Texas Board of Nursing Bulletin a Quarterly Publication of the Texas Board of Nursing

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Texas Board of Nursing Bulletin A Quarterly Publication of the Texas Board of Nursing

The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. This mission, derived from the Nursing Practice Act, October 2015 supersedes the interest of any individual, the nursing profession, or any special interest group.

Governor Abbott Appoints Seven to the Board of Nursing On July 9, 2015, Gov- ernor Greg Abbott announced the appointment of six new board members and re- appointment of Kathy Leader-Horn, LVN for a second six-year term to the Texas Board of Nursing (BON). New appointees to BON included Diana Flores, MN, RN; Francis Stokes, BA; Allison Edwards, DrPH, MS, RN, CNE; Board members appointed by and David E. Saucedo Governor Abbot to the Board II, BA, whose terms ex- of Nursing (L-R): Laura Disque, pire January 31, 2021. MN, RN; Allison Edwards, DrPH, Governor Abbott also MS, RN, CNE; Diana Flores, MN, appointed Doris Jack- RN; Doris Jackson, DHA, (ABD), son, DHA, (ABD), MSN, MSN, RN; Kathy Leader-Horn, RN; and Laura Disque, LVN; David Saucedo II, BA; and MN, RN to the Board for Francis Stokes, BA. terms to expire January 31, 2017, and January 31, 2019, respectively. Branch at Galveston, a master of science Laura Disque, MN, RN, of Edinburg is from Texas Woman’s University, and a Inside this Issue a registered nurse (RN) and serves as doctorate from the University of Texas vice president of nursing for surgical/ Health Science Center at Houston School procedural services for Doctors Hospi- of Public Health. Pgs. 1-2 Governor Abbott Appoints tal at Renaissance. She is a member of Seven to the Board of Nursing the American Organization for Nurse Diana Flores, MN, RN, of Helotes is a Pgs. 2 Nurse Licensure Benefits Executives, American Nurses Association RN and is a veteran of the U.S. Air Force Explained (ANA), Texas Nurses Association (TNA), [Lt. Col. (ret.)], having been honorably Board Meeting Schedule discharged after 25 years of service . She and the American Hospital Association. Pg. 3 Summary of July 2015 is currently an action officer and nurse Ms. Disque received a bachelor of sci- Board Meeting ence from Texas State University and a subject matter expert for the U.S. Army at Fort Sam Houston, where she provides Nursing Education Actions master of science from the University Pgs. 4 -5 Preparing for Disaster Relief of Phoenix. oversight for the MEDCOM Ombudsman Program and works with regional med- Nursing Allison Edwards, DrPH, MS, RN, CNE, ical commands, the Wounded Warrior Pgs. 6-7 Legislative Summary: 84th of Bellaire is a RN and serves as lead Resource Center, and the Wounded Regular Legislative Session faculty for the bachelor of science pro- Soldier and Family Hotline. She is a Pg. 7 2016 BON Workshop and gram at the University of Texas Health member of the National Association of Webinar Schedule Science Center at Houston School of Hispanic Nurses, ANA, TNA, and Associa- Imposter Warning Nursing. She is a member of the South- tion of Military Surgeons of the U.S. Ms. Flores received her bachelor of science ern Nursing Research Society, American NDA 1-8 Notice of Disciplinary Action Public Health Association, and TNA. Dr. from Texas Woman’s University and her masters from the University of Phoenix. Edwards received a bachelor of science from the University of Texas Medical continued on next page October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

New Board Members - continued from pg. 1

Doris Jackson, DHA, (ABD), MSN, RN, of Pearland is a RN and is a professor for the associate degree nursing program at Lone Star College – Kingwood. She is a member of the Society of The Texas Board Pediatric Nurses, TNA, ANA, Texas Community College Teachers Association, and Student Nurse of Nursing Association Faculty Advisor. Dr. Jackson received a bachelor of science and a master of science from Prairie View A&M University, and is pursuing a doctorate from Capella University. BOARD MEMBERS Officers Kathy Leader-Horn, LVN, of Granbury is a licensed vocational nurse and serves as school nurse Kathleen Shipp, MSN, RN, FNP for Parkway Elementary School in Crowley. She is a member of the National Federation of Li- President, representing Advanced censed Practical Nurses and participates in the Healthy Kids School Lunch and Operation School Practice Nursing Supplies programs. Ms. Leader-Horn received a vocational nurse certificate from the John Peter Lubbock Deborah Bell, CLU, ChFC, RIA Smith School of Vocational Nursing. Vice-President, representing Consumers Abilene David Saucedo II, BA, of El Paso is president of the Saucedo Lock Company, a 4th generation Members family business started in 1917. He serves as vice-president of the Boys and Girls Club of El Nina Almasy, MSN, RN Paso, board member of the El Paso Hispanic Chamber of Commerce, member of the Borderplex representing LVN Education Alliance, and founding co-chair of the Circle of Giants for the El Paso Museum of History. Mr. Austin Saucedo received a bachelor of business administration from the University of Notre Dame. Patricia "Patti" Clapp, BA representing Consumers Dallas Francis Stokes, BA, of Port Aransas is a veteran of the U.S. Marine Corps and is a vice president Laura Disque, MN, RN at First Community Bank in Corpus Christi. He is chairman of the Port Aransas Recreational representing RN Practice Development Corporation, member of the Port Aransas Veterans of Foreign Wars and the Na- Edinburg tional Association of Government Guaranteed Lenders – Small Lender (West) Committee. Mr. Allison Porter-Edwards, DrPH, MS, RN, CNE Stokes received a bachelor of business administration from Texas A&M University, Kingsville. representing BSN Education Bellaire These appointments are subject to Senate confirmation. Diana Flores, MN, RN representing RN Practice Helotes

Nurse Licensure Compact Benefits Explained Monica Hamby, LVN representing LVN Practice On October 1, 2015, there will be 25 states participating in the Nurse Licensure Compact Amarillo (NLC). The NLC provides professional mobility for nurses whose practice may cross the Doris Jackson, DHA, (ABD), MSN, RN representing ADN Education borders of one compact state to another compact state. Texas has been part of the NLC Pearland since January 1, 2000. In the next few issues of the Bulletin, the Board will answer questions Kathy Leader-Horn, LVN commonly asked about the NLC. representing LVN Practice Granbury

Question: What does a travel nurse need to do to be eligible for multistate privileges on Beverley Jean Nutall, LVN a license from any of the compact states? representing LVN Practice Bryan Answer: An essential component to secure multistate privileges is declaring a state of David Saucedo, II, BA residence in a state participating in the NLC. Proof of Texas residency may include a Texas representing Consumers address on a Texas driver’s license; a voter registration card reflecting a Texas address; a El Paso

federal income tax return declaring Texas as the state of residence; or a W-2 form indicating Francis Stokes, BA Texas as the state of residence. For military personnel, Military Form No. 2058 – state of legal representing Consumers residence certificate, reflecting Texas as the legal residence, will also serve as acceptable Port Aransas documentation of the residency requirements. In addition, the eligibility requirements for Executive Director a Texas license are accessible in Licensure then Eligibility on the BON website. There is a Katherine Thomas, MN, RN, FAAN Primary State of Residence Declaration Form in the Forms section of the BON website for nurses to fill out when declaring Texas as the state of residency. The Texas Board of Nursing Bulletin is the official publication of the Texas Board of Nursing and is published four times a Texas Board of Nursing Meeting Schedule year: January, April, July, and October. Subscription price for residents within the 2015 Board Meeting Dates 2015 Eligibility and Disciplinary continental U.S. is $15.00, plus tax. October 22-23 Committee Meeting Dates Published by: November 10 TEXAS BOARD OF NURSING 2016 Board Meeting Dates December 8 VOLUME XLVI - No. IV January 21-22 Publication Office: April 21-22 Eligibility and Disciplinary 333 Guadalupe, Suite 3-460 July 21-22 Committee Meeting Dates Austin, Texas 78701-3944 October 20-21 for 2016 to be determined Phone: (512) 305-7400 at October 22-23 2015 Fax: (512) 305-7401 All Board and Eligibility & Disciplinary Committee Meetings will Publication Date: 9/24/2015 be held in Austin at the William P. Hobby Building located at 333 Board Meeting Guadalupe, Austin, Texas, 78701. 2 October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

Summary of Actions

A regular meeting of the Board of Nursing was held July 23-24, 2015, in Austin. The following is a summary of Board actions taken during this meeting.

At the regularly scheduled meeting of Guidelines for Physical and Psychological The amendment was adopted without the Board of Nursing (BON or Board) Evaluations. Amendments to the Guidelines changes to the proposed text as published held on July 23-24, 2015, the Board and Sanctions were published as adopted in the June 26, 2015, issue of the Texas approved the repeal and simultaneous in the August 28, 2015 issue of the Texas Register to meet funding requirements adoption of new: 22 Tex. Admin. Register. resulting from the 84th Texas Legislative Code §213.27, pertaining to Good In an effort to maintain consistency among Session. Senate Bill 195, enacted by the Professional Character; §213.28, the Board’s eligibility and disciplinary policies, 84th Texas Legislature, became effective pertaining to Licensure of Persons with guidelines, and rules, the BON Eligibility and on September 1, 2015. The bill transfers Criminal Offenses;§213.29 , pertaining Disciplinary Advisory Committee (EDAC) the prescription monitoring program to Criteria and Procedure Regarding reviewed Board Rules 213.27, 213.28, from the Department of Public Safety to Intemperate Use and Lack of Fitness 213.29, 213.30, and 213.33 in conjunction the Texas State Board of Pharmacy. The in Eligibility and Disciplinary Matters; with the Board’s eligibility and disciplinary bill authorizes the Texas State Board of §213.30, pertaining to Declaratory sanction policies and criminal guidelines in Pharmacy to charge a fee to cover the Order of Eligibility for Licensure; meetings taking place from 2012 to 2015. cost of establishing and maintaining and §213.33, pertaining to Factors The EDAC’s recommendations were adopted the program. Each agency that licenses Considered for Imposition of Penalties/ by the Board at its regularly scheduled July individuals or entities to prescribe Sanctions. 2015 Board meeting. The proposed repeal or dispense controlled substances is The Board also approved amendments and simultaneous adoption of new Rules authorized to increase its occupational to: Eligibility and Disciplinary Sanctions 213.27, 213.28, 213.29, 213.30, and 213.33 fees in order to generate sufficient for Nurses with Substance Abuse, were published in the August 28, 2015 revenue to support the operation of Misuse, Substance Dependency, issue of the Texas Register with the earliest the program. The $15.00 fees that are or other Substance Use Disorder; effective date being September 27, 2015. generated are remitted to the Texas State Disciplinary Sanctions for Fraud, Theft, Board of Pharmacy to support the funding In the August 14, 2015 issue of the Texas and Deception; Disciplinary Sanctions of the program. Register, the Board published as adopted for Lying and Falsification; Disciplinary an amendment to §223.1, concerning Fees. Guidelines for Criminal Conduct; and

Nursing Education Actions - July 2015 Board Meeting

Reviewed Reports on: Texas Southmost College ADN Education Consideration of Notification of Award Program in Brownsville; of Commission on Collegiate Nursing Status of New Nursing Education Texas State Technical College ADN Education Accreditation: Programs and Active and Potential Education Program in Harlingen; and Proposals; Status on Programs Texas State University Master’s Degree Vernon College ADN Education Program with Sanctions; and Report on Program in Nursing in Round Rock. in Vernon. Communication Activities with Nursing Education Programs. Consideration of Request for Charge Approved Report of Focused Survey Visit: to the Advisory Committee on Approved Reports of Survey Visits: Teamwork Career Institute Vocational Education Nursing Education Program in Grand East Texas Baptist University Prairie. Approved: Baccalaureate Degree Nursing (BSN) Education Program in Marshall; Consideration of an Innovative Pilot Received Reports on: Midwestern State University BSN Project by South Texas College in Education Program in Wichita Falls; Consideration of Notification of Merger McAllen, ADN Education Program. Mountain View College Associate of the University of Texas at Brownsville Degree Nursing (ADN) Education in Brownsville and the University of Program in Dallas; Texas Pan American in Edinburg – BSN San Antonio College ADN Education Education Programs. Program in San Antonio;

3 October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

Preparing for Disaster Relief Nursing by Karen Polvado, DNP, RN, FNP

Disaster relief nursing can be both After returning from Sierra Leone, I re- training included classroom instruction rewarding and challenging. Nurses ceived several questions about how to about the pathophysiology of Ebola and working in disaster-stricken areas face volunteer as a disaster relief nurse in a current treatment protocols. The final unpredictable environments, scarce re- foreign country. In the U.S., licensure to two days of training included practice in sources, and risks to physical and mental practice nursing is granted and regulated a simulated ETU and competency check- health.1 Disasters are commonly thought by state boards of nursing. All states offs on donning and doffing personal of in reference to catastrophic weather have enacted a Nursing Practice Act protective equipment (PPE). or seismic events. Bioterrorism shifted (NPA), which guides and governs nursing attention to the threat of widespread practice.3 Since Texas is a member of the illness and disease due to the intentional Nurse Licensure Compact, nurses who release of bacteria, viruses, or other are licensed in Texas have the ability germs. With the Ebola outbreak of 2014, to practice in Texas plus 24 additional the threat included widespread illness states.4 When working in a non-home and death due to infection with Ebola compact (remote) state, nurses are held virus. Disasters resulting in injury and/ accountable to the NPA in the state in or illness provide perfect opportunities which the patient resides or where the for nurses to volunteer. practice occurs.4 But, what happens when a nurse practices as a disaster The Ebola outbreak of 2014 affected relief nurse outside of the U.S.? primarily three West African countries: Guinea, Liberia, and Sierra Leone. Over The American Nurses Association (ANA) 12,000 people have died thus far, includ- established guidelines for standards of ing more than 500 health care workers. practice in disaster relief nursing. The Safety: Assessing the environment for The World Health Organization (WHO) overarching principle is that no emer- safety concerns is a common practice reports the Outbreak of 2014 as the gency changes the basic standards of for nurses in the U.S. At one of the gov- most significant health crisis in modern practice, code of ethics, competence, ernment hospitals in Sierra Leone, I per- history.2 In response, the United States or values of the nurse.5 The individual formed a risk (safety) analysis. I assessed Agency for International Development nurse is responsible for giving the best the nurses’ work areas, patient areas, (USAID) put out a call for Ebola response possible care to patients within the avail- storage areas (supplies, equipment, and workers and hosted a database from able resources. The uniqueness of the medications), and the hospital grounds. which relief organizations could recruit disaster environment should guide the Sharps containers were full, gloves were volunteers. nurses’ adaptation of standards of care. in short supply, handwashing stations A crosswalk of ANA standards with cor- were inadequate, and visitor access to responding Texas Administrative Code patient areas was poorly controlled. (TAC) standards [22 TAC §217.11(1)] re- The outside spaces were littered with sulted in the following emerging themes: trash and it was common to see stray competency, safety, appropriate care, dogs, goats, and ducks. The risk analysis and infection control (Table 1).6 provided opportunities to teach the local Competency: Before traveling to a for- health care workers about patient and eign country as a disaster relief nurse, environmental safety. learn about the culture and the types of Appropriate Care: The appropriateness injuries, illnesses, or diseases you will I responded to the call and was selected of care during a disaster depends on likely encounter. To prepare for my work, by Partners in Health, a non-profit or- many factors including the type of care I learned about the culture of the Sierra ganization based in Boston, Massachu- needed to stabilize or improve health Leonean people and read the most cur- setts. As an Ebola response clinician, I status, available resources, and cultural rent literature about Ebola and emerging provided care to patients in an Ebola norms/practices. Providing appropri- treatments. In Sierra Leone, I attended Treatment Unit (ETU), a local govern- ate care for patients with Ebola was a 5-day training program developed by ment hospital, and an Ebola survivors’ challenging. The mantra in the ETU WHO and provided in partnership with clinic in Sierra Leone from February to was “there is no emergency in Ebola.” the International Office of Migration. The April 2015. 4 continued on next page October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4 Disaster Relief Nursing - continued from prev. page This translated to no fast movements Table 1. Crosswalk of Standards of Practice and no resuscitation efforts; CPR could Standards of Nursing Practice ANA Standards of Care Under Emerging 22 TAC §217.11(1) not be safely performed while wearing [ ] Extreme Circumstances Theme PPE and there was no equipment for (B) Implement measures to Maximize worker and patient Safety advanced life support. Ebola treatment promote a safe environment for safety protocols were frequently modified clients and others due to direct observations of patient outcomes, the most basic foundation (H) Make a reasonable effort to Use available rapid training to Competency 7 obtain orientation/training for update readiness to respond to of evidence-based practice. competency when encountering the specific event Infection Control: The nurse should new equipment and technology or become familiar with the infectious unfamiliar care situations pathogens and communicable condi- (L) Provide, without discrimination, Provide age-appropriate and Appropriate tions endemic to the area in which you nursing services regardless of culturally and ethnically sensitive Care plan to travel, and become familiar with the age, disability, economic care all current infection prevention and con- status, gender, national origin, trol measures. Ebola is spread through race, religion, health problems, or sexual orientation of the client direct contact with an infected person, served animal, or dead body. In Sierra Leone, close contact with others, such as hand- (M) Institute appropriate nursing Use professional competence to shaking and hugging, was discouraged. interventions that might be provide the best care possible required to stabilize a client’s given the resources and physical Infection control areas were commonly condition and/or prevent conditions under which the nurse located at the entrance to stores in the complications is working city of Freetown, and at various screen- ing checkpoints along the roadways. (O) Implement measures to Maintain or establish infection Infection prevent exposure to infectious control Control These areas consisted of hand-washing pathogens and communicable stations and thermometers. conditions It is important to ensure personal im- (T) Accept only those nursing Provide volunteer organization Competency munizations are up-to-date. The Centers assignments that take into with clear information regarding for Disease Control provides a complete consideration client safety and skills, training and experience; list of recommended immunizations for that are commensurate with the communicate challenges to travelers by country.8 Proof of yellow nurse’s educational preparation, performing assignments quickly fever vaccination was required in order experience, knowledge, and to obtain a travel visa for Sierra Leone. physical and emotional ability And, due to the prevalence of malaria, all References Karen J. Polvado, DNP, RN, FNP health care workers were encouraged to 1. Stokowski, L. A. (2015). Ready, willing, and able: Preparing nurses to respond to disasters. Medscape: Nursing Perspectives. take medication for malaria prophylaxis Retrieved from http://www.scribd.com/doc/274663493/ Dr. Polvado has been a registered and sleep under bed netting. Preparing-Nurses-to-Disasters#scribd nurse for over 35 years. She earned an ADN from Fairmont State Col- 2. World Health Organization. (2015). Ebola virus disease outbreak. The legal ability to practice disaster relief Retrieved from http://www.who.int/csr/disease/ebola/en/ lege, Fairmont, WV; a BSN from the nursing in a foreign country depends on University of Texas at Arlington; 3. Russell, K. A. (2012). Nurse practice acts guide and govern the laws, rules, and/or regulations of an MSN/FNP from West Texas A nursing practice. Journal of Nursing Regulation, 3(3), 36-42. & M University; and a DNP from the individual country. Interested nurses 4. National Council of State Boards of Nursing. (2015). Nurse Rush University in Chicago. Her should consider volunteering with an licensure compact. Retrieved from https://www.ncsbn.org/ nursing experience spans across established and reputable relief orga- nurse-licensure-compact.htm many settings including critical nization; such organizations are likely 5. American Nurses Association. (2008). Adapting standards of care, emergency, psychiatric, and care under extreme conditions: Guidance for professionals during to know the specific requirements per primary care. She provided disas- disasters, pandemics, and other extreme emergencies. Retrieved ter relief nursing in Sri Lanka after country and can assist with necessary from http://www.nursingworld.org/MainMenuCategories/ WorkplaceSafety/Healthy-Work-Environment/DPR/ the tsunami of 2004, in Haiti after travel documents. A current passport TheLawEthicsofDisasterResponse/AdaptingStandardsofCare.pdf the 2010 earthquake, and most re- is essential. And, remember the basics 6. Texas Board of Nursing. (2015). Texas administrative code: cently in Sierra Leone, West Africa of disaster relief nursing practice: com- Standards of nursing practice. Retrieved from http://www.bon. during the Ebola Outbreak of 2014. petency, safety, appropriate care, and texas.gov/rr_current/217-11.asp She is currently an associate professor and graduate coordinator infection control. Taking care of these 7. Matlock, A. M., Gutierrez, D. C., & Wallen, G. R. (2015). Ebola virus disease: Managing a practice challenge with of APRN programs at Midwestern preliminary steps will allow the nurse evidence. Nursing Management, 46(2), 20–22. doi: 10.1097/01. State University and partner in to respond quickly to a call for disaster NUMA.0000460047.32427.16 DEKA Healthcare Solutions, PLLC. relief volunteer nurses. 8. Centers for Disease Control. (n.d.). Travelers’ health. Retrieved She lives in Wichita Falls, Texas. from http://wwwnc.cdc.gov/travel/destinations/list continued on next page 5 October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4 Legislative Summary: 84th Texas Legislative Session

No bills amending the Nursing Practice Act were enacted during the 84th Texas Legislative Session. The bills included in this summary may be of interest to nurses practicing in Texas. For full text of the bills included in this summary, visit www.capitol.state.tx.us. For the complete Legislative Summary presented to the Board in July 2015, see Agenda Item 1.3 report at https://www.bon.texas.gov/ HB 21 by Kyle Kacal. HB 21 is known as the “Right HB 2574 by Eric Johnson. Requires that infor- ing authority over the state’s prescription drug To Try Act.” Bill would allow use of an investi- mation on the danger of a heatstroke for a child monitoring program and related duties from the gational drug which has successfully completed left unattended in a motor vehicle be included Department of Public Safety (DPS) to the Texas phase one of a clinical trial but has not yet been among the information to be provided in the State Board of Pharmacy (See page 3 for further approved by the FDA for general use and remains resource pamphlet that a hospital, birthing information). in the clinical trial. A patient may receive an inves- center, physician, nurse midwife, or midwife tigational drug, biological product, or device, after who provides prenatal care during gestation or SB 239 by Charles Schwertner. Creates a student signing an informed consent form and providing at delivery to the infant’s mother, the father if loan repayment program subject to legislative it to the manufacturer. possible, or another caregiver. funding to be administered by the THECB to assist certain mental health professionals including HB 495 by Donna Howard. Provides funds HB 2646 by Helen Giddings. Allows for release APRNs with a nationally recognized certification whereby the Texas Higher Education Coordinating of medical or epidemiological information to in psychiatric/mental health nursing. THECB will Board (THECB) can award grant funds to nursing governmental entities that provide first respond- post further information on the loan repayment programs selected to carry out research that will ers who may respond to a situation involving program on their website at a later date. benefit many nursing programs across Texas. a potential communicable disease of concern and need the information to properly respond SB 373 by Royce West. Requires hospitals to HB 1083 by Marisa Marquez. Prior to confine- or to a local health department for a designated develop and implement a plan to address defi- ment of an inmate in administrative segregation, monitoring period based on the potential risk. ciencies that may have contributed to preventable an appropriate medical or mental health care adverse events. professional must perform a mental health as- HB 2696 by Donna Howard. Authorizes the Texas sessment of the inmate. Center for Nursing Workforce Studies (TCNWS) SB 791 by Lois Kolkhorst. Requires hospitals, to conduct a study on workplace violence against birthing centers, physicians, nurse midwives, or HB 1595 by Andrew Murr. Allows for direct nurses in certain health care facilities. midwives who provide prenatal care to a pregnant testing for infectious diseases of a person who woman during gestation or at delivery of an infant is arrested, if their bodily fluids come in contact HB 2697 by Rick Galindo III. Expands definition shall provide a resource pamphlet that includes with a peace officer, magistrate, or correctional of continuing care in Health and Safety Code to information of the incidence of cytomegalovirus, facility employee. include the furnishing of services to an individual birth defects caused by congenital cytomegalo- in the individual’s residence which may increase virus, and available resources for the family of HB 1666 by Dennis Bonnen. Expands the Good demand for nursing care in home settings. an infant born with congenital cytomegalovirus. Samaritan Law and extends immunity from liabil- ity to emergency and disaster volunteers during HB 2789 by Richard Raymond. Requires the SB 807 by Donna Campbell. State agencies that planning and training exercises. Department of Aging and Disability Services issue occupational licenses are required to waive to develop trauma-informed care training for the license application and examination fees paid HB 1670 by Susan King. Requires a hospital or new employees to complete before working to the state for applicants who are military service birthing center to allow an obstetric patient directly with individuals with intellectual and members or military veterans whose military (or spouse of patient if she is incapacitated or developmental disabilities in state supported service, training, or education substantially meets deceased) who is negative of infectious diseases living centers and intermediate care facilities. all of the requirements for the license or who to remove a placenta, without a court order and are military service members, military veterans, after signing an acknowledgement form unless HB 3074 by Drew Springer. Requires modifica- or military spouses who hold a current license a physician or hospital/birthing center policy tion of an dvancea directive form as it relates issued by another jurisdiction that has licensing requires a pathological examination. to administration of nutrition, hydration and requirements that are substantially equivalent to life-sustaining treatment. HB 1878 by Jodie Laubenberg. Ensures Medicaid the requirements for the license in Texas. reimbursement to an authorized physician for HB 3078 by Drew Darby. Creates an advisory SB 1128 by Judith Zaffirini. Amended Health telemedicine in a school-based setting and allows committee of at least 16 members (including and Safety Code 81.090, requiring physicians or a health professional, such as a school nurse, to a representative from the Board of Nursing) to other persons permitted by law to attend to a be present while the child receives telemedicine develop and recommend a uniform pre-nursing pregnant woman by taking a blood sample (no from a physician. curriculum for undergraduate professional nurs- earlier than 28th week of pregnancy) to perform ing programs offered by institutions of higher diagnostic testing including testing for syphilis. HB 2020 by Armando Martinez. Allows certified education in Texas. emergency medical technician-paramedics to A physician or other person is required to obtain provide advanced life support within a healthcare HB 3374 by Geanie Morrison. Requires health- a blood sample of a child if a woman delivers a facility emergency department or urgent care care providers to provide information on Down's newborn child with no diagnostic test in prenatal clinical setting under the delegation and direct Syndrome to expectant parents when adminis- records for syphilis and HIV. supervision of a licensed physician. tering a test or diagnosing Down's Syndrome. SB 1235 by John Whitmire. Amends Section HB 2171 by J.D. Sheffield. Requires an individual’s 168.001 of the Texas Occupations Code to define parent, managing conservator or guardian to SB 66 by Juan Hinojosa. Requires the commis- “operator” to include owner, medical director, submit written or electronic consent to maintain sioner of the Texas Department of State Health or physician affiliated with pain management that individual’s immunization information in Services, in consultation with the Commissioner clinics in any capacity. SB 1235 also specifies ImmTrac before the individual is 18 years of age. of Education and an advisory committee com- that operating and owning a pain management Immunization information will now be stored until posed of physicians with expertise in treating clinic is engaged in the practice of medicine and the individual is 26 years old unless the consent anaphylaxis and at least one registered nurse includes, but is not limited to, all supervision is withdrawn. employed by a school district or open-enrollment and delegation activities related to the pain charter school as a school nurse to adopt rules for management clinic. HB 2498 by John Zerwas. Allows for a licensing school districts to keep unassigned epinephrine compact for emergency services personnel to auto-injectors available on campus and at school SB 1243 by Konni Burton. Amends the Texas cross state lines to provide care in non-declared events to treat anaphylaxis and have staff who Health and Safety Code to require the Department states of emergency under an EMS personnel are trained in how to recognize and respond to it. of State Health Services (DSHS) to establish a pilot Licensure Interstate Compact. program for the donation and redistribution of SB 195 by Charles Schwertner. Transfers rulemak- prescription medications in one or more mu- 6 October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4 2016 BON Continuing Educational Opportunities The Texas Board of Nursing is offering NURSING JURISPRUDENCE AND ETHICS Webinar Schedule numerous educational opportunities on a WORKSHOP Visit the Board’s website as to register. variety of topics in 2016. The courses are “Protecting Your Patients and designed to provide nurses with the most April 7, 2016 & October 27, 2016 Your Practice” current information to support a safe and 10:00am – 11:00am legal scope of practice. (This course meets the two (2) hour CNE APRN Application requirement for Nursing Jurisprudence and Cost: Free, Registration required In 2013, the 83rd Texas Legislative Session Ethics as required by the 2013 Texas Legis- passed a law that specifies new continuing lature. This continuing nursing education May 19, 2016 10:00am – 11:00am education requirements for all nurses to activity was approved by the Texas Nurses LVN Scope of Practice complete at least 2 hours of continuing ed- Association, an accredited approver by the Cost: $25.00 ucation related to nursing jurisprudence and American Nurses Credentialing Center’s ethics before the end of every third, two-year Commission on Accreditation. ) July 14, 2016 10:00am – 11:00am licensing period. The Board’s workshop Nursing Peer Review – Visit the Board’s website for specific dates “Protecting Your Patients and Your Practice” Understanding the Process and addresses of venues as well as to register. and the online continuing nursing education Cost: $25.00 (CNE) course “Nursing Regulations for Safe March 24, 2016 – Houston Practice” awards contact hours that will October 6, 2016 10:00am – 11:00am August 19, 2016 – San Antonio satisfy the new requirements for Nursing Safe Harbor – Ensuring Patient Safety September, 16 2016 - Arlington Jurisprudence and Ethics. Cost: $25.00 For more information about the educational opportunities or to register online for Interactive Online CNE Course a workshop, webinar or the online CNE course visit the Board website at www.bon. “Nursing Regulations for Safe Practice” texas.gov and under Calendar click on Continuing Education Course Catalog. This interactive online CNE Course is easy to access on any schedule and costs $25.00 LETICIA GALLARZO (This course meets the two (2) hour CNE a.k.a Leticia Gallarzo Garza; a.k.a. Leticia requirement for Nursing Jurisprudence and IMPOSTER WARNING Garza Gallarzo Ethics as required by the 2013 Texas Legis- If you have any knowledge or infor- Leticia Gallarzo secured employment as a Registered Nurse (RN) in Victoria County, lature. This continuing nursing education mation regarding the employment activity was approved by the Texas Nurses Texas, as well as with a long term care practices of the following individual, facility in Goliad, Texas. Ms. Gallarzo is not Association, an accredited approver by the please contact the Board’s Enforce- licensed to practice professional nursing American Nurses Credentialing Center’s ment Division immediately at (512) in the State of Texas; however, she used Commission on Accreditation. ) 305-6838. the name and RN license number belong- ing to a licensee with a similar name, but a different social security number who Legislative Summary resides in the Hidalgo County area. In addition, the Board has received infor- - continued from prev. page mation that this individual has worked as nicipalities, whereby a donor may donate a RN in DeWitt County, Victoria County, certain unused prescription medications Goliad County, and Matagorda County. to DSHS. This case has been referred to the Victoria County District Attorney’s Office and the SB 1462 by Royce West. Allows a person or organization acting under a standing order Goliad County District Attorney’s Office. to store and distribute an opioid antagonist, provided they did not request or receive compensation. Emergency services personnel are authorized to administer an opioid Do You need to change your address? antagonist to a person who appears to be suffering an opioid related drug overdose, Notification of change of address Notifications must include: as clinically indicated. as required by Rule 217.7 can be 1. RN or LVN License Number; SB 1753 by Donna Campbell. Requires completed by any of the following hospitals to adopt a policy for health care methods: 2. Last four digits of Social providers who are providing direct patient Security Number; care in the hospital to wear a visible photo Mail: Texas Board of Nursing identification badge that clearly states the 333 Guadalupe, Suite 3-460 3. Old and New Addresses; type of license held by the provider. Hos- Austin, Texas 78701-3944 4. Name; and pitals are required to implement these new E-Mail: [email protected] photo identification badge requirements by 5. Primary State of Residence September 1, 2019. Fax: 512) 305-7401

7 October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

Texas Board of Nursing 333 Guadalupe, Suite 3-460 PRESORT Austin, Texas 78701-3944 STANDARD U.S. Postage PAID Austin, TX Permit No. 3333

The purpose of the Texas Board of Nursing Bulletin is to disseminate information to nurses licensed by the State of Texas, their employers, health care providers, and the public concerning laws and regulations established by the Texas Board of Nursing related to the safe and legal practice of nursing. The Texas Board of Nursing Bulletin provides information on current issues and trends in nursing regulation, status of nursing education programs, information regarding licensure and nursing practice, and disciplinary action taken against licensees who violat- ed the Nursing Practice Act.

Information published in the Texas Board of Nursing Bulletin is not copyrighted and may be reproduced. Board of Nursing Contact Information The Board would appreciate credit for the material used and a copy of the reprint. Please direct questions MAIN NUMBER...... (512) 305-7400 FAX...... (512) 305-7401 or comments to: Newsletter, Texas Board of Nursing, -- 24-hour Access 333 Guadalupe, Suite 3-460, Austin, Texas 78701-3944. -- License Verification Comments may be e-mailed to [email protected]. -- General Information gov or call (512) 305-6842. ENFORCEMENT...... (512) 305-6838 -- Complaint and Disciplinary Action Inquiries Office Hours and Location -- Violations of NPA and Rules and Regulations -- Monitoring of Disciplined RNs and LVNs The office of the Texas Board of Nursing is located in the OPERATIONS William P. Hobby Building, located at the corner of CUSTOMER SERVICE...... (512) 305-6809 4th and Guadalupe in downtown Austin. The mail- -- License Renewals -- Endorsement/Examination ing address is: 333 Guadalupe, Suite 3-460, Austin, -- Continuing Education for LVNs & RNs Texas 78701-3944. Office hours are 8:00 a.m. to 5:00 SALES OF LISTS...... (512) 305-6848 p.m., Monday through Friday, except for designated -- Electronic Nurse Files holidays. -- Publications

PROFESSIONAL AND VOCATIONAL NURSING The Texas Board of Nursing is an equal opportunity/ ADVANCED PRACTICE...... (512) 305-6843 affirmative action employer and does not discriminate -- APRN Application and on the basis of race, color, religion, sex, national origin, Prescriptive Authority Procedures age, or disability in employment or in the provision of [email protected] services, programs, or activities. NURSING EDUCATION...... (512) 305-6816 NURSING PRACTICE...... (512) 305-6802 The Texas Board of Nursing Bulletin is published quarterly -- Nursing Practice Issues by the Texas Board of Nursing. In compliance with the -- Legislation

Americans with Disabilities Act, this document may be Workshop Information...... (512) 305-6844 requested in alternate formats by contacting the Board's -- Workshop e-mail inquiries: [email protected] office, (512) 305-7400 (Voice), (512) 305-7401 (FAX), or by visiting the William P. Hobby Building, 333 Guadalupe, NEWSLETTER INFO...... (512) 305-6842 Suite 3-460, Austin, Texas. -- WEB Address...... www.bon.texas.gov -- Refer e-mail inquiries to: [email protected]

October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4 NOTICE OF DISCIPLINARY ACTION The following nurses had disciplinary action taken against their licenses through a Board order containing public information about the nurse’s disciplinary action. You can obtain information about these disciplinary actions from the Board’s website, www.bon.texas.gov, using the verification look-up under Licensure or under the disciplinary action section of Discipline & Complaints. Under Licensure, select Verification then click on the applicable type of license type; Discipline & Complaints, select Disciplinary Action then select individual newsletter date. Additionally, you can send your written request to the Texas Board of Nursing, Enforcement Division, 333 Guadalupe, Suite 3-460, Austin, Texas 78701-3944.

NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Adams, Diana Renee LVN 174075 Remedial Education with Fine May 12, 2015 Adams, Lucinda Nicole LVN 192257 Revoked May 12, 2015 Adams, Michael Scott RN 685238 & LVN 138155 Revoked June 16, 2015 Adragna, Angela Patricia LVN 188644 Reprimand with Stipulations July 23, 2015 Aggrey, Emelia Kwagyir LVN 207892 Revoked June 16, 2015 Aguila, Andrea RN 809635 Reprimand with Stipulations June 16, 2015 Aguilar, Krystal Rae RN 796051 Remedial Education May 15, 2015 Alamham, Wha Ja RN 694751 Warning with Stipulations June 16, 2015 Allen, Jennifer AP121748 & RN 731031 Reprimand with Stipulations July 23, 2015 Allen, Kelli Dawn LVN 195665 Voluntary Surrender June 9, 2015 Allmon, Jean E. RN 643553 Warning with Stipulations June 16, 2015 Almon, Elizabeth Marie RN 709562 Suspend/Probate May 12, 2015 Alvayero, Jessica Janette RN 756854 Warning with Stipulations June 16, 2015 Amir Abadi, Anna Maria RN 814860 Remedial Education May 28, 2015 Amonett, Ronald Brent RN 720298 Suspend/Probate June 16, 2015 Anderson, Alicia A. RN 501543 & LVN 82865 Limited License July 23, 2015 Anderson, Tanisha Ann LVN 315681 Reprimand with Stipulations June 16, 2015 Angeles, Jr., Felix LVN 220435 Revoked June 16, 2015 Ash, Vanessa Ann RN 706840 Revoked June 16, 2015 Baker, Robert Matthew LVN 159153 Revoked June 16, 2015 Bales, Mary Ada LVN 112522 Revoked May 12, 2015 Barber, Sandra Irene LVN 47821 Voluntary Surrender July 8, 2015 Barlow, Pamela Alicia RN 758358 Reprimand with Stipulations May 12, 2015 Barnett, Cody Dane LVN 321355 Reprimand with Stipulations June 16, 2015 Barnett, Lindsay Rachelle RN 821623 Warning with Stipulations June 16, 2015 Barrett, Barbara M. RN 615124 Limited License May 12, 2015 Barriere, Irene Antoinette RN 671182 & LVN 169538 Suspend/Probate May 12, 2015 Barron, Elisia Nicole LVN 318322 Warning with Stipulations May 12, 2015 Bartholomee, Helen Bain RN 629141 Warning with Stipulations July 23, 2015 Barton, Lorraine Ruth AP112639 & RN 675197 Reprimand with Stipulations June 16, 2015 Beaird, Brandi Lee RN 688376 Voluntary Surrender May 12, 2015 Beard, Marie Emily LVN 157632 Revoked May 12, 2015 Beard, Rodney Dale RN 774085 Enforced Suspension July 27, 2015 Bearden, Amber Dawn RN 736971 & LVN 192815 Enforced Suspension May 1, 2015 Beetem, Daniel Aaron LVN 203692 Remedial Education May 5, 2015 Bell, Michelle Anne LVN 315082 Reprimand with Stipulations May 12, 2015 Bell, Tracy M. RN 504757 Remedial Education with Fine June 10, 2015 Benavides, Robert A. LVN 217769 Revoked May 12, 2015 Bennett, Heather RN 838140 Warning with Stipulations June 16, 2015 Benson, Shirly RN 799028 Warning with Stipulations June 16, 2015 Bergeron, Mary Bingham RN 743178 & LVN 179721 Warning with Stipulations July 23, 2015 Bermea, Raquel Vasquez LVN 173381 Reprimand with Stipulations July 23, 2015 Bernal, Lucy Ann LVN 189324 Warning with Stipulations May 12, 2015 Berryhill, Sherry Marie RN 722897 & LVN 164647 Warning with Stipulations June 16, 2015 Beshirs, Eva Nell RN 668866 Voluntary Surrender May 26, 2015 Betterton, Elizabeth E. RN 616157 Voluntary Surrender May 27, 2015 Bettis, Deborah Marie LVN 221101 Revoked May 12, 2015 Black, Barbara Lynne LVN 132489 Revoked June 16, 2015 Blackmar, Adrian Marie RN 802290 & LVN 192530 Remedial Education July 20, 2015 Bojang, Maria Patricia LVN 223837 Reprimand with Stipulations June 16, 2015 Bornman, William Howard RN 691785 Voluntary Surrender July 16, 2015 Bott, Kelley Louise RN 714766 Reprimand with Stipulations July 23, 2015 Bradford, Angela (Mackey) LVN 222579 Reprimand with Stipulations May 12, 2015 Brantley, Eljie Edward RN 227233 Warning with Stipulations June 16, 2015 Brantley, Tameka Cherion LVN 185385 Voluntary Surrender June 29, 2015 Bready, Kevin Stuart RN 790085 Warning with Stipulations June 16, 2015 Broadus, Sandra RN 769641 & LVN 168295 Warning with Stipulations June 16, 2015 Broherd, James RN 783419 Remedial Education with Fine June 3, 2015 Brooks, Amber Gene LVN 229848 Remedial Education June 30, 2015 Brown, Kasie L. RN 638955 Voluntary Surrender June 8, 2015 Brown, Khristina Michelle LVN 199791 Revoked May 12, 2015

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Brown, Michael Wayne RN 664719 & LVN 137591 Remedial Education May 5, 2015 Bryant, Margaret Jean RN 852106 Remedial Education with Fine June 30, 2015 Buckley, Sheila Patterson RN 606070 Warning with Stipulations May 12, 2015 Buford, Carlos Edwan RX 7107 Limited - No Controlled Substances July 23, 2015 Buford, Carlos Edwan AP115212 & RN 753580 Suspend/Probate July 23, 2015 Bullock, Nicole Danean RN 821968 Revoked June 16, 2015 Burlingame, Cynthia Michele RN 762090 Remedial Education June 10, 2015 Burns, Becca Breeanne RN 817116 Voluntary Surrender June 19, 2015 Burtram, Cassi Louise RN 774215 Enforced Suspension May 14, 2015 Butcher, Sharon Mae RN 600575 Warning with Stipulations July 23, 2015 Butler, Stanley Lawrence RN 771552 & LVN 183417 Remedial Education June 10, 2015 Byrd, Patricia Kay LVN 78231 Warning with Stipulations June 16, 2015 Caballero, Catherine Molly RN 755980 Revoked May 12, 2015 Cabla, Krystal Lynn RN 801883 Warning with Stipulations June 16, 2015 Cagle, Stephen Harold AP108070 & RN 641062 Voluntary Surrender June 10, 2015 Cailing, Gerardo Palad RN 750903 Reprimand with Stipulations July 23, 2015 Calandrillo Campbell, Sandra RN 806453 Warning with Stipulations May 12, 2015 Calderon, Sylvia Ann LVN 300707 Suspend/Probate June 16, 2015 Cameron, Cara E. RN 669042 Remedial Education May 7, 2015 Camp, Cheryl Elizabeth RN 668704 Revoked June 16, 2015 Campbell, Latayna Schelle RN 810546 Remedial Education May 5, 2015 Cantu, Stacie Jeannette RN 819479 Warning with Stipulations July 23, 2015 Carlos, Nora M. RN 440162 Reprimand with Stipulations May 12, 2015 Carpenter, Megan Irene LVN 231116 Limited License June 16, 2015 Carrier, Valenda Denise RN 693975 Suspend/Probate July 23, 2015 Castleberry, Stacy Renee RN 710907 Warning with Stipulations July 23, 2015 Cavazos, Ernesto LVN 197022 Revoked May 12, 2015 Chaffee, Christine Ana RN 827708 Revoked May 12, 2015 Che, Marina Matieu RN 846196 Warning with Stipulations May 12, 2015 Clark, Johnnie Renee RN 547710 Revoked June 16, 2015 Clark, Melissa RN 648490 Remedial Education with Fine July 7, 2015 Cole, Chanda Linnet RN 775483 Revoked June 16, 2015 Coloton, Jasmine Rae RN 689703 Reprimand with Stipulations July 23, 2015 Cordoway, Vanessa Ann RN 833495 Warning with Stipulations June 16, 2015 Coronado, Louis Armando LVN 184176 Warning with Stipulations July 23, 2015 Cortinas, Mark Anthony RN 571450 Warning with Stipulations May 12, 2015 Costanza, Sherry Lynn LVN 160381 Revoked May 12, 2015 Cowan, Peggy Lucille LVN 134504 Warning with Stipulations May 12, 2015 Crater, Amber Marie RN 810003 Remedial Education June 17, 2015 Cross, Roberta W. LVN 79646 Revoked June 16, 2015 Culp, Shannon Helene LVN 314133 Warning with Stipulations July 23, 2015 Cummings, Linda Dy Ann LVN 201864 Voluntary Surrender June 3, 2015 Cummins, Kristin Michele RN 805295 Enforced Suspension July 15, 2015 Curry, Jamie Ann RN 688974 & LVN 182658 Suspend/Probate May 12, 2015 Dabney, Kimberly Diane LVN 148716 Revoked June 16, 2015 Dauphinee, Nicolle RN 571534 Voluntary Surrender May 6, 2015 Davis, Danielle Elaine LVN 318046 Remedial Education May 8, 2015 Davis, Juanita Helena LVN 195844 Revoked May 12, 2015 Deeth, Debra Kay LVN 142596 Revoked May 12, 2015 Demarinis, Rebecca Sue RN 790229 & LVN 189214 Warning with Stipulations May 12, 2015 Denham, Ronald Wayne LVN 141458 Warning with Stipulations June 16, 2015 Derby, Katrina Kaye RN 659295 Reprimand with Stipulations May 12, 2015 Desens, Debra A. RN 522481 Enforced Suspension May 12, 2015 Diaz, Michael LVN 202680 Reprimand with Stipulations June 16, 2015 Dickman, Aleta Newberry RN 657946 Warning with Stipulations May 12, 2015 Difu, Fekade Gebreyesus RN 633050 Warning with Stipulations June 16, 2015 Doerr, Regina Ruth RN 572222 Reprimand with Stipulations June 16, 2015 Dowell, Megan LVN 220729 Warning with Stipulations July 23, 2015 Duckless, Judy A. RN 240953 Warning with Stipulations June 16, 2015 Duitch, Karen Irby LVN 184587 Revoked May 12, 2015 Duncan, Mellyssa Watson LVN 121939 Revoked July 23, 2015 Dunn, Gary M. RN 621164 Reprimand with Stipulations July 23, 2015 Dunn, Tabatha Ann RN 710220 Revoked June 16, 2015 Eastus, Nancy Nolley LVN 307436 Revoked May 12, 2015 Edwards, Michelle D. RN 612708 Warning with Stipulations June 16, 2015 Ehiorobo, Thomas Ogbeiwi LVN 304512 Warning with Stipulations June 16, 2015 Ekong, Nko I. LVN 180310 Remedial Education July 13, 2015 Elliott, Netha LVN 212212 Revoked June 16, 2015

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Ervin, Rebecca Murray AP109293, RX 2853 & RN 571738 Enforced Suspension July 23, 2015 Estrellado, Maria Victoria D. RN 642970 Warning with Stipulations May 12, 2015 Evans, Terry Ray LVN 167298 Revoked May 12, 2015 Falcon, Victor Manuel RN 867675 & LVN 185568 Enforced Suspension July 14, 2015 Ferguson, Jennifer Lynn LVN 181292 Warning with Stipulations June 16, 2015 Finch, Kimberly D. RN 770437 & LVN 208200 Warning with Stipulations May 12, 2015 Fischer, Kathleen Mary RN 244060 Warning with Stipulations June 16, 2015 Flores, Elizabeth LVN 220960 Reprimand with Stipulations May 12, 2015 Flores, Kimberly Tovar LVN 192109 Revoked July 23, 2015 Flores, Lupita (Banda) LVN 133536 Suspend/Probate June 16, 2015 Flores, Sandra Rea LVN 203251 Enforced Suspension July 9, 2015 Flores, Tara Celeste RN 805843 Warning with Stipulations June 16, 2015 Foster, Sara Jasmine RN 803363 & LVN 217450 Suspend/Probate June 16, 2015 Fowler, Vicki Rae RN 244914 & LVN 66370 Remedial Education May 18, 2015 Fox, Barbara N. RN 617412 Warning with Stipulations July 23, 2015 Fox, Karen Sue LVN 179572 Revoked May 12, 2015 Franco, Charles RN 665537 Warning with Stipulations June 16, 2015 Franco, Marlinda LVN 304900 Revoked June 16, 2015 Franklin, Melissa Ann LVN 226147 Warning with Stipulations May 12, 2015 Fregoso-Rodriguez, Monica Gean LVN 198854 Enforced Suspension May 12, 2015 Frugia, Christy Nichols RN 640928 & LVN 150100 Voluntary Surrender June 9, 2015 Fuentes, Brenda RN 795728 Warning with Stipulations July 23, 2015 Fuentes, Estefana LVN 47526 Revoked May 12, 2015 Fuentes, Jaime RN 658700 Revoked May 12, 2015 Fuentes, Valerie Ann LVN 305331 Warning with Stipulations June 16, 2015 Furr, Tina RN 656577 Suspend/Probate June 16, 2015 Gakui, Penina Wangari LVN 230918 Warning with Stipulations May 12, 2015 Garcia, Kristin Nicole LVN 234153 Revoked July 23, 2015 Garland, Shanika Rena LVN 221769 Revoked June 16, 2015 Garner, Debbie Kay LVN 111652 Remedial Education with Fine May 20, 2015 Garner, Linda Gail RN 820951 & LVN 156078 Warning with Stipulations June 16, 2015 Gary, Gay Lynn RN 840595 Reprimand with Stipulations June 16, 2015 Gaspard, Viola Mcdaniel LVN 123470 Revoked June 16, 2015 Gilliam, Jr., Benjamin Carlton RN 805283 & LVN 191266 Reprimand with Stipulations June 16, 2015 Gillilan, Kathleen Fay LVN 215743 Reprimand with Stipulations June 16, 2015 Golden, Sarah Elizabeth LVN 317572 Warning with Stipulations July 23, 2015 Gomez, Michael Charles LVN 177223 Warning with Stipulations June 16, 2015 Gonzales, Lydia LVN 163595 Reprimand with Stipulations June 16, 2015 Gonzalez, Erica LVN 166711 Warning with Stipulations May 12, 2015 Gonzalez, Marissa A. LVN 120391 Revoked May 12, 2015 Good, Candy Lee RN 833963 Warning with Stipulations July 23, 2015 Grantham, Johnnie Price RN 714028 Warning with Stipulations July 23, 2015 Gray, Carol Wright RN 568602 & LVN 95965 Warning with Stipulations July 23, 2015 Grindstaff, Jennifer K. LVN 164573 Reprimand with Stipulations May 12, 2015 Guidi, Rosa Segura RN 719393 & LVN 173901 Warning with Stipulations June 16, 2015 Hall, Rhonda Jean RN 727357 Voluntary Surrender July 7, 2015 Halsell, Shirley E. RN 512074 Revoked May 12, 2015 Halverson, Julie Fincke RN 825458 & LVN 186441 Remedial Education June 8, 2015 Ham, Sandra Kay RN 237405 Reprimand with Stipulations June 16, 2015 Hamilton, Pamela Sue RN 764210 Remedial Education with Fine May 15, 2015 Hamilton, Shellie Annette RN 766493 Warning with Stipulations May 12, 2015 Hammond, David B. RN 792242 Warning with Stipulations May 12, 2015 Hargrove, Midori Ann RN 758167 Reprimand with Stipulations June 16, 2015 Harris, Gerald Leon RN 684167 Warning with Stipulations May 12, 2015 Harris, Vickie Lee LVN 161806 Revoked May 12, 2015 Harrison, Catherine Legg RN 530363 Remedial Education with Fine July 10, 2015 Harrison, Renee L. RN 525863 Enforced Suspension July 23, 2015 Harrison, Rodrick C. LVN 225931 Remedial Education with Fine June 16, 2015 Hartman, Holly Jane RN 774613 Enforced Suspension May 15, 2015 Haskell, David Douglas RN 650035 & LVN 159276 Revoked May 12, 2015 Hayashi, Keiji RN 750945 Voluntary Surrender May 28, 2015 Head, Jessica Leann RN 832221 Warning with Stipulations July 23, 2015 Healy, Catherine Claire LVN 228530 Revoked June 16, 2015 Heath, Tedra RN 811711 Warning with Stipulations July 23, 2015 Hehr, Jason Kenneth RN 735237 Warning with Stipulations July 23, 2015 Heil, Grant Adam RN 740976 Revoked May 12, 2015 Henson, Joyce RN 640865 & LVN 158375 Enforced Suspension June 16, 2015 continued on next page NDA-3 continued on next page October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Hernandez, Cynthia Ann LVN 157503 Enforced Suspension July 23, 2015 Hernandez, Sonia Angelica LVN 229080 Enforced Suspension June 16, 2015 Herrera, Tabatha Ann LVN 185979 Enforced Suspension May 29, 2015 Herrington, Tommy Lee RN 683683 Revoked June 16, 2015 Hicks, Mary Jane LVN 188974 Warning with Stipulations June 16, 2015 Hightower, Kimberly Kay RN 699148 Warning with Stipulations May 12, 2015 Hilliard, Brandy Suzane RN 699465 & LVN 185182 Revoked June 16, 2015 Hobbs, Kaunta Lashun RN 805675 Revoked July 23, 2015 Hodge, Carla RN 656209 Remedial Education July 23, 2015 Hoffman, Dina Jo LVN 190152 Remedial Education with Fine June 25, 2015 Holbrook, Alice Faye RN 774837 Reprimand with Stipulations June 16, 2015 Holder, Shawna Marie RN 828820 Revoked June 16, 2015 Holland, Tamara Marie LVN 182804 Revoked May 12, 2015 Holley, Megan Elizabeth LVN 203532 Voluntary Surrender May 7, 2015 Holloway, Leah Lynn RN 689805 Revoked May 12, 2015 Holmes, Sue Ellen RN 536415 Remedial Education June 30, 2015 Holzman, Diane RN 816473 Voluntary Surrender June 23, 2015 Hotchkiss, Lori Suzanne RN 766497 Revoked May 12, 2015 Houghton, Haley Kirsten RN 824195 Warning with Stipulations May 12, 2015 Houghton, Susan L. RN 645808 Remedial Education May 28, 2015 Howington, Robert Michael AP113422 & RN 609536 Warning with Stipulations June 16, 2015 Hughes, Candace Leigh LVN 125613 Revoked June 16, 2015 Huston, D’Havelyn Sharnet LVN 164764 Enforced Suspension July 14, 2015 Jackson, Kevin Tyrone RN 862974 Remedial Education May 22, 2015 Jackson, Lillian Marie LVN 166716 Revoked May 12, 2015 Jackson, Tonda Renee RN 563052 Revoked May 12, 2015 Jarvis, Linda Jean RN 712552 Enforced Suspension June 22, 2015 Jenkins-Tutt, Sabrina Marie LVN 195291 Revoked May 12, 2015 Jeter, Lainie Renee LVN 305166 Warning with Stipulations July 23, 2015 Johnson, Barbara Ann LVN 200547 Warning with Stipulations July 23, 2015 Johnson, Charles Michael RN 716248 Voluntary Surrender June 19, 2015 Johnson, Deborah Anne LVN 88223 Warning with Stipulations June 16, 2015 Johnson, Theresa Renee RN 637096 Revoked May 12, 2015 Johnson, Tracy Dean RN 606547 & LVN 143834 Voluntary Surrender April 20, 2015 Jones, Christy Ann RN 727847 Reprimand with Stipulations July 23, 2015 Jones, Kathleen RN 250014 Remedial Education with Fine July 31, 2015 Jones, Laurie Machelle RN 639742 & LVN 149464 Voluntary Surrender June 5, 2015 Kalejaiye, Rotimi O. LVN 216038 Warning with Stipulations May 12, 2015 Kellander, Emilie Ruth RN 578896 Revoked May 12, 2015 Kenjarski, Teresa Aleman RN 654913 Reprimand with Stipulations July 23, 2015 Kimbrell, Linda Joanne LVN 170317 Voluntary Surrender May 21, 2015 Kinderknecht, Randy Scott RN 525871 Voluntary Surrender May 27, 2015 King, Cathy Diane RN 740338 Reprimand with Stipulations May 12, 2015 King, James RN 647986 Revoked June 16, 2015 Knapp, Lauren Rochelle AP115152 & RN 574085 Remedial Education with Fine July 9, 2015 Knox, Teresa Kay RN 765566 Warning with Stipulations July 23, 2015 Kotara, Gloria Ann Vick RN 224003 Voluntary Surrender June 26, 2015 Kouns, Allen Clayton RN 782886 Warning with Stipulations May 12, 2015 Kovar, Patricia Holloway LVN 130384 Voluntary Surrender June 16, 2015 Kumi, Janet K. LVN 196068 Revoked June 16, 2015 Lamury, Linda Lavon LVN 140258 Revoked May 12, 2015 Landin, Ysabel RN 616990 & LVN 131163 Reprimand with Stipulations July 23, 2015 Lantz, Anne Therese RN 784027 Revoked May 12, 2015 Lappe, Ronald Eugene RN 866373 & LVN 308078 Warning with Stipulations June 16, 2015 Larson-Smith, Larissa Rose RN 670205 Voluntary Surrender June 17, 2015 Lathon, Kristen Malone RN 706155 & LVN 148339 Warning with Stipulations May 12, 2015 Latifi, Keisha Michelle RN 766665 Warning with Stipulations May 12, 2015 Lawal, Lukman Sunkanmi LVN 213742 Warning with Stipulations May 12, 2015 Lay, Jenifer Rebecca RN 771244 Warning with Stipulations July 23, 2015 Leblanc, Jon Etta LVN 65092 Revoked June 16, 2015 Lecroy, Sandra Kay RN 257698 Reprimand with Stipulations July 23, 2015 Lee, Linda Joyce RN 846105 Warning with Stipulations June 16, 2015 Lemchi, Rachel C. LVN 217272 Enforced Suspension May 12, 2015 Lemley, Jennifer Carol LVN 196233 Revoked May 12, 2015 Lenting, Amber Lynn RN 660158 Revoked May 12, 2015 Leonard, Man Lu RN 829150 Warning with Stipulations July 23, 2015 Leumalieu, Laurence Carlie LVN 303237 Warning with Stipulations May 12, 2015 Lewis, Vertie Regina RN 542286 Warning with Stipulations May 12, 2015

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Leyva, Louie AP112679 & RN 614032 Suspend/Probate June 16, 2015 Linley, Michelle Page RN 704808 Remedial Education with Fine July 30, 2015 Livingston, Stephanie Lynn LVN 204562 Warning with Stipulations May 12, 2015 Logan, Delaine LVN 132261 Warning with Stipulations June 16, 2015 Lopez, Crystal Gayle RN 720322 Enforced Suspension June 10, 2015 Lopez, Cynthia Lee LVN 182069 Voluntary Surrender May 8, 2015 Lowthorp, Florence Mieko RN 722887 Warning with Stipulations July 23, 2015 Luke, Preston Vowell RN 801295 Reprimand with Stipulations June 16, 2015 Madrid, Josephine LVN 138716 Revoked June 16, 2015 Marcia, Narcisa Dolores Comin RN 723030 Warning with Stipulations May 12, 2015 Maria, Alla RN 851988 Warning with Stipulations July 23, 2015 Martin, Misty Michelle LVN 154779 Reprimand with Stipulations June 16, 2015 Martinez, Esther Uriegas RN 764978 & LVN 184301 Enforced Suspension May 12, 2015 Martinez, Veronica LVN 173216 Revoked June 16, 2015 Martinez, Yvonne Reyes LVN 189391 Remedial Education with Fine May 8, 2015 Marzo, Betty C. RN 646265 Warning with Stipulations May 12, 2015 Masters, Suzy Michelle LVN 171635 Warning with Stipulations June 16, 2015 Matherly, Alice Sandra RN 726086 Voluntary Surrender July 9, 2015 Maxwell, Lashaundra Marie RN 868349 Enforced Suspension June 4, 2015 McBride, Buddy Wayne RN 694159 & LVN 150305 Remedial Education with Fine July 7, 2015 McBride, Jimmie Joe RN 576015 Revoked May 12, 2015 McCarver, Betty Catherine RN 710626 & LVN 191691 Reprimand with Stipulations June 16, 2015 McClanahan, Holly Kellene LVN 122885 Enforced Suspension June 16, 2015 McCoy, Mary Jane AP123389 & RN 580119 Remedial Education with Fine June 2, 2015 McCrary, Kristi Shane RN 791165 Warning with Stipulations May 12, 2015 McLean, Hennie RN 620741 Warning with Stipulations May 12, 2015 McNeil, Shannon Michelle LVN 140460 Voluntary Surrender May 1, 2015 Mendoza, Steffanie Marie LVN 197059 Revoked June 16, 2015 Merritt, Donald Paul RN 759699 Revoked June 16, 2015 Meshell, Amanda Ebarb RN 679460 Warning with Stipulations June 16, 2015 Middleton, Ricky Lee RN 557078 Voluntary Surrender May 15, 2015 Miles, Kristi Lee LVN 172943 Warning with Stipulations July 23, 2015 Miller, Keri Susanne LVN 202125 Remedial Education with Fine May 27, 2015 Milton, Gregory Lee RN 809717 Enforced Suspension July 29, 2015 Monick, Sandra Leigh RN 658341 Voluntary Surrender June 25, 2015 Monroe, Vivian Denese LVN 122922 Revoked May 12, 2015 Morgan, Jacilyn Nichole LVN 197552 Revoked June 16, 2015 Morgan, Marilyn RN 601652 & LVN 65542 Voluntary Surrender May 11, 2015 Morris, Gayle A. LVN 119607 Voluntary Surrender June 8, 2015 Morris, Scott Sterling LVN 227899 Suspend/Probate May 12, 2015 Muncrief, Kerrie Jo RN 680584 Enforced Suspension June 16, 2015 Ndaka, Aline RN 837050 Warning with Stipulations June 16, 2015 Nelson, Lea Lynn LVN 306667 Voluntary Surrender June 16, 2015 Ngo, Heidi Haiduong RN 759584 & LVN 199482 Warning with Stipulations June 16, 2015 Nguyen, Hanh My RN 789772 Warning with Stipulations May 12, 2015 Nix, Angela Sue LVN 154345 Warning with Stipulations June 16, 2015 Nunn, Rosemary LVN 171604 Remedial Education with Fine June 29, 2015 O’Connell, Elaine Marie RN 741064 Revoked June 16, 2015 O’Donnell, Kelly Victoria RN 771662 Warning with Stipulations July 23, 2015 Ogembo, Samuel O. LVN 165880 Revoked May 12, 2015 Oguejiofor, Godson RN 816377 & LVN 220660 Warning with Stipulations June 16, 2015 Ojih, Florence Nkechi RX 8476 Limited - No Controlled Substances June 16, 2015 Ojih, Florence Nkechi AP116833 & RN 601731 Suspend/Probate June 16, 2015 Oparaji, Golder LVN 180288 Warning with Stipulations June 16, 2015 Ordonez, Flor I. RN 700830 & LVN 183126 Remedial Education May 13, 2015 Orieukwu, Geraldine O. RN 534314 Warning with Stipulations May 12, 2015 Orr, Wendy Jean RN 623073 Voluntary Surrender May 5, 2015 Ortiz, Miriam LVN 188967 Revoked June 16, 2015 Osteen, Caroline Sue (Craddock) RX 7948 Limited - No Controlled Substances July 23, 2015 Osteen, Caroline Sue (Craddock) AP116158, RN 251885 & LVN 58711 Suspend/Probate July 23, 2015 Overby, Angela Kay LVN 149779 Reprimand with Stipulations June 16, 2015 Owens, Bobbie Jean LVN 174029 Warning with Stipulations May 12, 2015 Owens, Desha Amy RN 632464 Limited License May 12, 2015 Pace, Diane Michelle LVN 187146 Limited License June 16, 2015 Painter, Misty S. RN 850588 & LVN 186356 Voluntary Surrender July 20, 2015 Palmer, Shannon Hetue LVN 177298 Revoked June 16, 2015 Pannone, Walter A. RN 828871 Warning with Stipulations June 16, 2015 continued on next page NDA-5 continued on next page October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Partin, Maristella RN 801345 Remedial Education June 9, 2015 Patel, Chhaya RN 638051 Warning with Stipulations May 12, 2015 Patman, Kelly Rena LVN 150976 Warning with Stipulations May 12, 2015 Payer, Eva Cseko RN 701846 Warning with Stipulations June 16, 2015 Peoples, Julie Ann LVN 136979 Enforced Suspension June 16, 2015 Perez, Andrea Wynette LVN 150394 Warning with Stipulations June 16, 2015 Perez, Robert Mendoza RN 708663 Warning with Stipulations May 12, 2015 Phillips, Lori Jean RN 778129 Voluntary Surrender July 27, 2015 Piering, Christina Rene RN 749704 Voluntary Surrender June 16, 2015 Polizzi-Snow, Deborah Ann PTP MS RN R873432 Remedial Education June 12, 2015 Pope, Tammy Jane RN 755541 Enforced Suspension May 12, 2015 Porter, Tava A. RN 522405 & LVN 100965 Voluntary Surrender June 26, 2015 Powell-Gaydon, Stephanie Lynn RN 578208 Revoked May 12, 2015 Pratt, Michelle LVN 154538 Warning with Stipulations July 23, 2015 Priolo, Leah Deann RN 589756 Voluntary Surrender June 3, 2015 Pruiett, Deni Dionne LVN 212036 Revoked June 16, 2015 Quinterro, Hilda Marie LVN 141816 Revoked June 16, 2015 Ramirez, Toni Lee RN 791187 Voluntary Surrender June 8, 2015 Ramos, Rhonda LVN 230042 Warning with Stipulations June 16, 2015 Reece, Emily Adrienne AP113721, RX 5907 & RN 673503 Suspend/Probate July 23, 2015 Reed, Jobeth LVN 225121 Voluntary Surrender June 3, 2015 Register, Peggy Melissa RN 864491 Reprimand with Stipulations July 23, 2015 Reyes, Carol Ann RN 519194 & LVN 77589 Suspend/Probate May 12, 2015 Reyes, Carol Ann AP110749 & RX 3811 Voluntary Surrender May 12, 2015 Reyna, Ramon Otilio RN 868622 Voluntary Surrender May 20, 2015 Reynolds, Elizabeth Ann LVN 156599 Revoked June 16, 2015 Reynolds, Leslie Faye RN 774807 Remedial Education with Fine July 16, 2015 Rhodes, Chris Kevin RN 589803 & LVN 138911 Warning with Stipulations May 12, 2015 Rhone, Amber LVN 314251 Remedial Education June 29, 2015 Richardson, Carol A. Freppon RN 420083 Voluntary Surrender July 27, 2015 Richnow, Lynne Renee RN 680086 Revoked July 23, 2015 Riley, Nicole Denise LVN 187917 Voluntary Surrender June 29, 2015 Ritchley, Betty RN 425373 Remedial Education July 1, 2015 Rivas, Sergio Enrique AP126067 & RN 810747 Warning with Stipulations June 16, 2015 Roberson, Candace Leigh LVN 307017 Warning with Stipulations June 16, 2015 Robertson, Jo Anne Louise LVN 301615 Warning with Stipulations May 12, 2015 Robinson, Paul R. RN 742674 Revoked June 16, 2015 Robinson, Shannetta Scharon RN 731636 Warning with Stipulations May 12, 2015 Rodriguez, Elias Sergio LVN 173273 Remedial Education with Fine June 23, 2015 Rodriguez, Elizabeth LVN 223567 Enforced Suspension July 23, 2015 Rogers, Christi Lavonne LVN 183904 Revoked May 12, 2015 Rollins, Tiaishia Tarquele RN 799523 Warning with Stipulations July 23, 2015 Romero, Anne Eileen LVN 306650 Remedial Education July 6, 2015 Rosales, Teresa RN 649328 & LVN 165530 Warning with Stipulations June 16, 2015 Rose, Anitra Nell RN 724885 Warning with Stipulations July 23, 2015 Ross, Kandace Lei RN 664905 Voluntary Surrender May 18, 2015 Rotholz, Judith Ann RN 453156 Voluntary Surrender July 22, 2015 Roundtree, Meta Gray LVN 133154 Revoked May 12, 2015 Rush, Delvin Michelle PTP MO RN 2012026957 Voluntary Surrender July 13, 2015 Rutledge, Kathleen Elizabeth LVN 165235 Revoked May 12, 2015 Rzanca, Jason Alan RN 769898 Revoked May 12, 2015 Saenz, Josephine H. LVN 44271 Revoked May 12, 2015 Saenz, Michelle Lynn (Burer) LVN 170283 Warning with Stipulations May 12, 2015 Salem, Brandyn Moya RN 619428 Voluntary Surrender July 29, 2015 Sanchez, Andrea Gail LVN 207138 Warning with Stipulations June 16, 2015 Sanchez, Dolores RN 646207 Reprimand with Stipulations June 16, 2015 Sandefur, Terri Patricia LVN 324406 Voluntary Surrender June 16, 2015 Sandlin, Cole Spencer RN 829313 Reprimand with Stipulations May 12, 2015 Sandoval, Melissa Ann RN 584374 Remedial Education July 17, 2015 Santarina, Luther Villanueva RN 762738 Reprimand with Stipulations June 16, 2015 Schmitz, Marion Lee RN 687655 Enforced Suspension June 5, 2015 Schneider, Walker Dee RN 738593 & LVN 196991 Voluntary Surrender July 20, 2015 Schnettler, Kristy RN 785092 Warning with Stipulations July 23, 2015 Schwartz, Eva RN 645655 & LVN 156533 Warning with Stipulations May 12, 2015 Searcy, Stacy Lynn RN 816825 Enforced Suspension June 16, 2015 Searle, Amber Nicole RN 752290 Revoked June 16, 2015 Selph, Amy Kathleen RN 807725 Reprimand with Stipulations May 12, 2015

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NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Seymore, Jessica Jean LVN 220883 Warning with Stipulations May 12, 2015 Shaw, Vanessa D. LVN 76642 Revoked May 12, 2015 Shelton, Ashley Renee LVN 206584 Revoked May 12, 2015 Shipman, Marcia Louise LVN 132444 Warning with Stipulations May 12, 2015 Shoumaker, Jada Rachell LVN 196428 Revoked May 12, 2015 Sidney, Meagan Rejun LVN 233369 Remedial Education with Fine June 29, 2015 Sigdel, Sunita RN 831317 Remedial Education with Fine May 1, 2015 Silva, Armando Roel RN 774575 Warning with Stipulations June 16, 2015 Silva, Kay Lisa Da RN 627265 Warning with Stipulations July 23, 2015 Silverio, Gregorio Galang RN 766141 Warning with Stipulations May 12, 2015 Simmons, Deidra Mae LVN 46666 Voluntary Surrender May 18, 2015 Sims, Gabrielle Denean LVN 201348 Revoked May 12, 2015 Smiley, Leeann Ruth LVN 302308 Warning with Stipulations June 16, 2015 Smith, Amy Nicole RN 784138 Voluntary Surrender May 21, 2015 Snyder, Kristie Lynette LVN 214424 Warning with Stipulations July 23, 2015 Sokolova, Marina Nikolayevna RN 831323 Warning with Stipulations June 16, 2015 Sparks, Kevin Michael LVN 212284 Revoked June 16, 2015 Spikes, Marlys Rochelle AP108406 & RN 589993 Revoked May 12, 2015 Springer, Stephen Barry LVN 182254 Revoked June 16, 2015 Starks, Nancy Susan RN 845173 Remedial Education July 17, 2015 Staromana, Evelynda Medina RN 453362 Remedial Education May 13, 2015 Steen, Jodi Annette PTP SC RN 109783 Voluntary Surrender June 19, 2015 Sterling, Janice Elaine RN 682776 Revoked June 16, 2015 Stokes, Shelia Mohkami RN 749720 Warning with Stipulations July 23, 2015 Stubblefield, Peggy G. LVN 53942 Enforced Suspension June 16, 2015 Sullivan, Anna Mae LVN 52302 Voluntary Surrender May 7, 2015 Sum, Veasna LVN 307310 Revoked June 16, 2015 Swafford, Sunshine RN 642164 Voluntary Surrender June 16, 2015 Taylor, Josie Miller RN 781172 Voluntary Surrender May 20, 2015 Taylor, Julie Loraine RN 752010 Voluntary Surrender June 17, 2015 Taylor, Tammy Renee LVN 139697 Revoked May 12, 2015 Tchonang, Christelle E. RN 845695 & LVN 302006 Remedial Education July 7, 2015 Teer, Chantal Idena RN 773698 Warning with Stipulations June 16, 2015 Theriault, Lori Ann RN 639097 Warning with Stipulations May 12, 2015 Thomas, Gina Gabriella (Orozco) RN 821074 Reprimand with Stipulations May 12, 2015 Thomas, Patricia RN 693950 Voluntary Surrender May 19, 2015 Thorn, Angelia Y. LVN 81335 Reprimand with Stipulations July 23, 2015 Tidwell, Brian Daniel RN 736871 & LVN 156355 Limited License June 16, 2015 Tolbert, Maria Esther LVN 232294 Warning with Stipulations July 23, 2015 Tolbert, Sheila Yvette RN 815833 & LVN 303695 Reprimand with Stipulations July 23, 2015 Torres, Moises RN 644724 & LVN 142989 Warning with Stipulations July 23, 2015 Toscano, Roxanna Elizabeth LVN 139077 Enforced Suspension July 1, 2015 Traylor, Katherine L. LVN 65475 Revoked May 12, 2015 Trotter, Katherine J. LVN 96010 Revoked June 16, 2015 Truby, Donald Paul LVN 313107 Enforced Suspension July 23, 2015 Truesdale, Sharon G. RN 593087 Voluntary Surrender June 3, 2015 Truett, Kathy Irene LVN 158391 Revoked May 12, 2015 Trumpfheller, Mary Patricia LVN 216911 Warning with Stipulations May 12, 2015 Tuggle, Toni Leigh RN 714102 Revoked May 12, 2015 Tupper, Stephen James LVN 156238 Revoked June 16, 2015 Turner, Shauna Joy LVN 159940 Revoked May 12, 2015 Valdespino, Robert Joel AP111863 & RN 687150 Warning with Stipulations June 16, 2015 Vanarsdale, Kanji Lemaura LVN 169758 Revoked June 16, 2015 Venegas, Manuel Fernando RN 745835 & LVN 200966 Suspend/Probate July 1, 2015 Vermillion, Linda Vay RN 629779 Warning with Stipulations May 12, 2015 Vigeon, Jennifer Lynn RN 820222 & LVN 232845 Remedial Education June 25, 2015 Villadsen, Christen Maurice RN 737123 Enforced Suspension July 23, 2015 Vint-Rene, Laurie Diane RN 587372 Voluntary Surrender March 20, 2015 Wages, Jeff Allen RN 626944 & LVN 150593 Enforced Suspension June 16, 2015 Walker, Claudia Olivia (Vine) RN 725652 Voluntary Surrender July 29, 2015 Walker, Heidi AP120652 & RX 11577 Voluntary Surrender July 23, 2015 Walker, Heidi RN 668809 Suspend/Probate July 23, 2015 Walker, Susan Alane RN 799665 Warning with Stipulations July 23, 2015 Walters, Sandra Lynn RN 721161 Reprimand with Stipulations May 12, 2015 Wandell, Patricia Charlotte RN 669323 Enforced Suspension July 22, 2015 Ward, Crystal Jolene RN 584972 Warning with Stipulations May 12, 2015 Ward, Tanya D. RN 541832 Remedial Education with Fine June 5, 2015 Warren, Jeanette Renee LVN 311303 Remedial Education July 28, 2015 continued on next page NDA-7 continued on next page October 2015 Texas Board of Nursing Bulletin Volume 46, No. 4

DISCIPLINARY ACTION - continued from previous page

NAME LICENSE NUMBER(S) DISCIPLINE DATE OF ACTION Washington, Tonya Marie (Brown) LVN 199038 Warning with Stipulations May 12, 2015 Weigelt, Gay Lyn RN 501324 Enforced Suspension May 12, 2015 Weimer, Dalynn Lou-Cille LVN 309770 Warning with Stipulations July 23, 2015 Wesley, Patrice Vinyette LVN 225143 Reprimand with Stipulations May 12, 2015 Wesson, Sheila Renee LVN 108787 Warning with Stipulations June 16, 2015 Westbrook, Gary LVN 141103 Revoked May 12, 2015 Wheeler, Karen Joan Gribble RN 255003 Warning with Stipulations May 12, 2015 White, Esther Ruth LVN 186341 Suspend/Probate May 12, 2015 White, Jonathan RN 651870 Warning with Stipulations June 16, 2015 White, Karen Lynn LVN 311442 Suspend/Probate July 23, 2015 White, Margaret Ann LVN 183837 Revoked May 12, 2015 Whitfield, Jeffery Tyrone RN 678314 Warning with Stipulations July 23, 2015 Whittle, April Brewster LVN 213881 Enforced Suspension May 12, 2015 Wiederhold, Erich Thomas LVN 183619 Revoked June 16, 2015 Wiese, Jessica Joy RN 642996 Revoked June 16, 2015 Williams, Jennifer Lynn RN 723226 Limited License June 16, 2015 Williams, Kristi Lea LVN 178467 Suspend/Probate May 12, 2015 Williams, Leenan RN 583876 Revoked May 12, 2015 Williams, Racheal Marie (France) LVN 120367 Reprimand with Stipulations May 12, 2015 Williams, Susan Koehler RN 736365 Limited License July 23, 2015 Williamson, Lacy Annette LVN 208151 Revoked May 12, 2015 Willis, Bobbie Jeanne RN 666750 & LVN 160738 Warning with Stipulations May 12, 2015 Wilson, Dorothy Jeanette LVN 138123 Warning with Stipulations June 16, 2015 Wilson, Haynes RN 652493 Reprimand with Stipulations June 16, 2015 Winegardner, Holly Crystal RN 819391 & LVN 178012 Warning with Stipulations May 12, 2015 Woodruff, Barry Danial LVN 232393 Revoked May 12, 2015 Woolverton, Nita Georgene RN 525711 & LVN 67985 Revoked May 12, 2015 Wooten, Melissa Lynn RN 866172 Warning with Stipulations June 16, 2015 Wright, Gwendolyn Hayes LVN 213509 Remedial Education July 7, 2015 Wyatt, Cathy Ann LVN 203470 Enforced Suspension May 12, 2015 Wynn, Amanda Karol LVN 192716 Revoked May 12, 2015 Yarbrough, Blyndia Anne LVN 116081 Revoked May 12, 2015 Youngers, Donna Therese RN 453035 Enforced Suspension July 31, 2015 Zielinski, Brian Keith RN 730962 Suspend/Probate June 16, 2015 Zolfaghari, Joseph Seyed RN 812147 & LVN 229549 Enforced Suspension July 30, 2015 Abbreviations in the Notice of Disciplinary Action Section PTP Privilege to Practice in Texas, also known as Nurse Licensure Compact Privilege, associated with the indicated state and license. States are abbreviated using the official two letter state abbreviations of the United States Postal System. RX Prescription Authorization Statistical Information The 509 disciplinary actions reported in this bulletin represent only 0.138% of all nurses who are currently licensed to practice in the State of Texas. For the statistical reporting period ending on May 2015, 99.43% of Registered Nurses and 98.85% of Vocational Nurses were without recent discipline according to the Board records.

NDA-8