) at its discretion, conduct criminal history background checks on persons who are applying for renewal, reinstatement, or retuning to active practice. EDUCATION/ PRACTICE MATTERS Summary of Actions related to Education Programs Ratified mail referendum Waive 21NCAC 36.0317 Administration ( c) ( 2) and approve Heather Jacobs as interim program Director for Robeson Community College, Lumberton – ADN program. Ratified Full Approval Status for the following nursing educa-tion programs Alamance Community College, Graham – ADN Vance- Granville Community College, Henderson – ADN Ratified Expansion in Enrollment in the following nursing edu-cation programs Presbyterian School of Nursing at Queens University of Charlotte, Charlotte – BSN – Increase of 60 for a total of 180 students beginning Spring 2008 Assigned Warning Status Brunswick Community College, Supply – PNE Assigned Warning Status due to NCLEX Pass Rates For 2006- 2007, the national pass rate is 87 percent for RN and 88 percent for PN; 95 percent of this is 83 percent for RN and 84 percent for PN. The two year pass rate is a true calculation of the total number of first time test passers dur-ing the two year period January 1, 2006, through December 31, 2007, divided by the total number of first time test takers. The following programs did not meet the Standard for the calendar year 2007. Their two year pass rates for the time frame of January 1, 2006, to December 31, 2007, are reflected as well as their single year pass rates for 2006 and 2007. The following programs did not meet the Standard for the calendar year 2006 and were already on Warning. Their 2007 pass rates are reflected. These programs are continued on Warning Status for a second year, and a focused survey will be scheduled. The following program did not meet the Standard for the cal-endar years 2005, 2006 and 2007. This is the second year on warning status; they were assigned approval with stipulations in 2005. A focused survey will be scheduled. c o n t i n u e d o n p a g e 3 0 SUMMARY of ACTIONS In keeping with public records and open meetings laws, the North Carolina Board of Nursing posts all actions in the Nursing Bulletin or on its website, at www. ncbon. com. A regular meeting of the Board was held on January 24- 25, 2008, in Raleigh. The following is a summary of the Board’s actions. From the January 24- 25, 2008, Board Meeting Program 2006 2007 2 year Fayetteville State University, Fayetteville – BSN None 64% 64% UNC- Pembroke, Pembroke – BSN None 68% 68% Western Carolina University, Cullowhee – BSN 85% 77% 81% Brunswick Community College, Supply – ADN None 58% 58% Caldwell Community College and Technical Institute, Hudson – ADN 90% 71% 80% James Sprunt Community College, Kenansville – ADN 77% 85% 80% Lenoir Community College, Kinston – ADN 97% 61% 80% Region A Nursing Consortium, Clyde – ADN 84% 71% 77% Rowan- Cabarrus Community College, Salisbury – ADN 100% 69% 82% Southeastern Community College, Whiteville – ADN 83% 74% 77% Rockingham Community College, Wentworth – PNE 80% 76% 78% Program 2006 2007 2 year Bladen Community College, Dublin – ADN 53% 81% 66% Foothills Nursing Consortium, Spindale – ADN 71% 71% 71% Randolph Community College, Asheboro – ADN 71% 88% 78% Rockingham Community College, Rockingham – ADN 74% 64% 68% Program 2005 2006 2007 2 year North Carolina A& T State University, Greensboro – BSN 69% 69% 84% 76% April 7, 2008, 8: 00 a. m. – 3: 30 p. m., Friday Center, Chapel Hill, NC Keynote address on Conceptual Learning presented by Jean Giddens, Ph. D. Workshop and poster sessions highlighting innovative approaches that are working in NC for sharing educational resources, utilization of technology, evidence- based teaching practices, faculty development, recruitment and retention of faculty, and clinical teaching. Targeted Audience: Nurse educators including faculty, practice partners, staff development educators, and preceptors both of students and new nurses. Objectives: 1. Discuss innovative approaches being used in NC nursing education. 2. Identify characteristics of environments that support innovation in nursing education. 3. Describe the use of concept based curriculum in managing content saturation. 4. Identify teaching learning strategies that support the development of conceptual thinking. Registration: Forms available on- line on the Education page at www. ncbon. com. Cost: $ 100 – includes all materials, continental breakfast, and lunch. Contact hours awarded: 5.5 – will be awarded for attending workshop in its entirety. No partial credit will be awarded. EDUCATION SUMMIT # 5 The NC Board of Nursing is approved as a provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC NC Board of Nursing Workshop Registration Form 2008 Continuing Competence Update ( 1.0CHs) Information sessions related to board requirements for demonstration of continuing competence. No fee required for cont comp sessions. Questions/ Directions? Contact Paulette at ( 919) 782- 3211, ext. 244, or via e- mail at PAULETTE@ ncbon. com. LEGAL SCOPE OF PRACTICE ( 2.3 CHs) The purpose of this offering is to provide information and clarification regarding the legal scope of practice parameters for licensed nurses in North Carolina. $ 40.00 Fee. Questions/ Directions? Contact Pamela Trantham 919/ 782- 3211 ext. 279 OR Pamela@ ncbon. com YOU DO NOT NEED TO COMPLETE/ SUBMIT THIS FORM FOR THE ONLINE WORKSHOPS! Go to www. ncbon. com Select Events at top of homepage - Go to “ Workshops and Conferences”. Click on “ Board Sponsored Workshops” - Click on the link - follow instructions. Orientation Sessions for Administrators of Nursing Services and Mid- Level Nurse Managers ( 4.6 CHs) ( Raleigh- NCBON- 10a- 3: 55p) ONLINE WORKSHOPS! Information sessions regarding the functions of the Board of Nursing and how these functions impact the roles of the chief nurse administrator and mid- level nurse manager in all types of nursing service settings. Registration fee of $ 40.00. PLEASE CHECK THE APPROPRIATE WORKSHOP BELOW June 11, 2008 October 22, 2008 Registration at least two weeks in advance of a scheduled session is required. No refunds will be made if canceled within 10 days of the workshop, and last minute transfers to another date will be granted on a space available basis. For directions, please go to: http:// www. ncbon. com- Contact- Directions ( limit 20 people per session) Questions/ Directions? Contact Linda Blain 919/ 782- 3211 ext. 238 OR Lindab@ ncbon. com Rev Up Your Nursing Practice! NCBON Regional Workshops Registration fee of $ 40.00 for entire workshop. Seating is limited. All workshops listed below begin and end at the same time. Contact hours pending. Questions/ Directions: Paulette Young – 919- 782- 3211 ext. 244 or PAULETTE@ ncbon. com OBJECTIVES: NCBON consultants will help you kick your nursing practice into high gear! By the end of the interactive workshop, you should be able to: 1) Discuss the continuing competence requirements, 2) Practice within your legal scope, 3) Identify the steps involved in the investigative process, and 4) Describe the NCBON's role as a resource for recovering nurses. AGENDA 8: 30 a. m. – 9: 15 a. m. Welcome, Introductions and Board Update 9: 15 a. m. – 9: 45 a. m. Continuing Competence 9: 45 a. m. – 10: 00 a. m. Break 10: 00 a. m. – 11: 30 a. m. Legal Scope of Practice 11: 30 a. m. – 1: 00 p. m. Lunch ( on your own) 1: 00 p. m. – 1: 45 p. m. Investigative Process and Outcomes 1: 45 p. m. – 2: 00 p. m. Break 2: 00 p. m. – 3: 15 p. m. Alternative Programs/ Recovering Nurse 3: 15 p. m. – 3: 30 p. m. Q& A, Evaluations PLEASE CHECK THE APPROPRIATE WORKSHOP BELOW March 27, 2008 - Pitt County Memorial Hospital Auditorium 2100 Stantonsburg Road , Greenville, NC May 21, 2008 - Mountain Area Health Education Ctr 501 Biltmore Avenue, Asheville, NC Co- provided by MAHEC July 15, 2008 - Carolinas Medical Center, College of Health Sciences, Room 190 ( Auditorium) 1200 Blythe Blvd - Charlotte, NC SCHEDULED PRESENTERS Julia L. George, RN, MSN – Assoc Executive Director - Programs Eileen Kugler, RN, MSN, MPH, FNP - Practice Consultant Kathy Chastain, RN, MN – Manager- Practice Carol Walker, RN, MS, CS - Practice Consultant Kay McMullan, RN, MSN - Director of Investigations/ Monitoring Kathy Chastain, RN, MN – Manager- Practice Receiving Contact Hour Certificates: For all workshops listed on this registration form, contact hour certificates will be presented to participants who attend the selected workshop in its entirety. 30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Education & Practice Committee approved the Rapid Sequence Intubation Position Statement at the December 6, 2007, Education and Practice Committee Meeting. The statement is online at www. ncbon. com under “ Practice,” - “ Position Statements.” The Education and Practice Committee received an FAQ as information related to “ LPNs Administering and Reading TB Tests” and “ Nurse Role in Sports Assessment.” The FAQ can be found on the NCBON Web site ( www. ncbon. com) under Practice – Practice FAQ ( Numbers 13 and 14, respectively). INVESTIGATION AND MONITORING ACTIONS Received reports and Granted Absolutions to two RNs, one LPN. Removed probation from the licenses of 17 RNs and eight LPNs. Accepted the Voluntary Surrender from 19 RNs and five LPNs. Suspended the licenses of 11 RNs and two LPNs. Reinstated the licenses of 19 RNs and one LPN. Number of Participants in the Alternative Program for Chemical Dependency: 147 RNs and 11 LPNs. Number of Participants in the Chemical Dependency Program ( CDDP): 79 RNs, four LPNs Number of Participants in Illicit Drug/ Alcohol Program: 37 RNs, 10 LPNs. SUMMARY of ACTIONS c o n t i n u e d Registration Payment/ Information Section PLEASE INDICATE THE FOLLOWING: Title/ Date of Workshop( s); ____________________________________________________ ____________________________________________________ ____________________________________________________ Registration fee: $ 40.00 per session per person for all workshops except for Continuing Competence Update. NON REFUNDABLE ( Unless Workshop Cancelled) General Information: NAME:________________________________________________________________________ TITLE:________________________________________________________________________ NAME OF PRACTICE IN WHICH YOU ARE EMPLOYED ( ex: ABC Cancer Center): ______________________________________________________________________________ Home ADDRESS: _____________________________________________________________________ CITY: ______________________________ STATE: ______ ZIP: ___________ HOME PH#: (____)________________ E- MAIL ADDRESS: __________________________________________________ Please give complete address as you will be mailed/ emailed a confirmation and/ or directions. Make checks payable to North Carolina Board of Nursing or pay by credit card. Registration fee covers course materials. Credit Card Type: MasterCard Visa Expiration Date: Month: _____ Year: _____ Cardholder Name ( as it appears on Credit Card):___________________________________ Cardholder Billing Address: _____________________________________________ CITY: ________________________________ STATE: _________ ZIP: _________ Total Amount: $____________________ Cardholder Signature: ________________________________________________ ( Credit card payment cannot be accepted via fax or phone.) Credit Card Number: NC Board of Nursing Workshop Registration Form 2008 cont. YOU CAN REGISTER ONLINE! To be placed on the roster for the Orientation Sessions Workshop or the Rev Up Your Nursing Practice Regional Workshop, go to www. ncbon. com: Select Events at top of homepage, Go to “ Workshops and Conferences”, Click on “ Board Sponsored Workshops”, Click on desired workshop. ( If you register online, please do not submit this form.) The North Carolina Board of Nursing is an Approved Provider of continuing nurs-ing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditaion. |
OCLC number | 57243106 |