MINUTES WEST VIRGINIA STATE BOARD OF EXAMINERS FOR LICENSED PRACTICAL NURSES BOARD MEETING OCTOBER 17, 2002

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WEST VIRGINIA STATE BOARD OF EXAMINERS FOR LICENSED PRACTICAL NURSES MINUTES BOARD MEETING OCTOBER 17, 2002 9:30 a.m. DISCIPLINARY REVIEW COMMITTEE MEETING (Committee Members Only) 10:00 a.m. REGULAR MEETING (Open to the Public) 1 CALL TO ORDER: Meeting was called to order by Chairperson, Gregory Chiartas, at 10:00 a.m. Welcome and introduction of guests followed. Members Present - Gregory Chiartas Orpha Swiger Carol Miller Joan Smith Suzannah Higgins Charles Pruett Members Absent - Joseph Kessel India Hosch Marguerite Marshall Staff Present - Lanette Anderson Tammy Crookshanks Elsie Patterson Guests Present - Gloria Patterson Brenda Barker Amanda McCune Barbara Nicholas James Washburn Linda Runion Tracy Lent Jackie Boggs Melissa Dennison Barbie McCartney Patty Johnson Robin Baker Kathy Barker Myssi Gable Danny Davis

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 2 Rebecca Rhodes Amber Berry Patricia Wright Angela Johnson Shannon Toler Jennifer Jones Molly Carter Heather Riffe Stacey Saunders Rebecca Hatcher Kimberly Hunell Nicki Ward Kathy Dray Suzan Smith Royce Eckleberry Michelle Delavergne Cathy Spencer Nicolette Wages Mary Berry Melissa Carey Joyce Whited Sandra Thompson Cassandra Judge Sydelle Curtis Janet Rogers Francine Kirby Frances Bivens Teresa Richard Pam Huff Betty Barnett Kyle Walters, Jr. John A. Tipton Doreen Riffe Katrina Bailey Selera Conner Krista Clark Adrienne Adkins Susan Browning Thamaskeen Simmons Lona Smith Loretta Koon Peggy Lycans Lynn Boesch Nicole Drennen Rita Jean Harber April Lynne Shapiro 2 INTRODUCTION OF MEMBERS & GUESTS 3 PROPOSED AGENDA Members, guests & staff introduced themselves. A motion was made by Joan Smith that the Proposed Agenda be approved. Motion was seconded by Carol Miller. Motion carried.

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 3 4 MINUTES OF PREVIOUS MEETING 5A DISCIPLINARY Motion was made by Carol Miller to accept revised minutes from the previous meeting, held June 12, 2002. Revision was to Budgetary Information, 6A. It did read Executive Secretary reported expenditures for the first three quarters at $76,062.87. It was revised to read Executive Secretary reported expenditures for the third quarter at $76,062.87. Motion was seconded by Charles Pruett, motion carried. Disciplinary cases resolved since June 2002 Meeting: Regina G. Ballard, License No. 20166; BPN02-192 Monetary Penalty $1,100 per worked on lapsed license June 13, 2002 Kimberly Everett, License No. 10386; BPN02-199 Suspension for minimum of one year per diversion of narcotics June 13, 2002 Kelly K. Plotner, License No. 23366; BPN02-157 Probation for 2 years for documentation errors June 18, 2002 Kara K. Keenan, License No. 23151; BPN02-211 Monetary Penalty $1,200 per worked on lapsed license July 8, 2002 Cindy M. Merchant, License No. 24899; BPN02-205 Monetary Penalty $400 per worked on lapsed license July 8, 2002 Michelle D. Bryant, License No. 22162; BPN02-109 Reprimand for boundary crossing July 29, 2002 Lisa R. Peterson, License No. 18877; BPN02-206 Reprimand for misdemeanor welfare fraud July 29, 2002 Shelby Robinson, License No. 19187; BPN02-221 Monetary Penalty $1300 per worked on lapsed license July 29, 2002 Marcella Forren, License No. 21040; BPN03-12 Monetary Penalty $200 per worked on lapsed license August 19, 2002 Christina Gunnoe, License No. 22481; BPN03-05 Monetary Penalty $200 per worked on lapsed license August 19, 2002 Timothy Mayhew, License No. 20837; BPN01-124 Probation 2 yrs. per criminal conviction August 20, 2002 Heidi Meadows, License No. 21878; BPN02-210 Probation 1 yr. per practice violation August 20, 2002

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 4 Timothy N. Todd, Exam Applicant; BPN03-16 Reprimand; prior criminal conviction August 23, 2002 Linda C. Koton, License No. 17547; BPN03-10 Worked on lapsed license; Monetary penalty $200 August 26, 2002 Becky S. Hinkle, License No. 15438; BPN03-35 Worked on lapsed license; Monetary penalty $200 August 26, 2002 Kelly J. Huffman, License No. 23847; BPN03-38 Worked on lapsed license; Monetary penalty $200 August 26, 2002 Melissa J. House, License No. 21210; BPN03-19 August 30, 2002 Debra K. Jarrett, License No. 17528; BPN03-13 September 3, 2002 Stephanie C. Adkins, License No. 23912; BPN02-207 Probation 1 year per practice issue September 3, 2002 Debra A. Turner, License No. 16669; BPN03-24 Reprimand per misdemeanor conviction September 3, 2002 Phyllis J. Kisner, License No. 03718; BPN03-42 September 6, 2002 Amanda L. Kuhn, License No. 25080; BPN03-33 Reprimand; prior misdemeanor conviction September 6, 2002 Blondell E. Deem, License No. 05308; BPN03-41 September 23, 2002 Sarah Marple-Smith, License No. 23779; BPN02-217 Suspended 30 days and Probation 2 yrs; alleged failed to administer medications September 25, 2002 Kimberly K. Cook, License No. 20308; BPN03-21 September 26, 2002 Susan L. Hicks, License No. 25071; BPN03-1 Reprimand per previous misdemeanor September 26, 2002

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 5 Belinda E. Weaver, License No. 21595; BPN03-29 October 1, 2002 Carmenita L. Lewis, License No. 22972; BPN03-27 October 1, 2002 Sandra D. Noel, License No. 14260; BPN03-26 October 4, 2002 Kenneth Nard, Jr., License No. 21988; BPN03-40 Six month suspension; fraud on reinstatement application October 10, 2002 Karen Compton, License No. 22840; BPN03-58 Reprimand per alleged verbal abuse; October 17, 2002 Charlotte Grove, License No. 14761; BPN02-190 Monetary Penalty $900; worked on lapsed license October 17, 2002 Voluntary Surrenders: Esther Queen, License No. 09088; BPN02-212 Voluntary Surrender of license July 5, 2002 Marianne Bernard, License No. 05728; BPN02-189 Voluntary Surrender; worked on lapsed license August 30, 2002 Reinstatements: Carolyn J. Jurado, License No. 17665; BPN01-97 From one (1) yr. Probation to Full Status June 25, 2002 Reita M. Fisher, License No. 20579; BPN00-107 From two (2) yrs. Probation to Full Status June 26, 2002 Darrin J. Criss, License No. 22479; BPN00-156 From one (1) yr. Probation to Full Status June 27, 2002 Robert McGinty, License No. 23960; BPN01-02 From two (2) yrs. Probation to Full Status September 18, 2002 Tammy S. Mayle, License No. 19022; BPN98-105 From one (1) yr. Probation to Full Status October 4, 2002 Kathy Whisman, License No. 16359; BPN02-11 From one (1) yr. Probation to Full Status October 4, 2002

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 6 No Formal Action: BPN02-193 Alleged failure to follow facility policies; no action per no evidence July 10, 2002 BPN02-194 Alleged practice violations; no action per no evidence July 17, 2002 BPN03-22 July 29, 2002 BPN03-03 August 15, 2002 BPN03-30 Alleged represented self as RN; no action per no evidence August 19, 2002 BPN03-01 Alleged represented self as RN; no action per no evidence August 19, 2002 BPN03-47 September 4, 2002 BPN03-31 Alleged practice issue; no action per no evidence September 4, 2002 BPN03-50 September 6, 2002 BPN03-48 September 16, 2002 BPN03-55 September 16, 2002 BPN03-46 September 30, 2002 BPN03-34 October 2, 2002 BPN03-02 Practice issue October 4, 2002

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE7 BPN03-45 Allegation of drug use; no action taken per no evidence October 9, 2002 BPN03-77 Prior misdemeanor; approved for exam with no action; October 17, 2002 BPN03-63 October 17, 2002 BPN02-223 October 17, 2002 6 BUDGET 6A TOTAL Executive Secretary reported that expenditures for FY 2002 were $308,224.88. EXPENDI- Total appropriations were $344,322. Balance at the end of the year was $36,097.12. TURES FY 2002 6B EXPENDI- Executive Secretary reported that expenditures for the 1 st quarter, FY 2003, are as TURES anticipated at $79,457.56. 1 ST QTR 6C APPROPRI- ATIONS REQUEST FY 2004 6D PURCHASE CARD EXPENDI- TURES 7 ANNUAL REPORT 8 FALL 2002 LPN NEWS Members received the FY 2004 Request for Appropriations by mail in mid-august. The mail vote authorized submission of the request of $348,090 to the Department of Administration. A motion was made by Carol Miller that the mail vote authorizing the Appropriations Request of $348,090 for FY 2004 be reaffirmed. Motion was seconded by Orpha Swiger, motion carried. Purchase card expenditures for the months of July, August and September 2002 were reported to the Board in accordance with requirements of the Auditor s Office. Staff was available for any inquiries from members of the Board. Members were provided with the Annual Report of the Biennium covering the period July 1, 2000 to June 30, 2002. No changes were recommended. The newsletter was mailed to all licensees, legislators, LPN schools, health care facilities, associations and others on our list. The newsletter has also been posted on our website. Executive Secretary reported that packets of the LPN News are being sent to the schools for distribution to the students. Suggestions for changes or comments are welcome. 9 NCLEX-PN Executive Secretary reported that the passing average for WV is 100% for the quarter TESTING ending June 30, 2002, up from 95.65% for the previous period ending March 31, RESULTS 2002. The national passing average for the quarter ending June 30, 2002, was 84.98%

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 8 up slightly from 84.43% for the quarter ending March 31, 2002. Summary results have not been received from National Council of State Boards of Nursing for the quarter ending September 30, 2002, however information compiled from the testing service computer in the Board office indicates that between the dates of July 1, 2002 and September 20, 2002, the pass rate was 92.3%. 10 JOHN D. ROCKE- FELLER, IV CAREER CENTER John D. Rockefeller, IV Career Center was granted temporary approval to proceed with the planning process at the June 12, 2002 Board meeting. Since that time, faculty and administration have worked closely with Board staff in the development of materials. All materials were provided to the Board office and presented to members of the Board. Lanette Anderson and Tammy Crookshanks visited the clinical facilities which would be utilized by the LPN program on October 3, 2002. After discussion of the findings, a motion was made by Joan Smith that, in accordance with the Board s Legislative Rules, 10 C.S.R. 1, the Board grant Tentative State Accreditation to John D. Rockefeller, IV Career Center. Motion was seconded by Charles Pruett. Motion carried. 11 SCHOOLS OF PRACTICAL NURSING 11A MCDOWELL CO VOC SCHOOL PN VOC SC 11B ROANE JACKSON VOC SCHOOL PN 11C RANDOLPH CO VOC SCHOOL PN 11D WYOMING CO VOC SCHOOL PN A site visit was made by Lanette Anderson and Tammy Crookshanks to McDowell County Vocational School of Practical Nursing on September 5, 2002. After discussion of the findings, a motion was made by Carol Miller that the McDowell County Vocational School of Practical Nursing be granted continuing Full State Accreditation for a period of three (3) years ending October 31, 2005. Motion was seconded by Orpha Swiger. Motion carried. A site visit was made by Lanette Anderson and Tammy Crookshanks to Roane Jackson Vocational School of Practical Nursing on August 30, 2002. All recommendations from the last accreditation visit have been implemented. No Board action was recommended at this time. A site visit was made by Lanette Anderson and Becky Davis from the State Department of Technical Education to Randolph County Vocational School of Practical Nursing on July 9, 2002. Previous concerns with program are much improved, specifically including the availability of course outlines to students and their utilization of same. No Board action was recommended at this time. Executive Secretary reported that members requested that this program be subject to review on an annual basis until the next formal accreditation visit, scheduled for Fall 2004. One concern at the last review was that the number of theory hours exceeded clinical hours in violation of the Board s Legislative Rules. This matter has been rectified. The majority of the Board s other recommendations have also been implemented. No Board action is recommended at this time. 12 NEW LPN PROGRAM INQUIRIES 12A GLENVILLE STATE COLLEGE Lanette Anderson and Tammy Crookshanks have met with representatives from Glenville State College regarding the potential of starting an LPN program in that area. An informal meeting was held in March at the Summersville Campus of Glenville State. Discussions indicate that it is anticipated that LPN graduates may be granted advanced standing into the RN program at that college. It is anticipated that Summersville Memorial Hospital would be an acute care facility utilized by the

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 9 LPN program in that area, however, the Board s Legislative Rules, Series 1, Policies and Procedures for Development and Maintenance of Educational Programs in Licensed Practical Nursing, currently state that an acute care facility utilized by an LPN school must be accredited or working toward accreditation by the Joint Commission of Accreditation of Health Care Organizations (JCAHO). Summersville is not JCAHO accredited, nor is it working towards this status. Plans to utilize other clinical sites will be created by the school if necessary. A motion was made by Carol Miller to grant temporary approval to proceed with the planning process for an LPN program to Glenville State College. Motion was seconded by Joan Smith. Motion carried. Members discussed the above-cited Legislative Rule, specifically the requirement for JCAHO accreditation. Members discussed the potential membership of a task force to solicit suggestions for review and/or revision of the Board s Legislative Rules, Series 1. Membership would include Board members as well as interested faculty from LPN programs. A motion was made by Carol Miller that such a task force be established to review the Rules and present proposed revisions for Board consideration. Motion was seconded by Charles Pruett. Motion carried. 12B CALHOUN- GILMER CAREER CENTER Lanette Anderson, Tammy Crookshanks and Rebecca Davis attended a meeting on August 5, 2002, with representatives from this school and Minnie Hamilton Health Center. No additional contact from Calhoun-Gilmer Career Center has been received at this time by the Board. Information received from other sources indicates that the Calhoun-Gilmer Career Center may partner with Glenville State College. 13 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 13A DELEGATE ASSEMBLY MEETING Lanette Anderson and Joan Smith attended the NCSBN Delegate Assembly meeting in Long Beach, California, August 13-17, 2002. A verbal report was given on the following actions: 1. Presentation of the Regulatory Achievement Award to the West Virginia State Board of Examiners for Licensed Practical Nurses. 2. Approval of a recommendation to proceed with negotiations for a contract amendment with the new test service for the purposes of international administration of the NCLEX examination. 3. Revisions to the Model Nurse Practice Act and Model Rules, specifically the Rules dealing with nursing education. 4. Adoption of the Nurse Licensure Compact for Advanced Practice Registered Nurse and approval of the Action Plan put forth by the Practice, Education, Regulation Congruence (PERC) Task Force. 13B COMMIT- Executive Secretary reported that the NCSBN Board of Directors approved a system MENT TO which would provide for an ongoing performance evaluation process for nursing boards EXCELLENCE which provide a network of information-sharing regarding best practices. This system is PROJECT based upon the work previously done through Commitment to Excellence, and is entitled Commitment to Ongoing Regulatory Excellence (CORE). Data will be collected from boards of nursing every three (3) years, and stakeholders will be surveyed every five (5) years on an ongoing basis. Data reflecting discipline, governance, education, licensure, and practice will be compiled and will be distributed to all member boards.

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 10 13C TEST Executive Secretary reported that the change to the new test service began October 1, SERVICE 2002. The Board staff participated in training with NCS/Pearson/VUE in early August. TRANSITION We have been receiving registrations for applicants with the new service since August 16, 2002. The test information is web-based with the new system, therefore, it is much more convenient for staff and easier to use. 13D NCLEX-PN ITEM WRITER 13E APPOINT- MENT TO COMMITTEE Janet Rogers, Coordinator from the Roane Jackson Technical Center School of Practical Nursing has applied from West Virginia to serve on the NCLEX Examination Item Development Panel. Lanette Anderson has been selected as a member of the CORE Advisory Panel. She previously served as the Board s representative for the Commitment to Excellence Pilot Project and will be able to continue work in this capacity. 14 REPORT OF MEETINGS ATTENDED: 14A CLEAR 14B WV AUDITOR S REQUIRED TRAINING SEMINAR Tammy Crookshanks gave a verbal report of the Council on Licensure, Enforcement and Regulation held in Las Vegas, Nevada, September 10-13, 2002. Lanette Anderson gave a verbal report of the required training seminar given by the WV Auditor s Office on September 10, 2002. New information was received regarding HB 4124, passed during the 2002 Legislative Session. It permits licensing Boards to utilize mediation for complaint resolution if the Board so desires. The issue will be addressed again with a representative from the WV State Bar on October 18, 2002 during a meeting of the Association of Licensing Boards. 15 UPCOMING MEETINGS 15A CAC ANNUAL MEETING The annual meeting of the Citizen s Advocacy Center will be held in San Francisco, CA, November 13-15, 2002. Estimated cost of the meeting will be $1600.00 per person A motion was made by Charles Pruett that the board authorize two (2) individuals to attend this meeting. Motion was seconded by Joan Smith. Motion carried. 15B NCSBN This meeting will be held preceding the CAC Annual Meeting, on November 12, 2002. PATIENT The focus of this meeting is to inform boards of nursing about the latest initiatives in SAFETY patient safety which may impact our work. The cost of the meeting is an additional SUMMIT $300.00 per person. A motion was made by Joan Smith that the Board authorize the same two (2) individuals who attend the CAC Conference to attend the NCSBN Patient Safety Summit. Motion was seconded by Charles Pruett. Motion carried. 15C ASSOCI- Executive Secretary reported that members received by mail a copy of the proposed agenda ATION for the Association of Licensing Boards meeting to be held in Charleston on October 18, LICENSING 2002. Issues to be discussed in addition to mediation are any anticipated legislative action BOARDS during the 2003 session which may impact licensing boards as well as any other concerns from representatives of other boards.

MINUTES-BOARD MEETING-OCTOBER 17, 2002 PAGE 11 15D NORTH This meeting will be held in Morgantown, WV on Friday, November 8, 2002. There is no CENTRAL registration fee. Cost for this meeting would be mileage and possibly and overnight stay WV in Morgantown the night prior to the meeting. A motion was made Carol Miller that the NURSING Board authorize the attendance of any members and staff who are able to attend this WORKFORCE meeting. Motion was seconded by Orpha Swiger. Motion carried. 16 NURSING CENTER TASK FORCE Lanette Anderson gave a verbal report of the meeting held on October 1,2002. It is the goal of this organization to facilitate the creation of a West Virginia Center for Nursing, which would serve to address issues of recruitment, retention, nursing education, and the use of nurse manpower. Legislative action is needed to create the Center. 17 MISCELLANEOUS 17A END-OF- Executive Secretary reported that an individual has been contacted and agreed to develop LIFE CE a course on our website which will meet the requirements as mandated by the 2001 ON THE Legislature. The placement of this course on the website has been included in the con- WEB tract for our computer programmer, so it is anticipated that licensees will be able to access and utilize this course free of charge sometime this fall. 17B NCPS, INC Executive Secretary reported that members authorized the Board in June 2002 to proceed with the utilization of NCPS, Inc. for the purposes of obtaining drug screening for licensees against whom disciplinary action has been taken and for whom drug screening is required. This process began on September 1, 2002, and to date staff are pleased with its progress. 17C EQUIPMENT Executive Secretary reported that the HP Kayak computer that was provided to us by the ACQUISI- National Council and was previously used for NCLEX results became our property as of TIONS October 1, 2002. Staff has been in contact with our computer programmer and the plan is to network this computer with all other computers to provide us with an extra work station. Staff also plans to purchase another Epson printer to serve as our primary printer for licenses and renewal forms. The printer we currently use will serve as a backup. The cost of the new printer will be approximately $2,300.00. 18 ADJOURN- MENT Meeting was adjourned by Chairperson, Gregory Chiartas at 11:30 am. APPROVED BY: Joan Smith, Secretary Date PREPARED BY: Elsie S. Patterson, Adm. Aide Date