URSING Nevada State Board ofNEWSepubs.nsla.nv.gov/statepubs/epubs/620964-2006-6.pdfYour Questions,...

NURSINGNEWSNURSINGNEWSNevada State Board ofNevada State Board of

June 2006

Majority of Nurses and CNAs Now Renew On Line

Your Questions, Our Answers

Bioterrorism CE Reminder

Meet the Staff

Members ofthe Board’sDisabilityAdvisoryCommittee

7 0 2 . 3 8 3 . 2 0 0 0 w w w . u m c s n . c o m

I n o n e p r e c i s e m o m e n t

Something happens when you puteleven centers of excellence in one hospital:Every moment is charged with meaning.And miracles are all part of a day’s work.

the symbol of excellence

a mother holds her first child

a stroke survivor takes a step on her own

a heart patient is flown in by chopper

and a doctor says, “she’s going to be fine.”

3Nevada State Board of Nursing ■ Toll-Free 1-888-590-6726 ■ www.nursingboard.state.nv.us

The mission of the NevadaState Board of Nursing is toprotect the public’s health,safety and welfare througheffective regulation of nursing.

Debra Scott, MS, RN, APN Executive Director

Cindy Kimball, EditorPublic Information Officer

5011 Meadowood Mall Way,Suite 201Reno, NV [email protected]

The Nevada State Board ofNursing News publishesnews and information quarterlyabout Board actions, regulations,and activities. Articles may bereprinted without permission;attribution is appreciated.

NEVADA STATE BOARDOF NURSING5011 Meadowood Mall Way,Suite 201Reno, NV 89502-6547phone—888-590-6726 fax—775-688-2628 [email protected]

2500 W. Sahara Ave., Suite 207Las Vegas, NV 89102-4392phone—888-590-6726fax—[email protected]

WORLD WIDE WEB

www.nursingboard.state.nv.us

6Nevadans Help Develop NCLEX Items

Majority of Nurses and CNAsNow Renew On Line—

Look for the blue or yellow postcard

Your Questions, Our Answers

4

8

9NCSBN Seeks Your Input on Current

LPN/VN Entry-Level Nursing Practice 10Remember, You Must Complete

a Bioterrorism Course 12Meet the Staff 13

Board Revises PICC Practice Decision 14

Created by Publishing Concepts, Inc.Virginia Robertson, President • [email protected] • 14109 Taylor Loop Road • Little Rock, AR 72223 / 501.221.9986

For advertising information contact: Jane Coker at 800.561.4686 • [email protected] our website www.thinkaboutitnursing.com

C O N TA C T

If you’re reading a friend’s magazine, it’s probablybecause you didn’t notify the Board of your correct address.You may do so by visiting our website and clicking on the“Address Change” link.See page 18 for details.

Edition 10

contentspage 8

page 13

We’re All in This Together

page 12

Board and Advisory Committee Meetings 6

You’re in Good Company 6

Board Members 16

Moving? Now you can change your address on line! 18

Disciplinary Actions 20

Staff Directory 22

On the Cover: Members of the Board’sDisability Advisory Committee gather before theirsemi-annual meeting in Las Vegas this April.Standing: Doreen Begley (Board liaison), MaryCulbert, Judith Vogel, Virginia Deleon, JanBrethauer, Sandra Hotchkiss; Seated on chairs:Roseann Colosimo, Phyllis Erichsen, Judith Slaney,Alice Adams; Seated on floor: Kathleen Reynolds(compliance coordinator) and Cookie Bible.Photo by Debra Scott

Circulation includes more than 30,000 nurses, nursing assistants and student nurses.

page 13

Being a nurse takes an enormous amount of ener-gy. Energy to deliver safe, quality care. Energy tomaintain our professional competence and furtherour development. And energy to work in today’schallenging healthcare environment, especially herein Nevada, where we have one of the most seriousnursing shortages in the nation. (According to thepreliminary findings of the 2004 National SampleSurvey of Registered Nurses conducted by the federalHealth Resources and Services Administration,Nevada has 604 registered nurses per 100,000 popu-lation, placing us just above California, the statewith the lowest RN to population ratio at 590 per100,000.)

Despite these “energy-zappers,” most nurses stillhave the energy to put their patients first. The role ofthe Nevada State Board of Nursing is also to putpatients first. Our mission, mandated by the NevadaState Legislature, is to protect the public’s health,safety, and welfare by effectively regulating the prac-tice of nursing and enforcing the provisions of theNevada Nurse Practice Act.

When the legislature established the Board in1923, it was to answer the question: “How can we, asa state, be sure that those individuals who wish tomake nursing their career are safe and competent topractice in the real world?”

In addition to creating the Board, the legislatureanswered that question by passing the laws that serveas the foundation for nursing regulation. Together,nursing laws and regulations make up the NursePractice Act. Have you looked at it lately? Do youknow the scope of your license? Do you know yourobligations relating to safe and competent practice? Iinvite you to visit our website atwww.nursingboard.state.nv.us and click NursePractice Act and Practice Decisions and explore foryourself the laws, regulations, and decisions thatguide your practice in Nevada.

The Board, the legislature, and members of thehealthcare community are continually evaluating theNurse Practice Act to ensure it is current withacceptable and legal limits regarding the practice ofnursing. We invite you to join us in this endeavor.You may do this through applying to become a mem-ber of one of the Board’s five advisory committees(visit our website for a committee application, com-mittee descriptions, lists of members, and currentopenings). We also encourage you to attend advisorycommittee and Board meetings (notices of which arealso on our website). Dates of future Board and com-mittee meetings and current committee openings arealso listed on page 4 of this magazine.

Many individuals volunteer their time to Boardcommittees to address current practice issues andexplore the need for changes. (Most of the membersof the Disability Advisory Committee are featuredon the cover of this magazine.) These committeesmake recommendations for change and provide theBoard with a wealth of information regarding nurs-ing practice. This input allows our seven Boardmembers to make educated and informed decisionsregarding the regulation of practice in Nevada. Allrecommendations are presented in public meetingsbefore being considered for change to our NursePractice Act.

We at the Board, both staff and members, sin-cerely believe that through the thoughtful collabo-ration of licensed and certified individuals whohave the public interest at heart, protection of thepublic can also mean success in the advancement ofthe practice of nursing. And isn’t that really whatit’s all about?

Debra Scott, MS, RN, APNExecutive Director

We’re All in This TogetherA message from the executive director

4 Nevada State Board of Nursing ■ Toll-Free 1-888-590-6726 ■ www.nursingboard.state.nv.us


REACHRECRUITRETAIN

THE NEVADA BOARDOF NURSING

MAGAZINE SCHEDULE• September 2006• December 2006• March 2007• June 2007

to reserve advertising [email protected]

1-800-561-4686

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Our State Board magazines are direct mailed to everylicensed nurse in the followingstates–one million and growing!


March 2006

ProfessionalBoundaries

What are they and how can

you stay within them?

Meet the Staff

GovernorAppointsNew LPNBoardMember

Betty McKay


June 2006

Majority of Nurses and CNAs Now Renew On LineYour Questions, Our Answers

Bioterrorism CE Reminder

Meet the Staff

Members ofthe Board’sDisabilityAdvisoryCommittee

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Join our community based, world-class healthcare system—recently named one ofNevada’s best companies to work for. Visit our Web site www.washoemed.comto apply today and learn more about benefits and opportunities.

• RN OpportunitiesICN, ICU, ED, PICU, Surgical Services, Telemetry, L&D, Med Surg, Neuro, Ortho, CIC, Peds, Postpartum

• CNAs, LPNs and Graduate Nurses

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MEETINGS AND OPENINGSThe openings (listed in parentheses)will occur in the next six months. Allmeetings will be held via videoconfer-ence in Reno and Las Vegas, exceptfor the Disability Advisory Committee.

Advanced Practice AdvisoryCommittee (two)

Recent reappointments: Amy Booth, MSN,RN, APN, and Tricia Brown, MSN, RN, APNAugust 16, 2006November 7, 2006

CNA Advisory Committee (two)August 17, 2006November 2, 2006

Disability Advisory Committee (three)Recent appointment: Ann Testolin, EdD,MS, BS, RNOctober 20, 2006 - Reno

Education Advisory Committee (four)August 11, 2006November 3, 2006

Nursing Practice Advisory Committee (three)Recent appointments: Mary Wherry, MS,RN, and Vickie Wright, MBA, RN, CCRN,CCMJune 7, 2006August 8, 2006October 3, 2006December 5, 2006.

B O A R D TA L K

BOARD MEETINGSA seven-member board appointed by thegovernor, the Nevada State Board ofNursing consists of four registered nurs-es, one practical nurse, one certifiednursing assistant and one consumermember. Its meetings are open to thepublic; agendas are posted on theBoard’s web site and at community sites.

BOARD MEETING DATES(June 21, 2006)July 19-21 (annual business

meeting) - Elko(August 23, 2006)September 20-22, 2006 - Las Vegas(October 18, 2006)November 15-17, 2006 - Reno(December 13, 2006)

(Meetings may be held on dates and inlocations in parentheses, depending onBoard business.)

ADVISORY COMMITTEESThe Nevada State Board of Nursing isadvised by and appoints members tofive standing advisory committees.Committee meetings are open to the pub-lic; agendas are posted on the Board’swebsite and at community sites. If youare interested in applying for appoint-ment to fill an upcoming opening, pleasevisit the Board’s website or call the Renooffice for an application.

COME TALK TO THE BOARDDuring each regularly scheduled meeting of the Nevada State Board of Nursing,Board members hold a Public Comment period for people to talk to them on nurs-ing-related issues.

If you want to speak during the Public Comment period, just check the meetingagenda for the date and time it will be held. Usually, the Board president opensthe first day of each meeting by inviting Public Comment. Time is divided equallyamong those who wish to speak.

For more detailed information regarding the Public Comment period, please callthe Board.

WE’LL COME TALK TO YOUBoard staff will come speak to your organization on a range of nursing-relatedtopics, including delegation, the impaired nurse, licensure and discipline process-es, and the Nurse Practice Act.

Local nurse and Board member servedon national panels

Nevadans Help DevelopNCLEX Items

The National Council of StateBoards of Nursing (NCSBN) recentlyrecognized Nevada registered nurseLisa Watson for serving on theNCLEX-RN Item Writing Panel,February 13-16, 2006. It also recog-nized Mary Ann Lambert, MSN, RN,and a member of the Nevada StateBoard of Nursing, for serving on theNCLEX-RN Item ReviewSubcommittee, March 8-10, 2006.

If you would like to participate inthe review or development of itemsfor the national nursing licensureexam, you can learn more by going tothe National Council’s website atwww.ncsbn.org, and clicking on ItemDevelopment On-line Application underthe heading Testing ServicesAnnouncements. If you don’t have webaccess, call 312-525-3775.

YOU’RE IN GOODCOMPANYActive Nevada

licenses/certificates on April 24, 2006

RN • 22,020LPN • 3,122CNA • 6,127


Apply online by visiting BannerHealth.com, keyword:Choices. To speak to a recruiter Monday–Friday, call 866-377-JOBS (5627) between 7am–6pm MST.Banner Health facilities are located in:

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Banner Churchill Community Hospital is currently seeking:

Need more options? We have an excellent in-house Travel and Registry program. To find out more, visit our website and enter keyword: Travelers.

It’s never been easier to find your perfect fit in Nevada!

• Director of Inpatient Services • RN – Emergency Dept.

• RN – Med/Surgery

Before you email the Board,make sure you add us to your “safelist” and/or have given your emailprovider permission to receive mes-sages from email addresses endingwith @nsbn.state.nv.us. We respondpromptly to every email inquiry, butoften, our responses are rejected.Sometimes, they’re returned as“undeliverable” or they are mistakenfor spam. Other times, we’re askedto sign in and provide a passwordto an email screening service, whichis against Board policy.

So, if you’re wondering why theBoard doesn’t answer your emails,check to see whether you’vescreened us out. We want to hearfrom you and we want you to hearfrom us!

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Two months before their Nevadalicense or certificate expires, all nursesand CNAs are mailed blue (nurse/advanced practitioner) or yellow (nurs-ing assistant) postcards. The postcardcontains a Personal IdentificationNumber (PIN) and instructions toaccess the Board’s website at www.nurs-ingboard.state.nv.us for on line renewal.

All you need to renew your Nevadalicense or certificate is a MasterCard™,Visa™ or Discover™ debit or credit

card, and access to the internet. If youare a CNA, you will also need the fullname and license number of your super-vising RN or LPN.

Once you’ve successfully completedthe process, your license or certificatewill be renewed within one business day.Your hard card will follow in the mail.

If you don’t have a MasterCard™,Visa™ or Discover™ debit or creditcard, the postcard will direct you tocomplete and print a renewal applica-

tion from the Board’s website or call foran application to be mailed to you.

If you have a credit or debit card, butdon’t have access to the internet, youcan come to either Board office andrenew your certificate using the lobbycomputer set up just for you!

So, make sure you receive the post-card by ensuring the Board has your cor-rect address—you can update youraddress through our website, or completethe change of address form on page 18.

Please note:• CNAs need the full name and license

number of their supervising RN or LPN.The Board has recently received calls from employersconcerned about supplying CNAs with the RN/LPN licensenumber of their supervising nurse. As a reminder, thisrequirement has been in place for several years. With itsnew application and on line service, the Board has actu-ally made it simpler for employers, as it is no longerrequiring the employer to complete an “EmploymentVerification Information” section in addition to the super-vising nurse’s name and license number.

• License and certificate numbers are pub-lic information. Not only do boards of nursinghave a right to request the license or certificate numberof any nurse or CNA, so does any member of the public.

• The Board is auditing for compliancewith the CE requirements for nurses andadvanced practice nurses, as well as theemployment and continuing education/training requirements for CNAs. Althoughyou no longer need to submit copies of these records withyour application, you must keep them for four years incase you are audited. If you cannot prove that you havecompleted these renewal requirements, the Board maytake disciplinary action against your license or certificate.

Problems with on line renewal?

We receive several calls a day from people who have problemswith on line renewal. We are glad to help walk you through theprocess, but here are some tips that may help you help yourself:

• Read the screening questions carefully and answer them truthfully.

• Make sure you enter your license or certificate number with nospaces between the type and the number, and make sure youinclude the leading zeros.

For example: RN00055 or CNA00055.

• The Board’s on line renewal system works best with InternetExplorer. If your internet browser is Netscape, Firefox, or if youhave DSL service, you may encounter problems. If you do, youmay call the Board office for assistance, or complete the paperrenewal application.

• If you need to complete a paper renewal application, you will bedirected to click a link to a PDF form that will open in the AdobeAcrobat Reader program. You will be able to type in your answersdirectly into the application, then print it, sign it, and mail it inwith your fee. Remember to click the link—do not print the on linerenewal screen—it is not the paper renewal application.

Majority of Nurses and CNAsNow Renew On Line Look for the blue or yellow postcard—it is mailed two months before your expiration date

Every day, the Board receives manycalls and emails regarding scope ofpractice, asking questions that rangefrom what kind of drugs a nurse isallowed to administer during proce-dural sedation to whether a CNAcan tell a patient a diagnosis.

While the Nurse Practice Act andthe Board’s practice decisions do specifi-cally address some of these questions (e.g.procedural sedation), there is no one“list” of acceptable procedures.

The Nurse Practice Act defines nurs-ing in terms of applying the nursingprocess, teaching health care practices,and managing the practice of nursing.

To determine if providing a specificservice or procedure is acceptable prac-tice, both the specific circumstancesinvolving the patient’s condition andthe competency of the nurse must beconsidered.

Published inside the Nurse PracticeAct (revised May 2004) is a list of spe-cific practice decisions (pages 91-95)and a guideline and decision tree fordetermining scope of practice (pages96-97). (This information is also on theBoard’s website.)

The guideline lists basic questions youshould ask if you’re trying to determinewhether a practice is within your scope.If you can answer yes to all the questions,and other state or federal laws and regu-lations don’t prohibit it, the practice isprobably within your scope.

Here are answers to some of thescope of practice questions the Board isfrequently asked.

Q If my facility employs nursesor CNAs from a staffingagency, whose responsibility

is it to verify they have activeNevada licenses or certificates?

A It is the responsibility of both thefacility and the staffing agency.Per NAC 632.890(30)(c), the

chief nurse where the nurse or CNA isemployed and/or working is responsiblefor verifying he or she has an activeNevada license or certificate. To do so,the Board encourages you to use ourwebsite verification system. It’s quick,convenient, and it’s updated within one

business day of renewal or initialissuance. You can also call the Board forverification at 888-590-6726. Bothmethods ensure you have the most up-to-date information about the license orcertificate status of your employees andpotential employees.

Q Can a nurse cut a diabetic’s toenails?

AYes. Per NAC 632.225 a regis-tered nurse may perform a skill,assessment, intervention or other

duty in addition to those taught in abasic nursing educational program for aprofessional nurse if they meet therequirements outlined in the regulation.Requirements included in the regulationare: is the skill within the scope of prac-tice of the nurse, is there documentationof the nurses’ competence in perform-ance of the skill maintained by theemployer, and are there written policyand procedures in place?

Q If a practice is allowed bythe Nurse Practice Act, canmy facility prevent me from

performing it?

AYes. A facility’s policies and proce-dures may be more restrictive thanNevada laws, regulations, and

decisions. However, a facility may notexpand a nurse’s or CNA’s scope of prac-tice by instituting policy and proceduresthat are in conflict with the NevadaNurse Practice Act.

QMay a CNA tell a patient a diagnosis?

ANo, and neither may an RN orLPN. Informing a patient of adiagnosis is the responsibility of

an advanced practitioner of nursing, alicensed physician, a licensed physicianassistant, a licensed dentist or alicensed podiatric physician.

QWhat drugs may nursesadminister during procedural sedation?

AAccording to the Board’sProcedural SedationPractice Decision, there are

“. . . no limits on the type of medicationor route of medication; there is only therequirement that the drug be ordered byone lawfully authorized to prescribe.

“Specifically, the registered nurse mustbe competent to perform the function,and the function must be performed in amanner consistent with the standard ofpractice. In administering medications toinduce procedural sedation, the RN isrequired to have the same knowledgeand skills as for any other medication thenurse administers. This knowledge baseincludes but is not limited to: effects ofthe medication, potential side effects ofthe medication, contraindications for theadministration of the medication, andthe amount of the medication to beadministered. The requisite skills includethe ability to: competently and safelyadminister the medication by the speci-fied route, anticipate and recognize thepotential complications of the medica-tion, recognize emergency situations,and institute emergency procedures.Thus the RN would be held account-able for knowledge of the medicationand for ensuring that the proper safetymeasures are followed. . . .”

Please see the Board’s website forthe text of the entire decision.

QMay a CNA work as a medical assistant?

AA CNA may choose to have aseparate job as a medical assistant.However, the hours worked as a

medical assistant do not qualify towardthe 400-hour CNA renewal require-ment. This applies even if her employerrequires an employee to have a CNAcertificate for a specific position. ACNA has a very specific and limited


Your Questions, Our AnswersAnswers to some frequently asked practice questions

AQ&

10

scope of practice. Medical assistant prac-tice falls under the direction and super-vision of a physician and is regulated bythe Board of Medical Examiners.

QMay a CNA supervise another CNA?

ANo. Per NRS 632.0166, CNAswork under the direction (supervi-sion) of a licensed nurse. A CNA

may orient another CNA to his or herassignment, but supervision remains theresponsibility of the licensed nurse.

QMay an LPN supervise an RN?

ANo. Per NRS 632.017, LPNswork under the direction (super-vision) of a registered nurse, an

advanced practitioner of nursing, alicensed physician, a licensed physicianassistant, a licensed dentist or alicensed podiatric physician. LPNs arenot qualified, nor is it in their scope ofpractice, to supervise RNs.

QMay an LPN serve as the chief nurse and supervise RNs?

AThe answer lies both in theNurse Practice Act and in facilityregulations. Per NRS 632.240,

nursing services must be supervised by achief administrative nurse, who must bea registered nurse. Also, LPNs workunder the direction of a registerednurse, not the other way around (seeNRS 632.017).

Facility regulation (NAC449.74517), enforced by the NevadaState Health Division’s Bureau of

Licensure and Certification, allows anLPN to work as the charge nurse in afacility for skilled nursing, but not asthe chief administrative nurse. Here is therelevant text of that regulation:

NAC 449.74517 Nursing Staff.(2) A facility for skilled nursing shall

employ a full-time registered nurseto act as the chief administrativenurse. The chief administrativenurse must have:

(a) At least 3 years of experience pro-viding nursing care in a hospitalor facility for long-term care; and

(b) Experience supervising otheremployees.

QMay licensed nurses administerover-the-counter medicationswithout a physician order?

A If a person is employed as an RNor LPN, he or she can onlyadminister medications (includ-

ing over-the-counter) under the regula-tion that governs prescriptions—NAC632.071 “Prescription” defined.According to that regulation, “prescrip-

tion” means authorization to administermedications or treatment issued by anAPN, a licensed physician, a licensedphysician assistant, a licensed dentist ora licensed podiatric physician in theform of a written or oral order, a policyor procedure of a facility, or a writtenprotocol developed by the prescribingpractitioner. So, an RN or LPN canonly give over-the-counter medicationswith a prescription.

Q Can LPNs do assessmentsin long-term care settings?

AThey can contribute to theassessment, just as they can inany setting, according to

“Nursing Roles and Responsibilities”(page 98 of the Nurse Practice Act,revised May 2004). At the direction ofan RN, APN, licensed physician,licensed physician assistant, or licenseddentist, an LPN can contribute toassessments of health status by (1) col-lecting, reporting, and recording objec-tive and subjective data, (2) observa-tion of conditions or change in condi-tion, and (3) signs and symptoms ofdeviation from normal health status.

QMay a licensed nurse per-form a task or duty beyondtheir scope of practice if the

physician has given them directionto do so and has indicated theyare “working under his license”?

A Licensed nurses may only performthose duties and tasks that arewithin their scope of practice as

defined by the Nevada Nurse PracticeAct. Licensed nurses never work “under”anyone else’s license.

The National Council of State Boards of Nursing(NCSBN) is about to launch a practice analysis studydesigned to describe entry-level licensed practical/vocation-al nurse (LPN/VN) practice. Using a survey developed by apanel of experts that included both practicing LPN/VNsfrom a variety of practice settings and specialty areas, aswell as LPN/VN educators, a sample of LPN/VNs will beasked to determine the frequency of performance and theimportance of each of the activities listed. The results of thesurvey will be used to evaluate the current LPN/VN test plan

in an effort to assure that the NCLEX-PN® examinationreflects existing practice.

The LPN/VN survey is due to be launched on June 12,2006. This study offers an opportunity for LPN/VNs to con-tribute to the nursing profession and as such, NCSBNencourages nurses receiving the survey to complete andreturn it as soon as possible.

If you have any questions about the LPN/VN entry-levelpractice analysis, please contact NCLEX information at 866-293-9600 (toll free number) or email [email protected].

NCSBN SEEKS YOUR INPUT ON CURRENTLPN/VN ENTRY-LEVEL NURSING PRACTICE

11

Need Representationbefore the State Board?

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As we’ve mentioned in previousissues of NSBN News, the 2003 Nevadalegislature passed Assembly Bill 250,which requires that several types ofhealth care professionals, including nurs-es, take four hours of continuing educa-tion “relating to the medical conse-quences of an act of terrorism thatinvolves the use of a weapon of massdestruction.”

As of January 1, 2005, all nursesrenewing their licenses must havecompleted this four-hour bioterrorismcourse as part of their CE renewalrequirement. On that date, theBoard’s random CE audits began toinclude auditing for proof that renew-ing nurses have completed the bioter-rorism course.

The bill specifies that the course ofinstruction must include:

a. An overview of acts of terrorismand weapons of mass destruction;

b. Personal protective equipmentrequired for acts of terrorism;

c. Common symptoms and methodsof treatment associated with expo-sure to, or injuries caused by, chem-ical, biological, radioactive andnuclear agents;

d. Syndromic surveillance and report-ing procedures for acts of terrorismthat involve biological agents; and

e. An overview of the informationavailable on, and the use of, theHealth Area Network.

Completing a bioterrorism coursewhich meets the requirements of the lawis a one-time requirement of all RNs andLPNs with active Nevada licenses. Oncethe course is completed, it doesn’t haveto be taken again.

The four hours may be counted aspart of the 30-hour CE requirement forRN and LPN renewal, and as part of the

45-hour CE requirement for APN andCRNA renewal. (Remember you mustretain your CE certificates for four years,so that you have proof you met the CErenewal requirement in the event youare audited.)

While the legislature didn’t man-date the course for CNAs, the Boardhighly encourages them to take it aspart of their 24-hour in-service train-ing renewal requirement.

When considering any continuing

education course, please make sure thatthe CE provider is approved by theBoard (see below). If it is not, it won’tcount toward the 30-hour renewalrequirement. In addition, when review-ing a potential bioterrorism course, makesure the course content covers the sub-ject matter mandated by the Nevadalegislature. Be aware—many coursesentitled “Bioterrorism” only cover oneor two of the mandated subjects.

If you took a bioterrorism coursebefore January 1, 2005 and afterOctober 1, 2003, AND it met therequirements of the law, the Board willcount that course as meeting your one-time requirement. Just make sure youkeep a copy of the certificate in caseyou are audited.

If you have any questions regardingthis new requirement, please feel free tocall the Board.

Remember, You Must Complete a Bioterrorism CourseNevada law requires it

If a continuing education provider isan academic institution, is approvedby another state nursing board orhealth-related board, or is recognizedby one of the organizations below, itis accepted by the Nevada StateBoard of Nursing.• American Association of Critical

Care Nurses• American Association of Nurse

Anesthetists• American Nurse Credentialing

Center Commission on Accreditation• National Association of Pediatric

Nurse Associates and Practitioners• National League for Nursing

If a continuing education provider is

not recognized by one of these organi-zations, or if they do not have aNevada continuing education providernumber, its courses do not meetNevada's requirements.

The Board’s web site (www.nursing-board.state.nv.us) has a brief listing ofapproved continuing educationproviders whose bioterrorism coursesappear to meet the legislative intent forthe bioterrorism classes. Please notethat it is not a comprehensive list.

As you review the list and/orreceive any mailings about other bioter-rorism courses, please remember--youare responsible for ensuring the courseyou take meets the requirements of thelaw (see main article).

Taking any CE course? It doesn’t have to cost you

anything, but it must be offered

by an approved provider.

Meet the Staff


Kathleen ReynoldsKathleen Reynolds, BHS, RN, brought

30 years of nursing experience to theBoard when she was hired as compliancecoordinator in 2004. Shealso brought a unique per-spective—appointed to theBoard by Gov. KennyGuinn, Reynolds served asa Board member from1995 to 1999. “I appreciat-ed the Board’s insightregarding their mission toprotect the public, andtheir recognition that achemically dependentnurse could be helped andcontinue to practice nurs-ing without endangeringthat mission.”

She is referring to the Board’sAlternative Program for ChemicallyDependent Nurses, one of her mainresponsibilities as compliance coordinator.The goal of the Alternative Program is toprotect the public by identifying impairednurses and CNAs, providing interventionand education, and requiring treatment.

“It helps heal the healers,” Reynoldsexplains, “by giving nurses and nursingassistants the opportunity to take personalresponsibility for their recovery whilebeing closely monitored through a non-public agreement.”

Reynolds chairs the Board’s DisabilityAdvisory Committee, which administersthe Alternative Program. Committee mem-bers, who are all volunteers, include profes-sional substance abuse and mental healthnurses and nurses who have recovered fromalcohol or drug addiction or have had otherlife experiences around addictions. Thecommittee evaluates whether chemicaldependence is impairing a person’s nursingpractice; submits recommendations to theBoard, which may be accepted, amended,or rejected; and monitors recovery progressthrough scheduled interviews with thenurse or nursing assistant and regularreports from employers, treatmentproviders, and the nurses themselves.

The long-time nurse says, “I welcomeevery opportunity to speak to nursinggroups to increase knowledge about theAlternative Program.” She adds that herwork with the nurses and CNAs who are

committed to their ownrecovery, and the commit-tee members who arecommitted to furtheringthat recovery, is both pro-fessionally and personallygratifying. “I feel that thisis a contribution to thenursing field that I canmake.”

This contribution isjust the latest for Reynolds,who earned her RN diplo-ma at Holy Cross Hospitalin Salt Lake City, Utah,

and her BHS from Chapman Universityin California. She began her career as amedical surgery nurse at St. FrancisMemorial Hospital in San Francisco. Aftermoving to Reno with her growing family,she moved quickly into management posi-tions with St. Mary’sHospital, where she wasneuro-surgical unit manag-er and director of medical-surgical nursing. Her threedecades of nursing experi-ence includes working atall local acute hospitals,medical-surgical, criticalcare, mental health/chemi-cal dependency for adultsand children, emergency,and home care. Reynoldsalso has extensive experi-ence in managed care,serving as director of health services forthe Northern Nevada Health Network,Sierra Health Services, and HometownHealth Plan.

A resident of Reno since 1965, whereshe raised her family, Reynolds says sheenjoys spending time with her threedaughters and four grandchildren, timewith friends or a good book, and traveling(her latest trip was to Ireland, to be therefor the birth of her newest grandchild).

Dean EstesCombining accounting skills with a tal-

ent for information technology might be astretch for some, but it’s a natural combi-nation for Dean Estes. The Board’saccountant/technology officer says he likesthe challenges that are an inevitable partof managing information technology sys-tems, such as the computer operations,online programs, and licensee databaseshe’s responsible for. “I enjoy the opportu-nity to help develop and implement newcomputer technology that helps both ourclients and staff members,” he explains.“And I have a lot of fun doing what I do.”

The technological innovations Esteshas introduced include web-based servicesthat allow nurses and CNAs to updatetheir addresses and applicants to requestapplication packets. He is currently work-ing on a system that will allow individualsto apply for their initial licenses or certifi-cates on line.

In a move that streamlined financialprocesses and made it easier for nurses and

CNAs to pay for Boardservices, the accountant/technology officer expand-ed the Board’s acceptanceof MasterCard™, Visa™or Discover™ debit orcredit cards for all Boardpayments.

Estes, who earned hisbachelor’s degree fromthe University of Nevada,Reno, in 1993, brought20 years of nonprofitexperience to the Board,including a long tenure

with the YMCA of the Sierra. He joinedthe YMCA while he was still in highschool, as a program assistant. As heattended college classes, he also super-vised the day-to-day operations of theYMCA’s youth programs. When heearned his degree, Estes was promoted tochief financial officer for the YMCA ofthe Sierra, then later became the execu-tive director of the Sparks Family YMCA.He was the fiscal officer for the Nevada

Meet the StaffKathleen Reynolds and Dean Estes

Kathleen Reynolds, BHS, RNCompliance Coordinator

Dean EstesAccountant/Technology Officer

Phot

os b

y D

oree

n Be

gley

Urban Indians, Inc., before joining theBoard in September, 2004.

When asked to describe how hisposition serves the nurses and CNAsthe Board regulates, Estes replies, “A lotof what I do is to provide technologicalservices to staff which benefits ourclients indirectly.” He adds, “The accu-rate reporting of financial informationhelps to ensure that nurse’s and nursing

assistant’s fees are used wisely.”The father of Taylor, seven, and

Connor, five, is married to Tara, a speechlanguage pathologist with the WashoeCounty School District.

And what does this versatile staff mem-ber like to do in his free time? In additionto enjoying time with his wife and chil-dren, he does admit (surprise!) he likesspending time on his home computer.


DO YOU HAVE A QUESTION?If you have questions regardingnursing practice, the first place tolook is inside your Nurse PracticeAct. If after reading it, you stillhave questions, call the Board. If itis an issue that needs further defi-nition, you may request the Boardissue a practice decision. TheBoard will then ask its NursingAdvisory Practice Committee toresearch the issue and make a rec-ommendation.

FOR MORE ANSWERS—GET INTO THE ACTThe Nevada Nurse Practice Act is a5-1/2” by 8-1/2” booklet. It’s just$5 if you buy it at the Reno or LasVegas office, and $8 by mail (makecheck or money order payable tothe Nevada State Board ofNursing).

THE ACT IS ON THE WEB The Board’s website www.nursing-board.state.nv.us has a link to thestate laws (NRS), regulations (NAC),and practice decisions which makeup the Nurse Practice Act. It alsocontains a separate section on prac-tice information, including guide-lines for determining scope of prac-tice.

LEARN ABOUT THE ACTAND EARN TWO CEsTake the Nurse Practice Act(Nevada) continuing educationcourse at www.learningext.com. Foronly $12, you will learn about therole of the Board and your legalresponsibilities as a nurse or CNA,and earn two contact hours of con-tinuing education.

Board Revises PICC Practice DecisionRNs may now read chest X-rays to assure proper placement

At its March meeting, the Board adopted a revision to its peripherallyinserted central catheter (PICC) decision. It did so upon the recommendationof its Nursing Practice Advisory Committee, whose member TerryEdmonson, RN, researched the issue. Edmonson told committee that at least15 states allow RNs to check placement of PICC lines by doing a “prelimi-nary reading” of a chest X-ray. He also described how beneficial the prac-tice would be to patients, who often wait several hours after PICC lineplacement to receive needed medications because a radiologist is not avail-able to read the chest X-ray. The committee also heard physician testimonythat nursing would not be expected to do diagnostic interpretation of the X-ray, but should be allowed to verify placement of the PICC line. After furtherresearch and discussion, the committee recommended to the Board that RNswith documented training be allowed to verify placement of PICC linesthrough a chest X-ray. The Board accepted the recommendation and revisedits practice decision (see below) to include this practice (see italics). Therevised practice decision is also on the Board’s website.

Nevada State Board of Nursing Practice DecisionRNs May Place A Peripherally Inserted Central Catheter

PICC insertion in the home setting should be limited to subclavian distaltip placement (12/92) and RNs may, with documented training, be allowedto 1) secure peripherally inserted central lines by placement of a suturewhen securement devices are not available; 2) peripherally insert a centralline in any setting including the home after an assessment is made regard-ing the safety of the setting and arrangements necessary for verification ofplacement prior to induction of infusion; 3) reposition, repair, flush/declot,exchange or remove a peripherally inserted nonfunctional line under thedirection of a physician; and 4) assure proper placement of the catheterwhen the distal tip is positioned beyond the axillary vein by providing apreliminary reading of a chest X-ray for determining placement of the end ofthe PICC in the vena cava.(9/00, rev. 3/06)

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16 Nevada State Board of Nursing ■ Las Vegas 486-5800 or Toll-Free 1-888-590-6726 ■ www.nursingboard.state.nv.us

Helen Vos, MS, RN

President, RN Member

10/31/2008

David Burgio, MS, RN, APN

Vice President, RN Member

10/31/2007

Dorothy Perkins, CNA

Secretary, CNA Member

10/31/2007

Doreen Begley, MS, RN

RN Member

10/31/2008

Joseph Cortez

Consumer Member

10/31/2009

Mary Ann Lambert, MSN, RN

RN Member

10/31/2008

Betty McKay, LPN

LPN Member

10/31/2009

BOARD MEMBERSThe Nevada State Board of Nursing is a seven-member boardappointed by the governor of Nevada consisting of four registerednurses, one licensed practical nurse, one certified nursing assistant,and one consumer member.

If you wish to contact a Board member, please write c/o NevadaState Board of Nursing, 5011 Meadowood Mall Way #201, Reno,NV 89502-6547; call1-888-590-6726; or [email protected]

BOARDAUTHORITYThe Board has authorityonly over its licenseesand certificate holdersand not over the facilitiesin which these individu-als practice. The Boardenforces the NursePractice Act (the law reg-ulating nursing practice),with funding for all of itsactivities coming solelyfrom the fees paid to theBoard by licensees andcertificate holders. TheBoard does not haveauthority to take actionon issues that are of anemployment nature, orthose that relate to thenursing profession as awhole. These matters arebest dealt with by thestate labor commissioner,nursing associations,labor unions, or othersimilar entities.


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You’re required by law to inform theBoard, in writing, of any address change,including a zip code change. The easiestand fastest way for you to make youraddress change is to go to the Board’swebsite and click on the Address Changelink. You may also send an email to [email protected], call the Boardand request an address change form, ormail a signed letter to the Las Vegasoffice. Remember to include your name,license or certificate type and number, for-mer address, current address, social secu-rity number, and date of birth.


Change of address formName (Last, First, Middle)________________________________________Type of License________________________________________License Number________________________________________Date of Birth________________________________________Social Security #________________________________________Former Address________________________________________City, State, Zip Code________________________________________Current Address________________________________________City, State, Zip Code________________________________________Telephone#_______________________________________Signature________________________________________Mail to: Nevada State Board of Nursing

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The following are disciplinary and licen-sure/certification actions taken by the NevadaState Board of Nursing for the period ofNovember 19, 2005 through January 27,2006. Please note that this list does notinclude some outcomes of the January 25-27,2006 Board meeting due to legal noticerequirements. Those outcomes will be reportedin a future disciplinary actions list. This listdoes include some outcomes of previous Boardmeetings that were not reported earlier due tolegal notice requirements.

Settlement Agreements and/orHearing OutcomesAlabed, Lila, RN14906 Reprimand and courses for violating NRS632.320 (7) unprofessional conduct, and NAC632.890 (24) failing to collaborate with healthcare team, and (27) customary standards.Archer, Dustin, RN45106 Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (11) positive drug screen as conditionof employment.Beard, Heather, LPN12506 Agreement for Fine in the amount of $200.00for violation of NRS 632.320 (7) unprofession-al conduct and NAC 632.890 (36) practicingwithout active license/certificate.Carroll, Mike, CNA017343 Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (27) customary standards and (38)professional boundaries.Castle, Brian, RN applicant Order of Probation for violation of NRS632.320 (2) criminal convictions.Cilley, Eric, RN41221 Voluntary Surrender of License in Lieu of OtherDisciplinary Action for violation of NRS632.320 (14) failing to comply with Board order. Crawford, Colleen, RN applicant Agreement for Probation for violation of NRS632.320 (2) criminal conviction.Cross, Peterson, CNA01018328 Certificate revoked for violating NRS 632.320(14) failing to comply with an order of theBoard. Featherston, Thomas, RN42083 License revoked for violating NRS 632.320 (5)controlled substances and/or alcohol and (7)unprofessional conduct, and NAC 632.890(10) positive drug screen on duty.

Fedrizzi, Kristen, RN39194 Agreement for Reprimand for violation of NRS632.320 (13) deceive, defraud the general public.Fitzgerald, Cynthia, RN24142, CRNA00185 Order of Probation for violatingNRS 632.320 (5) controlled substances and/oralcohol and (7) unprofessional conduct, andNAC 632.890 (9) impaired practice. Garciano, Mercy, RN47156 Voluntary Surrender of License in Lieu of OtherDisciplinary Action for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (30) failing to fulfill chief nurse duties. Hall, Lori, RN applicant Agreement for Probation for violation of NRS632.320 (2) criminal conviction and (12)action in another state.Harvey, Kelly, RN47367 License revoked for violating NRS 632.320(14) failing to comply with an order of theBoard. Murakami, Yvette, LPN11375 Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (11) positive drug screen as conditionof employment.Olsen, Ann, RN16572 Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (9) impaired practice. Overson, Nancy, LPN04825 Agreement for Reprimand for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (2) practicing beyond scope. Sand, Mary, RN40953 Order of Probation for violating NRS 632.320(14) failing to comply with Board order. Sanders, Valorie, CNA016554 Certificate revoked for violation of NRS632.320 (14) failing to comply with Board order. Turner, Lori, RN17502 Agreement for Reprimand for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (2) practicing beyond scope and (27)customary standards of practice.

Denials of Applications forLicensure or Certification McConkey, David, LPN applicant Sagrado, Ricardo, RN applicantValdez, Randy, CNA applicantApplications denied for violation of NRS632.320 (1) is guilty of fraud or deceit in

procuring or attempting to procure a licenseor certificate pursuant to this chapter.Legans, Lisa, RN applicant Application denied for violation of NRS632.320 (2) is guilty of a felony or anyoffense (a) involving moral turpitude; or (b)related to the qualifications, functions orduties of a licensee or holder of a certificate,in such case the record of conviction is con-clusive evidence thereof.Ebert, June, RN11904 renewal applicantFee, Cindy, RN34514 renewal applicant Applications denied for violation of NRS632.320 (12) action in another state.

Findings of Guilt for Abuse,Neglect or MisappropriationPlaced on the Certified NursingAssistant Registry by the NevadaState Health Division’s Bureau ofLicensure and Certification Johnson, Tonya, CNA016542Verbal Abuse

Citation for Practicing Without A CertificateAquino, SoledadCua, EileenDe Castro ElainneDel Pena, LornaDel Pina, LornaFernandez, TeresaGabon, LourdesMaaba, AnthonyMacling, NoraPedrosa, MaricelRamos, GracelaTutop, SharonValdez, Lilian

The following are disciplinary and licen-sure/certification actions taken by the NevadaState Board of Nursing for the period ofJanuary 28, 2006 through March 30, 2006.Please note that this list does not include someoutcomes of the March 29-30, 2006 Boardmeeting due to legal notice requirements.Those outcomes will be reported in a futuredisciplinary actions list. This list does includesome outcomes of previous Board meetingsthat were not reported earlier due to legalnotice requirements.

Settlement Agreements and/orHearing OutcomesAbel, Leslie, RN44988 License revoked for violation of NRS 632.320(14) failing to comply with Board order.Camacho, Lena, LPN11138License revoked for violation of NRS 632.320(14) failing to comply with Board order. Casazza, Susan, RN17372Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (16) failing to properly document con-trolled substances.

ABBREVIATIONSNRS Nevada Revised StatutesNAC Nevada Administrative CodeDisciplinary Actions

Before disciplinary action is taken, the Board ensures the nurse or nursing assistant is given due process

20

Please do not use this list of disciplinary actions for verifyinglicensure or certification status. Other action may have takenplace between the time the discipline was imposed and the timeof publication. To verify licensure or certification status, pleasevisit our website or call the Board.

Castelline, Lisa, LPN12652Agreement for Reprimand for violation ofNRS 632.320 (1) fraudulent application. Castorino, Ryan, RN applicantAgreement for Probation for violation of NRS632.320 (2) criminal conviction.Corona, Roger, LPN11291Agreement for Fine in the amount of $100.00for violation of NRS 632.320 (14) failing tocomply with Board order. Downing, Joseph, RN43544Voluntary Surrender of License in Lieu ofOther Disciplinary Action for violation NRS632.320 (5) controlled substances and/or alco-hol, (7) unprofessional conduct, and (14) fail-ing to comply with Board order, and NAC632.890 (18) diversion of equipment or drugsand (35) failing to comply. Drell, Lois, RN21934Agreement for Fine in the amount of $200.00for violation of NRS 632.320 (7) unprofession-al conduct, and NAC 632.890 (36) practicingwithout an active license/certificate. Feeback, Shirley, RN33226Agreement for Reprimand for violation ofNRS 632.320 (7) unprofessional conduct, andNAC 632.890 (35) failing to comply. Gordon, Juli, LPN07257Agreement for Probation for violation of NRS632.320 (2) criminal conviction and (12)action in another state.Goyette, Cynthia, RN43363Agreement for Probation for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (27) customary standards of practice,(28) causing harm to a patient and (33) abuseof a patient. Gutierrez, Michael, CNA013151Voluntary Surrender of Certificate in Lieu ofOther Disciplinary Action for violation ofNRS 632.320 (7) unprofessional conduct, andNAC 632.890 (9) impaired practice and (27)customary standards. Heard, Jamal, CNA015809Certificate revoked for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (11) positive drug screen as conditionof employment and (27) customary standards. Hughes-Wimberly, Felecia, LPN10941Agreement for Probation for violation of NRS632.320 (2) criminal conviction and (7)unprofessional conduct, and NAC 632.890(27) customary standards of practice.Louwenaar, Marilyn, RN31215Agreement for Fine in the amount of $200.00for violation of NRS 632.320 (7) unprofession-al conduct, and NAC 632.890 (36) practicingwithout active license/certificate. Miller, Dina, LPN12498License revoked for violation of NRS 632.320(7) unprofessional conduct, and NAC 632.890(16) failing to properly document controlledsubstances and (20) inaccurate recording, falsi-fying.Pizzoferrato, Susan, LPN09119Reprimand for violation of NRS 632.320 (1)fraudulent application.

Provenza, Jeneen, RN27935Agreement for Fine in the amount of $200.00for violation of NRS 632.320 (7) unprofession-al conduct, and NAC 632.890 (36) practicingwithout active license/certificate. Resnick, Andrea, RN41323 Order of Probation for violation of NRS632.320 (14) failing to comply with Boardorder, and NAC 632.890 (35) failing to comply. Roberson, Angel, RN41983Order of Reprimand and Probation for viola-tion of NRS 632.320 (14) failing to complywith Board order.Steadman, Donna, RN21119Voluntary Surrender of License in Lieu ofOther Disciplinary Action for violation ofNRS 632.320 (14) failing to comply withBoard order.Talley, Anitta, LPN12716License revoked for violation of NRS 632.320(5) controlled substances and/or alcohol and(7) unprofessional conduct, and NAC 632.890(18) diversion of equipment or drugs. Whitney, Shirley, RN25107Reprimand and Class for violation of NRS632.320 (7) unprofessional conduct, and NAC632.890 (11) positive drug screen as conditionof employment.

Denials of Applications forLicensure or Certification Stanford, Jeffrey, LPN applicantApplication denied for violation of NRS632.320 (1) is guilty of fraud or deceit inprocuring or attempting to procure a licenseor certificate pursuant to this chapter.Amen, Linda, CNA applicant Collins, Jennifer, CNA applicantDesoto-Deboer, Dolores, LPN11646Fimby, Melissa, CNA applicantJones, Eula, CNA015497Kennedy, Jodi, RN applicant King, Nancy, RN29468 Mills, Teairra, CNA016214 Nelson, Frank, CNA applicantPurdy, Helen, LPN09197 Wedin, Mathew, LPN applicant White, Lindsey, CNA016743Applications denied for violation of NRS632.320 (2) is guilty of a felony or anyoffense (a) involving moral turpitude; or (b)related to the qualifications, functions orduties of a licensee or holder of a certificate,in such case the record of conviction is con-clusive evidence thereof.Holloman, Aaron, RN applicant Application denied for violation of NRS632.320 (2) criminal conviction and (12)action in another state.

Citation for Practicing Without A CertificateCasanova, Kami

Who can I call if I have questions about the complaint or discipli-nary process? The Board encourages you to call any time you havea question about the disciplinary process or what constitutes a vio-lation of the Nurse Practice Act. Just call the Board and ask for oneof the nurse investigators or the director of operations.

What are common types of disciplinary actions?When considering what kind of disciplinary action itshould take, the Board always asks itself, “What isneeded to make this person safe to practice?” Theanswer depends on the nature of the violation, andcan range from reprimanding an individual andordering the person to attend a remedial class torevoking the person’s license or certificate. All disci-plinary action is reported to national disciplinarydata banks. Outlined in the Nurse Practice Act, NRS632.325, disciplinary actions available to theBoard include:

Denial of ApplicationIf the Board denies an application for licensure orcertification, it has determined that the individualviolated the Nurse Practice Act. In most cases, thedenial is due to criminal convictions and/or submit-ting a fraudulent application.

Reprimand and/or FineIf the Board reprimands or fines a nurse or CNA, ithas determined that the individual violated theNurse Practice Act. This action does not prohibit orrestrict the individual’s practice.

ProbationIf the Board puts an individual on probation, itmeans the nurse or CNA may work, but will beworking on a restricted license or certificate andmonitored by the Board for a specific time period.The probation may also include practice and/orsetting restrictions and requirements like classes orrandom drug tests.

SuspensionIf the Board suspends a license or certificate, itmeans the nurse or CNA is prohibited from practic-ing for a designated time period.

Voluntary SurrenderThis means the nurse or CNA has agreed to volun-tarily surrender his or her license or certificate andcannot practice in Nevada. If the person applies forreinstatement, the Board weighs evidence of reha-bilitation and remediation when considering theapplication.

RevocationIf the Board revokes a license or certificate, itmeans the nurse or CNA cannot practice in Nevadafrom a minimum of one to a maximum of 10years. After that time, the nurse or CNA may applyfor reinstatement if all the requirements in theorder of revocation have been met. The Boardweighs evidence of rehabilitation and remediationwhen considering the application.

21

22

Debra Scott, MS, RN, APN, Executive DirectorStatewide Liaison and SpokespersonOrganizational and Public ManagementFiscal and Human Resource ManagementLegislative and Governmental RelationsAPN Advisory Committee ChairNursing Practice Advisory Committee Chair

Chris Sansom, RN, Director of Operations Program ManagementCNA Advisory Committee Co-Chair

Donna Cowling, MSN, RN, Education ConsultantNursing Education ProgramsCNA Training ProgramsCNA Advisory Committee Co-ChairContinuing Education ProgramsEducation Advisory Committee Chair

Patty Shutt, LPN, Site Operations SupervisorLas Vegas Site Supervision

Fred Olmstead, General CounselLegal Counsel

Dean Estes, Accountant/Technology OfficerBudget, Accounting and PayrollExpense ReportsTechnology Support

Cindy Kimball, Public Information OfficerPublic Information and EducationConsumer RelationsNews Magazine, Web Site, Publications

Teri Troke, Executive AssistantAssistant to the Executive Director SchedulingBoard Meeting Agenda and Arrangements Nurse Practice Act Publication

Administration5011 Meadowood Mall Way, Suite 201, Reno, NV 89502, 888-590-6726

Investigations and MonitoringLinda Aure, BSN, RN, C, Senior Investigator

Complaint InvestigationsNursing Practice Questions

Lark Muncy, RN, Investigator Complaint InvestigationsNursing Practice Questions

Robert Buck, BSN, RN, ApplicationCoordinator

Application ReviewFraudulent Application ScreeningAPN CertificationReinstatement Applications

Kathleen Reynolds, BHS, RN, ComplianceCoordinator Disability Advisory Committee ChairDisability Advisory Committee SchedulingProbation and Alternative Program Monitoring

Licensure/CertificationSarah Long, Licensure Specialist

Licensure Eligibility QuestionsRenewal ApplicationsEndorsement and Examination ApplicationsContinuing Education ProvidersForeign Nurse Graduates and Licensure Issues

Patty Towler, Senior Certification Specialist CNA Registry MaintenanceCNA Certification and RenewalsCNA Program and Instructor Approvals

Molly Echandy, Licensure/Certification Clerk Licensure Eligibility QuestionsRenewal ApplicationsEndorsement and Examination ApplicationsContinuing Education Providers

Foreign Nurse Graduates and Licensure IssuesCNA Certification and Renewals

SupportSherrie Frederick, Fingerprint Specialist

Endorsement FormsFingerprint ProcessingFingerprint Report Screening

Cynthia Souza, Management Assistant Assistant to the Director of OperationsDiscipline Investigative SupportCompliance SupportBoard Meeting PreparationDisability Advisory Committee Scheduling

Christie Daliposon, Management Assistant Discipline Investigative SupportYes Answer and Fraudulent Application ProcessingBoard Meeting Preparation NURsys Data Entry

Mallory Goodrich, Receptionist Renewal ApplicationsProgram SupportInquiries, Information and ReferralsLicensure and Certification ApplicationsNursing Personnel Lists

Kelly Narte, Receptionist Renewal Applications Program Support Inquiries, Information and Referrals Licensure & Certification Applications Nursing Personnel Lists

Adela Smith, Receptionist Program SupportInquiries, Information and ReferralsLicensure and Certification ApplicationsSpanish-Speaking Services for Consumers

Program Staff 5011 Meadowood Mall Way, Suite 201, Reno, NV 89502, 888-590-67262500 W. Sahara Ave., Suite 207, Las Vegas, NV 89102, 888-590-6726

Have a question? Give us a call. NURSINGNevada State Board of

• CVOR• ER • Float Pool: ICU & Med/Surg/Tele • ICU • L & D • Level II Nursery • Med/Surg/Tele • PACU • Post-Partum • Progressive Care Unit • Respiratory Therapist • Unit Secretary Monitor Tech

What’s in it for you at HCA: Competitive compensation

and benefits practices including benefit eligibility on

your 31st day; medical/dental/life/LTD; childcare subsidy;

401(k); discounted Employee Stock Purchase Plan; relo-

cation assistance program; and ability to transfer to

other HCA affiliated hospitals.

Please send your resume to: MountainView Hospital Care of Human Resources, 3100 N.Tenaya Way, Las Vegas, NV 89128.Jobline: (702) 255-5135 • Call Natalie Gardner, RN: (702) 562-5508

Fax: (702) 233-5301 www.MountainView-Hospital.comA drug test and background investigaton are required as part of our pre-employment process. EOE M/V/F/D HCA is a registered

service mark of HCA Inc., Nashville,TN.

MountainView Hospital is a provider of compassionate, quality health care in the heart of Northwest LasVegas. Our 235 bed, full-service facility is big enough to serve the needs of a rapidly-growing community,but small enough for your contributions to have a definite impact. MountainView is more than a hospital.It’s the place our friends and neighbors turn in time of need. We’ve earned their trust. Let us earn yours.Right now, we have incredible opportunities in our Nursing Departments.

You’re part of a community.

You’re not just partof a hospital...You’re not just partof a hospital...

You’re part of a community.

Nevada State Board of Nursing5011 Meadowood Mall Way, Suite 201Reno, NV 89502-6547

PRESORTEDSTANDARD

U.S. POSTAGE

P A I DLITTLE ROCK, ARPERMIT NO. 1884

URSING Nevada State Board ofNEWSepubs.nsla.nv.gov/statepubs/epubs/620964-2006-6.pdfYour Questions,...

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Transcript of URSING Nevada State Board ofNEWSepubs.nsla.nv.gov/statepubs/epubs/620964-2006-6.pdfYour Questions,...