BOARD OF NURSING Professional and Vocational Licensing Division Department of Commerce and Consumer Affairs State of Hawaii
MINUTES OF MEETING
The agenda for this meeting was filed with the Office of the Lieutenant Governor as required by Section 92-7(b), Hawaii Revised Statutes (“HRS”).
Date: Thursday, August 1, 2019
Time: 8:30 a.m.
Place: Queen Liliuokalani Conference Room King Kalakaua Building 335 Merchant Street, 1st Floor Honolulu, Hawaii 96813
Members Present: Thomas Joslyn, MS, CRNA, Chair Olivia Kim, BSN, BS, RN, LPN, NHA, Vice Chair Karen Boyer, MS, RN, FNP Jomel Duldulao, Public Member Judy Kodama, MSN, MBA, RN, CNML Tammie Napoleon, DNP, APRN, PPCNP-BC Carrie Oliveira, Public Member Amy Stone Murai, APRN
Members Excused: Katharyn Daub, MNEd, EdD, RN
Staff Present: Lee Ann Teshima, Executive Officer (“EO”) Shari Wong, Deputy Attorney General (“DAG”) Nohelani Jackson, Secretary
Guests: Linda Beechinor, Hawaii-American Nurses Association Laura Reichhardt, Hawaii State Center for Nursing Halaevalu Vakalahi, Hawaii Pacific University
Call to Order: The Chair called the meeting to order at 8:31 a.m. at which time quorum was established.
Chair’s Report: Announcements/Introductions
The Chair excused Ms. Daub and asked the audience to introduce themselves.
The Chair also announced that the following agenda items had additional distribution:
2.b. Minutes of the July 22, 2019 meeting 4.a.1) 7/26/2019 Legislative Update Board of Nursing Minutes of August 1, 2019 Meeting Page 2
4.d American Holistic Nurses Association
Approval of the Previous Minutes – July 11, 2019
The Chair called for a motion in regards to the minutes of the July 11, 2019 meeting.
Upon a motion by Ms. Stone Murai, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the minutes of the July 11, 2019 meeting as circulated.
Executive Officer’s Conferences/Seminars/Meetings Report: 2019 NCSBN Annual Meeting August 21-23, 2019, Chicago, Illinois – The Vice Chair and Mr. Duldulao Attending
The EO asked the Vice Chair and Mr. Duldulao if they can speak to some of the representatives from other states that are not part of the eNLC to see what concerns or reason(s) why they have not joined the eNLC especially if it is in addition to the Board’s concern with revenue, complaint investigation and continued competency requirement(s).
2019 NCLEX Conference September 9, 2019, Phoenix, Arizona – Ms. Boyer Attending
2019 NCSBN Leadership & Public Policy Conference October 2-4, 2019, Atlanta, Georgia – The EO asked the Board if anyone was interested in attending and that this person would assist the Chair, Vice Chair and EO in tracking legislation in 2020 and possibly providing research/outreach and testifying on behalf of the Board next year.
The Vice Chair stated that she was interested and would get back to the EO.
Boards and Commissions Member Orientation October 11, 2019, 8:30 – 12:00, State Capitol Auditorium – The EO stated that this orientation is open to all new and existing members, regardless if you previously attended but would like a refresher.
Ms. Oliveira and Ms. Kodama stated that they would attend.
2019 Legislative Session
The EO reported that SB 385, SD1, HD2, CD1, Relating to Professional and Vocational Licensing, that repeals defaults on student loans, student loan repayment contracts, and scholarship contracts as grounds for sanctioning professional and vocational licensees, was approved without the Governor’s signature on 7/10/2019 (Act 279).
Board of Nursing Minutes of August 1, 2019 Meeting Page 3
2019 Renewal
Continuing Competency The EO reported that she was informed that the audit list should be available next week. She stated that she will prepare a draft of the letter to be sent to those nurses selected but may ask the members to review/edit the letter for further clarification.
She also mentioned that nurses who missed the June 30, 2019 renewal deadline may apply to “restore” their nurse license by requesting a hard copy renewal (not available online), but they must also submit proof of compliance with the continuing competency requirement.
Criminal History Background Check The EO reminded the Board that over 8,000 nurses were required to be fingerprinted as part of the renewal requirement for 2019 and that Licensing Branch staff has been checking the list but she has not gotten a report on how many nurses were actually fingerprinted.
She did state that if a nurse that was required to be fingerprinted renewed and placed their license on “inactive” status, the nurse would not have to be fingerprinted, even though his/her name was on the list, but will be required to be fingerprinted when the individual reactivates his/her nurse license.
District of Columbia’s Adverse Event Decision Pathway The EO stated that she was reading the newsletter from the DC BON and came across this “Adverse Event Decision Pathway” for nurse leaders and administrators. This pathway, developed by the NCSBN and the American Organization of Nurse Executives is a guidance tool for the facility quality team when conducting an internal investigation on an adverse event.
The Board agreed that this would be a good guidance tool for facilities and requested that it be posted on the Board’s web page.
Correspondence: NCSBN
Legislative Updates The Board noted the following bills introduced or new laws enacted in other states:
• 7/12/2019 ENACTED CT S 375 SUMMARY: Concerns nursing home staffing levels; ensures adequate reporting of the numbers of nursing home staff.
CT S 827 SUMMARY: Requires physicians and APRNs who provide primary care or emergency treatment for adults to receive training in recognizing the signs and symptoms of Alzheimer’s disease and Dementia. Board of Nursing Minutes of August 1, 2019 Meeting Page 4
CT S 921 SUMMARY: Updates the general statutes to reflect the current scope of practice of APRNs.
DE H 172 SUMMARY: Enacts the Psychology Interjurisdictional Compact.
HI S 1404 SUMMARY: Provides loan repayment for physicians, physician assistants, psychologists, nurse practitioners, social workers, marriage and family therapists, and nurses who agree to work in a federally-designated health professional shortage areas.5/31/2019
TO GOVERNOR DE S 83 SUMMARY: Adopts the Physical Therapy Licensure Compact.
OR S 688 SUMMARY: A professional licensing board shall issue a temporary authorization to provide the occupational or professional service regulated by the professional licensing board to the spouse of a member of the Armed Forced stationed in the state.
RI H 5298 SIMILAR: RI S 298 SUMMARY: Permits a registered nurse who is enrolled in an accredited nurse anesthesia program to practice as a nurse anesthetist under the supervision of a certified registered nurse anesthetist or an anesthesiologist.
RI H 6086 SUMMARY: Requires private schools in addition to public schools to provide and maintain on site opioid antagonists.
INTRODUCED APRN DE H 257 SUMMARY: Establishes a health care provider loan repayment program for qualifying primary care clinicians.
NY A 8464 SUMMARY: Requires applicants for certain nursing licenses and certifications to complete a course in the prevention of human trafficking.
• 7/19/2019 ENACTED RI H 5298 SIMILAR: RI S 298 SUMMARY: Permits a registered nurse who is enrolled in an accredited nurse anesthesia program to practice as a nurse anesthetist under the supervision of a certified registered nurse anesthetist or an anesthesiologist. Board of Nursing Minutes of August 1, 2019 Meeting Page 5
RI H 6086 SUMMARY: Requires private schools in addition to public schools to provide and maintain on site opioid antagonists.
• 7/26/2019 – additional distribution ENACTED NJ S 954 SUMMARY: Enters the state into the enhanced multistate Nurse Licensure Compact.
NH S 273 SUMMARY: Changes licensed nursing assistants to certified nursing assistants.
TO GOVERNOR AK S 93 SUMMARY: Establishes the workforce enhancement program intended to increase the availability of health care services throughout the state, especially to underserved individuals or in health care professional shortage or rural areas.
NC H 50 SUMMARY: Authorizes doctors of medicine, nurse practitioners, physician assistants, and doctors of osteopathy to prescribe hyperbaric oxygen therapy for veterans with traumatic brain injury and PTSD.
Scope of Practice
Can a labor and delivery RN adjust the rate on an epidural for a patient? The Chair led the discussion on the following email inquiry:
“I have a quick nursing practice question for you. In the State of Hawaii, can a labor and delivery RN adjust the rate on an epidural (up or down, or turn on), on a patient?”
He stated that he did some research and found the following information: • November 2016 American Association of Nurse Anesthetists Board of Directors Meeting:
“To take the position that obstetric registered nurses (RNs) who possess the competency, may after consult with the anesthesia professional, adjust epidural infusion rate.”
Older position statements: • AANA “Provision of Pain Relief by Medication Administered via Continuous Catheter or other Pain Relief Devices, is consistent with the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) position and state that “the insertion, initial injection, reinjection, or continuous infusion of epidural catheters for anesthesia or analgesia for the obstetrical patient in label Board of Nursing Minutes of August 1, 2019 Meeting Page 6
should only be performed by a qualified anesthesia professional.” • Facility Policy: “May facilities have developed RN pain management practice policy that allows pain and obstetric RNs to change epidural infusion rate after consultation with an anesthesia professional. These facilities have initial RN education, mentored assessment, ongoing competency, and quality improvement activities to monitor outcomes.” • Board of Nursing: “Several State Boards of Nursing that have addressed the issue of epidural management appear consistent with AWHONN’s that RNs should not adjust infusion rate or administer a bolus dose. (we do not have a comprehensive 50 date analysis available) • AWHONN Position: In an effort to collaborate, Professional Practice staff spoke with Lynn Erdman, MN, RN, CNS, FAAN, AWHONN Chief Executive Officer, regarding their position and AANA’s consideration. AWHONN currently states that: 1. RNs should “monitor but not manage the delivery of analgesia and anesthesia by catheter technique”; 2. RNs should not: - “bolus or re-bolus regional/intrathecal analgesia or anesthesia doses by injecting medication in to the catheter”; - “manipulate doses of regional/intrathecal analgesia and anesthesia delivered by continuous infusion”; - “manipulate doses of regional/intrathecal analgesia and anesthesia or dosage intervals for patient-controlled epidural analgesia (PCEA)”; - “increase or decrease the rate of a continuous infusion”; and - “re-initiate an infusion once it has been stopped” • American Society of Anesthesiologists (ASA) Statement on Pain Relief During Labor (which is currently under revision): “Under appropriate physician supervision, labor and delivery nursing personnel who have been properly educated and have demonstrated current competence should be able to participate in the management of epidural infusions, including adjusting dosage and discontinuing infusions.” No mention of bolus. • The American Congress of Obstetricians and Gynecologists (ACOG) position is consistent with the ASA
Ms. Stone Murai also cited the following: Board of Nursing Minutes of August 1, 2019 Meeting Page 7
• 2007 Pain Management of Nurses – Allowed RNs to adjust epidural; • 2015 AONE – Does not support allowing RNs to adjust epidurals; • 2018 ASA – Allowed RNs to adjust epidurals.
The Chair referred to the Decision Making Framework and the following section(s):
§457-1.5 Practice of nursing. (a) Nursing is a scientific process founded on a body of professional knowledge. It is learned profession based on an understanding of the human condition across the lifespan of a client and the relationship of a client with others and within the environment. It is also an art dedicated to caring for others. The practice of nursing means assisting clients in attaining or maintaining optimal health, implementing a strategy of care to accomplish defined goals within the context of a client-centered health care plan, and evaluating responses to nursing care and treatment. Nursing is a dynamic discipline that is continually evolving to include more sophisticated knowledge, technologies, and client care activities. Nursing applies evidence-based practice to promote optimal client outcomes. (b) The scope of nursing practices established in this chapter and by the rules of the board shall serve as general guidelines and are not intended to address the appropriateness of the use of specific procedures in any particular work setting or to grant permission to implement specific procedures in any particular work setting.
Definition of "The practice of nursing as a registered nurse" in HRS 457-2:
"The practice of nursing as a registered nurse" means the performance of professional services commensurate with the educational preparation and demonstrated competency of the individual having specialized knowledge, judgment, and skill based on the principles of the biological, physical, behavioral, and sociological sciences and nursing theory, whereby the individual shall be accountable and responsible to the consumer for the quality of nursing care rendered. The foregoing may include but shall not be limited to observation, assessment, development, implementation, and evaluation of a plan of care, health counseling, supervision and teaching of other personnel, and teaching of individuals, families, and groups in any stage of health or illness; administration, supervision, coordination, delegation, and evaluation of nursing practice; provision of health care to the patient in collaboration with other members of the health care team as autonomous health care professionals providing the nursing component of health care; or use of reasonable judgment in carrying out prescribed medical orders of a licensed dentist, physician, osteopathic physician, or podiatrist licensed in accordance with chapter 448, 453, 460, or 463E; orders of an advanced practice registered nurse licensed in accordance with this chapter; or the orders of a physician assistant licensed pursuant to chapter 453, practicing with physician supervision as required by chapter 453, and acting as the agent of the supervising physician.”
Ms. Boyer stated that this would require specialized training and is not included in your basic nursing education. Board of Nursing Minutes of August 1, 2019 Meeting Page 8
After further discussion, it was the consensus of the Board that due to the different positions by national organizations and being that the nurse practice act does not specifically address this procedure, the Board decided to refer the inquirer to the definition of “"The practice of nursing as a registered nurse", the Decision Making Framework and also refer to the facilities policies and procedures.
Can an APRN administer “Stem Cell Therapy” and “Platelet Rich Plasma (PRP)”? The Chair asked Dr. Napoleon to lead the discussion on the following email inquiry:
“My name is Richard G. Atwell, MSN, APRN-Rx. I live on Kauai I would like to know if Stem Cell Therapy injections and PRP (Platelet Rich Plasma) injections fall within my scope of practice as an APRN. My license # is APRN-1883.
I have spent considerable time on various websites but cannot find these treatment modalities specifically referenced. Most links refer me to Hawaii Statutes Chapter 457 but I see no discussion of these procedures. As these procedures have only recently become more widespread nation wide, they may not be specifically addressed and verifiable. I defer to your office for help.”
Dr. Napoleon stated that in regards to “stem cell therapy”, her research determined that this may be an experimental procedure that is not part of the standard APRN education/training that may utilize investigational drugs that is listed in the ARNs current Exclusionary Formulary. She also referred to the Decision Making Framework and that additional education and training would be required.
For Platelet Rich Plasma (PRP), Dr. Napoleon determined that this appears to be related to orthopedic and that additional training would be required to order or administer PRP.
Ms. Stone Murai also stated that her research determined that PRP is also used in treating cancer patients.
After further discussion, it was the consensus of the Board that for APRNs prescribing/administering “Stem Cell Therapy” injections, the Board refers the inquirer to the Decision Making Framework. The Board was concerned that this type of treatment was considered “experimental” in some of the research they read and was not considered standard practice for an APRN and would require additional training. For APRNs prescribing/administering “Platelet Rich Plasma” injections, the Board determined that this was related to orthopedics and although additional training would be required, it may fall within the scope of practice of an APRN, depending on the APRN’s practice specialty.
In accordance with HAR § 16-201-90, the above interpretation is for informational and explanatory purposes only and based solely on the information provided. It is not an official opinion or decision and therefore not binding on the Board.
Board of Nursing Minutes of August 1, 2019 Meeting Page 9
American Association of Nurse Anesthetists (AANA) Updates Standards of Nurse Anesthesia Practice and Other Practice Documents
The updates and practice documents were distributed to the Board members.
American Holistic Nurses Association – 2018 Nurse Practice Act Analysis Summary
The information was distributed to the Board members.
The Board noted that national certification by the American Holistic Nurses Credentialing Center is a Board recognized national certification that allows a nurse who is renewing his/her Hawaii nurse license to be exempt from the continuing competency requirements.
Hawaii State Center Ms. Reichhardt reported on the following: for Nursing: • On Wednesday, August 21, 2019, Senator Baker, Chair of the Senate Committee on Commerce, Consumer Protection and Health, and Representative Mizuno, Chair of the House Committee on Health will be holding an informational briefing on Hawaii’s Health Workforce Development for the 21st Century and that she will be speaking on Potential Solutions to Nursing Workforce Challenges; • She plans to provide information on RN-BSN nurses in Hawaii; • Shortage of faculty for Hawaii nursing programs; and • Shortage of clinical placements for Hawaii nursing students.
American Nurses Ms. Beechinor reported on the following: Association – Hawaii Chapter: That their official name is Hawaii – American Nurses Association and that they are seeking to be an approved provider of continuing education.
The Board asked for confirmation that LPNs are not eligible to “join” the Hawaii – American Nurses Association.
Ms. Beechinor replied yes.
The EO asked if the Hawaii – American Nurses Association should become a continuing education provider, would they allow LPNs to take their CE courses.
Ms. Beechinor replied yes.
Chapter 91, HRS - At 9:55 a.m., the Chair called for a recess of the meeting to discuss and Adjudicatory Matters: deliberate on the following adjudicatory matter:
In the Matter of the License to Practice Nursing of Jessica M. Fackender, R.N.; RNS 2017-65-L, Settlement Agreement Prior to Filing Board of Nursing Minutes of August 1, 2019 Meeting Page 10
Upon a motion by Ms. Boyer, seconded by Ms. Oliveira, it was voted on and unanimously carried to approve the Board’s Final Order.
Following the Board’s review, deliberation, and decision in these matters, pursuant to Chapter 91, HRS, the Chair announced that the Board was reconvening its scheduled meeting at 10:03 a.m.
Executive Session: At 10:03 a.m., upon a motion by the Chair, seconded by Ms. Boyer, it was voted on and unanimously carried to move into Executive Session in accordance with HRS, 92-5(a) (1), “To consult with the board’s attorney on questions and issues pertaining to the board’s powers, duties, privileges, immunities, and liabilities”.
At 10:19 a.m., upon a motion by the Chair, seconded by Dr. Napoleon, it was voted on and unanimously carried to move out of executive session.
Applications: Licensed Practical Nurses
Ratification List Upon a motion by the Chair, seconded by Dr. Napoleon, it was voted on and unanimously carried to ratify the attached list of LPNs – 19639-19664 (25)
Registered Nurses
Ratification List Upon a motion by the Chair, seconded by Ms. Oliveira, it was voted on and unanimously carried to ratify the attached list of RNs – 94085 - 94432 (347)
RN Applicant(s) Upon a motion by the Vice Chair, seconded by Dr. Napoleon, it was voted on and unanimously carried to approve the following application(s):
Anne E. Pollock Jennifer M. Stone Sharon J. Olson Elena Strom – Foreign educated
Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to approve the following application with the condition that the applicant must take and pass the NCLEX in order to prove competency pursuant to HRS 436B-19(1) & (8), because the applicant has not indicated that he/she has practiced nursing within the last 5 years:
Deena Bell
Board of Nursing Minutes of August 1, 2019 Meeting Page 11
Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to defer the following application because the applicant did not meet the education requirements pursuant to HAR 16-95-47:
Oluyomi A Oyenuga
Advanced Practice Registered Nurses (APRN)
Ratification List Upon a motion by the Chair, seconded by Dr. Napoleon, it was voted on and unanimously carried to ratify the attached list of APRNs and APRNs-Rx.
APRN Applicants Upon a motion by Ms. Oliveira, seconded by Ms. Stone Murai, it was voted on and unanimously carried to approve the following application(s):
Anne E. Pollock Sharon J. Olson
Next Meeting: September 5, 2019 8:30 a.m. Queen Liliuokalani Conference Room King Kalakaua Building, 1st Floor 335 Merchant Street Honolulu, Hawaii 96813
The Chair announced the next scheduled Board meeting and asked if everyone was available to attend. Everyone said they would be able to attend.
Adjournment: There being no further business to discuss, the meeting was adjourned at 10:25 a.m.
Taken by:
__/s/ Lee Ann Teshima______Lee Ann Teshima, Executive Officer
LAT
8/1/19
[ X ] Minutes approved as is.
[ ] Minutes approved with changes; see minutes of ______Ratification List August 1, 2019 Board Meeting
Licensed Practical Nurse (LPN) LPN 19639 ATANACIO JAYSON REIN LPN 19640 ACLOQUE YVETTA LPN 19641 BLANC CARLINE LPN 19642 IRVIN MISTY N LPN 19643 BENEDITO RICHELLE A LPN 19644 NUNNERY NICOLE M LPN 19645 MAMUAD SIXTO R LPN 19646 CORPUZ ANGELI B LPN 19647 PASCAL CARINE LPN 19648 FERNANDES HILARY K F LPN 19649 EARLY DEVON A LPN 19650 JOSEPH SONIA LPN 19651 ERICKSON-TAYLOR STAC LPN 19652 BERGMAN DOVE M LPN 19653 NEVINS JUEL M LPN 19654 PIMPER MICHELLE V LPN 19655 PIERRE FRANCOISE LPN 19656 JONES TERRI S LPN 19657 ODURO DORIS LPN 19658 VALLEJO CORRAL VIRGI LPN 19659 WRIGHT SHANEQUA O LPN 19660 CHICO AVILENE LPN 19661 HONORE WILEINE LPN 19662 PAUL STEPHANIE LPN 19663 TRIDLE KELLY S LPN 19664 BUTTS BESSIE M
Ratification List August 1, 2019 Board Meeting
Registered Nurse (RN) RN 94120 EASTMOND CYNTHIA A RN 94121 BERSAMIRA MARICAR RN 94122 GILBERT JOSHUA D RN 94085 SAUNDERS LAURA K RN 94123 DAVIS KRISTIN E RN 94086 STOCKARD BETHANY S RN 94124 BALMACEDA MARIAH A RN 94087 HARKNESS ELIZABETH G RN 94125 BALA SHARLENE S RN 94088 FUJIE-FUKUKI ASHLEY- RN 94126 ROGERS KIMBERLY L RN 94089 VOGEL KATHRYN W RN 94127 MATTIOLI MARY E RN 94090 BUMANLAG NICOLE A RN 94128 SAKALA MISTY RN 94091 DIAZ MARIA C G RN 94129 MEIN TERESA R RN 94092 VAUGHAN MICHELLE RN 94130 MCGINNIS ALISHA L RN 94093 ROSE ANGELA M RN 94131 MARSHALL-MIXCO MYRA RN 94094 SCHWARTZ ELIZABETH A RN 94132 MEUSER MARK R RN 94095 FOSTER LYNETTE M RN 94133 MACDONALD ELLEN K RN 94096 PRUITT ASHLEY R RN 94134 LUDWIG-NAGY SARA E RN 94097 BROWN JENNIFER B RN 94135 WILLIAMS FELICIA P RN 94098 MOORE LACEY B RN 94136 WARD SHERRON S RN 94099 MYERS LATASHA D RN 94137 TINDLE HOPE R RN 94100 BUTCHER DAVID G RN 94138 RARDIN AMY M RN 94101 MILLARD MAXINE E RN 94139 LITTLE COURTNEY C RN 94102 LEE MEI FONN RN 94140 LEWIS JENNIFER M RN 94103 PINHEIRO LAURA NICOL RN 94141 WALCHER CAROLINA V RN 94104 FRANCOIS VILIA RN 94142 YEUN KELLY J RN 94105 BROWN TARA A RN 94143 RODRIGUEZ PAMELA K RN 94106 BENSON LUCINDA R RN 94144 MCLOUGHLIN VICTORIA RN 94107 BARTLE JOY A RN 94145 MILLBURG CHARLENE R RN 94108 BANKS TERRENCE D RN 94146 SHEPARD RACHEL Z RN 94109 BAKER ROXANNE M RN 94147 MORGAN NICOLE RN 94110 BROWN JACQUELINE A RN 94148 LUKE EMILY J RN 94111 COLLINS AMBER M RN 94149 MINJAREZ VANESSA D RN 94112 GORDON GINA L RN 94150 WENDEHORST CHRISTOPH RN 94113 HANEY CAROLINE C RN 94151 SORENSEN SARAH R RN 94114 HIGINBOTHAM SIERRA K RN 94152 WHITE ZINNIA L RN 94115 INIGUEZ JOSE E RN 94153 WALKER JONES EBONY C RN 94116 KELLY YVONNE RN 94154 STEWART VERONICA RN 94117 KRAUS KAITLIN B RN 94155 SUTTON MATTHEW B RN 94118 MCVEY RENEE E RN 94156 PARKS MICHELE B RN 94119 BOUTTE CIARA M RN 94157 OKON UDUAK D Ratification List August 1, 2019 Board Meeting
RN 94158 LAKES APRIL D RN 94196 HARRIS GERALDINE M T RN 94159 MYERS WENDY H RN 94197 HIGGINS TALIA M P RN 94160 LOPEZ CYNTHIA A RN 94198 ACOSTA KRISTLE C RN 94161 SZPUR CAMERON L RN 94199 JOHNSON LEAH M RN 94162 WELSH SAMANTHA K RN 94200 ELKIN NANCY K RN 94163 PACIS ESTEPHANY M RN 94201 ALASAAS DANIELLE M A RN 94164 WANG CUILING RN 94202 NAKASATO CHELSEA N RN 94165 ZIRKER KAIMALIE R RN 94203 EDRADA WELLEN J G RN 94166 WONG SHARI P RN 94204 STRONG ELENA M RN 94167 RHINEHART ANGELA N RN 94205 PETROWICZ MABRY A RN 94168 LAZO SHERILYN S RN 94206 RADELL DORIS M RN 94169 LAYUG ROMINA C T RN 94207 SHOCK BRIANA L RN 94170 MABALOT RODRIGO C JR RN 94208 VERCAUTEREN KELLEY K RN 94171 MANGABAN CAMILLE D RN 94209 GROENDYKE COURTNEY E RN 94172 OROZCO ALMA S RN 94210 FLAKE KEVIN R RN 94173 PAPA RAYMUND S RN 94211 FLAKE SARA B RN 94174 PAJIMULA LEAH ESTER RN 94212 GARBOWSKI SHARON R RN 94175 PETRALBA TRAVIS N RN 94213 JOHNSON OKERA K RN 94176 POTEAT DANIELA R RN 94214 BEGONIA NATASHA M K RN 94177 RIVERS THERESA C RN 94215 BROWN PATRICIA W RN 94178 SANTOS EVA M B RN 94216 MONROE ROBIN R RN 94179 SELGA MICHELLE M RN 94217 TERRADO ROBERT A RN 94180 SOEUNG LLARET RN 94218 GESIN ALEXANDRA B RN 94181 TREVINO DOMINICK P E RN 94219 PLETCHER BENJAMIN T RN 94182 YOUNG SYDNEY ANN F RN 94220 MARION MINDY C RN 94183 WALKER HEATHER A RN 94221 MARTINEZ JOE A RN 94184 LEVY ALZIRE RN 94222 KURATSU NICOLE H RN 94185 MOXAM PAMELA A RN 94223 HIGUCHI KELSIE K RN 94186 SHROPSHIRE CESALEA C RN 94224 DUMO LOREN JOYCE D C RN 94187 MULLINS TONYA RN 94225 ABANIA ETHAN JOSH U RN 94188 WALKER NELDA J RN 94226 JAVIER YOLANDA Q RN 94189 REAUNTHONGDEE PIYARA RN 94227 ACOBA SIERRA BELLE D RN 94190 MARKANCEK ANGELA RN 94228 RANCES SKYE C RN 94191 PARKS EBONY S RN 94229 LEYBA EDWARD S RN 94192 ARANZASO VILMA N RN 94230 MEREDITH VARNITA RN 94193 RIVERA TINA L RN 94231 MOSKOP AMBERLY J RN 94194 BERGSTROM CAROLINE M RN 94232 PAULES JOHN R RN 94195 ALHAMBRA ELLENEE C RN 94233 YORK MISTY D Ratification List August 1, 2019 Board Meeting
RN 94234 ZANI ARIANA D RN 94272 ANGULO MELISSA RN 94235 VROOMAN TERRI L RN 94273 CLACK ANGELA D RN 94236 SANDERS DIONDRIA E RN 94274 BELLO BETH A RN 94237 VELASQUEZ ELLEN T RN 94275 MARR LINDA L RN 94238 BROWN DOKOTA L RN 94276 ILCIUC JENNIFER RN 94239 BAILON DANA S D RN 94277 COWLEY MELISSA M RN 94240 ENSLEY TARA RN 94278 BISCO RIANNA D RN 94241 DANGLI CATHERINE I RN 94279 RABANAL SHANTEL K RN 94242 COPPICUS SARAH RN 94280 ABANES CARRIGAIL C RN 94243 JENKINS JASON E J RN 94281 SARGEANT ANITA M RN 94244 CASTRO JASON K RN 94282 MORTENSEN STEFANIE M RN 94245 PARKS NATASHA L RN 94283 MCKINNEY CAMELLIA M RN 94246 PENNO MICHELLE R RN 94284 RAYRAY MARIE JANE P RN 94247 JORDAN JOLENE W S RN 94285 POTTER STEPHANIE A RN 94248 FRASIER ASHLEY RN 94286 MIERNIK MONIKA K RN 94249 ROSS TIANA B K RN 94287 ALLRED CRYSTAL R RN 94250 ANDERSON KE'ALOHI MI RN 94288 DURAN PACHECO ADAM J RN 94251 HOFFMAN JONATHAN K RN 94289 CARVALHO HEATHER T K RN 94252 CRUZ CARLOS A RN 94290 CARTER CHANTE M RN 94253 DYER THERESA M RN 94291 BOWLER SHEILA RN 94254 MACKEL GEORGE RN 94292 GOLDEN LISA M RN 94255 AHUNA KAPONO T RN 94293 HENDERSON ALESSANDRA RN 94256 MCAVIN RHONDA N RN 94294 BAILEY ANGELA RN 94257 ATANES HERNANDEZ DAY RN 94295 DESLATTE JANA L RN 94258 ADINA ABIGAIL ASHLEY RN 94296 HANSEN SAMANTHA E RN 94259 AQUINO JOHN F RN 94297 LEWIS KAREN L RN 94260 JACQUES-LOUIS KERLIE RN 94298 AWALT SAMANTHA RN 94261 IGLESIAS MACHADO YAN RN 94299 ARMSTRONG ALEENA R RN 94262 IBARRA YADIRA J RN 94300 KROHN KAYLEE S RN 94263 SIMON MIREILLE RN 94301 BOLWAHNN MARY T RN 94264 TEODORASCU MARIAN C RN 94302 CARBON ABIGAIL J RN 94265 WILSON LEAH E RN 94303 PARAS VENICE V RN 94266 UNTANU MARIA T RN 94304 REDDING TRENICE N RN 94267 SPAHL KARA M RN 94305 VINLUAN-COMETA CHRIS RN 94268 SIKES MARY ANN RN 94306 YOGI SHANIAH K RN 94269 HUYNH DUKE H RN 94307 LOUIDOR ROSEMA S RN 94270 DAUGHTERS AMY L RN 94308 SEBOK RUTH MARILYN RN 94271 GABLER NICOLETTE RN 94309 SORIA HANNAH K Ratification List August 1, 2019 Board Meeting
RN 94310 LIBAO BRANDON K RN 94348 WILSON WINTER D RN 94311 MIRANDA KHAYE V RN 94349 BROWN SUMMER N RN 94312 LEDWARD LAUREL ELIZA RN 94350 MARTIN ANNA K RN 94313 POLINDER KRISTALOR J RN 94351 NIEVES ELIZABETH A RN 94314 TOMAS JENNIFER D C RN 94352 CHANG JOSEPH T RN 94315 MATNOG MAILA GRACE A RN 94353 WAGER PAMELA P RN 94316 NUEZ JOHN CARY C RN 94354 GUERRIER PRINCIANA RN 94317 SANTIAGO LACE PROZEL RN 94355 BREANNA I ASAM-BALIC RN 94318 WANATOWICZ MICHAL B RN 94356 BAYEH ABENEZER K RN 94319 WILLIAMS FLORIZA Y RN 94357 ABERA MAHLET W RN 94320 LLEGO ANGELINA M RN 94358 KAUHOLA CHAYE N RN 94321 THURSTON KIKI M RN 94359 BUSTAMANTE ANGELICA RN 94322 ZAMAN TURFA RN 94360 DELOSO INA BEATRICE RN 94323 SEQUEIROS PEREZ CHRI RN 94361 BARRACKS-MAZETIS KER RN 94324 SIU STEPHANIE RN 94362 SEEBER LESLIE N RN 94325 MARSHALL DANIELLE L RN 94363 MERCY ANGELICA M RN 94326 STALLWORTH KRISSHAWN RN 94364 MANUS COURTNEY R RN 94327 RONDA IDELYN D RN 94365 RHOADS TINA R RN 94328 PARK GRACE E RN 94366 PIXLER JENNIFER K RN 94329 WILLS JESSICA R RN 94367 SOURS LISA RN 94330 KANEKO ERIKA RN 94368 SCHUESSLER KATIE D RN 94331 WOLD JENNIFER L RN 94369 WAGAMAN KATRINA M RN 94332 RINGMAN ANDREA L RN 94370 WYATT COURTNEY M RN 94333 BARRA JESSICA B RN 94371 LEBLANC CYNTHIA R RN 94334 ESSEM DIVINE A RN 94372 BOND TERRI D RN 94335 ABARA MA L B M RN 94373 HUNTER ANNA M RN 94336 ARMSTRONG HEATHER R RN 94374 MARSH DAVID B RN 94337 BOLTON SAMANTHA L RN 94375 MCINTYRE KAREN RN 94338 CAOILE KEVIN D RN 94376 NEWSOM CRYSTAL K RN 94339 DASH JOANNE RN 94377 LIM GIOVANNI K RN 94340 DAVIS ELIZABETH C RN 94378 WOLFE LORI L RN 94341 FOTTLER NATALIE F RN 94379 POLITE VICTORIA RN 94342 HOLLET JENNIFER R RN 94380 REYNOLDS WHITNEY S RN 94343 CONWELL TAMMY D RN 94381 REGIS ANICA RN 94344 HAIRSTON RUTH M RN 94382 RICKETT ELISA G RN 94345 MENDOZA ROCKY J V RN 94383 MOLDEN ZOISHA O RN 94346 BUIS VALERIE N RN 94384 WALKER JAMIE A RN 94347 FRANCO YOLANDA S RN 94385 WILLENBRECHT BRITTAN Ratification List August 1, 2019 Board Meeting
RN 94386 MAXWELL JODIE RN 94424 STERNBERG JASON A RN 94387 STAHL AMY M RN 94425 RADEBOLD KOLBY D RN 94388 LAKEFIELD MARISSA RN 94426 GOMEZ LOVELY L RN 94389 BARROGA VENUS S RN 94427 KIRKMEYER TORREY N RN 94390 BLUE SIDDONY RN 94428 FERRER RAIANA M R RN 94391 LOUIJUSTE LOUINE RN 94429 ALEXANDER CARRIE A T RN 94392 AGCAOILI MELISSA ANN RN 94430 GROSS ANGELA L RN 94393 ANCHETA VENICE INA C RN 94431 JOHNSON ERICA E RN 94394 ANCHETA ALIZA M B RN 94432 BARTELS-DEGUZMAN DAY RN 94395 AGNO GERYLL A A RN 94396 CARRERO LEAH R RN 94397 FLORES ARIANA C RN 94398 FOLSOM RILEY RN 94399 HOSAKA KANANI E RN 94400 HALE ASHLEY R RN 94401 LAZARE SIBERT ANGELI RN 94402 LANGBEHN MEGHAN DEAN RN 94403 MARQUEZ KARLO PERFEC RN 94404 ROMERO ALEXIS RN 94405 OLAES SABRINA RAY S RN 94406 PATRICK RACHEL H C RN 94407 SWIFT NATAJIA M RN 94408 MANUEL GREGORIO F RN 94409 POLA-KANUHA VIOLET T RN 94410 POLYCARPE GERTRUDE RN 94411 REID SHOAN A RN 94412 SANTIAGO KEVIN WYLIE RN 94413 SUPONYA OKSANA ELIZA RN 94414 YOUNG KARLEE RN 94415 MUTUA MERCY K RN 94416 RAQUINIO JANE MAE D RN 94417 SARABIA MARIMEL A RN 94418 WHITWORTH AMANDA C C RN 94419 LEE COURTNEE H S RN 94420 SAVEA ARIANA H RN 94421 TEIXEIRA NESSAH KAE RN 94422 TOVEY KAHAILI L RN 94423 MACALIPIS ALLANNA SH ADVANCED PRACTICE REGISTERED NURSES
RATIFICATION LIST
August 1, 2019 APRN ONLY Pre-October 2009 Requirements:
Current Requirements: Heather A. Walker, Certified Nurse Midwife Michelle R. Penno, Family NP Hillary H. Carrier, Family NP Dokota L. Brown, Adult-Gerontology Primary Care NP Jason E. Jenkins, Family NP Shawn K. Bannister, CRNA Jenna R. Moliga, CRNA George T. Kato, Family NP George S. Mackel, Family NP Alicia M. Bulin, Adult Psychiatric and Mental Health NP
APRN W/ PRESCRIPTIVE AUTHORITY Heather A. Walker, Certified Nurse Midwife Michelle M. Carroll, Adult NP Michelle R. Penno, Family NP Hillary H. Carrier, Family NP Dokota L. Brown, Adult-Gerontology Primary Care NP Jason E. Jenkins, Family NP Pallavika C. Patel, Family NP Jenna R. Moliga, CRNA George T. Kato, Family NP George S. Mackel, Family NP Alicia M. Bulin, Adult Psychiatric and Mental Health NP