SUMMER 2016 VOLUME 12 {NO 3} EDITION 36 www.ncbon.com NURSING BBULLETINULLETIN

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4516 Lake Boone Trail ontents O VOLUME 12{ N 3} EDITION 36 Raleigh, NC 27607 C Mailing Address P.O. Box 2129 Raleigh, NC 27602 Telephone (919) 782-3211 Fax 6 NORTH CAROLINA (919) 781-9461 NURSES VOTE! Website www.ncbon.com Office Hours 8 a.m. to 5 p.m., 2016 Slate of Candidates Monday through Friday 10 Board Chair Martha Ann Harrell Executive Director Distance Education Position Statement Julia L. George, RN, MSN, FRE 20 Editor David Kalbacker Managing Editor 22 CE Opportunities 2016 Elizabeth Curlin Photography DayMeetsNight Media Services Mission Statement STAFFING and PATIENT SAFETY The mission of the North 24 Carolina Board of Nursing is to Position Statement for RN and LPN protect the public by regulating the practice of nursing. Practice

Advertisements contained herein are not necessarily endorsed by the North Carolina Board of Nursing. Controlled Substance Reporting Rule: The publisher reserves the right to 28 accept or reject advertisements for Implications for Advanced Practice Nurse the Nursing Bulletin. All art (photos, paintings, draw- Prescribers ings, etc.) contained in this pub- lication is used under contractual agreement. 150,000 copies of this document were printed and mailed for a cost of $0.22 per copy. The North Carolina Board of Nursing is an equal opportunity employer. DEPARTMENTS: From the Editor 4 pcipublishing.com 18 Summary of Activities Created by Publishing Concepts, Inc. Classifieds David Brown, President • [email protected] 30 For Advertising info contact Victor Horne • 800.561.4686 ext 114 NURSING [email protected] ThinkNurse.com ...... BULLETIN 3 NC

from the EDITOR

One to act on, one to keep an eye on… I want to discuss two topics in this letter. The first topic is the Board of Nursing annual election. I know there has been a lot in the news lately about elections, political parties and PAC money, but let me assure you the Board of Nursing annual election has NONE of this. What we do have are nurses, like yourselves, who are taking the time to serve on the North Carolina Board of Nursing if elected. Service on the Board of Nursing is an important public service commitment. In the 2016 Nursing Board election, you have 3 candidates running for the APRN position, 5 candidates for the Staff nurse position and PN Educator running unopposed. Please take the time to vote. Your participation is greatly appreciated.

The second topic is the new Nurse Licensure Compact (NLC), which is on the horizon for us next year. NC was one of the early adopters of the original NLC, which began in 1999. The NLC has worked well for nurses, employers, regulation and public safety. However, several states were reluctant to join the Compact because all states did not require federal criminal background checks and did not have uniform license requirements. Adoption of the NLC slowed, with only half the states participating by 2015. Nursing decided to use “lessons learned” from years of experience with adoption of the NLC. National Council of State Boards of Nursing (NCSBN) convened stakeholders and discussed how to improve the compact so that all states would participate. The Enhanced Nurse Licensure Compact was designed and approved by NCSBN in May 2015. The new compact has uniform license requirements, including authority to require federal criminal background checks. To date 10 states have passed legislation to adopt the new, enhanced compact. It will be important for NC to update our Nursing Practice Act to adopt the new, enhanced compact language. We hope to have this on the 2017 legislative agenda and keep North Carolina nurses as mobile as desired and as accessible to patients as needed!

David Kalbacker Editor, NC Nursing Bulletin

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 5 Joyce V. Winstead, MSN, RN and David Kalbacker NORTH CAROLINA NURSES VOTE 2016! • The percentage of nurses that Examiners were Constance E. Pfohl of voted in the 2015 election was Winston-Salem, Mrs. Marion H. Laurance Purpose: 3%. of Raleigh, and Mary L. Wyche of Durham. To provide information and instruc- • Every nurse holding an active North Carolina is the only state in the tions about nominations, qualifica- North Carolina nursing license nation in which the nurses have the privi- is eligible to vote in the annual lege to nominate and elect nursing members tions, and elections for members of North Carolina Board of to the Board. Eleven of the 14 Board of the North Carolina Board of Nurs- Nursing elections. Candidate Nursing members are nurses and are elected ing. positions for the 2016 NC Board by nurses holding a valid North Carolina of Nursing Elections of nurse nursing license. Participating in the elec- Objective: members are: Nurse Educator tion of Board members enables nurses to - Practical Nurse Educator, pro-actively and significantly influence the Discuss the privilege held by North Advanced Practice Registered decisions and directions of nursing practice Carolina nurses to nominate and Nurse, and Registered Nurse – in North Carolina. elect the nursing members of the Staff Nurse. North Carolina Board of Nursing. • Nurses of North Carolina Composition of the Board of Nursing can preserve their privilege to The Board of Nursing consists of 14 elect members to the Board members composed of eight elected regis- The mission of the North Carolina of Nursing by participating in tered nurses; three elected licensed practical Board of Nursing (Board) is to pro- the annual elections. Nurses nurses; and three public members appointed, tect the public through the regula- of North Carolina have been one by the Governor and two by the tion of nursing practice. Over the given a great privilege to elect General Assembly. Members of the Board years, the Board has grown to license the members of the Board of serve a four-year term. The four-year terms Nursing. This privilege is sus- are staggered so that vacancies are consis- more than 147,300 nurses (125,389 tained through active voting by tently filled while maintaining a Board of registered nurses and 21,976 license the nurses of North Carolina. experienced members. A Board member practical nurses). VOTE! may not serve on the Board for more than two consecutive four-year terms or eight In the Beginning: A Brief History of consecutive years. the North Carolina Board of Nursing DO YOU KNOW …. In 1903, the North Carolina Legislature Qualifications of Members Elected to • North Carolina licensed nurses passed a law creating the Board of Nurse the Board of Nursing have a privilege not held by Examiners, later to be known as the Elected Board members are composed of other nurses in the United Board of Nursing. The Bill was signed by eight registered nurses and three licensed States. The North Carolina Governor Charles Aycock and made North practical nurses. The minimum employ- licensed nurse has the privilege Carolina the first state in the nation to ment requirement for each registered nurse to nominate, vote, and elect the have a Board of Nursing and to mandate and licensed practical nurse on the Board is nursing members to the North nursing registration for nurses. The first continuous employment equal to or greater Carolina Board of Nursing. North Carolina Board of Nurse Examiners than fifty percent (50%) of a full-time posi- • Elections for members of was composed of two physicians (elected by tion. the North Carolina Board of the North Carolina Medical Society) and Nursing are conducted annually. three nurses from the North Carolina State The qualifications for each registered nurse Elections are held from July 1st Nurses’ Association. The nurses to first position are: to August 15th. serve on the newly formed Board of Nurse • Nurse administrator (1 position) – is NURSING 6 BULLETIN NC employed by a hospital or a hospital other requirements established by rules facilities, resources, and administration system, has accountability for the adopted by the Board, and of the programs. administration of nursing services, and • Practices in a manner consistent with • Grant or deny approval for nursing pro- is not directly involved in patient care; rules adopted by the Board and other grams, and review all nursing education • Advanced Practice Registered Nurse applicable law. programs at least every eight years or (APRN) (1 position) – meets the more often as necessary. requirements to practice as a certified The qualifications for the three licensed practi- • Grant or deny approval of continuing registered nurse anesthetist, a certified cal nurse positions are: education programs for nurses. nurse midwife, a clinical nurse special- • Hold a current, unencumbered license • Maintain records of all proceedings and ist, or a nurse practitioner; to practice as a licensed practical nurse provide an annual summary of actions. • Staff nurses (2 positions) – individuals in North Carolina and be a resident of • Appoint as necessary, advisory commit- primarily involved in direct patient care North Carolina; tees to deal with any issue under study. regardless of the practice setting; • Have a minimum of five years of expe- • Appoint and maintain a subcommittee • At-large registered nurse (1 position) rience as a licensed practical nurse; of the Board to work jointly with the – registered nurse that is not currently • Have been engaged continuously in the subcommittee of the Board of Medical an educator in a nursing program that position of a licensed practical nurse for Examiners to develop rules and regula- leads to licensure or granting a degree; at least three years immediately preced- tions to govern the performance of • Nurse Educators (3 positions): must ing election; and medical acts by registered nurses. meet the minimum education require- • Provide evidence that the employer • Recommend and collect fees for licen- ments established by the Board’s educa- of the licensed practical nurse is aware sure, renewals, examinations, and re- tion program standards for nurse faculty. that the nurse intends to serve on the examinations. The positions are: Board. • Implement the interstate compacts to o Practical nurse educator (1 posi- facilitate the practice and regulation of tion) Powers and Duties of the Board of nursing. o Associate degree or diploma Nursing [G.S. 90-171.23] • Establish and provide programs for aid- nurse educator (1 position) The North Carolina Board of Nursing is ing in the recovery and rehabilitation o Baccalaureate or higher degree charged by General Statute to hold at least of nurses who experience chemical nurse educator (1 position) two meetings each year for the transaction of addiction or abuse, or mental or physi- • Hold a current, unencumbered license business. The Board meets three (3) times per cal disabilities. to practice as a registered nurse in year in the following months: January, May, • Request criminal background checks North Carolina and be a resident of and September. Board meetings are open to for applicants applying for licensure. North Carolina; the public and attendance is encouraged. The • Implement and regulate continuing • Have a minimum of five years of expe- duties and responsibilities empowered to the competence in the practice of nursing rience as a registered nurse; Board by the Nursing Practice Act (NPA) are: at the time of license renewal or rein- • Have been engaged continuously in • Administer and issue interpretations of statement. a position that meets the criteria for the NPA. • Order the production of any records the specified Board position for at least • Adopt, amend, or repeal rules and concerning the practice of nursing rele- three years immediately preceding the regulation necessary to implement the vant to a complaint received, an inqui- election; and NPA. ry, or investigation by the NCBON. • Provide evidence that the registered • Establish qualifications and employ an nurse’s employer is aware of the nurse’s executive officer who shall be a regis- Elections of Board of Nursing Members intentions to serve on the Board. tered nurse and who is not a member of Elections for Board members are held annu- the elected Board. ally by the Board to fill vacancies of nurse The APRN member (nurse practitioner, certi- • Employ other personnel to implement members for the upcoming year. Nominations fied registered nurse anesthetist, certified nurse the NPA. for candidates for election (RN and LPN) to midwife, or clinical nurse specialist) is a regis- • Examine, license, and renew the the Board member vacancies are submitted to tered nurse that: licenses of duly qualified applicants for the Board annually between January 1st and • Graduated from or completed a gradu- nursing licensure. April 1st: ate level advanced practice nursing • Investigate and take appropriate disci- • Candidates nominated for election education program accredited by a plinary action for all persons violating of registered nurse members would national accrediting body, the NPA. need to submit the written petition of • Maintains current certification or recer- • Establish standards for nursing educa- nomination (available from the Board) tification by a national credentialing tion programs; to include standards to along with at least 10 registered nurses’ body approved by the Board or meets be met by students, faculty, curricula, signatures endorsing the nomination. 7 The endorsing registered nurses must a representative of the Task-force indicated the ing for the best qualified candidates. be eligible to vote in the election. Governor was not supportive of listing mul- Patricia A Beverage, LPN served as a • Candidates nominated for election tiple qualifications for appointment to Boards. licensed practical nurse member on the NCBON of licensed practical nurse members Discussion by the Task-force led eventually to a from 1996 to 2001 and shares her perspective. would need to submit a written peti- decision to change appointment by the Governor I have recently retired after serving as a tion of nomination (available from to election by individuals licensed to practice as Licensed Practical Nurse for 41 years. As most the Board) along with at least 10 registered nurses in NC for the RN members and new retirees do, I reflect on my professional expe- licensed practical nurses’ signatures by individuals licensed to practice as LPNs for riences, and look forward to the future. Beyond endorsing the nomination. The the LPN members. The general wisdom was the working with the many patients, I can honestly licensed practical nurses must be eli- election versus governor appointment could be say that being an active North Carolina Board gible to vote in the election. used as a bargaining chip to succeed in writing in member was especially rewarding. There was • Eligibility requirements for voting for qualifications for appointment to the Board. so much to learn about the process of regulation, Board members are: No one in the Governor’s Office challenged education and practice of our profession. During o Registered nurses with an active the election and the qualifications and increased my two terms I participated in numerous hearings North Carolina license are eligi- numbers of RN members of the Board was keeping the goal of protecting the public foremost, ble to vote in the election of the agreed to, written into the draft of the Act and while maintaining compassion for the licensees registered nurse Board members. adopted by the General Assembly. who appeared before the Board. In addition, as o Licensed practical nurses with an The draft of the Practice Act established a a Board member I was afforded the opportunity active North Carolina license are transition period of four years. Each year an elec- to travel and was privileged to meet others in the eligible to vote in the election of tion would be held and one fourth of the existing nursing profession on a state and national level. the licensed practical nurse Board Board would be replaced by the elected members. We are so privileged to be able to vote for the members. This would allow for transition to the new Board representatives on our Nursing Board. I believe • Appointments of public Board mem- while continuing to have experienced members it gives nurses genuine input into regulating our bers are: one by the Governor and of the Board remain to assure continuing exper- own profession, as opposed to outsiders telling us two by the General Assembly. tise during the transition period. Non-nurse what needs to be done. In North Carolina the stakeholders objected to the transition plan and Board is independent, as opposed to an “umbrel- Perspectives from Former Board demanded a total Board replacement by the first la” agency. This independence allows Board Members election. This was drafted into the Act and passed members and staff opportunities to research many Gene Tranbarger, EdD, RN, MSN, the General Assembly. topics to improve nursing not only for those in FAAN, served in a registered nurse position as North Carolina has now had an elected practice, but for those we care for. a member of the Board from 1979 to 1986 and Board since 1980 and remains the only Board I cannot encourage NC nurses enough to provides a perspective of his service. of Nursing in the United States where licensees take the time to serve on their Board of Nursing. In the 1970’s appointment to the Board of elect the members of the Board. The election The privilege of being able to vote for that repre- Nursing was by the Governor. The only quali- process is not inexpensive and participation in the sentation should be exercised by ALL RNs and fication required for appointment was a current, election is not impressive. Most individuals moti- LPNs in this state. It is comparable to political unrestricted license to practice nursing in North vated to serve on the Board of Nursing over the voting, if you don’t vote, then your voice is not Carolina as a Registered Nurse or Licensed years have served the Board with distinction. The heard. Practical Nurse. The Governor also appointed Board of Nursing has continued to demonstrate I want to take this opportunity to thank the two physicians licensed to practice in North excellence in regulating nursing practice. The many nurses who voted for me during my two Carolina and two Hospital Administrators. public has been well-served by an elected Board. terms on the Board. They made it possible for The Task-force of nurse leaders charged with Our responsibility is to continue to demand excel- me to serve all the citizens of North Carolina in a rewriting the practice act determined the need for lence by monitoring the election process and vot- very meaningful way. I am also indebted to NC additional numbers of nurses due to a significant Board Executive Directors Carol Osman and increase in the work demanded of the nurse Polly Johnson and to the Board staff for the guid- members. In those days, the nurse members of ance and friendship they extended to me during the Board administered the licensure examina- my tenure. tions and the Joint Sub-Committee of the Board In closing, not only do I recommend that of Medical Examiners and Board of Nursing each licensed nurse vote in North Carolina, but reviewed applications for approval of Nurse I also recommend that you consider running for Practitioners and their supervising Physician. the Board yourself should you have inclination. Additionally it was felt that it would be useful to I can’t help but think that you will find it a most have nurses with a variety of nursing expertise to rewarding experience. strengthen the Boards regulation of practice. Conversations between the Governor and

NURSING 8 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... A NURSING PRIVILEGE N The opportunity to elect nursing members to the Board of Nursing is a C privilege held by nurses of the state of North Carolina. In the words of former Board member, Patricia Beverage, LPN “… not only do I recommend that each licensed nurse vote in North Carolina, but I also recommend that you consider running for the Board yourself should you have inclination. I can’t help but think that you will find it a most rewarding experience.” VOTE July 1 – August 15th, 2016!

Instructions for Voting Voting begins July 1, 2016 and continues to August 15, 2016 at midnight

Voting for Board members is as easy as a clicking a computer RECEIVE CONTACT HOUR CERTIFICATE mouse. Vote online from any location via computer, 24 hours a Go to www.ncbon.com and scroll over “Nursing Education”; day, 7 days a week! under “Continuing Education” select “Board Sponsored Bul- letin Offerings,” scroll down to the link, NORTH CAROLINA Vote with or without Receiving Continuing Education Credit NURSES VOTE in 2016! Register, be sure to write down your confirmation number, complete and submit the evaluation, and print your certificate Steps for voting are: immediately. • Have available your nursing license number and year of birth If you experience issues with printing your CE certificate, please o An easy way to obtain your license number is to verify email [email protected]. In the email, please provide your it on-line at the NCBON website www.ncbon.com, full name and the name of the CE offering (North Carolina select “Verify License” and enter your name or social Nurses Vote in 2016). security number. Registration deadline is 8-15-2016. • Access the NCBON website if not already done so at www. ncbon.com PROVIDER ACCREDITATION • On the Homepage, click on the vote logo under Information Spotlight. The North Carolina Board of Nursing will award 2.0 contact hour for this continuing nursing education activity. • Then follow the instructions as indicated. The North Carolina Board of Nursing is an approved provider • You will have two options: of continuing nursing education by the North Carolina Nurses 1. Vote and receive Continuing Education Contact Hours Association, an accredited approver by the American Nurses (See Credentialing Center’s Commission on Accreditation. EARN CE CREDIT below for instructions), or 2. Vote without Receiving Continuing Education Credit. NCBON CNE CONTACT HOUR ACTIVITY DISCLOSURE • Follow the instructions on the appropriate link. STATEMENT The following disclosure applies to the NCBON continuing nursing education article entitled “NORTH CAROLINA NURSES EARN CE CREDIT - “NORTH CAROLINA NURSES VOTE in VOTE in 2016!” 2016!” (2 CH) INSTRUCTIONS Participants must read the CE article in order to be awarded Read the article. There is not a test requirement, although CNE contact hours. Verification of participation will be noted by reading for comprehension and self-assessment of knowledge is online registration. No financial relationships or commercial sup- encouraged. port have been disclosed by planners or writers which would in- fluence the planning of educational objectives and content of the article. There is no endorsement of any product by NCNA or ANCC associated with the article. No article information relates to products governed by the Food and Drug Administration.

{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 9 2016 NC BOARD OF NURSING ELECTION OF NURSE MEMBERS

The Board invites you to take the opportunity to learn more about the candidates nominated for the upcoming Board member nominations. The candidates’ positions on nursing issues are provided with biographical information and a brief interview with each of the candidates. Voting begins July 1, 2016 and continues to August 15, 2016 at midnight SLATE OF CANDIDATESCandidates

Candidate Sharon Moore Victoria Pollucci Glenda Parker Kathy Daley PN – Educator APRN APRN APRN Biographical I graduated from UNC- I am a master’s prepared I received my diploma in I earned my diploma from Greensboro with a BSN in Acute Care Nurse nursing from Cabarrus Presbyterian Hospital 1982 and a MSN-Education Practitioner working Memorial Hospital School School of Nursing (1979), from UNC-Charlotte in in oncology at the of Nursing, my baccalaureate BSN from UNC Char- 2011. I have 32 years of Duke Cancer Center in from Wingate University lotte (1983), MNS from experience in acute care Raleigh. I received my and my Master of Science/ University of Phoenix as a staff nurse and head Master’s Degree from Family Nurse Practitioner from (2004), and a Post- nurse. In 1992, I became Duke University and I am UNC Charlotte. I worked at Masters Clinical Nurse adjunct faculty with the currently pursuing a PhD Cabarrus Memorial Hospital/ Specialist Certificate from ADN program at Forsyth in Educational Leadership North Medical Center for 31 East Carolina University Technical Community for Health Professionals years on various units: medical (2014). I hold certifica- College as a clinical and with a goal of completion surgical, ICU, surgery with tions as a ACNS-BC, lab instructor. I joined the by 2017. My research focus cross training to pre-op/post-op CCRN-CMC-CSC, and Practical Nursing program is in communication and care with CNOR certification, CPAN. I have been a staff at Forsyth Tech in 1999 hope for terminally ill cardiovascular surgery and nurse, preceptor, mentor as full time faculty. I have patients. In my 23-year nursing/surgical technology in the PACU and critical been the Department Chair career, I have worked faculty. I have also worked care units at Presbyterian for Practical Nursing for 11 predominantly in the for Cabarrus Family Medicine Hospital and Missions years. I am a member of the ICU/Critical Care setting Urgent Care and William Hospitals. At Mission NC Council of Practical until becoming a Nurse Hefner VA Medical Center in Hospitals, I also held the Nurse Educators and the Practitioner in Oncology. acute psychiatry. I am currently position of CNS for CV NC League for Nursing. I have held positions as a Family Nurse Practitioner in Surgery and Research. a Nurse Manager and retail healthcare for Minute Since 2010, I have been most recently Advanced Clinic and nursing instructor the Critical Care and Pro- Practice Lead for at Cabarrus College of Health cedural Care CNS at the Outpatient Neurology. Sciences/Carolinas Healthcare Charles George VAMC System. I am a member of in Asheville, NC. NCNA, AANP, NLN and Sigma Theta Tau.

NURSING 10 BULLETIN ...... NC Candidates Candidate Lakisha McDonald Jan’e Powell Patricia Mahaley Clarissa Autumn Lisa Hallman Muriithi Hickman Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Biographical I am a wife, mother My name is Jan’e I graduated from I earned my Associ- I have been a registered and a Nurse. Central Muriithi. I am a Rowan Hospital ate’s Degree in nurs- nurse for twenty-one Piedmont Community Mother/Baby Nurse School of Nursing ing from Midlands years and have recently College (RN) and and I work at Duke in Salisbury with Technical College obtained my BSN. I Winston-Salem State Regional Hospital a diploma. I spent in West Columbia, plan on pursuing an University (RN-BSN as a Clinical Team the next 38 years SC. I began my MSN with certification program) provided a Lead for my unit. at Rowan enjoying career with Lexing- as a psychiatric nurse great foundation that I graduated from different genres. ton Medical Center practitioner. I am cur- has led to this place Watts School of Interacting with where I initially rently working as a nurse in my 13-year career. Nursing with a patients is my completed a criti- manager at Johnston The passion I have for diploma in nursing preference. I worked cal care internship Correctional Institution this profession seeps and UNC-Chapel OB and nursery, then transitioned to with the Department from my pores. Being Hill with a BSN. med-surg, ICU, the intensive care of Public Safety. I’ve currently employed I have been a CCU, PACU (with unit. I obtained my been with NCDPS for as a Travel Nurse for nurse since 2008. a short time as nurse ACLS and PALS six years. It was my first Carolinas Healthcare I started in the manager), IR and certifications in ad- job in North Carolina. System and Cirrus Mother/Baby Unit cardiac cath lab. In dition to serving on I came here as a travel Medical Staffing has and I have been 1994 I graduated various departmental nurse and loved it so provided amazing there for 8 years. from WSSU with and hospital-wide much that I decided opportunities for I love teaching a BSN degree. For committees. I have to make Raleigh my education and growth. new parents about the last 8 years I gained experience home. I am originally I have worked multiple their new babies have functioned as in the endoscopy from Pennsylvania and healthcare areas to and helping them a staff nurse in the field where I earned have worked in mental include Medical/ get ready to take Imaging Department my gastroenterology health, pediatrics and Surgical, Neurology, care of themselves at WFBH-Lexington certification. I have corrections most of Trauma, Oncology, and their babies Medical Center. also served as office my career. I have held Orthopedics and at home. I teach My responsibilities infusion nurse in various positions from Clinical Quality a postpartum/ include conscious endocrinology and staff nurse to Director of Improvement. Serving newborn class to sedation, insertion of rheumatology office Nursing. my colleagues across new parents in my PICC lines, assisting practices. Currently, the State would be an spare time. and monitoring I serve as a staff nurse amazing honor and a radiology patients in Medical Oncology privilege. for procedures, and at CHS Blue Ridge cardiac stress testing. – Valdese Cancer Center.

...... 11 Candidate Sharon Moore Victoria Pollucci Glenda Parker Kathy Daley PN – Educator APRN APRN APRN I would like to It would be an honor to My experience has made I have always had a desire for It would be an honor and serve on the serve the citizens of NC me passionate about the knowledge, a passion for nursing privilege to serve North North Caro- as a representative on the profession of nursing. As and an interest in healthcare Carolina in this capac- lina Board BON. Serving on the Board I pursue my PhD, I look trends. At this time, transforma- ity. This is an exciting of Nursing for the last 4 years has been forward to the day that tion in nursing education and time in advanced practice because… a rewarding experience I may impact the next practice are necessary to meet nursing; as roles evolve that I hope to continue for generation of nursing by emerging healthcare needs. I and the scope of practices another term. I bring to the providing the support, see it as a great opportunity to defines for all APRNs position years of experience education and mentor- partner with other board mem- to have the ability to and a passion for excellence ship needed to empower bers to promote the necessary practice to the full scope in nursing practice. them to new heights. This changes in nursing and educa- of their educational train- position as representative tion to advance overall public ing. With over 36 years of for the Advanced Practice health. nursing experience, this role will provide me the is the perfect opportunity opportunity to make a dif- for me to give back to the ference at a state level. profession I love. What do I In my practice as both a As a seasoned professional A comprehensive background I offer my enthusiasm, have to offer staff nurse and educator, I I have worked in various in nursing and education integrity and devotion to the public have always promoted the settings from a nursing upon which public safety has nursing to serve North of North role of the nurse as a patient home/subacute hospital always been the priority. I Carolina as an advanced Carolina if I advocate. My experience to a large metropolitan work for Minute Clinic which practice nurse. I will am elected to as a bedside nurse, manager trauma center and now is a division of CVS Health, utilize my years of nurs- the Board of and educator has provided as an Advanced Practice which is the largest pharmacy ing experience in North Nursing? me with an understanding provide to terminal health care provider in the Carolina to promote of the attributes of safe and cancer patients. This United States. Our purpose the standards of profes- competent nursing practice has afforded me an is to help people on a path sional nursing practice that will facilitate my understanding of patient to better health. I also work that is “best” practice. I understanding of practice needs in many different Carolinas Healthcare System challenge the mindset of issues and guide me in the areas of healthcare. I have which is one of the nation’s “that’s the way we have decision making process. mentored many new nurses leading and most innovative always done it”. I support and nurse practitioners healthcare organizations. I have and practice high quality which has allowed me to learned through innovation care by promoting evi- be aware of what is needed and collaboration, that a small dence based practices. to support our nurses group of thoughtful, committed as their education and citizens can change things. experience grows. How do you I embrace the responsibility I believe the NCBON The core value of my entire Reducing health ineq- think you of enhancement of public Members need to consist nursing career has been patient uities is a priority, and can enhance safety through my role in of experienced dedicated advocacy and adherence to a serving the American public decision making regarding professionals whose higher standard of care. I always Veteran has enhanced my protection disciplinary actions and mission is to promote taught my nursing students awareness of disparities through your activities that involve safe, best practices in an to take care of people in the in access to health care. actions on education and practice rules. evidence based fashion for way that they would want My experience will help the Board of In all decisions as a member all nurses practicing in the to be taken care of and to be bring attention to these Nursing? of the board, public safety is State of North Carolina. I aware of complacency in their issues. The importance of our primary concern. see my role as a defender nursing career. I will continue professional accountabil- of the rights of our to stick to my core values and ity in the delivery of safe, patients to receive quality utilize my vast experience to competent nursing care nursing care with the enhance public safety through for all is paramount. As a strength, education and my responsibilities as a board clinical nurse specialist, I commitment that comes member. will use the knowledge I from the nurses we want to have gained through my represent our state. practice to move forward the agenda of improving outcomes.

NURSING 12 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... Candidate Lakisha Jan’e Powell Patricia Mahaley Clarissa Autumn Lisa Hallman McDonald Muriithi Hickman Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse I would like The changes in I would like to serve on I would like to be a I would like to I strongly believe that to serve on healthcare that are the NCBON because part of the team that experience how the nurses have a voice. I the North on the horizon will I want to give back to leads us to the level Board of Nursing feel it is not only my Carolina absolutely require the field of nursing. of professionalism functions in order to duty as a nurse to serve Board of that our nursing We owe it to our that I believe we can gain an insight into my fellow nurses, but it Nursing voices be heard. I field to be involved achieve. I’m proud of the the governing body of is also a privilege. because… would like to be and to encourage our profession which I have the nursing profession a part of the body comrades. I feel having chosen and I want others of which I am a part. and voice of my this position will be a in our profession to feel I desire this growth colleagues. great start. the same. I have seen professionally and feel many changes in my 46 that immersing myself years of nursing. Change in different areas is inevitable. I would like will help to give me to help shape the future broader understanding of nursing. and appreciation, as the public may see, of nursing. What do A sincere, I am very dedicated Basically experience. I offer the public of My 21 years of nursing I have to compassionate, to anything I am Education is one of North Carolina my experience, coupled offer the non-biased and involved in, and I the best ways to have honesty, integrity with my recent BSN public of open-minded can be counted on to patients participating in and desire to uphold have shaped me into North view from the staff follow through on all their own care. Nurses a certain trust of a nurse that is proud Carolina if nurse’s perspective. my commitments. I am teach on a daily basis. As the profession of a of the profession. My I am elected I take a daily walk also known for being a “Great 100” nurse from registered nurse. I passion for nursing has to the in the staff nurse’s fair and making sure NC, I believe the public can accomplish this been re-ignited and I Board of shoes, providing everyone’s situations sees nurses that are by listening to the am excited to be a part Nursing direct patient care. are understood. recognized as someone questions and concerns of an ever-evolving To truly be on the that cares about their of the public, serving field. front line could health and nurses that as a vessel in order to afford valuable care about being a great bring the issues to the insight for a nurse. NC Board of Nursing holistic approach and provide feedback. to care across the continuum. How do Be ensuring patient I think I can enhance By ensuring that I can enhance public My various experiences you think safety is truly a public protection licensed nurses in NC protection by bringing as a nurse have you can priority. through my actions on are competent to safely first-hand experience helped me to see enhance the BON by helping practice nursing, we are from over 17 years as things from many public others to understand protecting and promoting a staff nurse. I have different perspectives. protection the scopes of practice the basic health of our interacted and heard I have become very through of each position patients. Nurses that are directly from the well rounded in my your actions governed by the Board certified in their area patients and families. profession and believe on the of Nursing. A lot of of expertise show the I can enhance public in fairness and equality Board of times this can get public that we care about protection through while maintaining the Nursing? confusing by what what we do. I have been further education integrity of nursing. facility we work in and a nationally certified of myself, diligent it would be good to CPAN for 27 years. participation on the have someone like me Board of Nursing, to help navigate it. and sharing gained knowledge and education with other nurses in order to put in effect the process necessary to protect all.

{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 13 Candidate Sharon Moore Victoria Pollucci Glenda Parker Kathy Daley PN – Educator APRN APRN APRN How will the I have a total of 34 years of My 23 years of experience I have multifaceted nursing I started my career as a experience you nursing practice, 32 years as a nurse offers the Board career in overall clinical diploma nurse and have have had as a in direct patient care and personal insight into practice education and been a CNS for the last nurse con- 17 years as an educator. various aspects of nursing health promotion and an 12 years. I offer a broad tribute to the I will use these years of from AD to BSN to MSN/ understanding of healthcare spectrum of knowledge Board’s work? experience to guide me in NP roles. This in turn can delivery from the ground up. and experiences that will understanding the needs aide informed decision- I have developed practice help me make useful con- of nurses and the public to making. I have worked in standards, participated in the tributions to the Board provide/receive the best multiple different areas of accreditation of educational regarding our profession nursing care in a variety of healthcare from long-term programs, maintained multiple and practice. I have been care settings. care to critical-care and licensure and I care. I currently actively involved in spe- now to outpatient as a work for a company that has cialty professional nursing provider. I have care for utilized nurses to transform organizations such as AS- patients at all levels of healthcare delivery and is PAN, AACN, NACNS healthcare and illness and committed to advancement of and NOVA on a national, pride myself in my ability overall health. I believe that I state and local level. to provide good nursing have insight into the Board of care. Nursing responsibilities. Some perceive Nursing is a profession I look at a “job” as task Professionals are governed by Nursing is more than a nursing as a made up of individuals who oriented, short term, professional bodies therefore profession; it is my life’s job and others have received a specialized for the end result of nursing is a profession. The “calling”. Throughout my perceive it as education in planning a paycheck. Nursing, Nurse Practice Act governs the career, I have sought out a profession. and delivering care to on the contrary, is a practice of nursing in every state specialized education and How do you individuals, families and profession. It involves enforced by each states nursing training to validate my perceive nurs- communities. Our practice high quality education, board. I perceive nursing as a practice, not only with ing and why? is guided by research, critical critical thinking and profession based on the art of my “professional licen- thinking and judgements in reflection, dedication caring. To be a nurse, it takes sure”, but with nationally order to provide the highest to the well-being of intelligence, commitment and recognized certifications. level of patient care. As a others not just yourself. compassion to care for people. My ideals, ethical and profession we abide by a It requires advocacy practice standards have code of ethics and practice and commitment. It fortified my practice to standards that demonstrate also requires lifelong empower me to be the our commitment to learning and the desire best nurse that I can be. I excellent care. to work collaboratively am proud to be a member with multiple other of the nursing profession! professionals all with the goal of safe and effective patient care. SLATE OF CANDIDATESCandidates NURSING 14 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... NC

Candidate Lakisha Jan’e Powell Mu- Patricia Mahaley Clarissa Autumn Lisa Hallman McDonald riithi Hickman Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse How will the As a travel nurse The experience I I have learned many My experience will I have worked in many experience you I’ve worked within have had as a nurse skills while working in contribute to the levels of nursing, from have had as a Healthcare Systems will contribute to the different areas of the Board’s work because the frontline to ad- nurse con- across the state. Board’s work when it hospital. Each area I have been immersed ministration. I’ve been tribute to the This experience may comes to OB/GYN requires a specific set in the interactions the new nurse and Board’s work? help to shed light nursing. I can use my of standards. With of patients for many I’ve been the seasoned on processes that expertise in this field new areas come more years. I have a genu- nurse. I’ve had the can be shared and of nursing to help education and a new ine desire to bring privilege of working will promote patient with any situations learning curve. I have the public’s concerns around many influen- safety. that arise. taught BLS, ACLS, and and experiences to tial people who have PALS for many years- the forefront in order help me become the these classes change also to assist the contin- nurse I am today. I feel with each new research ued growth of the I am a fair representa- study. I believe that relationship between tion of where nursing all of our experiences the nursing profes- has come from, what it contribute to the sion and the public. is today, and the direc- professionalism of each tion it is headed in the nurse. future. Some perceive Nursing is my I perceive nursing I definitely believe I perceive nursing as Nursing is an honor- nursing as a profession. A job as a profession. A nursing to be a a profession because able profession, defi- job and others is simply work. A job is a place with profession. A profession it embodies the very nitely not “just a job”. perceive it as profession is that no opportunity allows you to grow essence of humanity. I feel our profession a profession. which is done with or growth. In the within yourself and the This essence I believe is based on compas- How do you purpose and passion. field of nursing the work you are doing. to be is the desire to sion and integrity, two perceive nurs- possibilities are This growth comes from be cared for, loved crucial components ing and why? endless. I feel I could the education and skill and shown guidance. to a well-functioning work in a different development which I perceive nursing as society. entity of nursing every nurses must achieve to a profession because day and still learn do their best work. The I am a nurse. It is not something new every professional knows that what I am but who I day. If you are willing “caring” must come am. My care comes to put the work in, from the heart or it’s just from the heart. nursing can take you a “job”. anywhere you want to go in life.

Candidates { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 15 NORTH CAROLINA BOARD Education/Practice Committee: of Nursing Calendar August 3, 2016 Board Meeting: Reach September 22 – 23, 2016 Hearing Committee: August 25, 2016 Administrative Hearings: Recruit July 21, 2016 Licensure Review Panels: September 22, 2016 July 14, 2016 September 8, 2016 Retain O 2} EDITION 26 2013 VOLUME 9 {N October 13, 2016 WINTER www.ncbon.com NursiNg

10 09 { Official Publication of the N o r t h C a r o l i N a Board of Nursing} ...... W i N t e r { Official Publication of the N ORTH C AROLINA Board of Nursing} ...... S UMMER www.ncbon.com

ursing } Oard Of n ulletinaroliNa b ulletin C orth On Of the N B{Official Publicati

VOLUME 6 {NO 2} EDITION 17 VOLUME 5 {NO 3} EDITION 15

MADE EASY! Nurses at NASH Voting PAGE 11

DO YOU KNOW YOUR SCOPE? Make the Difference! pages 11-16

Delegation: What are the Nurse’s Responsibilities? Page 8

Mailed to every nurse Nurses at NASH in North Carolina – 140,000. make the difference by The North Carolina giving superior care to their Board of Nursing patients. Let NASH make the difference by providing the same care to you. Magazine to reserve advertising space Nash Health Care is a non-profit hospital authority contact Victor Horne comprised of five licensed hospitals totaling 403 [email protected] beds. It serves Nash, Edgecombe, Halifax, Wilson and Johnston counties. 1-800-561-4686 ext.114 An engaging variety of nursing opportunities in a Our nursing journals are mailed directly to over 2 million progressive and nurturing work environment are nurses, healthcare professionals available to the right candidate. Join our team and and educators nationwide. you’ll soon know the NASH Difference. Arizona New Mexico Visit www.nhcs.org today to learn more about a Arkansas North Carolina The District North Dakota nursing opportunity that can make the difference for of Columbia Ohio Florida Oregon you. Georgia South Carolina Indiana South Dakota Nash Health Care Kentucky StuNurse/Nationwide 2460 Curtis Ellis Drive Mississippi Tennessee Montana Washington Rocky Mount, NC 27804 Nebraska West Virginia Fax: 252-962-8067 Nevada Wyoming www.nhcs.org EOE ThinkNurse.com NURSING 16 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... THE PROMISE OF WILSON

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 17

NCNA_ad_NCBON_final_June2.indd 1 6/2/2016 3:45:04 PM SUMMARY of ACTIVITIES

Administrative Matters: Regulatory Compliance Matters • Approved the proposed fiscal year 2016-2017 budget and designation of Received reports and Granted Absolutions to 2 RNs and 0 LPNs. funds Removed probation from the license of 14 RNs and 3 LPNs. • Approved 21 NCAC 36 .0815 Reporting Criteria (Effective April 1, Accepted the Voluntary Surrender from 10 RNs and 1 LPNs. 2016) Suspended the license of 19 RNs and 4 LPNs. In accordance with Session Law 2013-152 Section 3, the Board adopted Reinstated the license of 0 RNs and 0 LPNs. 21 NCAC 36 .0815 Reporting Criteria. Number of Participants in the Alternative Program for Chemical Dependency: 150 RNs and 10 LPNs (Total = 160) 21 NCAC 36 .0815 REPORTING CRITERIA Number of Participants in the Chemical Dependency Program (CDDP): 96 (a) The Department of Health and Human Services (“Department”) may RNs, 10 LPNs (Total = 106) report to the North Carolina Board of Nursing (“Board”) information Number of Participants in Illicit Drug and Alcohol/Intervention Program: 33 regarding the prescribing practices of those nurse practitioners (“pre- RNs, 15 LPNs (Total = 48) scribers”) whose prescribing: (1) falls within the top one percent of those prescribing 100 milligrams of Education Matters morphine equivalents (“MME”) per patient per day; or Initial Approval Status (2) falls within the top one percent of those prescribing 100 MMEs per 1) Northeastern University, Charlotte --- ABSN patient per day in combination with any benzodiazepine and who are within the top one percent of all controlled substance prescribers by Initial to Full Approval Status volume. 1) ECPI, Charlotte --- ADN (b) In addition, the Department may report to the Board information regarding prescribers who have had two or more patient deaths in the Ratification of Full Approval Status preceding 12 months due to opioid poisoning. 1) Gardner Webb, Boiling Springs --- BSN (c) The Department may submit these reports to the Board upon request 2) Mitchell Community College, Statesville – ADN and may include the information described in G.S. 90-113.73(b). (d) The reports and communications between the Department and the Ratification of Expansion Board shall remain confidential pursuant to G.S. 90-113.74. 1) Asheville-Buncombe Technical Community College – ADN (increase of 47 for a total of 280 beginning August 1, 2016) History Note: 2) Fayetteville State University, Fayetteville --- BSN (increase of 20 for a total Authority G.S. 90-113.74; of 120 beginning August 1, 2016 Eff. April 1, 2016. 3) ECPI, Greensboro --- PN (increase of 20 for a total of 140 began June 6, 2016 • Approved Policy for the Use of Opiates for the Treatment of Pain. Policy available on the NC Board of Nursing website at the following link: http:// ACEN Accreditation Decision www.ncbon.com/myfiles/downloads/use-of-opiates-policy.pdf 1) Gardner-Webb University, (Master’s) Boiling Springs • Approved proposed revisions to the following Rules and directed staff to 2) Mitchell Community College, Statesville --- ADN proceed with rulemaking: 3) Davidson County Community College, Lexington --- ADN o 21 NCAC 36 .0120 Definitions 4) Wingate University, Wingate --- BSN o 21 NCAC 36 .0302 Establishment of a Nursing Program – Initial Approval 5) Catawba Valley Community College, Hickory – ADN o 21 NCAC 36 .0303 Existing Nursing Program o 21 NCAC 36 .0309 Process for Closure of a Program Practice Matters o 21 NCAC 36 .0317 Administration Approved Telehealth/Telenursing Position Statement o 21 NCAC 36 .0318 Faculty Approved Distance Education Position Statement o 21 NCAC 36 .0320 Students Revised Complementary Therapies Position Statement o 21 NCAC 36 .0321 Curriculum Revised Staffing and Patient/Client Safety Position Statement o 21 NCAC 36 .0322 Facilities o 21 NCAC 36 .0323 Records and Reports

Proposed revisions to Rules available on the NC Board of Nursing website at the following link: http://www.ncbon.com/dcp/i/laws-rules-administrative- code-rules-proposed-rules

NURSING 18 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... JUMP START YOUR NEW CAREER What makes Randolph Hospital AS AN RN AUDITOR! so successful? RN’s are in tremendous demand in one of the hottest careers Obtain certification from your home in just six weeks. Only $950 to The reason is clear. It’s the way we care. learn a new career that leverages previous nursing experience. We know how important it is to provide a satisfying balance between work and life, especially when our employees deliver such exceptional care. Randolph Hospital, located in Asheboro, NC, is committed to rewards, recognition and programs that provide you with the right mix of professional challenge and personal time. Bring your considerable skills to our family. We are currently seeking:

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© 2016 NAS (Media: delete copyright notice)

THE NC Nursing Bulletin RICHARDS 5.125” x 4.875” It’s a foundation in tradition, GROUP The South Way TRG JOB #: 4-color adapted for modern times. STH-16-0014 CLIENT: South University AD NAME: Nursing PUB(S): NC Nurse CAMPUS: High Point INSERTS: 6/6/16 TRIM: 7.875" x 4.875" LIVE: .125" All Sides BLEED: N/A COLOR: CMYK QUESTIONS CALL: Kathleen Pendergast 214-891-2918

Earn your Bachelor of Science in Nursing or RN to Bachelor of Science in Nursing. Choose from online, on campus, or a hybrid class schedule.

Programs, credential levels, technology, and scheduling options vary by school and are subject to change. Not all online programs are available to residents of all U.S. states. South University, High Point, 3975 Premier Drive, High Point, NC 27265. ©2016 South University. All rights reserved. Our Find your way. The South Way. email address is [email protected]. See SUprograms.info for program duration, tuition, fees and other costs, median debt, salary 800.504.5278 | SouthUniversity.edu data, alumni success, and other important info.

{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 19

STH160014 NC Nurse 7_875x4_875.indd 1 5/6/16 3:27 PM Distance Education Position Statement

Issue: The North Carolina Board of Nursing (BON) approves prelicensure nursing education programs as part of its mission of public protection. The use of distance education technology in nursing education programs located within and outside of NC has proliferated. This statement provides guidance for nurses in both the education and practice communities.

Definitions: 1. Distance education (DE) – Instruction offered by any means where the student and faculty member are in separate physical locations. 2. Home state – Where the pre-licensure nursing education program has legal domicile. 3. Host state – State/jurisdiction outside the home state where prelicensure nursing students participate in clinical experiences and/or didactic courses.

Guidelines for DE in Prelicensure Nursing Programs: 1. DE prelicensure nursing education programs shall meet the same BON approval requirements as any other prelicensure nursing education program in the home state. 2. The home state/jurisdiction BON approves all prelicensure nursing education programs with legal domicile in that state, including distance education programs. 3. Prelicensure nursing education programs approved in the home state provide oversight over the students in the distant host states and are responsible for the students’ supervision. 4. Faculty a. Faculty who teach and supervise clinical experiences for a prelicensure nursing program by means of distance education shall hold a current, active, and unencumbered Registered Nurse (RN) NC license or multistate privilege to practice, and meet licensure and scope of practice requirements in the state/jurisdiction where the patient is located. b. Faculty who only teach didactic content for prelicensure nursing education programs by means of distance education shall hold a current, active, and unencumbered RN NC nursing license or multistate privilege to practice, and meet licensure requirements in the home state where the program is BON- approved. These didactic faculty must maintain knowledge of host- state scope of practice differences. c. Note: Through the prelicensure nursing program annual report process, the NCBON will collect and report data about NC- approved prelicensure nursing education programs that have students enrolled in clinical experiences in distant host states.

References G.S. 90\171.20 (5), (7) & (8) – Nursing Practice Act G.S. 90\171.38. Standards for Nursing Programs G.S. 90‐171.39. Approval G.S. 90\171.40. Ongoing Approval. 21 NCAC 36 .0233 Out of State Students

Model for DE in prelicensure nursing programs

NURSING 20 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ......

Yes You Can... Earn Your Degree from Duke Graduates are shaping the future of nursing. Duke University School of Nursing provides advanced, comprehensive education to prepare you for a career as a leader, practitioner, or researcher. Full- and Part-Time, Distance-Based and Online Learning Options are available in many degree programs. Most programs allow the flexibility to customize learning to fit your goals. Learn More at nursing.duke.edu • Accelerated Bachelor of Science in Nursing (ABSN) (877) 415-3853 • Master of Science in Nursing (MSN) • Post-Master’s Certificate in Nursing • Graduate Certificate - Health Informatics TMP PRODUCTION ATL137422B 1 • Doctor2016 of Nursing Practice (DNP) 7.875 x 4.875” (4c process) KCASTILL • PhD in Nursing NOVAN0002 rd Nursing • Postdoctoral Program • Non-degree Enrollment Options

Nursing at a new level

At Novant Health, we bring together world-class technology and clinicians – like Registered nurse opportunities available. you – to help make our patients’ healthcare experience easier and more personal. Charlotte or Winston-Salem, NC Your commitment to care and our model of spending more time with each • PACU, L&D, ER, critical care, behavioral health, or patient are the foundation of our success and the reason five of our hospitals medical/surgical/telemetry experience are Magnet certified. (two years) required As one of the nation’s leading healthcare organizations, Novant Health remains in • Benefited RNs can receive 25-40% premium on base a position of financial strength and smart growth. In July 2015, Becker’s Healthcare rate (depending on float location and experience rate) ranked Novant Health one of the top 10 hospitals and health systems with strong • Competitive PRN rates finances in the United States. • Shift and weekend differentials are available Are you an experienced RN interested in sharpening your skills while avoiding burnout from the same setting? To apply online visit JobsAtNovantHealth.org Novant Health’s CSSO (central staffing and scheduling office) offers a variety of keyword: CSSO float pool and travel options, flexible schedules, and PRN up to full-time positions with benefits. Our facilities range from small community hospitals to large tertiary care medical centers that span across four states. EOE

{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 21

Online Bulletin Articles Webcasts/Podcast Orientation Session

Development of Sanctioning WEBCASTS Face-to-face workshop at NC Guidelines for Public Discipline Board of Nursing office. in Nursing Regulation: The Understanding the Scope of Information session regarding North Carolina Board of Nursing Practice and Role of the LPN the functions of the Board of Journey (1 CH) Nursing and how these (1 CH) Provides information clarifying functions impact the roles of No fee required the LPN scope of practice. An the nurse administrator and

important course for RNs, the mid-level nurse manager Who’s Your Supervisor or LPNs, and employers of LPNs. in all types of nursing services. Manager? No fee required. Nursing Practice: Session Dates The Management and Legal Scope of Practice Supervision of Nursing Services September 14, 2016 (2.3 CHs) (1 CH) November 3, 2016 Provides information and No fee required clarification regarding the legal

scope of practice parameters Getting to Know your Licensing for licensed nurses in $40.00 fee (non-refundable Board: the North Carolina Board North Carolina. unless session is canceled) To access online CE articles, of Nursing at a Glance webcasts, session registration, $40.00 Fee (1 CH) Register online at and the presentation request No fee required form, go to: www.ncbon.com. Registration at least two weeks in advance www.ncbon.com Click on Questions: Uh oh Pamela Trantham of a scheduled session the Board of Nursing 919-782-3211 ext. 279 is required. to the right of the homepage. called Complaint Reporting & [email protected] Seating is limited. If you are Resolution unable to attend and do not Questions re: Online Bulletin (1 CH) have a substitute to go in your Articles or Orientation Sessions? No fee required PODCAST place, please inform the Contact: Paulette Hampton NCBON so someone on the 919-782-3211 ext. 244 Social Networking Continuing Competence waiting list can attend. [email protected] and Nurses Requirements Paper registration request, (1 CH) contact: For Webcasts see bottom of No fee required http://www.ncbon.com/dcp/i/ne Paulette Hampton columns for contact info. ws-resources-podcasts 919-782-3211 ext. 244 (No CH provided) [email protected] More offerings on website

PRACTICE CONSULTANT AVAILABLE TO PRESENT AT YOUR FACILITY!

An NCBON practice consultant is available to provide educational presentations upon request from agencies or organizations. To request a practice consultant to speak at your facility, please complete the Presentation Request Form online and submit it per form instructions. The NCBON will contact you to arrange a presentation.

Standard presentations offered are as follows: • Continuing Competence (1 CH) – 1 hour – Presentation is for all nurses with an active license in NC and is an overview of continuing competency requirements.

• Legal Scope of Practice (2.0 CHs) – 2 hours – Defines and contrasts each scope, explains delegation and accountability of nurse with unlicensed assistive personnel, and provides examples of exceeding scope. Also available as webcast.

• Delegation: Responsibility of the Nurse - ( 1 CH) – 1 hour - Provides information about delegation that would enhance the nurse’s knowledge, skills, and application of delegation principles to ensure the provision of safe competent nursing care.

• Understanding the Scope of Practice and Role of the LPN (1 CH) – 1 hour – Assists RNs, LPNs, and employers of nurses in understanding the LPN scope of practice. Also available as webcast.

• Nursing Regulation in NC (1 CH) – 1 hour – Describes Board authority, composition, vision, function, activities, strategic initiatives, and resources.

• Introduction to Just Culture and NCBON Complaint Evaluation Tool (1.5 CHs) – 1 hour and 30 minutes – Provides information about Just Culture concepts, role of nursing regulation in practice errors, instructions in use of NCBON CET, consultation with NCBON about practice errors, and mandatory reporting. Suggested for audience NOT familiar with Just Culture.

• Introduction to the NCBON Complaint Evaluation Tool (1 CH) – 1 hour – Provides brief information about Just Culture concepts and instructions for use of the NC Board of Nursing’s Complaint Evaluation Tool, consultation with NCBON about practice errors, and mandatory reporting. Suggested for audience already familiar with Just Culture.

The North Carolina Board of Nursing is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

NURSING 22 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... BEHIND EVERY GREAT HOSPITAL ARE GREAT NURSES.

We’re looking for a few good nurses to join our mission in serving the coastal Onslow community and further our quest to become one of the premier hospitals in the nation. We’ve recently been expanding our services and receiving national safety and quality accreditations, and we know the most important key to success is our staff. If you’re an outstanding, dedicated nurse, we invite you to join our team and experience a greater quality of life.

Review open positions at Onslow.org/Careers

317 Western Blvd, Jacksonville, NC • 910-577-2345

It’s a Slam Dunk ... Earn Your Degree from Duke Graduates are shaping the future of nursing. Duke University School of Nursing provides advanced, comprehensive education to prepare you for a career as a leader, practitioner, or researcher. Full- and Part-Time, Distance-Based and Online Learning Options are available in many degree programs. Most programs allow the flexibility to customize learning to fit your goals.

• Accelerated Bachelor of Science in Nursing (ABSN) • Master of Science in Nursing (MSN) • Post-Master’s Certificate in Nursing • Graduate Certificate - Health Informatics • Doctor of Nursing Practice (DNP) • PhD in Nursing • Postdoctoral Program • Non-degree Enrollment Options

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 23 STAFFING and PATIENT SAFETY Position Statement for RN and LPN Practice

Introduction: assume such responsibilities and to Licensed nurses (RN or LPN) and RN perform such functions. managers/administrators are accountable 3. It is imperative that licensed nurses for the provision of safe nursing care and RN managers/administrators to their clients. Nursing law and rules give thoughtful consideration to mandate that licensed nurses accept the evidence that extended work only those assignments that the nurse is hours may adversely impact client safe and competent to perform. Nursing safety and carefully consider safety to law and rules also mandate that RN practice prior to giving or accepting managers/administrators remain available an assignment. for direct participation in nursing care; 4. Cumulative work hours resulting from delegate responsibility or assign nursing multiple work commitments or from care functions to qualified personnel; and scheduled work hours in combination retain accountability for nursing care with actual hours worked while given by all personnel to whom that care fulfilling “on-call’ assignments must be is assigned and delegated. During periods considered carefully by licensed nurses of under-staffing or limited numbers of and RN managers/administrators. well-qualified staff, it is essential that 5. Based on existing evidence, caution RN managers/administrators and nursing should be exercised whenever an staff work together to provide safe care assignment is expected to exceed 12 to all clients in a manner consistent hours in a 24 hour time period or 60 with nursing law and rules. Clear hours in a 7-day time period. communication is essential to arrive at solutions that best focus on client care Note: The NC Board of Nursing and the needs without compromising either Division of Health Service Regulation patient safety or a nurse’s license. Short have issued a Joint Position Statement Staffing and Extended Work Hours pose on Nursing Work Environments that may considerable challenges for licensed through the following interpretation of provide additional guidance. nurses and managers/administrators. nursing law and rules. Concerns about client Abandonment Issue: SHORT STAFFING and Neglect are often related to these RN & LPN Role: When a licensed nurse (RN or LPN) challenges and to situations of Emergency 1. Inherent in the mandate to accept comes on duty to find that the mix or Preparedness and Workplace Violence. only those assignments that the number of staff is not adequate to meet licensed nurse is safe and competent the nursing care needs of the clients, Issue: EXTENDED WORK HOURS to perform is the expectation that the the nurse should contact the immediate The Board receives frequent inquiries licensed nurse will not accept any supervisor before accepting the concerning the number of hours a assignment for which she/he may be assignment to report the unsafe situation licensed nurse (RN or LPN) may unsafe due to lack of sleep, fatigue, or and ask for assistance in planning care work during a 24-hour period and still prolonged work hours. based on the available resources within maintain client safety. Although the 2. Nursing law and rules mandate that the agency. Such assistance may include, Board regulates only the practice of the the RN manager/administrator but is not limited to: individual licensed nurses and has no is accountable for assessing the a. acquiring additional or a different mix jurisdiction over employer/employee capabilities of personnel in relation to of staff; issues such as work hours, it is appropriate client need and plan of nursing care, b. negotiating “periodic” assistance from that the Board provide guidance to prior to assigning nursing activities, the immediate supervisor or another licensed nurses in addressing this concern to assure personnel are qualified to staff member for delivery of specific

NURSING 24 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... “I BELONG TO NCNA”

North Carolina Nurses Association

CORRECTIONAL The professional association for ALL registered nurses since 1902. HEALTHCARE Exciting. Different. Independent. Variety. You can stay on the cutting edge of nursing policy, education, and practice in an Rewarding. Just a few words to describe ever-changing healthcare environment by joining NCNA. We are proud to be the only nursing association in the state that represents all of North Carolina’s Registered Nurses. If you want to Correctional Nursing! help shape the future of nursing, join NCNA today! Join our team….become a Correctional Healthcare Professional.

The North Carolina Department of Public Safety provides medical care for incarcerated offenders in · Continuing Education the 56 prisons it operates statewide. · Professional Networking To apply, visit: · Legislative Advocacy www.osp.state.nc.us/jobs Electronic applications should be “NCNA provides the means to submitted via this website. help me fulfill my professional http://oshr.nc.gov/work-for-nc interests beyond employment JOIN TODAY! For further info, contact: and participate in decisions www.ncnurses.org Peggy Quagliano, RN that impact nursing at large.” 984 - 255 - 6078 (800) 626-2153 - Donna Owen, RN, BSN [email protected] [email protected]

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 25

15 MSN Nursing Board Bulletin Ad - NBB- 1/3 .indd 1 10/27/15 8:20 AM client care activities; responsibility for the clients from the transport another client or take a break); c. prioritizing the client care activities that over-time nurse at the agreed-upon time. or when a home care nurse is not making will be delivered during that shift or tour 2. If a replacement nurse cannot be found, a scheduled visit. of duty; and/or, the RN manager/administrator is b. In home care settings, this transfer of d. notifying other health care providers responsible for providing the coverage. responsibility may include release to regarding the limitations in providing 3. Failure of the RN manager/administrator client self-care or transfer of care to an optimal care during periods of to respond to calls from the nurse on authorized/approved/trained caregiver as understaffing. duty does not alleviate her/him of provided for in the client plan of care. responsibility for providing coverage or 2. A violation of nursing law and rules RN & LPN Role: of the accountability for the care of the may result from abandoning a client 1. The RN manager/administrator is clients. who is in need of nursing care, without responsible and accountable to assure 4. Nursing laws and rules require that making reasonable arrangements for adequate nursing care resources are the RN manager/administrator assess the continuation of care and providing available. the capabilities and competence of adequate notification to the immediate 2. The licensed nurse is accountable for the any nurse before assigning client care supervisor. care that he/she provides to the client, responsibilities to her/him. When the 3. However, when a nurse refuses to remain as well as all nursing care delegated or RN manager/administrator has or should on duty for an extra shift or partial shift assigned to other staff members. have reason to believe that the licensed beyond his/her established schedule, it 3. Although it may be impossible to deliver nurse is impaired due to physical is not considered abandonment when the type of nursing care that would (including illness, fatigue, and sleep the nurse leaves at the end of the regular be provided with a full complement deprivation) or psychological conditions, shift, providing she/he has appropriately and appropriate mix of staff, there are the assignment of extended tours of reported off client status to another certain activities that must be carried duty, mandated overtime, or scheduled nurse or authorized/approved/trained out regardless of staffing. These activities work hours in combination with actual caregiver and has given management include: hours worked while fulfilling “on-call” notice that the nurse is leaving. a. accurately administering medications and assignments is not appropriate. 4. On-call assignments require availability implementing critical medical treatment and response of the nurse within regimens; Issue: ABANDONMENT agency guidelines. Failure of a nurse to b. protecting clients at risk from harming Abandonment can only occur after the respond and report for on-call client themselves; licensed nurse (RN or LPN) has come on care responsibilities without adequate c. monitoring clients’ responses to duty for the shift, received a report including notification to the immediate supervisor, medical and nursing interventions status/needs of assigned clients and other or failure of an on-call RN supervisor/ consistent with each client’s health care assigned responsibilities, and accepted his/ manager/administrator to respond to a problem(s); her client care assignment. There is no call from client care staff, may result in d. notifying the physician, NP, PA, or routine answer to the question, “When a violation of nursing law and rules for other responsible healthcare provider of does the nurse’s duty to a client begin?” abandonment. deteriorating or unexpected changes in a The focus in nursing law and rules is on 5. It is not considered abandonment under client’s status; and, the relationship and responsibility of the Board of Nursing regulations if a nurse e. accurately documenting the care nurse to the client, not to the employer or is “no call, no show”; resigns without delivered to the clients. employment setting. If the nurse does not fulfilling a previously posted work accept the assignment, then the nurse’s schedule; or reports for work but then Issue: RN MANAGER/ relationship and responsibility to and for the declines an assignment. ADMINISTRATOR ROLE IN client is not established. EXTENDED WORK HOURS AND Issue: NEGLECT SHORT STAFFING RN & LPN Role: Neglect occurs when a licensed nurse During periods of understaffing, the RN 1. Once the licensed nurse has accepted an (RN or LPN) fails to provide client care manager/administrator may have to reassign assignment, she/he remains responsible as ordered and/or as indicated by client staff to different client care areas as well as and accountable for client care and status. Neglect may include, but is not approve extended tours of duty (e.g., double safety until another qualified licensed limited to, failure to assess/evaluate clients; shifts) for licensed nurses (RN or LPN) who nurse or other qualified person has failure to maintain standards of care; volunteer or agree to work extra hours/shifts. accepted responsibility for that client. failure to administer ordered medication 1. If a nurse has agreed to extend his/ a. This transfer of responsibility includes or treatments; failure to perform cardio- her hours of duty due to short staffing, a report of client status and may vary respiratory resuscitation (CPR) unless a but has informed the RN manager/ based on work setting and client care do not resuscitate order is in place; failure administrator of a limit to the extra needs including, but not limited to: at to make scheduled home care visits; and, hours they will work, the RN manager/ the end of a scheduled acute care or sleeping on duty. administrator is responsible to provide skilled nursing shift; when a nurse leaves a nurse who can accept the report and a work area for a limited purpose (e.g., to NURSING 26 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... RN & LPN Role: 1. Once the licensed nurse has accepted an assignment, she/he remains responsible and accountable for comprehensive (RN) or focused (LPN) client care and safety based on nursing scope of practice; standards of nursing care and practice; physician, nurse practitioner, or physician’s assistant orders; and agency policies and procedures. 2. A violation of nursing law and rules may result from neglecting a client who is in need of nursing care. Study Nursing at a Premier University Located in a Scenic Coastal Port City Issue: EMERGENCY PREPAREDNESS AND WORKPLACE VIOLENCE University of North Carolina Wilmington School of Nursing Licensed nurses (RN and LPN) have Preparation for Professional Nursing Practice at All Levels a duty to care for clients and have a professional responsibility to not abandon Bachelor of Science: Traditional BSN – Main Campus or neglect them. It is possible, however, Undergraduate Bachelor of Science: RN-BSN – ONLINE that a nurse may have to choose between the duty to provide safe client care and the responsibility to protect the nurse’s –Master of Science: Family Nurse Practitioner – Hybrid own life during an emergency, including Graduate Post-Master Certification: Family Nurse Practitioner – Hybrid but not limited to, disasters, infectious Doctor of Nursing Practice – ONLINE with campus orientations disease outbreaks, bioterrorism events, and workplace violence. Workplace violence To learn more, please visit: www.uncw.edu/son includes a broad spectrum of behaviors that UNCW is an EEO/AA institution. Questions regarding UNCW’s Title IX compliance should be directed to [email protected]. include violent acts by strangers, clients, visitors, and/or coworkers that result in a concern for personal and client safety. Standards of nursing practice, nursing ethical guidelines, and agency policies and procedures approved by nursing Nurses House, Inc. management/administration should provide guidance for appropriate actions in such A National Fund for Nurses in Need situations. Nurses House, Inc. is a national 501(c)3 organization References: G.S. 90-171.20 (7) & (8) – Nursing assisting registered nurses in need. Nurses House Practice Act assists RN’s with basic necessary expenses such as 21 NCAC 36.0224 (a) (i) & (j) - RN Rule 21 NCAC 36.0225 (a) - LPN Rule food, rent/mortgage and medical bills. If you, or a 21 NCAC 36.0217 (c) (5) & (9) - nurse you know, are in need of assistance due to a Revocation, Suspension, or Denial of License Rule health crisis or other dire situation, visit the Nurses NCBON Position Statement – Accepting House website or call today for more information. an Assignment - www.ncbon.com NCBON/NC DHSR Joint Statement on Nursing Work Environments – www.ncbon. com – Practice – Position Statements Nurses House relies on donations from nurses, the ANA Code of Ethics for Nurses (2015) nursing community and others who care. Please call ANA Position Statement on “Risk and Responsibility in Providing Nursing Care” or visit the website to learn how you can help. (June 2015) 518-456-7858 x125 www.nurseshouse.org

{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 27 Controlled Substance Reporting Rule: Implications for Advanced Practice Nurse Prescribers

Opioid abuse has reached epidemic levels with tremendous public safety implications. The NCBON and the Midwifery Joint Committee have adopted new, parallel reporting rules in accordance with Session Law 2013-152 Section 3, enabling regulatory boards to receive confidential reports from the Department of Health and Human Services (DHHS) regarding prescribers who exceed established thresholds in prescribing controlled substances (NCGA, 2013). The relevant rule changes noted in 21 NCAC 36 .0815 and 21 NCAC 33 .0110 impact nurse practitioners (NPs) and certified nurse midwives (CNMs); advanced practice registered nurse (APRN) prescribers approved to prescribe controlled substances in NC. An article discussing these rules, the point of care impact and approved provider concerns will be posted on the NCBON website and sent to all APRN prescribers. Don’t miss this important information!

Bobby Lowery, Ph.D, FNP-BC, FAANP

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NURSING 28 BULLETIN { Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... Associate Professor of Nursing JOHNSTON HEALTH - Undergraduate Coordinator of Pre-licensure BSN Programs Two Great Hospitals Classi cation: Tenure Track Status: Full-time (10 month) Many Great Nursing Positions! Mars Hill University, a private liberal arts institution located in the beautiful mountains of western North Carolina, is seeking applicants for the position of Associate Professor of Nursing - Undergraduate Coordinator of Pre-licensure BSN Programs. Preference will be given to quali ed candidates with experience and expertise in leadership, administration, accreditation and family health, mental health, community health, or critical care with a commitment to health promotion, community engagement, cultural sensitivity/competence, ethical leadership, and Johnston Health has Nursing positions open at both our courageous advocacy. Immediate review of applica- tions until position lled. Start date of August 1, Clayton & Smithfield Campuses 2016. Intensive Care Unit ◆ Progressive Care Unit Cath Lab ◆ Labor & Delivery ◆ Medical/Surgical ◆ Emergency Dept. Clinical care opportunities are also available. To view a complete list of current openings or to apply, visit:

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 29 Representing Nurses and Allied Health Professionals Nurse Network

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{ Official Publication of the N o r t h C a r o l i n a Board of Nursing } ...... 31 Presorted Standard U.S. Postage Paid Little Rock, AR P.O. Box 2129 Permit No. 1884 Raleigh, NC 27602-2129

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