BOARD OF Professional and Vocational Licensing Division Department of Commerce and Consumer Affairs State of Hawaii

MINUTES OF MEETING

The agenda for this meeting was filed with the Office of the Lieutenant Governor as required by Section 92-7(b), Hawaii Revised Statutes (“HRS”).

Date: Thursday, July 11, 2019

Time: 9:00 a.m.

Place: Queen Liliuokalani Conference Room King Kalakaua Building 335 Merchant Street, 1st Floor Honolulu, Hawaii 96813

Members Present: Thomas Joslyn, MS, CRNA, Chair Olivia Kim, BSN, BS, RN, LPN, NHA, Vice Chair Katharyn Daub, MNEd, EdD, RN Jomel Duldulao, Public Member Judy Kodama, MSN, MBA, RN, CNML Carrie Oliveira, Public Member Amy Stone Murai, APRN

Members Excused: Karen Boyer, MS, RN, FNP Tammie Napoleon, DNP, APRN, PPCNP-BC

Staff Present: Lee Ann Teshima, Executive Officer (“EO”) Shari Wong, Deputy Attorney General (“DAG”) Nohelani Jackson, Secretary

Guests: Kate Blissard, DEA Alex Nikoloudakis, DEA Cris Vida, DEA Dean Yamamoto, NED Brooke Zarriello, NED Linda Beechinor, Hawaii-American Nurses Association Amanda Valenzuela, Student, University of Phoenix J.P. Moses Gary Whisenand, DEA Kyle Hoppel, DEA Rhoberta Haley, Chaminade University Susie Lidge, University of Phoenix Ellen Hansen, Applicant

Board of Nursing Minutes of July 11, 2019 Meeting Page 2

Call to Order: The Chair called the meeting to order at 8:31 a.m. at which time quorum was established.

Chair’s Report: Announcements/Introductions

The Chair excused Ms. Boyer and Dr. Napoleon and asked the audience to introduce themselves.

The Chair stated that he wanted to start working on a project for the Board to issue position statements on some nursing scope of practice issues and will be working with the EO and may also call upon some members to help him do research.

Approval of the Previous Minutes – June 6, 2019

The Chair called for a motion in regard to the minutes of the June 6, 2019 meeting.

Upon a motion by Ms. Kodama, seconded by Ms. Daub, it was voted on and unanimously carried to approve the minutes of the June 6, 2019 meeting as circulated.

Executive Officer’s Conferences/Seminars/Meetings Report: 2019 Discipline Case Management Conference, June 10-12, 2019, Memphis, Tennessee – The EO asked the DAG to provide a brief report on her attendance at the conference.

The DAG reported on the following: • Unseen Forces Driving Opioid Addiction Nationwide • The Use of Administrative Law Judges • Barriers to Adverse Event Reporting • Top Regulatory Cases- What Did the Courts Say? (Important Cases and the outcomes that followed) • Sexual Abuse: Achieving Zero Tolerance • How to Survive the Resolution of a High-Risk Investigation • Due Process Considerations in Simultaneous Regulatory & Criminal Investigations • The Compact and Reciprocal Discipline – Including the Collateral Impact of Disciplinary Action in Compact States.

2019 NCSBN Annual Meeting, August 21-23, 2019, Chicago, Illinois – The Vice Chair and Mr. Duldulao Attending

The EO reminded the members to forward any recommendations on the following issues to her that will be discussed at the annual meeting so that she can consolidate and send to the Vice Chair and Mr. Duldulao:

i. Summary of Recommendations to the 2019 Delegate Assembly Minutes of July 11, 2019 Meeting Page 3

ii. NCSBN Strategic Plan – Proposed iii. Advanced Practice Registered Nurse Compact – Revisions iv. NCSBN Associate Member Application – Puerto RICO v. NCSBN Associate Member Application – Spanish General Council of Nursing vi. 2020 NCLEX-PN Test Plan vii. 2019 Slate of Candidates

2019 NCLEX Conference, September 9, 2019, Phoenix, Arizona – Ms. Boyer Attending

Boards and Commissions Member Orientation, October 11, 2019, 8:30 – 12:00, State Capitol Auditorium – The EO stated that this orientation is open to all new and existing members, regardless if you previously attended but would like a refresher.

Ms. Oliveira and Ms. Kodama stated that they would attend.

2019 Legislative Session

The EO gave the following report on the following bills:

APRN Reimbursement SB 25, SD2, HD1, CD1 Relating to Insurance – This bill was approved by the Governor on 6/7/2019, Act 70

APRN Related HB 658, HD1, SD1, Relating to Health – This bill establishes the advanced practice registered nurse medical leadership working group chaired by the Department of Health to research and make recommendations regarding advanced practice registered nurses' eligibility for medical leadership positions. (SD1) The House originally disagreed with the Senate’s amendments ( (1) Include a purpose section; (2) Establish the advanced practice registered nurse medical leadership working group (“working group”) to be convened by the Department of Health and chaired by the Director of Health; (3) Specify that the working group is to research and make recommendations regarding APRNs' eligibility for medical leadership positions and identify any circumstances where that eligibility may be inappropriate; (4) Require the working group to report its findings and any proposed legislation to the Legislature prior to the 2020 Regular Session; and (5) Change its effective date to upon approval.), however, the House reconsidered and agreed with the Senate draft. This bill was approved by the Governor on 7/2/2019, Act 205.

Other SB 1404, SD2, HD1,CD1 Relating to Loan Repayment for Professionals – This bill appropriates funds for the Health Care Provider Loan Repayment Program administered through the John A. Burns School of Medicine of the University of Hawaii at Manoa; provided that the funds are matched on a Board of Nursing Minutes of July 11, 2019 Meeting Page 4

dollar-for-dollar basis by a private or another public source. This bill was approved by the Governor on 7/5/2019, Act 262.

SB 385, SD1, HD2, CD1, Relating to Professional and Vocational Licensing – This bill repeals defaults on student loans, student loan repayment contracts, and scholarship contracts as grounds for sanctioning professional and vocational licensees. This bill was enrolled to the Governor on 5/6/2019.

Working Solutions – June 2019 A copy was distributed to the Board members as information only.

2019 Renewal

Statistics The EO provided the following statistics as of July 1, 2019:

• APRNs – 1,743 eligible to renew, 1,548 renewed • LPNs – 2,865 eligible to renew, 1,841 renewed • RNs – 29, 668 eligible to renew, 23,130 renewed

Continuing Competency The EO reported that once the hard copy renewal applications are processed, she will request a list of nurses randomly selected. The nurses selected will be sent a letter informing them they were randomly selected and to submit proof of compliance with the continuing competency requirement.

She stated that the Board previously determined that 5% of the total number of nurses was sufficient and that this list would also be posted on the Board’s web page. The nurses selected for audit will have 60 days to respond and submit proof of the continued competency requirement.

Once received, the Board will begin reviewing the documents submitted and determine whether to delegate to the EO to approve the continued competency submittals with the exceptions of any questionable learning activity options.

The EO stated that if a nurse fails to respond to the request, he/she will be referred to the Regulated Industries Complaints Office (RICO) for investigation for failure to comply with the continuing competency requirement and for failing to respond to a request from the Board.

Criminal History Background Check The EO reported that in addition to the continuing competency requirement, approximately 8,000 plus nurses were randomly selected to get fingerprinted for a criminal records history check for the 2019 renewal.

This will require that staff check the name of each nurse on the list with the Hawaii Criminal Justice Data Center (“HCJDC”) to see if the nurse’s name appears and if not, the nurse either did not get fingerprinted or may not have used the correct code. The nurse will be notified that we were unable to retrieve any results. Board of Nursing Minutes of July 11, 2019 Meeting Page 5

If the nurse’s name on the HCJDC indicates a prior conviction, the EO stated that she will have to literally search the nurse’s file to see if he/she previously disclosed the information and that if the nurse did not, the nurse will be referred for investigation by RICO.

The EO stated that she would keep the Board apprised each step of the way.

Correspondence: NCSBN

Legislative Updates The Board noted the following bills introduced or new laws enacted in other states:

5/31/2019 Enacted AL H 245 SUMMARY: Provides for direct reimbursement for the services of a certified registered by insurers.

CO S 227 SUMMARY: Authorizes schools to obtain a supply of opiate antagonists.

CO S 228 SUMMARY: Requires APRNs and other prescribers to complete substance use disorder training; prohibits APRNs and other prescribers from accepting benefits for prescribing specific medications; requires opioid prescriptions to bear warning labels.

OK H 2341 SUMMARY: Broadens practitioners who may make referrals by including APRNs.

OK S 85 SUMMARY: Authorizes any school nurse, public health nurse, licensed practitioner of the healing arts, nurses working under contract with a school district, or any person designated by the school administration to administer an opiate antagonist in the event of a suspected overdose.

SC H 3821 SUMMARY: Allows APRNs to sign death certificates.

Enrolled to Governor NJ S 954 SUMMARY: Enters State into the enhanced Multistate Compact.

TX H 1342 SUMMARY: Relates to the consequences of a criminal conviction on a person eligibility for an occupational license; provides for various license restrictions.

Board of Nursing Minutes of July 11, 2019 Meeting Page 6

TX H 1401 SUMMARY: Provides for the use of money from the permanent fund for health-related programs to provide grants to nursing education programs.

TX S 37 SUMMARY: Prohibits on the use of student loan default or breach of a student loan repayment or scholarship contract as a ground for refusal to grant or renew an occupational license or other disciplinary action in relation to an occupational license.

TX S 1564 SUMMARY: Provides that the Commission shall provide medical assistance reimbursement for medication assisted opioid or substance use disorder treatment without requiring a recipient of medical assistance or health care provider to obtain prior authorization or precertification for the treatment.

Introduced HEALTH PROFESSIONAL COMPACTS NJ S 3821 SUMMARY: Enters State into Interstate Medical Licensure Compact.

OPIOID EPIDEMIC NJ A 5458 SUMMARY: Establishes pilot program for integrated system of treatment for opioid use disorders.

NY A 7813 SUMMARY: Enacts the overdose prevention centers.

ANCILLARY PROFESSIONS NY S 6223 SUMMARY: Requires home health aides and nurse's aides to receive training in working with lesbian, gay, bisexual and transgender individuals as part of the education and training for certification.

WI S 222 SUMMARY: Relates to grants to technical college districts for nurse aide training.

WI S 223 SUMMARY: Creates an individual income tax credit for certified nursing assistant training costs.

OTHER NOTABLE BILLS NY A 7910 SUMMARY: Provides for the licensure by endorsement of certain registered professional nurses and licensed practical nurses who hold a valid license in Puerto Rico, and have actively practiced nursing in Puerto Rico for two of the preceding three years without having their license acted against by the licensing authority of any jurisdiction.

Board of Nursing Minutes of July 11, 2019 Meeting Page 7

NY A 7813 SUMMARY: Enacts the Children and Recovering Mothers Act to provide guidance, education and assistance to neonatal nurses, obstetricians, midwives, pediatricians and other health care providers caring for expectant mothers with substance use disorder; also provides for the screening of newborns for substance abuse exposure.

Vetoed MD S 652 SUMMARY: Enters state into the Interstate Physical Therapy Licensure Compact.

MD H 365 SUMMARY: Prohibits health care practitioners and certain students and trainees from performing certain examinations on a patient who is under or unconscious unless informed consent has been obtained from the patient for the examination, the examination is within the standard of care, or the patient is unconscious and the examination is required for diagnostic purposes.

6/7/2019 Enacted NV S 315 SUMMARY: Requires regulatory boards regulating physicians, physician assistants, and APRNs to encourage practitioners to receive training and education in the diagnosis of rare diseases.

NV S 456 SUMMARY: Authorizes the admission of APRNs to membership on the medical staff of a hospital.

OR H 2011 SUMMARY: Requires cultural competency continuing education for professions regulated by boards, including the Board of Nursing.

Governor FL H 375 SUMMARY: Relates to the Prescription Drug Monitoring Program; provides an exemption from the requirement to check a patient's dispensing history before the prescribing a controlled substance for the alleviation of pain related to a terminal condition or to patients receiving palliative care for terminal illnesses.

LA S 240 SUMMARY: Provides authority for APRNs and physician assistants to provide MAT; in order to provide MAT their collaborating or supervising physician shall also be authorized and in compliance with all federal and state laws and rules authorizing the provision of MAT.

Board of Nursing Minutes of July 11, 2019 Meeting Page 8

NV A 534 SUMMARY: Grants the governor powers to authorize providers of emergency medical services and providers of mental health services who are not licensed, certified or registered, as applicable, in the State but hold a similar credential in good standing in another state or territory to assist in responding to the emergency or disaster.

OPIOID EPIDEMIC NJ A 5459 SIMILAR: NJ S 3857 SUMMARY: Concerns continuing education requirements for health professionals such as RNs, APRNs, LPNs, physicians, dentists, and pharmacists regarding best practices and advances in the care of pregnant women with respect to prescription opioids.

NJ S 3862 SIMILAR: NJ A 5458 SUMMARY: Establishes pilot program for integrated system of treatment for opioid use disorders.

APRN NY A 8074 SUMMARY: Requires all nurse practitioners, physicians, physicians and other health care practitioners who treat a child to provide the parent of such child with evidence- based information about certain immunizations, such information to be provided by the commissioner of health.

PA S 697 SUMMARY: Provides for provision and supervision of anesthesia care.

WI S 249 SUMMARY: Creates an additional system of licensure for APRNs, to be administered by the board. The bill also allows a person who has not completed an accredited education program to receive an APRN license if the person 1) on January 1, 2017, was both licensed as an RN in Wisconsin and practicing in one of the four recognized roles; and 2) satisfies additional practice or education criteria established by the board. The bill also requires the board, upon granting a person an APRN license, to also grant the person one or more specialty designations corresponding to the recognized role or roles for which the person qualifies.

WI S 254 SUMMARY: Extends those allowed to make findings of incapacity upon which a health care power of attorney becomes effective, and issue do-not-resuscitate orders to include nurse practitioners.

OTHER NOTABLE BILLS NJ A 5477 SUMMARY: Requires the Director of the Division of Consumer Affairs to provide certain information concerning health care professionals on the License Verification System. Board of Nursing Minutes of July 11, 2019 Meeting Page 9

6/14/2019 Enacted AL H 471 SUMMARY: Relates to Pike County; Authorizes an attending physician, , or physician assistant to provide emergency treatment to an individual with a mental illness for up to 72 hours, and to provide protection from civil or criminal liability when acting in good faith for actions taken related to the admission or discharge of the patient.

AL S 425 SUMMARY: Establishes guidelines for the use of buprenorphine in nonresidential treatment programs.

LA H 423 SUMMARY: Repeals the provisions for revocation of licenses for defaulting on certain student loans.

LA S 29 SUMMARY: States that if a licensee enters into a consent decree with an occupational licensing board regarding discipline, the licensee is not required to sign a non- disparagement agreement; An occupational licensing board may initiate discipline against a licensee for providing testimony or records to the legislature or another public body.

ME H 922 SUMMARY: Allows a physician assistant or an advanced practice registered nurse licensed as such in this state to perform abortions, in addition to a licensed allopathic or osteopathic physician.

ME S 104 SUMMARY: Provides that a person providing alternative or complementary health care services who is not licensed may provide health care services as long as the person does not perform surgery, prescribe medications, drugs, or devices that require a prescription, perform chiropractic manipulation, or falsely state that the person is a licensed health care professional.

NJ S 2968 SUMMARY: Permits certain health care professionals to waive health insurance copayments for members of the military serving on active duty and their family members.

OR S 66 SUMMARY: Authorizes the Board of Nursing to recognize military education or training programs as sufficient to meet requirements for licensure as .

Board of Nursing Minutes of July 11, 2019 Meeting Page 10

OR S 665 SUMMARY: Directs State Board of Education to adopt rules for administration of naloxone; provides immunity from criminal action or for civil damages related to administration of naloxone or similar medication by trained school personnel, including school nurses.

TX H 387 SUMMARY: Allows a treating doctor to delegate to an APRN the authority to complete and sign a work status report regarding an injured employee's ability to return to work.

TX H 1899 SUMMARY: Establishes requirements for the revocation or denial of certain health care professional licenses.

TX H 2454 SUMMARY: Requires continuing education requirements for APRNs, physicians, physician assistants and dentists regarding pain management and the prescribing of opioids.

TX S 1995 SUMMARY: Requires the review of certain occupational licensing rules by the office of the governor. To Governor DE H 58 SUMMARY: Increases the numbers of Delaware nursing students eligible for the nursing incentive program by allowing Delawareans pursuing nursing careers at nonprofit hospitals to be eligible for the program.

DE H 115 SUMMARY: Requires podiatrists, dentists, doctors, nurses and optometrists who issue prescriptions to utilize electronic prescriptions except under certain exceptions.

Introduced OPIOID EPIDEMIC DE H 220 SUMMARY: Requires health insurance carriers to provide coverage for prescription medications approved by the FDA for MAT.

APRN NY A 8224 SUMMARY: Provides for the licensure by endorsement of certain RNs/LPNs who hold a valid license to practice professional or practical nursing in a territory of the US, and have actively practiced nursing in a territory of the US for two of the preceding three years without having their license acted against by the licensing authority of any jurisdiction.

Board of Nursing Minutes of July 11, 2019 Meeting Page 11

6/20/2019 Enacted NV A 534 SUMMARY: Grants the governor powers to authorize providers of emergency medical services and providers of mental health services who are not licensed, certified or registered, as applicable, in the State but hold a similar credential in good standing in another state or territory to assist in responding to the emergency or disaster.

TX H 2214 SUMMARY: Relates to the issuance of a temporary occupational license to certain military service members, military veterans, and military spouses.

TX S 1217 SUMMARY: Relates to the consideration of certain arrests in determining an applicant's eligibility for an occupational license.

Introduced ANCILLARY PROFESSIONS OH H 290 SIMILAR: OH S 166 SUMMARY: Prohibits unlawful sexual contact between an RN, LPN, dentist, dental hygienist, optometrist, physician, physician assistant, psychologist, chiropractor, speech- language pathologist, audiologist, occupational therapist, physical therapist, athletic trainer, social worker or independent social worker and patients; revokes professional licenses for criminal misconduct.

6/28/2029 Enacted MI S 200 SUMMARY: Allows prescribers to prescribe opioid antagonists and pharmacists to dispense to public libraries under certain circumstances.

NH H 350 SUMMARY: Authorizes physician assistants to prescribe cannabis for therapeutic purposes.

NJ S 3375 SUMMARY: Establishes a maternal health care pilot program to evaluate shared decision- making tools developed by the Department of Health and used by hospitals and birthing centers providing maternity services.

To Governor CT S 375 SUMMARY: Concerns nursing home staffing levels; ensures adequate reporting of the numbers of nursing home staff.

CT S 827 SUMMARY: Requires physicians and APRNs who provide primary care or emergency treatment for adults to receive training in recognizing the signs and symptoms of Alzheimer’s disease and dementia. Board of Nursing Minutes of July 11, 2019 Meeting Page 12

CT S 921 SUMMARY: Updates the general statutes to reflect the current scope of practice of advanced practice registered nurses.

IL H 1652 SUMMARY: Provides that expedited temporary occupational licenses issued to service members and their spouses meeting specified requirements shall be valid for 3 years after the date of issuance.

IL S 1166 SUMMARY: No department shall deny an occupational or professional license based solely on the applicant's citizenship status or immigration status.

IL S 1702 SUMMARY: Permits an advanced practice psychiatric nurse to order restraints or seclusion for a recipient of treatment.

Introduced APRN NJ A 5650 SUMMARY: Expands list of health care professionals authorized to provide services in connection with stillbirth to include CNMs.

NCSBN and the American Nurses Association (ANA) issue New Joint National Guidelines for Nursing Delegation The Board asked the EO to post the new guidelines on Board’s web page and to remove the “old” version.

Scope of Practice

LPN Case Manager Questions – Home Care Agency The Board discussed the following email inquiry:

“I am currently an LPN working as a Case Manager at a local home care agency on Maui. I have some concerns related to a client our agency recently signed on to receive our services.

As Case Manager, I perform an assessment and generate a care plan for our caregivers to follow while providing companionship, respite care, housekeeping and personal care services in the home setting. Could I schedule a telephone appointment to discuss my concerns related to my legal scope of practice and this particular client?

This particular client is oxygen dependent at 6L/min. DX: End stage Interstitial Lung Disease and Chronic Hypoxemic Respiratory Failure.

Board of Nursing Minutes of July 11, 2019 Meeting Page 13

The agency I work for is not licensed as a medical agency, and my concerns are related to my professional duty to perform safe nursing practices and maintain my Nursing Code of Ethics. My agency has contacted the DHS Licensing Department for clarification related to their legal parameters regarding providing oxygen therapy in the home setting but I don't feel my professional concerns have been addressed relating to medication administration and delegation of UAP tasks. I have been counseled by my employer that she will be providing oxygen therapy for clients now and in the future. She has revised her service agreement to reflect this decision. As Case Manager, she expects me to generate care plans and train UAP for these clients.

I disagree. I am requesting guidance from the BON.”

The Vice Chair stated that home care agencies fall under the purview of the Department of Health (“DOH”), Office of Heath Care Assurance and that this person should go to DOH’s web page and read Title 11, Chapter 700, Home Care Agencies.

It was the consensus of the Board to also refer the inquirer to the definition of “The practice of nursing as a licensed practical nurse” under HRS 457-1.5 Practice of nursing, 457-2 Definitions, 457-2.6 Licensed practical nurse and 457-7.5 Delegation and to the Scope of Practice Decision Making Framework posted on the Board’s webpage.

Nurses Administering IVs The Board discussed the following email inquiry:

“Can you tell me who can legally administer IVs in Hawaii?”

After further discussion, it was the consensus of the Board that speaking strictly for nurse professionals, registered nurses may administer IVs under their scope of practice. Licensed practical nurses may also administer IVs if the LPN has the additional education and training and is being supervised by an RN. Also, in both instances, the nurse should be following the institutional policies and procedures.

In accordance with HAR § 16-201-90, the above interpretation is for informational and explanatory purposes only and based solely on the information provided. It is not an official opinion or decision and therefore not binding on the Board.

Can Pediatric NP Treat Adults The Board discussed the following email inquiry:

“With the appropriate training by a collaborating physician, can a pediatric nurse practitioner crossover to treat adults in the state of Hawaii?

Background: I have been a pediatric nurse practitioner of 9 years. I am currently licensed in California. My new employer is currently training me to treat adults as well (orientation includes 4 months of theory, didactics, and shadowing for 40 Board of Nursing Minutes of July 11, 2019 Meeting Page 14

hours a week). Furthermore, my employer would like me to be licensed to treat all ages in other states.

In CA, my NP license allows me to crossover to treat adults as long as I fulfill the requirements of my standardized procedure that must specify the requirements of experience, training, and education. Please see page 3 (2nd question) in the California NP FAQs attachment.”

Ms. Stone Murai cited HRS 457-8.5 Advanced practice registered nurse; qualifications; licensure; endorsement; fees; eligibility.

The Board also discussed the information regarding the roles of a CPNP-PC and CPNP-AC that included age parameters from the Certification Board.

After further discussion, although the Board recognizes that in some cases a Pediatric NP’s patients may include “young adults”, a Pediatric NP may not “cross over” and should be nationally certified to treat adults whether as a Family NP or Adult NP.

Also, unlike the California BON, Hawaii does not review clinical competencies to provide care for a “new” patient population unless that APRN holds a current national certification in that practice specialty. In accordance with HAR § 16-201-90, the above interpretation is for informational and explanatory purposes only and based solely on the information provided. It is not an official opinion or decision and therefore not binding on the Board.

Joint Commission issues new Quick Safety advisory on de-escalating aggression/agitation in health care settings

A copy was distributed to the Board members as FYI only.

Hawaii State Center A copy of the June 2019 Newsletter was distributed to the Board members as FYI for Nursing: only.

American Nurses Ms. Beechinor reported on the following: Association – Hawaii Chapter: The Hawaii – American Nurses Association will include a trade name “H-ANA” or “Hawaii – ANA” and that they are registered as a non-profit 501c(6) corporation;

Survey of non-members to identify interest in joining – 1,623 nurses from HPH were surveyed with 941 responded “yes”;

Leadership Team – Hawaii – ANA has a minimum of 8 leaders, herself, Katie Kemp, Aggie Pigao Cadiz, Andrea Montgomery-Kylie, Jailua Navarette, Nancy Atmosphera-Walch, Marion Poirier and Joan Parker -Diaz;

Board of Nursing Minutes of July 11, 2019 Meeting Page 15

ANA Standards for Excellence Program – The Leadership Team agrees to adopt and utilize ANA Standards for Excellence and agrees to complete initial assessment of leadership team;

Final Report & Request to ANA Board – Resolution brought forward at ANA Membership Assembly June 22 & 23, 2019 at which Ms. Beechinor and Ms. Pigao-Cadiz attended.

The Board asked for clarification if members of the Hawaii ANA could be LPNs?

Ms. Beechinor stated that membership is only for RNs.

The EO asked if the Hawaii – ANA becomes a CE provider; would they allow non- members and LPNs to take CE courses.

Ms. Beechinor stated that she would check and get back to the board if that would be allowed.

Chapter 91, HRS - At 9:43 a.m., the Chair called for a recess of the meeting to discuss and Adjudicatory Matters: deliberate on the following adjudicatory matters:

In the Matter of the License to Practice Nursing of Mary Anne J. Espiritu fka Mary Anne T. Jandoc, RNS 2015-77-L, Compliance with Board’s Final Order dated July 11, 2017

Upon a motion by Ms. Daub, seconded by Ms. Kodama, it was voted on and unanimously carried to accept the completion certificates for the following courses in compliance with the continuing education courses ordered to be completed in the Board’s Final Order dated July 11, 2017: • Professional Boundaries in Nursing (1/23/2018) • Professional Accountability & Legal Liability for Nurses (1/23/2018) • Ethics of Nursing Practice (1/23/2018) • Righting a Wrong – Ethics & Professionalism in Nursing (1/23/2018 • Ethics and Professional Conduct – Striving for a Professional Ideal (1/23/2018) • Nurse Practice Acts Guide and Govern Nursing Practice (1/23/2018) • The ANA Code of Ethics for Nurses with Interpretive Statements as a Resources for Nursing Regulation (1/23/2018 • Discipline and Due Process in a Digital Age (1/22/2018) • Nurse Practice Acts Guide and Govern: Updated 2017 (1/23/2018) • Respondent also submitted completion certificates for courses taken from CEIfast (ANCC provider): • Annual Regulatory Requirements, Current Practice (1/23/2018) • HIPAA: Health Insurance Portability and Accountability Act (1/23/2018)

Board of Nursing Minutes of July 11, 2019 Meeting Page 16

In the Matter of the License to Practice Nursing of Arlene G. J. Manuel, RNS 2017-36-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order

Upon a motion by Ms. Oliveira, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the Board’s Final Order.

In the Matter of the License to Practice Nursing of Marissa S. Layugan, RNS, RNS 2017-37-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order

Upon a motion by Ms. Stone Murai, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the Board’s Final Order.

In the Matter of the License to Practice Nursing of Jill A. Johnson, R.N., RNS 2018-29-L, First Amended Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order

Upon a motion by Ms. Oliveira, seconded by Ms. Stone Murai, it was voted on and unanimously carried to approve the Board’s Final Order.

In the Matter of the License to Practice Nursing of Judy K. Boulton, RNS 2016- 88-L, Compliance with Board’s Final Order dated November 2, 2017

It was the consensus of the Board to inform Ms. Boulton to take the following NCSBN courses and to submit the completion certificates by November 2, 2019: • Medication Errors: Causes & Prevention; • Righting a Wrong: Ethics & Professionalism in Nursing • Ethics of Nursing Practice; • Professional Accountability and Legal Liability for Nurses; • Professional Boundaries in Nursing; and/or • Documentation: A Critical Aspect of Client Care

Following the Board’s review, deliberation, and decision in these matters, pursuant to Chapter 91, HRS, the Chair announced that the Board was reconvening its scheduled meeting at 10:11 a.m.

Executive Session: At 10:11 a.m., upon a motion by the Vice Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to move into Executive Session in accordance with HRS, 92-5(a) (1), “To consult with the board’s attorney on questions and issues pertaining to the board’s powers, duties, privileges, immunities, and liabilities”.

At 11:37 a.m., upon a motion by Mr. Duldulao, seconded by Ms. Kodama, it was voted on and unanimously carried to move out of executive session.

Board of Nursing Minutes of July 11, 2019 Meeting Page 17

Applications: Licensed Practical Nurses

Ratification List Upon a motion by the Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to ratify the attached list of LPNs – 19596-19638 (42)

LPN Applicant(s) Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the following application for LPN license with the condition that the applicant take and pass the NCLEX-PN based on HRS 436B-19(1) and (8) for answering “no” to the question, “Have you actively practiced nursing in Hawaii or any other State in the U.S. or U.S. territory within the past 5 years?”:

Kimo I. K. Herfel

Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the following application:

Shanequa O. Wright

Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on with the Vice Chair, Ms. Daub, Ms. Oliveira, Ms. Stone Murai, Ms. Kodama and Mr. Duldulao voting yes and the Chair voting no to approve the following application:

Renesha Brown

Registered Nurses

Ratification List Upon a motion by the Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to ratify the attached list of RNs – 93647 - 94084 (437)

RN Applicant(s) Upon a motion by the Vice Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to approve the following application with conditions:

Travis Ragland 1. That applicant submit the name, credentials and monitoring plan of a substance abuse counselor for the Board’s approval; 2. That the monitoring with the substance abuse counselor shall include but not be limited to: 2 years monitoring; random drug drug/alcohol screens; and 12-step meetings; 3. That the applicant shall notify all nursing employers of the conditions placed on his Hawaii RN license and 4. That applicant’s nursing supervisor acknowledge and agrees to submit quarterly reports to the Board about his performance as a nurse.

Board of Nursing Minutes of July 11, 2019 Meeting Page 18

Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the following applications:

Miki Villaverde – Exam Winter Dawn Wilson – Endorsement Valerie N. Buis – Endorsement Alexis Uttecht – Exam Melissa N. Murphy – Exam Rocky J. V. Mendoza – Endorsement (Foreign Educated) Yolanda S. Franco – Endorsement

Upon a motion by the Vice Chair, seconded by Ms. Stone Murai, it was voted on and unanimously carried to approve the following application for license with the condition that the applicant take and pass the NCLEX-RN based on HRS 436B-19(1) and (8) for answering “no” to the question, “Have you actively practiced nursing in Hawaii or any other State in the U.S. or U.S. territory within the past 5 years?”:

Rebecca Sundstrom

Upon a motion by the Vice Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to defer the following application for more detailed information:

Carol Ann Piazza

Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to approve subject to applicant’s submission of verification that she has been working as a nurse in another state within the last 5 years:

Niki M. Perkins

Conditionals It was the consensus of the Board to inform the following licensee that because she was issued a license with conditions as if practicing in this State, since she is not currently practicing in this State, she will be required to notify the Board should she return to Hawaii to practice nursing at which time the conditions previously imposed will resume. The Board also may require additional information:

Ellen E. O’ Beirne

Request for Reconsideration Upon a motion by the Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to approve the request for reconsideration for the following applicant:

Claudia Hernandez-Clear

Upon a motion by Ms. Oliveira, seconded by Ms. Daub, it was voted on with Ms. Oliveira, Ms. Daub, Mr. Duldulao and the Chair voting yes to approve Ms. Hernandez- Board of Nursing Minutes of July 11, 2019 Meeting Page 19

Clear’s application for licensure, Ms. Kodama voting no and the Vice Chair and Ms. Stone Murai abstaining. The motion did not carry.

Ms. Kodama stated although the applicant claims she no longer is under the conditions of the Texas Order, she would like to see proof of compliance.

Upon a motion by the Chair, seconded by Ms. Oliveira, it was voted on with the Chair, Ms. Oliveira, Ms. Daub, Mr. Duldulao and Ms. Kodama voting yes and the Vice Chair and Ms. Stone Murai abstaining to approve the following application subject to written confirmation from the Texas Board of Nursing that the applicant is in compliance and/ or has complied with the previous Texas Order:

Claudia Hernandez-Clear

Upon a motion by the Vice Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to approve the requests for reconsideration and to approve the application with the condition that the applicant take and pass the NCLEX-RN based on HRS 436B-19(1) and (8) for answering “no” to the question, “Have you actively practiced nursing in Hawaii or any other State in the U.S. or U.S. territory within the past 5 years?”:

Dennis Tognoli

Advanced Practice Registered Nurses (APRN)

Ratification List Upon a motion by the Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to ratify the attached list of APRNs and APRNs-Rx. and unanimously carried

Individual Request Upon a motion by the Vice Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to have the following individual submit a “new” application for license by endorsement, submit a NPDB self-query report and a copy of the New Jersey Board of Nursing Reinstatement Order and delegate to the EO to approve the application upon receipt of these documents, provided the information does not contain any information that was not previously disclosed:

Ellen Hansen

Next Meeting: August 1, 2019 8:30 a.m. Queen Liliuokalani Conference Room King Kalakaua Building, 1st Floor 335 Merchant Street Honolulu, Hawaii 96813

The Chair announced the next scheduled Board meeting and asked if everyone was available to attend. Everyone said they would be able to attend.

Board of Nursing Minutes of July 11, 2019 Meeting Page 20

Adjournment: There being no further business to discuss, the meeting was adjourned at 11:54 a.m.

Taken by:

__/s/ Lee Ann Teshima______Lee Ann Teshima, Executive Officer

LAT

7/26/19

[ X ] Minutes approved as is.

[ ] Minutes approved with changes; see minutes of ______Ratification List July 11, 2019 Board Meeting

Licensed Practical Nurse LPN 19617 WILSON TONYA M (LPN) LPN 19618 PERVAIZ ELIA M LPN 19596 JOHNSON SHAKIRA K LPN 19619 GASSANT ANDIEULA LPN 19597 JEAN BAPTISTE LOUIS LPN 19620 BEAUTE ANNEISABELLE LPN 19598 SMITH HENRY CHUKU LPN 19621 AMERSON LISA B LPN 19599 WILSON SARAH CLARKE LPN 19622 BREWER HANNAH M LPN 19600 CAASI LEANA M B LPN 19623 COWELL LAEL R LPN 19601 JOSEPH HUGUETTE LPN 19624 WUJEK AMY L LPN 19602 PUBIEN CLAUDINE LPN 19625 DUBOIS BONNIE J LPN 19603 HELLAM CHARLES W LPN 19626 HOVDESVEN SUNSHINE M LPN 19604 MARTINEZ NICHOLAS J LPN 19627 BURRAGE ROSALYN M LPN 19605 LOPEZ ORESTES J LPN 19628 HACKFORD SKYE H LPN 19606 ROME DONNA M LPN 19629 PEREZ ELIZABETH C LPN 19607 CHAMORRO ANA I LPN 19630 ALCANTARA ROGER J G LPN 19608 BISQUERA HAULANI E LPN 19631 ALCENA LAMARRE MARCE LPN 19609 FLEURICIN MARYSTILE LPN 19632 PIERRE CHANTAL M LPN 19610 AIMUNMONDION CHARLES LPN 19633 POWELL DONNA MARIE LPN 19611 JEAN-FRANCOIS CLAUDE LPN 19634 TERRADO KRYSTAL M LPN 19612 DELVA-PIERRE JOCELIN LPN 19635 RITCHIE CHRISTINE H LPN 19613 KIMOTO STACEY K LPN 19636 RICKMAN JACQUELINE R LPN 19614 LLANA JENNIFER B LPN 19637 SHEN YANYAN LPN 19615 MEHL CHARLENE G LPN 19638 ELISARA LELOGOA LPN 19616 MAYO JENNIFER D

Ratification List July 11, 2019 Board Meeting

Registered Nurse (RN) RN 93683 CHERY CHERIZAL CHRIS RN 93684 CHUN CHRISTINE M RN 93647 BEATTY APRIL A RN 93648 JAMES RESHAUDRA RN 93685 MILDOR YVETTE RN 93686 GAMATERO KAYLA JAZMY RN 93649 OCCELUS RANOVY RN 93650 VILLALUNA ALVIN A RN 93687 LEWIS AMBER M RN 93688 MIZE LESLIE J RN 93651 NASSER SAMAH RN 93652 SMITH JANE G RN 93689 FREEPARTNER RHONDA K RN 93690 MILLER MICHELLE RN 93653 LAMOUR REARDEN-ROSE RN 93654 TOLMIE SARAH K RN 93691 NNAWUBA PAULINE C RN 93692 FRANCOIS RONY RN 93655 CUNNINGHAM CHRISTINA RN 93656 JENNINGS MARTHA E RN 93693 PAVLIC DUNJA RN 93694 DAVIDSON-RHODEN TARA RN 93657 GARCIA JULIE M RN 93658 HUNT CYNTHIA M RN 93695 PENA CIPRIANA G RN 93696 JOHNSON NOLAN D RN 93659 RHODES MICHAEL J RN 93660 MONROE KAREN C RN 93697 SLONAKER JACKIE R RN 93698 UMECKER KAILA E RN 93661 KEIRNS SUZANNE RN 93662 SONIR LOMENA H RN 93699 RAMIREZ GEORGETTE RN 93700 LUMABAO GRACE S RN 93663 KNOWLES ALICIA E RN 93664 KIM DANIEL Y J RN 93701 ROSIT RIANA CYRIL F RN 93702 SYLVAN CAPRICE RN 93665 FONTAL BRUNEL RN 93666 EVANGELISTA ANGEL-LU RN 93703 ROBINSON CYDNIE A RN 93704 LINDER RYAN M RN 93667 RICHTER KIMBERLY RN 93668 MARTIN TRISTIN M RN 93705 PAETH JOANNE RN 93706 LAMB COURTNEY M RN 93669 NAKAMURA ISAAC H RN 93670 NOVILLA MICHAEL RENE RN 93707 PARNELL ROWENA V RN 93708 REYES CHERYL ANN A RN 93671 LAVAUD MARMARA T RN 93672 PADILLA LAURA K RN 93709 MAUCH SARAH L RN 93710 TALBOT JESSICA N RN 93673 ST SIMON ERMICIA RN 93674 HIGA MASON S RN 93711 RONHAAR SARAH B RN 93712 WILSON SHEENA L RN 93675 ODDIRI ELIZABETH RN 93676 AGNES MAYLENE B RN 93713 HILJUS ASHLEY R RN 93714 MARTIN DIANA RN 93677 DJANOR LYDIA A RN 93678 JAVIER DWIGHT A A RN 93715 SLAUGHTER KENDRICK A RN 93716 LATONA CHRISTINE E RN 93679 LARA DEL RIO MARIETA RN 93680 LEMOS CRYSTAL RN 93717 MPATUKA RUTH RN 93718 WELCH LORI A RN 93681 HEATH CLEOTILDE RN 93682 PATIGAYON PERRY LYN RN 93719 ROBERTS MICHELLE J RN 93720 MCGUIRE RHONDA N

Ratification List July 11, 2019 Board Meeting

RN 93721 PREGULMAN JONAH E RN 93759 RESPICIO IMELDA A RN 93722 MAXIMILIAN IRENE R RN 93760 MUNSELL JEREMIAH W RN 93723 RAMSEUR ERIKIA D RN 93761 STEWART ROMA P RN 93724 TOMLIN EVA E RN 93762 REYNOLDS LEA M V RN 93725 MCCORMICK AYESHA M RN 93763 TAM JOHN K RN 93726 SMITH KIM M RN 93764 LATTA NATASHA RN 93727 NEUMAN WENONAH G RN 93765 LOMBOY DANTE P RN 93728 WELLS ANDREA J RN 93766 TEJERA PAIGE RN 93729 YOUNG BROOKSHIELD C RN 93767 SCARBROUGH CATHERINE RN 93730 BENACQUISTA SOPHIA D RN 93768 ROPER AANDARRA G RN 93731 PARK GARRETT S RN 93769 MANUEL BRITTANY RN 93732 ALEXANDER MOLLY E RN 93770 WALKER JORDAN K RN 93733 BAFFOE JOHANA JOY I RN 93771 PAYNE PHYLLIS A RN 93734 ACOB JONALD J RN 93772 PETERS YVONNE R RN 93735 JEAN-PIERRE EDWYNINN RN 93773 LEVERENZ ELYSSA A RN 93736 CORPUS GIANN LAIANA RN 93774 MONSON NICOLE D RN 93737 CORPUZ DELIA H RN 93775 OLERT HAILEY D RN 93738 GOMEZ BENJAMIN E RN 93776 RICHARDSON JACQUELYN RN 93739 GABUCO ANGELA C-H RN 93777 ROSENBERG DEBORAH B RN 93740 AGTANG PRINCESS GAYE RN 93778 SMITH PANDORA RN 93741 AGAPITO LIEZL P RN 93779 YUK SUNGMI RN 93742 KATWAL SUJATA RN 93780 PAXTON TRACY A RN 93743 JACKSON MARTHA J RN 93781 SKOOG MARGARET C RN 93744 SONIR MICHAEL F RN 93782 YAPLE CRYSTAL A RN 93745 FORBES REVA M RN 93783 PEREZ MARLENE RN 93746 WILSON KAELYN E RN 93784 TAIT LISA D RN 93747 GREATHOUSE DANIEL R RN 93785 MCKENNEY KENNETH C RN 93748 MARCELO LAUREN E RN 93786 LUNA CELESTE RN 93749 MASON CODY N RN 93787 WILHITE YULIYA RN 93750 RAYL ERIN C RN 93788 SAMSON JOHN P RN 93751 MARTINEZ LIBERTAD A RN 93789 PASCO WIL A N RN 93752 TSAI CHIH CHIN RN 93790 SAMUELSON LINDA R RN 93753 STOVALL JENNIFER N RN 93791 MARTENS ALLISON M RN 93754 SOCHUREK TIFFANY J RN 93792 LYONS DINA M RN 93755 WARREN KAREN D RN 93793 TILDEN ANGELA F RN 93756 RYNDERS DAVID J RN 93794 THOMAS JERIS S RN 93757 MORRISON RACHEL A RN 93795 NAYLOR CHERRY B RN 93758 SILVESTRI-ELMORE KAT RN 93796 WAEGELE ANDREA P

Ratification List July 11, 2019 Board Meeting

RN 93797 ZINAMON BRITTANYE N RN 93835 COWLISHAW ADA A RN 93798 SANCHEZ MEGAN R RN 93836 COBB BRIDGET RN 93799 WHERRY SUSAN J RN 93837 GARD DARCIE RN 93800 NELSON HILLARY C RN 93838 COSTA ANGELA RN 93801 WATTS LORI A RN 93839 HARSTROM JODI M RN 93802 TAYLOR TERESITA E RN 93840 BOLTON LORI T RN 93803 REIDER CODY J RN 93841 BARNETT SHELBY E RN 93804 MOORE ERIN N RN 93842 JENKINS DESIREE D RN 93805 POWER TARYN A RN 93843 ALMONTE GREYLIN R RN 93806 ONEIL KATHERINE J RN 93844 GRAY APRIL M RN 93807 SHIPLEY BREE L RN 93845 CLINTON KRISTINA M RN 93808 ROSS SARAH N RN 93846 COLEY VANESSA S RN 93809 VILLALBA GRACE RN 93847 JOHNSON ELEISHA G RN 93810 PHILLIP ASHLEY L RN 93848 CRAIG LEANN RN 93811 REYES RYAN C RN 93849 BUZZARD LAUREN H RN 93812 TRICARICO DESIREE T RN 93850 DODGE DANYELLE K RN 93813 SENGDARA NICOLAS P RN 93851 JOHNSON JENNIFER B RN 93814 GLICK STEPHANIE K RN 93852 BLUM BARBARA W RN 93815 CRISP MICA J D RN 93853 FEATHERSTON CINDY J RN 93816 WILKINS ASHLEY L RN 93854 BANNISTER SHAWN K RN 93817 BULL MICHAEL C RN 93855 KRAFT CARLA R RN 93818 PINARD-PASSIUS MARAD RN 93856 BIDDLE KATHERINE A RN 93819 DE GUZMAN NORALYN H RN 93857 BEST LINDSAY N RN 93820 BOLEY CYNTHIA W RN 93858 HANSEN TANIA A RN 93821 ESTRADA LALAINE G RN 93859 KING MEGAN K E RN 93822 BARKER ABRAHAM M RN 93860 GALLUP MERCEDES R RN 93823 CARBONELL MARIA RN 93861 BROOME ALYSSA L RN 93824 INMAN AUDREY E RN 93862 STEFFENSEN SUNNI-IWA RN 93825 DARGIE LISA H RN 93863 ATOIGUE JOANNA P RN 93826 KINCER TAMRA L RN 93864 EDWARDS LISHA D RN 93827 JAMES MICHELINA N RN 93865 KNOX BETH A RN 93828 GOMEZ-SALTZMAN SIERR RN 93866 BROWN-WARREN MARY RN 93829 IMAI AYUMI RN 93867 KOJIMA YURIE RN 93830 FESER RENEE M RN 93868 BANNON SARAH M RN 93831 FAULL JOHN RN 93869 ARIAS IRMA RN 93832 CHO HYE JIN RN 93870 KOEPPLINGER DEBRA K RN 93833 EMMEL REENIE RN 93871 BALOBAID KHULUD RN 93834 BRADDOCK CHRISTINA N RN 93872 FARIN ASHLEY C

Ratification List July 11, 2019 Board Meeting

RN 93873 DONEY CHRISTINE J RN 93911 BRELAND TIARA S RN 93874 GUERNSEY LILY R E RN 93912 HALEY RHOBERTA J RN 93875 ARMSTRONG KENNETH S RN 93913 CANAMAR NATHAN RN 93876 BONILLA REECE M RN 93914 FOUNTAIN SHMYRA H RN 93877 CUMMINGS KRISTINA M RN 93915 ANDERSON LAUREN A RN 93878 GRODMAN LORI M RN 93916 EDWARDS STEPHANIE R RN 93879 ASIATA SUSAN D RN 93917 GORDON AIMEE C RN 93880 FISHER CARRIE RN 93918 HYEON YEONG SEON RN 93881 HOLCOMB AMY C RN 93919 HEYER JENNIFER K L RN 93882 DARNELL MALLORY A RN 93920 CRETE SUANY E RN 93883 EDWARDS CASEY RN 93921 FOREMAN BETESSA F RN 93884 JOHNSON KATE E RN 93922 BUISSON CAROLINE M A RN 93885 CANAMAR TRACEY D RN 93923 GROVES LARUE L RN 93886 DAVIS BRITTANY S RN 93924 GOW AMANDA F RN 93887 BARNETT AMANDA L RN 93925 GRONLUND ANNE M RN 93888 FOLEY ANGELA M RN 93926 BUDNICK CORINNE N RN 93889 FRISCHE LINDA J RN 93927 FROMM HEIDI S RN 93890 HENDRICKS AMY J RN 93928 HEINS MARY K RN 93891 CONROY ASHLIE N RN 93929 BRADFORD JOYCE A RN 93892 HUDSON JESSICA L T RN 93930 KAUS KATELYN M RN 93893 FOX REBECCA D RN 93931 COSTELLO CATHERIN M RN 93894 HASSON LAURIE RN 93932 DUNAWAY DAVA G RN 93895 FLORA JOHNEES-PAULIN RN 93933 CAVALIER JILL M RN 93896 DENT ERIN L RN 93934 BODARY JENNIFER L RN 93897 CARLSON RYAN S RN 93935 JURASEK ELIZABETH L RN 93898 HENRY LAURA E RN 93936 GOMEZ SHANNON F RN 93899 BLOCK DANA L RN 93937 GRIEGO CHARITY L RN 93900 JACKSON CANDICE V RN 93938 DONNELLY SHELLY RN 93901 BRACKETT NANCY A RN 93939 CHOI BOKSOOL RN 93902 FELIX KATIE J RN 93940 BUI CHRISTINE M RN 93903 EARLS TIFFANI B RN 93941 BENNETT ERNEST J RN 93904 DAVIS CLARISSA G RN 93942 HU CARLY A RN 93905 ARENA JOEL J RN 93943 HODSON CANDACE S RN 93906 GRYTE CHRISTINA R RN 93944 FANNING CLAIRE RN 93907 BARTLETT JUSTIN S RN 93945 KNOLL RYAN J RN 93908 FORD CASSANDRA J RN 93946 DIAZ-RUMBLEY NICOLE RN 93909 KALMUK MICHAEL A RN 93947 KIRK HAHLEY J RN 93910 KRUK KIMBERLY M RN 93948 HOLOWINSKI KAREN

Ratification List July 11, 2019 Board Meeting

RN 93949 BURTON LAURELYN S RN 93987 OKOJIE EDNA E RN 93950 ESTRADA GLORIA I RN 93988 WEISS SHANIA M RN 93951 ARNELL COURTNIE M RN 93989 COLOMA EDLENE VANESS RN 93952 DURKIN SARAH E RN 93990 GOO JARON H RN 93953 HOBSON PAMELA J RN 93991 AZOUZ LILLY K RN 93954 CASTO VICTORIA L RN 93992 GRAHAM MELINDA M RN 93955 DEMOSTHENIS TETIANA RN 93993 CATABAY JANET M RN 93956 BARCALA CHEYENNE R RN 93994 CAMBRA CAITLYN B RN 93957 JOINER MONICA N RN 93995 DAVIS AUBREY A RN 93958 BROWN WHAM DANICA J RN 93996 AQUINO LORA F RN 93959 KOONS ANGELA W RN 93997 CULANAG MAYLENE R RN 93960 SANTOS RYAN B RN 93998 ADRIANO JOHN LOUIE P RN 93961 SCARPA SHAWN M RN 93999 ARAKAKI MEGAN R RN 93962 CALIXTE GINA RN 94000 AIWOHI JOHN D RN 93963 GUTHRIE ERICA D RN 94001 DESSIN ELIONNE B RN 93964 BURNHAM CHLOE D RN 94002 ERIVE CYNTHIA C RN 93965 ANGLIM ELIZABETH A RN 94003 LACHAPELLE ROSELIE RN 93966 KRUTZ HELEN RN 94004 LEE TAMIKA L RN 93967 BURKE CAROLYN A RN 94005 LEWIS CAMILLE D RN 93968 HERRERA ISRAEL RN 94006 LEWIS STACEY L RN 93969 DEWEY RACHEL E RN 94007 MALIG AIZA S RN 93970 KATO GEORGE T RN 94008 MORALES SHIERMANE RN 93971 KELLER GRACE M RN 94009 NISHIKI NICOLE A RN 93972 BERENDT KAREN L RN 94010 OSALVO ALDRIN JON B RN 93973 KIFFA ROSEMARY RN 94011 PARTIKA ANDREA M RN 93974 GRIMES KARENA L RN 94012 RARALIO SANDY C RN 93975 FREY JACQUELYN M RN 94013 REGOSO JACKIE LYNNE RN 93976 EREKEOSIMA ISOBO D RN 94014 SCARLETT SANDRA R RN 93977 DEMAREE CRYSTAL A RN 94015 SULA TIANA H RN 93978 CADWALADER EDWINA G RN 94016 SOTOMIL JULIUS RN 93979 HERRMANN KATHERINE M RN 94017 TULIAO CATHERINE RN 93980 CUE FRANCES I RN 94018 TAKAESU BREANNE K RN 93981 EDGE MARY A RN 94019 VARGAS JANNETH RN 93982 FITZGERALD GAYLE C RN 94020 YOUNG KATHERINE E T RN 93983 CARLSON MICHAELA RN 94021 LEHMAN STACY M RN 93984 MURCHISON MELISSAH N RN 94022 TODD EMMA RN 93985 PIERRE BRENDA RN 94023 WHYTE ELIZABETH L RN 93986 ST PIERRE MAJORIE RN 94024 MEEHAN DANIELLE M

Ratification List July 11, 2019 Board Meeting

RN 94025 VILLARREAL AMBER S RN 94063 VELASQUEZ JESSICA M RN 94026 VANBIBBER VANDA Y RN 94064 QUISSELL EMILY M RN 94027 LANDA ERIKA J RN 94065 RICE ELIZABETH A RN 94028 PASTOR CHARMINEE A B RN 94066 ZEEK MARGARET E RN 94029 WALKER HEIDI G RN 94067 ANCHETA OLIVE C RN 94030 PERRY ALESSIA Y RN 94068 MITCHEM MARIA A RN 94031 MCDONALD TERESA C RN 94069 BOOTS JEMMIE H RN 94032 PERNICK JULIA A RN 94070 DAUPHINE JEAN D RN 94033 LEIGHTON MARGARET A RN 94071 SHOCK LARRY W JR RN 94034 MEMMEN TERESA M RN 94072 PASCAL MARIE D RN 94035 THOMSON MOLLY R RN 94073 ROUNNIVONG CATHERINE RN 94036 WILLIFORD MORGAN L RN 94074 LANGEL CANDICE E RN 94037 MERSON RICHARD J RN 94075 GUZMAN CHELSEA I RN 94038 PEDERSEN ERIC W RN 94076 MAYHALL JENNIFER R RN 94039 TERRELL CHARLIE RN 94077 LEVERATTO FIORELLA RN 94040 MCLOUGHLIN BRIDGET D RN 94078 MAGRI PETER RN 94041 PANG JONATHAN H RN 94079 CORPUZ MAE K J RN 94042 ROBILLARD ERICA J RN 94080 MCGUIRE CAROLYN C RN 94043 SARE ERIN C RN 94081 MILLER REBECCA S L RN 94044 MALVEA NISHA RN 94082 RAINEY GINNY K RN 94045 MEHNEY ERIKA J RN 94083 KIMURA KARI A RN 94046 STUCKEY TAMARA K RN 94084 SARTAIN KIMBERLY D RN 94047 RODRIGUEZ CELENE-LEI RN 94048 CHIN CRYSTAL Y RN 94049 FOSTER PATRICE C M RN 94050 BULIN ALICIA M RN 94051 FRINK BETH A RN 94052 HUNT KRISTA N RN 94053 CRAWFORD KENDRA D RN 94054 BARTON CANDIDE D RN 94055 HALVERSEN DENISE E RN 94056 ARTASCOS DARLENE RN 94057 GROVE SHARON RN 94058 FRANKLIN TANEKA RN 94059 KENNEDY PENNY L RN 94060 O'CONNOR SARAH E RN 94061 ONO-BROWN JULIE E RN 94062 TANAKA LEN KIYOTO

ADVANCED PRACTICE REGISTERED NURSES

RATIFICATION LIST

July 11, 2019 APRN ONLY Pre-October 2009 Requirements:

Current Requirements: Michael C. Bull, CRNA Ashley L. Wilkins, Family NP Samantha F. Jezeski, Family NP Jayme N. Lee, Adult-Gerontology Acute Care NP Tatiana N. Grant, CRNA Kristin M. Cootey, Adult-Gerontology Acute Care NP Larry W. Shock, Jr., CRNA James P. Reynolds, Adult-Gerontology Acute Care NP Shannon M. Walker, Family NP Linder Ryan, Family NP Rebecca S. Malone, Family NP

APRN W/ PRESCRIPTIVE AUTHORITY Janette Myers, Family NP Ashley L. Wilkins, Family NP Samantha F. Jezeski, Family NP Jayme N. Lee, Adult-Gerontology Acute Care NP Kristin M. Cootey, Adult-Gerontology Acute Care NP James P. Reynolds, Adult-Gerontology Acute Care NP Shannon M. Walker, Family NP Rebecca S. Malone, Family NP