OFFICE OF PROFESSIONAL REGULATION NATIONAL LIFE BUILDING, MONTPELIER, VT APPROVED MINUTES June 10, 2013

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OFFICE OF PROFESSIONAL REGULATION NATIONAL LIFE BUILDING, MONTPELIER, VT APPROVED MINUTES June 10, 2013 1. Call to Order: The meeting was called to order at 9:06 AM by Jeanine Carr - Chair at The Vermont College of Fine Arts; Board Members present: Alan Weiss, Luana Tredwell, Ellen Watson, Sheila Davis, Deborah Swartz, Stephen Morse, Douglas Sutton, Virginia Hudson, William White; Board members absent: John Todd; Staff members present: Linda Davidson Executive Director, Nancy Morin - Administrative Assistant, Elizabeth Hansen - Nursing Program Manager, Ellen Leff - Nursing Case Manager, Larry Novins - Board Attorney, Gabriel Gilman, Lauren Hibbert - Prosecuting Attorneys; Others present: Naomi Badger, Bret Powell, Esq., Tara Cross, John Pacht, Esq., Deidre Arguin, Janice Hansen 2. Changes and Additions to the Agenda: There were no changes to the agenda. 3. Approval of Minutes: A. Weiss moved to approve the minutes of the May 13, 2013 meeting with corrections as noted. 4. Disciplinary Proceedings: 2011-805 Shannon Benson was not present. E. Watson moved to find Shannon Benson in DEFAULT. J. Carr moved to INDEFINITELY SUSPEND the license of Licensed Nursing Assistant Shannon Benson. 2012-273 Cathy Einglett was not present. V. Hudson moved to find Cathy Einglett in DEFAULT. S. Davis recused. D. Sutton moved to INDEFINITELY SUSPEND the license of Registered Nurse Cathy Einglett. 2012-560 and 2012-294 Marcy Letourneau was not present. D. Swartz moved to find Marcy Letourneau in DEFAULT. D. Sutton moved to INDEFINITELY SUSPEND the license of Licensed Practical Nurse Marcy Letourneau. 2013-51 Debra Golt was not present. D. Sutton moved to find Debra Golt in DEFAULT. E. Watson moved to INDEFINITELY SUSPEND the license of Registered Nurse Debra Golt. pass 2011-741 Tara Cross was present and represented by Brett Powell, Esq. J. Carr moved to Page 1 June 10, 2013

approve the Stipulation and Consent Order and WARN AND CONDITION the license of Licensed Practical Nurse Tara Cross. L. Tredwell recused. The Board requested deliberative session at 9:37 a.m. The meeting resumed at 9:45 a.m. The Board while in deliberative session passed the motion to approve the Stipulation and Consent Order. 2012-388 Deidre Arguin was present and represented by John Pacht, Esq. S. Davis moved to SUSPEND the license of Licensed Practical Nurse Deidre Arguin. The Board will issue a written decision. 2013-9 Christine Fregeau was not present. J. Carr moved to approve the Stipulation and Consent Order and WARN AND ISSUE the license of Licensed Nursing Assistant Christine Fregeau. 2011-789 Dennise Demers was not present. J. Carr moved to approve the Stipulation and Dennise Demers. 2011-287 Amy Belisle was not present. S. Davis moved to approve the Stipulation and Consent Order and REPRIMAND, CONDITION AND IMPOSE AN ADMINISTRATIVE PENALTY on the license of Registered Nurse Amy Belisle. Alan Weiss recused. 2012-6 Andrea Baker was not present. D. Swartz moved to approve the Stipulation and Consent Order and INACTIVE CONDITION the license of Registered Nurse Andrea Baker. 2011-750 Dale Walsh was not present. S. Morse moved to approve the Stipulation and Dale Walsh. 2013-52 Margaret Nuzzolo was not present. E. Watson moved to approve the Stipulation and Margaret Nuzzolo. The Board requested deliberative session at 11:05 a.m. The meeting resumed at 11:14 a.m. While in deliberative session the Board passed the motion to approve the Stipulation and Consent Order. 2012-701 Aleta Costopoulos was not present. V. Hudson moved to approve the Stipulation and Consent Order and REPRIMAND the license of Registered Nurse Aleta Costopoulos. CLOSING REPORTS: S. Morse moved to recommend that the following complaints be concluded without charges. 2012-111 E. Watson recused 2012-725 E. Watson recused 2012-207 D. Sutton recused Page 2 June 10, 2013

2013-86 D. Sutton recused 2013-37 S. Davis recused 2013-57 S. Davis recused 2013-63 S. Davis recused 2013-133 S. Davis recused 2012-574 OTHER DISCIPLINARY ITEMS: A. REINSTATEMENTS: M2009-8 Amy Bingham was not present. S. Davis moved to REINSTATE WITHOUT CONDITIONS the license of Licensed Practical Nurse Amy Bingham. B. Current Discipline Cases May 31, 2013 The Board received and reviewed the current discipline cases with E. Leff. C. Nursing Case Aging May 31, 2013 - The Board received and reviewed the Nursing Case Aging Report with E. Leff D. Discipline for Working Without Practice Guidelines The Board discussed the appropriate sanction for Advanced Practice Registered Nurses working without having practice guidelines on file and approved by the Office. A. Weiss moved to remand this question to L. Novins and L. Davidson to research and bring a proposal back to the Board for approval. 5. Administration, Education, Practice, Licensure Executive Director s Report: The Board received the written Executive Director s Report and related documents provided in the Board meeting packet. The report included: Office of Professional Regulation Move: OPR will be moving to City Center in Montpelier on June 28, 2013 (if there are no unforeseen set backs.) The Board office is busy getting ready for this transition. The address will be changing on all forms. The Office phone numbers will remain the same. This is a busy time for the Nursing Board office due to nursing graduations which generate examination applications. The Office is doing everything possible to have a smooth transition without disruption to customer service. The Board will have to hold the Board meetings at Capitol Plaza as there is not a conference room big enough to accommodate the Board. The Board requested that food be provided at the meeting as there is not enough time to go out for a meal. NCSBN Annual Meeting: L. Davidson advised the Board that the annual meeting would be held in Providence, RI on August 14 16, 2013. E. Watson and S. Davis would like to attend. Time Reporting System: The State has initiated a new time reporting system for employees. The State had a series of training programs to ease into the new system. All time reporting and time approval will now be done on-line. Revised draft Administrative Rules: L. Novins, E. Hansen and L. Davidson continue to work on draft revisions to the Rules. As sections are completed, they will be moved to the appropriate committee for review and then to the Board. The APRN Sub-committee reviewed Part 15. Page 3 June 10, 2013

Physician Assisted Dying Bill: A sub-committee has been formed to discuss the nurse s role and to offer guidance for issues related to the physician assisted dying bill. The Board of Nursing has been asked to participate. The first meeting was June 6, 2013. RN/APRN Audit: The Board office has been receiving paperwork back from RNs and APRNs that are in the current audit. The audit will determine if licensees met the practice hour requirement. The Nursing Assistant Education & Practice Committee: The Committee met on 5/10/13 to review the 34 Annual Reports from LNA education programs. The next meeting will be on June 10th to finalize recommendations for the Medication Nursing Assistant Program. Discipline: As of May 31, 2013 there are 155 open cases, 54 follow-up cases and 5 Alternative Program participants. A. 2013 Annual Goals Progress Report June 2013 The Board received a copy of the 2013 Annual Goals Progress Report and reviewed and discussed with L. Davidson. The Board requested that Legislators who are Nurses be invited to a meeting to discuss proposed legislation for criminal background checks on all nursing assistants and nurses. B. NCLEX RN and LPN Exam Results The Board received a copy. C. Memo from C. Winters regarding the OPRN moved The Board received a copy D. Public Comments There were no public comments. E. Education Committee Report: D. Swartz reported that the Committee has not met since the last Board meeting but will be meeting on June 17 th. F. Nursing Education Programs: Southern Vermont College Transition Plan for Students from ADN to a Generic BSN Program Karen Clement-O Brien addressed the Board regarding Southern Vermont College s plan on the transition of students from the AD program to the BSN program. J. Carr moved to grant Provisional Approval for Southern Vermont College s Generic BSN Program. Norwich University Graduate Program Site Visit Report The Board received the Site Visit report from E. Hansen who reviewed the report with the Board. Janice Hansen, from Norwich University, answered questions from the Board. J. Carr moved to recommend a 1 YEAR CONDITIONAL APPROVAL of the Master s Degree Program. G. Nursing Assistant Education Programs: Burlington Health and Rehabilitation Biennial Approval E Watson moved to approve Burlington Health and Rehabilitation with recommendations for the Biennium of 2013-2015. River Valley Technical Center (Day Program) D. Sutton moved to approve River Valley Technical Center (Day Program) for the Biennium 2013-2015. VNA of Chittenden & Grand Isle Counties - D. Sutton moved to approve VNA of Chittenden & Grand Isle Counties for the Biennium May 2013- May 2015 with recommendations. Page 4 June 10, 2013

Franklin County Rehabilitation Center 1 Year Post Approval E. Watson moved to approve Franklin County Rehabilitation Center for the biennium June 2013- June 2015. H. Practice Committee: D. Sutton reported that the Committee met on June 5, 2013 and discussed the The Role of the Student Nurse in Prelicensure Structured Program not Associated with a School of Nursing Position Statement and The Role of Emergency Medical Personnel in Acute Care Facilities Position Statement for possible revisions. The Committee also discussed the Physician Assisted Dying Bill. The Committee is working on a survey to send out to the Nursing Community on whether the position statements are used and how they are used. I. APRN Advisory Committee Report: L. Davidson reported that the APRN Advisory Committee met on May 22, 2013 and approved the Draft Revised Administrative Rules Part 15 with changes. The Committee is requesting that the Board approve the Draft Revised Administrative Rules Part 15. J. Carr moved to approve the Draft Revised Administrative Rules Part 15. J. Alternative Program Committee: E. Watson reported that the Committee met and discussed the implementation of Alternative Practice by starting a pilot that would include up to 3 people. 6. Other Business: There was no old business 7. Adjournment: S. Davis moved to adjourn the meeting at 3:10 p.m. Minutes recorded by: Nancy Morin, Administrative Assistant Draft minutes reviewed by: Linda Davidson, Executive Director Draft minutes approved by Vermont Board of Nursing: July 8, 2013 Page 5 June 10, 2013