Transcript FBI Audit – Board’s Perspective

Sue A. Tedford, MNSc, RN
Arkansas State Board of Nursing
Executive Director
The mission of the board of
nursing is to protect the public
and act as their advocate by
effectively regulating the
practice of nursing.
Mission
• Appointed by the Governor
• 4 year terms (maximum is 2 terms)
• 13 members
6 RNs
4 LPNs/LPTNs
1 APN
1 consumer
1 older than 60 years
Board Members
Board Composition
1 APN with Prescriptive Authority
2 Baccalaureate Degree or higher RNs
2 Associate Degree RNs
2 Diploma RNs
4 LPNs or LPTNs
1 Consumer
1 Representative of the Older Population
Board Composition
• Increase the number of APNs from
one to two
• Only one of the APNs will be required
to have Prescriptive Authority
• Decrease the number of RNs from six
to five
Proposed Changes 17-87-201
• Prescriptive Authority Committee
• General clean up
• Rules
•
•
•
•
Chapter 1- new definitions
Chapter 2 – refresher course for endorsements (>5 yrs)
Chapter 3 – only clean up
Chapter 4 – change in titles (APRN, CNP), refresher
course if out >2 years, Prescribing Anorexiant Drugs
• Chapter 6 – new program requirements, student:faculty
ratio
Other Proposed Changes
Only ASBN has the authority to
determine in Arkansas
• Nurse Practice Act/Rules
• Position Statements
• Decision Making Model
• Delegated Medical Acts (99-2)
Scope of Practice
Number of Nurses
Education Update
Associate Degree:
Baccalaureate Degree:
Diploma:
Total RN:
15
11
2
28
Practical:
27
Arkansas Nursing Programs
Number of AR Graduates
2500
2000
1500
RN
PN
1000
500
0
2008
2009
2010
2011
2012
Arkansas State University
University of Arkansas
University of Arkansas for Medical
Sciences
University of Central Arkansas
Doctorial Programs
Process
• Take exam
• Results to ASBN next business day
• Temporary permit automatically null &
void
PUSH notification
• Issuance of license
• License appears on Registry Search next
business day
PUSH notification
Licensure of New Grads
• Allowed to take NCLEX without
official transcript
• ASBN must have official transcript to
issue license
• May hold issuance of license if other
issues arise (i.e. complaint)
Licensure of New Grads
If there isn’t an active license
(or temporary permit) displayed
on the Registry Search, the
nurse cannot work as a nurse
(may work in an unlicensed
position)
Bottom Line
Enforcement Update
Number of Investigations
1800
1600
1400
1200
1000
800
600
400
200
0
2008
2009
2010
2011
2012
• Drug Related
Prescription medications
Street drugs
• Practice Issues
Medication issues
Documentation
Boundary crossings
• Convictions
Waiver Requests (ACA 17-87-312)
Nonwaiver Requests
Types of Cases
Social Media
180
160
Disciplinary Action
FY 12
140
120
100
80
60
40
20
0
Revoke
Suspend
Surrender
Probation
LOR
LOW
When Should You
Report a Nurse to the
Board of Nursing?
Violation of the Nurse Practice Act
and/or Rules
Were there significant
circumstances involving the
system which caused or
contributed to the error?
Did the nurse play a role
in the error?
YES
Did the nurse conceal the
error?
YES REPORT TO
BON
Did the nurse conceal
the error?
YES
REPORT TO
BON
NO
Are the stories from all
involved consistent?
NO
REPORT TO
BON
Are the stories from all NO
involved consistent?
REPORT TO
BON
YES
Is there a substance use
YES
disorder or medical
condition which
contributed to the error?
REPORT TO
BON or EAP
Is there a substance use
disorder or medical
YES
condition which
contributed to the error?
REPORT TO
BON or EAP
NO
Was the nurse
terminated?
YES
REPORT TO
BON
Was the nurse
terminated?
YES
REPORT TO
BON
NO
Is there a history of
other similar or serious
errors by this nurse?
YES
REPORT TO
BON
Is there a history of
other similar or serious
errors by this nurse?
YES
REPORT TO
BON
NO
Counsel nurse, action
plan for remediation.
•
•
•
•
Applies to RNs and LPNs only
24 compact states
May work in any other compact state
If primary state of residence changes, may
work for 30 days
Driver’s license
Voter registration
Federal tax return
Compact Licensure
www.ncsbn.org
Compact Licensure
•
•
•
•
•
•
Practice or Educator
Enrolled in a nursing program
Scholarship vs. loan
Fall 2011 & Spring 2012 - $71,100
Educator loans – 15
Practice loans - 34
Faith A. Fields
Scholarship/Loan
Types of Programs
attended by receipients
• Issued one time
• No expiration date
• Verify licensure on ASBN
Registry
• Renewal every two years
Permanent Licensure
Cards
• Check current status
• Updated every 24 hours
• Primary source verification
• Push notifications
Registry Search
All licenses
listed
Click on name of
• Employers who subscribe can enter the
license number of each nurse on staff
• Emails will automatically be sent when
specific criteria change
• Name change
• Change in license status
Issued
Null & Void
Expired
• Placed under investigation
• Multistate
• Disciplinary action
Information Pushed
• All renewals must be reviewed &
approved by ASBN staff
• Shows on ASBN Registry on the 2nd
business day
• Don’t wait until the last day of the month
Online Renewals
Renewal
ASBN
approval
Registry
updated
Renewal Process
License #: R012345
License Status: Pending
• Back-up if ASBN registry is down
• Check out-of-state license status
• Disciplinary documents
www.nursys.com
Nursys
• Graduate must apply for a temporary permit
within 90 days of graduation
• Temporary permits are no longer printed –
information is available on the ASBN Registry
Search
• New graduates working on a temporary permit
sign their legal name followed by LPN or RN
Did you know????
• Nurse managers may be disciplined
for allowing a nurse to work without a
valid license to practice
• You can find us on Facebook
• You can follow us on Twitter
Did you know????
New & Upcoming
• Application and criminal background
check combined
• Available for all applications except
internationally educated nurses
• Payment by credit card or e-check
Online Applications
• Old number ----- L45435
• New number ---- L045435
Six Digit License Numbers
9th Annual Expo Saturday Dec 1, 2012
•T-Shirt design winner
•Centennial Pin
Birthday party – March 5th, 2013
Luncheon – June 8th, 2013
• Video contest
• Compassionate Nurse & Educator
of the Year Awards & Others
Baxter Regional
NW Health
St. Bernard’s
May 7
September
CARROLL
BENTON
BOONE
MARION
FULTON
BAXTER
IZARD
GREENE
SHARP
LAWRENCE
MADISON
WASHINGTON
CLAY
RANDOLPH
NEWTON
SEARCY
STONE
CRAIGHEAD
INDEPENDENCE
MISSISSIPPI
CRAWFORD
FRANKLIN
JOHNSON
VANBUREN
JACKSON
CLEBURNE
POINSETT
POPE
CRITTENDEN
CONWAY
LOGAN
SEBASTIAN
WHITE
FAULKNER
WOODRU FF
October
ST. FRANCIS
YELL
White County
CROSS
PERRY
PRAIRIE
SCOTT
PULASKI
MONTGOMERY
POLK
LEE
LONOKE
SALINE
MONROE
GARLAND
PHILLIPS
HOTSPRING
HOWARD
GRANT
JEFFERSON
ARKANSAS
PIKE
Jefferson Regional
CLARK
SEVIER
DALLAS
CLEVELAND
LINCOLN
DESHA
LITTLERIVER
St. Michael’s
August 6
HEMPSTEAD
Feb 19
OUACHITA
NEVADA
CALHOUN BRADLEY
DREW
MILLER
COLUMBIA
UNION
ASHLEY
CHICOT
LAFAYETTE
10/2010
Ashley Co. Med Ctr.
April 4
• ASBN State-wide Workshops
• Nursing: Kaleidoscope of Practice
• November 8, 2012 – Henderson State University
• 2013 Workshops
• 8th Annual CE Cruise
• April 14-21, 2013
Coming Up
ADMINISTRATION
Sue A. Tedford, MSN, RN, ASBN Executive Director
Susan Lester, Executive Assistant to the Director
Fred Knight, General Counsel
Mary Trentham, MNSc, MBA, APN_BC, Attorney Specialist
LouAnn Walker, Public Information Coordinator/ASBN Update Editor
ACCOUNTING
Darla Erickson, CPA, Administrative Services Manager
Gail Bengal, Fiscal Support Specialist
Sydni Williams, Administrative Specialist II
Andrea McCuien, Administrative Specialist II
DISCIPLINE/PRACTICE
Phyllis DeClerk, RN, LNCC, ASBN Assistant Director
Deborah Jones, MNSc, RN, ASBN Program Coordinator
Patsy Dooley, Legal Support Specialist
Christine Brown, Legal Support Specialist
Carmen Sebastino, Legal Support Specialist
Patty Smith, Legal Support Specialist
INFORMATION SYSTEMS
Carlos Miller, Information Systems Coordinator
Daria Carpenter, Licensing Coordinator
EDUCATION
Karen McCumpsey, MNSc, RN, CNE, ASBN Assistant Director
Tammy Claussen, MNS, RN, CNE, ASBN Program Coordinator
Jill Hasley, MNSc, RN, ASBN Program Coordinator
Margie Brauer, Licensing Coordinator/Endorsements
Carla Davis, Licensing Coordinator/Examinations
Lori Gephardt, Administrative Specialist III
Ellen Harwell, Licensing Coordinator/Advanced Practice
Susan Moore, Licensing Coordinator/Renewals
Mary Stinson, Licensing Coordinator
Let us hear from you…..
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www.arsbn.org