11.05.15 nursing – meeting minutes

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, November 5, 2015 Time: 8:30 a.m. Place: Queen Liliuokalani Conference Room

King Kalakaua Building 335 Merchant Street, 1st Floor Honolulu, Hawaii 96813

Members Present: Loraine Fleming, DNP, APRN, Chair Glenda Tali, MS, APRN, Vice Chair Katharyn Daub, MS, RN, EdD Judy Kodama, MS, RN, MBA, CNML. Thomas Joslyn, MS, CRNA Olivia Kim, LPN Staff Present: Lee Ann Teshima, Executive Officer (“EO”) Shari Wong, Deputy Attorney General (“DAG”) Lisa Kalani, Secretary Call to Order: The Chair called the meeting to order at 8:50 a.m. at which time quorum was

established. Additions to the The Chair announced the following agenda items had additional distribution: Agenda/Additional Distribution: Additional Distribution 7. Executive Officer’s Report b . 2016 Legislature – Status Report

1) Amend DLIR, DOH and DHS Statutes for APRN Recognition

12. Chapter 91, HRS – Adjudicatory Matters

a. In the Matter of the License to Practice Nursing of Thomas L. Martin, R.N., RNS 2012-9-L – Deferred from September 3, 2015 Meeting, Pending Clarification and Agreement with Monitor, Monitor’s Report Previously Submitted for Period Covering April –

Board of Nursing Minutes of November 5, 2015 Meeting

June 2015 Deferred from August 3 and September 3, 2015 Meetings.

Approval of the The Chair called for a motion in regards to the minutes of the October 1, 2015 Minutes: meeting.

The DAG stated that on page 5, paragraph 4, the last sentence should read, “By re-reviewing the section along with the NCSBN Model Act/Rules that the Board previously adopted, we may justify any a re-interpretation by the Board.”

There being no further amendments, upon a motion by Mr. Joslyn, seconded by the Vice Chair, it was voted on and unanimously carried to approve the minutes of the October 1, 2015 meeting as amended.

Chair’s Report: Announcements/Introductions None. Vice Chair’s Report: Continuing Competency for Nursing Summit, October 20, 2015 The Vice Chair reported that she and Ms. Daub will be conducting the NCLEX

Member Board/Regulatory Body Review on November 11, 2015.

She also reported on her presentation at the October 20, 2015 Continuing Competency for Nursing Summit at which time she gave a presentation on the Board’s Perspective’s: Regulating and Auditing based on a power point created by the EO. She reported that other presentations at the Summit included a report on the Healthcare Workforce by Linda Chu Takayama, Director of the Department of Labor and Industrial Relations, Sandra LeVasseur, Associate Director for the Hawaii State Center for Nursing (‘HSCFN”), Cindy Kamikawa from Queen’s, Suzie Schulberg from Arcadia and Diane Knight from Hawaii Pacific University. The Continuing Competency presentations included Laura Reichhardt, Director for the HSCFN, Glenda Tali, Vice Chair for Hawaii Board of Nursing, Susie Lee, HSCFN Board member, Amy Thomas, HPH, Beth Hoban, Primecare Hawaii, Ashley Burt and Jeramae Marcellano, HiSNA and Josette Kawana and Maureen Meeham-Golonka from HGEA and HNA.


Practice Committee Ms. Kodama reported on the October 1, 2015 Practice Committee Meeting as Report: follows: Continuing Competency

The Committee will start researching and collecting information on Board approved learning activities for compliance with the continuing competency requirements.

Correspondence

1. LPN’s pushing medications – The Committee recommends that based on the nursing laws and rules (nurse practice act), the nurse practice act does not specifically prohibit an LPN from pushing medication, however, the LPN must have received the appropriate education and training to perform such a task and is under the direction of a dentist, physician, osteopathic physician, registered nurse, osteopath, or podiatrist licensed in accordance with chapter 448, 453, 457, 460, or 463E, or under 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. In addition, the LPN is also accountable and responsible for the quality of nursing care rendered. In addition, pursuant to HRS §457-1.5, “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.” In accordance with Hawaii Administrative Rules §16-201-90, the above mentioned interpretation is for informational and explanatory purposes only. It is not an official opinion or decision and is thus, not binding on the Board.

2. APRNs administering Naloxone – The Committee recommends that based on

the nursing laws and rules (nurse practice act), an APRN may administer Naloxone, a narcotic antagonist.

3. RN administering Propofol – The Committee recommends that although this is not considered a standard of practice recommended by both the manufacturer of the drug, the recommendation to the Board is that the nurse practice act does not provide direct guidance regarding deep or moderate sedation by RNs and does not specifically prohibit an RN from administering anesthesia or sedation or paralytic medications, however, the RN must have received the appropriate education and training to perform such a task and is under the direction of a dentist, physician, osteopathic physician, registered nurse, osteopath, or podiatrist licensed


in accordance with chapter 448, 453, 457, 460, or 463E, or under 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. In addition, the RN is also accountable and responsible for the quality of nursing care rendered.

Furthermore, pursuant to HRS §457-1.5, “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.”

In accordance with Hawaii Administrative Rules §16-201-90, the above mentioned interpretation is for informational and explanatory purposes only. It is not an official opinion or decision and is thus, not binding on the Board.

Old Business

The Committee deferred discussion on the following: 1. Nurse Licensure Compact (NLC) 2. Criminal Background Checks 3. Advanced Practice Registered Nurse National Certifications 4. Licensed Practice Nurse – Scope of Practice – Decision Tree 5. Scope of Practice of Unlicensed Assistive Personnel 6. Department of Health – Birth Center Law 7. Regulatory Decision Pathway 8. APRN Scope of Practice 9. Joint Formulary Advisory Committee – Exclusionary Formulary 10. Home Health Care 11. Telehealth/Telemedicine 12. APRN Compact

Next Meeting

Thursday, December 3, 2015 – Immediately following the Board of Nursing Meeting

Upon a motion by the Vice Chair, seconded by Mr. Joslyn it was voted on and unanimously carried to approve/accept the Committee’s report and recommendations.


Executive Officer’s Conferences/Seminars/Meetings Report: Leadership and Public Policy Conference, October 27-29, 2015, West Lake,

California Ms. Kodama asked if she could provide her report at the December meeting as

some of the materials from the conference are not yet available. Psychopharmacology Conference, Outrigger Reef Waikiki Beach Resort, Honolulu, Hawaii, February 3-5, 2016 (pending approval by the AANP)

The EO reported there will be a Psychopharmacology Conference February 3-5, 2016, pending approval by the AANP in case anyone was interested in attending.

2016 NCSBN APRN Roundtable, April 5, 2016, Rosemont, Illinois – Thomas Joslyn

The EO asked Mr. Joslyn if he would be able to attend the 2016 NCSBN APRN Roundtable.

Mr. Joslyn stated he was still not sure if he can attend but would check his schedule and

let the EO know as soon as possible.

2015 Legislature – Status Report Amend DLIR, DOH and DHS Statutes for APRN Recognition The EO reported that she emailed the draft to Ms. Reichhardt that included the

clarifying amendment to enforce the Board’s previous interpretation that APRNs with prescriptive authority may dispense non-controlled substances to patients under their care.

Repeal Joint Formulary Advisory Committee Bill The EO reported that she has not received any word on the status of this admin

bill. Amend Board Member Terms to Four Years Bill The EO reported that she has not received any word on the status of this admin

bill. NURSYS Bill The EO reported that she has not received any word on the status of this admin

bill.

Amendments to Title 16, Chapter 89 The EO reported that she is preparing 5 amendments to the admin rules on issues that have been previously discussed by the Board. She asked that the Board consider the following amendments:


Mandatory Reporting Based on information researched by University of Phoenix students who were

requested to research other state’s regulations for language pertaining to mandatory reporting of unprofessional conduct.

The proposed amendment would be to add language under section 16-89-60

Types of unprofessional conduct., making it a violation for failing to report any disciplinary action, termination or resignation of a nurse related to clinical competence or unprofessional conduct.

Limit Number of Times Can Take NCLEX, Remediation The proposed amendment to section 16-89-9 Examination policies., has to do with

determining the number of times an individual may take the NCLEX exam and fail before requiring a remedial course. Currently, there is no limit and the Board was concerned that the exam candidate may keep taking the exam and failing without any remediation.

The Board reviewed language from other states that had remediation language if

an individual failed the NCLEX after a certain number of tries. The Board also reviewed language on board-approved remedial courses from other states.

Amend §16-89-126 and 16-89-128 to include adoption of APRN scope of practice These sections would be amended to include the APRN scope of practice that will

align with HRS section 457-2.7. Correction to National Certifying Bodies (3/2011 BON Meeting) The proposed amendment would be to correct and update the national certifying

bodies recognized by the Board under section 16-89-85. Random audits of APRNs with prescriptive authority renewal requirements The EO asked if the Board would consider conducting a random audit for APRNs

with prescriptive authority renewal requirements. Currently, upon renewal of the APRN license, those APRNs with prescriptive authority are required to submit 30 hours of continuing education, of which 8 hours are in pharmacology related to the APRNs clinical practice specialty area and the remaining 22 hours in the APRNs practice specialty area. In addition, the APRN must also submit proof of a current/valid national certification in the nursing practice specialty.

The EO stated that in most cases where a licensee has renewal requirements, the

Board would require an attestation on the renewal by the licensee that they have completed the renewal requirements and understand they will be subject to an audit that they must comply with. Failure to comply would result in the automatic forfeiture of the nurse’s prescriptive authority and a RICO referral.


After further review, it was the consensus of the Board to direct the EO to prepare a draft of the proposed amendments to the administrative rules for the Board’s consideration.

Ms. Kim arrived 9:25 a.m. Additions to the The Chair called for a motion to add the following to the agenda: Agenda Additions 7. Executive Officer’s Report d. Continuing Competency Program 7) Swank Healthcare Upon a motion by Mr. Joslyn, seconded by the Vice Chair it was voted on and

unanimously carried to add this item to the agenda. Continuing Competency Program If an individual has a Hawaii LPN and RN license, do they have to complete 2

learning activities? The EO reported that she was speaking with a nurse who has both an LPN and

RN license who wanted to know if she had to complete 2 learning activities, one for the LPN and one for the RN?

The EO asked the Board, shouldn’t the learning activity depend on the nurses’

clinical practice so if a nurse is practicing as an LPN but maintains an RN license, shouldn’t they complete a learning activity to enhance their current practice?

After some discussion, it was the consensus of the Board that if an individual

maintains more than one nurse license, i.e. LPN and RN, RN and APRN (no national certification), then the individual must complete one learning activity at the higher license level, i.e. LPN and RN, individual must complete learning activity for RN level, RN and APRN (no national certification), individual must complete one learning activity for APRN level.

Email from Anna Padeken, Clinic Operations Manager, Waianae Coast

Comprehensive Health Center – Clarification of CE and Refresher Course Learning Activities

The Board reviewed the following email inquiry and after some discussion, it was the consensus of the Board to respond as follows:


Pursuant to reading the HRS Chapter 457 Nurses; §457 - Learning Activity

Options, I would like to request clarification to the following if the applicant is a

currently licensed LPN or RN seeking a renewal:

1. Thirty Contact hours of continuing education activities-Accepted/ Approved "contact" hours are defined as activities obtained via:

a. Face-to-face, In-person, physically present, etc.

b. Internet, Subscription, Teleconference, Webinar, etc.

c. OR a combination of all of the above

2. How/Whom would one receive Board approval for a selected refresher course

Response: You may submit the information for the course that includes the provider, instructor, objectives of the course and course materials, etc. for Board approval.

3. "(10) A similar type of learning activity"

a. What types of learning activity qualifies for this requirement

Response: That was left “open” in case there were other “learning activities” that were not specifically listed. So if you have an activity that you would like to see could be recognized as a Board approved learning activity, you may send in the information for the Board’s consideration.

b. Is Board approval required for the selected learning activity

Response: Yes, Board “recognized” means Board approval.

c. How directly related to nursing must the learning activity be, for example:

i. Leadership/management seminars

ii. Human resources conferences

iii. Liberal arts classes (math, social science, writing, etc.)

Response: It should be “directly” related to the nurse’s job,

however if in doubt, you may submit the information for the Board’s consideration.


4. Finally, am I understanding correctly, the continuing competency

requirements must be met for one to apply for license renewal in/on

July 1, 2017?

Response: No, a nurse licensee will be required to complete one

of the learning activity options prior to renewing by June 30,

2019…so the July 1, 2017 dates indicates when the nurse licensee

can “start” taking one of the learning activity options.

Power Point Presentation on “Continuing Competency – Hawaii State Board of

Nursing’s Perspectives: Regulation and Auditing” The Board was provided with a copy of the Power Point Presentation on

“Continuing Competency” – Hawaii State Board of Nursing’s Perspectives: Regulation and Auditing that was given by the Vice Chair at the Continuing Competency for Nursing Summit on October 20, 2015.

Board of Examiners in Optometry Sample Forms The Board reviewed the following forms:

Continuing Education Verification

Program Sponsor Agreement for Continuing Education

The EO stated the Board of Examiners in Optometry uses these forms for programs that want Board approval on their CE courses. The EO recommends the Nursing Board consider creating similar forms.

Further discussion was deferred. North Carolina Board of Nursing’s Continuing Competency Requirements The Board reviewed the following from the North Carolina Board of

Nursing.

Information on Webpage

List of Acceptable Providers of Continuing Education

Continuing Competence Evidence Submission Form with List of Documentation Required in Fulfillment of Continuing Competence Learning Options

The EO stated she will look further at their laws and rules to see if they have

criteria for continuing education. Further discussion was deferred.


ACCME or Hawaii Based HCCME Education Acceptable? The Board reviewed an email inquiry asking if grand rounds that are accredited by

ACCME and local HCCME may be acceptable as meeting the CEU requirements.

After a brief discussion, the Board by consensus determined that if it is a CME grand round and/or ANCC approved, it would be acceptable as meeting the continuing education requirement learning activity option.

Swank HealthCare

The Board reviewed information from Swank HealthCare regarding online continuing education courses they distribute from multiple providers.

Ms. Kodama stated Swank Healthcare is accredited and is used a lot by nurses.

They have a very good method of tracking the individuals’ records. Mr. Joslyn stated the military also uses them. The Chair stated we should refer this to the Practice or Education Committee for

research. Mr. Joslyn stated he will do research and get back to the Board. Further discussion was deferred.

2016 Board Meeting Schedule The Board was provided with a copy of the 2016 Board Meeting Schedule as

follows:

Meetings are scheduled to be held Thursdays, 8:30 a.m. – 1:00 p.m. (approximately) on the following days:

January 7, 2016 February 4, 2016 March 3, 2016 April 7, 2016 May 5, 2016 June 2, 2016

July 7, 2016 August 4, 2016 September 1, 2016

October 6, 2016 November 3, 2016 December 1, 2016


Chapter 457, HRS Nurses – Distribution The Board members were provided with a copy of the revised Chapter 457, HRS Nurses.

Hawaii State 2016 Legislature Center for Nursing:

Ms. Reichhardt was not able to attend today’s meeting so the EO gave a brief report.

Criminal Background Check Bill

The EO stated they are still looking into a Criminal Background Check bill.

Compact Licensure Bill

The EO stated she is not sure if a Compact Licensure bill will be introduced this year because they are still trying to meet with interested stakeholders to get their feedback and figure out language.

Continuing Competency for Nursing Summit, October 20, 20015 – Vice Chair Presenter This was reported on previously. Correspondence: FTC Staff Guidance on Active Supervision of State Regulatory Boards

Controlled by Market Participants

The Board was provided with a copy of the FTC Staff Guidance on Active Supervision of State Regulatory Boards Controlled by Market Participants for their information.

Employer Asking if They Allowed to Require an MD’s Signature on a Medical

Note Signed by a Nurse Practitioner The Board reviewed an email inquiry from an employer asking if they can request

an NP to get an MD’s signature on a medical note. The EO stated she spoke with the employer on the phone and their concern is that

their employee operates heavy machinery and was prescribed narcotics by the NP which have an effect on your ability to operate heavy machinery. The NP, instead of providing a date that the employee is ok to return to work, left it up to the patient to decide if he/she can return to work.


The Chair stated this is a matter of practice, this has to do with one particular APRN or NP practicing. It is not regarding APRN practice. The employer should speak with that particular APRN.

Mr. Joslyn stated he understands the employers concern with liability, but that has

nothing to do with the Board. The Board by consensus determined that this issue is not addressed in the laws

and rules.

Old Business: Scope of Practice Guidance Document

Discussion on the topic was deferred as the EO is still working on it. Applications: The Board moved into Executive Session. Executive Session: At 10:23 a.m. upon a motion by the Vice Chair, seconded by Ms. Daub, it was

voted on and unanimously carried to move into Executive Session in accordance with HRS, 92-5(a) (1) and (4), “To consider and evaluate personal information relating to individuals applying for professional or vocational licenses cited in section 26-9 or both;” and “To consult with the board’s attorney on questions and issues pertaining to the board’s powers, duties, privileges, immunities, and liabilities”.

At 10:48 a.m. upon a motion by the Vice Chair, seconded by Ms. Daub, it was voted on and unanimously carried to move out of executive session.

Chapter 91, HRS The Chair called for a recess from the meeting at 1-:48 a.m. to discuss and Adjudicatory Matters: deliberate on the following adjudicatory matter(s) pursuant to Chapter 91, HRS:

In the Matter of the License to Practice Nursing of Thomas L. Martin, R.N., RNS 2012-9-L – Deferred from September 3, 2015 Meeting, Pending Clarification and Agreement with Monitor, Monitor’s Report Previously Submitted for Period Covering April – June 2015 Deferred from August 3 and September 3, 2015 Meetings. By consensus the Board accepted the monitor’s report and documents for the period covering April – June 2015 and July – September 2015. The Board also request that for future reports, that the monitor submit the documents to the respondent’s employer for verification before it is sent to the Board. In the Matter of the License to Practice Nursing of Louis D. Casorla, RNS 2011-39-L, Monitor’s Report for Period Covering July 2 – October 2, 2015 By consensus the Board accepted the report from the DON.


In the Matter of the License to Practice Nursing of Jessica A. Rooney, RNS 2009-8-L, Monitor’s Report for Period Covering July – September 2015.

The Board deferred this matter. Following the Board’s review, deliberation, and decisions in this matter, pursuant

to Chapter 91, HRS, the Chair announced that the Board was reconvening its scheduled meeting at 10:59 a.m.

Applications: Licensed Practical Nurses

Ratification List Upon a motion by the Chair, seconded by the Vice Chair, it was voted on and

unanimously carried to ratify the attached list of LPNs - 18338 to 18370.

LPN Applicants with prior convictions and/or disciplinary action Upon a motion by the Chair, seconded by the Vice Chair, it was voted on and unanimously carried to approve the following applications:

Eric Gohler Olivia Jewell Registered Nurses

Ratification List Upon a motion by the Chair, seconded by Mr. Joslyn, it was voted on and unanimously carried to ratify the attached list of RNs - 81289 to 81624. RN Applicants with prior convictions and/or disciplinary action Upon a motion by the Vice Chair, seconded by Mr. Joslyn, it was voted on and unanimously carried to approve the following applications:

Sharron Brown Heather Jones Brandi Layman Wendy Meyers Cynthia Parent Suzanne Tindall Jean Wilson

Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to deny the following application for an encumbered license pursuant to HRS §§457-7(b)(2) and 457-12(a)(8):

Jennifer Gervais


Upon a motion by the Vice Chair, seconded by Ms. Kodama, it was voted on and unanimously carried to deny the following application for an encumbered license pursuant to HRS §§457-7(b)(2) and 457-12(a)(8):

Melissa Beachler

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

Robbie Jean Neely Lauren Weisberg

Advanced Practice Registered Nurse (APRN)

Ratification List Upon a motion by the Chair, seconded by the Vice Chair it was voted on and unanimously

carried to ratify the attached list of APRNs and APRN-Rx.

Next Meeting: The Chair announced the next scheduled Board meeting as follows: Thursday, December 3, 2015

8:30 a.m. Queen Liliuokalani Conference Room King Kalakaua Building, 1st Floor 335 Merchant Street Honolulu, Hawaii 96813 Adjournment: There being no further business to discuss, the meeting was adjourned at 11:15

a.m. Reviewed and approved by: Taken by: _/s/ Lee Ann Teshima_____ _/s/ Lisa Kalani____________ Lee Ann Teshima, Lisa Kalani, Secretary Executive Officer LAT/lk 11/19/15 [ X ] Minutes approved as is. [ ] Minutes approved with changes; see minutes of _____________________________.

APRN APPLICATIONS – RATIFICATION LIST 11/05/15 BON MEETING

PRE OCTOBER 1, 2009 REQUIREMENTS - Masters Degree in Nursing or National Certification CURRENT REQUIREMENTS - Masters Degree in Nursing and National Certification

Jadelyn Baniqued, Family NP Jennifer Deekens, Family NP Lindsey Farrar, Family NP Jodie Kaalekahi, Family NP Patricia O Kelley, Psychiatric-Mental Health NP Erin Beasley, Family NP Lahelahoopomaikai Blake, Family NP Peggy Jo Ann Porter, Family NP Kimberley Beth Schwartz, Family NP Abby Lee Wurzel, Family NP Jennifer Bush, Family NP Christine Ryan, Family NP Matthew Tom, Nurse Anesthetist Maki Kusunaga, Adult NP Timothy Tsai, Family NP Mary S. Wilson, Family NP Benjamin Kilinski, Pediatric NP Pamela Roland, Family NP Mridu Shrestha, Family NP Stephanie Sola, Adult NP and Women’s Health NP Carol Reimers, Adult-Gerontology NP Erin Bainbridge, Family NP Eludrizza Udarbe Tabisola-Nuesca, Family NP Natalie Rae Franklin, Adult-Gerontology Acute Care NP Corey Milan Dillman, Adult-Gerontology NP Minje Kim, Family NP Alicia Williams, Family NP Susan Knier, Family NP Allison Philipps, Adult NP

APRNS FOR PRESCRIPTIVE AUTHORITY

Tracy Lynne Atagi, Family NP Lindsey Farrar, Family NP Peggy Jo Ann Porter, Family NP Abby Lee Wurzel, Family NP Jennifer Bush, Family NP Benjamin Kilinski, Pediatric NP Pamela Roland, Family NP Mridu Shrestha, Family NP Stephanie Sola, Adult NP and Women’s Health NP Lyndsey Ladao, Women’s Health NP Dominique Isabel Rutherford Zuluaga, Family NP Jodie Kaalekahi, Family NP Jazzmina Moore, Family NP Mai-Lee Eriksson, Adult-Gerontology NP Richard G. Atwell, Adult NP Eludrizza Udarbe Tabisola-Nuesca, Family NP Corey Milan Dillman, Adult-Gerontology NP Alexandra J. Arce, Family NP Susan Knier, Family NP Kristen McHorris, Family NP Jennifer Pliska, Adult CNS Winnie Sze, Family NP Allison Philipps, Adult NP Janine Risser, Family NP

VLI_LICENSE_VIEW Monday October 26, 2015 10:08 AM Page 1 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- LPN 18338 SHADE JOYCE A LPN 18339 CAMPBELL LEVI R LPN 18340 GONZALES JOSHUA F P LPN 18341 DILELLA MICHELE L LPN 18342 BROOKS TAMEIKA R LPN 18343 SUTTON MARGARET LPN 18344 PAGDILAO JANICE D LPN 18345 JACKSON MARGARET L LPN 18346 MATTHEWS SONYA S LPN 18347 MOREY TONYA R LPN 18348 RAMOS JENNIFER C LPN 18349 MARTINEZ JOANNA C LPN 18350 MCDONALD CATHERINE R LPN 18351 JOSEPH DERBY P LPN 18352 EXCELLENT MARIE J LPN 18353 FARELUS PERETTE LPN 18354 HUMES JANICE A LPN 18355 TORRES-BAYANI ANGELY LPN 18356 CROSS CRYSTAL D LPN 18357 DINGLER DEVON L LPN 18358 ERISTE ARLETTE LPN 18359 KIRKATRICK JANA J LPN 18360 WARD ANGELA Y LPN 18361 STRIBLING CARRIE L LPN 18362 ROBINS CHARICE L LPN 18363 MCALISTER JANELLE R LPN 18364 RAMEY SHIRLEY A LPN 18365 JOSEPH ANGELINE LPN 18366 CORTEZ MA KRISTILLE LPN 18367 HARRIS GERALDINE M T LPN 18368 LONGCHAMP MARTHINE LPN 18369 FROSTAD MIKAKO LPN 18370 BAROZI NICOLE

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 1 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81289 JOHNS JESSICA L RN 81290 MIZUSHIMA CHRISTOPHE RN 81291 VINCENT KIMBERLY K RN 81292 CRUZ JOELYN D A RN 81293 OTIS RENEE L RN 81294 MANN HARSHARAN K RN 81295 HODGES SHARISE N RN 81296 SWIM STEPHANIE L RN 81297 SMEDILE RITAMARIE RN 81298 WILLIAMS JOHN E T RN 81299 WIEGAND DENISE A M RN 81300 MARTINEZ AMY H RN 81301 DE LIMA SARAH E L RN 81302 JORDAN TRUDIE S RN 81303 DESHAIES JANELLE M RN 81304 RYAN CHRISTINE C RN 81305 LOFTUS BRIDGET E RN 81306 BAKER AMANDA D RN 81307 JASMER SARAH R RN 81308 PHILIPPS ALLISON A RN 81309 ENGEL EMILY L RN 81310 STILTNER PATRICIA S RN 81311 SPETH LAURA M RN 81312 BURROW GERALDINE S RN 81313 WINBURN MATTHEW E RN 81314 ALLEN CONSTANCE S RN 81315 STANDIFER FELICIA M RN 81316 WHYTE PAULMETTA C RN 81317 FERNANDEZ CAROLINE F RN 81318 TINCHER ASHLEY B RN 81319 DANIEL OMEGA D RN 81320 LANNAN JOHNATHON T RN 81321 LEV CHIM RN 81322 MOYER RYAN W RN 81323 FRIEND ANNE E RN 81324 EASTWOOD KRISTY B RN 81325 ADKINS CHELSEA C RN 81326 ANDREWS CAMILLE T RN 81327 RANUCCI RACHEL L RN 81328 KUNKEL ALEXANDRA RN 81329 MADDOX ALICIA R RN 81330 HOANG MAYU K RN 81331 AMINA KANANIPUMEHANA RN 81332 GRIFFIN MICHAEL P RN 81333 MCPHAIL KATHERINE D RN 81334 BENTON KELLY N RN 81335 BISHOP JANET E RN 81336 MONTES ALEJANDRO L RN 81337 HARRISON MOLLY K RN 81338 MAKIN ASHLEY M RN 81339 JONES JULIE A RN 81340 WHITE APRIL S RN 81341 COLLINS-BURNS MYRNA RN 81342 CAGLE JAMIE L RN 81343 DEGROAT DANIELLE L RN 81344 LOPEZ JOSUE I RN 81345 STOKES SONDRA M

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 2 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81346 CROSBY ALEXANDRA C RN 81347 RIEMENSCHNEIDER ANDR RN 81348 SHAW LATIFFANY D RN 81349 MAYNARD PAMELA A RN 81350 COMENDADOR ABE D RN 81351 MALIT KRISTINE M N RN 81352 LECOMPTE SHERYLL A S RN 81353 CHANG NIA SORIANO RN 81354 MOORE TA'TIANNA K RN 81355 LUCK KAREN JAN M H RN 81356 JONES MARK T K RN 81357 LEE AVIEE-ANN IYN RN 81358 COLE RAMONA R RN 81359 STARK JEANE M A RN 81360 O'CONNELL JULIA A RN 81361 PETERSEN ALYSSA R RN 81362 STAFFORD CAITLYN M RN 81363 BENSON LISA MARIE RN 81364 LERCH MARLA A RN 81365 LEISY ARIANNE W RN 81366 JONATHAS ESTHER S RN 81367 ADE KATHLEEN A RN 81368 AGUINALDO DARREN O RN 81369 BELCHER MICHAEL M RN 81370 BONGOLAN ALTHEA A B RN 81371 ALEXANDER NADINE A RN 81372 BALA ROEL P RN 81373 DORVIL WISLINE RN 81374 SIMPSON DILLON K RN 81375 CANO JACQUELINE RN 81376 JEAN PAUL FLORISE RN 81377 BENNETT LEIGH ANN L RN 81378 GRAY CHRISTINA H RN 81379 MCLANE MARY K RN 81380 RILEY RACHEL M RN 81381 DALLATORE WENDI RN 81382 LINGERFELT SARAH M RN 81383 RANDER ROBYN L RN 81384 GESSEL JANICE M RN 81385 STOKES IOLANTHE M RN 81386 PREECE MARY E RN 81387 CABERA ESTELLA RN 81388 GOLOMBESKI ANN M RN 81389 RYAN RENEE M RN 81390 HEIN JILL E RN 81391 KADY DEBORAH L RN 81392 VIANA JACQUELINE RN 81393 CALDWELL LACIE J RN 81394 MCCLARY VALERIE T RN 81395 SCHNEIDER MARY RN 81396 EVAN-CHALK JODI M RN 81397 YOUNG DOROTHY L RN 81398 LEWIS NIKOLE K RN 81399 MATSUO MAXWELL K RN 81400 NAGAI ALYSSA C RN 81401 BALLARD WAINANI K RN 81402 PEARSALL EMMA J

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 3 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81403 CUMMINGS TSERING Y RN 81404 SOSA SU MIN C RN 81405 LANKSHEAR MEGHAN E RN 81406 DILLER PEGGY L RN 81407 WEEKS MELINDA L RN 81408 VINCENT LIDIE C RN 81409 HOVDEN JENNIFER L RN 81410 TANAKA SHELBY Y RN 81411 COFFEE STEPHEN K RN 81412 SONG SO JUNG RN 81413 DOMINGO REMMALYN G RN 81414 PINKSTON KATHALEEN RN 81415 CARINIO SHIELLA M B RN 81416 HITT AMIE L RN 81417 ROSE DONNA E RN 81418 SEAY RENAH K RN 81419 BURGESS JANET E RN 81420 COLGAN KRISTIN N RN 81421 HURLEY LORRI L RN 81422 JIMENEZ GLADYS RN 81423 JENKINS JANIECE RN 81424 GARCIA ALEXANDREA K RN 81425 PERLAS SHENIMAE H RN 81426 WATERS BETHANY K RN 81427 APPLEGATE MIRANDA J RN 81428 LINNABARY ERINN N RN 81429 LAWRENCE KATHERINE L RN 81430 TADENA JESSE ISRAEL RN 81431 TOUSSAINT GEORGELINE RN 81433 ROGOWSKI KAYLA J RN 81434 SENATUS PRENETTE RN 81435 MADEUS MINOUCHE RN 81436 CORTES ANISLEY RN 81437 TURNER LATRIVIA Y RN 81438 BROOKS CHARLENE V RN 81439 BROWN-WILLIAMSON LYR RN 81440 BONGCAYAO APRYL RN 81441 ABDOOLLAH SANDRA RN 81442 BREWER STEPHEN E RN 81443 DERRADA KEVIN RN 81444 DEMELLO-KAMAKA KILIH RN 81445 EDURISE NORIE J RN 81446 EICKHOLT TYLER A RN 81447 CABALCE SUSAN C RN 81448 FORESTIER CLAUDE RN 81449 GABRIEL RAMEAU IRLAN RN 81450 GALWAY-SEVERTSON WYN RN 81451 JOSEPH BETSY RN 81452 INDVIK CELESTE D RN 81453 FANNON VIRGILIE RN 81454 BROWN JESSICA RN 81455 PRICE BRITTANY RN 81456 GRANDISON VICTORIA RN 81457 GRATIA GERMAIN MARIE RN 81458 HIRST CERES L RN 81459 JEAN LAMENESE RN 81460 WRIGHT SHANNON L

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 4 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81461 RAZOS BEVERLIE C RN 81462 OLIDAN KEVIN EDMUND RN 81463 SENAS CHASITY C K RN 81464 YOSHIDA KARA E RN 81465 ORA-A ARISTINA WEST RN 81466 LOPES CHEVELLE B RN 81467 LEVEILLE MARIE M RN 81468 MAYO JULIE A RN 81469 SEYMOUR KARLYNE E RN 81470 SILVA ASHERLY K RN 81471 VEGA RIZALYN ISIDRO RN 81472 PAUL MARIE B RN 81473 VAN FOSSEN LINA M RN 81474 PRICE SARA M RN 81475 RUDDER JAMIE L RN 81476 ALISMA NATHALIE E RN 81477 HAYES CHRISTIANNE RN 81478 HART MICHELLE D RN 81479 ADAMS DIANA E RN 81480 CLAYTOR CYNTHIA M RN 81481 CULLEY RICHARD J RN 81482 STERNBERG DEBBIE E RN 81483 LIN KELLI M RN 81484 LOCKREM JENNIFER H RN 81485 RICHARDSON AIJAH R RN 81486 MATHEWS GARRETT L RN 81487 STOLTE KIM C RN 81488 JOHNS BARBARA A RN 81489 GERSTNER JOHN M RN 81490 HEIKELL MICHELLE M RN 81491 SCHWARTZ REBECCA O RN 81492 PATRICK FELICIA M RN 81493 KENNEDY SUE ANN RN 81494 KAMOWSKI KRISTIN L RN 81495 PEACOCK JENNIFER R RN 81496 HAMILTON ADAM W RN 81497 MACK PHYLLIS F RN 81498 TARVERS NATHAN J M RN 81499 TARVERS KATHARINE O RN 81500 JARVIS CLIFFE E JR RN 81501 SISBACH JENNIFER L RN 81502 HARTZOG YVONNE M RN 81503 UEMOTO MELISSA K RN 81504 BARADA JAMIE L RN 81505 WALLS CRYSTAL L RN 81506 RIKER MARTHA G RN 81507 RILEY ELIZABETH M RN 81508 MOUER AMANDA C K RN 81509 DESMARAIS RENEE RN 81510 WALSH EMILY E RN 81511 STAXRUD CARLA RN 81512 KAYAL KASSANDRA L RN 81513 MORALES ROSSANA P RN 81514 BOYD RHEA P RN 81515 HAMILTON VICKI L RN 81516 MULHALL LAURIE A RN 81517 ARMSTRONG NANCY G

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 5 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81518 COOGLE TONIA M RN 81519 GUINOO CRISTINA RN 81520 REECE MELODEAN H RN 81521 HARDY KELLY E RN 81522 VARGAS HERRERA SHANT RN 81523 HALONEN NAOMI J RN 81524 DAO JOANNE A RN 81525 JULES MICHEL MADELEI RN 81526 BOLO CARISSA M RN 81527 MATSUMURA SEIRA RN 81528 GREENLEES WENDY K RN 81529 KASEUMOUK SENG RN 81530 ANDRESEN REBECCA A RN 81531 ALDEA LAURA L RN 81532 HUYNH COURTNEY M RN 81533 JOHNSON EVA L RN 81534 MASON JESSICA J RN 81535 GALLEGOS CRYSTAL RN 81536 STOCKDALE SHEILA K RN 81537 KRZYNSKI JAIMIE L RN 81538 ELGOGHAIL NADIA RN 81539 CUESTA JAIME U RN 81540 CHRISTESEN KASHIA A RN 81541 MALCOLM AMBER L RN 81542 POWERS JILLIAN M RN 81543 CUTHRELL TAMMY J RN 81544 BAILEY JACKIE M RN 81545 ENG JOY S K RN 81546 PEREZ TRACY L R RN 81547 GEE IRIS W S RN 81548 WARDLAW DANA M RN 81549 DUFFY MARGARET N RN 81550 PULLENS MICHELLE A RN 81551 GRIMES MEGAN A RN 81552 LOCKWOOD NITARA L RN 81553 MCPARTLIN-BUNDT SHAR RN 81554 BUSSIERE JANET K RN 81555 KNIGHT SEAN G RN 81556 MURPHY ELIZABETH A RN 81557 MULLET JENNA B RN 81558 HAYES SHELLEY R RN 81559 KELLY ALLISON J RN 81560 ARAKAKI RYAN H RN 81561 GARNER LIDIA M RN 81562 MORRIS KIMBERLEY A RN 81563 BOWMAN RACHEL C RN 81564 LAY-DURAND CHELEISKA RN 81565 JACQUES STACY A RN 81566 CASPER CAITLIN E RN 81567 THORNSBERRY DEANNA K RN 81568 CHIN-ALFERS JENNIFER RN 81569 WALDEN CAROLYN L RN 81570 BIASI ANTHONY RN 81571 O'GEAN KATIE C RN 81572 PEART KATHRYN C RN 81573 DINMORE AMANDA A RN 81574 GUIDI EMILY K

VLI_LICENSE_VIEW Monday October 26, 2015 10:11 AM Page 6 LTYPE LIC NUM SORTNAME ----- ---------- -------------------- RN 81575 KOOPMAN KELSEY L RN 81576 HENNIG EMILY A RN 81577 CUERVO JOANNE M RN 81578 BRENEGAN KATIE L RN 81579 RORABAUGH CLAIRE E RN 81580 LEE PHYLLIS E RN 81581 ROBERSON BRITTANY L RN 81582 SARETTE JENELY R RN 81583 MALONEY MELISSA A RN 81584 SCARLATTI ROBERT M RN 81585 GRIGGY CHELSEA E RN 81586 BROWN JENNIFER L RN 81587 GOCO-TEPORA FE CORAZ RN 81588 MATHEWS ANDREA L RN 81589 GIPPETTI CHARITY J RN 81590 MCCARTHY RACHEL A RN 81591 SMITH VALERIE K RN 81592 BAERNY MEGAN L RN 81593 LENCHANKO JOSHUA-BER RN 81594 SAMSIA-NJI CHRISTOPH RN 81595 JOHNSON JASON H RN 81596 MUSCADIN MANESE RN 81597 ALLISON BARRY H RN 81598 BALDUGO LESLIE-ANN P RN 81599 BRAVO JYKA NAVA D RN 81600 BLONCOURT MARIE A RN 81601 CHAN WA ALLISON M RN 81602 CLEMENTS TINYA C RN 81603 DAVID ROGELIO JR RN 81604 DORVAL DARLENE RN 81605 DESNOR BERNADETTE A RN 81606 GALVESO DANIELLE K RN 81607 FAMA JOSELITO T JR RN 81608 FELICIANO HELIRY F RN 81609 KIRIAS AKIKO S RN 81610 LEONG KARISA A RN 81611 ALONZO JAYNE L RN 81612 EJIOGU EVELYN RN 81613 PAVAO LESLIE RN 81614 PITTER VERONICA S RN 81615 SMITH HEATHER L RN 81616 RIVERA DIANNE T RN 81617 MERCADO WINNA M RN 81618 CASTANEDA ANGELA RN 81619 FIGUEROA JEAN CHARLE RN 81620 STRICKLAND BRANDI N RN 81621 DUPEY KATHERINE G RN 81622 GOODEN JANELL D RN 81623 KENNEDY ASHLEY W RN 81624 MAI AMY T

11.05.15 nursing – meeting minutes

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