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.

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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

􀁃 􀁒 􀁅 􀁁 􀁔 􀁅 􀁁 􀁎 􀁅 􀁗 􀁔 􀁒 􀁁 􀁄 􀁉 􀁔 􀁉 􀁏 􀁎

􀀥 􀁘 􀁐 􀁅 􀁒 􀁉 􀁅 􀁎 􀁃 􀁅 􀀣 􀁈 􀁁 􀁐 􀁅 􀁌 􀀨 􀁉 􀁌 􀁌 􀀡 􀁓 􀀮 􀁅 􀁖 􀁅 􀁒 􀀢 􀁅 􀁆 􀁏 􀁒 􀁅

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􀁃 􀁐 􀁖 􀁕 􀁊 􀁒 􀁖 􀁆 􀁉 􀁐 􀁕 􀁆 􀁍 􀁐 􀁏 􀁉 􀁊 􀁔 􀁕 􀁐 􀁓 􀁊 􀁄 􀀧 􀁓 􀁂 􀁏 􀁌 􀁍 􀁊 􀁏 􀀴 􀁕 􀁓 􀁆 􀁆 􀁕 􀁊 􀁏 􀁕 􀁉 􀁆 􀁉 􀁆 􀁂 􀁓 􀁕 􀁐 􀁇

􀁅 􀁐 􀁘 􀁏 􀁕 􀁐 􀁘 􀁏 􀀤 􀁉 􀁂 􀁑 􀁆 􀁍 􀀩 􀁊 􀁍 􀁍 􀀏 􀀴 􀁊 􀁎 􀁑 􀁍 􀁆 􀁖 􀁏 􀁅 􀁆 􀁓 􀁔 􀁕 􀁂 􀁕 􀁆 􀁅 􀁆 􀁍 􀁆 􀁈 􀁂 􀁏 􀁄 􀁆 􀁘 􀁊 􀁕 􀁉

􀁂 􀁅 􀁊 􀁔 􀁕 􀁊 􀁏 􀁄 􀁕 􀁊 􀁗 􀁆 􀁄 􀁍 􀁂 􀁔 􀁔 􀁊 􀁄 􀁔 􀁕 􀁚 􀁍 􀁆 􀁊 􀁏 􀁂 􀁘 􀁂 􀁓 􀁎 􀀍 􀁊 􀁏 􀁗 􀁊 􀁕 􀁊 􀁏 􀁈 􀁂 􀁕 􀁎 􀁐 􀁔 􀁑 􀁉 􀁆 􀁓 􀁆 􀀏

􀀫 􀁖 􀁔 􀁕 􀁔 􀁕 􀁆 􀁑 􀁔 􀁂 􀁘 􀁂 􀁚 􀁇 􀁓 􀁐 􀁎 􀁆 􀁗 􀁆 􀁓 􀁚 􀁕 􀁉 􀁊 􀁏 􀁈 􀀏

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