FALL 2021 Volume 19 Issue 4 - nursing.ohio.gov
Transcript of FALL 2021 Volume 19 Issue 4 - nursing.ohio.gov
FALL 2021 • Volume 19 Issue 4
Official Publication of the Ohio Board of Nursing
CONGRATULATIONS ON YOUR RETIREMENT
Executive Director, Betsy Houchen
Ohio Board of Nursing 3
From the President
From the Executive Director
Meet New Board Members
2020 Award Nomination – Patricia Sharpnack
—Quick Tips
APRN Notes
Use Of Light-Based Medical Devices For The Purpose Of Hair Removal
Licensing, Process Improvements, and Efficiencies in Ohio eLicense
Occupational License Review for the Ohio Board of Nursing
Advisory Groups and Committees
How Do I Change My Name with the Board? How Do I Change My Address? If You Forgot Your Password Or Your Password has Expired
Board Disciplinary Actions
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Ohio Board of Nursing 3
Momentum is the official journal of the Ohio Board of Nursing. Momentum’s traditional journal & interactive digital companion serve over 294,000 nurses, administrators, faculty and nursing students, 4 times a year all across Ohio. Momentum is a timely, widely read and respected voice in Ohio nursing regulation.
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Momentum is published by the
Ohio Board of Nursing17 South High St., Suite 660
Columbus, Ohio 43215-3466
Phone: 614-466-3947
Fax: 614-466-0388
www.nursing.ohio.gov
Vice PresidentJoanna Ridgeway, LPN
Executive DirectorBetsy J. Houchen, JD, MS, RN
The mission of the Ohio Board
of Nursing is to actively safeguard
the health of the public through the
effective regulation of nursing care.
Information published in Momentum is
not copyrighted and may be reproduced.
The Board would appreciate credit for
the material used.
Advertisements contained herein
are not necessarily endorsed
by the Ohio Board of Nursing.
The publisher reserves the
right to accept or reject
advertisements for Momentum.
The Ohio Board of Nursing is an
equal opportunity employer.
MOMENTUM is produced at no cost to Ohio taxpayers.
CONTENTS FALL 2021 I Volume 19 Issue 4
10
4 MOMENTUM
FROM THE PRESIDENT
Joanna RidgewayVice President/Acting President
As we reflect on 2021, we continue to mourn the loss of
our Board President Lauralee Krabill on June 29. In her
absence and in accordance with Board Policy, I have
assumed the role of Board President for the remainder of this
calendar year. I am honored to serve in this role and to be the
first LPN to serve as Board President.
In July, the Board was pleased to welcome new member Donna
Hanly, RN. We encourage you to read Donna’s profile in this
issue of Momentum.
We were also very pleased to congratulate Board member
Patricia Sharpnack, RN. During a National Council of State
Boards of Nursing (NCSBN) virtual awards ceremony in July,
Patricia was presented the Elaine Ellibee Award for outstanding
leadership as past Board President. In addition, we learned
Patricia was unanimously selected to receive the National League
for Nursing Mary Adelaide Nutting Award for Outstanding
Teaching or Leadership in Nursing Education. The Board
congratulates her and the Ursuline nursing education program
for this exceptional recognition and achievement!
The Board also congratulates Director Houchen on her
retirement! As we reflect on her tenure, we are proud of her
leadership that reflects on the innovative changes and the
successful work of the Board in fulfilling our mission of public
protection and increasing operational efficiencies over the last
sixteen years.
• For patient safety, the Board initiated Board Committees for
practice, issued Interpretive Guidelines to provide practice
guidance, implemented the Patient Safety Initiative,
participated in the Ohio Action Coalition, and collaborated
with other boards and state agencies.
• For greater success in treatment and recovery, the Board
initiated changes to expand the Alternative Program, a
confidential non-disciplinary program, which enables
individuals with substance use disorder to participate in the
program earlier in the disease process.
• The Board streamlined processes for investigation of
complaints and timely resolution of disciplinary cases,
including establishing a Board Hearing Committee,
notifying the public about unsafe practitioners, reporting
data to national databanks, and alerting other states through
Nursys and the federal National Practitioners Data Bank
(NPDB) for which the Board has maintained continued
compliance with the reporting requirements.
• Collaboration was critical as the Board participated in
statewide initiatives: preventing human trafficking;
promoting cultural competency; fighting the opioid
epidemic and prescription drug abuse; increasing the
nursing workforce; collecting state workforce data for policy
and planning purposes; promoting nursing/APRNs in
Primary Care Medical Homes (PCMH); expediting and
creating pathways for licensure for military personnel,
veterans, and spouses; and promoting patient safety by
collaborating with state agencies and the private health care
systems.
• The Board moved from paper license applications to a fully
automated online system for all aspects of licensing and
related processes.
• We transformed various APRN certifications into one
license with prescriptive authority for certain APRNs,
adopted an Exclusionary Formulary, and established the
Advisory Committee for Advanced Practice Registered
Nursing.
• The Board amended education program rules for pre-
licensure nursing education innovation, hosted regional
NCLEX conferences, and extended the timeline to provide
grant funding that supports the increased enrollment of
nursing students in Ohio.
• We increased communications and messaging with licensees
and applicants through a redesign and renovation of the
Board website.
We are proud of the Board’s track record and accomplishments
during Director Houchen’s tenure with the Board. A further
detailing of Board operations and accomplishments under
Director Houchen is included in this issue of Momentum, in an
article that summarizes a response to the Ohio legislature’s
review of Board licenses in accordance with SB 255 (132nd
General Assembly) which requires all occupational licensing
boards in the state to be reviewed every six years.
Ohio Board of Nursing 5
6 MOMENTUM
It is with mixed emotions that I retire on September 30, 2021. I’ve worked at the Board for 19 years,
16 of which have been as the Executive Director. I am as proud now as I was all those years ago when
I was appointed by the Board!
When I started as Executive Director in 2005, the Board regulated 207,815 licenses and certificates – for
FY 2021, the number is 318,693! There were 6,692 APRN Certificates of Authority in 2005 – now the
number of APRN licenses is 23,183.
In 2005, we receive 3,701 complaints, had 644 disciplinary cases to monitor for compliance with the
terms and conditions of Consent Agreements or Board Orders, and approved 117 nursing education
programs. Now we annually receive over 8,000 complaints; actively monitor about 1,300 licensees; and
approve 193 education programs and 54 training programs.
At that time, we convened an Advisory Committee to establish certification for Medication Aides and
training programs, and now we have 371 Medication Aides in Ohio.
Certified Community Health Workers (CHWs) were relatively new in 2005 – we certified 73 in 2010 and
now there are 967 certified CHWs in Ohio. The Board recently voted to establish an Advisory Group on
Certified Community Health Workers which is expected to convene for the first time in November.
We have always had a strong partnership with the Board members and that has enabled the Board to
transform as a regulatory agency and realize significant achievements. The Board’s managers,
supervisors and staff are committed to the Board’s work and were key in achieving so many
accomplishments.
Board operations are designed to meet the public expectations that nurses obtain an adequate level of
educational preparation, follow established practice standards, and provide competent nursing care.
They also expect the Board to address unsafe practitioners so vulnerable populations, who nurses serve,
are protected. The Board licenses qualified, competent nurses and removes dangerous practitioners from
practice in a timely manner to protect Ohio patients.
The Board has a proven track record of public protection, participating in initiatives to combat the
nursing shortage, and regulating the largest number of licensed professionals of any agency in the State
of Ohio, while at the same time, implementing numerous cost reductions and operational efficiencies.
I am so proud that the Board’s regulatory excellence has been recognized nationally through numerous
awards – the Board received the NCSBN Regulatory Achievement Award; Patricia Sharpnack, current
Board member and Past President, received the Elaine Ellibee Award; Past Board President Lisa Klenke
received the Exceptional Leadership Award; Lisa Emrich, Board staff, the Exceptional Contribution
Award; and I received the R. Louise McManus Award.
My career has been a remarkable journey and I thank so many who supported and encouraged me along
the way. I leave the Board with fond memories and great pride. Thank you -- I wish you success in your
nursing careers and wish the Board continued success in fulfilling their vital mission of public
protection. And always be clear about the Board’s role of public protection and safe patient care -- it is
critical to all of us, as nursing touches virtually every citizen of Ohio.
FROM THEEXECUTIVE DIRECTOR
Betsy J. Houchen, RN, MS, JD
Executive Director
We have always had
a strong partnership
with the Board
members and that
has enabled the
Board to transform
as a regulatory
agency and realize
significant
achievements. The
Board’s managers,
supervisors and staff
are committed to the
Board’s work and
were key in
achieving so many
accomplishments.
Ohio Board of Nursing 7
8 MOMENTUM
MEET NEW BOARD MEMBER
NAME: Donna L. Hanly, RN
Donna Hanly was appointed to serve as a
RN member of the Ohio Board of Nursing
by Governor Mike DeWine on July 8,
2021. She attended her first Board meeting
in July 2021. We welcome her to the Board
and share her background and thoughts
about being a Board member with you.
WHY DID YOU WANT TO BECOME A BOARD MEMBER?I believe that becoming a Board member
is an incredible opportunity to support
something that I have been passionate
about since becoming an RN many years
ago, and that is to safeguard the public
through the effective regulation of nursing
care. Serving on the Board is a great way to
give back to the profession that has given
me so much, and I’m honored to have
been appointed to be in this role.
WHAT IS YOUR NURSING BACKGROUND?Most of my nursing career was spent as a
bedside nurse specializing in Neuroscience.
I loved both the intuitive nature of the
specialty, and the opportunities inherent
in the field for innovative care. I also spent
several years working in an ambulatory
setting in Family Medicine and found
that caring for individuals and families
throughout the entire lifespan to be very
rewarding.
My passion to impact nursing broadly
led me to a variety of leadership roles at
OhioHealth Riverside Methodist Hospital,
including roles as manager for Neuroscience
and director for Neuroscience and Critical
Care. I became the Chief Nursing Officer
for OhioHealth Grant Medical Center in
2006, and advanced to the role of Senior
Vice President and Chief Nursing Executive
for the OhioHealth system in 2013. I retired
from that role in 2018, and since, have
been adjunct faculty for Ohio University
and I also provide leadership coaching as a
certified professional coach.
WHAT DO YOU BELIEVE YOU CAN BRING TO THE BOARD OF NURSING?I believe that my broad range of
experience, both as a bedside nurse and as
an administrative and operational leader
will serve well to provide insight into the
complexities that guide our profession.
WHAT IS ONE OF THE GREATEST CHALLENGES OF BEING A BOARD MEMBER?I am very early in being a Board
member, but I can already see how
complex it is to provide the structure
and processes to regulate over 300,000
licenses and certificates. One new
challenge, with the recent signing by
the Governor of the Nurse Licensure
Compact, will be to ensure smooth
processes are in place to maximize the
benefit of nurses crossing state borders
to practice safely and effectively.
HOW WOULD YOU DESCRIBE YOUR EXPERIENCE AS A BOARD MEMBER?The Board members and staff have
been extremely gracious, helpful, and
informational as I learn about the duties
and responsibilities inherent in the role.
I find that serving is gratifying both
professionally and personally.
WHAT WOULD YOU SAY TO SOMEONE WHO IS CONSIDERING BECOMING A BOARD MEMBER?It is a great opportunity to serve your
profession and the community! In
addition, having a more thorough
understanding of everything that goes into
ensuring safe practice, and participating in
the process, provides a wonderful growth
opportunity for nurse leaders and I believe
that every nurse is a leader.
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10 MOMENTUM
QUICK TIPAPRN License Applicants: Beginning in September 2021, APRN licensure applicants must be able to answer “yes” to the following questions in order to proceed with the application for APRN licensure: (1) Do you currently hold a master’s or doctoral degree with a major in a nursing specialty that qualified you to take an APRN national certification examination of a national certification organization approved by the Board; and (2) Do you currently hold APRN national certification from a Board approved national certification organization? There are certain exceptions for reciprocity applicants who were licensed as APRNs prior to January 1, 2001 in another state.
For an APRN license application checklist see https://nursing.ohio.gov/wp-content/uploads/2021/08/APRN-Applicants-Aug2021.pdf.
For Board approved national certification organizations, seehttps://nursing.ohio.gov/wp-content/uploads/2021/07/2021-BOARD-APPROVED-NATIONAL-CERTIFYING-ORGANIZATIONS.pdf
BOARD MEMBER AND PAST PRESIDENT PATRICIA SHARPNACK PRESENTED NCSBN AWARD
P atricia A. Sharpnack, DNP,
RN, CNE, NEA-BC, ANEF,
FAAN, Board Member and Past
President recently received one of the
highest awards from the National Council
of State Boards of Nursing (NCSBN),
the Elaine Ellibee Award. The award
is designated for a current or recent
president of a state board of nursing who
has demonstrated leadership as a state
board president and leadership in making
significant contributions to the NCSBN.
She was selected from a pool of nominees
from all 50 states, Washington D.C. and
international boards.
Dr. Sharpnack was appointed to the Ohio
Board of Nursing (Board) by Gov. John
Kasich in 2014 and is now serving a second
appointed term. She was elected president
by fellow Board members for three terms,
the last ending in December 2019. She is
now the Board Supervisory Member and
Chair of the Nursing Education Advisory
Committee. Her current term ends in
December 2021.
In her letter of support for the nomination
on behalf of the Board, Betsy J. Houchen,
JD, MS, RN, executive director of the Board,
wrote that “The Governor recognized (Dr.
Sharpnack’s) leadership in the fight against
the opioid epidemic; the State Action
Coalition called on her leadership skills
to collaborate with others to implement
the recommendations of the (Institute of
Medicine) Future of Nursing Report; and
she developed seamless nursing education,
dual enrollment programs, and nurse
competency models in this state and other
state boards of nursing.”
Dr. Sharpnack was appointed by
Governor Kasich to participate on the
Governor’s Cabinet Opiate Action Team
and collaborate with the governor’s
office, state agencies, and other regulatory
boards to fight the opioid epidemic.
During her tenure as Board President,
Ohio Board of Nursing 11
she also created a pathway for military
personnel and service members to
become licensed practical nurses and
advocated for regulatory approaches
that are responsive to changes in nursing
practice and education.
“Patricia Sharpnack has an exceptional
and outstanding track record of stellar
leadership as a board president in
advancing public protection, regulatory
excellence, and making significant
contributions to NCSBN and its members,”
wrote Houchen. “Her leadership inspires
others locally, statewide and nationally.
She embodies the contributions of Elaine
Ellibee, who strongly believed in the
importance of public protection, superior
patient care and continuing education for
nursing leaders.”
The late Ellibee was the first president
of the NCSBN, serving from 1978-1979.
“I am extremely touched, humbled and
thrilled to have been selected for this
award. It is truly an honor,” said Dr.
Sharpnack. “I have greatly appreciated
my work with the Board and NCSBN
and am blessed to have had the
opportunity to learn so much from both
organizations.”
Dr. Sharpnack explained that the mission
of the Board, and all state boards of
nursing, is to protect the public through
effective regulation. “This means that
those serving on boards of nursing must
place public welfare at the forefront
while helping to guide the board
with new educational models, a just
culture for discipline, clear methods
for renewals and implementation of
rules, guidelines for practice and, more
generally, guidelines for what the public
considers important for nurses to be
accountable for.”
Dr. Sharpnack was inducted as a 2019
fellow of the American Academy of
Nursing, one of the highest honors for
nursing internationally, in recognition
of her extraordinary commitment to
the promotion of public health. The
Academy comprises some 2,600 nurse
leaders in education, management,
practice, policy, and research chosen
from some 4 million registered nurses
in the United States. Recently, Dr.
Sharpnack was unanimously selected to
receive the National League for Nursing
Mary Adelaide Nutting Award for
Outstanding Teaching or Leadership in
Nursing Education.
The Board congratulates Dr. Sharpnack
and is proud she is being recognized and
honored for her many accomplishments
and contributions to nursing and public
safety.
12 MOMENTUM
APRN NOTES
The Ohio Revised Code (ORC) prohibits use of any
statement, title or initials implying or representing
that an individual is licensed as an APRN, unless the
individual is licensed by the Board to practice as an APRN.
Individuals who are not licensed to practice nursing, including
those who have submitted license applications, cannot use any
statement, title, or initials that would imply or represent that
they are licensed. Section 4723.03(E), ORC. For example, an
individual who completed a RN or LPN nursing education
program and passed the NCLEX but is not yet licensed by
the Board of Nursing, cannot practice nursing, and must not
identify themselves as a nurse, a “nurse graduate,” or “graduate
nurse,” etc. in any role. Also, the individual who is not yet
licensed as a RN or LPN may only work as an unlicensed person
through delegation of nursing care as specified under Chapter
4723-13, Ohio Administrative Code (OAC), and must not hold
themselves out as an RN or LPN prior to receiving their license
to practice.
Section 4723.03, ORC, also applies to a RN who has completed
an APRN program and obtained national certification from
a national certifying organization, but who is not yet licensed
by the Board to practice as an APRN. Section 4723.44, ORC,
prohibits individuals who are not licensed as APRNs from using
“any title or initials implying that the person is an advanced
practice registered nurse, including using any title or initials
implying the person is a certified registered nurse anesthetist,
clinical nurse specialist, certified nurse-midwife, or certified
nurse practitioner.”
Some license applicants use their educational degree,
or national certification as a title while waiting on their
licensure and this is not allowed under Ohio law. Please see
the article on title protection at https://nursing.ohio.gov/wp-
content/uploads/2019/08/OhioBoard2016FallMOM4.2.pdf.
Additional information can be found as follows: https://
codes.ohio.gov/ohio-revised-code/section-4723.44; http://
codes.ohio.gov/orc/4723.03
APRNs providing medication-assisted treatment (MAT),
including office-based opioid treatment (OBOT), must meet
all requirements of Rule 4723-9-13, OAC.
Medication-assisted treatment (MAT) means alcohol or drug
addiction services accompanied by medication that has been
approved by the FDA for the treatment of substance use
disorder, prevention of a substance use disorder relapse, or
both. Rule 4723-9-13(A)(6), OAC.
Office-based opioid treatment (OBOT) means medication-
assisted treatment of opioid dependence or addiction utilizing
controlled substances, in a private office or public sector clinic that
is not otherwise regulated, by practitioners who are authorized
to prescribe outpatient supplies of medications approved by
the FDA for the treatment of opioid addiction or prevention of
relapse. OBOT includes treatment with all controlled substance
medications approved by the FDA for such treatment, except for
treatment that occurs in certain specified settings. Rule 4723-9-
13(A)(7), OAC.
Only qualified practitioners, including APRNs, who have
obtained a DATA waiver from the U.S. Substance Abuse and
Mental Health Services Administration (SAMHSA) can offer
buprenorphine for the treatment of opioid use disorders. The
Drug Addiction Treatment Act of 2000 (DATA 2000) and
subsequent legislation (2018 SUPPORT Act) expanded the
use of MAT using buprenorphine to additional practitioners,
including APRNs, in various settings, so long as the practitioner
has obtained a “DATA waiver” prior to engaging in the practice.
The DATA waiver is obtained directly through SAMHSA. All
APRN prescribing is governed by the APRN’s scope (Sections
4723.43, and 4723.481, ORC), standards of care and Chapter 4723-
9, OAC, and the terms of the standard care arrangement (SCA) the
APRN entered into with their collaborating physician. In addition
to the general requirements that govern APRN prescribing, when
an APRN is providing MAT, additional requirements required by
Rule 4723-9-13, OAC, also apply. Some of the requirements of Rule
4723-9-13, OAC, are summarized below. The entire rule is available
through the links provided below.
Qualified CNSs, CNMs, or CNPs may provide MAT, including
prescribing controlled substances in schedule III, IV or V, if they:
• Comply with Section 3719.064, ORC, and all federal and
state laws and regulations governing the prescribing of the
medication, including but not limited to incorporating into
the APRN’s practice knowledge of Chapter 4729, ORC,
and Chapter 4731, ORC, and rules adopted under that
Chapter 4731, ORC, that govern the practice of the APRN’s
collaborating physician.
• Complete at least eight (8) hours of continuing education in
each renewal period related to substance abuse and addiction.
Ohio Board of Nursing 13
• Provide MAT if the treatment is within the collaborating
physician’s normal course of practice and expertise.
In addition to meeting the requirements for
CNPs may provide OBOT under the following circumstances:• The SCA statement of services includes OBOT.
• The CNS, CNM, and CNP performs, or confirms the
completion of, and documents a patient assessment
including but not limited to, a comprehensive medical
and psychiatric history; a brief
mental status history; substance
abuse history; family history and
psychosocial supports; appropriate
physical examination; urine drug
screen or oral fluid drug testing;
pregnancy test for women of
childbearing age and ability;
review of the patient’s prescription
information in OARRS; testing for
various specified conditions.
• The CNS, CNM, and CNP
establishes and documents a
treatment plan that includes all of
required components, including
but not limited to, the rationale
for selection of the specific drug
to be used, patient education;
the patient’s written, informed
consent; random urine-drug
screens or oral fluid drug testing;
a signed treatment agreement
with the patient outlining the
responsibilities of the patient
and the APRN; a plan for
psychosocial treatment that meets
the requirements. Section 4723-9-
13(C)(3), OAC.
• The CNS, CNM, and CNP provides
OBOT only in accordance with
an acceptable treatment protocol
for assessment, induction,
stabilization, maintenance, and
tapering. Acceptable protocols are
specified in Rule 4723-9-13(C)(4),
OAC.
• Except if the CNS, CNM, and CNP
is a qualified behavior healthcare
provider, they must refer and work
jointly with a qualified behavioral
healthcare provider, community mental health services
provider, or community addiction services provider to
determine the optimal type and intensity of psychosocial
treatment for the patient and document the treatment
plan in the patient record.
• If the CNS, CNM, and CNP refers the patient to a
qualified behavioral health service provider, community
addiction services provider, or community mental health
services provider, the APRN shall document the referral
and the APRN’s interactions with the provider in the
patient record.
continued on page 14
14 MOMENTUM
continued from page 13
• The CNS, CNM, and CNP must offer the patient a
prescription for a naloxone kit; ensure that the patient
receives instruction on the kit’s use including, but
not limited to, recognizing the signs and symptoms of
overdose and calling 911 in an overdose situation; offer
a new prescription for naloxone upon expiration or use
of the old kit; and, if the patient refuses the prescription,
the patient must be provided the information on where
to obtain a kit without a prescription.
• If the CNS, CNM, and CNP provides OBOT using
buprenorphine products, they must meet all the additional
requirements specified in Rule 4723-9-13(C)(9), OAC.
If naltrexone is used to treat opioid use disorder, all the
additional requirements specified in Rule 4723-9-13(C)(10),
OAC, must be met.
Links to cited law and rule and additional related resources:
http://codes.ohio.gov/oac/4723-9 (Prescribing standards, generally)
http://codes.ohio.gov/oac/4723-9-13v1 (Medication Assisted
Treatment)
https://codes.ohio.gov/ohio-administrative-code/rule-4723-9-14
(Standards and procedures for withdrawal management for drug
or alcohol addiction)
For information on buprenorphine waiver processing, contact
the SAMHSA Center for Substance Abuse Treatment (CSAT)
at 866-BUP-CSAT (866-287-2728) or infobuprenorphine@
samhsa.hhs.gov
https://www.samhsa.gov/medication-assisted-treatment/
become-buprenorphine-waivered-practitioner
https://nursing.ohio.gov/wp-content/uploads/2020/03/APRN-
PRESCRIBING-PROCESS.pdf
Practice resources, including prescribing resources, are on the on
the Practice Resources page on Board website at www.nursing.
ohio.gov. Please email practice questions to practiceaprn@
nursing.ohio.gov.
Ohio Board of Nursing 15
16 MOMENTUM
USE OF LIGHT-BASED MEDICAL DEVICES FOR THE PURPOSE OF HAIR REMOVAL
T he legislature recently enacted Section 4731.33, Ohio
Revised Code (ORC), effective September 30, 2021,
regarding physician delegation of the application of
light-based medical devices for the purpose of hair removal to
various individuals including RNs and LPNs. Section 4731.33,
ORC, establishes requirements including physician evaluation
and re-evaluation of the patient and on-site supervision of the
RN or LPN, as discussed below.
A physician may only delegate the application of a light-based
medical device for the purpose of hair removal if:
• the light-based medical device has been specifically cleared
or approved by the FDA for the removal of hair from the
human body;
• the use of the light-based medical device for the purpose of
hair removal is within the physician’s normal course of
practice and expertise;
• the physician has seen and evaluated the patient to determine
whether the proposed application of the specific light-based
medical device is appropriate; and,
• the physician has seen and evaluated the patient following the
initial application of the specific light-based medical device,
but prior to any continuation of treatment, to determine that
the patient responded well to that initial application of the
specific light-based medical device. Section 4731.33(B), ORC.
In addition, when delegating to a RN or LPN, the physician must
provide on-site supervision at all times that the RN or LPN is
applying the light-based medical device.
And the physician may supervise no more than two (2) delegates
(whether nurses or other delegates) at the same time. Section
4731.33(F), ORC.
Finally, the RN or LPN is required to immediately report to the
supervising physician any clinically significant side effect
following the application of the light-based medical device or
any failure of the treatment to progress as was expected at the
time the delegation was made. The physician must see and
personally evaluate the patient who has experienced the clinically
significant side effect or whose treatment is not progressing as
expected as soon as practicable. Section 4731.33(H), ORC.
All nurses are required to engage in practice consistent with the
Nurse Practice Act, Chapter 4723, ORC, and standards of
practice in Chapter 4723, Ohio Administrative Code (OAC).
RNs and LPNs may utilize the RN and LPN Decision Making
Model as a guide when determining whether a specific procedure,
task or activity is within the RN’s or LPN’s scope of practice and,
if so, whether the specific procedure, task or activity is consistent
with standards of practice, appropriate to perform based on the
individual nurse’s knowledge and skills, and appropriate based
on the clinical setting. The Model can be accessed on the Board
website under Practice Resources or through the link below.
“Light-based medical device” means any device that can be made to produce or amplify electromagnetic radiation at wavelengths
equal to or greater that one hundred eighty nm but less than or equal to 1.0 x 106 nm and that is manufactured, designed, intended,
or promoted for irradiation of any part of the human body for the purpose of affecting the structure or funtion of the body. Section
4731.33(A)(1), ORC.
“On-site supervision” means the supervising physician is physically in the same location as the delegate during the use of the light-
based medical device, but does not require the physician to be in the same office suite as the delegate during the use of the device.
Section 4731.33 (A)(2), ORC
Ohio Board of Nursing 17
APRNs
Qualified CNPs, CNSs, CNMs may also use or delegate to an RN
or LPN the use of a light-based medical device by observing the
same conditions for physician delegation as established in the
Medical Practice Act. Qualified CNPs, CNSs, CNMs would
include those whose use of light-based medical devices is consistent
with the CNP’s, CNS’s, CNM’s education and training, and scope
and national certification, as defined in Section 4723.43, ORC.
Any CNP, CNS, or CNM who utilizes light-based medical devices
in their practice, must do so according to the terms of the standard
care arrangement (SCA) they enter into with a qualified
collaborating physician. The SCA may include use of light-based
medical devices within the statement of services provided by the
ARPN and include a plan for incorporation of new light-based
medical device technology or related procedures into their practice
consistent with the applicable scope of practice. Rule 4723-8-
04(D)(5) and (6), OAC.
As with any practice or procedure, the CNP, CNS, or CNM must
use or delegate the use of light-based medical devices consistent
with acceptable and prevailing standards of practice and the
applicable law enumerating those standards so as not to exceed the
authority of the collaborating physician and to comply with Rule
4723-8-02(D), OAC, which specifies that the CNP, CNS, or CNM
must, for their practice, apply knowledge of Chapter 4731, ORC,
and the rules adopted under that Chapter.
Links to law and rule and practice resources:
https://codes.ohio.gov/ohio-revised-code/section-4731.33
http://nursing.ohio.gov/wp-content/uploads/2019/10/decision-
making-model20191007_14055357.pdf
https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-03
https://codes.ohio.gov/ohio-administrative-code/rule-4723-4-06
https://codes.ohio.gov/ohio-administrative-code/rule-4723-8-02
https://codes.ohio.gov/ohio-administrative-code/rule-4723-8-04
https://codes.ohio.gov/ohio-administrative-code/chapter-4731-18
Questions may be directed to the Board at practicernandlpn@
nursing.ohio.gov or [email protected]
18 MOMENTUM
During the COVID-19 pandemic, we reported that temporary
licenses, authorized by HB 197, HB 6, and HB 404,
significantly increased the licensure workload. By January
4, 2021, the Board received nearly 17,000 applications, a 35% increase
over 2019. The emergency nature of the pandemic affected everyone
and created unprecedented challenges not only for the State of Ohio and
the Board, but other parties outside the Board’s control like the State’s
online license system, nursing programs, employers, law enforcement’s
criminal background checks, and the national testing centers. As a result,
the requirement to issue temporary licenses required new processes: more
applications to review, manual processes, less time to complete licensing
functions, including individual communications, and the issuance of
other types of licenses. The inability of the licensing platform to integrate
the new license into existing processes further required the Board to
respond separately to employers who needed Board confirmation when
the licensees passed the NCLEX. The temporary license requirements
impacted many aspects of licensure and health care providers, including
patient safety and public protection.
While we all continue to share a common desire to work together to
meet these challenges, nursing workforce needs today in all fifty states
and including internationally educated applicants remain dependent
on successfully completing a standardized, national examination, a
core aspect of the licensing process that assures employers and the
public that an individual is competent for entry-level practice.
The Board will continue to initiate, fund and implement
improvements and efficiencies in the Ohio eLicense system to
continuously improve licensing and related processes for applicants.
The following highlights changes that have been implemented
for fiscal year 2021.
1. IDENTIFIED NEW PROCESS IMPROVEMENT FEATURES a. Installed remote phone software (Jabber), to enable staff to
handle calls from remote work locations.
b. Implemented report components to track ‘last visit’ on an
application which enables supervisors to assign work to staff
based on when an application was last reviewed and monitor
the aging of applications when the Board is waiting to receive
additional documentation.
2. ELIMINATED MANUAL WORK FOR COST AND TIME SAVINGS
a. Disabled withdrawal of application option to be consistent with
administrative rules and eliminate manual processing.
b. Enabled bulk assignment of applications to facilitate multiple
reviews by staff members.
c. Implemented the electronic wall certificate feature which
reduced the time for mailing individual wall certificates and
resulted in cost savings by eliminating mailing, printing, and
envelope expenses.
d. Implemented automation to indicate certain Service Requests
were completed daily which eliminated the need for staff to
manually close these individually.
3. ADDRESSED DATA CONSISTENCY/SECURITY/PRIVACYa. Developed internal reporting systems so Board staff could
respond to public record requests upon the elimination of
this service for Boards and Commissions by the Department of
Administrative Services.
b. Resolved certain ongoing data issues with PearsonVue and
NURSYS integrations to improve data quality that was received
and transmitted to these entities.
4. IMPROVED QUALITY OF SERVICE TO APPLICANTS/ LICENSEES
a. Updated all Initial and Renewal Applications to ensure
consistency of language, questions, and attestations to enhance
ease of use for applicants.
b. Updated all notifications and emails to applicants and licensees
to ensure that additional, helpful information was readily
available in the messages.
c. Implemented the electronic wall certificate feature to enable
licensees to print wall certificates at any time free of charge.
5. REDUCED TIME TO PROCESS LICENSESa. Developed alternate processes to support licensing changes
mandated by HB 197, HB 404 and HB 6 during the declared
emergency. Without implementing these processes, the Board
could not have started immediate processing of these licenses
as was required by law. Additionally, if the Board had to wait for
permanent processes to be implemented in eLicense, it would
have cost time and money.
b. Funded and implemented the automation of matching Program
Completion Letters (PCLs) with applications, previously
completed manually by staff. Manually, once a PCL was located
(10-20 mins), it took about 2-3 minutes per application to upload
the PCL and update the record, while the automated process
uploads about 100 PCLs in 30-60 seconds after the file is placed
in the folder.
LICENSING, PROCESS IMPROVEMENTS, AND EFFICIENCIES IN OHIO eLICENSE
Ohio Board of Nursing 19
20 MOMENTUM20 MOMENTUM
OCCUPATIONAL LICENSE REVIEW FOR THE OHIO BOARD OF NURSING
SB 255 (132nd General Assembly) requires
all occupational licensing boards to be
renewed at least once every six years by the
General Assembly. Ohio Revised Code Section
101.63 (https://codes.ohio.gov/ohio-revised-code/
section-101.63) specifies that standing committees
review approximately 33% of the boards each
biennium, and to review all boards at least once
every six years. Boards must submit a report
containing information about the board’s purpose,
workload, budget, and staffing to demonstrate the
need for its continued existence.
Below are some of the questions and responses
the Board submitted to the Ohio House State and
Local Government Committee in June 2021 for
consideration. Please note the statistics cited are
for FY20, the available data at that time. Data for
FY21 is included in the Board Annual Report for
FY21 which will be posted on the website by
October 1, 2021.
1. DESCRIBE THE BOARD’S PRIMARY PURPOSE, GOALS AND OBJECTIVES, AND LICENSES ISSUED. The mission of the Board is to actively safeguard
the health of the public through the effective
regulation of nursing care. The Board administers
and enforces the provisions of Ohio Revised
Code Chapter 4723.
The Board’s Strategic Initiatives are as follows:
• Compliance/Discipline: To efficiently
handle complaints, investigations, and
adjudications to safeguard the health of
the public and, in cases involving
substance use disorder or practice issues,
provide alternatives to discipline
programs, if determined appropriate.
• Licensure: To assure applicants meet
requirements to practice in Ohio while
maintaining an efficient and effective
system to license applicants as quickly as
possible to enter or remain in the
workforce; and to assure licensees
maintain competency based on
continuing education requirements.
• Education: To approve pre-licensure
education programs to assure the
programs maintain academic and clinical
standards for the preparation of entry-
level nurses.
• Practice: To address pertinent regulatory
issues for licensees and provide greater
clarity about the requirements to those
regulated by the Board and to the public.
• Administration: To maintain operational
support, legislative and regulatory matters,
information technology, communications,
and innovative regulatory programs.
The Board licenses Registered Nurses (RNs);
Licensed Practical Nurses (LPNs); Advanced
Practice Registered Nurses (APRNs) which
includes the designations of Certified Nurse
Practitioners (CNPs), Clinical Nurse Specialists
(CNSs), Certified Nurse Midwives (CNMs), and
Certified Registered Nurse Anesthetists (CRNAs);
Dialysis Technician Interns (DTIs); Dialysis
Technicians (DTs); Community Health Workers
(CHWs); Medication Aides (MA-C); Volunteers;
nursing education programs; and training
programs. The Board expedites licensure for
military personnel, veterans, and spouses. In
FY20, a total of 2,579 licenses were expedited for
military personnel, veterans, and spouses.
2. DESCRIBE THE BOARD’S ANNUAL WORKLOAD. HOW MANY STAFF ARE EMPLOYED?At full capacity, 13 Board members and 71 full-
time equivalent staff are responsible for regulating
about 303,000 licenses, 189 nursing education
programs, and 52 training programs, and
investigating over 8,000 complaints a year.
Education: Competent and safe nursing
practice begins with education programs that
prepare individuals for nursing practice. The
Board determines that 189 pre-licensure
nursing programs meet and/or maintain
educational regulatory standards to assure
entry-level nurses have completed the
educational requirements that prepare them
for nursing practice. In addition, the Board
regulates 52 training programs for dialysis
technicians, community health workers, and
medication aides.
Licensure: The Board determines applicants’
eligibility to be licensed or certified. In FY20, the
Board processed 23,221 applications for licensure
and 25,082 service requests related to licensure;
and issued 21,738 new nursing licenses. The last
RN and APRN renewal cycle, 223,911 RN and
APRN licenses were renewed. In addition, in
FY20, the Board regulated 20,734 APRN licenses
and 2,308 dialysis technicians/dialysis technician
interns; 772 community health workers; and 346
medication aides.
Practice: The Board adopts administrative rules
and monitors legislative proposals to establish
regulatory requirements for safe nursing care.
The Board responds to about 475 practice
questions monthly through individual responses
and develops “Interpretive Guidelines” for
frequently asked questions. The Board convenes
three external advisory groups related to practice
and is in the process of establishing a new
advisory group for CHWs.
Compliance: The Compliance Unit triages and
investigates complaints regarding criminal
offenses including drug diversion, impairment/
substance use disorder, sub-standard practice,
patient abuse and neglect, and other violations of
the Nurse Practice Act and administrative rules.
The Compliance Unit prepares investigative and
hearing subpoenas, Notices of Opportunity for
Hearing, evidentiary materials for no-hearing
requested cases, settlement agreements, legal
publication notices, and assists in preparing
adjudication hearings according to Chapter 119
ORC. For FY20, the Board received 8,350
complaints and all investigative and disciplinary
processes were completed in a timely manner;
and prepared, processed and/or mailed 2,649
Board actions. Staff responded individually to
hundreds of requests from former or current
licensees regarding disciplinary actions and due
Ohio Board of Nursing 21
to COVID-19, conducted investigative interviews,
meetings, and hearings virtually. The Board
reports 100% of all Board disciplinary actions to
the National Practitioners Data Bank (NPDB)
with zero actions missing according to the NPDB
biennial compliance audit. Disciplinary actions are
also reported to Nursys, a national nursing
database.
Staff monitored over 1,200 licensees with
Board action including reviewing employer/
practice reports and drug/alcohol screen
results. In addition, the Board administers two
alternative-to-discipline programs: Alternative
Program for Substance Use Disorder, a
confidential program offered for licensees with
substance use disorder and the Practice
Intervention and Improvement Program, a
confidential practice remediation program
offered for licensees with practice deficiencies.
Administration: The Board uses multiple
venues to inform the public and interested parties
about the Board’s disciplinary actions, proposals
for rule making, practice guidance, new
regulatory requirements, statewide initiatives,
and Board activities and processes. Staff respond
to an average of 800-1,000 public records request
per year with more than 90% completed within a
three-business day turnaround.
Nursing Workforce: The Board (1) assists
the Ohio Department of Higher Education
with the administration of the Nurse
Education Assistance Loan Program, a
tuition assistance program that addresses the
nursing shortage by encouraging graduates
to remain in Ohio as they enter the nursing
profession or become nursing faculty; (2)
administers the Nurse Education Grant
Program that funds education programs to
increase their student capacity; (3)
administers the Nursing Special Issues fund
used to address patient safety and health care
issues related to supply and demand issues
for nurses; and (4) participates in coalitions
or committees such as the Ohio Action
Coalition established to promote nursing
collaboration throughout Ohio and the
recommendations of the Institute of
Medicine (IOM) report, The Future of
Nursing: Leading Change, Advancing Health.
New Licenses: For FY20, there were 302,823
active licenses as of June 30, 2020:
• RNs – 222,635
• LPNs – 56,028
• APRNs – 20,734
• Dialysis Technicians and Interns – 2,308
• Community Health Workers – 772
• Medication Aides - 346
3. HOW MANY NEW LICENSES DOES THE BOARD ISSUE ANNUALLY? HOW MANY RENEWED LICENSES ARE ISSUED ANNUALLY? HOW MUCH DOES A NEW LICENSE COST? HOW MUCH DOES A RENEWAL COST?
Renewal Licenses: The Board renews over
220,000 RN and APRN licenses in odd-numbered
calendar years. For LPNs, about 58,000 licenses
are renewed in even-numbered calendar years.
DT, CHW, and Medication Aide certificates are
also renewed every two years.
New Licenses: For FY20, a total of 21,358 initial
licenses were issued:
• RNs – 14,895
• LPNs – 3,556
• APRNs – 2,192
• Dialysis Technicians and Interns – 484
• Community Health Workers – 162
• Medication Aides – 69
Costs of New and Renewed Licenses: Fees
range from $35 to $150.
4. IN THE PAST 5 YEARS, HAS THERE BEEN ANY CONSIDERATION TO LOWER THE LICENSURE COST? HOW MUCH REVENUE IS PROCURED FROM THE LICENSURE FEES? WHAT DOES THIS REVENUE FUND?The Board receives no General Revenue
funds. The Board is totally funded by licensure
fees and the Board has not requested an
increase in fees. There has been no
consideration to lower or increase the
licensure fee in the past five years. We are
proud that the Board has absorbed an
escalating workload without seeking any fee
increases in over 17 years (since 2004).
In comparing Ohio licensure fees with
nurse license fees in other states: 4 states
charge under $51; 21 states charge $51-
$100 per license; and 33 states charge $101
to over $200.
License revenue funds all Board operations:
• Regulating about 303,000 licenses,
including issuing over 20,000 new
licenses annually.
• Processing over 8,000 complaints and
taking disciplinary actions for violations
including theft of drugs, substance use
disorder, drug diversion, patient abuse
and neglect.
• Oversight of 189 nursing education
programs.
• Oversight of 52 training programs for
DTs, CHWs, and Medication Aides.
• Responding to an average of 454 practice
questions per month.
• Administrative matters including fiscal
management, human resources, payroll,
legal, legislative, operations, information
technology, grant programs, and
communications.
The Board has a demonstrated track record of
fiscal responsibility achieved by streamlining
internal processes and implementing operational
efficiencies. The Board plays an important role in
positively impacting safe nursing care and public
protection while achieving lean and efficient
government with common sense approaches to
meeting regulatory challenges.
5. HAS THE OPERATION OF THE BOARD INHIBITED ECONOMIC GROWTH, REDUCED EFFICIENCY, OR INCREASED THE COST OF GOVERNMENT?The operation of the Board has not inhibited
economic growth, reduced efficiency, or
increased the cost of government.
The Board receives no General Revenue
funds. It is totally funded by license fees paid
continued on page 22
22 MOMENTUM
by those regulated by the Board and those
fees are moderate and not been expanded for
17 years, since 2004.
The public and employers are benefitted from
having a strong regulatory system for nursing in
place to help promote public safety. Public safety
should spur economic growth both directly and
indirectly. Healthy Ohioans lead to prosperity.
6. ARE THERE ANY LICENSES THAT ARE NO LONGER ISSUED BY THE BOARD? HB 216 (131st GA) eliminated Certificates of
Authority (COA) and Certificates to Prescribe
(CTP) as of December 31, 2017. The legislation
replaced both certificates with one license for
APRNs that designates them as CRNAs, CNPs,
CNSs, or CNMs and authorizes certain APRNs
to prescribe.
House Bill 303 (129th GA) streamlined the
dialysis technician certification process. The
Board no longer issues Temporary Certificates 1,
2, and 3, but instead issues a dialysis technician
intern certificate leading to full certification.
7. HAS THE BOARD RECOMMENDED STATUTORY CHANGES TO THE GENERAL ASSEMBLY THAT WOULD BENEFIT THE PUBLIC AS OPPOSED TO THE PERSONS REGULATED BY THE BOARD, IF ANY, AND HAVE THOSE RECOMMENDATIONS AND OTHER POLICIES BEEN ADOPTED AND IMPLEMENTED?
The Board worked with the General Assembly
regarding bills that benefited the public.
• The Board secured an amendment in Am
Sub HB 49 (132nd GA) to authorize LPN
licensure for military personnel who
complete Level 5 military training and the
Community College of the Air Force
education program. This was a result of
collaboration with representatives of the
Ohio National Guard, the Office of
Workforce Transformation, the Ohio
Department of Veteran Affairs, and NCSBN
to establish a pathway for medics to become
licensed practical nurses (LPNs) in Ohio.
• Am Sub HB 49 (132nd GA) authorized,
among other provisions, the provision of
nursing care at a free camp accredited by the
SeriousFun Children’s Network for
individuals with chronic diseases. It also
authorized APRNs to provide medication-
assisted treatment for substance use
disorders.
• House Bill 170 (130th GA) authorized
certain health care professionals, including
APRNs with prescriptive authority, to
personally furnish or issue a prescription for
naloxone to a friend, family member, or
other individual in a position to assist an
individual at risk of experiencing an opioid-
related overdose.
• The Board adopted, in conjunction with
other health care boards, a “Joint Regulatory
Statement on Prescription of Naloxone to
High-Risk Individuals.”
• House Bill 198 (128th GA) created the
Patient Centered Medical Homes (PCMH)
pilot program to provide comprehensive
care at lower costs. A Board member was
appointed to the PCMH Education
Advisory Group. Nursing was a component
of PCMH development in Ohio: five
APRN practices were converted into
PCMH practices as part of the pilot
program, numerous nursing education
programs have successfully implemented
PCMH training and clinical experience in
their curriculums, and thirty nursing
scholarships have been awarded.
To advance/promote PCMH, the Board
adopted rules to establish that PCMHs are
eligible to partner with nursing education
programs for NEGP funding.
• Senate Bill 7, (133rd GA) authorized
licensing boards to issue six-year temporary
licenses to members of the military and
spouses who are licensed in another
jurisdiction and have moved to Ohio for
active duty. The Board participated in the
legislative discussion and promoted its
implementation by including the required
changes as part of the Board’s current
system for issuing temporary permits.
• Am Sub HB 197 (133rd GA), effective on
March 27, 2020, and HB 6 (134th GA),
effective May 14, 2021) suspended, for the
period of the COVID-19 emergency, the
requirement that an applicant for licensure
by examination have passed the NCLEX
examination and authorized the Board to
issue a temporary license.
• Am Sub HB 197 (133rd GA), revised the
practice of CRNAs.
• SB 331 (133rd GA), consistent with the
Board’s testimony in the sunset review
process, abolished the Committee on
Prescriptive Governance (CPG) and
renewed the Advisory Committee on
Advanced Practice Registered Nursing until
December 31, 2022.
8. IS THE PRESERVATION OF THE BOARD AND THE BOARD’S LICENSES NECESSARY TO PROTECT THE PUBLIC’S HEALTH, SAFETY, OR WELFARE? The Board is vital for public protection. Public
protection and safe patient care are critical, as
nursing touches virtually every citizen of Ohio.
The public expects nurses to obtain an adequate
level of educational preparation, follow
established practice standards, and provide
competent nursing care. They also expect the
Board to address unsafe practitioners so
vulnerable populations, who nurses serve, are
protected. Board operations are designed to
meet these public expectations. Board
operations are set up to license only qualified,
competent nurses and remove dangerous
practitioners from practice in a timely manner
to protect Ohio patients.
The Board investigates complaints and takes
disciplinary actions to notify the public about
unsafe practitioners. Further, to protect the
public’s health, the Board reports data to
national databanks to alert other states about
Ohio nurses with disciplinary action. All Board
disciplinary actions are reported to the Nursys
nursing database, and to the federal National
Practitioners Data Bank (NPDB).
Ohio was one of three states that participated in
a three-year NCSBN Transition to Practice
continued from page 21
Ohio Board of Nursing 23
Study, designed to examine the effect of a
Transition to Practice model on patient safety
and quality outcomes based on the practice of
newly licensed nurses transitioning to practice.
Ohio was one of originally eighteen state nursing
boards participating and submitting TERCAP
data to establish a national database regarding
patient safety and practice breakdown. TERCAP
(Taxonomy of Error, Root Cause Analysis and
Practice-Responsibility) is the tool used to gather
data regarding nursing practice breakdown.
The Board routinely works with other state
boards, commissions, and agencies to promote
patient safety and public protection. For
example, a Program Manager participates in
meetings of the Ohio Medicaid Program
Integrity Group, convened by the Attorney
General’s office; patient safety-based projects
in which Board staff contribute include, e.g.,
work with The Ohio State University/the Ohio
Organization of Nurse Leaders (OONL),
addressing the issue of 12-hour shifts on
nurses’ physical and mental health,
RecoveryOhio initiatives, and the State
Working Group convened to address health
care provider sexual impropriety complaints.
9. COULD THE PUBLIC BE PROTECTED OR SERVED IN AN ALTERNATE OR LESS RESTRICTIVE MANNER? IF APPLICABLE, PLEASE IDENTIFY ANY LICENSES OR FUNCTIONS OF THE BOARD THAT COULD BE ELIMINATED OR CONSOLIDATED. There are no licenses or functions of the Board
recommended for elimination or consolidation
at this time. The Board has worked diligently to
balance public protection and regulate in the
least restrictive manner. The Board continuously
identifies and implements changes to address
regulatory efficiency and effectiveness. The Board
was awarded the national NCSBN Board
Regulatory Achievement Award for regulatory
excellence and innovation.
Examples of Board implementation of less
restrictive regulatory and policy changes are
as follows:
• Since 2005, and on a continuing basis, the
Board conducts a “plain English” review
of its rules and amends or rescinds rule
language that is obsolete, ineffective,
contradictory, or redundant.
• Amended administrative rules requiring
education programs to consider requests
for academic credit for military training;
waived renewal fees and/or provided an
extension for continuing education based
on active duty; established a dedicated
Military and Veterans web page; and
assured that licensure examinations are
on the Department of Veterans Affairs
qualified list of non-federal government
examinations allowing eligible veterans
and their dependents to be reimbursed for
the cost of the test.
• Implemented a new policy to decrease the
processing time for veterans, service
members and spouses licensed in other
states seeking reciprocity by “endorsing”
their out-of-state licenses into Ohio.
Applicants no longer need to submit
transcripts and photographs prior to the
issuance of temporary permits and licenses.
The Board determined that educational
preparation could be verified, and the
identity of the applicant could be established
using the Nursys national database and
other methods.
• The Board joined in the fight against human
trafficking by encouraging nurses to become
informed and understand human trafficking
issues; creating a permanent home for
human trafficking materials on the Board
web site; disseminating information through
email and social media; providing a link to
the Ohio Department of Health’s materials
for School Nurses; and assuring that all
Board Investigators attended training.
• Revised administrative rules to specify
that instruction in nursing education
programs or the various training programs
may be online rather than in the
classroom, if appropriate.
• Adopted, for prescribing APRNs, an
exclusionary Formulary to replace the
inclusive Formulary which APRNs had to
consult frequently to determine if certain
drugs were approved.
• Implemented Interpretive Guidelines to
provide nursing practice guidance based
on the Nurse Practice Act and
administrative rules.
• Eliminated the need for APRNs to apply
for two certificates and replaced both
certificates with one license for APRNs.
• Testified before the Legislative Sunset
Review Committee in 2020 to recommend
elimination of the Committee on
Prescriptive Governance (CPG) and
subsequently the CPG was eliminated.
• Removed a regulatory requirement that
applicants submit all their CE
documentation with license applications
thereby streamlining the ease of applying
and decreasing processing time.
• Initiated statutory and administrative rule
changes for the Alternative Program (AP)
to enable individuals with substance use
disorder (SUD) to participate in AP earlier
in their disease process for greater success
in treatment and recovery.
• Permitted LPNs, RNs, and APRNs to
satisfy a portion of their CE requirements
by providing health care services
without compensation to indigent and
uninsured persons.
• Extended the Nurse Education Grant
Program (NEGP), which was scheduled
to end in 2013, to extend 10 more years
until 2023.
• Implemented the collection of nursing
workforce data and provided the raw data
and summary reports on the website for use
by researchers and policy makers to address
supply and demand issues. Data collection is
a vital component of workforce planning and
policymaking. The Board has been collecting
comprehensive nursing workforce data each
year since 2013.
• Participated as a member of the Ohio
Department of Higher Education (ODHE)
Ohio Physician and Allied Health Care
Workforce Preparation Task Force.
• Participated in the Provider Staffing and
Patient Safety Advisory Committee to
identify provider workforce staffing
practices and state-level policies that
contribute to improved patient safety in
clinical care settings.
continued on page 24
24 MOMENTUM
• Implemented the Patient Safety Initiative, a
joint collaborative between the Board and
nursing employers, to implement as more
comprehensive approach to practice issues
with a goal to increase patient safety through
effective reporting, remediation, modification
of systems, and accountability.
• Participated in the Ohio Action Coalition
was established for nursing collaboration
throughout Ohio for the advancement of
the IOM recommendations. The Institute
of Medicine (IOM) report, The Future of
Nursing: Leading Change, Advancing
Health set forth eight recommendations
for nursing.
• Established a new Advisory Group on
Certified Community Health Workers to
examine CHW roles to address access to
health care for underserved populations.
• The Board has implemented and maintained
numerous quality control and efficiency
measures, consistent with its continuous
improvement philosophy:
• Converted all types of applications to
mandatory online submission in 2016 to make
licensing more efficient.
• Implemented the new Ohio eLicense system
3.0 system in conjunction with DAS/OIT.
• Reduced the number of public records
requests by nearly 100% by making documents
available to the public through a national
online nursing database.
• Established an online system for submission of
education program completion letters, rather
than hardcopies, to expedite licensure by
examination.
• Established an electronic means to obtain
other state licensure verification documents
rather than mailed hardcopies, to expedite
licensure by reciprocity.
• Updated the disciplinary databases for
electronic logging of personal confidential
information and eliminated hundreds of staff
hours of manual logging.
• Increased the number of paralegal employees
to assist staff attorneys for increased efficiencies.
• Obtained funding for temporary staffing
through the National Council of State Boards
of Nursing to update the data in Nursys, the
national online nursing database.
• Eliminated the use of paper wallet cards to
reduce costs and eliminate the possibility of
the wallet card being altered, forged, or
misappropriated.
• Reduced the average processing time for
discipline cases, known as “no request
for hearing cases,” from 2.5 years to six
months, by the discontinuation of
outsourcing this function.
• Established a Board Hearing Committee to
expedite cases for Chapter 119. hearings and
for cost savings.
• Hired staff Hearing Examiners for cost savings
and to expedite disciplinary hearing cases.
• Used electronic methods to streamline the
disciplinary complaint intake process by
reducing repetitive data entry.
• Eliminated verification delays so employers
could immediately verify APRN certification
and eliminated the manual processes
previously required for Board staff to update
verification data.
• Used social media and increased use of email
to provide updated information to applicants
and licensees about licensure.
• Hosted an annual NCLEX Regional
Conference for nursing education
programs to increase understanding about
the development of the NCLEX and
provide updates about the Next Generation
NCLEX (NGN).
• Instituted Post-Notice Settlement
Conferences to resolve disciplinary cases
and reduce hearing costs.
• Implemented a complete redesign and
renovation of the Board website for easier
access to information.
• Reconfigured the telephone system for a more
user-friendly system and better navigation.
• Added the capability to issue temporary
permits for APRNs, DTs, and MA-Cs as was
already in place for RNs and LPNs.
• Updated all license applications to ensure
consistency of instructions, compliance
questions, and attestations.
• Automated notifications to licensees about the
expiration of temporary permits.
• Implemented the cloning of information for
temporary permits to eliminate manual
entry, ensure data accuracy, and enable
faster issuance.
• Implemented a feature to allow the automatic
refund of fees and eliminate the need to file
service tickets.
• Implemented visual Compliance
Indicators and Enforcement flags to
provide a direct view of the compliance
status of the current application.
• Created a new Service Request category
through which an applicant can request an
address change to ensure that the request is
automatically connected with the license for
future reference.
• Added an auto-generated email to the
applicant when a license is inactivated to
eliminate the need to email applicants.
• Reduced costs for applicants in obtaining
money orders or cashier’s checks and
expedited Board deposits by using credit or
debit cards for all financial transactions.
• Developed an Applicant Checklist as a tool
to inform applicants of the required
documents and processes and reduce the
need to contact the Board.
• Maintained the Ohio Center for Nursing
website to promote nursing as a career and
provide information about the nursing
workforce in Ohio.
10. ANY ADDITIONAL NOTES OR COMMENTS THE BOARD BELIEVES THE COMMITTEE SHOULD BE AWARE OF? The global COVID-19 pandemic impacted nurses
and the practice of nursing in Ohio and around
the world. The Board recognized the vital role of
nurses providing care on the front lines under
difficult circumstances and immediately worked
to increase the nursing workforce in Ohio.
Highlights of actions to address the COVID-19
declared emergency are as follows:
• Notified states that under Ohio law, out-of-
state nurses can work in Ohio during a
declared emergency without obtaining a
license in Ohio. ORC Section 4723.32(G)(7)
authorizes nurses who hold an active, valid
license in another state to practice in Ohio
without an Ohio license for the duration of
any declared disaster including the current
COVID-19 declared emergency.
• Issued RN, LPN, and APRN temporary
permits within one (1) business day for out-
of-state nurses seeking licensure in Ohio.
continued from page 23
Ohio Board of Nursing 25
MembersOhio Board of Nursing City Term Expires
Joanna Ridgeway, LPN, Vice President Hilliard 2022
Sandra Beidelschies, RNUpper Sandusky 2021
Matthew Carle, Consumer MemberBlacklick 2023
Donna L. Hanly, RN 2025Galena
MembersOhio Board of Nursing City Term Expires
Erin Keels, RN, APRN-CNPColumbus 2022
Deborah Knueve, LPNColumbus Grove 2021
Daniel Lehmann, RN, LPN Dayton 2021
MembersOhio Board of Nursing City Term Expires
Nancymarie Phillips, RNWilloughby 2023
Sandra A. Ranck, RNAshtabula 2022
Patricia A. Sharpnack, DNP, RN Supervising MemberChardon 2021
Advisory Groups and CommitteesAll meetings of the advisory
groups are held in the Board office. If you wish
to attend one of these meetings, please contact
the Board office at 614-466-6940 or [email protected] to confirm the location, date or time.
Advisory Committee on Advanced Practice Registered Nursing – Chair: Erin Keels, RN, APRN-CNP November 9, 2021Advisory Group on Continuing Education – Chair: Daniel Lehmann, RN, LPN September 24, 2021Advisory Group on Dialysis – Chair: Deborah Knueve, LPN September 21, 2021 (Meeting starts at 1:00 p.m.).Advisory Group on Nursing Education – Chair: Patricia Sharpnack, DNP, RN October 7, 2021
Board Meeting Schedule 2021 September 22-23, 2021, November 17-18, 2021
• Expedited new licenses for those entering
the workforce and license reinstatements or
reactivations for large numbers of nurses
re-entering the workforce.
• Increased Ohio’s nursing workforce
for the pandemic by issuing 16,628
licenses between March 1, 2020, and
June 30, 2020, which was an increase
of 4,546 over the same time in 2019.
• Issued 5,468 temporary licenses through
June 30, 2020, based on provisions in
HB 197 that authorize licensure prior to
passing the NCLEX.
• Extended 1,500 license deadlines in
accordance with HB 197, as of June 30, 2020.
• Worked with the State, NCSBN, and
Pearson VUE to re-open the NCLEX
examination testing centers and restore
full testing capacity in Ohio by July 20,
2020, after the March 2020 closure of
the centers.
• Assured that all investigative and
disciplinary processes remained in place
and were completed in a timely manner.
• Developed, distributed, and posted
numerous practice and education guidance
documents and links to COVID-19
resources to keep licensees and educators
informed and updated during the
pandemic.
• Assisted the Ohio Department of Health
(ODH) with surge planning workforce
efforts. ODH reported that 7,495 of
those responding to a workforce survey
indicated having a nursing license, and
the Board compiled the identifying
information for the records.
The Open Meetings Act was amended during
the declared emergency to authorize holding
meetings virtually. While the Board’s
preference is to hold public meetings in
person, our experience was that meeting
virtually was a benefit to all parties. The Board
believes that this option would be beneficial,
especially for committee and advisory group
meetings, and would increase public access to
Board meetings for those who do not wish to
travel or are unable to travel to Columbus.
The Board has a proven track record of public
protection, participating in initiatives to
combat the nursing shortage, and regulating
the largest number of licensed professionals of
any agency in the State of Ohio, while at the
same time, implementing numerous cost
reductions and operational efficiencies. The
Board operates as a well-run, self-sufficient,
and publicly accountable business, as
evidenced by operating with the lowest staff to
licensee ratio among professional licensing
boards in the State.
The Board has been recognized nationally by
receiving the national R. Louise McManus
Award (Executive Director), Board
Regulatory Achievement Award, Exceptional
Leadership Award (Past President), the
Elaine Ellibee Award (Current Supervising
Member and Past President); Exceptional
Contribution Award (Board staff), and the
TERCAP Certificate of Achievement.
26 MOMENTUM26 MOMENTUM
• Go to eLicense.ohio.gov• Log into your account• Scroll to the panel displaying your license type and number• Click the “Options” link on the appropriate license panel • Click on the link “Change Name”• Upload one of the certified court records listed below:
• Click “Submit”
If you have difficulties logging into your account or uploading documents, contact the Customer Service Center at 614-466-3947, “Option 1” (weekdays 8am-5pm, except for holidays). If you need assistance after business hours, email [email protected]. and include a brief description of the issue, your first and last name, telephone number, email address, and license number, if you have it.
For other questions, email [email protected] and include a brief description of the issue, your first and last name, telephone number, email address, and license number, if you have it.
Make sure you timely update your address – it is a requirement by law that licensees report address changes, within 30 days of the change, to the Board. Your address of record is used for communication purposes.
• Go to eLicense.ohio.gov• Log into your account• Scroll to the panel displaying your license type and number• Click the “Options” link on the appropriate license panel • Click on the link “Change Address”• Click “Submit”• Address changes made online are processed through the system automatically
How Do I Change My NAME with the Board?
How Do I Change My ADDRESS with the Board?
o Marriage Certificate/Abstract o Court Record indicating change of name o Divorce Decree o Documentation from another state/country consistent with the laws of that jurisdiction
If you have difficulties, contact the Customer Service Center at 614-466-3947, “Option 1” (weekdays 8am-5pm, except for holidays). If you need assistance after business hours, email [email protected] and include a brief description of the issue, your first and last name, telephone number, email address, and license number, if you have it.
For other questions, email [email protected] and include a brief description of the issue, your first and last name, telephone number, email address, and license number, if you have it.
Requests received online are processed in 2-3 business days
IF YOU HAVE NOT USED OHIO ELICENSE WITHIN 12 MONTHS, YOUR PASSWORD HAS EXPIRED.
To see if you can log into your account, go to http://elicense.ohio.gov.• Click on “Forgot your password?” and enter your email address; then check
your email for a password reset link from “[email protected].”• Copy the entire link (begin with “https” and ending with your last name)
and paste the entire link into Google Chrome to get to the reset password page.
• The reset link sent to you will expire after 24 hours; reset your password as soon as possible.
CHANGING YOUR EMAIL IN THE OHIO ELICENSE SYSTEMOhio eLicense uses your email address to generate communications AND serves as your user ID for login/accessing your license information. Step 1 – When you change your current email to a new one via your Manage Profile page, a notification is sent to the current email asking you to confirm that you requested the change. Step 2 – Once you confirm the request, a notification will be sent to your new email confirming that the change has been made.
If you have questions or need assistance, call the CustomerService Center at (614) 466-3947 and select “Option 1” (weekdays 8am-5pm, except for holidays).
BEST WEB BROWERS TO USE FOR OHIO ELICENSE• Google Chrome (recommended)• Moxilla firefox• Microsoft Internet Explorer (Version 11)
CHECK YOUR RENEWAL STATUS If you are unsure of your renewal status, please go to https://elicense.ohio.gov/oh_verifylicense. If it shows an expiration date of this year, it means either you have not started to renew; you have not completed the renewal process; or you have not placed your license on inactive status.
IT IS IMPORTANT TO CHECK YOUR APPLICATION STATUS!If your application is in “Pending” or “Generate Fee” status, the application has not yet been received by the Board because it is incomplete. Return to your application to see if all the information is complete and you paid the fees.
If your application shows as “Submitted” or “In Review,” you can check if documents are still needed, without calling the Board. Log into Ohio eLicense -- be sure you are on the “Welcome to your eLicense Dashboard,” and select “Application Status” from Options.
If you are checking your Submitted or In Review APRN endorsement, select “Application Status” from the down arrow box to the right of your APRN endorsement. Please do not submit more than one application – that will delay processing.
IF YOU FORGOT YOUR PASSWORD OR YOUR PASSWORD HAS EXPIRED
Ohio Board of Nursing 27
Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1
July 2021 Disciplinary Actions
BOARD DISCIPLINARY ACTIONSThe following includes lists of Board disciplinary actions taken at public meetings regarding licensed nurses or certificate holders. You can review thetype of action taken by checking the individual’s credential at the Ohio eLicense Center at: http://www.nursing.ohio.gov/Verification.htm#VERInfo, or by clicking on License and Certificate Verification on the Board of Nursing’s website (www.nursing.ohio.gov). You may also request a copy of a public disciplinary record by completing the electronic form on the Board’s website at: http://www.nursing.ohio.gov/iw-DisciplineRecReq.htm or by clicking on Discipline Records Requests on the Board’s website.
Adamson Chelsey P.N. 174457
Ahlstrom Erin R.N. 423750
Alvord Kelly P.N. 116974
Arthur Rhonda R.N. 406298
Asher Erica P.N. 159390
Ayala Dana R.N. 385888
Babalola Mobolaji R.N. NCLEX
Bailey Bianca R.N. 440183
Baker Jaime P.N. 128729
Baker Roxanne R.N. 277277
Bankhead Hasley Ikeia P.N. 175178
Baumgartner Amy R.N. 292799
Benke Brad P.N. 150827
Benndorf Sherrill P.N. 163140
Beverly Stefanie P.N. 119494
Boehler Karen R.N. 250564
Bofah Kwadwo R.N. NCLEX
Bowen Ashley R.N. 325770
Bowman Elena R.N. 281527
Brogan Nicole R.N. 378073
Brooks Kimberly R.N. 318148
Burga Tracy R.N. 316982
Butts Amber P.N. 143116
Byrne Scott P.N. 141487
Cagle James R.N. 334518
Chwojdak Gregory R.N. 350207
Clarke Arlene P.N. 159599
Clemens Youvona R.N. 299150
P.N. 100556
Clemmons Ebony R.N. 227549
P.N. 077010
Clevinger Carol R.N. 247690
Cline Courtney R.N. 373037
Clinton Sheneda R.N. NCLEX
Colborn JoAnn R.N. 413873
Comstock Randall P.N. 141250
Cox Ashley P.N. 139166
Craft Victoria R.N. endorse
Craig Jennifer R.N. 351625
Cullison Tiffany P.N. 156608
Davis Julie R.N. 330937
Davis Lucy R.N. 396158
Davis Sarah D.T. 005862
Davis Tiffany P.N. 146018
Dean Elizabeth R.N. 490722
P.N. 145035
Delgado Jarod P.N. 128682
Dobos Denise R.N. NCLEX
Dubetz Davea R.N. 390616
Durre Lori P.N. 160423
Duru Martin R.N. 366661
Ervin Amy R.N. 382951
P.N. 101389
Euton Angel R.N. 189551
Fancil Casey R.N. 360896
Farmer Janis R.N. 387875
P.N. 122013
Faulkner Pamela R.N. 469976
Frazier Telissa R.N. 406122
Frohman Mariann P.N. 116507
Funk Angela R.N. endorse
Gabor Tracy R.N. 395432
Gardner Denise R.N. 368359
Gerber Wanda P.N. 051273
Giacomoni Michelle R.N. 320001
Gibson Elisha R.N. 388874
Gillum Cynthia R.N. 420623
P.N. 148652
Graves Deborah P.N. 097872
Haines Dawn P.N. 141593
Handshoe Kara P.N. 128735
Hartley Sherry R.N. 343913
Havens Kelley R.N. 448426
Hawkins Jeanette P.N. NCLEX
Heiney Tina R.N. 396217
Heintz Lynda R.N. 298879
CNP 10611
Henderson Dreama R.N. 405233
P.N. 146234
Henderson Kara R.N. 391807
Henke Rebecca R.N. 413489
Hess David R.N. 415047
Hill Falon R.N. 328422
Hipkins Stacia R.N. 349799
Holmes Linda R.N. 245495
Howard Marcia R.N. 328635
Huart Anita R.N. 459090
Hughes Melessia R.N. 324521
Huot Catherine P.N. 084000
Huron II Earl R.N. 404726
P.N. 144430
Ibrow Yussuf R.N. 449070
Ivory Judith R.N. 345894
Januzzi Jenna R.N. 374212
CNP 022643
Jenkins Jennifer R.N. 341654
Johnson Prescious P.N. 152524
Johnson Shawn DT 000299
Jones Trina R.N. NCLEX
Keister Maureen R.N. 284684
Kendall Tyler P.N. 169913
Kennedy Miranda R.N. NCLEX
Kisor Elizabeth R.N. NCLEX
Kloyda Debra R.N. 442060
Kohart Jessica R.N. 317027
Kohler Alfred R.N. 283158
P.N. 090212
Koss Christine R.N. 430232
Kovacs Barbara R.N. endorse
Kreager Lora P.N. 102725
Kuzma Jennifer D.T. 001518
Lee Salena R.N. NCLEX
Leeson Cara R.N. 390608
Leeth Alivia P.N. 143764
Leveille Cam-Suze R.N. 482714
Locke Donna R.N. 367500
Lorenz Cynthia P.N. 144909
28 MOMENTUM
July 2021 Disciplinary Actions
Loveless Amanda DTI 006219
Lowe Bridget R.N. 454788
Lucas Teresa R.N. 409550
P.N. 114386
Lyons Stephanie R.N. 262210
Madison Ashley P.N. 165994
Maltry Anita P.N. 098258
Mangus Carli R.N. 423298
Martin Jennifer R.N. 359844
Massie Karalee R.N. 443678
CNP 021806
Mast Aubree P.N. 171664
McCartney Fotini P.N. 136034
McCusker Cory R.N. 318550
McHone Stacey R.N. 419782
Merchant Javonnda P.N. 146569
Michel Nardine R.N. 481366
Miller Andrew P.N. 164078
Miller Brittany R.N. 395592
CNP 022041
Miller Jessica P.N. 147500
Miller Nicole R.N. 386335
Mills Lauren P.N. 168024
Mitchell Kristen P.N. 097152
Moffett Bryce R.N. NCLEX
Mohney Jill R.N. 482088
Molnar Diane R.N. 207702
Monserrat Martha R.N. 247041
Montgomery Karen R.N. 334830
Moore Kara P.N. 137638
Moore Shannon P.N. 140688
Moran Beverly R.N. 225692
Morgan Dennis R.N. 295130
Moton Lisa R.N. 278017
Mull Kelly P.N. 103396
Nartker Abigail R.N. 314458
CNP 12949
Nava Courtney P.N. 165813
Neale Georgienne R.N. 109889
Nichols Angela R.N. 355784
Nicholson Lori P.N. 109321
Null Mary P.N. 098658
Nunnally Courtney R.N. 367244
Obregon Jason DTI applicant
Offei Perpetual R.N. 440254
Oke Oluwaseum R.N. 462517
P.N. 144179
Patricy Martha P.N. 125526
Patterson Connie P.N. 111299
Paugh Kailey R.N. 424554
Payette Pamela R.N. 387015
P.N. 141894
Peart Tamara R.N. 480859
Pesa Amy R.N. 400598
Peters Angela P.N. 158844
Petrovich Jacquelyn R.N. 444215
Pflager Kirk R.N. 314303
Phillips Roxanne P.N. 115479
Poor Viktor R.N. 389744
Prifogle Laura R.N. 377693
Rafferty Shiloh R.N. NCLEX
Raybourn Beverly P.N. 156699
Reed Trenton R.N. 283558
CRNA 13993
P.N. 097307
Regec Rachel R.N. 389743
Rhodes Michelle R.N. NCLEX
Risner Kyle R.N. 461840
Roberts Christina R.N. 412368
Robinson Jacob R.N. 446966
Rose Tara P.N. 162744
Rosenstengel Caprice R.N. 375193
Rossi Kristen R.N. 440856
Rucker David R.N. 430289
Rudman Troy R.N. 404835
Saas Jennifer R.N. 204041
Sanders Adriane R.N. 370736
Santoiemma Misty P.N. 123239
Saunders Courtney R.N. 388865
P.N. 145084
Schroeder Nicole P.N. 135301
Semmer John P.N. 125777
Sidney Emily R.N. 351656
Simpson Valencia P.N. 167137
Sims Jason R.N. 419089
Sims Latasha P.N. 145069
Skidmore Andrea P.N. 154288
Smith Dakota P.N. 150426
Smith Jasmine R.N. 470053
Smith LaTisha P.N. 139226
Smith Melinda R.N. 248946
Smith Shanda P.N. 172112
Smith Tamatha P.N. 161124
Sobtzak Terese R.N. 422045
Stack Kelly R.N. 429092
Stevenson Beatrice R.N. 219485
Stiegel John R.N. 352744
Stolz Robert R.N. 321559
Swartz Molly R.N. 452084
P.N. 115002
Sykes Jacklyn R.N. 402191
Tanner Gregory R.N. 270002
Temple Jessica P.N. 168830
Thomas Jessica P.N. 130966
Thompson Antoinette R.N. 444987
Thorpe Velvet P.N. NCLEX
Tilocco Denise P.N. 083546
Tovanche Nadia R.N. 406530
P.N. 128519
Tryon Alysha P.N. 164895
Tumen James R.N. 428141
Turner Deborah P.N. 113464
Vacco Nicole R.N. 357161
Walker Katharine R.N. 381662
Wall Amanda P.N. 159423
Wallace Elizabeth R.N. 326726
Wallace Lori P.N. 113993
Weaver Danisha P.N. 148867
Weldon Winter R.N. 267142
Wilbon Tiahna P.N. 159687
Wilbur Dina R.N. NCLEX
P.N. 156213
Winkler Jessica R.N. 360651
Wirth Christina R.N. 380746
Woods Howard R.N. 470754
P.N. 118948
Young Eleanor R.N. 346381
P.N. 106416
Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1
Ohio Board of Nursing 29
July 2021 Monitoring Actions Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1 Last Name First Name LT1 Lic. #1
Aikins Beverly R.N. 228068
Antonelli Catherina R.N. 247946
Azzarello Angela P.N. 177592
Ball Megan R.N. 414113
Ball Shelly R.N. 470652
P.N. 140865
Balogh Dina P.N. 122620
Berardi Melissa R.N. 335023
Blair Jordan R.N. 443750
Brandewie Bethany P.N. 148465
Brown Nicole P.N. 153987
Campbell Christa R.N. 358675
Campbell Ilisa P.N. 173789
Chase Linda R.N. 330058
Coleman Enid P.N. 166769
Cook Connie R.N. 333054
P.N. 122786
Cook Lashonda P.N. 154785
Cordier Patrick P.N. 142661
Cosiano Tiffany R.N. 410972
P.N. 135420
Courtland Natoshia R.N. 484117
Curnett Tonya R.N. 362008
Dagani Matthew R.N. 356942
Davis Precious P.N. 164786
Dawson Lori R.N. 280984
Dittmer Julie R.N. 302330
Dudley Sheena P.N. 162035
Durst Michelle P.N. 126062
Geer Kara P.N. 145334
Gilbert Melinda P.N. 157926
Gilmore Teasha R.N. 474356
Grooms Jennifer R.N. 301736
Hawkins Thomas R.N. 331388
Henderson Sylena P.N. 171911
Hernon Brenna R.N. 470621
Hess Christopher R.N. 491009
Hill Edward R.N. 373519
Hite Amanda R.N. 341404
Holt Danielle R.N. 440645
P.N. 159712
Hovinga Lindsey R.N. 382969
P.N. 127268
Howard Gwendolyn P.N. 120464
Jimenez Melissa R.N. 337511
P.N. 104015
Johnson Dawn R.N. 291264
Johnson Jannette R.N. 117212
CRNA 03971
Kent Kelly R.N. 323703
Keyes Kimberly R.N. 204773
Keys Lisa R.N. 289461
Koberlein Margaret R.N. 406336
Kreps Kathleen R.N. 490732
Lewis Kristen P.N. 154241
List Stephanie R.N. 290896
CRNA 08573
Littman Richard R.N. 334623
Long Roxanne R.N. 385032
Lover Marina P.N. 179184
MacDougall Anastasia R.N. 341435
Mauchamer Jacqueline R.N. 349010
Merrida LaTonya P.N. 177009
Miller Jamie R.N. 328641
CRNA 18164
Miller Jenny P.N. 136456
Morton Darin D.T. 005779
Moye Laquita R.N. 390206
Murrell Melissa P.N. 130061
Myers Christopher P.N. 130458
Myers Kathryn R.N. 244290
Nickens Nicole R.N. 346914
CNP 020745
Ntchomoho Kevin P.N. 169904
Parry Samantha R.N. 346181
P.N. 117711
Patchen Kyle R.N. 423304
CNP 024202
Pettaway Latasha P.N. 160350
Pryor Anita R.N. 364992
Rambo Adam R.N. 414102
Raymond Mary P.N. 130614
Reese Robert R.N. 376545
Reiter Stephanie R.N. 396047
Ripley Kristen P.N. 169531
Robinson Keena P.N. 155256
Saa Michelle R.N. 449406
Sauber Jane P.N. 169359
Savage Margaret P.N. 106376
Setser Cynthia P.N. 123212
Shaw Lori R.N. 285587
Sherman Dawn R.N. 355858
P.N. 116814
Slovak Monica R.N. 370049
Smith Sabrinia P.N. 152554
Sorg Bambi R.N. 280517
Spildener Victoria R.N. 371349
Streb Melanie P.N. 127746
Strohmeyer Kathleen R.N. 424355
Sykes Jacklyn R.N. 402191
Takacs Starla R.N. 272619
Thiergart Melissa R.N. 221346
Valentine Yvette R.N. 263444
P.N. 087356
Vazquez Allyson R.N. 444716
Weber Jennifer R.N. 405563
P.N. 125242
Whetsel Shannon P.N. 117072
White Tierra P.N. 174211
Winkler Jessica R.N. 360651
Worthington Angela P.N. 102778
Yoakum Charlene R.N. 250357
Zumstein James R.N. 375071
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