Goal 1: Public Protection Is Assured Through Evidence-Based Regulation
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NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report MISSION: The mission of the North Dakota Board of Nursing (NDBON) is to assure North Dakota citizens quality nursing care through the regulation of standards for nursing education, licensure and practice. GOAL 1: Ensure Public Protection Through Evidence-Based Regulation INITIATIVES STRATEGIES OPERATIONAL PLAN COMPLETED ACTIVITIES 1. Proactively address 1. Ongoing review of the Nurse • Review NPA and Rules annually-July • Addressed incoming practice inquiries the public’s need Practices Act (NPA) and ND meetings. collaboratively and reported to the Board for safe and Administrative Code (NDAC). when needed. competent nursing • Monitor and respond to practice practice. 2. Implement and evaluate inquiries submitted to the NDBON. • Stakeholders provided testimony during processes related to public forums. interpretation and application • Invite nurses and stakeholders to of NPA and NDAC related to volunteer for committee appointments • Board held the following hearings for nursing practice. and Advisory Panels-activate as public comment: needed. o Aesthetics (October) 3. Monitor and analyze trends o Proposed Rules (October) and issues related to nursing • Provide practice guidance regarding practice. interpretation and application of the • The Board heard presentations from NPA and NDAC. public/stakeholders related to the following: 4. Collaborate with state and o ND Medical Spa Association (July, national entities to contribute • Participate in the NCSBN CORE and October) NDBON data related to Board Member Profile data and o ND Nurse Practitioner Association nursing practice. consider reports related to nursing (July) practice. o ND Professional Health Program- Alternative to Discipline (October) • Review and/or revise nursing o ND Center for Nursing (July) practice division processes o CRNA in private practice related to annually. Prescriptive Authority (October) o ND Department of Health (July) • July: Directed staff and SAAG to draft proposed rules to address mandates from 66th legislative session, explore licensure fee adjustments to support core board functions and project funding, and propose additional amendments to update licensure, education, practice, and compliance; convene committees as needed. • September: Approved the draft amendment to the NDAC Title 54 for public hearing which proposes addition of 54-05-02-08 Dispensing in Title X Clinic. 1 NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report • September: Approved the draft revisions of the NDAC Title 54 for public hearing which propose repeal of 54-02-05-04 late renewal fee and amendments to licensure and registration fees as follows: o Addition of $40 for APRN renewal; o Addition of $30 for SPRN renewal; o Addition of $25 for each: APRN and SPRN initial; Prescriptive authority initial; Prescriptive authority renewal; o Addition of $20 for each: LPN and RN renewal; APRN, SPRN, and LPN/RN reactivations; o Addition of $15 for each: LPN and RN by exam; o Addition of $10 for each: UAP initial; LPN/RN endorsements; and UAP renewals. • September: Rejected the proposed addition of NDAC Article 54-10 North Dakota Center for Nursing, concluding rule drafting pertaining to the NDCFN. • October: Finally adopt the revised administrative rules NDAC Title 54 subject to the Attorney General review as to the legality which includes the following: o Addition: Article 54-05-02-08 Dispensing in Title X Clinic. o Repeal: Article 54-02-05-04 Late Renewals Fee. o Revisions: 54-02-01-06 Examination fees; 54-02-05-03 Renewal fees; 54-02-05-06 Reactivating a license; 54-02-06- 01 Application and fee (Endorsement); 54-05-03.1-04 Initial requirements for advanced practice registered nurse licensure; 54-05-03.1-06 Requirements for advanced practice registered nurse licensure renewal; 54-05-03.1- 06.1 Reactivation of a license; 54-05-03.1-09 Requirements for prescriptive authority; 54-05- 2 NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report 03.1-11 Prescriptive authority renewal; 54-05-03.2-04 Initial requirements for specialty practice registered nurse licensure; 54-05-03.2-05 Requirements for specialty practice registered nurse licensure renewal; 54-05-03.2- 05.1 Reactivation of a license; 54-07-02-01 Application and fees for unlicensed assistive person registration; 54-07-02-01-1 Renewal of registration. • The ND Nurse Practitioner Association white paper presentation and motioned to neither support nor oppose the paper. • Directed staff to post draft Role of Nurse in Aesthetic Practices for public comment after SAAG review and include public forum during October 24, 2019 convened meeting. • Approved the new standing orders for laboratory testing for syphilis as proposed by the NDDoH. • Approved the draft practice guidance “Role of the Licensed Nurse in Aesthetic Practices in ND” as amended per public comment as final. • Retired Amnisure Test practice guidance. 3 NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report 2. Ensure licensure and 1. Provide accurate and efficient • Review NNAAP examination • Approve the 2019-2020 fee schedule registration of licensure/registration processes. contract-2018-2019. change to include APRN & prescriptive qualified individuals authority license within the category of for the practice of 2. Provide electronic licensure • Provide notification related to non- disciplinary fees practice without nursing or assist in notification for employers, licensure and registration renewal. license- doubles licensure renewal fee the practice of licensees, and registrants. plus: APRN-first month $300 and after nursing. • Promote and monitor use of E-notify. first month $700 and prescriptive 3. Comply with state and federal laws, Provide periodic reports to NDBON. authority-first month $ 400 and after rules, and procedures/policies first month $800. regarding use and dissemination of • Assist NDBON Noncriminal Agency FBI Criminal Background Checks Coordinator in ensuring compliance with • Ratified the 2019-2020 fee schedule. (CHRC) required for licensure or ND Bureau of Criminal Investigations registration. FBI CHRC requirements and audits. • Approved the following licensure policies: o If the nursing education program 4. Monitor continued competency of • Provide continuing education does not meet the clinical licensure through audits related to approval of offerings which experience requirements continuing education and practice may be utilized to meet initial or according to NDAC 54-03.2-06, hours per NPA and NDAC. continued competency. 400 hours of licensed nursing practice for the level of licensure 5. Collaborate with state and national • Conduct annual continuing sought is required prior to entities to contribute NDBON data education audits. application for licensure in ND. related to licensure and o International/foreign educated registration. • Participate in the NCSBN CORE and nurse applicants must submit a Board Member Profile data and credentials evaluation service consider reports related to licensure. report of the transcript along with the official transcript for issuance of a single state license. If the international/foreign educated applicant also submits a copy of the CGFNS certificate program verification letter or CGFNS visa screen verification letter a multistate license may be issued. The board may accept verification of these reports from another jurisdiction if ND qualifications are met. o International/foreign educated nurse applicants must submit a verification of employment form validating 400 practice hours in the previous four years. • E-notify promoted in Summer and Fall 2019 edition of Dakota Nurse Connection. • Continuing Education Applications Approved: 50 4 NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report • Granted the request of UAP-Medical Assistant to gain registry as a medication assistant III, as she has fulfilled the ND Board of Nursing requirements for registry of that designation. • Accept the letter from the Assistant Registrar at Union College, Lincoln, NE to satisfy the requirements of NDAC 54-02-06-01, subsection 4; NDCC 43-12.1-09, subsection 2.b (2) for Kansas Registered Nurse endorsement application Doreen Decker. 5 NORTH DAKOTA BOARD OF NURSING STRATEGIC PLAN 2018-2022 July through December 2019 Progress Report 3. Ensure the nursing 1. Evaluate, approve, and monitor • Survey and evaluate NDBON approved • Found Rasmussen College baccalaureate education programs nursing education programs nursing education programs, RN degree nursing education program in meet NDBON according to NPA and NDAC. Refresher Courses, LPN IV Therapy substantial compliance with NDAC 54-03.2. standards through Courses. Standards for Nursing Education Programs; evidence-based 2. Implement and evaluate and granted continued initial approval until July processes. monitoring processes for nursing • Facilitating the work of the Nursing 2020; and required an onsite survey in May education programs according to Education Committee (NEC). 2020. the NPA and NDAC. • Facilitate and evaluate the distance • Found the compliance report submitted by 3. Collect and evaluate data from education recognition process. Provide Sitting Bull College, Division of Nursing, NDBON approved nursing periodic reports to NDBON. associate degree practical nurse program education programs. nurse