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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

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TIME: 9:17 A.M. 11

12

Board Room B 13

One Penn Center 14

2601 North Third Street 15

Harrisburg, Pennsylvania 17110 16

17

Thursday, September 12, 2019 18

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25


2

State Board of Nursing 1 September 12, 2019 2

3 4 BOARD/COMMISSION MEMBERS: 5 6 Ann Michele Coughlin, MBA, MSN, RN, Chair 7 Kalonji Johnson, Acting Commissioner, Bureau of 8 Professional and Occupational Affairs 9 Kristin Malady, BSN, RN – Vice Chair 10 Suzanne Hendricks, BSBH, RN, LPN - Absent 11 Sue E. Hertzler, LPN 12

Linda A. Kerns, Esquire, Public Member - Absent 13 Kessey J. Kieselhorst, MPA, RD, LDN, CPHQ - Absent 14 Linda L. Kmetz, PhD, RN 15 Sherri Luchs, RN 16 John M. O’Donnell, DrPH, RN, CRNA, MSN 17 Jason R. Owen, Esquire, Public Member 18 Bridget E. Vincent, MSN, CRNP, APN-BC, CCRN 19 20 21 COMMONWEALTH ATTORNEYS: 22 23 Judith Pachter Schulder, Esquire, Board Counsel 24 Megan E. Castor, Esquire, Board Counsel 25 Carole Clarke Smith, Esquire, Board Counsel 26

William Newport, Esquire, Board Prosecution Co-Liaison 27 T'rese Evancho, Esquire, Board Prosecution Co-Liaison 28 Codi M. Tucker, Esquire, Board Prosecutor 29 Bridget Guilfoyle, Esquire, Board Prosecutor 30 David J. Schertz, Esquire, Board Prosecutor 31 Matthew T. Sniscak, Esquire, Board Prosecutor 32 Carolyn A. DeLaurentis, Esquire, Deputy Chief Counsel, 33 Prosecution Division 34 Timothy Gates, Esquire, Chief Counsel, Office of Chief 35 Counsel, Department of State 36 37 BUREAU PERSONNEL: 38 39 Laurette D. Keiser, MSN, RN, Executive Secretary 40

Cynthia K. Miller, Board Administrator 41 Todette Holt, EdD, RN, Nursing Education Advisor 42 Sue Petula, PhD, MSN, RN, NEA-BC, FRE, Nursing 43 Education Advisor 44 Wendy Miller, MSN, RN, Nursing Practice Advisor 45 Leslie House, MSN, RN, Nursing Practice Advisor 46 Marc Farrell, Deputy Policy Director, Office of 47 Policy, Department of State 48 49 50

51


3

State Board of Nursing 1 September 12, 2019 2

3 ALSO PRESENT: 4 5 Danielle Grimplin, SN, RT(R)(ARRT), CPI, Academic 6

Dean, Pennsylvania Institute of Health and 7 Technology (PIHT) 8

Wesley J. Rish, Esquire, Rish Law Office, LLC 9 Cynthia Rish, Operations Manager, Rish Law Office, LLC 10 Nancy K. Haughton, MSN, RN, Director, Chester County 11

Intermediate Unit Practical Nursing Program 12

Dr. Linda Roy, Nursing Program Director, Montgomery 13 County Community College (MCCC) 14 Sara Simon, Spotlight PA 15 Maria C. Battista, JD, EdD, Director of Policy and 16 Government Affairs, Pennsylvania Coalition of 17 Nurse Practitioners (PCNP) 18 Janyce Collier, Director, Franklin County Career 19

& Technology Center Practical Nursing Program 20 Mary Marshall, Director, Workforce and Professional 21 Development, The Hospital and Healthsystem 22 Association of Pennsylvania (HAP) 23 Deborah Little, EdD, RN, CNE, Corporate Assistant Dean 24 of Nursing, Lincoln Technical Institute 25 Michelle Davis, MSN, RN, Director of Nursing, Lincoln 26

Technical Institute 27 Deborah M. Crissinger, Adjust Faculty - Health Care, 28 Harrisburg Area Community College (HACC) 29 Susan E. Biggs, Director, Healthcare Education, 30 Harrisburg Area Community College (HACC) 31 Howard Ishiyama, PhD, Vice President of Academic 32 Affairs, LaRoche University 33 Terri Liberto, PhD, RN, Nursing Program Chair, LaRoche 34 University 35 Rosemary McCarthy, PhD, Associate Vice President of 36 Academic Affairs and Dean of Graduate Studies & 37 Adult Education, LaRoche University 38 Betsy Snook, MEd, BSN, RN, Chief Executive Officer, 39 Pennsylvania State Nurses Association (PSNA) 40

Joann Megon, Executive Director, Pennsylvania Nurse 41 Peer Assistance Program (PNAP) 42

Dr. Judith Rex, Dean, Allied Health & Sciences, 43 Northampton Community College 44 45 46 47 48 49

50


4

*** 1

State Board of Nursing 2

September 12, 2019 3

*** 4

The regularly scheduled meeting of the State 5

Board of Nursing was held on Thursday, September 12, 6

2019. Ann Michele Coughlin, MBA, MSN, RN, Chair, 7

called the meeting to order at 9:17 a.m. Bridget E. 8

Vincent, MSN, CRNP, APN-BC, CCRN, was not present at 9

the commencement of the meeting. 10

*** 11

[Chair Coughlin requested members of the Board and 12

staff to introduce themselves as well as visitors in 13

attendance.] 14

*** 15

[Chair Coughlin advised those in attendance of the 16

emergency evacuation procedures.] 17

*** 18

Adoption of the Agenda 19

CHAIR COUGHLIN: 20

We have in front of us today the agenda 21

for today’s meeting. Do we have any 22

changes? 23

I would entertain a motion to adopt 24

the agenda. 25


5

MR. OWEN: 1

So moved. 2

DR. KMETZ: 3

Second. 4

CHAIR COUGHLIN: 5

All those in favor? Opposed? 6

Abstentions? 7

[The motion carried unanimously.] 8

*** 9

Adoption of June 6, 2019 Meeting Minutes 10

CHAIR COUGHLIN: 11

Moving to the minutes from the meeting 12

from June, do we have any changes? 13

I would entertain a motion to adopt 14

those. 15

MR. OWEN: 16

So moved. 17

MS. MALADY: 18

Second. 19

CHAIR COUGHLIN: 20


Abstentions? 22

[The motion carried. Acting Commissioner Johnson 23

abstained from voting on the motion.] 24

*** 25


6

Appointment – Carolyn A. DeLaurentis, Esquire, Deputy 1

Chief Counsel, Prosecution Division Presentation 2

[Carolyn A. DeLaurentis, Esquire, Deputy Chief 3

Counsel, Prosecution Division, introduced William 4

Newport, Esquire, as the Board's new Board Prosecution 5

Co-Liaison. She provided a brief summary of her 6

professional background. Ms. DeLaurentis commended 7

the Board Prosecutors for their work. 8

Ms. DeLaurentis provided Prosecution information 9

for the Pennsylvania State Board of Nursing for FY 10

2018-2019, noting that 2,758 files were opened as of 11

July 1, 2019. 12

Ms. DeLaurentis discussed the enforcement actions 13

of the Prosecution Division. She noted the issuance 14

of 726 warning letters, 449 suspensions, 52 automatic 15

suspensions, 68 reprimands, 56 voluntary surrenders, 16

81 probations, and 48 revocations during FY 2018-2019. 17

Ms. DeLaurentis noted that the Department of 18

State as a whole for FY 2018-2019 had 69 immediate 19

temporary suspensions. She stated the petitions go to 20

the Bureau of Enforcement and Investigation (BEI) once 21

filed, commending BEI for making every attempt to 22

serve the petitions the same day. She noted 11,359 23

open cases as of July 1, 2019. She reviewed the last 24

fiscal year, noting that 14,030 cases were opened, 25


7

which was an increase from 12,604 the prior year. She 1

also noted 13,270 closed files the last fiscal year.] 2

*** 3

[Bridget E. Vincent, MSN, CRNP, APN-BC, CCRN, entered 4

the meeting at 9:23 a.m.] 5

*** 6

[Ms. DeLaurentis discussed the use of the Office of 7

General Counsel’s Mediation Program to resolve some 8

cases, which is at no cost to the Respondent or the 9

Board. She stated the case essentially goes before a 10

third party to provide guidance on resolving the 11

matter. She mentioned the consent agreement would 12

reflect whether the case was resolved through 13

mediation. 14

Ms. DeLaurentis discussed the Prosecution 15

Office’s use of the Pennsylvania Justice Network 16

(JNET) and how the Prosecution Division receives an 17

alert when licensees from all of the Boards and 18

Commissions are charged with a crime. 19

Ms. DeLaurentis noted complaints could remain 20

anonymous even if filed online through pals.pa.gov. 21

Mr. Newport also commended the Board's 22

Prosecutors for their diligent work. 23

Ms. DeLaurentis discussed, in connection with 24

Commonwealth Court’s recent decision in Thims v. State 25


8

Board of Nursing, cases are reviewed on a case-by-case 1

basis.] 2

*** 3

Report of Prosecutorial Division 4

[Ann Michele Coughlin, MBA, MSN, RN, Chair, noted VRP 5

Consent Agreements, Item No. 2 through Item No. 27.] 6

*** 7

[David J. Schertz, Esquire, Board Prosecutor, 8

presented the Consent Agreement for Case No. 16-51-9

13372. Wesley J. Rish, Esquire, Rish Law Office, LLC, 10

Counsel for the Respondent, was also present and 11

participated in the discussion.] 12

*** 13

[Mr. Schertz also presented the Consent Agreements for 14

Case No. 17-51-13555, Case No. 18-51-006548, and Case 15

No. 19-51-000086. Member Hertzler recused from 16

discussion regarding Case No. 17-51-13555. Member 17

Luchs recused from discussion regarding Case No. 19-18

51-000086.] 19

*** 20

[T'rese Evancho, Esquire, Board Prosecution Liaison, 21

presented the Consent Agreements for Case No. 15-51-22

07391, Case No. 17-51-03844, and Case No. 17-51-23

06738.] 24

*** 25


9

[Ms. Evancho also presented the Consent Agreement for 1

Case No. 19-51-001657. Member Luchs recused from 2

discussion on the matter.] 3

*** 4

[Bridget Guilfoyle, Esquire, Board Prosecutor, on 5

behalf of Alissa Harrison, Esquire, Board Prosecutor, 6

presented the Consent Agreements for Case No. 18-51-7

00826, Case No. 18-51-00942, Case No. 18-51-008229, 8

Case No. 19-51-002018, Case No. 19-51-002703, Case No. 9

19-51-002707, Case No. 19-51-002730, Case No. 19-51-10

002733, Case No. 19-51-002750, Case No. 19-51-002844, 11

Case No. 19-51-002880, Case No. 19-51-006783, and Case 12

No. 19-51-007283.] 13

*** 14

[William A. Newport, Esquire, Board Prosecutor, 15

presented the Consent Agreement for Case No. 19-51-16

004915. Member Luchs recused from discussion on the 17

matter.] 18

*** 19

[Matthew Sniscak, Esquire, Board Prosecutor, presented 20

the Consent Agreements for Case No. 16-51-03163, Case 21

No. 18-51-00989, Case No. 18-51-006454, Case No. 18-22

51-007404, Case No. 19-51-002157, and Case No. 19-51-23

002792.] 24

*** 25


10

[Codi M. Tucker, Esquire, Board Prosecutor, presented 1

the Consent Agreements for Case No. 17-51-09401, Case 2

No. 18-51-00422, Case No. 18-51-010188, Case No. 19-3

51-000647, and Case No. 19-51-004980. Member Luchs 4

recused from discussion on Case No. 19-51-004980.] 5

*** 6

Report of Acting Commissioner 7

[K. Kalonji Johnson, Acting Commissioner, Bureau of 8

Professional and Occupational Affairs, addressed the 9

application process of the Boards and the State Board 10

of Nursing in particular. He expressed his high level 11

of confidence in the Commonwealth's administrative, 12

legal, and logistics staffs' processing capabilities. 13

Mr. Johnson stated Acting Department Secretary 14

Kathy Boockvar has been committed to improving 15

customer service as well as maintaining high-quality 16

public protection. He discussed better educating 17

applicants and licensees on the renewal and initial 18

application processes as well as improving the 19

Commonwealth's internal procedures for processing 20

applications.] 21

*** 22

Report of Executive Secretary 23

[Laurette D. Keiser, MSN, RN, Executive Secretary, 24

noted that Registered Nurses (RN), Clinical Nurse 25


11

Specialists (CNS), Certified Registered Nurse 1

Practitioners (CRNP), and CRNP Prescriptive Authority 2

holders whose licenses expire on October 31, 2019, can 3

renew now in the October 2019 renewal period, totaling 4

approximately 77,000 licensees. She advised that 5

Education Advisor Dr. Sue Petula would again be 6

attending the various fall meetings with nursing 7

education program directors regarding educational 8

matters. 9

Ms. Keiser noted the inclusion of resource 10

documents about academic progression in nursing on the 11

Board Orientation eAgenda so that the information is 12

readily available to Board members. 13

Dr. Petula explained that additional documents 14

address academic progression in nursing. She noted 15

that the Tri-Council, consisting of the American 16

Nurses Association (ANA), the American Association of 17

Colleges of Nursing (AACN), the National League for 18

Nursing (NLN), and the American Organization of Nurse 19

Executives (AONE), engaged in a four-year project to 20

identify and develop the nursing strategies for a 21

highly educated nursing workforce. The National 22

Council of the State Boards of Nursing (NCSBN) 23

announced at its most recent annual meeting its 24

support and membership with the Tri-Council. 25


12

Dr. Petula next directed the Board to the Long-1

Term Services and Supports: Nursing Workforce Demand 2

Projections 2015-2030 released in March, 2018 drafted 3

by the US Department of Human Services, Health 4

Resources and Services Administration, Bureau of 5

Health Workforce, National Center for Health Workforce 6

Analysis. She also referred the Board to the Accreditation 7

Commission for Education in Nursing’s (ACEN) ACEN 2017 8

Accreditation Manual, issued on January 18, 2019, that 9

addresses nursing education program faculty and staff, 10

students, curriculum, resources and outcomes. She also 11

referred the Board to the NCSBN 2019 Environmental Scan, 12

published in the Journal of Nursing Regulation, addressing 13

substantive changes and projected trends in the 14

healthcare systems, technological realities related to 15

teaching/learning practices, competency-based 16

education, faculty availability, workforce realities 17

and expectations, and regulatory requirements. 18

Dr. Petula referred the Board to the American 19

Association of Colleges of Nursing’s Fact Sheet 20

released in April of 2019 that addresses Accelerated 21

Baccalaureate and Master’s Degrees in Nursing. She 22

discussed a need for more highly educated nurses and 23

the available programs. There are 64 accelerated or 24

entry-level master's degree programs for nursing 25


13

across the United States. Dr. Petula outlined the 1

advanced healthcare system information as well as 2

management being provided in the master's programs in 3

order to meet the requirements for licensure. She 4

discussed the development of partnerships with the 5

organizations and the programs to enhance the clinical 6

experience for students. Each of these documents are 7

also being added to the Orientation agenda.] 8

*** 9

Regulation Update – Regulations Status Summary 10

[Judith Pachter Schulder, Esquire, Board Counsel, 11

updated the Board regarding the status of its 12

regulations. The Annex for the Child Abuse Reporting 13

Requirements (16A-5140) regulation was discussed at a 14

previous Board meeting. The Nursing Education Program 15

regulation (16A-5141) will be discussed further at the 16

Board's next meeting. The Volunteer License (16A-17

5139), Opioid Education Curriculum, ABC-MAP Opioid 18

Education, and Organ and Tissue Donation and Recovery 19

regulations are still pending. Several are being 20

drafted as a combined/simultaneous package. 21

The CRNP Statement of Policy revision was 22

distributed to the stakeholders on August 12, 2019. 23

Ms. Pachter Schulder noted a response from the 24

Coalition of Nurse Practitioners, a letter from the 25


14

Pennsylvania Medical Society, and a letter from Lock 1

Haven University for the Board's review. She 2

suggested the Board review the responses at its 3

October meeting.] 4

*** 5

Legislative Update – Legislation Affecting 6

Nurses/Nursing 7


referred members to an updated listing of legislation 9

affecting nurses. She noted minimal movement on the 10

legislation over the summer months. 11

Ms. Pachter Schulder referred the Board to Senate 12

Bill 637, which would amend the Criminal History 13

Record Information Act (CHRIA) and discussed its 14

likely impact on the Board’s consideration of criminal 15

offenses committed by applicants.] 16

*** 17

Report of Board Chair 18

[Ann Michele Coughlin, MBA, MSN, RN, Chair, reported 19

on three Board members and one staff member attending 20

the NCSBN Annual Meeting held in Chicago in August. 21

Chair Coughlin thanked Dr. Petula for the written 22

summary of the meeting. She encouraged all Board 23

members to review the summary.] 24

*** 25


15

Report of Committees – Probable Cause Screening 1

Committee 2

[Sherri Luchs, RN, stated the Committee moved on 11 3

Petitions for Appropriate Relief, 34 Petitions for 4

Mental and Physical Examinations, and 2 Petitions for 5

Immediate Temporary Suspension.] 6

*** 7

Application Review Committee 8

[Linda L. Kmetz, PhD, RN, noted that the Committee met 9

several times and reviewed many applications.] 10

*** 11

Advanced Practice Committee 12

[John M. O'Donnell, DrPH, RN, CRNA, MSN, noted no 13

report.] 14

*** 15

Dietitian-Nutritionist Committee – No Report 16

*** 17

IT & Communication Issues Committee - No Report 18

*** 19

RN/PN Practice, Education & Regulation 20


referred to the Board's discussion at its last meeting 22

regarding Licensure by Endorsement Under Act 41 for 23

the Board's review and a Proposed Annex for its 24

consideration. 25


16

Ms. Pachter Schulder referred the Board to the 1

Draft Annex of the regulations that incorporates the 2

Board’s discussions at the July meeting. She referred 3

the Board to Proposed Subchapter I. The Board 4

reiterated its position enunciated at the July meeting 5

that the examination approved by the other state must 6

be psychometrically sound and equivalent to NCLEX. 7

She referred the Board to the Continued Competency 8

pathways previously discussed in Proposed 9

21.902(a)(2)(i)-(iv). 10

Ms. Pachter Schulder explained that a separate 11

subchapter was being added for Act 41 rather than 12

incorporating the provisions into the current 13

licensure by endorsement provisions because Act 41 14

offers an unrelated pathway. The Board will discuss 15

the Proposed Annex at a subsequent meeting and solicit 16

pre-draft input.] 17

Ms. Pachter Schulder then referred the Board to 18

August 30, 2019 correspondence from South Dakota State 19

University (SDSU), an approved reactivation program 20

provider, requesting that a predictor examination be 21

permitted to satisfy the requirement in § 21.30a and § 22

21.156a relating to passage of a nursing achievement 23

examination. The Board reviewed the Guidelines for 24

RNs and PNs for Refresher Programs approved by the 25


17

Board on January 16, 1992, and last revised on 1

February 11, 1999. 2

Todette Holt, EdD, RN, Nursing Education Advisor, 3

explained that the Board desired comprehensive testing 4

at the end of the program rather than after individual 5

parts to ensure that licensees were able to return to 6

a clinical setting at the completion of the 7

reactivation program. Dr. Holt mentioned that 8

reactivation programs are approved by the Board and 9

that there are currently only four reactivation 10

programs in Pennsylvania. Dr. Holt noted the trend to 11

re-enter the nursing profession by taking the 12

licensure test (NCLEX) rather than enroll in a 13

reactivation program. 14

Dr. Judith Rex, Dean, Allied Health & Sciences, 15

Northampton Community College (NCC), an approved 16

reactivation program, provided a summary of NCC's 17

reactivation program which started in 1999. Dr. Rex 18

explained that hospitals refer nurses that have not 19

worked in five years to their program. She discussed 20

the expenses of the program, the students enrolled in 21

the classes of this program, the intensity of the 22

program and testing, and the final test to pass each 23

class. 24

Dr. Rex summarized the predictor test in order to 25


18

prepare a student to sit for their state board 1

testing. She noted the option for the online ATI 2

examination. 3

Dr. Rex addressed the return of the aging 4

population to the nursing profession with ergonomic 5

concerns that must be accommodated in a clinical 6

setting to assure safe practice. She provided PN 7

program comprehensive nursing achievement information 8

from the NLN. She reviewed the costs of the program, 9

data on test takers, and the inclusion of Environment, 10

Policy, and Improved Clinical Care Program (EPICC) and 11

computer labs in the curriculum. 12

Deborah M. Crissinger, Adjunct Faculty - Health 13

Care, Harrisburg Area Community College (HACC), 14

summarized HACC's program and her affiliation with the 15

program since 2009. She noted 124 clinical hours of 16

lab simulation, 88 lecture hours, the employment of 17

instructors in specialized fields, and a success rate 18

with ATI test takers. Ms. Crissinger reviewed the 19

struggles of nurses re-entering the profession after 20

being out for several years and assessing their 21

possible return. She addressed the combination of RNs 22

and LPNs in the program. 23

Dr. Linda Roy, Nursing Program Director, 24

Montgomery County Community College (MCCC), summarized 25


19

MCCC's Nurse Refresher/Reactivation Program, which 1

includes 120 hours of lab/clinical and 60 hours of 2

theory before taking the ATI predictor for 3

reactivation. She discussed imminent revisions to the 4

program to increase its student population. Dr. Roy 5

noted inquiries from individuals in other states on 6

taking the ATI exam. 7

The Board discussed two options regarding the 8

request: One option would be to leave the current 9

regulation as is and require passage of a nursing 10

achievement test administered at the end of the 11

program or interpret “a nursing achievement test” to 12

include the passage of predictor tests, such as an ATI 13

test, or passage of an examination following the 14

program. The Board voiced its desire for both a 15

clinical component and a comprehensive examination 16

following completion of the program. It directed that 17

SDSU be advised that they chose to maintain the 18

requirement for an overall achievement examination of 19

a clinical mediation course. 20

Ms. Pachter Schulder then directed the Board to 21

the Nursing Education Programs regulation (16A-5141), 22

Recommendations 4-8 in the Staff Study by the Joint 23

State Government Commission regarding Pennsylvania 24

Health Care Workforce Needs and an article published 25


20

in the Journal of Nursing Regulation entitled, 1

"Improving NCLEX First-Time Pass Rates: A 2

Comprehensive Program Approach" for the Board's review 3

before its October meeting.] 4

*** 5

[The Board recessed from 11:07 a.m. until 11:21 a.m.] 6

*** 7

[John M. O'Donnell, DrPH, RN, CRNA, MSN, exited the 8

meeting at 11:21 a.m. for recusal purposes. K. 9

Kalonji Johnson, Acting Commissioner, also exited the 10

meeting at 11:21 a.m.] 11

*** 12

Appointment - LaRoche University Proposal for a 13

Generic Master's of Science Degree in Nursing 14

(MSN) Program 15

[Terri Liberto, PhD, RN, Nursing Program Chair, and 16

Howard Ishiyama, PhD, Vice President of Academic 17

Affairs, presented before the Board for discussion of 18

the Proposal for a Generic Master's of Science Degree 19

in Nursing. Ms. Pachter Schulder noted that the Board 20

did have a copy of the proposal for its review. She 21

requested specific information related to not 22

utilizing the BSN option and obtaining additional 23

nursing education beyond the BSN level of training. 24

Dr. Liberto stated LaRoche University is 25


21

proposing a 77-credit classes, 5 semesters' entry-1

level MSN program. She noted the Institute of 2

Medicine (IOM) report recommending that nurses have 3

further degrees at the bedside and the approximately 4

7,000 openings per year for nurses in Pittsburgh. The 5

generic second degree master’s program provides opportunities 6

for individuals with a non- nursing baccalaureate degree to 7

achieve entry into practice at the graduate level. The 8

individual completes all prelicensure nursing course work and 9

also completes the master’s course work that includes courses 10

such as leadership/management skills, evidence-based practice 11

application and in-depth research coursework including 12

application. This program qualifies the graduate to sit for 13

initial licensure. 14

Dr. Ishiyama outlined the budget as presented as 15

well as financial aid options and loans for the 16

program.] 17

*** 18

[John M. O'Donnell, DrPH, RN, CRNA, MSN, re-entered 19

the meeting at 11:48 a.m.] 20

*** 21

Advanced Practice Committee Meeting 22

[John M. O'Donnell, DrPH, RN, CRNA, MSN, opened the 23

floor to the audience for updates impacting nursing. 24

Mary Marshall, Director, Workforce and 25


22

Professional Development, The Hospital and 1

Healthsystem Association of Pennsylvania (HAP), 2

announced an Advanced Practice Professionals 3

Conference being held on December 10, 2019, at the 4

Sheraton Harrisburg Hershey Hotel in Harrisburg, PA. 5

Peter Buerhaus, PhD, RN, FAAN, an internationally 6

recognized health care economist and workforce expert, 7

will be the keynote speaker. There will also be a 8

panel discussion with key leadership to discuss the 9

utilization of APRNs, as well as a presentation on the 10

use of APRNs in telehealth. A presenter from the 11

Centers for Medicare & Medicaid Services (CMS) will 12

review reimbursement issues related to services 13

provided by APRNs. Ms. Marshall identified the 14

various groups being notified of this conference. The 15

costs for the conference have not yet been determined. 16

Maria Battista, Director of Policy and Government 17

Affairs, Pennsylvania Coalition of Nurse Practitioners 18

(PCNP), expressed PCNP's excitement with the proposed 19

amendment to the Section 401 of the Board’s 20

regulations dealing with the ability of the RN to 21

receive a written order of medication from a CRNP and 22

the CRNP being physically present in the room on 23

administration. She noted letters in support of the 24

proposal and requested a copy of the Pennsylvania 25


23

Medical Society’s comments so that PCNP could prepare 1

a response. 2

Betsy Snook, MEd, BSN, RN, Chief Executive 3

Officer, Pennsylvania State Nurses Association (PSNA), 4

discussed the proposed establishment of the 5

Pennsylvania Nurses Middle College Charter School, 6

which will be a school-to-college-to-career pathway 7

for Harrisburg-area students. She referenced the 8

Rhode Island Nurses Institute Middle College Charter 9

High School, where 91% of its students go on to a 10

baccalaureate program. The goal is to offer open 11

enrollment for 100 9th grade students by September 12

2020. Ms. Snook explained that PNMC will be a 13

regional high school included with Central Dauphin 14

School District, Susquehanna Township School District, 15

Steelton-Highspire School District, and Harrisburg 16

School District. She stated the projected school site 17

will be at the State Hospital grounds. She noted 18

contact already by many schools to partner with PNMC. 19

Ms. Snook reiterated the goal to increase the number 20

of registered nurses in Pennsylvania.] 21

*** 22

Report of Board Members who Attended a Meeting on 23

Behalf of the Board 24

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


24

noted the attendance of three Board members and one 1

staff member at the NCSBN Annual Meeting held in 2

Chicago in August.] 3

*** 4

Old Business – No Report 5

*** 6

New Business – No Report 7

*** 8

[The Board had a lunch break from 12:07 p.m. until 9

12:30 p.m.] 10

*** 11

[Pursuant to Section 708(a)(5) of the Sunshine Act, 12

the Board entered into Executive Session with Judith 13

Pachter Schulder, Esquire; Megan E. Castor, Esquire; 14

and Carole Clarke Smith, Esquire; at 12:30 p.m. for 15

the purpose of conducting quasi-judicial deliberations 16

on matters that are pending before the Board. The 17

Board returned to Open Session at 2:17 p.m.] 18

*** 19

MOTIONS 20

MS. PACHTER SCHULDER: 21

During Executive Session, the Board 22

engaged in quasi-judicial deliberations 23

on the matters on the Board's agenda 24

listed under the Report of Prosecutorial 25


25

Division, Report of Board Counsel, as 1

well as the application with regard to 2

the LaRoche University Proposal. 3

Board members who recused 4

themselves from deliberations will be 5

identified in the individual motions. 6

Is there a motion to adopt all of 7

the VRP Consent Agreements at Items No. 8

2 through 27? 9

MS. MALADY: 10

So moved. 11

DR. KMETZ: 12

Second. 13

CHAIR COUGHLIN: 14


Abstentions? 16


*** 18


Is there a motion to adopt the following 20

Consent Agreements: Case No. 17-51-21

03844, Case No. 17-51-06738, Case No. 22

18-51-00826, Case No. 18-51-00942, Case 23

No. 18-51-008229, Case No. 19-51-002018, 24

Case No. 19-51-002703, Case No. 19-51-25


26

002707, Case No. 19-51-002730, Case No. 1

19-51-002733, Case No. 19-51-002750, 2

Case No. 19-51-002844, Case No. 19-51-3

002880, Case No. 19-51-007283, Case No. 4

16-51-03163, Case No. 18-51-00989, Case 5

No. 18-51-007404, Case No. 19-51-002792, 6

Case No. 17-51-09401, Case No. 18-51-7

00422, Case No. 18-51-010188, and Case 8

No. 19-51-000647 for which there are no 9

recusals? 10

DR. O'DONNELL: 11

So moved. 12

DR. KMETZ: 13

Second. 14

CHAIR COUGHLIN: 15


Abstentions? 17

[The motion carried unanimously. The Respondent’s 18

name in Case No. 17-51-03844 is Bridgette A. Gilbert, 19

RN, LPN; Case No. 17-51-06738, Rebekah Call, LPN; Case 20

No. 18-51-00826, Janice Irene Hayman, RN; Case No. 18-21

51-00942, Judith L. Wilson, RN; Case No. 18-51-008229, 22

Rachel Nicole Crawford, RN; Case No. 19-51-002018, 23

Karen Elizabeth Warner, LPN; Case No. 19-51-002703, 24

Carol Bernice Westfall, RN; Case No. 19-51-002707, 25


27

Jill Marie Bloomgren, RN; Case No. 19-51-002730, Donna 1

L. Kretschmer, RN; Case No. 19-51-002733, Ruth Hoover 2

Kennedy, RN; Case No. 19-51-002750, Yvette Hickerson 3

Hundley, RN; Case No. 19-51-002844, Barbara Ann 4

Mclaurin, RN; Case No. 19-51-002880, Karen M. Donegan, 5

RN; Case No. 19-51-007283, Frank La Fontaine, Jr., RN; 6

Case No. 16-51-03163, Charlene M. Kauffman, LPN; Case 7

No. 18-51-00989, Ambra Nicole Fitzsimmons, LPN; Case 8

No. 18-51-007404, Shelly L. Moore, LPN; Case No. 19-9

51-002792, Jennifer Stigelman Osborn, RN; Case No. 17-10

51-09401, Melanie Ann Febbo, RN; Case No. 18-51-00422, 11

Lori Renee Sanders, RN, CRNP; Case No. 18-51-010188, 12

Heather D. King, LPN; and Case No. 19-51-000647, 13

Michelle Sneath Fey, RN.] 14

*** 15



Consent Agreements for which Members 18

Hendricks and Luchs are recused: Case 19

No. 19-51-001657, Case No. 19-51-004915, 20

and Case No. 19-51-004980? 21

MR. OWEN: 22

So moved. 23

DR. O'DONNELL: 24

Second. 25


28

CHAIR COUGHLIN: 1


Abstentions? 3

[The motion carried. Member Luchs recused herself 4

from deliberations and voting on the motion. The 5

Respondent’s name in Case No. 19-51-001657 is Lori 6

Tenamore Mackewich, RN; Case No. 19-51-004915, 7

Patricia Anne Beaumont, RN; and Case No. 19-51-004980, 8

Mindy Danielle Burke, RN.] 9

*** 10


Is there a motion to adopt the Consent 12

Agreement for Item No. 47, which is Case 13

No. 17-51-13555, for which Members 14

Hendricks, Hertzler, and Kerns are 15

recused? 16

MR. OWEN: 17

So moved. 18

DR. KMETZ: 19

Second. 20

CHAIR COUGHLIN: 21


Abstentions? 23

[The motion carried. Member Hertzler recused herself 24



29

Respondent’s name is Allison L. Maricondi, RN.] 1

*** 2


Is there a motion to adopt the Consent 4

Agreement for Item No. 49, which is Case 5

No. 19-51-000086, for which members 6

Hendricks, Kerns, and Luchs are recused? 7

MR. OWEN: 8

So moved. 9

DR. O'DONNELL: 10

Second. 11

CHAIR COUGHLIN: 12


Abstentions? 14



Respondent's name is Katri Latimer Walsh, RN.] 17

*** 18


Is there a motion to reject as too 20

lenient Item No. 28, which is Case No. 21

15-51-07391; Item 43, Case No. 15-51-22

006783; Item No. 46, Case No. 16-51-23

13372; and Item No. 48, Case No. 18-51-24

006548, for which there are no recusals? 25


30

DR. KMETZ: 1

So moved. 2

MS. HERTZLER: 3

Second. 4

CHAIR COUGHLIN: 5


Abstentions? 7


*** 9


Is there a motion to reject as too harsh 11

the following Consent Agreements: Case 12

No. 18-51-006454, and Case No. 19-51-13

002157? 14

DR. KMETZ: 15

So moved. 16

MS. LUCHS: 17

Second. 18

CHAIR COUGHLIN: 19


Abstentions? 21


*** 23


Is there a motion to enter default, deem 25


31

facts admitted and authorize Counsel to 1

prepare Adjudications and Orders in the 2

matters of Yonette O. Maynard, LPN, Case 3

No. 19-51-003499; Inga Slipchenko, LPN, 4

Case No. 18-51-01319; Tanya Kendall, RN, 5

Case No. 17-51-004507; Keith A. Jenkins, 6

RN, Case No. 19-51-001145; Kourtney 7

Kubicina, RN, Case No. 19-51-002790; 8

Rachel Margaret Haberberger, LPN, Case 9

No. 17-51-13266; John Fletcher Small, 10

LPN, Case No. 13-51-07811; Misti E. 11

Wolf, LPN, Case No. 16-51-07686; 12

Catherine Tesauro Woyurka, RN, Case No. 13

19-51-004981, for which there are no 14

recusals? 15

MR. OWEN: 16

So moved. 17

DR. O’DONNELL: 18

Second. 19

CHAIR COUGHLIN: 20


Abstentions? 22


*** 24



32



prepare an Adjudication and Order in the 3

matter of Tony A. Vonneida, RN, Case No. 4

16-51-12539, for which Member Hertzler 5

is recused? 6

MR. OWEN: 7

So moved. 8

DR. KMETZ: 9

Second. 10

CHAIR COUGHLIN: 11


Abstentions? 13


from deliberations and voting on the motion.] 15

*** 16





matter of Michelle Wright, RN, Case No. 21

18-51-01339, for which Members 22


DR. KMETZ: 24

So moved. 25


33

DR. O’DONNELL: 1

Second. 2

CHAIR COUGHLIN: 3


Abstentions? 5



*** 8


As to the Matters for Deliberation 10

before the Board, except for one, all 11

had been deliberated on previously. 12

There is no need to make any motion with 13

regard to Alexandra Amico, RN, Case No. 14

15-51-11021; Todd Cobourne, LPN, Case 15

No. 16-51-06174; and Kedeeia McIver 16

a/k/a Shayla Jones, LPN, Case No. 17-51-17

05411, notwithstanding who the recusals 18

are. 19

But is there a motion to adopt the 20

Hearing Examiner's Proposal in the 21

matter of Beth Weaver Ness, LPN, Case 22

No. 16-51-009135, for which Member 23

Coughlin is recused? 24

[Vice Chair Malady assumed the Chair.] 25


34

MR. OWEN: 1

So moved. 2

DR. KMETZ: Second. 3

VICE CHAIR MALADY: 4


Abstentions? 6

[The motion carried. Member Coughlin recused herself 7

from deliberations and voting on the motion. ] 8

9

*** 10

[Chair Coughlin resumed the Chair.] 11


Is there a motion to adopt the Hearing 13

Examiner's Proposal in Item No. 74, 14

Leslie R. McGuire, LPN, Case No. 17-51-15

05686, for which Members Hendricks, 16

Kerns, and Luchs are recused? 17

MR. OWEN: 18

So moved. 19

MS. HERTZLER: 20

Second. 21

CHAIR COUGHLIN: 22


Abstentions? 24



35


*** 2


Is there a motion to authorize a 4

reinstatement of license in Case No. 19-5

51-004194? 6

DR. KMETZ: 7

So moved. 8

MR. OWEN: 9

Second. 10

CHAIR COUGHLIN: 11

All in favor? Opposed? Abstentions? 12


*** 14



Examiner's Proposed Adjudication and 17

substitute the Board's Order in the 18

matter of Theodore John Hopson, RN, Case 19

No. 15-51-00796? 20

DR. O'DONNELL: 21

So moved. 22

DR. KMETZ: 23

Second. 24

CHAIR COUGHLIN: 25


36


Abstentions? 2


*** 4



Hearing Examiner's Proposals for which 7

there are no recusals: Debra Ann 8

Eldridge, RN, Case No. 16-51-10393; 9

Kathleen Ann Fimognari, RN, Case No. 17-10

51-08047; Charles Blain Fonner, LPN, 11

Case No. 18-51-005970; Sherri Harding, 12

LPN, Case No. 19-51-005160; and Tomecia 13

Renee Jells, LPN, Case No. 18-51-006735? 14

MS. MALADY: 15

So moved. 16

DR. KMETZ: 17

Second. 18

CHAIR COUGHLIN: 19


Abstentions? 21


*** 23


Is there motion to authorize Counsel to 25


37

prepare Adjudications and Orders in the 1

following matters for which there are no 2

recusals: Kyesha Nicole Shaffer, LPN, 3

Case No. 17-51-007370; Kristy Marie 4

Schmitz, LPN, Case No. 18-51-008630; and 5

Maryellen Nebesky Bodolus, RN, Case No. 6

17-51-09977? 7

DR. KMETZ: 8

So moved. 9

MR. OWEN: 10

Second. 11

CHAIR COUGHLIN: 12


Abstentions? 14


*** 16


Is there a motion to authorize Counsel 18

to prepare Adjudications and Orders in 19

the matters of Natalie Miller, RN, Case 20

No. 17-51-07577; and Travis Michael 21

Menteer, RN, Case No. 19-51-002567, for 22

which Members Hendricks, Kerns, and 23

Luchs are recused? 24

MR. OWEN: 25


38

So moved. 1

DR. KMETZ: 2

Second. 3

CHAIR COUGHLIN: 4


Abstentions? 6



*** 9


Is there a motion to adopt by way of a 11

Memorandum and Opinion in the matter of 12

Ruth Bradshaw Miller-Schoell, RN, Case 13

No. 15-51-002557? 14

MR. OWEN: 15

So moved. 16

DR. KMETZ: 17

Second. 18

CHAIR COUGHLIN: 19


Abstentions? 21


*** 23




39

Examiner’s Proposals in the matters of 1

Adam Richard Lloyd, RN, Case No. 18-51-2

008081; and Dena L. Mayer, RN, LPN, Case 3

No. 17-51-000839, for which Members 4


MR. OWEN: 6

So moved. 7

DR. O’DONNELL: 8

Second. 9

CHAIR COUGHLIN: 10


Abstentions? 12



*** 15


Is there a motion to adopt the Final 17

Draft Adjudications and Orders for which 18

there are no recusals in the matters of 19

Adrian Aspuria, RN, Case No. 16-51-20

09729; Angelica Bagdasarova, RN, Case 21

No. 15-51-08634; Suzanne Bagnarelli, RN, 22

Case No. 17-51-02905; Kwame S. Dwumaah, 23

RN, Case No. 15-51-00337; Angie Kromah, 24

RN, Case No. 17-51-07500; Daniel James 25


40

MacManus-Sullivan, RN, Case No. 16-51-1

07293; Kathryn A. Jones, LPN, Case No. 2

18-51-00681; Anne Graven McHugh, RN, 3

Case No. 15-51-13740; Debra Ann 4

Masengale, RN, Case No. 18-51-00621; 5

Patricia C. Nutt, RN, Case No. 14-51-6

06936; Rachel Nicole Barber, LPN, Case 7

No. 17-51-04049; Christina Marie Cauley, 8

LPN, Case No. 17-51-01181; Natasha A. 9

Deemer, RN, Case No. 17-51-04745; Sara 10

Melissa Sanchez Juan, RN, Case No. 17-11

51-08719; Mary Oksutcik Kranz, RN, Case 12

No. 17-51-01623; Sonia Kosior Kuczynski, 13

LPN, Case No. 16-51-00393; Faith Welsh 14

Patterson, LPN, Case No. 17-51-07816; 15

and Tamela Sue Steinly, RN, Case No. 16-16

51-09879? 17

DR. O’DONNELL: 18

So moved. 19

DR. KMETZ: 20

Second. 21

CHAIR COUGHLIN: 22


Abstentions? 24



41

*** 1




Members Hendricks, Kerns, and Luchs are 5

recused: Constance Joan Ahlers, RN, 6

Case No. 19-51-002004; Michelle Ferrett 7

Cerminara, RN, Case No. 18-51-008681; 8

Robert Michael Garolfalo, RN, Case No. 9

18-51-003675; Alexandria Anne Getz, LPN, 10

Case No. 18-51-002865; Jeannine Marie 11

Mancuso, LPN, Case No. 18-51-02366; 12

Krista N. Moelter, RN, Case No. 17-51-13

08603; Jamie Lynn Lansberry, LPN, Case 14

No. 18-51-007395; Elizabeth M. Parker, 15

LPN, Case No. 18-51-00956; and Nicole 16

Lynn Tomich, RN, Case No. 17-51-11587? 17

DR. KMETZ: 18

So moved. 19

MS. HERTZLER: 20

Second. 21

CHAIR COUGHLIN: 22


Abstentions? 24



42


*** 2




Members Hendricks, Kerns, and Hertzler 6

are recused: Holly Jo Thrush, LPN, Case 7

No. 18-51-00625; Linda Marie Thompson, 8

LPN, Case No. 18-51-01453; and Marilyn 9

C. Reed, LPN, Case No. 18-51-00955? 10

DR. O'DONNELL: 11

So moved. 12

DR. KMETZ: 13

Second. 14

CHAIR COUGHLIN: 15


Abstentions? 17



*** 20


Is there a motion to adopt the Draft 22

Adjudications and Orders in the matters 23

of Katherine Irene Thompson, LPN, Case 24

No. 18-51-01769; and Melissa Ann 25


43

Lamason, RN, Case No. 18-51-02954, for 1

which Members Hendricks and Kerns are 2

recused? 3

MR. OWEN: 4

So moved. 5

DR. KMETZ: 6

Second. 7

CHAIR COUGHLIN: 8


Abstentions? 10


*** 12



Adjudication and Order in the matter of 15

Shana Marie Marler, LPN, Case No. 17-51-16

05646, for which Members Hendricks and 17

Hertzler are recused? 18

DR. O'DONNELL: 19

So moved. 20

DR. KMETZ: 21

Second. 22

CHAIR COUGHLIN: 23


Abstentions? 25


44



*** 3



Adjudication and Order in the matter of 6

Francis P. Rossi, RN, Case No. 18-51-7

04916, for which Members Hendricks and 8

Luchs are recused? 9

DR. KMETZ: 10

So moved. 11

MR. OWEN: 12

Second. 13

CHAIR COUGHLIN: 14


Abstentions? 16



*** 19


Is there a motion to grant an approval 21

of the Proposal for a Generic Master's 22

of LaRoche University as a pre-licensure 23

nursing education program for which 24

Member O'Donnell is recused, subject to 25


45

the correction of the budget information 1

provided? 2

DR. KMETZ: 3

So moved. 4

MR. OWEN: 5

Second. 6

CHAIR COUGHLIN: 7


Abstentions? 9

[The motion carried. Member O'Donnell recused himself 10


*** 12


Is a motion to authorize Counsel to 14


matter of Kristy Michelle Garber, RN, 16

Case No. 17-51-013075? 17

MS. MALADY: 18

So moved. 19

DR. O'DONNELL: 20

Second. 21

CHAIR COUGHLIN: 22


Abstentions? 24



46

*** 1

Adjournment 2

[There being no further business, the State Board of 3

Nursing Meeting adjourned at 2:34 p.m.] 4

*** 5

6

CERTIFICATE 7

8

I hereby certify that the foregoing summary 9

minutes of the State Board of Nursing meeting, was 10

reduced to writing by me or under my supervision, and 11

that the minutes accurately summarize the substance of 12

the State Board of Nursing meeting. 13

14

15

16

Bridget Hockenbroch, 17

Minute Clerk 18

Sargent’s Court Reporting 19

Service, Inc. 20

21

22

23

24

25

26


47

STATE BOARD OF NURSING 1 REFERENCE INDEX 2

September 12, 2019 3 4 TIME AGENDA 5 6 9:17 Official Call to Order 7 8 9:17 Introduction of Board Members/Audience 9 10 9:20 Approval of Minutes 11 12

9:21 Appointment - Prosecution Data/ 13 Information for the FY 18-19 14 15 9:33 Report of Prosecutorial Division 16 17 9:54 Report of Acting Commissioner 18 19 9:59 Report of Executive Secretary 20 21 10:09 Regulation Update 22 23 10:11 Legislative Update 24 25 10:16 Report of Board Chair 26

27 10:17 Report of Committees 28 29 10:25 Regulation Update (Continued) 30 31 11:17 Recess 32 11:21 Return to Open Session 33 34 11:22 Appointment – LaRoche University 35 Proposal for a Generic Master's 36 of Science Degree in Nursing (MSN) 37 Program 38 39 11:49 Committee Meetings 40

41 12:06 Report of Board Members 42 43 12:07 Lunch Break 44 12:30 Executive Session 45 2:17 Return to Open Session 46 47 2:17 Motions 48 49 2:34 Adjournment 50

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