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1

COMMONWEALTH OF PENNSYLVANIA 1

DEPARTMENT OF STATE 2

BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS 3

4

F I N A L M I N U T E S 5

6

MEETING OF: 7

8

STATE BOARD OF NURSING 9

10

TIME: 9:15 a.m. 11

12

Board Room B 13

One Penn Center 14

2601 North Third Street 15

Harrisburg, Pennsylvania 17110 16

17

Thursday, April 19, 2018 18

19

20

21

22

23

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25


2

State Board of Nursing 1 April 19, 2018 2

3 4 BOARD MEMBERS: 5 6 Linda L. Kmetz, PhD, RN, Chairperson 7 Katelin Lambert, Designee of Commissioner of 8 Professional and Occupational Affairs 9 Ann Michele Coughlin, MBA, MSN, RN, Vice Chair 10 Robert E. Ames, Public Member - Absent 11 Suzanne Hendricks, BSBH, RN, LPN 12 Sue E. Hertzler, LPN 13

Linda A. Kerns, Esquire, Public Member 14 Kessey J. Kieselhorst, MPA, RD, LDN, CPHQ 15 Sherri Luchs, RN 16 Kristin Malady, BSN, RN 17 John M. O’Donnell, DrPH, RN, CRNA, MSN - Absent 18 Jason R. Owen, Esquire, Public Member 19 Bridget E. Vincent, MSN, CRNP, APN-BC, CCRN 20 21 22 BUREAU PERSONNEL: 23 24 Judith Pachter Schulder, Esquire, Board Counsel 25 Megan E. Castor, Esquire, Board Counsel 26 Carole Clarke Smith, Esquire, Board Counsel 27

Ariel O’Malley, Esquire, Board Counsel 28 29 Margaret A. Sheaffer, Esquire, Board Prosecution 30 Co-Liaison 31 Jason T. Anderson, Esquire, Board Prosecutor 32 Keith E. Bashore, Esquire, Board Prosecutor 33 Adam Morris, Esquire, Board Prosecutor 34 J. Karl Geschwindt, Esquire, Board Prosecutor 35 David J. Schertz, Esquire, Board Prosecutor 36 Timothy Smith, Esquire, Board Prosecutor 37 Paul Jarabeck, Esquire, Board Prosecutor 38 Ricky Lewis, Esquire, Board Prosecutor 39 Heather McCarthy, Esquire, Board Prosecutor 40 Matthew Sniscak, Esquire, Board Prosecutor 41

Lindsay Szymanski, Esquire, Board Prosecutor 42 43 Laurette Keiser, MSN, RN, Executive Secretary 44 Cynthia K. Miller, Board Administrator 45 Wendy Miller, MSN, RN, Nursing Practice Advisor 46 Leslie House, MSN, RN, Nursing Practice Advisor 47 Sue Petula, Ph.D., MSN, RN, NEA-BC, FRE, Nursing Education 48 Advisor 49 Todette Holt, EdD, RN, Nursing Education Advisor


3

State Board of Nursing 1 March 2, 2018 2

3 4 ALSO PRESENT: 5 6 Brenda Shostrom, Misericordia University 7 Jennifer Sporay, RDN-AP, CSO, LDN, CNSC, Pennsylvania 8 Academy of Nutrition and Dietetics 9 Mary Lou Taylor, CRNA, BSN, Secretary, Pennsylvania 10 Association of Nurse Anesthetists 11 Suzanne Wurster, MSN, RN, CEN, Director of 12 Professional Development, Pennsylvania State Nurses 13

Association 14 Michael Siget, Esquire, Legislative and Regulatory 15 Counsel, Pennsylvania Medical Society 16 Nancy K. Haughton, Chester County Intermediate Unit 17 Practical Nursing Program 18 Mary Marshall, Director, Workforce & Professional 19 Services, The Hospital and Healthsystem Association 20 of Pennsylvania 21 Annette Weiss, Misericordia University 22 Joan Campagna, RN, CCRN, Jersey Nurses Economic 23

Security Organization (JNESO) 24 Jennifer Holzer, DNP, RN, Director of Nursing, 25 Prism Career Institute 26 Sharon Gordon, Assistant Director of Nursing, Prism 27

Career Institute 28 Jeffery Mann, Campus Director, Prism Career Institute 29 Danielle Giuliano, PhD, MSN, BSN, RN, Director of 30 Nursing, Pennsylvania Institute of Technology 31 Geri Swindell, RN, Faculty, Pennsylvania Institute of 32 Technology 33 Will Robinson, President, Pennsylvania Institute of 34 Technology 35 Gary Guldin, MSN, Ed.M., RN, Interim Coordinator, 36 Nursing Program, Princeton Information Technology 37 Center 38 Bruce D. Wartman, Director of Operations, Princeton 39 Information Technology Center 40 Dr. Bryana Carrea, Program Coordinator, Princeton 41

Information Technology Center 42 43 44 45 46 47 48 49 50

51


4

*** 1

State Board of Nursing 2

April 19, 2018 3

*** 4

The regularly scheduled meeting of the State 5

Board of Nursing was held on Thursday, April 19, 2018. 6

Linda L. Kmetz, PhD, RN, Chairperson, called the 7

meeting to order at 9:15 a.m. Katelin Lambert, 8

Designee of the Commissioner of Professional and 9

Occupational Affairs, was not present at the 10

commencement of the meeting. 11

*** 12

[Members of the Board and staff introduced themselves 13

as well as visitors in attendance.] 14

*** 15

Adoption of the Agenda 16

CHAIRPERSON KMETZ: 17

May I have a motion for the adoption of 18

today’s agenda? 19

MS. COUGHLIN: 20

So moved. 21

MS. HENDRICKS: 22

Second. 23


All in favor? Opposed? Abstentions? 25


5

[The motion carried.] 1

*** 2

Adoption of Minutes 3


Adoption of the Minutes of March 2, 5

2018. Any additions or corrections to 6

those Minutes? Hearing none, may I have 7

a motion for approval? 8

MS. COUGHLIN: 9

So moved. 10

MS. HENDRICKS: 11

Second. 12


All those in favor? Opposed? 14

Abstentions? 15

[The motion carried. Kessey J. Kieselhorst, Kristin 16

Malady and Sherri Luchs abstained from voting on the 17

motion.] 18

*** 19

Report of Prosecutorial Division 20

[VRP Consent Agreements: File No. 17-51-01545, File 21

No. 17-51-10799, File No. 17-51-012490, File No. 17-22

51-13126, File No. 17-51-14033, File No. 18-51-00268, 23

File No. 18-51-00269, File No. 18-51-00270, File No. 24

18-51-00330, File No. 18-51-00340, File No. 18-51-25


6

00341, File No. 18-51-00387, File No. 18-51-00388, 1


18-51-00462, File N. 18-51-00546, File No. 18-51-3

00562, File No. 18-51-00705, File No. 18-51-00818, 4


18-51-00996, File No. 18-51-00997, File No. 18-51-6

01700, File No. 18-51-01922, and File No. 18-51-7

02030.] 8

*** 9

[Jason T. Anderson, Esquire, Board Prosecutor, 10

presented the following Consent Agreements: File No. 11

14-51-08428, File No. 15-51-06814, File No. 15-51-12

08634, File No. 16-51-12267, and File No. 17-51-04403. 13

Member Luchs was recused from discussion on File 14

No. 15-51-06814. Members Hendricks, Kerns and Luchs 15

were recused from the discussion on File No. 16-51-16

12267 and File No. 17-51-04403.] 17

*** 18

[Keith E. Bashore, Esquire, Board Prosecutor, 19

presented the following Consent Agreement: File No. 20

17-51-10557. 21

Members Hendricks and Hertzler were recused from 22

the discussion.] 23

*** 24

[Jason T. Anderson, Esquire, Board Prosecutor, on 25


7

behalf of T’rese Evancho, Esquire, Board Prosecutor, 1


17-51-03517 and File No. 17-51-13753. 3

Members Hendricks, Kerns and Luchs were recused 4

from the discussion on File No. 17-51-03517.] 5

*** 6

[J. Karl Geschwindt, Esquire, Board Prosecutor, 7


15-51-12723, File No. 16-51-11039, File No. 16-51-9

15016, and File No. 17-51-03972. 10

Members Coughlin and Hendricks were recused from 11

the discussion on File No. 17-51-03972.] 12

*** 13

[Paul Jarabeck, Esquire, Board Prosecutor, presented 14

the Consent Agreement for File Nos. 15-51-15260 and 15

16-51-01413. 16

Members Coughlin and Hendricks were recused from 17

the discussion.] 18

*** 19

[Ricky Lewis, Esquire, Board Prosecutor, presented the 20

following Consent Agreements: File No. 17-51-03002, 21

File No. 17-51-07304, and File No. 17-51-08806.] 22

*** 23

[Heather J. McCarthy, Esquire, Board Prosecutor, 24



8

16-51-08364, File No. 16-51-09451, File No. 17-51-1

00391, and File No. 17-51-08046. 2

Members Hendricks and Hertzler were recused from 3

the discussion on File No. 17-51-00391.] 4

*** 5

[Adam Morris, Esquire, Board Prosecutor, presented the 6

following Consent Agreements: File No. 17-51-06791, 7

File No. 17-51-08141, File No. 17-51-08672, and File 8

No. 18-51-00565.] 9

*** 10

[David J. Schertz, Esquire, Board Prosecutor, 11


15-51-07390 and File No. 18-51-00635.] 13

*** 14

[Timothy Smith, Esquire, Board Prosecutor, presented 15

the following Consent Agreements: File No. 15-51-16

14165, File No. 16-51-07267, File No. 17-51-01940, 17

File No. 17-51-05000, and File No. 17-51-08890. 18

Members Hendricks, Kerns and Luchs were recused 19

from the discussion on File No. 17-51-01940.] 20

*** 21

[Matthew Sniscak, Esquire, Board Prosecutor, presented 22

the following Consent Agreements: File No. 15-51-23

01593, File No. 16-51-13344, File No. 17-51-01500, and 24

File No. 18-51-02603.] 25


9

*** 1

[Lindsay Szymanski, Esquire, Board Prosecutor, 2

presented the Consent Agreement for File No. 18-51-3

00101.] 4

*** 5

Regulation Update – Regulations Status Summary 6

[Judith Pachter Schulder, Esquire, Board Counsel, 7

reported that the Fee regulation (16A-5142) continues 8

to move forward. She indicated that questions from 9

the Office of General Counsel were answered and are 10

being reviewed. 11

Ms. Pachter Schulder noted the Commissioner of 12

Professional and Occupational Affairs was added to the 13

regulation packet as he has the authority under Act 48 14

to impose additional fees or costs related to the 15

processing of applications. The Bureau endeavors to 16

have the regulation in place for the April, 2019 17

renewal. 18

Ms. Pachter Schulder noted the Nursing Education 19

regulation (16A-5141) will be revisited to assess 20

conflicts with the procedures for PALS processing and 21

current Board procedures. She noted any necessary 22

substantive amendments to the regulation will be 23

discussed further at the next meeting.] 24

*** 25


10

Legislative Update – Pennsylvania Update 1

Legislation Affecting Nurses/Nursing 2

[Judith Pachter Schulder, Esquire, Board Counsel, 3

referred to House Bill 2135 regarding the licensure 4

requirements for foreign-trained nurse graduates. She 5

noted a similar bill to House Bill 2152 regarding the 6

disposal of hospice or home health care patient 7

medication.] 8

*** 9

Legislative Update - National Update 10

Legislative Updates from NCSBN - No Report 11

*** 12

Report of Board Chairperson – No Report 13

*** 14

Report of Commissioner - No Report 15

*** 16

Report of Committees 17

Probable Cause 18

[Suzanne Hendricks, BSBH, RN, LPN, reported that the 19

Probable Cause Committee moved on 15 Petitions for 20

Appropriate Relief and 45 Petitions for Mental and 21

Physical Examination.] 22

*** 23

Application Review 24

[Ann Michele Coughlin, MBA, MSN, RN, Vice Chair, 25


11

stated the Application Review Committee met and will 1

also be meeting later in the day to review additional 2

applications.] 3

*** 4

Advanced Practice - No Report 5

*** 6

RN/PN Practice, Education, & Regulation – No Report 7

*** 8

Dietitian-Nutritionist - No Report 9

*** 10

IT & Communication Issues 11

[Suzanne Hendricks, BSBH, RN, LPN, stated a few Board 12

members still cannot access their pa.gov emails. She 13

noted eAgenda items that take forever to open no 14

matter which server is accessed. The matter was to be 15

reviewed by the Director of Operations.] 16

*** 17

Report of Board Members Who Attended a Meeting on 18

Behalf of the Board 19

[Chairperson Kmetz and Ms. Coughlin attended the 20

recent 2018 NCSBN Midyear Meeting. Chairperson Kmetz 21

also attended a meeting of the Standards Committee, 22

which may be repurposed into the NCSBN Model Act and 23

Rules and Standards Committee pending NCSBN Board of 24

Director's approval, in order to evaluate oversight, 25


12

direction, strategy, revision, implementation, and 1

maintenance of the NCSBN Model Act Rules and 2

Standards. She stated additional information will be 3

available in May. 4

Dr. Kmetz noted that Kathie Simpson, RN, Executive 5 Director, Pennsylvania 6 Nurse Peer Assistance Program, did not make a 7

presentation at NCSBN’s Midyear Meeting about practice 8

site restrictions for monitored impaired professionals 9

The Board will ask Ms. Simpson and Kevin Knipe, Chief, 10

Professional Health Monitoring Program, to supplement 11

their presentations regarding the practice site issue 12

at the next meeting.] 13

*** 14

Report of Executive Secretary 15

[Laurette Keiser, MSN, RN, Executive Secretary, 16

referred Board members to the Commissioner's PALS 17

Update. Ms. Keiser noted the current RN/CRNP license 18

renewal for April. She stated the practical nurse 19

renewal will begin in June. 20

Ms. Keiser explained that currently the 21

processing time for a nurse practitioner from another 22

state was approximately 15 to 17 days, depending on 23

the receipt information from the other state. 24

Ms. Keiser noted the NCSBN Delegate Assembly will 25

be held August 15 through 17, 2018, in Minneapolis, 26


13

Minnesota. She requested the Board consider a motion 1

to send four members to that meeting. Ms. Keiser 2

stated the NCLEX-RN plan will be on the agenda for 3

voting.] 4


So we need a motion for four members to 6

attend the Annual National Council of 7

State Boards of Nursing Meeting to be 8

held August 15 through 17, 2018, in 9

Minneapolis, Minnesota. 10

MR. OWEN: 11

Motion. 12


I need a second. 14

MS. HENDRICKS: 15

Second. 16


We have a motion and a second. All those 18

in favor? Opposed? Abstentions? 19

[The motion carried unanimously.] 20

*** 21

[Ms. Keiser asked that those Board members, staff, and 22

attorneys desiring to attend the Peter M. Winter 23

Institute for Simulation, Education, and Research 24

(WISER) to notify her or Ms. Miller in order to 25


14

determine a date for the visit. Dr. O'Donnell, 1

Associate Director of the Institute, will offer a two 2

to four-hour interactive learning experience. It was 3

noted that the Board did not receive approval to 4

conduct its Board meeting concurrent with the WISER 5

visit, but a delegation of Board members and staff 6

will be able to attend.] 7

*** 8

Presentation 9

[Mary Lou Taylor, CRNA, BSN, Secretary, Pennsylvania 10

Association of Nurse Anesthetists, addressed the Board 11

with regard to a request at the last meeting by 12

Jessica Poole, DNAP, MSN, CRNA, for guidance 13

concerning the Ketamine policy for nurses in the State 14

of Pennsylvania. Ms. Pachter Schulder explained that the 15

Board cannot provide advisory opinions but could direct Ms. 16

Poole to the sections of the Board's regulations that might 17

apply. 18

Ms. Taylor reported on Lobby Day held on April 19

17, 2018. The CRNA designation bill was well received 20

by the legislators. She also reported on her 21

attendance at the recent House Professional Licensure 22

Committee hearing with the Pennsylvania Society of 23

Anesthesiologists. She submitted a copy of the 24

written testimony for the Board's review.] 25


15

*** 1

[The Board recessed from 9:54 a.m. until 10:02 a.m.] 2

*** 3

[Suzanne Hendricks and Chairperson Kmetz exited the 4

meeting at 10:02 a.m. for recusal purposes.] 5

*** 6

Appointment - Request for Extension of Provisional 7

Status - Prism Career Institute (PRISM), 8

Practical 9

Nursing Program 10

[Jennifer Holzer, DNP, RN, Director of Nursing, PRISM; 11

Sharon Gordon, Assistant Director of Nursing; and 12

Jeffery Mann, Campus Director, presented before the 13

Board to discuss its Request for Extension of 14

Provisional Status. 15

Dr. Holzer, Ms. Gordon, and Mr. Mann provided 16

information regarding PRISM's efforts to address the 17

following three issues as requested by the Board 18

following its January presentation: The first two 19

quarters of the Program's NCLEX® pass rate performance 20

for 2017-2018 exam year, progress regarding the 21

Program’s performance improvement plan, and the number 22

of graduates, by cohort per year, who have yet to take 23

the NCLEX® but impact the overall pass rate. 24

Dr. Holzer noted the implementation of online 25


16

testing, the purchase of 40 new computers and the 1

creation of four computer classrooms, and increased 2

student services, including additional tutoring (of 3

which 46 students have signed up for two different 4

courses) and new textbooks, the increase in the 5

quantity and quality of simulation requiring students 6

to prepare for simulation in advance of the class, 7

introduction of ATI Nursing Education Products 8

appropriately throughout all five terms, 9

implementation of the virtual ATI, classroom and 10

clinical site observations, changes to faculty, 11

including replacing some faculty with new faculty and 12

implementation of teaching assistants in the classroom 13

and in the simulation lab and implementation of an 14

open-door policy and dress-down days. PRISM’s 15

curriculum is under revision. The study plan calendar 16

contained in the original performance plan was 17

abandoned. 18

Dr. Holzer noted that PRISM does not have any 19

pass rates back for the cohorts since she started. 20

PRISM has a population of 336 students with 183 21

students in the day program. 22

In order for a student’s NEV to be forwarded to 23

the Board, the student must meet all of the 24

requirements for graduation—minimum score on the 25


17

predictor examinations, completion of coursework with 1

a 2.5 GPA, financial aid and meet the hourly 2

requirements. 3

Attempts are being made to contact former 4

graduates who have not taken the NCLEX about taking 5

the examination and receiving tutoring. Out of 53 6

recent graduates, all but three are registered for the 7

NCLEX®. 8

Dr. Holzer explained that instructors are not 9

permitted to write their own examination questions 10

until they have taken an examination writing course. 11

Dr. Holzer relayed that the ratio for clinical 12

courses is optimally 8 to 1 but no more than 10 to 1. 13

In pediatric clinicals the ratio is 4 to 1. 14

Mr. Mann commented that his staff serves a 15

population with extra concerns including life issues 16

which he noted are also being addressed.] 17

*** 18

[Suzanne Hendricks re-entered the meeting at 10:21 19

a.m.] 20

*** 21


Status - Pennsylvania Institute of Technology 23

(PIT), Practical Nursing Program. 24

[Danielle Giuliano, PhD, MSN, BSN, RN, Director of 25


18

Nursing, PIT; Geri Swindell, RN, Faculty; and Will 1

Robinson, President, PIT, presented before the Board 2

to discuss its Request for Extension of Provisional 3

Status. 4

Dr. Giuliano, Ms. Swindell, and Mr. Robinson 5

provided information regarding PIT's efforts to 6

address the following three issues as requested by the 7

Board following its January presentation: The first 8

two quarters of the Program's NCLEX® pass rate 9

performance for 2017-2018 exam year, progress 10

regarding the Program’s performance improvement plan, 11

and the number of graduates, by cohort per year, who 12

have yet to take the NCLEX® but impact the overall 13

pass rate. 14

Dr. Giuliano noted the hiring of two additional 15

full-time faculty, reducing the reliance on mostly 16

adjunct faculty, the hiring of additional adjuncts, 17

the procurement of a Scantron for use by the faculty 18

for test item analysis, the utilization of ATI Nursing 19

Education Products including ATI Integration Matrix, 20

the three-day Live Review, ATI Partnership, including 21

Capstone and coaching, and curriculum review for 22

staff, as well as the implementation of NurseTim 23

webinars. PIT also hired an ESL (English as a Second 24

Language) tutor, as well as developing a relationship 25


19

with the Delaware County Literacy Council, to assist 1

PIT’s many ESL students. 2

Two additional clinical sites were being acquired 3

to enhance the clinical experiences for its students—a 4

charter elementary school and a correctional facility 5

in Montgomery County, two areas where LPNs are 6

frequently employed. 7

Dr. Giuliano also noted the addition of two 8

simulations in the Simulation Lab as well as a full-9

time educator, the request for a Perkins grant for 10

simulation equipment, and the request for laptop 11

computers. 12

Dr. Giuliano discussed the ATI TEAS exam scores in 13

October, 2017, and January, 2018, which increased. 14

PIT is advising the students to take their Boards 15

earlier. Thirteen students from 2016 and 2017 hadn’t 16

taken the NCLEX as of January, 2018. Seven took the 17

test in the first and second quarters. There are four 18

graduates from 2016, and two outstanding from 2017 are 19

yet to be examined. She reported that the first 20

quarter pass rate was 42.8 while the second quarter 21

rate thus far was 93.75% resulting in an average of 22

78.2% which is an improvement from last year’s 76%. 23

Will Robinson, President, discussed PIT’s 24

financial investment in its Nursing Program. He 25


20

expressed his full support of the program.] 1

*** 2

[Suzanne Hendricks exited the meeting at 10:44 a.m. 3

for recusal purposes.] 4

*** 5


Status - Princeton Information Technology Center 7

(PITC), Practical Nursing Program 8

[Gary Guldin, MSN, Ed.M., RN, Nursing Program, PITC; 9

Dr. Bryana Carrea, Coordinator, Nursing Program; and 10

Bruce Wartman, Director of Operations, presented 11

before the Board to discuss PITC’s Request for 12

Extension of Provisional Status. 13

Mr. Guldin, Dr. Carrea, and Mr. Wartman provided 14

information regarding PITC's efforts to address the 15

following three issues as requested by the Board 16

following its January presentation: The first two 17

quarters of the Program's NCLEX® pass rate performance 18

for 2017-2018 exam year, progress regarding the 19

Program’s performance improvement plan, and the number 20

of graduates, by cohort per year, who have yet to take 21

the NCLEX® but impact the overall pass rate. 22

Mr. Guldin advised the Board that he is no longer 23

Coordinator of PITC’s Program and has been replaced by 24


21

Dr. Carrea. He will remain for a time as a 1

consultant. 2

Mr. Guldin discussed the desire to decrease the 3

faculty platform hours from over 30 to 26-28. PITC 4

lost four faculty members since January. In order to 5

retain more faculty, Mr. Guldin is seeking increased 6

salary and more in-service training. 7

Mr. Guldin explained that faculty development is 8

occurring with ATI, who has conducted some faculty 9

trainings. Increased training is occurring at faculty 10

meetings which occur every 2-3 weeks. Mr. Guldin 11

developed a protocol for test development, removed 12

true/false and essay tests and encourages the use of 13

three test banks. In each term the degree of 14

difficulty of the tests increases. Dr. Carrea intends 15

to continue this testing protocol and hopes to add 16

additional testing resources 17

Mr. Guldin explained that the faculty is going 18

through their curriculum to see if it meets the 2017 19

curriculum blueprint, which he developed. Four of the 20

faculty members have completed the review. Mr. Guldin 21

estimated that there are 40-50 faculty members; Mr. 22

Wartman estimated that number was about 23. 23

Mr. Wartman explained that PITC has about 190-200 24

students. Per year there are three terms—every three 25


22

months—and two cohorts—daytime and evening. January, 1

May, August admissions for the daytime students, and 2

February, June and September for the evening students. 3

The target number of students is 30-40 each start 4

group. Mr. Guldin reported a retention rate of 55%. 5

Mr. Guldin explained that the grading weight 6

system has been changed. Weights of 30% for finals 7

and 20% for ATIs have been reduced, and quiz grades 8

have been reduced to 10% of the overall grade from 9

45%. 10

PITC is working towards implementing the TEAS in 11

September. For now, it has an increased Wonderlic 12

score beginning in February with another increase due 13

in April/May. Mr. Wartman advised that PITC 14

anticipates starting fewer day and evening cohorts for 15

the next two terms because of the increased scores. He 16

hopes this increased score will improve retention 17

rates because students will be better qualified for 18

the program. 19

Mr. Guldin also discussed providing the students 20

with dictionaries, ATI course assessments, and the 21

implementation of HESI reviews. 22

Dr. Carrea advised the Board that she worked as a 23

mental health therapist for 11 years dealing with 24

addictions and drugs, is currently in school to become 25


23

a psychiatric nurse practitioner and worked at PRISM 1

as a student services counselor. 2

Dr. Carrea discussed implementing an early warning 3

system to assess struggling students and the 4

implementation of early remediation for those students 5

including adding tutors for student academic 6

development and mandatory remediation for students who 7

are not succeeding. Dr. Carrea will also be offering 8

seminars to help students deal with nursing stress, 9

time management, and other rehabilitation areas. 10

Mr. Wartman advised that PITC is committed to 11

improving pass rates, improving the curriculum, and 12

the professional development. He noted PITC is now 13

accredited by ABHES instead of ACICS. 14

Mr. Wartman reviewed the reasons for students 15

leaving the program including lack of academic 16

performance, behavior, changed their minds about 17

pursuing nursing, medical conditions. Mr. Wartman 18

explained that the financial aid office speaks to 19

students who receive financial aid to advise them that 20

they are responsible for that money even if they do 21

not finish the program. 22

Mr. Wartman believes that PITC’s pass rate has 23

increased from 76.6% when PITC appeared before the 24

Board in January to about 84.6%.] 25


24

*** 1

[The Board recessed from 11:25 a.m. until 11:36 a.m.] 2

*** 3

[Suzanne Hendricks and Chairperson Kmetz re-entered 4

the meeting at 11:36 a.m.] 5

*** 6

New Business 7

[The Board revisited its discussion regarding visiting 8

WISER and discussed scheduling two days of education 9

in July 2018.] 10

*** 11

[Chairperson Kmetz noted the 2018 Board meeting dates. 12

The Board also discussed the 2019 proposed meeting 13

dates. The Board agreed to January 18, March 1, April 14

17, June 6, July 25, September 12, October 24 and 15

December 5, 2019.] 16


I need a motion to approve the 2019 calendar with the 18

changes as noted. 19

MS. COUGLIN: 20

So moved. 21

MS. HENDRICKS: 22

Second. 23




25


*** 2

[Pursuant to Section 708(a)(5) of the Sunshine Act, 3

the Board entered into Executive Session with Judith 4

Pachter Schulder, Esquire; Megan E. Castor, Esquire; 5

Carole Clarke Smith, Esquire; and Ariel O’Malley, 6

Esquire, at 11:47 a.m. for the purpose of conducting 7

quasi-judicial deliberations on matters that are 8

pending before the Board. The Board returned to Open 9

Session at 1:06 p.m.] 10

*** 11

MOTIONS 12

MS. PACHTER SCHULDER: 13

During the Executive Session, the Board 14

began its quasi-judicial deliberations 15

on the programs that requested 16

extensions of their provisional status. 17

Members Hendricks and Kmetz were recused 18

from those conversations and did not 19

participate. The Board will go back in 20

Executive Session and continue that 21

discussion, but in addition, during 22

Executive Session, the Board reviewed 23

the Consent Agreement for File No. 18-24

51-00101, for which Members Coughlin, 25


26

Hendricks, Kerns, and Luchs were 1

recused. 2

And also during that time, Katelin 3

Lambert, Designee of the Commissioner of 4

Professional and Occupational Affairs, 5

entered the meeting. 6

Is there a motion to approve the 7

Consent Agreement in 18-51-00101 for 8

which Members Coughlin, Hendricks, 9

Kerns, and Luchs are recused? 10

MR. OWEN: 11

So moved. 12

MS. KIESELHORST: 13

Second. 14



[The motion carried. Members Coughlin, Hendricks, 17

Kerns, and Luchs were recused from deliberations and 18

voting on the motion. Ms. Lambert abstained from 19

voting on the motion. 20

The Respondent's name is Jennifer Lynn Gold, RN.] 21

*** 22

[Pursuant to Section 708(a)(5) of the Sunshine Act, 23

the Board entered into Executive Session with Judith 24

Pachter Schulder, Esquire; Megan E. Castor, Esquire; 25


27

Carole Clarke Smith, Esquire; and Ariel O’Malley, 1

Esquire, at 1:07 p.m. for the purpose of conducting 2

quasi-judicial deliberations on matters that are 3

pending before the Board. The Board returned to Open 4

Session at 2:52 p.m.] 5

*** 6

MOTIONS 7


During Executive Session, the Board 9

engaged in quasi-judicial deliberations 10

on the matters on the agenda listed 11

under the Report of Prosecutorial 12

Division and Report of Board Counsel, as 13

well as the Applications for Extension 14

of Provisional Status for today's 15

schools. The Board members who were 16

recused will identify themselves with 17

each of the matters. 18

Is there a motion to adopt all of 19

the VRP Consent Agreements? Those are 20

items 2 to 28. 21

MS. COUGHLIN: 22

So moved. 23

MS. KIESELHORST: 24

Second. 25


28



Abstentions? 3


*** 5


Is there a motion to adopt the following 7

Consent Agreements for which there are 8

no recusals? 9

Beginning at Number 36, File No. 17-10

51-13753, File No. 15-51-12723, File No. 11

16-51-11039, File No. 16-51-15016, File 12

No. 17-51-03002, File No. 17-51-07304, 13

File No. 17-51-08806, File No. 16-51-14

08364, File No. 16-51-09451, File No. 15

17-50-08046, File No. 17-51-06791, File 16

No. 17-51-08141, File No. 17-51-08672, 17

File No. 18-51-00565, File No. 15-51-18

07390, File No. 18-51-00635, File No. 19

15-51-14165, File No. 16-51-07267, File 20

No. 17-51-05000, File No. 15-51-01593, 21

File No. 16-51-13344, File No. 17-51-22

01500, and File No. 18-51-02603. 23

MS. COUGHLIN: 24

So moved. 25


29

MS. HENDRICKS: 1

Second. 2



Abstentions? 5

[The motion carried unanimously. The Respondent's 6

name for File No. 17-51-13753 is Brittlee Marcella 7

Gravink, RN. The Respondent's name for File No. 15-8

51-12723 is Henry K. Sinyangwe, RN. The Respondent's 9

name for File No. 16-51-11039 is Maria Pepper, RN. 10

The Respondent's name for File No. 16-51-15016 is 11

Rheannon Therese Marhefky, RN. The Respondent's name 12

for File No. 17-51-03002 is Joyce Hafer Palm, LPN. 13


Courtney Irene Yates, RN. The Respondent's name for 15

File No. 17-51-08806 is Claudia Odiri Achoja, RN, 16

CRNP. The Respondent's name for File No. 16-51-08364 17

is Verona D. Butts, RN. The Respondent's name for 18

File No. 16-51-09451 is Lyndsay Alexandra Paul, RN. 19


Carol Lydia Fehr, RN. The Respondent's name for File 21

No. 17-51-06791 is Elizabeth A. Fromille, LPN. The 22

Respondent's name for File No. 17-51-08141 is Lisa 23

Rose Hughes, RN. The Respondent's name for File No. 24

17-51-08672 is Pamela L. Kenny, RN. The Respondent's 25


30

name for File No. 18-51-00565 is Robert M. Dutko, RN. 1


Edward Barry Bilderback, RN. The Respondent's name 3

for File No. 18-51-00635 is Patricia M. Wolf, RN, 4

CRNP. The Respondent's name for File No. 15-51-14165 5

is Amanda Renee Walker, LPN. The Respondent's name 6

for File No. 16-51-07267 is Luann Kreider Lavin, RN. 7


Ciarah Ebony Peters, LPN. The Respondent's name for 9

File No. 15-51-01593 is Michelle Whiting, RN. The 10

Respondent's name for File No. 16-51-13344 is 11

Micheline Peralte, RN. The Respondent's name for File 12

No. 17-51-01500 is Amanda Lynn Skoczlas, RN, LPN. The 13

Respondent's name for File No. 18-51-02603 is Barry L. 14

Anoia, RN.] 15

*** 16


Is there a motion to reject the 18

following Consent Agreements on the 19

grounds that they are too lenient? 20

Item Number 29, which is File No. 21

14-51-08428; Item 31, File No. 15-51-22

08634; and Item 59, File No. 17-51-23

08890, for which there are no recusals. 24

MR. OWEN: 25


31

So moved. 1

MS. HENDRICKS: 2

Second. 3



Abstentions? 6


*** 8


Is there a motion to adopt the Consent 10

Agreement in File No. 15-51-06814, which 11

is Number 30, for which Member Luchs is 12

recused? 13

MS. COUGHLIN: 14

So moved. 15

MS. HENDRICKS: 16

Second. 17



Abstentions? 20

[The motion carried. Member Luchs recused from 21

deliberations and voting on the motion. The 22

Respondent's Name is Shawn N. Robinson, RN.] 23

*** 24



32


Consent Agreements for which Members 2

Hendricks, Kerns and Luchs are recused: 3

File No. 16-51-12267, File No. 17-51-4

04403, File No. 17-51-03517, and File 5

No. 17-51-01940? 6

MS. COUGHLIN: 7

So moved. 8

MR. OWEN: 9

Second. 10



Abstentions? 13

[The motion carried. Members Hendricks, Kerns, and 14

Luchs recused from deliberations and voting on the 15

motion. The Respondent's name for File No. 16-51-16

12267 is Debora Lynn Brooks-Wilson, CRNP, RN, LPN. 17


Daniel M. Hamilton, RN. The Respondent's name for 19

File No. 17-51-03517 is Thomas Joseph Smith, LPN. The 20

Respondent's name for File No. 17-51-01940 is Jill M. 21

Jackson, RN.] 22

*** 23




33


Hendricks and Hertzler are recused: 2

File No. 17-51-10557 and File No. 17-51-3

00391? 4

MS. COUGHLIN: 5

So moved. 6

MR. OWEN: 7

Second. 8



Abstentions? 11

[The motion carried. Members Hendricks and Hertzler 12

recused from deliberations and voting on the motion. 13


Kayla Lee Moore, LPN. The Respondent's name for File 15

No. 17-51-00391 is Cori Marie Stark, RN.] 16

*** 17




Coughlin and Hendricks are recused? 21

That's File No. 17-51-03972, File No. 22

16-51-12350, and File Nos. 15-51-15260 23

and 16-51-01413. 24

MR. OWEN: 25


34

So moved. 1

MS. KIESELHORST: 2

Second. 3



Abstentions? 6

[The motion carried. Members Coughlin and Hendricks 7

recused from deliberations and voting on the motion. 8


Matthew Sherman, RN. The Respondent's name for File 10

No. 16-51-12350 is Tina Michele Cunningham, RN. The 11

Respondent's name for File Nos. 15-51-15260 and 16-51-12

01413 is Laura Jean Rathfon, LPN.] 13

*** 14


Is there a motion to ratify the Order 16

and adopt the Board's Order substituting 17

its Order, rather than writing an 18

Adjudication and Order in Alison Marie 19

Grutza, LPN, at File No. 15-51-05117? 20

MS. COUGHLIN: 21

So moved. 22

MR. OWEN: 23

Second. 24



35


Abstentions? 2


*** 4


Is there a motion to authorize Counsel 6

to prepare Adjudications and Orders in 7

Christopher Malkoski, LPN, File No. 14-8

51-13512; and Joy N. Sicinski, RN, File 9

No. 17-51-11225? 10

MS. COUGHLIN: 11

So moved. 12

MS. KIESELHORST: 13

Second. 14



Abstentions? 17


*** 19


Is there a motion to grant the Motion to 21

Deem Facts Admitted and to authorize 22

Counsel to prepare an Adjudication and 23

Order in the matter of Erica L. White, 24

LPN, File No. 15-51-02608, for which 25


36

Members Coughlin and Hendricks are 1

recused? 2

MR. OWEN: 3

So moved. 4

MS. KIESELHORST: 5

Second. 6



Abstentions? 9


recused from deliberations and voting on the motion.] 11

*** 12


Is there a motion to grant the Motions 14

to Enter Default and to Deem the Facts 15

Admitted, authorize Counsel to prepare 16

Adjudications and Orders in the matters 17

of Rafael C. Cirino, RN, File No. 17-51-18

01353; Lesa Marie Collins, RN, File No. 19

16-51-11695; Bobbi Jo Dehner, LPN, File 20

No. 17-51-13161; Rebekah Lyn Eckles, 21

LPN, File No. 16-51-06653; Jeanne Marie 22

Hammond, LPN, File No. 17-51-05447; 23

Carol A. Hawbaker, LPN, File No. 16-51-24

10441; Jon Ryan Heilman, RN, File No. 25


37

16-51-12758; Jennifer Suzanne Horvath, 1

RN, File No. 16-51-12150; Julie Lynn 2

King, LPN, File No. 17-51-03512; Dorothy 3

James, LPN, File No. 17-51-07244; 4

Belinda Ann Patterson, RN, File No. 16-5

51-07087; Corey D. Kemp, RN, File No. 6

15-51-07340; Maria E. Lazzari, LPN, File 7

No. 17-51-04788; Kristen Iris Mikos, RN, 8

File No. 17-51-07937; Matthew W. Myers, 9

RN, File No. 17-51-08609; Nicole Kristin 10

Whitaker, LPN, File No. 16-51-03172; 11

Patricia Klein Westerman, LPN, File No. 12

17-51-00702; Carrie Lynn Vest, RN, File 13

No. 16-51-09415; and Margaret M. 14

Webster, RN, File No. 16-51-10141, for 15

which no member needs recused? 16

MS. COUGHLIN: 17

So moved. 18

MS. HENDRICKS: 19

Second. 20



Abstentions? 23


*** 25


38



three Hearing Examiner Proposals: 3

Kimberly A. Cassidy, RN, File No. 17-51-4

11586; Teresa Dutta, RN, File No. 17-51-5

04572; and Abby L. Tyson, LPN, File No. 6

17-51-11520, for which no member needs 7

recused? 8

MS. COUGHLIN: 9

So moved. 10

MS. HERTZLER: 11

Second. 12



Abstentions? 15


*** 17



to adopt and substitute a Board Order in 20

the matter of Deborah A. Campbell, RN, 21

LPN, File No. 17-51-02164? 22

MS. COUGHLIN: 23

So moved. 24

MS. HENDRICKS: 25


39

Second. 1



Abstentions? 4


*** 6



to adopt the Hearing Examiner's Proposed 9

Report and to substitute a new Board 10

Order by way of a Memorandum Opinion in 11

the matters of Judith Kathleen Engen, 12

RN, File No. 16-51-14873; and Amy 13

Klinger Lehman, LPN, File No. 17-51-14

10939? 15

MS. COUGHLIN: 16

So moved. 17

MR. OWEN: 18

Second. 19



Abstentions? 22


*** 24



40


to prepare Adjudications and Orders in 2

the following matters: Ramir Alejo 3

Agustin, LPN, File No. 16-51-10576; 4

Nicole Marie Fende, LPN, File No. 16-51-5

06916; Alicia Faye Hanna, LPN, File No. 6

16-51-06911; Tiffany Blair Pagan, LPN, 7

File No. 16-51-11301; Mildred Choate 8

McAveney, RN, File No. 15-51-11440; 9

Amanda Marie Smith, RN, a/k/a Amanda 10

Marie Shaulis, RN, File No. 17-51-12269; 11

and Rose Umana, RN, File No. 14-51-12

07099? 13

MS. COUGHLIN: 14

So moved. 15

MS. HENDRICKS: 16

Second. 17



Abstentions? 20


*** 22



to prepare an Adjudication and Order in 25


41

the matter of Nancy Cook Lewen, LPN, 1

File No. 17-51-00880, for which Members 2

Hendricks, Kerns, and Luchs are recused? 3

MS. COUGHLIN: 4

So moved. 5

MS. KIESELHORST: 6

Second. 7



Abstentions? 10

[The motion carried. Members Hendricks, Kerns and 11


motion.] 13

*** 14




the matter of Debra Ann Madigan, RN, 18


Coughlin and Hendricks are recused? 20

MR. OWEN: 21

So moved. 22

MS. HERTZLER: 23

Second. 24



42


Abstentions? 2

[The motion carried unanimously. Members Coughlin and 3

Hendricks recused from deliberations and voting on the 4

motion.] 5

*** 6




the matter of Jamie Seibert Thim, RN, 10


Coughlin, Hendricks, and Kerns are 12

recused? 13

MR. OWEN: 14

So moved. 15

MS. KIESELHORST: 16

Second. 17



Abstentions? 20

[The motion carried. Members Coughlin, Hendricks, and 21

Kerns recused from deliberations and voting on the 22

motion.] 23

*** 24



43

Is there a motion to adopt the Draft 1

Adjudications and Orders in the 2

following matters for which no member 3

needs to recuse: Mary Beth Arrain, RN, 4

File No. 15-51-07886; Heather Rosene 5

Binkley, LPN, File No. 16-51-06532; 6

Alyssia Marie Dean, LPN, File No. 16-51-7

09483; Kerry L. Farley, RN, File No. 16-8

51-06796; Nicole Alicia Harkins, RN, 9

File No. 14-51-02487; Jared Lee Johnson, 10

LPN, File No. 16-51-09628; Matthew D. 11

Mendelow, RN, File No. 16-51-06439; 12

Edward L. Jones, LPN, File No. 17-51-13

05067; Katherine Adler Sanders, RN, File 14

No. 16-51-10416; Justin Dennis Stahl, 15

RN, File No. 15-51-09548; Elizabeth 16

Lauren Shinn, RN, File No. 15-51-07361; 17

Heidi Jane Walker, RN, File No. 15-51-18

06732; Vanessa Vieau, LPN, File No. 16-19

51-12398; Marisha Dawn Winiarczyk, File 20

No. 18-51-02946; Diana Lynn Stephens, 21

LPN, File No. 16-51-12774; Treamonesha 22

N. Thompson, LPN, File No. 16-51-14860; 23

Mary Allen Walker, LPN, File No. 16-51-24

05775; Jennifer Marie Tucker, LPN, File 25


44

No. 16-51-06864; and Lori Whetsell, LPN, 1

File No. 16-51-08728? 2

MS. HENDRICKS: 3

So moved. 4

MR. OWEN: 5

Second. 6



Abstentions? 9


*** 11




following matters for which Members 15

Hendricks, Kerns, and Luchs are recused: 16

Dana L. Bashore, LPN, File No. 17-51-17

01324; Carissa Brown, RN, File No. 17-18

51-04054; Jade Mary Patterson, LPN, File 19

No. 17-51-01617; Christina Mae Osborne, 20

RN, File No. 17-51-01902; Courtney Leigh 21

Smith, RN, File No. 17-51-04201; 22

Jennifer Lynn Sutliff, LPN, File No. 17-23

51-03007; Mandy Ann Williams, LPN, File 24

No. 16-51-08467; and Roseann Elizabeth 25


45

Yarris, LPN, File No. 17-51-06929? 1

MS. COUGHLIN: 2

So moved. 3

MR. OWEN: 4

Second. 5



Abstentions? 8



motion.] 11

*** 12




following matters for which Members 16

Coughlin and Kerns are recused: Amber 17

Ruth Brady, LPN, File No. 16-51-10171; 18

and Lynsay Gene Coons, LPN, File No. 16-19

51-10648? 20

MS. HENDRICKS: 21

So moved. 22

MS. HERTZLER: 23

Second. 24



46


Abstentions? 2

[The motion carried. Members Coughlin and Kerns 3


*** 5



Adjudication and Order in the matter of 8

Justin Ryan Taylor, LPN, File No. 16-51-9

03884, for which Members Coughlin and 10

Hendricks are recused? 11

MR. OWEN: 12

So moved. 13

MS. MALADY: 14

Second. 15



Abstentions? 18



*** 21




the matter of Airica Cooper, RN, File 25


47

No. 16-51-12730, for which Members 1

Hendricks, Kerns, and Luchs are recused? 2

MS. COUGHLIN: 3

So moved. 4

MR. OWEN: 5

Second. 6



Abstentions? 9



motion.] 12

*** 13


Is there a motion to grant an Extension 15

of Provisional Status until July 25, 16

2018, at which time the program director 17

would return to update the Board on 18

progress regarding the program, for 19

Prism Career Institute, Practical 20

Nursing Program, for which Members 21

Hendricks and Kmetz are recused? 22

MR. OWEN: 23

So moved. 24

MS. KIESELHORST: 25


48

Second. 1



Abstentions? 4

[The motion carried. Members Hendricks and Kmetz 5


*** 7


Is there a motion to grant the Extension 9

of Provisional Status for Pennsylvania 10

Institute of Technology, Practical 11

Nursing Program, until the 2017-2018 12

exam results are reviewed by the Board, 13

for which Chairperson Kmetz is recused? 14

MS. HENDRICKS: 15

So moved. 16

MS. HERTZLER: 17

Second. 18



Abstentions? 21

[The motion carried. Chairperson Kmetz recused from 22

deliberations and voting on the motion.] 23

*** 24



49

Is there a motion to grant an Extension 1

of Provisional Status for Princeton 2

Information Technology Center, Practical 3

Nursing Program, until June 6, 2018, 4

provided that the Board receives by May 5

23, 2018, a report regarding enrollment, 6

graduation, instructors, and curriculum, 7

in light of the new program director 8

since the Board met the last new program 9

director at the January meeting, as well 10

as information about retention and 11

turnover in staff, for which Members 12

Hendricks and Kmetz are recused? 13

MR. OWEN: 14

So moved. 15

MS. KIESELHORST: 16

Second. 17



Abstentions? 20

[The motion carried. Members Hendricks and Kmetz 21


*** 23


Lastly, is there a motion to grant the 25


50

Stay in the matter of Venus Q. Dunagan, 1

File No. 15-51-08662? 2

MS. HENDRICKS: 3

So moved. 4

MS. COUGHLIN: 5

Second. 6



Abstentions? 9


*** 11

[The Board participated in Security Awareness Training 12

prior to adjournment of its meeting.] 13

*** 14

Adjournment 15

[There being no further business, the State Board of 16

Nursing Meeting adjourned at 3:29 p.m.] 17

*** 18

19

20

21

22

23

24

25


51

1

2

CERTIFICATE 3

4

I hereby certify that the foregoing summary 5

minutes of the State Board of Nursing meeting was 6

reduced to writing by me or under my supervision, and 7

that the minutes accurately summarize the substance of 8

the State Board of Nursing meeting. 9

10

11

12

Adam Beck, 13

Minute Clerk 14

Sargent’s Court Reporting 15

Service, Inc. 16

17

18

19

20

21

22

23

24

25

26


52

STATE BOARD OF NURSING 1 REFERENCE INDEX 2 April 19, 2018 3

4 TIME AGENDA 5 6 9:15 Official Call to Order 7 8 9:16 Adoption of Agenda 9 10 9:17 Adoption of Minutes 11 12 9:18 Report of Prosecutorial Division 13

14 9:37 Regulation Update 15 16 9:41 Legislative Update 17 18 9:42 Report of Board Chairperson 19 20 9:43 Report of Committees 21 22 9:44 Report of Board Members Who Attended a 23 Meeting on Behalf of the Board 24 25 9:46 Report of Executive Secretary 26 27

9:47 Old Business 28 29 9:54 Recess 30 10:02 Return to Open Session 31 32 10:02 Appointment - Request for Extension of 33 Provisional Status - Prism Career 34 Institute, Practical Nursing Program 35 36 10:20 Appointment - Request for Extension of 37 Provisional Status - Pennsylvania 38 Institute of Technology, Practical 39 Nursing Program 40 41

10:43 Appointment - Request for Extension of 42 Provisional Status - Princeton 43 Information Technology Center, Practical 44 Nursing Program 45 46 11:25 Recess 47 11:36 Return to Open Session 48 49 50


53

STATE BOARD OF NURSING 1 REFERENCE INDEX 2 April 19, 2018 3 (Continued) 4

5 TIME AGENDA 6 7 11:36 New Business 8 9 11:47 Executive Session 10 1:06 Return to Open Session 11 12 1:07 Executive Session 13

2:52 Return to Open Session 14 15 2:53 Motions 16 17 3:29 Adjournment 18 19 20 21 22 23 24 25 26 27

28 29 30 31 32 . 33 34 35 36 37 38 39 40 41

42 43 44 45 46 47 48 49

50

9 STATE BOARD OF NURSING - dos.pa.gov€¦ · Sargent's Court Reporting Service, Inc. (814)...

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