On September 4, 2012, the evening shift supervisor called the
|
|
- Ella Rose
- 5 years ago
- Views:
Transcription
1 Case-in-Point Investigating and Making a Case for Drug Diversion Donna H. Mooney, MBA, RN One of the biggest challenges facing boards of nursing (BONs) is ensuring that a fair disciplinary process occurs in a timely manner. Allegations of drug diversion raise the bar for a BON to act quickly and efficiently in determining the truth while ensuring the process is fair. This article presents a case of an uncooperative nurse suspected of diverting drugs and explores the legal, evidentiary, and reporting requirements needed for a BON to present a defensible drug diversion case. On September 4, 2012, the evening shift supervisor called the vice president of nursing to report that Jane Smith was found on duty not acting right. The supervisor reported that she went to the unit after being called by the charge nurse, and she observed Ms. Smith standing in front of the medication station staring. When the supervisor asked her what was going on, Ms. Smith gave an incomprehensible response. Ms. Smith was taken to the supervisor s office and asked to wait. The supervisor went back to the unit, ran a medication dispensing report and found that four oxycodone doses were removed for two of Ms. Smith s patients, but the doses were not documented in the patients records. The supervisor invoked the hospital s for cause drug testing policy and took Ms. Smith to the lab for a urine drug screen. Once there, Ms. Smith said she was unable to produce a specimen. She was given water to drink and asked to wait and try again. After 15 minutes, Ms. Smith said she was leaving. When the supervisor asked if she felt well, Ms. Smith said she did. Then, she went back to the unit, gathered her belongings, and left the facility. The vice president of nursing reported the incident to the board of nursing (BON). Proving drug diversion, legally defined as diverting drugs from their original purposes (U.S. Department of Justice, 2013), can be fairly easy. A simple audit of the patient records and the controlled substance log frequently provides the evidence to prove diversion. But what complicates these cases is that investigators may try to prove a medication diverter is also a substance abuser, rather than focusing on the more easily proven case of diversion. This case illustrates the value of pursuing the charge of drug diversion rather than substance abuser, particularly in the case of the uncooperative nurse, although some evidence of impairment (substance abuse) existed in this case, proving it would be difficult. Ms. Smith did not cooperate with the hospital drug screening policy, making it unlikely that she would cooperate with the BON s investigation. If the BON failed to make the case against Ms. Smith, she could practice elsewhere, raising a significant patient safety concern. However, the BON believed that a careful investigation could support a case of drug diversion; once proven, the nurse would likely be prevented from practicing and public safety would be protected. This article reviews the legal, evidentiary, and reporting requirements the BON applied to present a defensible drug diversion case. Making the Case The first step in conducting a defensible investigation is understanding the legal and regulatory requirements that the BON and possibly the courts will consider as conclusive evidence when deciding the case. One needs to consider which laws, rules, or regulations were violated. In a case of drug diversion, violations of the nurse practice act, Controlled Substances Act, and other policies or standards set by the profession will be evaluated. Nurse Practice Act To establish jurisdiction, the investigator must look to the nursing practice act (NPA) and decide whether proof of the allegations would constitute a violation. In this case, the North Carolina rules and NPA explicitly direct the nurse regarding what the BON can or will do in cases of misuse of drugs (North Carolina [NC] Nursing Practice Act, 2009). In G.S of the North Carolina NPA, the BON may initiate an investigation on receipt of information about any practice that might violate a provision of the NPA (NC Nursing Practice Act, 2009). On the subject of drug-related cases, provisions 3, 4, and 5 apply: (3) Has a mental or physical disability or used any drug to a degree that interferes with his or her fitness to practice (4) Engages in conduct that endangers the public health (5) Is unfit or incompetent to practice nursing by reason of deliberate acts, negligent acts or omissions regardless of whether actual injury to the patient is established (NC Nursing Practice Act, 2009). Possible rules violations include Regulation 21 NCAC (c ) (1) Drug or alcohol abuse 9
2 Table 1 Regulation and Scheduling of Controlled Substances The Controlled Substances Act of 1970 regulates the production and distribution of stimulants, narcotics, depressants, hallucinogens, and anabolic steroids. The Drug Enforcement Administration has categorized these drugs into five schedules, based on their abuse potential, medicinal value, and harmfulness. Schedule I drugs are the most hazardous; schedule V drugs, the least hazardous. Schedule I: High potential for abuse; no currently accepted medical use in the United States. Using the drug even under medical supervision is thought to be unsafe. Heroin, cocaine, methamphetamines, and usually, marijuana.* Schedule II: High potential for abuse; currently accepted medical use in the United States (or currently accepted medical use with severe restrictions). Abuse may lead to severe psychological or physical dependence. Morphine, Demerol, fentanyl, Oxycodone, Adderall, Ritalin, and Percocet. Schedule III: Lower abuse potential than schedule I and II drugs; currently accepted medical use in the United States. Abuse may lead to a moderate or low degree of physical dependence or high psychological dependence. Hydrocodone, Vicodin, Lortab, and Lorcet. Schedule IV: Lower abuse potential than schedule I, II, or III drugs; currently accepted medical use in the United States. Abuse may lead to limited physical dependence or psychological dependence. Alprazolam, diazepam, lorazepam, phentermine, Stadol, Halcion, and Ambien. Schedule V: Low abuse potential compared with drugs in other schedules; currently accepted medical use in the United States. Abuse may lead to limited physical dependence or to psychological dependence.some schedule V drugs may be available in limited quantities without a prescription (if state law permits). Codeine preparations. * In at least one state, North Carolina, marijuana is in a schedule by itself: Schedule VI. (2) Illegally obtaining, possessing, or distributing drugs or alcohol for personal or other use, or other violations of the Controlled Substances Act (21) Accepting responsibility for client care while impaired by alcohol or other pharmacological agents (North Carolina Administrative Code, n.d.). The Controlled Substances Act Although the Controlled Substances Act that defines controlled substances as substances (or drugs) having high potential for abuse may vary slightly from state to state, the intent of this law is the same. If one signs out a controlled substance, there must be documentation in the records to substantiate administration of the drug to the patient or appropriate records to account for any waste. (See Table 1). The Controlled Substance Act does not require the BON or the investigator to know or be able to prove what the person did with the drug (U.S. Department of Justice, 1970), although BONs spend a lot of time trying to answer this question. BONs need to show only that there is a lack of accountability for the drug as evidenced by the documentation or the lack of documentation. Discrepancies in Documentation The Controlled Substances Act is not specific about which documents should be used when signing out a controlled substance; rather, the law relies on facility policy to determine the appropriate documents for demonstrating compliance (U.S. Department of Justice, 1970). Any discrepancy in documentation compliance is a potential violation of the NPA, which calls for nurses to maintain an accurate record regarding the care they provide and, depending on the extent of the discrepancies, could also constitute a felony as defined in the Controlled Substances Act. What constitutes a discrepancy? A discrepancy would be any link in the chain (lack of documentation) that does not accurately account for the entire dose of the controlled substance signed out. Examples of discrepancies include, but may not be limited to: signing out a controlled substance for which there is no practitioner s order signing out a controlled substance for which there is a physician s order but failing to provide follow-up documentation to account for the drug signing out a controlled substance for which there is a physician s order but failing to account for a missing portion. These practice discrepancies are problematic and may cause suspicion but they are not actionable without more objective information. Although they allow a BON to proceed with charges, they may only address the issue of poor documentation. But BONs need to determine the underlying cause of the discrepancies to collect the evidence that meets the burden of proof. The burden of proof for an administrative action in North Carolina is clear and convincing evidence: the BON must show that it is substantially more probable the alleged acts are true, and the trier of fact must have a firm belief and strong conviction in the facts as presented. This is not the standard in all jurisdictions. Approximatley half of all jurisdictions continue to use the preponderance of the evidence standard. From a regulatory approach, an assessment of other practice-related markers may suggest or clarify the extent of the problem. Though there may be no concrete evidence that drug diversion has occurred, the following signs or behaviors can be objective evidence of increased narcotic retrieval or discrepancies in the records: Excessive sign outs of controlled substances Sign outs to a patient only when a specific nurse is on duty Lack of waste or excessive amounts of waste Excessive amounts of wastage 10 Journal of Nursing Regulation
3 Patients reporting they did not receive the medication signed out to them A nurse documenting more pain medication sign outs than other staff members document Documentation of administering pain medication when the pain assessment scale indicates no need for the medication A nurse always signing out the maximum dose of medication, though other staff members find lower doses effective The investigator also must know what the facility requires for accurate documentation. If facility policy states that documentation must occur on the medication record, in the dispensing system, and in the nurse/progress notes, failing to document in all three places is a practice discrepancy. What about signing out a drug at 0930 but not documenting it until 1030? Depending on facility policy and cultural norms, this may be a practice discrepancy. Most would say that an hour is too long to hold on to the drug, but does the facility have something in writing that disallows this practice? The more of these behaviors, the more likely a problem exists. Sloppy documentation and poor practice are not proof of diversion, but they go a long way in helping to meet the burden of proof to proceed with charges. Investigating the Case After receiving the report on Ms. Smith, the investigator began an inquiry. First, the investigator established jurisdiction to proceed with the investigation. If the allegation were true, jurisdiction would be established because it represented a violation of the NPA. The investigator called the vice president of nursing for verification of the information. Although the vice president submitted the information, the investigator also needed to talk to the supervisor who saw and interacted with Ms. Smith. What does the investigator need to know? Dates of employment. The investigator should determine if Ms. Smith is a long-term employee or a new hire. The answer will help determine if additional background information may need to be gathered from other sources. Current job status. After Ms. Smith left the facility, was she suspended? Was she terminated? Was she placed on probation? Was she sent to an employee assistance program? Normal work hours. If Ms. Smith typically works the night shift and is the only licensed person on the unit, these circumstances might explain why she has a large number of oxycodone sign outs. Type of unit. The type of unit could also explain why she is the high user of a certain drug. For example, one would expect to have a higher use of controlled substances on an orthopedic floor as compared to a pediatric floor. Previous issues. Has Ms. Smith been counseled or disciplined about discrepancies in her documentation of controlled substances? Description of behavior. Can the supervisor describe in behavioral terms what she meant by not acting right, such as slurred speech, staggering gait, illegible handwriting, and inability to focus and respond to simple questions? The investigator should obtain a copy of the following: the hospital policy for documentation of controlled substances; the policy for the use of the medication-dispensing system; the waste policy; the policy for obtaining for cause drug screens; a copy of the termination notice resulting from the failure to take the drug screen; the audit conducted by the facility with the corresponding dispensing system accountability (sign out) record; the corresponding patient medication administration record (MAR); and the corresponding progress note (to show the medication was documented to the patient). In this case, the investigator also interviewed the charge nurse and a coworker on the unit, but until that night, there had been no concerns about this nurse. Writing the Report Writing the report may be the most important step in the discipline process. A thorough investigation can be rendered useless if the investigator cannot document the findings in a report that is readable, objective, accurate, concise, and factual (Council on Licensure, Enforcement and Regulation, n.d.). In the first one or two paragraphs, the report should address the Five Ws (who, what, when, where, and why), so the reader is immediately focused on what is being alleged and what the investigator thinks has been proven. If the report is not readable and concise, it may be dismissed as not understandable. It needs to be objective, not filled with the investigator s opinion. Below are excerpts of the report from this investigation along with explanations on how and why the investigator presented certain information. On December 15, 2012, a complaint was received in the office of the board of nursing from ABC Medical Center in Anytown, NC, reporting Ms. Jane Smith was terminated after being found to have diverted controlled substances as evidenced by numerous discrepancies in her documentation and handling of controlled substances. On September 4, 2012, at approximately 10:30 p.m., the vice president of nursing received a call from the evening shift supervisor, reporting that she had been called to the orthopedic unit by the charge nurse to observe Ms. Smith. When the supervisor arrived on the unit, she observed Ms. Smith standing at the medication station appearing to stare at the screen. When later questioned by this investigator, the supervisor stated that Ms. Smith seemed to be dazed, and when the supervisor spoke to Ms. Smith, she was not able to respond. The introductory paragraph lets the reader know that the report focuses on discrepancies in the documentation of controlled substances, even though the initial concern may have been impairment on duty. The more specific behavioral information on Ms. Smith s condition, including her inability to respond, clarifies the original vague statement that Ms. Smith was not 11
4 acting right, which is too subjective for a BON to make a determination of the cause. Ms. Smith was taken to the supervisor s office and asked to wait. The supervisor went back to the unit, ran a medication-dispensing report, and noted that four oxycodone doses were removed for two of Ms. Smith s patients, but the doses were not documented in the patients records. The supervisor invoked the hospital s for cause drug testing policy and took Ms. Smith to the lab for a urine drug screen. Once there, the forms were filled out, but Ms. Smith stated that she was unable to produce a specimen. She was given water to drink and asked to wait and try again. The longer she sat, the more anxious she became. After another 15 minutes, Ms. Smith said she had enough and was leaving. The supervisor asked if she felt well; Ms. Smith said she felt fine. She went back to the unit, gathered her things, and left the facility. This paragraph addresses discrepancies in documentation that give the supervisor the ability to invoke the for cause drug testing policy. Facility Policy The facility policy supported the supervisor s request that Ms. Smith submit to a for cause urine drug screen. A chain of custody form was filled out, and the employee health nurse was contacted to ensure the policy was followed. At the direction of the employee health nurse, the supervisor had Ms. Smith fill out a form declaring any medication that she was currently taking and listing all food she had consumed in the last 36 hours. The policy required that Ms. Smith not be left alone between the time the specimen was requested and the time it was obtained. The policy also indicated that leaving the facility before the specimen was obtained would be grounds for termination. The policy also stated that if the subject was thought to be impaired, the hospital was to arrange for transportation to get the employee home. Policies about the steps to be taken when diversion is suspected can differ from hospital to hospital. It is important to identify the applicable hospital policies and ensure that the facility adhered to the policies during the course of their investigation. This will aid the BONs case in providing evidence that will be defensable should the case result in an administrative hearing. The investigator did not emphasize Ms. Smith s alleged impairment because the emphasis needed to be on the charge that could be proved diversion versus the charge that was difficult to prove impairment. Accountability Audit This investigator conducted an accountability audit of the sign outs of oxycodone by Ms. Smith between July 1, 2012, and August 31, 2012, and found she was the highest user on the unit. The next highest user signed out less than half as many doses. The audit revealed Ms. Smith was responsible for 135 transactions and had a 72% discrepancy rate: On 17 occasions, she signed out oxycodone without a physician s order. On 21 occasions, she signed out oxycodone without accounting for waste. On 59 occasions, she signed out oxycodone without documenting that the patient received the medication. Ms. Smith also failed to follow the facility policy by not having a witness for the waste of oxycodone, and after signing out oxycodone, she failed to appropriately document it in the MAR and the progress notes. This part of the report gets to the undisputable aspects of the case: the substantive documentation discrepancies with the lack of accountability. The 72% discrepancy rate speaks for itself and certainly takes away the argument for an oversight in charting. Employee History Ms. Smith was employed in the facility from May 15, 2012, until her termination. A review of her recent employment history showed that she was terminated from two other facilities in the previous year. When contacted for additional information about the terminations, each of the human resources directors would give only the dates of employment and state that Ms. Smith was in her probationary period. When asked if Ms. Smith would be eligible for rehire in a position that would require the handling of controlled substances, both responded, No. A check of Nursys did not reveal previous discipline actions against Ms. Smith. The employment history lets the reviewers know that there have been issues in the past. The history suggests a pattern and a practice of problems with handling controlled substances. Case Outcome The evidence found in this case supports by clear, convincing evidence that Ms. Smith failed to appropriately document controlled substances, a clear violation of the NPA and the Controlled Substances Act. By definition, this also proves diversion, but some BONs are not comfortable using this term unless the person admits to injection or ingestion or someone saw them use the drug. Despite the reports that Ms. Smith appeared impaired on duty, there was insufficient evidence to substantiate impairment. Because Ms. Smith refused to be interviewed and the staff was unable to meet with her to discuss possible resolution of the case, a letter of charges was issued charging her with the documentation discrepancies. She was offered the option of having her license suspended until she could have an evaluation by an addictionologist. If the addictionologist diagnosed chemical dependency, she would be required to go into the BON s alternative program. If she was not required to enter the alternative program, she would be offered a license with probationary conditions for 1 year. Ms. Smith did not accept delivery of the letter of charges, and a hearing was held. After hearing the evidence, the BON suspended Ms. Smith s license for 1 year, ordered an ethical/legal decision-making course with an emphasis on documentation, and ordered her to appear before the licensure committee to request reinstatement of her license. Before reinstatement, Ms. Smith will have to be evaluated by an addictionologist and provide 4 months of clean drug screens immediately preceding her appearance before the licensure committee. 12 Journal of Nursing Regulation
5 Conclusion This case was sound (meeting the clear and convincing evidentiary standard) because the investigator emphasized the elements of the case that were provable and legally required and did not attempt to overreach by suggesting charges for something that could not be proven impairment. The result was that Ms. Smith will be unable to practice nursing in the immediate future, thus protecting the public. References Council on Licensure, Enforcement and Regulation. (n.d.). NCIT report writing module. Retrieved from aspx?pageid= North Carolina Administrative Code. (n.d.). Title 21, Chapter 36. Retrieved from Title%2021%20-%20Occupational%20Licensing%20Boards%20 and%20commissions North Carolina Nursing Practice Act. (2009). Retrieved from U.S. Department of Justice, Office of Diversion Control. (2013). Code of Federal Regulations 21 Part Retrieved from U.S. Department of Justice, Office of Diversion Control. (1970). Controlled Substances Act. Retrieved from gov/21cfr/21usc/index.html Donna H. Mooney, MBA, RN, is Manager of Discipline Proceedings for the North Carolina Board of Nursing. She was a former inspector with the North Carolina Drug Commission assigned to the North Carolina State Bureau of Investigation, Diversion Investigations Unit. She is a senior instructor with the National Certified Investigator/Inspector Training program for the Council on Licensure, Enforcement and Regulation (CLEAR) in both the Basic and Advanced levels, and she teaches on the topic of drug diversion investigation. She has served on the Discipline Committee for the National Council of State Boards of Nursing and served two terms as president of CLEAR. 13
Medication Diversion and Prescription Drug Abuse in the Long Term Care Setting. Objectives
Medication Diversion and Prescription Drug Abuse in the Long Term Care Setting Objectives Discuss: Learn about signs of potential diversion and recognize an impaired healthcare provider. Help to identify
More informationRULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING CHAPTER 4
RULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING CHAPTER 4 AS AMENDED 2015 The RULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING are adopted and amended as authorized by Title 32, Maine
More informationMaricopa County Sheriff s Office Joseph M. Arpaio, Sheriff
Maricopa County Sheriff s Office Joseph M. Arpaio, Sheriff The following information is required so the Sheriff s Office can conduct a criminal history records check and a Motor Vehicle Department records
More informationA.U.C. 202 October 12, 2005 SUBSTANCE POLICY: DRUGS / ALCOHOL 1. PRELIMINARY STATEMENT
October 12, 2005 SUBSTANCE POLICY: DRUGS / ALCOHOL 1. PRELIMINARY STATEMENT This Circular: 1.1 Sets forth Department policy concerning the use and possession of illegal drugs; use and possession of legally
More informationPURDUE UNIVERSITY WEST LAFAYETTE, INDIANA SCHOOL OF NURSING STUDENT DRUG TESTING POLICY PRIOR TO PARTICIPATION IN CLINICAL ACTIVITIES
PURDUE UNIVERSITY WEST LAFAYETTE, INDIANA SCHOOL OF NURSING EFFECTIVE DATE: 02/17/12 REVISED DATE: REVIEW DATE: Introduction STUDENT DRUG TESTING POLICY PRIOR TO PARTICIPATION IN CLINICAL ACTIVITIES This
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE
Medical Examiners Chapter 540-X-18 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-18 QUALIFIED ALABAMA CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED
More informationPOSITION STATEMENT. - desires to protect the public from students who are chemically impaired.
Page 1 of 18 POSITION STATEMENT The School of Pharmacy and Health Professions: - desires to protect the public from students who are chemically impaired. - recognizes that chemical impairment (including
More informationIN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF FLORIDA PANAMA CITY DIVISION COUNTS ONE THROUGH ONE HUNDRED. A.
IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF FLORIDA PANAMA CITY DIVISION UNITED STATES OF AMERICA SEALED v. INDICTMENT THOMAS G. MERRILL / THE GRAND JURY CHARGES: COUNTS ONE THROUGH
More informationSUBCHAPTER 32M - APPROVAL OF NURSE PRACTITIONERS
SUBCHAPTER 32M - APPROVAL OF NURSE PRACTITIONERS 21 NCAC 32M.0101 DEFINITIONS The following definitions apply to this Subchapter: (1) "Approval to Practice" means authorization by the Medical Board and
More informationPROVIDENCE HOSPITAL. Washington, D.C. SAMPLE RESIDENT CONTRACT FOR FAMILY MEDICINE
PROVIDENCE HOSPITAL Washington, D.C. SAMPLE RESIDENT CONTRACT FOR FAMILY MEDICINE AGREEMENT, made and entered into this day of,, between Providence Hospital (hereinafter referred to as the Hospital) and
More informationMANDATORY DRUG TESTING OF MERCHANT MARINE PERSONNEL. By Walter J. Brudzinski INTRODUCTION
1 MANDATORY DRUG TESTING OF MERCHANT MARINE PERSONNEL By Walter J. Brudzinski INTRODUCTION The U.S. Coast Guard is charged with, among other things, promulgating and enforcing regulations for the promotion
More informationPOLICY TITLE: Code of Ethics for Certificated Employees POLICY NO: 442 PAGE 1 of 8
POLICY TITLE: Code of Ethics for Certificated Employees POLICY NO: 442 PAGE 1 of 8 It is the policy of this district that all certificated employees shall adhere to the Code of Ethics for Idaho Professional
More informationRutherford Co. Rescue
RCLAFA, INC. Rutherford Co. Rescue Application You are only allowed to check one that you are applying for: Reserve Status Specialty Rescue Team Part-Time Paid Employee This application must be completely
More informationIN THE COMMONWEALTH COURT OF PENNSYLVANIA
IN THE COMMONWEALTH COURT OF PENNSYLVANIA Frederick P. McLeish, : Petitioner : : v. : No. 273 C.D. 2016 : Submitted: September 2, 2016 Bureau of Professional and : Occupational Affairs, State Board : of
More informationCERTIFIED CLINICAL SUPERVISOR CREDENTIAL
REQUIREMENTS: CERTIFIED CLINICAL SUPERVISOR CREDENTIAL Applicants must live or work at least 51% of the time within the jurisdiction of ADACBGA, or live or work in a jurisdiction that does not offer the
More informationNURSE MONITORING PROGRAM HANDBOOK
Wyoming State Board of Nursing NURSE MONITORING PROGRAM HANDBOOK 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone: 307-777-7616 Fax: 307-777-3519 wsbn.nursemonitoring@wyo.gov I. Introduction Welcome
More informationNC General Statutes - Chapter 90 Article 18D 1
Article 18D. Occupational Therapy. 90-270.65. Title. This Article shall be known as the "North Carolina Occupational Therapy Practice Act." (1983 (Reg. Sess., 1984), c. 1073, s. 1.) 90-270.66. Declaration
More informationSC State Board of Nursing Updates & Hot Topics. Carol Moody, RN, MS, NEA-BC SC Board of Nursing, President
SC State Board of Nursing Updates & Hot Topics Carol Moody, RN, MS, NEA-BC SC Board of Nursing, President Objectives: Following this presentation participants should be able to : Discuss the mission of
More informationCODE OF MARYLAND REGULATIONS (COMAR)
CODE OF MARYLAND REGULATIONS (COMAR) Title 12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES Subtitle 10 CORRECTIONAL TRAINING COMMISSION Chapter 01 General Regulations Authority: Correctional Services
More informationPlease accurately complete the entire application. No action will be taken on applications with missing information.
2508 E. Fox Farm Road, 1-1A Cheyenne, WY 82007 (307) 635-3618 Fax: (307) 635-1442 www.wyhealthworks.org Application for Employment (HealthWorks does not discriminate based on color, creed, religion, national
More informationPrivate Investigator and/or Security Guard Qualifying Agent Application
Vermont Secretary of State Office of Professional Regulation 89 Main Street, 3 rd Floor Montpelier VT 05620-3402 Kara Shangraw Licensing Board Specialist (802) 828-1134 kara.shangraw@sec.state.vt.us www.vtprofessionals.org
More informationImpaired Medical Staff Policy
Impaired Medical Staff Policy Document Owner: Lawson, Louise Version: 5 Effective : 11/21/2012 Revision : 11/21/2015 Approvers: Keene, Jack MD; Smirz, Lynda, MD; Goble, Jonathan I. PURPOSE In support of
More informationPROPOSED REGULATION OF THE PEACE OFFICERS STANDARDS AND TRAINING COMMISSION. LCB File No. R September 7, 2007
PROPOSED REGULATION OF THE PEACE OFFICERS STANDARDS AND TRAINING COMMISSION LCB File No. R003-07 September 7, 2007 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material
More informationenlc Licensing Tier Matrix Approved 5/11/17 Revised 8/7/17 Revised 1/10/18
enlc Licensing Tier Matrix Approved 5/11/17 Revised 8/7/17 Revised 1/10/18 Violations not listed below will be discussed initially with the Executive Director. If there is a question, the application will
More informationIt is the Department policy to promptly and thoroughly investigate alleged misconduct involving employees.
3.01.000 INVESTIGATION OF PERSONNEL MISCONDUCT It is the Department policy to promptly and thoroughly investigate alleged misconduct involving employees. 3.01.005 REQUIREMENT TO COOPERATE: All employees
More informationREGULATION MARKUP REGULATION NO. 2
REGULATION MARKUP REGULATION NO. 2 The Arkansas Medical Practices Act authorizes the Arkansas State Medical Board to revoke or suspend the license issued by the Board to practice medicine if the holder
More informationThis is a Legal Document. By completing and signing, this you certify under
APPLICATION FOR WYOMING NURSING ASSISTANT CERTIFICATION BY ENDORSEMENT, DEEMING, or RECERTIFICATION All certificates expire December 31 of every EVEN year This is a Legal Document. By completing and signing,
More informationALABAMA~STATUTE. Code of Alabama et seq. DATE Enacted Alabama Board of Medical Examiners
ALABAMA~STATUTE STATUTE Code of Alabama 34-24-290 et seq DATE Enacted 1971 REGULATORY BODY PA DEFINED SCOPE OF PRACTICE PRESCRIBING/DISPENSING SUPERVISION DEFINED PAs PER PHYSICIAN APPLICATION QUALIFICATIONS
More informationCODE OF MARYLAND REGULATIONS (COMAR)
CODE OF MARYLAND REGULATIONS (COMAR) Title 12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES Subtitle 10 CORRECTIONAL TRAINING COMMISSION Chapter 01 General Regulations Authority: Correctional Services
More informationState of New Jersey. DEPARTMENT DIRECTIVE 15 March 2006 NO. 020
State of New Jersey DEPARTMENT OF MILITARY AND VETERANS AFFAIRS POST OFFICE BOX 340 TRENTON, NEW JERSEY 08625-0340 JON S. CORZINE Governor Commander-in-Chief GLENN K. RIETH Major General The Adjutant General
More informationPrivate Controlled Drugs Prescribing Self-Assessment
Private Controlled Drugs Prescribing Self-Assessment This self-assessment must be completed prior to issue of: - FP10PCD Private Controlled Drug Prescription forms Please complete ALL relevant parts of
More informationChapter 247. Educators' Code of Ethics
247.1. Purpose and Scope; Definitions. (a) (b) (c) (d) (e) Chapter 247. Educators' Code of Ethics In compliance with the Texas Education Code, 21.041(b)(8), the State Board for Educator Certification (SBEC)
More informationThis is a Legal Document. By completing and signing this you certify under
APPLICATION FOR WYOMING LICENSED PRACTICAL NURSE (LPN) LICENSURE BY ENDORSEMENT *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this you certify
More informationCHAPTER 37 - BOARD OF NURSING HOME ADMINISTRATORS SUBCHAPTER 37B - DEPARTMENTAL RULES SECTION GENERAL PROVISIONS
CHAPTER 37 - BOARD OF NURSING HOME ADMINISTRATORS SUBCHAPTER 37B - DEPARTMENTAL RULES SECTION.0100 - GENERAL PROVISIONS.0101 AUTHORITY: NAME & LOCATION OF BOARD The "North Carolina State Board of Examiners
More informationOffice of Inspector General
Office of Inspector General Mary Reinle Begley Inspector General Division of Health Care Division of Regulated Child Care Division of Audits & Investigations Division of Health Care Health Care facility
More informationCRIMINAL BACKGROUND CHECK by Division of Criminal Investigation (DCI)
*All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this document, you certify, under penalty of perjury and subject to the provisions of Wyo. Stat.
More informationPage 1 CHAPTER 31 SCREENING OUTREACH PROGRAM. 10: Screening process and procedures
Page 1 CHAPTER 31 SCREENING OUTREACH PROGRAM 10:31-2.3 Screening process and procedures (a) The screening process shall involve a thorough assessment of the client and his or her current situation to determine
More informationChapter II OVERVIEW OF THE MEDICAL BOARD OF CALIFORNIA
Overview of the Medical Board of California 5 Chapter II OVERVIEW OF THE MEDICAL BOARD OF CALIFORNIA A. MBC Generally 2 Created in the Medical Practice Act, the Medical Board of California is a semi-autonomous
More information10111 Richmond Avenue, Suite 400, Houston, Texas (713) / (866) (Toll Free) / (713) (Fax)
Application Date: \ \ Date Available: \ \ Provider s Name: O MD O DO O PA O NP SS # : City: State: Zip: Home Phone ( ) Work Phone ( ) Pager ( ) Cell Phone ( ) E-Mail address: Driver s Lic. # Expires: \
More informationhttps://dohmqa31.imageapi.com/axiomproviewer/viewerniewdocument?documentid= /13/2017
null Page 1 of 6 DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, V. CASE NO. RENEE LORRAINE MUNSEY, R.N., RESPONDENT. ADMINISTRATIVE COMPLAINT Petitioner Department of Health (Department)
More informationDepartment of Defense INSTRUCTION
Department of Defense INSTRUCTION NUMBER 6495.03 September 10, 2015 Incorporating Change 1, April 7, 2017 USD(P&R) SUBJECT: Defense Sexual Assault Advocate Certification Program (D-SAACP) References: See
More information3. Practicing fraud, deceit, or misrepresentation in the practice of medicine.
REGULATION MARKUP REGULATION NO. 2 The Arkansas Medical Practices Act authorizes the Arkansas State Medical Board to revoke or suspend the license issued by the Board to practice medicine if the holder
More informationAIT APPLICATION PACKAGE FOR REGISTRATION AS A PSYCHOLOGIST OR PSYCHOLOGICAL ASSOCIATE Version
THE PSYCHOLOGICAL ASSOCIATION OF MANITOBA 208-584 Pembina Hwy., Winnipeg, Manitoba R3M 3X7 Phone: (204) 487-0784 Fax: (204) 489-8688 Email: pam@mts.net Website: www.cpmb.ca AIT APPLICATION PACKAGE FOR
More informationAbuse and Neglect Investigation: Alaska Psychiatric Institute (API) API Violates Patients Rights in Handling Patients Grievances
Abuse and Neglect Investigation: Alaska Psychiatric Institute (API) API Violates Patients Rights in Handling Patients Grievances Issued April 5, 2011 Revised and reissued July 13, 2011 1 The Disability
More informationSUPPLEMENTAL NOTE ON SENATE BILL NO. 449
SESSION OF 2016 SUPPLEMENTAL NOTE ON SENATE BILL NO. 449 As Amended by Senate Committee on Public Health and Welfare Brief* SB 449, as amended, would standardize regulatory statutes administered by the
More informationGENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2015 HOUSE DRH20205-MG-112 (03/24) Short Title: Enact Death With Dignity Act. (Public)
H GENERAL ASSEMBLY OF NORTH CAROLINA SESSION HOUSE DRH-MG-1 (0/) H.B. Apr, HOUSE PRINCIPAL CLERK D Short Title: Enact Death With Dignity Act. (Public) Sponsors: Referred to: Representatives Harrison and
More informationTRUE AND EXACT COpy OF ORIGINAL
,,,I '. ' ), ", "/.,.,, BEFORE THE MINNESOTA '. TRUE AND EXACT COpy OF ORIGINAL.. ~ BOARD OF MEDICAL PRACTICE In the Matter of the Medical License of Martin C. Hinz, M.D. Date of Birth: 1/15/54 License
More informationMandatory Reporting A process
Mandatory Reporting A process guide for employers, facility operators and nurses Table of Contents Introduction.... 3 What is the purpose of mandatory reporting?... 3 What does the College do when it receives
More information12 NCAC 10B.0301 IS AMMENDED AS PUBLISHED WITH CHANGES IN VOLUME 32, ISSUE 02, PAGES OF THE NORTH CAROLINA PUBLIC REGISTER, AS FOLLOWS:
1 1 1 1 1 1 1 1 0 1 0 1 1 NCAC B.001 IS AMMENDED AS PUBLISHED WITH CHANGES IN VOLUME, ISSUE 0, PAGES -0 OF THE NORTH CAROLINA PUBLIC REGISTER, AS FOLLOWS: SECTION.000 MINIMUM STANDARDS FPR FOR EMPLOYMENT
More informationFILED. Now on rhrs Z-L;"ror :V $EP KSBN
:li-ii; -'+aiil - -.,..::l'il! r.i, "i,.-r. BEFORE THE KANSA STATE BOARD OF NURSING Landon State Office Building, 900 S.W. Jackson #'105'1 Topeka, Kansas 66612-1230 IN THE MATTER OF JENNIFER E. DRAKE License
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-19 PAIN MANAGEMENT SEVICES TABLE OF CONTENTS
Medical Examiners Chapter 540-X-19 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-19 PAIN MANAGEMENT SEVICES TABLE OF CONTENTS 540-X-19-.01 540-X-19-.02 540-X-19-.03 540-X-19-.04
More informationFrequently Asked Questions
1. What is dispensing? Frequently Asked Questions DO I NEED A PERMIT? Dispensing means the procedure which results in the receipt of a prescription drug by a patient. Dispensing includes: a. Interpretation
More informationRULES and REGULATIONS: PRESCRIBING CONTROLLED SUBSTANCES IN MS. Mississippi State Board of Medical Licensure June 24, 2016 Thomas Washington, CMBI
RULES and REGULATIONS: PRESCRIBING CONTROLLED SUBSTANCES IN MS. Mississippi State Board of Medical Licensure June 24, 2016 Thomas Washington, CMBI This agency was created as an independent state agency
More informationDISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO. PANEL: Michael Hogard, RPN Chairperson Donna Rothwell, RN
DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO PANEL: Michael Hogard, RPN Chairperson Donna Rothwell, RN Member Margaret Tuomi Public Member Chuck Williams Public Member Ingrid Wiltshire-Stoby,
More informationCERTIFICATES OF FITNESS
CERTIFICATES OF FITNESS Statutes and Regulations May 2018 Labor Standards and Safety Division Mechanical Inspection Jobs are Alaska s Future MECHANICAL INSPECTION CUSTOMER COUNTER LOCATIONS Main Office
More informationAIR FORCE ENLISTED GUIDE TO BECOME AN OFFICER IN THE AIR NATIONAL GUARD
1 AIR FORCE ENLISTED GUIDE TO BECOME AN OFFICER IN THE AIR NATIONAL GUARD 2 3 TABLE OF CONTENTS Memorandum For Prospective Officer Applicant 2 Table of Contents 3 ANG Prequalification Reference Guide 4
More informationSenate Bill No. 453 Committee on Health and Human Services
Senate Bill No. 453 Committee on Health and Human Services CHAPTER... AN ACT relating to public health; allowing a physician to issue an order for auto-injectable epinephrine to a public or private school;
More informationVermont Board of Nursing INSTRUCTION TO APPLICANTS
Vermont Secretary of State 89 Main St., 3 rd Floor Montpelier VT 05620-3402 Nursing Foreign_nurse@sec.state.vt.us www.vtprofessionals.org INSTRUCTION TO APPLICANTS NCLEX RETAKE (International) Applicant
More information8/8/17. What is Nursing Jurisprudence? Nursing Jurisprudence for Advance Practice Registered Nurses in Texas
8/8/17 Nursing Jurisprudence for Advance Practice Registered Nurses in Texas Glenda Joiner-Rogers PhD, RN, AGCNS-BC Assistant Professor in Clinical Nursing The University of Texas at Austin School of Nursing
More informationFirefighter Application Packet City of Texarkana, Texas
Firefighter Application Packet City of Texarkana, Texas Fire Department Human Resources 220 Texas Blvd. PO Box 1967 Texarkana, TX 75503 Texarkana, TX 75504 (903) 798-3994 (903) 798-3916 Thank you for your
More informationMAINE STATE BOARD OF NURSING
MAINE STATE BOARD OF NURSING 158 STATE HOUSE STATION 161 CAPITOL STREET AUGUSTA, MAINE 04333-0158 (207) 287-1138 APPLICATION FOR LICENSE AS A CERTIFIED NURSE-MIDWIFE Application Received Fee: CC Cash Check
More informationThis is a Legal Document. By completing and signing this, you certify under
APPLICATION FOR WYOMING REGISTERED NURSE LICENSURE with ADVANCE PRACTICE RECOGNITION (APRN) *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this,
More informationVALLEY COUNTY SHERIFF S OFFICE
VALLEY COUNTY SHERIFF S OFFICE SHERIFF PATTI BOLEN 107 W. SPRING STREET P.O. BOX 1350 CASCADE, ID 83611 208-382-7150 208-382-7170 fax Valley County Sheriff Hiring Standards Valley County strives to hire
More informationMedication Management and Diversion Control
Medication Management and Diversion Control Karla M Miller, Pharm D July 2017 January 18, 2017 NEWS Surgery Center Director Removed from Position after Alleged Drug Theft Director of the surgery center
More informationNursing Law and Rules:
Nursing Law and Rules: The Impaired Nurse presented by Nancy McManus, BSN, M.Ed., RN-BC, CGRS Disclosures/disclaimers I am not a lawyer This presentation is not meant to offer legal advice. If needed,
More informationSUPPLEMENTAL NOTE ON SENATE BILL NO. 449
SESSION OF 2016 SUPPLEMENTAL NOTE ON SENATE BILL NO. 449 As Amended by House Committee on Health and Human Services Brief* SB 449, as amended, would standardize regulatory statutes administered by the
More informationSTATE OF RHODE ISLAND
======= LC01 ======= 00 -- S STATE OF RHODE ISLAND IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 00 A N A C T RELATING TO HEALTH AND SAFETY Introduced By: Senators Perry, and C Levesque Date Introduced: February
More informationURINE DRUG TESTING (UDT) PROTOCOL
URINE DRUG TESTING (UDT) PROTOCOL Date of publication: 4 June 2013 Record Number: DD13/04001 File Number: 02/015-03 Version: Supersedes version of 10 May 2012 Summary: Applies to: Author: Owner: This protocol
More informationPROPOSED RULEMAKING ENVIRONMENTAL QUALITY BOARD
648 PROPOSED RULEMAKING ENVIRONMENTAL QUALITY BOARD [ 25 PA. CODE CH. 78 ] Environmental Protection Performance Standards at Oil and Gas Well Sites Rulemaking; Public Comment Period Extension The public
More informationALABAMA DEPARTMENT OF MENTAL HEALTH BEHAVIOR ANALYST LICENSING BOARD DIVISION OF DEVELOPMENTAL DISABILITIES ADMINISTRATIVE CODE
ALABAMA DEPARTMENT OF MENTAL HEALTH BEHAVIOR ANALYST LICENSING BOARD DIVISION OF DEVELOPMENTAL DISABILITIES ADMINISTRATIVE CODE CHAPTER 580-5-30B BEHAVIOR ANALYST LICENSING TABLE OF CONTENTS 580-5-30B-.01
More informationGood Practice Guidance : Safe management of controlled drugs in Care Homes
Good Practice Guidance : Safe management of controlled drugs in Care Homes Date produced: April 2015; Date for Review: April 2017 Good Practice Guidance documents are believed to accurately reflect the
More informationA Million Little Pieces: Developing a Controlled Substance Diversion Program. Tanya Y. Barnhart, PharmD, BCPS
A Million Little Pieces: Developing a Controlled Substance Diversion Program Tanya Y. Barnhart, PharmD, BCPS I have no conflicts of interest to disclose Objectives Explain the importance of building a
More informationREINSTATEMENT APPLICATION PACKET:
REINSTATEMENT APPLICATION PACKET: According to the SC Code of Laws, Chapter 63, Section 40-63-250(E), expired licenses can be reinstated only with successful completion of a Reinstatement Application Packet
More informationOKLAHOMA ADMINISTRATIVE CODE TITLE 435. STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION CHAPTER 15. PHYSICIAN ASSISTANTS INDEX
Updated September 1, 2016 OKLAHOMA ADMINISTRATIVE CODE TITLE 435. STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION CHAPTER 15. PHYSICIAN ASSISTANTS INDEX Subchapter 1. General Provisions Subchapter 3.
More informationMARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland
MARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland 21215 www.mbp.state.md.us E-mail: mdh.mbppadispense@maryland.gov : ADDENDUM FOR PHYSICIAN ASSISTANT (PA) TO DISPENSE PRESCRIPTION DRUGS INSTRUCTIONS
More informationMarch The Nursing and Midwifery Board of Ireland A Guide to Fitness to Practise
The Nursing and Midwifery Board of Ireland A Guide to Fitness to Practise March 2017 The Nursing and Midwifery Board of Ireland A Guide to Fitness to Practise 1 The Nursing and Midwifery Board of Ireland
More informationELLICOTT CITY VOLUNTEER FIREMEN S ASSOCIATION, INC.
ELLICOTT CITY VOLUNTEER FIREMEN S ASSOCIATION, INC. APPLICATION FOR PROBATIONARY MEMBERSHIP Emergency ID# (assigned by LOSAP committee) (enter your 4 digit number if assigned one previously by Howard County)
More informationRank Recommended. Page 1 of 6
This report is based on the Department s Letters of Intent and does not reflect modifications to recommended discipline due to Grievances, Skelly Hearings, Arbitration Hearings, Civil Service Commission
More informationSUBSTANCE ABUSE AND DRUG/ALCOHOL TESTING POLICY
SUBSTANCE ABUSE AND DRUG/ALCOHOL TESTING POLICY I. Purposes of Substance Abuse and Drug/Alcohol Testing Policy For obvious health and safety concerns, nurses must conduct health care and educational activities
More informationBold blue=new language Red strikethrough=deleted language Regular text=existing language Bold Green = new changes following public hearing
Bold blue=new language Red strikethrough=deleted language Regular text=existing language Bold Green = new changes following public hearing 700.001: Definitions Delegate means an authorized support staff
More informationThe District of Columbia Death with Dignity Act (Patient Request for Medical Aid-in-Dying)
Office of Origin: I. PURPOSE II. A. authorizes medical aid in dying and allows an adult patient with capacity, who has been diagnosed with a terminal disease with a life expectancy of six months or less,
More informationSCHOOL OF HEALTH SCIENCES
TULSA COMMUNITY COLLEGE SCHOOL OF HEALTH SCIENCES STUDENT GUIDELINES: DRUG SCREENING PROCEDURES I. SCOPE & PURPOSE Drug screening will be performed on all students of TCC School of Health Sciences programs
More informationSTATEMENT OF BASIS AND PURPOSE, REGULATORY ANALYSIS AND SPECIFIC STATUTORY AUTHORITY
DEPARTMENT OF HUMAN SERVICES Alcohol and Drug Abuse Division ADDICTION COUNSELOR CERTIFICATION AND LICENSURE 6 CCR 1008-3 [Editor s Notes follow the text of the rules at the end of this CCR Document.]
More informationSenate Bill No. 294 Senators Cegavske and Leslie
Senate Bill No. 294 Senators Cegavske and Leslie CHAPTER... AN ACT relating to providers of health care; revising provisions governing persons authorized to possess and administer dangerous drugs; revising
More informationEMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF
EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a
More informationUtah medical & controlled substance license instructions Division of Occupational and Physician Licensing (DOPL) rev: 8/9/16
Utah medical & controlled substance license instructions Division of Occupational and Physician Licensing (DOPL) rev: 8/9/16 Programs Exempt from the Utah controlled substance license: ALL Pathology and
More informationPLEASE INDICATE HOW YOU HEARD ABOUT THIS POSTION: PLEASE INDICATE THE POSITION FOR WHICH YOU ARE APPLYING:
INSTRUCTIONS TO HUMAN RESOURCES: Detach this form before processing application. The Unified Police Department is proud to be an Equal Employment Opportunity Employer committed to a diverse workforce.
More informationUSABLE CORPORATION TRUE BLUE PPO NETWORK PRACTITIONER CREDENTIALING STANDARDS
USABLE CORPORATION TRUE BLUE PPO NETWORK PRACTITIONER CREDENTIALING STANDARDS ELIGIBLE DISCIPLINES: Chiropractors Optometrists Podiatrists Advance Nurse Practitioners Certified Nurse-Midwives Clinical
More informationBEFORE THE NORTH CAROLINA MEDICAL BOARD ) ) ) ) ) This matter is before the North Carolina Medical Board
BEFORE THE NORTH CAROLINA MEDICAL BOARD In re: Timothy John Phillips, PA-C, Respondent. CONSENT ORDER This matter is before the North Carolina Medical Board ( Board regarding information provided to the
More informationEmployer Link Service
Employer Link Service Joint Regulator Workshop for Managers of Regulated Services Michele Harrison - Regulation Adviser, NMC 7 th March 2018 What we aim to cover Part 1 Who are the Employer Link Service?
More informationState of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training
State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,
More informationBlood Alcohol Testing, HIPAA Privacy and More
NEWSLETTER Volume Three Number Twelve December, 2007 Blood Alcohol Testing, HIPAA Privacy and More Although the HIPAA Privacy regulation has been in existence for many years, lawyers continue in their
More informationFrequently Asked Questions
450 Simmons Way #700, Kaysville, UT 84037 (801) 547-9947 unar@davistech.edu www.utahcna.com Frequently Asked Questions UNAR stands for the Utah Nursing Assistant Registry, the agency in charge of the registry
More informationApplicable State Licensing Requirements for Combined Federal and Comprehensive HHA Survey
Applicable State Licensing Requirements for Combined Federal and Comprehensive HHA Survey Statute 144A.44 HOME CARE BILL OF RIGHTS Subdivision 1. Statement of rights. A person who receives home care services
More informationApplication for Reactivation of a Licence in Nova Scotia
Please return the completed application to CRNNS at the address noted above with proof of legal name (if it has changed since last licensed with CRNNS). A. Personal Information Show given names in full.
More informationADOPTED REGULATION OF THE STATE BOARD OF NURSING. LCB File No. R Effective September 18, 2008
ADOPTED REGULATION OF THE STATE BOARD OF NURSING LCB File No. R063-08 Effective September 18, 2008 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material to be omitted.
More informationReferred to Committee on Health and Human Services. SUMMARY Provides for schools to obtain and administer autoinjectable epinephrine.
S.B. SENATE BILL NO. COMMITTEE ON HEALTH AND HUMAN SERVICES MARCH, 0 Referred to Committee on Health and Human Services SUMMARY Provides for schools to obtain and administer autoinjectable epinephrine.
More informationRobert J. Walters, Senior Assistant Attorney General Wyoming Attorney General s Office June 5, 2014
Robert J. Walters, Senior Assistant Attorney General Wyoming Attorney General s Office June 5, 2014 Introduction : Introduction The prescription drug abuser, or drug seeker, represents a serious and constant
More informationAN ANALYSIS OF NURSYS DISCIPLINARY DATA FROM
NCSBN RESEARCH BRIEF Volume 39 June 2009 AN ANALYSIS OF NURSYS DISCIPLINARY DATA FROM 1996-2006 Report of Findings from AN ANALYSIS OF NURSYS DISCIPLINARY DATA FROM 1996-2006 Kevin Kenward, PhD National
More informationIn re: ) ) NOTICE OF CHARGES Lawrence Anthony Dunn, M.D., ) AND ALLEGATIONS; ) NOTICE OF HEARING Respondent. )
BEFORE THE NORTH CAROLINA MEDICAL BOARD In re: ) ) NOTICE OF CHARGES Lawrence Anthony Dunn, M.D., ) AND ALLEGATIONS; ) NOTICE OF HEARING Respondent. ) The North Carolina Medical Board ( Board ) has preferred
More information