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VOLUME 3 { NO 2} EDITION 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . . . WINTER 07 SSECTHTOIONGL THE CHALLENGES OF MEETING HEALTH CARE NEEDS OF STUDENTS IN THE WINTER 2007 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 Beverly Foster, PhD, RN Executive Director Polly Johnson, RN, MSN, FAAN Editor David Kalbacker Artists Hobert Hampton 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. 123,000 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 3 { NO 1 } EDITION 8 Table of AFQ CONTENTS s Election Incentives for 2007 24 12 Nomination Form for 2007 13 21 Healthcare Needs of Students 27 Frequently Asked Questions 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 17 S u m m a r y o f A c t i o n s 23 t h e B r e a k R o o m 29 C l a s s i f i e d s 28 N a m e a n d a d d r e s s c h a n g e f o r m 30 2 0 0 7 W o r k s h o p R e g i s t r a t i o n F o r m Joint Position Statement on Nursing Work Environment 15 Nurse Educators of Tomorrow Scholarship Program 25 Nurse Pr a c t i t i o n e r Ru l e s U p d a t e d “ She loved people” I am writing to let you know that we have lost a beautiful human being, my wife, Genevieve Lamb. She was a nurse for more than thirty- five years and loved every minute of it. She was dedicated to her profession and her patients. She loved people, and people all loved her. We were married for twenty- four beautiful years. I know someday we will be together again. Till then, I am missing her each day. I just can’t let her go without the nursing profession knowing that she was “ one of the best.” If anyone loves what he or she is doing as my wife did, and I know there are others, then we are truly blessed with some terrific nurses in North Carolina. BILL LAMB 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 EDITO R L { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . “ Take the step to a better life” Thank you for saving my life. In January 2003 I became a participant in the Board’s Alternative Program [ for Chemical Dependency]. When I was initially confronted with my substance abuse issues, I, like many others, was in a deep state of denial. The reality hit me like a ton of bricks when I had to surrender my nursing license to the Board. At the time I had two choices: I could give up and stay in the mud and mire I was in, or I could do as someone at the Board suggested— make it right. I chose the latter, and this chance is what I am most appreciative of. I thank you not only for ensuring that the public is safe while receiving nursing care but for caring about those who provide that care. The road has not been easy. Many times I have wanted to give in. I know I have to battle this addiction day by day. I am appreciative that today I am clean and sober. What a wonderful feeling it is. I would like to tell participants in alternative or compliance programs to not give up. I know firsthand that you get tired and frustrat-ed with the requirements of the programs, but living a life free from the bondage of addiction is worth it. Also, to any of my fellow nurses who are currently battling their addictions silently, I want you to know you are not alone. We have a compassionate Board that cares about you, and it has put programs and measures in place to lift you out of this dark place if you are willing to do the work. It is only a phone call away. Take the step to a better life. NAME WITHHELD UPON REQUEST “ Don’t accept no for an answer ” The irony of my death will be that it is attributable to direct patient care. I was exposed to blood on a daily basis while work-ing as an RN in acute care areas in local hospitals. While trying to help people live, I sat with families and patients, I read prayers, and I held people in my arms as they took their last breath. In November 2004, at my insistence for proper tests, I was found to be positive for HCV ( hepatitis C virus). Although the test for HCV became available in 1998, my previous employer did not notify me of this fact. By the time the diagnosis was made, I was found to be ineligible for chemotherapy or a liver transplant. The vocation that I chose and dedicated my life to turned against me. So here’s my message to all health care workers: demand annual HCV testing. Early detection offers the best treatment alternatives. Don’t accept no for an answer. MARY JANE FERRELL, RN Demand annual HCV testing. Early detection offers the best treatment alternatives. DON’T ACCEPT NO FOR AN ANSWER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 This will be a busy year for our Board and staff as we continue our journey toward excellence in nursing regulation and delivery of safe, effective patient care. We will enhance our regulatory processes through implementation of continued competence requirements for licensure renewal, expansion of our drug and alcohol alterna-tive programs, and continuation of our Practitioner Remediation and Practice Enhancement Partnership ( PREP) program for licensees and employers. Also, we will pursue implementation of national accreditation and uniform faculty- preparation require-ments for all nursing education programs by 2015. I am proud to report that the Board staff will seek the sec-ond level of achievement and recognition by the North Carolina Awards for Excellence for quality improvement that is based on the nationally recognized Malcolm Baldrige Criteria. Major corporations, educational institutions, and health care systems across the state and the nation use these criteria as a framework for continuous quality improvement. Our Board is the first occupational licensing board in North Carolina to commit to this level of scrutiny of our quality-improvement efforts. I commend the efforts of each of our staff members in this important journey. The Foundation for Nursing Excellence, created by the Board, will implement phase 1 of an important study in 2007. With a grant from the Blue Cross/ Blue Shield of North Carolina Foundation and in partnership with the National Council of State Boards of Nursing, the Foundation will evaluate the transi-tion of newly licensed nurses into their first six months of pro-fessional employment as the next step toward a transition model for all newly licensed nurses. The Foundation started to develop the model transition program in 2004, in collaboration with the North Carolina Center for Nursing and the North Carolina Area Health Education Center programs. In 2007 the Foundation will look at competency development, practice errors, and risk for practice breakdown during this critical transi-tion period. Using the findings, the Foundation will try to iden-tify the factors that contribute most significantly to the develop-ment of a safe, effective practitioner of nursing in this early peri-od of employment and career development. In a later phase of the project, the Foundation will use the information it has gath-ered to study the effectiveness of interventions intended to max-imize this transition for new graduates into a complex environ-ment for health care delivery. We welcome our newly elected Board members, Sara Griffith, RN staff nurse, and Deborah Jenkins, LPN, on this journey to regulatory excellence. Alexis Welch, RN, has been reelected as an ADN/ Diploma nurse educator. This is an exciting and critically important time in nursing regulation. I am grateful for all our Board members, who volun-tarily serve the citizens of the state through this important work. Polly Johnson, RN, MSN, FAAN It is with excitement that I enter my second term as the Chair of your Board of Nursing. My re- election platform, shared with my Board colleagues, was based upon three C’s, and they are also my pledge to you: COMMUNICATE . . . with you and each other to keep you informed of Board activities and to seek your input; COLLABORATE. . . with other licensing boards and profes-sional colleagues to protect the health and well being of our citizens; COMMIT . . . my time and energy to moving us forward as one of the most productive and effective nursing boards in the nation. During the January meeting we welcomed two new mem-bers to the Board: Sara Griffith, RN and Deborah Jenkins, LPN. Sara is the mother of a new baby, a first for the Board since I joined. Deborah returns to the Board after a one year break in service – and we are happy to have her back! Also, during our January meeting we celebrated another first – the move to a paperless meeting. All Board members were oriented to their new laptop computers and accompanying software prior to the meeting. We worked between paper packets and electronic documents to get acclimated to the change during this meeting. It was a smooth transition, wonder-fully facilitated by several members of the Board’s staff. I look forward to the coming year, and I invite your comments and concerns. Beverly Foster, PhD, RN 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . f r o m t h e C h a i r 2007 Board ( Standing L to R) Paul Rusk, Ramona Whichello, Carolyn Moffett, Mary Ann Fuchs, Gale Adcock, Lynn Lancaster, Deborah Jenkins, Sara Griffith, Janice Floyd and Dan Hudgins ( Front row L to R) Cindy Morgan, Beverly Foster, Alexis Welch, Martha Ann Harrell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Elected Members take office Alexis B. Welch, RN Alexis B. Welch, RN was re- elected to a second term on the Board of Nursing. She is currently the Dean of Health Sciences at Lenoir Community College and Director of the ADN and PN nursing programs. Welch’s clinical experience includes: critical care, geri-atrics, medsurg, home health and psych. She has been a licensed RN for more than 31 years in North Carolina. “ My desire for unparalleled nursing care is influenced by my roles as a consumer, mother, daughter and friend,” Welch notes. Deborah L. Jenkins, LPN Deborah L. Jenkins, LPN is returning to the Board. She was first elected to the Board for a one year term in 2004. A graduate of Durham Technical Community College, Jenkins has experience in pediatrics, adult medicine, dermatol-ogy, IV therapy and pharmacology. Currently she works at Durham Pediatrics, a division of Duke University Health Systems. Jenkins has also served as a Director and President of the North Carolina LPN Assoc., Durham region. “ I enjoy the decision making process which serves to uphold and maintain the quality and integrity of the nursing profession,” reports Jenkins. Sara A. Griffith, RN Sara A. Griffith, RN is newly elected to the Board of Nursing. Griffith is a staff nurse with Wake Medical Health and Hospitals in Raleigh. She received her BSN in nursing from East Carolina University and is currently seeking her Master of Science in Nursing from the same University. She is experienced in trau-ma/ general/ vascular surgery as well as cardiovascular surgical nursing. “ I welcome this opportunity to serve and to address situations related to the health, safety and welfare of the public,” Griffith said. 12 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . As previously reported in the Nursing Bulletin, an overwhelming majority of nurses voting in the Board’s election are pleased that we offer incentives to those who take the time and make the effort to vote. This year we are happy to announce that two properties have made generous donations in support of nurses in North Carolina. The first is the Chetola Resort in Blowing Rock, North Carolina. The second incentive is offered by The Franklin Hotel, a newly opened luxury hotel in Chapel Hill, North Carolina. As in the past, in order to receive one of these terrific stress reduction getaways, you must vote in the 2007 Board election which beings July 1 and ends August 15th. E L E C T I O N I N C E N T I V E S F O R 2 0 0 7 Winter Escape in Blowing Rock Through March 24th Three days/ two nights in Chetola Lodge, Chetola Condos or Bob Timberlake Inn. Includes: Chetola Movie Bucket $ 25 Tanger Outlet Gift Card, Discount certificate for the Bob Timberlake Galleries. Two night packages start at $ 264 in Chetola Lodge $ 275 in Chetola Condos $ 425 in Bob Timberlake Inn. N. Main Street Blowing Rock, NC 800- CHETOLA www. chetola. com Come and discover The Franklin Hotel, a premiere luxury boutique hotel on historic Franklin Street in the heart of downtown Chapel Hill. Simple understated elegance with a distinctive classic style in a warm, inviting atmos-phere. Just steps away from everything. Beautifully appointed guestrooms and luxurious penthouse suites with private balconies and stunning view, exceptional amenities, comforts and conveniences, exquisite meeting and event space, fully equipped fitness center and executive business center, in- room spa service, unsurpassed attention to detail and personalized service with a gracious and dedicated staff. Relax in elegant surroundings at Roberts At The Franklin lobby bar and patio, a perfect gathering place with charming sidewalk views, jazz piano and fireplace; and enjoy a sumptuous breakfast menu at Windows Restaurant amidst lovely views of Franklin Street. We look forward to welcoming you. Pack your bags! NOMINATION FORM for 2007ELECTION Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2007 Although we have just completed a successful Board of Nursing election, we already are getting ready for 2007. Next year the Board will have three openings: one for an RN who is a nurse administrator in a hospital or a hospital system; one for an RN who is a nurse edu-cator in a BSN or higher degree nursing program; and one for an LPN. This nomination form is for you to tear out and use. The form must be completed and postmarked on or before April 1, 2007. Following are instructions for completing the form and guidelines for nominations. Be sure to follow all the instructions. Instructions Nominations for both RN and LPN positions shall be made by submitting a completed petition signed by no fewer than 10 RNs ( for an RN nominee) or 10 LPNs ( for an LPN nomi-nee) eligible to vote in the election. The minimum requirements for an RN or an LPN to seek election to the Board and to maintain membership 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 or LPN member shall include con-tinuous 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, 2007. Guidelines for Nominations 1. RNs can petition only for RN nominations and LPNs only for LPN 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, 2007, for the nominee to be considered for candidacy. Petitions received before the April 1, 2007, deadline will be processed on receipt. 9. Elections will be held between July 1 and August 15, 2007. Those elected will begin their terms of office in January 2008. Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN/ LPN ( 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— Nurse Administrator in Hospital or Hospital System RN- BSN/ Higher Degree Nurse Educator LPN 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; only LPNs may petition for LPN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2007 NAME SIGNATURE CERTIFICATE NUMBER ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC THE NORTH CAROLINA BOARD OF NURSING AND THE NORTH CAROLINA DIVISION OF FAC I L I T Y S E R V I C E S Joint Position Statement ONNURSINGWORKENVIRONMENTS BACKGROUND: Nursing work environments have been consistently linked to patient safety. The Institute for Safe Medication Practices ( ISMP) affirmed in 2005 that “ long work hours and the fatigue that results represent a serious threat to patient safety.” The Institute of Medicine ( 2003), in addressing the work envi-ronment of nurses, noted that long work hours pose a threat to patient safety. They noted that fatigue slows reaction time, dimin-ishes attention, and contributes to medical errors. This study con-cluded that the elimination of mandatory overtime is essential to patient safety and to the health and well- being of nurses. The NC Institute of Medicine ( NCIOM) Task Force on the North Carolina Nursing Workforce Report ( May 2004) recom-mended as a “ high priority” that the North Carolina Board of Nursing ( BON) and North Carolina Division of Facility Services ( DFS) work together to implement regulations to address nurses working excessive hours in the provision of direct patient care. As noted in the NCIOM Executive Summary, orientation and super-vised on- the- job training are essential in helping new nurses or nurses working in unfamiliar environments understand their job responsibilities and obtain the confidence and skills necessary to provide quality care. The missions of the BON and DFS have guided their approach to this issue. The assurance of the protection, well- being, and safe-ty of the public receiving care in diverse healthcare settings is a shared responsibility. The BON regulates the delivery of safe, effec-tive nursing care. The DFS regulates and ensures the safe, adequate care of people in medical, mental health, and group care facilities. In response to the NCIOM recommendation, a “ think tank” was convened in October 2004 to discuss implications and con-cerns related to limitation of working hours. A core group was then identified to review and explore the relevant literature, employer data, and existing legislation. This group recommended that a joint position statement be developed and that the BON provide clarifi-cation to nurses who question limitations on work hours and mandatory overtime. PURPOSE: The purpose of this Joint Statement on Nursing Work Environments is to provide guidance to administrators, managers, and direct care nurses within NC healthcare facilities as they work together in assuring the development and maintenance of safe work environments. STATEMENT: Extended work hours, whether mandatory or voluntary, pose a significant threat to patient safety. The BON statement on “ Extended Work Hours and Patient Safety” ( available at http:// www. ncbon. com/ prac- rnfaq) should be used as a guide for nurses in deciding whether to accept an assignment and for man-agers in deciding whether to make an assignment. Refusing to work mandatory overtime does not constitute patient abandon-ment. Once accepted, however, assignments must be fulfilled until reported off to another nurse. Nurses and managers need to avoid overtime hours if either has reason to believe that the licensee is sleep deprived or performance is otherwise compromised. Nurses must communicate safety concerns clearly to managers, and those working in more than one job must exercise caution in self- regulat-ing their total hours worked. It is the position of the BON and DFS that work hours must be managed by all concerned with an emphasis on safe patient care. Education and training are essential in maintaining and improving nursing competencies. Agency- specific learning begins with a thorough orientation and extends as assignments change throughout the employment relationship. In addition, an effective, timely orientation must be provided for contract and float nurses if they are to ensure patient safety. The limitations of nurses working CONTINUED ON PAGE 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC 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 on on January 26, 2007, in Raleigh. The following is a summary of the Board’s actions. From the January 26, 2007, Board Meeting ADMINISTRATIVE MATTERS • Approved revisions to 21 NCAC 36.0812, Disciplinary Action, for final review and action by the Rules Review Commission • Approved proposed language to seek the following legislative changes to the Nursing Practice Act during the 2007 General Assembly ( words with strikethroughs represent deletions, words with underlines represent additions): Authorization for the Board to pur-chase property: G. S. 90- 171.23( b) is amended by adding a new subdivision to read as follows: “( b) . . . the Board is empowered to: ( 21) Acquire, hold, rent, encumber, alienate, and otherwise deal with real property in the same manner as a pri-vate person or corporation, subject only to approval of the Governor and the Council of State as to the acqui-sition, rental, encumbering, leasing, and sale of real property. Collateral pledged by the Board for an encum-brance is limited to the assets, income, and revenues of the Board.” Authorization for the Board to establish prerequisites for medication aide appli-cants: G. S. 90- 171.56, Medication Aide Requirements, is amended to read as follows: “ The Board of Nursing shall do the fol-lowing: ( 1) Establish standards for faculty requirements for medication aide train-ing; and ( 2) Establish applicant requirements for medication aide training; and ( 3) Provide ongoing review and evalua-tion, and recommend changes, for facul-ty and medication aide training require-ments to support safe medication admin-istration and improve client, resident, and patient outcomes.” Authorization for the Board to use hear-ing panels: G. S. 90- 171.56, Medication Aide Requirements, is amended to read as follows: § 90- 171.37A. Use of Hearing Panels. “( a) The Board, in its discretion, may designate three or more of its mem-bers, the majority of whom shall be licensed nurses, to conduct show cause or contested case hearings. ( b) Hearings conducted pursuant to this section shall be conducted in accor-dance with Article 3A of Chapter 150B of the General Statutes and rules adopted by the Board. ( c) Notwithstanding G. S. 150B- 40( b) requiring that hearings be conducted by a majority of the Board, the hear-ing panel shall make a final agency decision that contains findings of fact and conclusions of law. ( d) Appeal from a decision of the hear-ing panel shall be made pursuant to Article 4 of Chapter 150B of the General Statutes.“ Authorization for Board staff to serve legal papers: G. S. 90- 171.23( b) is amended by adding a new subdivision to read: “( b) . . . the Board is empowered to: ( 22) Designate one or more of its employees to serve papers and sub-poenas issued by the Board. Service under this subsection is in addition to any other methods of service permit-ted by law.” • Directed staff to gather further data related to proposed changes to 21 NCAC 36.0318, Faculty, and submit a report to the full Board at the May 2007 Board meeting. RATIONALE: The North Carolina Community College System requested a review of the proposed language based on the National League of Nursing Accreditation Commission standards, which recognize experienced clinicians and allow them to be considered as approved instructors on a case- by- case basis if their academic qualifications and experience are equivalent to a master’s degree, even if they do not hold that degree. • Approved proposed changes to Committee Structure and Function to include creation of a Finance and Audit Committee, transfer of Practice Improvement and Regulation Committee activities to staff, and cre-ation of Licensure Review Panels to replace Licensure and Settlement com-mittees. • Approved a Joint Position Statement on Nursing Work Environments by the North Carolina Division of Facility Services and the North Carolina Board of Nursing. RATIONALE: The statement is intended to provide meaningful guidance to North Carolina health care facilities personnel, administrators, and nurses in ensuring that nursing work environ-ments support safe practice and provide protection for consumers of nursing care. EDUCATION/ PRACTICE MATTERS Education Matters • Ratified full approval status for the fol-lowing nursing education programs: Caldwell Community College and Technical Institute, Hudson— ADN Cape Fear Community College, Wilmington— PNE continued on the following page 18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . SUMMARY of ACTIONS CONTINUED From the January 26, 2007, Board Meeting Central Piedmont Community College, Charlotte— ADN Mayland Community College, Spruce Pine— ADN • Ratified expansion in enrollment in the following nursing education programs: Beaufort County Community College, Washington— PNE: an increase from 20 to 30, effective fall 2007 ECPI College of Technology, Raleigh— PNE: an increase from 60 to 110, alter-nate evening/ weekend schedule, effec-tive fall 2006 Fayetteville Technical Community College, Fayetteville— PNE: an increase from 67 to 83, effective fall 2006 UNC at Chapel Hill— BSN: an increase from 330 to 380, effective spring 2007 Wake Technical Community College, Raleigh— ADN: 11 students in one clini-cal group, for Spring 2006 semester only • Assigned full approval status on the basis of 2006 NCLEX pass rates: Durham Technical Community College, Durham— PNE: 74% ( 2005) and 97% ( 2006) Gardner- Webb University, Boiling Springs— ADN: 72% ( 2005) and 83% ( 2006) North Carolina Central University, Durham— BSN: 65% ( 2005) and 82% ( 2006) Robeson Community College, Lumberton— ADN: 57% ( 2005) and 96% ( 2006) Wilkes Community College, Wilkesboro— ADN: 65% ( 2005) and 86% ( 2006) • Assigned warning status on the basis of 2006 NCLEX pass rates: Bladen Community College, Dublin— ADN: 53% Foothills Nursing Consortium, Spindale— ADN: 71% Randolph Community College, Asheboro— ADN: 71% Rockingham Community College, Wentworth— ADN: 74% Vance- Granville Community College, Henderson— ADN: 74% • Assigned warning status on the basis of 2005 and 2006 NCLEX pass rates: North Carolina A& T State University, Greensboro— BSN: 69% ( 2005) and 69% ( 2006) EDUCATION- RELATED ACTIONS • Ratified mail referendum for faculty approval: Piedmont Community College, Roxboro • Faculty approval of Michael Langston COMPLIANCE MATTERS • Received reports and granted absolu-tions to 4 RNs • Removed probation from the license of 7 RNs and 9 LPNs • Accepted voluntary surrenders from 17 RNs and 4 LPNs • Suspended the license of 11 RNs and 5 LPNs • Reinstated the license of 9 RNs and 2 LPNs Number of participants in the Alternative Program for Chemical Dependency: 118 RNs and 12 LPNs Number of participants in the Chemical Dependency Program: 62 RNs and 3 LPNs Number of participants in the Illicit Drug Program: 38 RNs and 15 LPNs For the Board’s information: A revised advisory statement on Surgical First Assist is available online at www. ncbon. com, in the Practice Department section, or by calling ( 919) 782- 3211 ext. 244. with unfamiliar patient populations and circumstances must be rec-ognized and addressed as assignments are negotiated. The BON and DFS support creative solutions that proactively address nursing work environment issues. Administrators, man-agers, and direct care nurses are encouraged to collaborate to find safe solutions to these challenges. Agency leaders and nurses share in this responsibility to assure that the appropriate environmental systems and supports are implemented. Patients need and deserve nurses who are supported in their ability to deliver safe, effective, quality patient care. Both the BON and DFS are committed to ensuring that North Carolina patients receive effective care in a safe environment. REFERENCES: Institute for Safe Medication Practices ( ISMP). ( 2005). Exhausted workforce increases the risk of errors. ISMP Nurse Advise- ERR, 3 ( 12). Accessed June 10, 2006. http:// www. ismp. org/ newslet-ters/ nursing/ articles/ 2005_ 12_ 01. asp Institute of Medicine ( IOM). ( 2003). Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, D. C.: National Academy Press. North Carolina Board of Nursing ( NCBON). ( 2002). Questions Regarding Short Staffing and Abandonment. Accessed December 8, 2006. http:// www. ncbon. com/ prac- rnistate. asp North Carolina Board of Nursing ( NCBON). ( 2006). Extended Work Hours and Patient Safety. Accessed December 8, 2006. http:// www. ncbon. com/ prac- rnfaq. asp North Carolina Institute of Medicine ( NCIOM). [( 2004). Task Force on the North Carolina Nursing Workforce Report.] Accessed July 24, 2006. http:// www. nciom. org/ projects/ nursingwork-force/ nursingreport. html CONTINUED FROM PAGE 15 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . . At their meeting on January 26, 2007, Board members conducted business for the first time on laptop computers. The software package, devel-oped by Studio 361, allows members to view reports, make comments, and maintain electronic files of Board materials. The Board has been working over the past sev-eral years to streamline work processes and use technology to increase efficiency, minimize Board expenses, and enhance communication between Board members and staff. Beginning in May 2007, the Board will post meeting documents to its website, www. ncbon. com, along with the agenda. People attending the Board meetings will be able to down-load materials for review. This is perhaps the most beauti-ful time in human history; it is really pregnant with all kinds of creative possibilities made possi-ble by science and technology which now constitute the slave of man – if man is not enslaved by it.} JONAS SALK, M. D. Developer of Polio Vaccine Board Conducts Business on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC EILEEN C. KUGLER, RN, MSN, MPH, FNP, Education/ Practice Consultant With the growing recognition that health status affects a child’s ability to learn and to succeed, and with increasing num-bers of students with chronic health condi-tions in the schools, the demand for school nursing services has grown rapidly and steadily in recent years. School nurses in North Carolina are registered nurses and may be employed by local education agen-cies ( LEAs), local health departments, local health alliances, hospital systems, or private schools. Those employed by LEAs must be certified in school nursing by either the American Nurses Credentialing Center or the National Association of School Nurses within three years of employment. The role of the school nurse is broad and multifaceted. School nurses are in a unique position to influence health policy in the school environment as well as the health status of students, faculty, and staff. The National Association of School Nurses lists seven roles of the school nurse: provid-ing direct health care to students and staff, providing leadership for the provision of health services, providing screening and referral for health conditions, promoting a healthy school environment, promoting health, providing leadership for health policies and programs, and serving as a liai-son between school personnel, family, com-munity, and health care providers. School nurses provide case management, evaluate performance of activities of daily living, and develop appropriate modifica-tions for a student’s learning environment. Also, they are prepared to treat injuries and illnesses that are common occurrences in the school- aged population. Students with special health care needs have the right to receive special health care from qualified and adequately trained personnel. Ongoing evaluation and assessment of the appropriateness of special health care services must be provided in order to ensure the safety and the appropriate place-ment of these students. In 16 NCAC 6D. 0402( a), the North Carolina Administrative Code stipulates, “ Each LEA shall make available a registered nurse for assessment, care planning, and on- going evaluation of students with special health care service needs in the school setting.” It defines special health care services as including “ procedures that are invasive, carry reasonable risk of harm if not per-formed correctly, may not have a pre-dictable outcome, or may require additional action based on results of testing or moni-toring.” In 16 NCAC 6D. 0402 ( b), the code states, “ Care planning includes but is not limited to: 1) identification of appro-priate person( s) to perform the procedure; 2) teaching those persons to perform the procedure; and 3) identification of a mech-anism for registered nurses to provide ongo-ing supervision to ensure the procedure is performed appropriately and monitoring the student’s response to care provided in the school setting.” Some medically fragile students require one- on- one nursing care in the school set-ting. Students with chronic illness, physical handicaps, and/ or disabilities may require the performance of invasive health care procedures during the school day ( e. g., uri-nary catheterization, suctioning, tra-cheostomy care, nasogastric or gastrostomy tube feedings, stoma care, blood glucose monitoring, oxygen therapy, and nebulizer treatments). Students may also require medication daily on a long- term basis ( e. g., Ritalin, lithium, other psychotropic or seizure medications, insulin, and controlled substances), or for emergency treatment ( e. g., asthma inhalers and epinephrine injections). Secretaries, counselors, class-room teachers, and teaching assistants are the primary people who administer medica-tions daily in the majority of school sys-tems. It is important that a school nurse be available to review and participate in the THE CHALLENGES OF MEETING HEALTH CARE NEEDS OF STUDENTS IN THE SCHOOL SETTING STUDENTS WITH SPECIAL HEALTH CARE NEEDS HAVE THE RIGHT TO RECEIVE SPECIAL HEALTH CARE FROM QUALIFIED AND ADEQUATELY TRAINED PERSONNEL. 22 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . development of school policy and proce-dures, train and supervise teachers and other staff about all aspects of giving medications correctly, and serve as a coordinator among parents, medical providers, and the school. Meeting health needs in a school envi-ronment is challenging. Delegation of care to unlicensed assistive personnel becomes necessary to support the individual health care plans developed by the school nurse. Delegation occurs when the school nurse cannot be available to IMPLEMENT the necessary interventions. It is not appropriate for the school nurse to delegate any other elements of the nursing process because these require the skill and the knowledge of the professional nurse. The school nurse uses professional judgment consistent with both nursing and school law in North Carolina to decide what nursing care may be delegated and to whom. Rule 21 NCAC 36.0221, License Required, outlines the criteria that must be met before delegation of tasks to unlicensed personnel. Tasks may be delegated to an unlicensed person that “( 1) frequently recur in the daily care of a client or group of clients; ( 2) are performed according to an estab-lished sequence of steps; ( 3) involve little or no modification from one client- care situation to another; ( 4) may be performed with a predictable outcome; and ( 5) do not inherently involve ongoing assessment, interpretation, or decision-making which cannot be logically separat-ed from the procedure( s) itself.” The role of the school nurse is to assess the health needs of the child and to coordi-nate with staff, family, health care providers, and community agencies in order to provide a coordinated school health program that facilitates the maximum educational oppor-tunity for the student. When the school nurse determines that delegation is appropri-ate, he or she must ascertain the competence of the delegatee before delegating any tasks. Assessment, evaluation, and nursing judg-ment must not be delegated. Supervision, monitoring, evaluation, and follow- up by the nurse are crucial components of delegation. The delegatee is accountable for accepting the delegation and for his or her own actions in carrying out the tasks. Nurses can use the Five Rights of Delegation— Right Task, Right Circumstances, Right Person, Right Direction/ Communication, Right Supervision/ Evaluation— as a mental check-list for remembering the essential elements of delegation. If you are a school nurse and have questions about nursing regulation, contact a practice consultant at ( 919) 782- 3211. Following are some references that may be helpful in gaining a better understanding of the delegation process: American Nurses Association and National Council of State Boards of Nursing. Joint Statement on Delegation. www. ncsbn. org/ pdfs/ Joint_ statement. pdf National Association of School Nurses. Position Statement: Delegation. www. nasn. org/ Default. aspx? tabid= 349 North Carolina Board of Nursing. Delegation: Decision Making Tools and Process. www. ncbon. com/ prac-delegate. asp Kathy Chastain, RN, MN, practice consultant, con-tributed to this article. Looking for Nurse/ Artists If you are a nurse and an artist ( you don’t have to be a professional artist), consider pro-ducing a cover for the Nursing Bulletin. Each issue of the magazine features an original piece of art by a North Carolina artist. We try to highlight some aspect of nursing. The fall 2006 issue featured a nurse midwife. Other covers have highlighted nurse practitioners, home health nurses, and the like. We hope to feature school nurses on the cover of the spring 2007 issue, but other ideas are welcome. If you are a nurse who might be interested in producing a cover, or if you know such a nurse, please contact me, David Kalbacker, editor, at david@ ncbon. com and send me a couple of samples of your work. My mailing address is David Kalbacker, N. C. Board of Nursing, P. O. Box 2129, Raleigh, NC 27602. Please include a telephone number or an e- mail address where I may contact you. Samples will not be returned unless you specifically request that they be. If you are selected to do a cover, the final art must be 17" x 22". And yes, we will pay you for your creative efforts. VOLUME 2 { NO2} EDITION 5 { Official Publication of the NORTH CAR OLINA Board of Nursing} . . . . . . . . . . . . . . . . WIN TER 06 OnlineNCLEX Application Launched Online CONFERENCE PATIENT SAFETY CONFERENCEsee page 6 VOLUME2 { NO 1} EDIT ION 4 { Official Publication of the N ORTH C AROLINABoard of Nursing} . . . . . . . . . . . . . . . . FALL 05 REQUIREMENT by N. C. LEGISLATURE COM PETENCE CONTINUING COMPETENCE ELECTION RESULTS FOR 2005 NCLEX item writers of NC The following nurses represented North Carolina in the NCLEX item develop-ment program for the first quarter of FY 2007: Carolyn Baker, John Stevens, Carolyn McCormick and alternate Becky Ann Foushee. These individuals either reviewed or helped write items for the NCLEX exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC During my second year of nursing school our pro-fessor gave us a quiz. I breezed through the ques-tions until I read the last one: " What is the first name of the woman who cleans the school?" Surely this was a joke. I had seen the cleaning woman several times, but how would I know her name? I handed in my paper, leaving the last ques-tion blank. Before the class ended, one student asked if the last question would count toward our grade. " Absolutely," the professor said. " In your careers, you will meet many people. All are signifi-cant. They deserve your attention and care, even if all you do is smile and say hello." I've never for-gotten that lesson. I also learned her name was Dorothy. – JOANN C. JONES the BREAK r o o m It looks like Kathy has lost her name badge again! 24 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . The North Carolina Board of Nursing and the North Carolina Medical Board approved nurse practitioner rules in August 2004. Recently the rules were reviewed and updated. You can locate the revised rules by visiting the Board of Nursing’s website, www. ncbon. com. Nurse practitioner rule 21 NCAC 36.0812 ( Board of Nursing) or 21 NCAC 32M. 0112 ( Medical Board) also has been undergoing review. A public hearing was held on January 17, 2007. If the Board of Nursing and the Medical Board approve the rule, it will become effective on April 1, 2007. The changes in this rule set forth further grounds for disciplinary action con-sistent with G. S. 90- 14( a), as requested by the 2006 General Assembly, and list options for action that may be taken by the Board of Nursing or the Medical Board. UPDATED N U R S E P R A C T I T I O N E R RULES This program offers scholarship- loans for gradu-ate students interested in becoming nursing instruc-tors at North Carolina community colleges or four- year North Carolina colleges or universi-ties. This program is strictly merit- based: financial need is not a criterion. Recipients must be North Carolina residents for tuition purposes. The program provides funding, up to $ 15,000 per year for two years of master’s coursework or three years of doctoral coursework, for students purs-ing degrees to teach nursing in North Carolina colleges and universities. Recipients must be enrolled FULL TIME in nursing education or another area that prepares students to teach nursing at the associate or baccalaureate degree level at two- year or four- year colleges with nursing programs. In addition, recipients must agree to teach in a North Carolina nursing program upon completion of the nursing education program supported by the scholarship. The program is administered by the State Education Assistance Authority. Applications, deadlines, eligibility requirements, repayment requirements and additional details about the program can be found at www. CFNC. org/ NET. { N O R T H C A R O L I N A B o a r d o f N u r s i n g } .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC F O U R T H A N N U A L E D U C AT I O N S U M M I T “ Expand Your TOOLBOX: Strategic Use ofINFORMATICS” FEATURED SPEAKERS Diane Skiba, PhD, FAAN, FACMI, will focus on Net Generation learners and the use of technology to address faculty shortages, working across programs, building of infrastructure. and development of partnerships. Janet Grady, DrPH, RN, will present the Virtual Clinical Practicum, a Nursing Telehealth strategy incorpo-rating technology for clinical experiences for initial nursing education and continuing education to address decreased numbers of clinical sites and lack of specialty experiences ( e. g., dealing with burns and complicated deliveries). This strategy could be effectively used for both interdisciplinary training/ practice opportunities and evaluation of clinical competency. OBJECTIVES • To examine the benefits and the challenges associated with using technology to provide clinical experiences for nursing students • To explore the challenges associated with teaching Net Generation learners • To describe strategies for integrating technology into the curriculum • To identify ways to provide educational experiences and extend faculty resources with informatics tools DATE AND PLACE: April 2, 2007, Friday Center, Chapel Hill For registration information, visit the Board’s website, www. ncbon. com, or contact Linda Blain at lindab@ ncbon. com or ( 919) 782- 3211 ext. 238. TARGETED AUDIENCE: nursing faculty, preceptors, nursing staff working with students, and staff development educators. NURSE EDUCATORS OF TOMORROW S C H O L A R S H I P Program I am submitting my license renewal application online, and my friend is using a paper application for his renewal. Neither of us can find directions for submitting our continuing competence self-assessment and learning plan with our license renewal application. What should we do? You are required to complete a self- assessment and a learning plan at the time of license renewal, but you do not submit these to the Board. They are your personal records, and the Board will not ask to see them. You should retain them, along with documentation of your appli-cable learning activities, throughout your two- year licensure period. If you are audited on completion of a two- year licensure cycle, you then will submit evidence of completion of your chosen learning activities. Self- assessment worksheets and a learning plan template are available, along with other continuing competence information, at the Board’s website, www. ncbon. com/ prac- contcomp. asp. These are not interactive computer forms, so you must print them for your use and complete them manually. The Board requires continuing education “ contact hours,” but some of the programs I attend offer “ continuing education units” ( CEUs). Are CEUs acceptable in meeting the continuing competence requirements? The Board accepts both contact hours and CEUs in any combination in fulfillment of con-tinuing competence requirements for continuing education. One contact hour ( 1.0) is generally equal to 60 minutes of instruction or study. One- tenth ( 0.1) of a CEU is generally equal to 60 minutes of instruction or study. Therefore, 0.1 CEU is equal to 1.0 contact hour. This conversion can be used in totaling continuing education hours. I have reviewed the online and Bulletin information concerning continuing competence, but I am still confused about the requirements and the timelines. Where can I get additional information? A free Board webcast titled “ Understanding Continuing Competence” is available at www. ncbon. com/ prac- contcompw-cast. asp. You can view it online at your convenience. It offers 1.0 contact hour of credit and will clarify continuing compe-tence requirements. In addition, the Board is offering several free Continuing Competence Workshops in 2007 at locations across the state. These allow time for interaction and questions from participants. The locations, dates, times, and registration information for these pre-sentations are available on page 30 of this Bulletin. A s FQ Frequently Asked Questions Q. A. Q. A. Q. A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Board Meeting May 17– 18, 2007 Education/ Practice Committee April 11, 2007 August 30, 2007 Licensure Review Panels February 16, 2007 March 16, 2007 April 12, 2007 June 14, 2007 July 13,2007 Administrative Hearings February 22– 23, 2007 April 26– 27, 2007 July 26– 27, 2007 NORTH CAROLINA BOARD OF NURSING CALENDAR 28 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name& Address C H A N G E Please notify the Board promptly of all name and address changes. Return form to: North Carolina board of Nursing, Attn: Barbara Nelson, P. O. Box 2129, Raleigh, NC 27602- 2129. OR fax your form to: ( 919) 781- 9461 RN Cert. Number __________________________ Expiration Date __/__/____ LPN Cert. Number __________________________ Expiration Date __/__/____ NAII Listing Number ________________________ name: _________________________________________________________ ( first) ( middle) ( last) address:__________________________________________________________ city: ___________________ __________ state: ____ zip/ postal code: _________ date of birth: _________________ social security number: _____-____-______ other last names: __________________________________________________ daytime phone number: ___________________________ signature:_______________________________________ date: ____________ e- mail address:________________________________________ 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 BECAUSE THE BOARD WENT CARDLESS AS OF JANUARY 1, 2007. A duplicate license is not required for a name change if less than 6 months remains on the license, nor is a duplicate license required for an address change. Print or type name ( no nickname) and address TO BE PRINTED on license or listing card. 30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Board of Nursing Workshop Registration Form 2007 Please check the appropriate Workshop Below Continuing Competence Update ( 1.0CHs) Information sessions related to board requirements for demonstration of continu-ing competence. Seating limited. No fee required for these sessions. Questions/ Directions? Contact Paulette at ( 919) 782- 3211, ext. 244, or via e- mail at PAULETTE@ ncbon. com. If you unable to attend one of these workshops, please go to: http:// www. ncbon. com/ prac- contcompwcast. asp to view the web cast available 24/ 7. YOU WILL BE ABLE TO PRINT CONTINUING COMPETENCE DOCUMENTS AND RECEIVE CONTACT HOURS. Legal Scope of Practice ( 2.3CHs) The purpose of this offering is to provide information and clarification regarding the legal scope of practice parameters for licensed nurses in North Carolina. Orientation Sessions for Administrators of Nursing Services and Mid- Level Nurse Managers ( 4.6 CHs) Information sessions regarding the func-tions of the Board of Nursing and the impact of these functions on the roles of the chief nurse administrator and the mid-level nurse manager in all types of nursing service settings. ___ February 21, 2007 ___ May 15, 2007 ___ August 8, 2007 ___ November 13, 2007 Registration at least two weeks in advance of a scheduled session is required. If you wish to review materi-als prior to the session, please call 919/ 782- 3211 ext. 238 ( limit 20 people per session) Questions/ Directions? Contact: Linda Blain at 919/ 782- 3211 ext. 238 or via e- mail at LINDAB@ ncbon. com NAME:____________________________________________________________ TITLE:____________________________________________________________ ORGANIZATION NAME:_____________________________________________ ADDRESS: ______________________________ STATE: ______ ZIP: _________ WORK PH#: (____)_______________ HOME PH#: (____)________________ HOME ADDRESS:__________________________________________________ CITY: _______________________________ STATE: ________ ZIP: _________ E- MAIL ADDRESS: __________________________________________________ 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: _____ Credit Card Number: __________________________________________________ Cardholder Name ( as it appears on Credit Card):___________________________________ Cardholder Billing Address: _____________________________________________ CITY: ________________________________ STATE: _________ ZIP: _________ Code:__________________ Total Amount: $____________________ Cardholder Signature: ________________________________________________ ( Credit card payment cannot be accepted via fax or phone.) ( Raleigh- NCBON- 10am- 3: 55pm) Role of the LPN in North Carolina ( 3.8CHs) ( Registration starts at 8: 00 a. m.; workshop ends at 12: 45 p. m.) The purpose of this offering is to provide an overview regarding the role, responsibilities, and scope of practice of the licensed practical nurse. Content will focus on the role of the LPN in contrast to the RN, clarification of the LPN as a nurse- in-charge, and the role of the LPN in orienting the nurse aide. RNs who assign to LPNs and LPNs in any type of practice set-ting are encouraged to attend. _____ May 9, 2007 Central Carolina Comm College - Sanford 1101 Nash Street Dennis A. Wicker Civic Ctr - Lecture Hall ____ November 5, 2007 - Boone Watauga Med Ctr 336 Deerfield Road Auditorium Questions/ Directions? Contact: Linda Blain at 919/ 782- 3211 ext. 238 or via e- mail at LINDAB@ ncbon. com ONLINE WORKSHOP! GO TO WWW. NCBON. COM UNDER RECENT ANNOUNCEMENTS, LOCATE “ LEGAL SCOPE OF PRACTICE ONLINE COURSE” CLICK ON THE LINK AND FOLLOW INSTRUCTIONS Please Indicate the following: Title/ Date of Workshops Registration fee: $ 40 per session per person, for all workshops except Continuing Competence Update; NONREFUNDABLE ( unless the workshop is cancelled) PLEASE PRINT ALL INFORMATION AND MAIL TO: Administrative Secretary– Practice, NCBON, POB 2129, Raleigh, NC 27602. Please give a complete address, for you will be mailed a confirmation and/ or directions. The North Carolina Board of Nursing is an Approved Provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. CONTACT HOUR CERTIFICATES WILL BE PRESENTED TO PARTICIPANTS WHO ATTEND WORKSHOPS IN THEIR ENTIRETY. ___ MAY 3, 2007 – PINEHURST – 11A – 12P FirstHealth Moore Regional Hospital Conf Ctr MONROE AUDITORIUM NC HWY 211 & PAGE ROAD Select only one session for June 6th ___ JUNE 6, 2007 – RALEIGH N. C. BOARD OF NURSING BOARD ROOM 3724 NATIONAL DR., SUITE 201 ___ Session One – 10a- 11a ___ Session Two - 1p- 2p Select only one session for August 20th ___ AUGUST 20, 2007 – ELIZABETH CITY ALBEMARLE HOSPITAL – EDUCATION CENTER 1144 NORTH ROAD STREET ___ Session One – 10a- 11a ___ Session Two - 1p- 2p ___ NOVEMBER 7, 2007 – WILMINGTON – 11A - 12P COSTAL AHEC 2131 SOUTH 17TH STREET
Object Description
Description
Title | Nursing bulletin |
Contributor | North Carolina. Board of Nursing. |
Date | 2007 |
Subjects |
North Carolina. Board of Nursing--Periodicals Nurses--Licenses--North Carolina--Periodicals Nursing--North Carolina--Periodicals |
Description | Winter 2007 (Volume 3 {Number 2} Edition 8) |
Type | Text |
Language | English |
Digital Characteristics-A | 1 MB; 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 3 { NO 2} EDITION 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . . . WINTER 07 SSECTHTOIONGL THE CHALLENGES OF MEETING HEALTH CARE NEEDS OF STUDENTS IN THE WINTER 2007 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 Beverly Foster, PhD, RN Executive Director Polly Johnson, RN, MSN, FAAN Editor David Kalbacker Artists Hobert Hampton 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. 123,000 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 3 { NO 1 } EDITION 8 Table of AFQ CONTENTS s Election Incentives for 2007 24 12 Nomination Form for 2007 13 21 Healthcare Needs of Students 27 Frequently Asked Questions 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 17 S u m m a r y o f A c t i o n s 23 t h e B r e a k R o o m 29 C l a s s i f i e d s 28 N a m e a n d a d d r e s s c h a n g e f o r m 30 2 0 0 7 W o r k s h o p R e g i s t r a t i o n F o r m Joint Position Statement on Nursing Work Environment 15 Nurse Educators of Tomorrow Scholarship Program 25 Nurse Pr a c t i t i o n e r Ru l e s U p d a t e d “ She loved people” I am writing to let you know that we have lost a beautiful human being, my wife, Genevieve Lamb. She was a nurse for more than thirty- five years and loved every minute of it. She was dedicated to her profession and her patients. She loved people, and people all loved her. We were married for twenty- four beautiful years. I know someday we will be together again. Till then, I am missing her each day. I just can’t let her go without the nursing profession knowing that she was “ one of the best.” If anyone loves what he or she is doing as my wife did, and I know there are others, then we are truly blessed with some terrific nurses in North Carolina. BILL LAMB 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 EDITO R L { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . “ Take the step to a better life” Thank you for saving my life. In January 2003 I became a participant in the Board’s Alternative Program [ for Chemical Dependency]. When I was initially confronted with my substance abuse issues, I, like many others, was in a deep state of denial. The reality hit me like a ton of bricks when I had to surrender my nursing license to the Board. At the time I had two choices: I could give up and stay in the mud and mire I was in, or I could do as someone at the Board suggested— make it right. I chose the latter, and this chance is what I am most appreciative of. I thank you not only for ensuring that the public is safe while receiving nursing care but for caring about those who provide that care. The road has not been easy. Many times I have wanted to give in. I know I have to battle this addiction day by day. I am appreciative that today I am clean and sober. What a wonderful feeling it is. I would like to tell participants in alternative or compliance programs to not give up. I know firsthand that you get tired and frustrat-ed with the requirements of the programs, but living a life free from the bondage of addiction is worth it. Also, to any of my fellow nurses who are currently battling their addictions silently, I want you to know you are not alone. We have a compassionate Board that cares about you, and it has put programs and measures in place to lift you out of this dark place if you are willing to do the work. It is only a phone call away. Take the step to a better life. NAME WITHHELD UPON REQUEST “ Don’t accept no for an answer ” The irony of my death will be that it is attributable to direct patient care. I was exposed to blood on a daily basis while work-ing as an RN in acute care areas in local hospitals. While trying to help people live, I sat with families and patients, I read prayers, and I held people in my arms as they took their last breath. In November 2004, at my insistence for proper tests, I was found to be positive for HCV ( hepatitis C virus). Although the test for HCV became available in 1998, my previous employer did not notify me of this fact. By the time the diagnosis was made, I was found to be ineligible for chemotherapy or a liver transplant. The vocation that I chose and dedicated my life to turned against me. So here’s my message to all health care workers: demand annual HCV testing. Early detection offers the best treatment alternatives. Don’t accept no for an answer. MARY JANE FERRELL, RN Demand annual HCV testing. Early detection offers the best treatment alternatives. DON’T ACCEPT NO FOR AN ANSWER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 This will be a busy year for our Board and staff as we continue our journey toward excellence in nursing regulation and delivery of safe, effective patient care. We will enhance our regulatory processes through implementation of continued competence requirements for licensure renewal, expansion of our drug and alcohol alterna-tive programs, and continuation of our Practitioner Remediation and Practice Enhancement Partnership ( PREP) program for licensees and employers. Also, we will pursue implementation of national accreditation and uniform faculty- preparation require-ments for all nursing education programs by 2015. I am proud to report that the Board staff will seek the sec-ond level of achievement and recognition by the North Carolina Awards for Excellence for quality improvement that is based on the nationally recognized Malcolm Baldrige Criteria. Major corporations, educational institutions, and health care systems across the state and the nation use these criteria as a framework for continuous quality improvement. Our Board is the first occupational licensing board in North Carolina to commit to this level of scrutiny of our quality-improvement efforts. I commend the efforts of each of our staff members in this important journey. The Foundation for Nursing Excellence, created by the Board, will implement phase 1 of an important study in 2007. With a grant from the Blue Cross/ Blue Shield of North Carolina Foundation and in partnership with the National Council of State Boards of Nursing, the Foundation will evaluate the transi-tion of newly licensed nurses into their first six months of pro-fessional employment as the next step toward a transition model for all newly licensed nurses. The Foundation started to develop the model transition program in 2004, in collaboration with the North Carolina Center for Nursing and the North Carolina Area Health Education Center programs. In 2007 the Foundation will look at competency development, practice errors, and risk for practice breakdown during this critical transi-tion period. Using the findings, the Foundation will try to iden-tify the factors that contribute most significantly to the develop-ment of a safe, effective practitioner of nursing in this early peri-od of employment and career development. In a later phase of the project, the Foundation will use the information it has gath-ered to study the effectiveness of interventions intended to max-imize this transition for new graduates into a complex environ-ment for health care delivery. We welcome our newly elected Board members, Sara Griffith, RN staff nurse, and Deborah Jenkins, LPN, on this journey to regulatory excellence. Alexis Welch, RN, has been reelected as an ADN/ Diploma nurse educator. This is an exciting and critically important time in nursing regulation. I am grateful for all our Board members, who volun-tarily serve the citizens of the state through this important work. Polly Johnson, RN, MSN, FAAN It is with excitement that I enter my second term as the Chair of your Board of Nursing. My re- election platform, shared with my Board colleagues, was based upon three C’s, and they are also my pledge to you: COMMUNICATE . . . with you and each other to keep you informed of Board activities and to seek your input; COLLABORATE. . . with other licensing boards and profes-sional colleagues to protect the health and well being of our citizens; COMMIT . . . my time and energy to moving us forward as one of the most productive and effective nursing boards in the nation. During the January meeting we welcomed two new mem-bers to the Board: Sara Griffith, RN and Deborah Jenkins, LPN. Sara is the mother of a new baby, a first for the Board since I joined. Deborah returns to the Board after a one year break in service – and we are happy to have her back! Also, during our January meeting we celebrated another first – the move to a paperless meeting. All Board members were oriented to their new laptop computers and accompanying software prior to the meeting. We worked between paper packets and electronic documents to get acclimated to the change during this meeting. It was a smooth transition, wonder-fully facilitated by several members of the Board’s staff. I look forward to the coming year, and I invite your comments and concerns. Beverly Foster, PhD, RN 8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . f r o m t h e C h a i r 2007 Board ( Standing L to R) Paul Rusk, Ramona Whichello, Carolyn Moffett, Mary Ann Fuchs, Gale Adcock, Lynn Lancaster, Deborah Jenkins, Sara Griffith, Janice Floyd and Dan Hudgins ( Front row L to R) Cindy Morgan, Beverly Foster, Alexis Welch, Martha Ann Harrell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Elected Members take office Alexis B. Welch, RN Alexis B. Welch, RN was re- elected to a second term on the Board of Nursing. She is currently the Dean of Health Sciences at Lenoir Community College and Director of the ADN and PN nursing programs. Welch’s clinical experience includes: critical care, geri-atrics, medsurg, home health and psych. She has been a licensed RN for more than 31 years in North Carolina. “ My desire for unparalleled nursing care is influenced by my roles as a consumer, mother, daughter and friend,” Welch notes. Deborah L. Jenkins, LPN Deborah L. Jenkins, LPN is returning to the Board. She was first elected to the Board for a one year term in 2004. A graduate of Durham Technical Community College, Jenkins has experience in pediatrics, adult medicine, dermatol-ogy, IV therapy and pharmacology. Currently she works at Durham Pediatrics, a division of Duke University Health Systems. Jenkins has also served as a Director and President of the North Carolina LPN Assoc., Durham region. “ I enjoy the decision making process which serves to uphold and maintain the quality and integrity of the nursing profession,” reports Jenkins. Sara A. Griffith, RN Sara A. Griffith, RN is newly elected to the Board of Nursing. Griffith is a staff nurse with Wake Medical Health and Hospitals in Raleigh. She received her BSN in nursing from East Carolina University and is currently seeking her Master of Science in Nursing from the same University. She is experienced in trau-ma/ general/ vascular surgery as well as cardiovascular surgical nursing. “ I welcome this opportunity to serve and to address situations related to the health, safety and welfare of the public,” Griffith said. 12 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . As previously reported in the Nursing Bulletin, an overwhelming majority of nurses voting in the Board’s election are pleased that we offer incentives to those who take the time and make the effort to vote. This year we are happy to announce that two properties have made generous donations in support of nurses in North Carolina. The first is the Chetola Resort in Blowing Rock, North Carolina. The second incentive is offered by The Franklin Hotel, a newly opened luxury hotel in Chapel Hill, North Carolina. As in the past, in order to receive one of these terrific stress reduction getaways, you must vote in the 2007 Board election which beings July 1 and ends August 15th. E L E C T I O N I N C E N T I V E S F O R 2 0 0 7 Winter Escape in Blowing Rock Through March 24th Three days/ two nights in Chetola Lodge, Chetola Condos or Bob Timberlake Inn. Includes: Chetola Movie Bucket $ 25 Tanger Outlet Gift Card, Discount certificate for the Bob Timberlake Galleries. Two night packages start at $ 264 in Chetola Lodge $ 275 in Chetola Condos $ 425 in Bob Timberlake Inn. N. Main Street Blowing Rock, NC 800- CHETOLA www. chetola. com Come and discover The Franklin Hotel, a premiere luxury boutique hotel on historic Franklin Street in the heart of downtown Chapel Hill. Simple understated elegance with a distinctive classic style in a warm, inviting atmos-phere. Just steps away from everything. Beautifully appointed guestrooms and luxurious penthouse suites with private balconies and stunning view, exceptional amenities, comforts and conveniences, exquisite meeting and event space, fully equipped fitness center and executive business center, in- room spa service, unsurpassed attention to detail and personalized service with a gracious and dedicated staff. Relax in elegant surroundings at Roberts At The Franklin lobby bar and patio, a perfect gathering place with charming sidewalk views, jazz piano and fireplace; and enjoy a sumptuous breakfast menu at Windows Restaurant amidst lovely views of Franklin Street. We look forward to welcoming you. Pack your bags! NOMINATION FORM for 2007ELECTION Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2007 Although we have just completed a successful Board of Nursing election, we already are getting ready for 2007. Next year the Board will have three openings: one for an RN who is a nurse administrator in a hospital or a hospital system; one for an RN who is a nurse edu-cator in a BSN or higher degree nursing program; and one for an LPN. This nomination form is for you to tear out and use. The form must be completed and postmarked on or before April 1, 2007. Following are instructions for completing the form and guidelines for nominations. Be sure to follow all the instructions. Instructions Nominations for both RN and LPN positions shall be made by submitting a completed petition signed by no fewer than 10 RNs ( for an RN nominee) or 10 LPNs ( for an LPN nomi-nee) eligible to vote in the election. The minimum requirements for an RN or an LPN to seek election to the Board and to maintain membership 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 or LPN member shall include con-tinuous 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, 2007. Guidelines for Nominations 1. RNs can petition only for RN nominations and LPNs only for LPN 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, 2007, for the nominee to be considered for candidacy. Petitions received before the April 1, 2007, deadline will be processed on receipt. 9. Elections will be held between July 1 and August 15, 2007. Those elected will begin their terms of office in January 2008. Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN/ LPN ( 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— Nurse Administrator in Hospital or Hospital System RN- BSN/ Higher Degree Nurse Educator LPN 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; only LPNs may petition for LPN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2007 NAME SIGNATURE CERTIFICATE NUMBER ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC THE NORTH CAROLINA BOARD OF NURSING AND THE NORTH CAROLINA DIVISION OF FAC I L I T Y S E R V I C E S Joint Position Statement ONNURSINGWORKENVIRONMENTS BACKGROUND: Nursing work environments have been consistently linked to patient safety. The Institute for Safe Medication Practices ( ISMP) affirmed in 2005 that “ long work hours and the fatigue that results represent a serious threat to patient safety.” The Institute of Medicine ( 2003), in addressing the work envi-ronment of nurses, noted that long work hours pose a threat to patient safety. They noted that fatigue slows reaction time, dimin-ishes attention, and contributes to medical errors. This study con-cluded that the elimination of mandatory overtime is essential to patient safety and to the health and well- being of nurses. The NC Institute of Medicine ( NCIOM) Task Force on the North Carolina Nursing Workforce Report ( May 2004) recom-mended as a “ high priority” that the North Carolina Board of Nursing ( BON) and North Carolina Division of Facility Services ( DFS) work together to implement regulations to address nurses working excessive hours in the provision of direct patient care. As noted in the NCIOM Executive Summary, orientation and super-vised on- the- job training are essential in helping new nurses or nurses working in unfamiliar environments understand their job responsibilities and obtain the confidence and skills necessary to provide quality care. The missions of the BON and DFS have guided their approach to this issue. The assurance of the protection, well- being, and safe-ty of the public receiving care in diverse healthcare settings is a shared responsibility. The BON regulates the delivery of safe, effec-tive nursing care. The DFS regulates and ensures the safe, adequate care of people in medical, mental health, and group care facilities. In response to the NCIOM recommendation, a “ think tank” was convened in October 2004 to discuss implications and con-cerns related to limitation of working hours. A core group was then identified to review and explore the relevant literature, employer data, and existing legislation. This group recommended that a joint position statement be developed and that the BON provide clarifi-cation to nurses who question limitations on work hours and mandatory overtime. PURPOSE: The purpose of this Joint Statement on Nursing Work Environments is to provide guidance to administrators, managers, and direct care nurses within NC healthcare facilities as they work together in assuring the development and maintenance of safe work environments. STATEMENT: Extended work hours, whether mandatory or voluntary, pose a significant threat to patient safety. The BON statement on “ Extended Work Hours and Patient Safety” ( available at http:// www. ncbon. com/ prac- rnfaq) should be used as a guide for nurses in deciding whether to accept an assignment and for man-agers in deciding whether to make an assignment. Refusing to work mandatory overtime does not constitute patient abandon-ment. Once accepted, however, assignments must be fulfilled until reported off to another nurse. Nurses and managers need to avoid overtime hours if either has reason to believe that the licensee is sleep deprived or performance is otherwise compromised. Nurses must communicate safety concerns clearly to managers, and those working in more than one job must exercise caution in self- regulat-ing their total hours worked. It is the position of the BON and DFS that work hours must be managed by all concerned with an emphasis on safe patient care. Education and training are essential in maintaining and improving nursing competencies. Agency- specific learning begins with a thorough orientation and extends as assignments change throughout the employment relationship. In addition, an effective, timely orientation must be provided for contract and float nurses if they are to ensure patient safety. The limitations of nurses working CONTINUED ON PAGE 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC 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 on on January 26, 2007, in Raleigh. The following is a summary of the Board’s actions. From the January 26, 2007, Board Meeting ADMINISTRATIVE MATTERS • Approved revisions to 21 NCAC 36.0812, Disciplinary Action, for final review and action by the Rules Review Commission • Approved proposed language to seek the following legislative changes to the Nursing Practice Act during the 2007 General Assembly ( words with strikethroughs represent deletions, words with underlines represent additions): Authorization for the Board to pur-chase property: G. S. 90- 171.23( b) is amended by adding a new subdivision to read as follows: “( b) . . . the Board is empowered to: ( 21) Acquire, hold, rent, encumber, alienate, and otherwise deal with real property in the same manner as a pri-vate person or corporation, subject only to approval of the Governor and the Council of State as to the acqui-sition, rental, encumbering, leasing, and sale of real property. Collateral pledged by the Board for an encum-brance is limited to the assets, income, and revenues of the Board.” Authorization for the Board to establish prerequisites for medication aide appli-cants: G. S. 90- 171.56, Medication Aide Requirements, is amended to read as follows: “ The Board of Nursing shall do the fol-lowing: ( 1) Establish standards for faculty requirements for medication aide train-ing; and ( 2) Establish applicant requirements for medication aide training; and ( 3) Provide ongoing review and evalua-tion, and recommend changes, for facul-ty and medication aide training require-ments to support safe medication admin-istration and improve client, resident, and patient outcomes.” Authorization for the Board to use hear-ing panels: G. S. 90- 171.56, Medication Aide Requirements, is amended to read as follows: § 90- 171.37A. Use of Hearing Panels. “( a) The Board, in its discretion, may designate three or more of its mem-bers, the majority of whom shall be licensed nurses, to conduct show cause or contested case hearings. ( b) Hearings conducted pursuant to this section shall be conducted in accor-dance with Article 3A of Chapter 150B of the General Statutes and rules adopted by the Board. ( c) Notwithstanding G. S. 150B- 40( b) requiring that hearings be conducted by a majority of the Board, the hear-ing panel shall make a final agency decision that contains findings of fact and conclusions of law. ( d) Appeal from a decision of the hear-ing panel shall be made pursuant to Article 4 of Chapter 150B of the General Statutes.“ Authorization for Board staff to serve legal papers: G. S. 90- 171.23( b) is amended by adding a new subdivision to read: “( b) . . . the Board is empowered to: ( 22) Designate one or more of its employees to serve papers and sub-poenas issued by the Board. Service under this subsection is in addition to any other methods of service permit-ted by law.” • Directed staff to gather further data related to proposed changes to 21 NCAC 36.0318, Faculty, and submit a report to the full Board at the May 2007 Board meeting. RATIONALE: The North Carolina Community College System requested a review of the proposed language based on the National League of Nursing Accreditation Commission standards, which recognize experienced clinicians and allow them to be considered as approved instructors on a case- by- case basis if their academic qualifications and experience are equivalent to a master’s degree, even if they do not hold that degree. • Approved proposed changes to Committee Structure and Function to include creation of a Finance and Audit Committee, transfer of Practice Improvement and Regulation Committee activities to staff, and cre-ation of Licensure Review Panels to replace Licensure and Settlement com-mittees. • Approved a Joint Position Statement on Nursing Work Environments by the North Carolina Division of Facility Services and the North Carolina Board of Nursing. RATIONALE: The statement is intended to provide meaningful guidance to North Carolina health care facilities personnel, administrators, and nurses in ensuring that nursing work environ-ments support safe practice and provide protection for consumers of nursing care. EDUCATION/ PRACTICE MATTERS Education Matters • Ratified full approval status for the fol-lowing nursing education programs: Caldwell Community College and Technical Institute, Hudson— ADN Cape Fear Community College, Wilmington— PNE continued on the following page 18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . SUMMARY of ACTIONS CONTINUED From the January 26, 2007, Board Meeting Central Piedmont Community College, Charlotte— ADN Mayland Community College, Spruce Pine— ADN • Ratified expansion in enrollment in the following nursing education programs: Beaufort County Community College, Washington— PNE: an increase from 20 to 30, effective fall 2007 ECPI College of Technology, Raleigh— PNE: an increase from 60 to 110, alter-nate evening/ weekend schedule, effec-tive fall 2006 Fayetteville Technical Community College, Fayetteville— PNE: an increase from 67 to 83, effective fall 2006 UNC at Chapel Hill— BSN: an increase from 330 to 380, effective spring 2007 Wake Technical Community College, Raleigh— ADN: 11 students in one clini-cal group, for Spring 2006 semester only • Assigned full approval status on the basis of 2006 NCLEX pass rates: Durham Technical Community College, Durham— PNE: 74% ( 2005) and 97% ( 2006) Gardner- Webb University, Boiling Springs— ADN: 72% ( 2005) and 83% ( 2006) North Carolina Central University, Durham— BSN: 65% ( 2005) and 82% ( 2006) Robeson Community College, Lumberton— ADN: 57% ( 2005) and 96% ( 2006) Wilkes Community College, Wilkesboro— ADN: 65% ( 2005) and 86% ( 2006) • Assigned warning status on the basis of 2006 NCLEX pass rates: Bladen Community College, Dublin— ADN: 53% Foothills Nursing Consortium, Spindale— ADN: 71% Randolph Community College, Asheboro— ADN: 71% Rockingham Community College, Wentworth— ADN: 74% Vance- Granville Community College, Henderson— ADN: 74% • Assigned warning status on the basis of 2005 and 2006 NCLEX pass rates: North Carolina A& T State University, Greensboro— BSN: 69% ( 2005) and 69% ( 2006) EDUCATION- RELATED ACTIONS • Ratified mail referendum for faculty approval: Piedmont Community College, Roxboro • Faculty approval of Michael Langston COMPLIANCE MATTERS • Received reports and granted absolu-tions to 4 RNs • Removed probation from the license of 7 RNs and 9 LPNs • Accepted voluntary surrenders from 17 RNs and 4 LPNs • Suspended the license of 11 RNs and 5 LPNs • Reinstated the license of 9 RNs and 2 LPNs Number of participants in the Alternative Program for Chemical Dependency: 118 RNs and 12 LPNs Number of participants in the Chemical Dependency Program: 62 RNs and 3 LPNs Number of participants in the Illicit Drug Program: 38 RNs and 15 LPNs For the Board’s information: A revised advisory statement on Surgical First Assist is available online at www. ncbon. com, in the Practice Department section, or by calling ( 919) 782- 3211 ext. 244. with unfamiliar patient populations and circumstances must be rec-ognized and addressed as assignments are negotiated. The BON and DFS support creative solutions that proactively address nursing work environment issues. Administrators, man-agers, and direct care nurses are encouraged to collaborate to find safe solutions to these challenges. Agency leaders and nurses share in this responsibility to assure that the appropriate environmental systems and supports are implemented. Patients need and deserve nurses who are supported in their ability to deliver safe, effective, quality patient care. Both the BON and DFS are committed to ensuring that North Carolina patients receive effective care in a safe environment. REFERENCES: Institute for Safe Medication Practices ( ISMP). ( 2005). Exhausted workforce increases the risk of errors. ISMP Nurse Advise- ERR, 3 ( 12). Accessed June 10, 2006. http:// www. ismp. org/ newslet-ters/ nursing/ articles/ 2005_ 12_ 01. asp Institute of Medicine ( IOM). ( 2003). Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, D. C.: National Academy Press. North Carolina Board of Nursing ( NCBON). ( 2002). Questions Regarding Short Staffing and Abandonment. Accessed December 8, 2006. http:// www. ncbon. com/ prac- rnistate. asp North Carolina Board of Nursing ( NCBON). ( 2006). Extended Work Hours and Patient Safety. Accessed December 8, 2006. http:// www. ncbon. com/ prac- rnfaq. asp North Carolina Institute of Medicine ( NCIOM). [( 2004). Task Force on the North Carolina Nursing Workforce Report.] Accessed July 24, 2006. http:// www. nciom. org/ projects/ nursingwork-force/ nursingreport. html CONTINUED FROM PAGE 15 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . . At their meeting on January 26, 2007, Board members conducted business for the first time on laptop computers. The software package, devel-oped by Studio 361, allows members to view reports, make comments, and maintain electronic files of Board materials. The Board has been working over the past sev-eral years to streamline work processes and use technology to increase efficiency, minimize Board expenses, and enhance communication between Board members and staff. Beginning in May 2007, the Board will post meeting documents to its website, www. ncbon. com, along with the agenda. People attending the Board meetings will be able to down-load materials for review. This is perhaps the most beauti-ful time in human history; it is really pregnant with all kinds of creative possibilities made possi-ble by science and technology which now constitute the slave of man – if man is not enslaved by it.} JONAS SALK, M. D. Developer of Polio Vaccine Board Conducts Business on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC EILEEN C. KUGLER, RN, MSN, MPH, FNP, Education/ Practice Consultant With the growing recognition that health status affects a child’s ability to learn and to succeed, and with increasing num-bers of students with chronic health condi-tions in the schools, the demand for school nursing services has grown rapidly and steadily in recent years. School nurses in North Carolina are registered nurses and may be employed by local education agen-cies ( LEAs), local health departments, local health alliances, hospital systems, or private schools. Those employed by LEAs must be certified in school nursing by either the American Nurses Credentialing Center or the National Association of School Nurses within three years of employment. The role of the school nurse is broad and multifaceted. School nurses are in a unique position to influence health policy in the school environment as well as the health status of students, faculty, and staff. The National Association of School Nurses lists seven roles of the school nurse: provid-ing direct health care to students and staff, providing leadership for the provision of health services, providing screening and referral for health conditions, promoting a healthy school environment, promoting health, providing leadership for health policies and programs, and serving as a liai-son between school personnel, family, com-munity, and health care providers. School nurses provide case management, evaluate performance of activities of daily living, and develop appropriate modifica-tions for a student’s learning environment. Also, they are prepared to treat injuries and illnesses that are common occurrences in the school- aged population. Students with special health care needs have the right to receive special health care from qualified and adequately trained personnel. Ongoing evaluation and assessment of the appropriateness of special health care services must be provided in order to ensure the safety and the appropriate place-ment of these students. In 16 NCAC 6D. 0402( a), the North Carolina Administrative Code stipulates, “ Each LEA shall make available a registered nurse for assessment, care planning, and on- going evaluation of students with special health care service needs in the school setting.” It defines special health care services as including “ procedures that are invasive, carry reasonable risk of harm if not per-formed correctly, may not have a pre-dictable outcome, or may require additional action based on results of testing or moni-toring.” In 16 NCAC 6D. 0402 ( b), the code states, “ Care planning includes but is not limited to: 1) identification of appro-priate person( s) to perform the procedure; 2) teaching those persons to perform the procedure; and 3) identification of a mech-anism for registered nurses to provide ongo-ing supervision to ensure the procedure is performed appropriately and monitoring the student’s response to care provided in the school setting.” Some medically fragile students require one- on- one nursing care in the school set-ting. Students with chronic illness, physical handicaps, and/ or disabilities may require the performance of invasive health care procedures during the school day ( e. g., uri-nary catheterization, suctioning, tra-cheostomy care, nasogastric or gastrostomy tube feedings, stoma care, blood glucose monitoring, oxygen therapy, and nebulizer treatments). Students may also require medication daily on a long- term basis ( e. g., Ritalin, lithium, other psychotropic or seizure medications, insulin, and controlled substances), or for emergency treatment ( e. g., asthma inhalers and epinephrine injections). Secretaries, counselors, class-room teachers, and teaching assistants are the primary people who administer medica-tions daily in the majority of school sys-tems. It is important that a school nurse be available to review and participate in the THE CHALLENGES OF MEETING HEALTH CARE NEEDS OF STUDENTS IN THE SCHOOL SETTING STUDENTS WITH SPECIAL HEALTH CARE NEEDS HAVE THE RIGHT TO RECEIVE SPECIAL HEALTH CARE FROM QUALIFIED AND ADEQUATELY TRAINED PERSONNEL. 22 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . development of school policy and proce-dures, train and supervise teachers and other staff about all aspects of giving medications correctly, and serve as a coordinator among parents, medical providers, and the school. Meeting health needs in a school envi-ronment is challenging. Delegation of care to unlicensed assistive personnel becomes necessary to support the individual health care plans developed by the school nurse. Delegation occurs when the school nurse cannot be available to IMPLEMENT the necessary interventions. It is not appropriate for the school nurse to delegate any other elements of the nursing process because these require the skill and the knowledge of the professional nurse. The school nurse uses professional judgment consistent with both nursing and school law in North Carolina to decide what nursing care may be delegated and to whom. Rule 21 NCAC 36.0221, License Required, outlines the criteria that must be met before delegation of tasks to unlicensed personnel. Tasks may be delegated to an unlicensed person that “( 1) frequently recur in the daily care of a client or group of clients; ( 2) are performed according to an estab-lished sequence of steps; ( 3) involve little or no modification from one client- care situation to another; ( 4) may be performed with a predictable outcome; and ( 5) do not inherently involve ongoing assessment, interpretation, or decision-making which cannot be logically separat-ed from the procedure( s) itself.” The role of the school nurse is to assess the health needs of the child and to coordi-nate with staff, family, health care providers, and community agencies in order to provide a coordinated school health program that facilitates the maximum educational oppor-tunity for the student. When the school nurse determines that delegation is appropri-ate, he or she must ascertain the competence of the delegatee before delegating any tasks. Assessment, evaluation, and nursing judg-ment must not be delegated. Supervision, monitoring, evaluation, and follow- up by the nurse are crucial components of delegation. The delegatee is accountable for accepting the delegation and for his or her own actions in carrying out the tasks. Nurses can use the Five Rights of Delegation— Right Task, Right Circumstances, Right Person, Right Direction/ Communication, Right Supervision/ Evaluation— as a mental check-list for remembering the essential elements of delegation. If you are a school nurse and have questions about nursing regulation, contact a practice consultant at ( 919) 782- 3211. Following are some references that may be helpful in gaining a better understanding of the delegation process: American Nurses Association and National Council of State Boards of Nursing. Joint Statement on Delegation. www. ncsbn. org/ pdfs/ Joint_ statement. pdf National Association of School Nurses. Position Statement: Delegation. www. nasn. org/ Default. aspx? tabid= 349 North Carolina Board of Nursing. Delegation: Decision Making Tools and Process. www. ncbon. com/ prac-delegate. asp Kathy Chastain, RN, MN, practice consultant, con-tributed to this article. Looking for Nurse/ Artists If you are a nurse and an artist ( you don’t have to be a professional artist), consider pro-ducing a cover for the Nursing Bulletin. Each issue of the magazine features an original piece of art by a North Carolina artist. We try to highlight some aspect of nursing. The fall 2006 issue featured a nurse midwife. Other covers have highlighted nurse practitioners, home health nurses, and the like. We hope to feature school nurses on the cover of the spring 2007 issue, but other ideas are welcome. If you are a nurse who might be interested in producing a cover, or if you know such a nurse, please contact me, David Kalbacker, editor, at david@ ncbon. com and send me a couple of samples of your work. My mailing address is David Kalbacker, N. C. Board of Nursing, P. O. Box 2129, Raleigh, NC 27602. Please include a telephone number or an e- mail address where I may contact you. Samples will not be returned unless you specifically request that they be. If you are selected to do a cover, the final art must be 17" x 22". And yes, we will pay you for your creative efforts. VOLUME 2 { NO2} EDITION 5 { Official Publication of the NORTH CAR OLINA Board of Nursing} . . . . . . . . . . . . . . . . WIN TER 06 OnlineNCLEX Application Launched Online CONFERENCE PATIENT SAFETY CONFERENCEsee page 6 VOLUME2 { NO 1} EDIT ION 4 { Official Publication of the N ORTH C AROLINABoard of Nursing} . . . . . . . . . . . . . . . . FALL 05 REQUIREMENT by N. C. LEGISLATURE COM PETENCE CONTINUING COMPETENCE ELECTION RESULTS FOR 2005 NCLEX item writers of NC The following nurses represented North Carolina in the NCLEX item develop-ment program for the first quarter of FY 2007: Carolyn Baker, John Stevens, Carolyn McCormick and alternate Becky Ann Foushee. These individuals either reviewed or helped write items for the NCLEX exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC During my second year of nursing school our pro-fessor gave us a quiz. I breezed through the ques-tions until I read the last one: " What is the first name of the woman who cleans the school?" Surely this was a joke. I had seen the cleaning woman several times, but how would I know her name? I handed in my paper, leaving the last ques-tion blank. Before the class ended, one student asked if the last question would count toward our grade. " Absolutely," the professor said. " In your careers, you will meet many people. All are signifi-cant. They deserve your attention and care, even if all you do is smile and say hello." I've never for-gotten that lesson. I also learned her name was Dorothy. – JOANN C. JONES the BREAK r o o m It looks like Kathy has lost her name badge again! 24 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . The North Carolina Board of Nursing and the North Carolina Medical Board approved nurse practitioner rules in August 2004. Recently the rules were reviewed and updated. You can locate the revised rules by visiting the Board of Nursing’s website, www. ncbon. com. Nurse practitioner rule 21 NCAC 36.0812 ( Board of Nursing) or 21 NCAC 32M. 0112 ( Medical Board) also has been undergoing review. A public hearing was held on January 17, 2007. If the Board of Nursing and the Medical Board approve the rule, it will become effective on April 1, 2007. The changes in this rule set forth further grounds for disciplinary action con-sistent with G. S. 90- 14( a), as requested by the 2006 General Assembly, and list options for action that may be taken by the Board of Nursing or the Medical Board. UPDATED N U R S E P R A C T I T I O N E R RULES This program offers scholarship- loans for gradu-ate students interested in becoming nursing instruc-tors at North Carolina community colleges or four- year North Carolina colleges or universi-ties. This program is strictly merit- based: financial need is not a criterion. Recipients must be North Carolina residents for tuition purposes. The program provides funding, up to $ 15,000 per year for two years of master’s coursework or three years of doctoral coursework, for students purs-ing degrees to teach nursing in North Carolina colleges and universities. Recipients must be enrolled FULL TIME in nursing education or another area that prepares students to teach nursing at the associate or baccalaureate degree level at two- year or four- year colleges with nursing programs. In addition, recipients must agree to teach in a North Carolina nursing program upon completion of the nursing education program supported by the scholarship. The program is administered by the State Education Assistance Authority. Applications, deadlines, eligibility requirements, repayment requirements and additional details about the program can be found at www. CFNC. org/ NET. { N O R T H C A R O L I N A B o a r d o f N u r s i n g } .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC F O U R T H A N N U A L E D U C AT I O N S U M M I T “ Expand Your TOOLBOX: Strategic Use ofINFORMATICS” FEATURED SPEAKERS Diane Skiba, PhD, FAAN, FACMI, will focus on Net Generation learners and the use of technology to address faculty shortages, working across programs, building of infrastructure. and development of partnerships. Janet Grady, DrPH, RN, will present the Virtual Clinical Practicum, a Nursing Telehealth strategy incorpo-rating technology for clinical experiences for initial nursing education and continuing education to address decreased numbers of clinical sites and lack of specialty experiences ( e. g., dealing with burns and complicated deliveries). This strategy could be effectively used for both interdisciplinary training/ practice opportunities and evaluation of clinical competency. OBJECTIVES • To examine the benefits and the challenges associated with using technology to provide clinical experiences for nursing students • To explore the challenges associated with teaching Net Generation learners • To describe strategies for integrating technology into the curriculum • To identify ways to provide educational experiences and extend faculty resources with informatics tools DATE AND PLACE: April 2, 2007, Friday Center, Chapel Hill For registration information, visit the Board’s website, www. ncbon. com, or contact Linda Blain at lindab@ ncbon. com or ( 919) 782- 3211 ext. 238. TARGETED AUDIENCE: nursing faculty, preceptors, nursing staff working with students, and staff development educators. NURSE EDUCATORS OF TOMORROW S C H O L A R S H I P Program I am submitting my license renewal application online, and my friend is using a paper application for his renewal. Neither of us can find directions for submitting our continuing competence self-assessment and learning plan with our license renewal application. What should we do? You are required to complete a self- assessment and a learning plan at the time of license renewal, but you do not submit these to the Board. They are your personal records, and the Board will not ask to see them. You should retain them, along with documentation of your appli-cable learning activities, throughout your two- year licensure period. If you are audited on completion of a two- year licensure cycle, you then will submit evidence of completion of your chosen learning activities. Self- assessment worksheets and a learning plan template are available, along with other continuing competence information, at the Board’s website, www. ncbon. com/ prac- contcomp. asp. These are not interactive computer forms, so you must print them for your use and complete them manually. The Board requires continuing education “ contact hours,” but some of the programs I attend offer “ continuing education units” ( CEUs). Are CEUs acceptable in meeting the continuing competence requirements? The Board accepts both contact hours and CEUs in any combination in fulfillment of con-tinuing competence requirements for continuing education. One contact hour ( 1.0) is generally equal to 60 minutes of instruction or study. One- tenth ( 0.1) of a CEU is generally equal to 60 minutes of instruction or study. Therefore, 0.1 CEU is equal to 1.0 contact hour. This conversion can be used in totaling continuing education hours. I have reviewed the online and Bulletin information concerning continuing competence, but I am still confused about the requirements and the timelines. Where can I get additional information? A free Board webcast titled “ Understanding Continuing Competence” is available at www. ncbon. com/ prac- contcompw-cast. asp. You can view it online at your convenience. It offers 1.0 contact hour of credit and will clarify continuing compe-tence requirements. In addition, the Board is offering several free Continuing Competence Workshops in 2007 at locations across the state. These allow time for interaction and questions from participants. The locations, dates, times, and registration information for these pre-sentations are available on page 30 of this Bulletin. A s FQ Frequently Asked Questions Q. A. Q. A. Q. A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Board Meeting May 17– 18, 2007 Education/ Practice Committee April 11, 2007 August 30, 2007 Licensure Review Panels February 16, 2007 March 16, 2007 April 12, 2007 June 14, 2007 July 13,2007 Administrative Hearings February 22– 23, 2007 April 26– 27, 2007 July 26– 27, 2007 NORTH CAROLINA BOARD OF NURSING CALENDAR 28 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name& Address C H A N G E Please notify the Board promptly of all name and address changes. Return form to: North Carolina board of Nursing, Attn: Barbara Nelson, P. O. Box 2129, Raleigh, NC 27602- 2129. OR fax your form to: ( 919) 781- 9461 RN Cert. Number __________________________ Expiration Date __/__/____ LPN Cert. Number __________________________ Expiration Date __/__/____ NAII Listing Number ________________________ name: _________________________________________________________ ( first) ( middle) ( last) address:__________________________________________________________ city: ___________________ __________ state: ____ zip/ postal code: _________ date of birth: _________________ social security number: _____-____-______ other last names: __________________________________________________ daytime phone number: ___________________________ signature:_______________________________________ date: ____________ e- mail address:________________________________________ 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 BECAUSE THE BOARD WENT CARDLESS AS OF JANUARY 1, 2007. A duplicate license is not required for a name change if less than 6 months remains on the license, nor is a duplicate license required for an address change. Print or type name ( no nickname) and address TO BE PRINTED on license or listing card. 30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC Board of Nursing Workshop Registration Form 2007 Please check the appropriate Workshop Below Continuing Competence Update ( 1.0CHs) Information sessions related to board requirements for demonstration of continu-ing competence. Seating limited. No fee required for these sessions. Questions/ Directions? Contact Paulette at ( 919) 782- 3211, ext. 244, or via e- mail at PAULETTE@ ncbon. com. If you unable to attend one of these workshops, please go to: http:// www. ncbon. com/ prac- contcompwcast. asp to view the web cast available 24/ 7. YOU WILL BE ABLE TO PRINT CONTINUING COMPETENCE DOCUMENTS AND RECEIVE CONTACT HOURS. Legal Scope of Practice ( 2.3CHs) The purpose of this offering is to provide information and clarification regarding the legal scope of practice parameters for licensed nurses in North Carolina. Orientation Sessions for Administrators of Nursing Services and Mid- Level Nurse Managers ( 4.6 CHs) Information sessions regarding the func-tions of the Board of Nursing and the impact of these functions on the roles of the chief nurse administrator and the mid-level nurse manager in all types of nursing service settings. ___ February 21, 2007 ___ May 15, 2007 ___ August 8, 2007 ___ November 13, 2007 Registration at least two weeks in advance of a scheduled session is required. If you wish to review materi-als prior to the session, please call 919/ 782- 3211 ext. 238 ( limit 20 people per session) Questions/ Directions? Contact: Linda Blain at 919/ 782- 3211 ext. 238 or via e- mail at LINDAB@ ncbon. com NAME:____________________________________________________________ TITLE:____________________________________________________________ ORGANIZATION NAME:_____________________________________________ ADDRESS: ______________________________ STATE: ______ ZIP: _________ WORK PH#: (____)_______________ HOME PH#: (____)________________ HOME ADDRESS:__________________________________________________ CITY: _______________________________ STATE: ________ ZIP: _________ E- MAIL ADDRESS: __________________________________________________ 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: _____ Credit Card Number: __________________________________________________ Cardholder Name ( as it appears on Credit Card):___________________________________ Cardholder Billing Address: _____________________________________________ CITY: ________________________________ STATE: _________ ZIP: _________ Code:__________________ Total Amount: $____________________ Cardholder Signature: ________________________________________________ ( Credit card payment cannot be accepted via fax or phone.) ( Raleigh- NCBON- 10am- 3: 55pm) Role of the LPN in North Carolina ( 3.8CHs) ( Registration starts at 8: 00 a. m.; workshop ends at 12: 45 p. m.) The purpose of this offering is to provide an overview regarding the role, responsibilities, and scope of practice of the licensed practical nurse. Content will focus on the role of the LPN in contrast to the RN, clarification of the LPN as a nurse- in-charge, and the role of the LPN in orienting the nurse aide. RNs who assign to LPNs and LPNs in any type of practice set-ting are encouraged to attend. _____ May 9, 2007 Central Carolina Comm College - Sanford 1101 Nash Street Dennis A. Wicker Civic Ctr - Lecture Hall ____ November 5, 2007 - Boone Watauga Med Ctr 336 Deerfield Road Auditorium Questions/ Directions? Contact: Linda Blain at 919/ 782- 3211 ext. 238 or via e- mail at LINDAB@ ncbon. com ONLINE WORKSHOP! GO TO WWW. NCBON. COM UNDER RECENT ANNOUNCEMENTS, LOCATE “ LEGAL SCOPE OF PRACTICE ONLINE COURSE” CLICK ON THE LINK AND FOLLOW INSTRUCTIONS Please Indicate the following: Title/ Date of Workshops Registration fee: $ 40 per session per person, for all workshops except Continuing Competence Update; NONREFUNDABLE ( unless the workshop is cancelled) PLEASE PRINT ALL INFORMATION AND MAIL TO: Administrative Secretary– Practice, NCBON, POB 2129, Raleigh, NC 27602. Please give a complete address, for you will be mailed a confirmation and/ or directions. The North Carolina Board of Nursing is an Approved Provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. CONTACT HOUR CERTIFICATES WILL BE PRESENTED TO PARTICIPANTS WHO ATTEND WORKSHOPS IN THEIR ENTIRETY. ___ MAY 3, 2007 – PINEHURST – 11A – 12P FirstHealth Moore Regional Hospital Conf Ctr MONROE AUDITORIUM NC HWY 211 & PAGE ROAD Select only one session for June 6th ___ JUNE 6, 2007 – RALEIGH N. C. BOARD OF NURSING BOARD ROOM 3724 NATIONAL DR., SUITE 201 ___ Session One – 10a- 11a ___ Session Two - 1p- 2p Select only one session for August 20th ___ AUGUST 20, 2007 – ELIZABETH CITY ALBEMARLE HOSPITAL – EDUCATION CENTER 1144 NORTH ROAD STREET ___ Session One – 10a- 11a ___ Session Two - 1p- 2p ___ NOVEMBER 7, 2007 – WILMINGTON – 11A - 12P COSTAL AHEC 2131 SOUTH 17TH STREET |
OCLC number | 57243106 |