Publication of the North Carolina State Board of Nursing

32 Pages·2016·5.42 MB·English

SUMMER 2016 VOLUME 12 {NO 3} EDITION 36
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Publication of the North Carolina State Board of Nursing
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SUMMER 2016 BULLETIN
NC BOARD OF NURSING C
Table of
Nursing Bulletin is the official
publication of the North
Carolina Board of Nursing. ontents
Office Location
4516 Lake Boone Trail
VOLUME 12{ NO 3} EDITION 36
Raleigh, NC 27607
Mailing Address
P.O. Box 2129
Raleigh, NC 27602
Telephone
[phone] 6
NORTH CAROLINA
Fax
NURSES VOTE!
[phone]
Website
www.ncbon.com
Office Hours
8 a.m. to 5 p.m., 10 2016 Slate of Candidates
Monday through Friday
Board Chair
Martha Ann Harrell
Executive Director 20 Distance Education Position Statement
Julia L. George, RN, MSN, FRE
Editor
David Kalbacker
22
CE Opportunities 2016
Managing Editor
Elizabeth Curlin
Photography
DayMeetsNight Media Services
Mission Statement STAFFING and PATIENT SAFETY
24
The mission of the North
Position Statement for RN and LPN
Carolina Board of Nursing is to
protect the public by regulating the Practice
practice of nursing.
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
Implications for Advanced Practice Nurse
accept or reject advertisements for
the Nursing Bulletin. Prescribers
All art (photos, paintings, draw-
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:
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pcipublishing.com
18 Summary of Activities
Created by Publishing Concepts, Inc.
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f r o m t h e
E D I T O R

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
4 BBUULLNNLLUUEERRTTSSIIIINNNNGG {Official Publication of the North CaroliNa Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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If you’re an RN looking to join an engaged team and
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View Career Opportunities at
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NURSING OPPORTUNITIES!
Dosher Memorial places high value
on the role of nursing. We have
the following openings:
(cid:127) Med/Surg Charge Nurse RN
Team Leader, full-time
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You may also contact:
[email protected] or
[phone]
Human Resources
924 N. Howe St.
Southport, NC 28461
EEO
{Official Publication of the North CaroliNa Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Joyce V. Winstead, MSN, RN and David Kalbacker
NORTH CAROLINA NURSES
V O T E 2 0 1 6 !
• 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
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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
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A NURSING PRIVILEGE
The opportunity to elect nursing members to the Board of Nursing is a
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
NURSES VOTE in 2016!
Vote with or without Receiving Continuing Education Credit
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
The North Carolina Board of Nursing will award 2.0 contact
Spotlight.
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
STATEMENT
• Follow the instructions on the appropriate link.
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 north Carolina 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 CANDIDATES
Candidates
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.
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