board of nursing professional and vocational licensing division … · 2019-01-12 · board of...

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, December 6, 2018 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, LPN, RN, BSN, NHA, Vice Chair Karen Boyer, RN, MS, FNP Katharyn Daub, MS, RN, EdD Jomel Duldulao, Public Member

Judy Kodama, MS, RN, MBA, CNML. Tammie Napoleon, DNP, APRN

Staff Present: Lee Ann Teshima, Executive Officer (“EO”) Shari Wong, Deputy Attorney General (“DAG”) Nohelani Jackson, Secretary Guests: Liane Muraoka, HSCFN Nancy Capuano, Applicant Carrie Oliveira, HSCFN Katie Kemp, American Nurses Association in Hawaii Nancy Walch, American Nurses Association in Hawaii Call to Order: The Chair called the meeting to order at 8:42 a.m. at which time quorum was

established. Chair’s Report: Announcements/Introductions The Chair asked the audience to introduce themselves.

Board of Nursing Minutes of December 6, 2018 Meeting

The Chair announced the following agenda items had additional distribution:

2. Chair’s Report b. Minutes of the November 1, 2018 Meeting c. Education Committee Report for the November 1, 2018 8. Applications b. Registered Nurses (2) Applicants ii. Nancy Capuano

Approval of the Previous Minutes –November 1, 2018

The Chair asked if there were any corrections to the minutes of the November 1, 2018 meeting. There being no amendments, upon a motion by Ms. Daub, seconded by Ms. Boyer, it was voted on and unanimously carried to approve the minutes of the November 1, 2018 meeting as circulated.

Education Committee Report – November 1, 2018 Meeting Ms. Daub reported on the recommendations of the Education Committee’s

November 1, 2018 meeting (see attached report) and motioned to approve/accept the report and recommendations, it was seconded by Ms. Boyer and voted on and unanimously carried to approve/accept the report and recommendations of the November 1, 2018 Education Committee.

Executive Officer’s Conferences/Seminars/Meetings Report:

The EO announced that she would like all the Board members to attend at least one NCSBN meeting or seminar. The next scheduled meeting is the mid-year and the Chair or Vice Chair can attend with another Board member since the NCSBN can sponsor up to 2 individuals. The mid-year meeting will be held March 26-28, 2019 in San Antonio, Texas, so if anyone is interested and available, to let her know and she will discuss with the Chair/Vice Chair.

Nursys – Status Report

The EO reported that we were not able to “go-live” on November 5, 2018 as was previously reported. There were some “glitches” and Hawaii went “live” with Nursys on November 13, 2018.

Balanced Living, November 2018 Issue

A copy of the issue was distributed to the Board members for their information only.


Remedial Course Approval ReMar Online Academy

The EO reported that exam applicants are now calling about which remedial course to take and that she did receive a request for approval from Remar Online Academy. According to the email request, the RN and LPN NCLEX Review Course is 6-weeks long and consist of NCLEX lectures, homework, timed-quizzes and NCLEX practice exams.

The Board members who tried to find this online course said it did not include a

practical or clinical component and does not meet the definition of “Remedial course” in HAR §16-89-2.

Consequently, it was the consensus of the Board to not accept this online course

as meeting the remedial course requirement for exam applicants because it appears to be an NCLEX review course as opposed to a remedial course that includes both the didactic and clinical components to ensure the individual’s competency to practice as a nurse.

Discussion of Definition of “Remedial course” in HAR 16-89-2 The Board deferred to the previous discussion on this definition. 2019 Legislative Session

Proposed Legislation to Amend HRS Chapter 321 to include APRNs to Act as a “Medical Director”

The EO reported she received an email from Laura Reichhardt, Director, Hawaii State Center for Nursing (“HSCFN”) regarding legislation to draft a bill to amend the definition of medical director in HRS Chapter 321, Relating to Health under the authority of the Department of Health, but is unclear as to which section is being amended and that Ms. Stacy Kracher is here to provide more clarification.

The Board decided that until they can see the actual bill/legislation, they could not

take a definitive position but would consider the proposed amendment at a later date when the bill becomes available.

At this point the EO called on Ms. Kemp and Ms. Walch, both from the American

Nurses Association in Hawaii to do a brief report on any legislative proposals.

Ms. Kemp stated that they are here to represent the ANA in Hawaii and to offer their support for the Board. She reported that currently they have 256 members and will be disseminating a survey in which they hope to receive at least a 50% positive response.

Continuing Competency: Updates to Continuing Competency Booklet No change in status from the last report.


Hawaii Nursing Continuing Competency Preceptor Activity for Nursing Employees Form Created by the HSCFN

Ms. Muraoka from the HSCFN asked if the Board had any questions on the

preceptor form for nursing employers and students.

The Board asked for more time to review for further discussion at the January meeting.

The EO asked the Board members to provide her with recommendations by the

end of the year so that she could forward to Ms. Muraoka for discussion at the January 2019 meeting.

Research Nurse – Certified Tumor Registrar The Chair led the discussion on the following email inquiry: “I’m concerned about the new Nursing License Requirement for June 2019. I am

a Research Nurse for Kaiser Permanente. I have carefully reviewed the list on the nursing website. This list does not offer what I need to maintain my position here at Kaiser Permanente as a Research Nurse.

Kaiser hired me because I am also a Certified Tumor Registrar (CTR) through the

National Cancer Registrars Association (NCRA). NCRA requires me to maintain my CTR status with CEU’s that are offered thru the North American Association of Central Cancer Registries (NAACCR). They are partners with the Center for Disease Control (CDC), National Cancer Institute (NCI), National Program of Cancer Registries (NPCR), and Surveillance, Epidemiology, and End Results Program (SEER).

My question: Am I able to renew my RN license in June 2019 by submitting the

CEU’s that I earn for my CTR status. The courses are live or recorded webinars/training sessions (3 hrs) that cover specific cancer areas (Breast, Colon, Brain, Lung, Leukemias, Lymphomas, etc). It includes a test at the end that must be passed to get credit for the 3 hr webinar/training session. They require 20 CEU’s/2years. I usually do more than 20 & can do 30 hrs if needed for my RN license renewal.”

After some discussion, it was the consensus of the Board that CEUs that are

provided by an organization approved by the Board, as indicated on page(s) 19-20 in the Continuing Competency booklet would be acceptable towards the CE learning activity option.


Request for Approval of Education Activity from Maui Memorial Medical Center

Prior to the discussion, Ms. Kodama recused herself from this agenda item. The Chair led the discussion on the following email inquiry:

“I have talked to my team and we have decided to submit to the board (for continuing education credit) the attached activity. We recently identified a gap and education need regarding key concepts in the nursing care of our stroke patients. As one of The Joint Commission’s measures, we decided that it is imperative that we provide our nurses this continuing education and training.

The attached form documents the identified need for such training and our

proposed educational activities.

It is our hope that this proposal will be approved. Please let me know if there is anything else we can provide your office to assist with the deliberation or for any questions you may have. Thank you for your consideration.”

The Board members reviewed the information contained in the “Application for CE

Certification of an Educational Activity” that was attached to the email inquiry. It was the consensus of the Board to approve the May 2019 and October 2019

offering of this course as meeting part of the continuing education learning activity option. However, any substantive changes to the information provided shall require Board review/approval.

Post Graduate Nursing Course in Ed from University of Tasmania The Chair led the discussion on the following email inquiry:

“I am Liza Kaneda. I am a Registered nurse currently practicing in Australia. I have been working as a clinical nurse in emergency department for the past 3years. I did get my Australian nursing license through the Hawaiian Nursing license. My original nursing license is Hawaiian nursing license i graduated my BSN degree from Hawaii. I am currently taking a post-graduate nursing course in ED from University of Tasmania, would this count as my continuing education for license renewal? It is not accredited by the list of boards mentioned at the website. Please let me know what i should do. I do need my Hawaiian nursing license. I can provide with the certificate of completion of the graduate certificate degree. Thank you for your time.”

After some discussion, it was the consensus of the Board to inform Ms. Kaneda

that HRS §457-9.3(a)(4) refers to an “accredited nursing program” related to nursing practice and that an “accredited” nursing program means accredited by an organization recognized by the U.S. Department of Education. Also, the Board noted that in the email, Ms. Kaneda was taking a post-graduate nursing course in ED which will require further clarification in order to meet the definition.


Correspondence NCSBN Legislative Updates

• 10/26/18

• 11/2/18

• 11/16/18

• 11/29/18

Dr. Napoleon noted that in Ohio, a bill was introduced on Ancillary Professions that proposes to change the professional title of registered veterinary technician to registered veterinary “nurse”.

Clarification on HRS §457-7(b)(2) and 457-8(b)(2) – “Employment with a

Hawaii Employer” The EO asked the Board for clarification the following sections, specifically when it

refers to a “Hawaii employer”:

§457-7 Registered nurses; qualifications; licenses; fees; title; existing licensed nurses; verification of licenses; eligibility. "(a) An applicant for a license to practice nursing as a registered nurse shall submit:

(b) Licenses shall be granted either by:

(2) Endorsement: The board may issue a license to practice nursing as a registered nurse by endorsement to an applicant who has been licensed as a registered nurse under the laws of another state, territory, or foreign country if the applicant has an unencumbered license and, in the opinion of the board, the applicant meets the qualifications required of registered nurses in this State at the time of graduation. Pending verification of a valid, unencumbered license from another state, a temporary permit may be issued for employment with a Hawaii employer.

§457-8 Licensed practical nurse; qualifications; license; fees; title;

existing licensed nurses; verification of licenses; eligibility. (a) An applicant for a license to practice nursing as a licensed practical nurse shall submit:

(b) Licenses shall be granted either by:

(2) Endorsement: The board may issue a license to practice nursing as a licensed practical nurse by endorsement to any applicant who has been licensed as a licensed practical nurse, or a person entitled to perform similar services under a different title, under the laws of another state, territory, or foreign country if the applicant has an unencumbered license and, in the opinion of the board, the applicant meets the requirements for licensed practical nurses in this State at the time of graduation. Pending verification


of a valid, unencumbered license from another state, a temporary permit may be issued for employment with a Hawaii employer.

The EO explained that a local health care staffing organization that employs

nurses in facilities and home health care settings ran into issues when their employees tried to apply for a Hawaii temporary nurse license. She further explained that the Licensing Branch was “instructed” to issue only if the temporary permit application was signed by a Hawaii “facility”, i.e. hospital, etc.

She stated that when she double checked the statutes, it only referred to “Hawaii

employer” and not specifically a practice setting.

Consequently, it was the consensus of the Board that a temporary permit may be issued to a qualified applicant for a “Hawaii employer” and not necessarily a practice setting. The Board further clarified that out-of-state staffing agencies would not meet the “Hawaii employer” since they are not located in Hawaii and therefore we can continue to issue the temporary permit to qualified applicants if the temporary permit is signed by an authorized person for a local practice setting.

Scope of Practice Can LPNs Take Verbal Orders? The Chair asked the Vice Chair to lead the discussion on the following email

inquiry:

“Can you please tell me if Licensed Practical Nurses (LPNs) can take verbal orders?”

The Vice Chair stated that although not specifically addressed in the nurse practice act, specifically under the definition of “The practice of nursing as a licensed practical nurse” under HRS §457-2, under this definition, it does require an LPN to be under the direction of a dentist, physician, osteopathic physician, registered nurse, osteopath, or podiatrist or physician assistant. She also noted that the LPN should follow the policies and procedures of the practice setting/employer, however, ultimately, the LPN is accountable and responsible for the quality of nursing care rendered.

Ms. Boyer pointed out that the practice setting policies and procedures may differ depending according to what kind of facility it is, i.e. acute care vs. long term care.

Ms. Kodama had concerns with patient safety.

After further discussion, it was the consensus of the Board to concur with the Vice Chair’s response.


Exclusionary Formulary - APRNs Prescribing Testosterone Medications to Treat Medical Issues Such as Hypogonadism or Chronic Fatigue Secondary to Low Testosterone Level

The Chair asked Dr. Napoleon to lead the discussion on the following email

inquiry:

“My name is Jae Hwan Kim, and I am a APRN with prescription authority (Hawaii Lic #: APRN-1886). I have questions regarding the exclusionary formulary for APRN-Rx published in August 2016

Background: In the exclusionary formulary for APRN-Rx published in August 2016, it was mentioned that "an APRN with prescriptive authority shall NOT prescribe, administer or dispense, shall consist of: ... Human Growth hormones, anabolic steroids, or hormones for performance enhancement or decreasing the impact of aging".

My questions are the following: 1. Can an APRN prescribe testosterone medications to treat medical issues such as hypogonadism or chronic fatigue secondary to low testosterone level? 2. What does "performance enhancement" mean in the article? Does it mean a sports performance specifically? “

Dr. Napoleon stated that the Exclusionary Formulary specifically lists “Human Growth hormones, anabolic steroids, or hormones for performance enhancement or decreasing the impact of aging”. She stated that it is not prohibited in the nurse practice act and that he should refer to the Decision-Making Framework on the Board’s web page. The Board discussed that “performance enhancement” was not defined and that perhaps the Board should re-review the exclusionary formulary. After further discussion, it was the consensus of the Board to refer Mr. Kim to the Decision-Making Framework on the Board’s web page.

RNs “suggesting” OTC Medication

The Board discussed the following email inquiry: “I am contacting you regarding Hawaii Nursing State Board’s view on RNs

suggesting OTC medication. I was an Occupational Health Nurse-Telephonic Triage and quit my nursing

position as the nursing practice at that company was in conflict with some of the Nursing State Boards (including Hawaii) and included RNs suggesting OTC medication which was placing my RN license in jeopardy.


Can you please provide a brief statement in a letter regarding Hawaii Nursing State Board’s view on RNs suggesting OTC medication with the information?”

Ms. Kodama stated that there should be protocols or standing order(s).

The Vice Chair referred to the definition of “Scope of practice as a registered nurse” under HRS §457-2 that states: "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. This definition allows the RN to perform an assessment but not necessarily to provide a diagnosis for which may be required in order to “suggest” any medication, including OTC drugs. Consequently, it was the consensus of the Board that an RN may not “suggest” an OTC drug/medication. 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.

Hawaii State Center Ms. Oliviera went over notable changes to the 2019 HSCFN workforce survey. for Nursing:


Chapter 91, HRS, At 10:38 a.m., the Chair called for a recess of the meeting to discuss and Adjudicatory Matters: deliberate on the following adjudicatory matters:

In the Matter of the License to Practice Nursing of Sharon K. Alameda; RNS 2017-76-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order; Exhibit “A” Upon a motion by Ms. Kodama, seconded by Dr. Napoleon, it was voted on and unanimously carried to approve the Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order; Exhibit “A” for Sharon K. Alameda; RNS 2017-76-L. In the Matter of the License to Practice Nursing of Sean P. Rose; RNS 2016-94-L Settlement Agreement After Filing of Petition for Disciplinary Action and Board’s Final Order and Petition for Disciplinary Action Against License to Practice Nursing; Demand for Disclosure; Upon a motion by Ms. Kodama, seconded by Ms. Daub, it was voted on and unanimously carried to approve the Settlement Agreement After Filing of Petition for Disciplinary Action and Board’s Final Order and Petition for Disciplinary Action Against License to Practice Nursing; Demand for Disclosure for Sean P. Rose; RNS 2016-94-L. In the Matter of the License to Practice Nursing of Marzie A. Valdez, RNS-2017-6-L, Hearing Officer’s Finding of Fact, Conclusion of Law, and Recommended Order, Board’s Final Order Upon a motion by Ms. Kodama, seconded by Dr. Napoleon, it was voted on and unanimously carried to issue a proposed Board’s Final Order with the following sanctions:

1. Increase the fine from $500 to $5,000 due within thirty (30) days of the Board’s Final Order;

2. Respondent’s Hawaii nurse license shall be suspended for three (3) years of the issuance of the Board’s Final Order;

3. Within ninety (90) days of the issuance of the Board’s Final Order, Respondent shall take, at her own expense, and submit proof of completion of the following courses: National Council of State Boards of Nursing (“NCSBN”):

• Professional Boundaries in Nursing;

• Ethics of Nursing Practice;

• Righting a Wrong – Ethics & Professionalism in Nursing OnCourse Healthcare Learning at www.careandcomopliance.com:

• Elder Abuse and Neglect;

• Causes and Consequences of Elder Abuse;

• Types of Elder Abuse and Neglect;

• Recognizing, Reporting and Preventing Elder Abuse;

• Your Legal Duty – Reporting Elder and Dependent Adult Abuse;

http://www.careandcomopliance.com/


• Elder Abuse: Causes, Types and Reporting; and

• Understanding Elder Abuse 4. Within ninety (90) days of applying for reinstatement of the suspended

license, Respondent shall submit proof of completing a Board-approved registered nurse refresher course that consist of both didactic and clinical components.

In the Matter of the License to Practice Nursing of Kris M. Toriano; RNS 2017-69-L, Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order Upon a motion by Ms. Kodama, seconded by Ms. Boyer, it was voted on and unanimously carried to approve the Settlement Agreement Prior to Filing of Petition for Disciplinary Action and Board’s Final Order for Kris M. Toriano: RNS 2017-69-L In the Matter of the License to Practice Nursing of Kelly E. Lewis, RNS 2016-67-67-L, Compliance Documents for October 4, 2018 Board’s Final Order

The Board deferred this matter and request that the Respondent submit a monitoring plan from the monitor for the Board’s consideration at their January 3, 2019 meeting. 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 11:10 a.m.

Executive Session: At 11:10 a.m., upon a motion by Ms. Kodama, 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 11:48 a.m. upon a motion by the Vice 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 the Vice Chair, it was voted on and unanimously carried to ratify the attached list of LPNs – 19380-19422 (42)


LPN Applicants Upon a motion by the Vice Chair, seconded by Dr. Napoleon it was voted on and unanimously carried to approve the following applications:

Ammye Hernandez Tracy Howie Elitha Booth Tomlinson – Subject to confirmation of fingerprint results Registered 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 RNs – 91802-92153 (351)

RN Applicants Upon a motion by the Vice Chair, seconded by Dr. Napoleon, it was voted on and unanimously carried to approve the following applications:

Christian Gamponia – License with Conditions Nancy Capuano t Cheryl Chapman Keri Thomas – Subject to receipt of license fees

The Board deferred the following application:

Norma Tenorio – No current license in another state

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 Application(s)

Upon a motion by the Vice Chair seconded by Dr. Napoleon, it was voted on and unanimously carried to approve the following application:

Elizabeth Freitas – Advanced Diabetes Management NP Next Meeting: January 3, 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 confirmed they would be able to attend.

Adjournment: There being no further business to discuss, the meeting was adjourned at

11:52 a.m. Taken by: __/s/ Lee Ann Teshima__________________ Lee Ann Teshima, Executive Officer LAT 12/6/18 [ ] Minutes approved as is. [ ] Minutes approved with changes; see minutes of _____________________________.

ADVANCED PRACTICE REGISTERED NURSES

RATIFICATION LIST

December 6, 2018 APRN ONLY

Christine C. Celone, CRNA National Certification

Current Requirements: Brittany Khotmanivong, Adult-Gerontology Acute Care NP

Karen A. Wilhite, Family NP

Sean G. Scully, Family NP

Frances A. Bacchus, Family NP

Mary Jane P. Harris, Family NP

Yuna Chang, Family NP

Rosenie Dorce, Adult Psychiatric and Mental Health NP

Rhys T. Haydon, Family NP

Kelvin Z. Liu, Family NP

Teresa Ann Conner, CRNA

Shayla R. Keys, Adult-Gerontology Acute Care NP

Genecir Quiming, Adult Gerontology NP

Renee Watson, Acute Care NP

Leila Eileen Miranda-Lavertu, Family NP

Michelle Cowles, Family NP

Elaine Lau, Adult-Gerontology Acute Care NP

Joanne Spafford, Family NP

Heather Bangerter, Family NP

Haunani Miller, Family NP

Jessica Joseph, Family NP

Lorna Linville, Family NP

APRN W/ PRESCRIPTIVE AUTHORITY

Brittany Khotmanivong, Adult-Gerontology Acute Care NP

Dayu Zhang, CRNA







Craig Y. Fujii, Family NP






Cortney K. Crocker, Pediatric NP






Ratification List December 6, 2018 Board Meeting

Licensed Practical Nurse (LPN)

LPN 19380 RHODES KATHLEEN A

LPN 19381 ARAUJO YESENIA

LPN 19382 BEAUBRUN MARIE C

LPN 19383 ADARANIJO FAUSAT O

LPN 19384 ESTILO MARILOU S

LPN 19385 KODA-FREITAS GENALYN

LPN 19386 SCHALLER SARA E

LPN 19387 DONAUS ERNEST

LPN 19388 MULBAH DERR

LPN 19389 MCCOLLUM KATHLEEN DI

LPN 19390 OLOYEDE ABIODUN A

LPN 19391 RAMOS LYEVORNNE ASHL

LPN 19392 TOPENIO KAYE-KARREN

LPN 19393 VASQUEZ CHOYA TREVAS

LPN 19394 VISITACION VERONICA

LPN 19395 GRANT ANGELA F

LPN 19396 DORSAINVIL DENISE

LPN 19397 DOO HAZEL JOY K

LPN 19398 NUYLES MABELLE L

LPN 19399 BIENNEVIL YOLAINE

LPN 19400 YOSTE LESLIE K

LPN 19401 PESTANA CHIVAS D

LPN 19402 CRUZ GLORIA

LPN 19403 KIM LAUREN M

LPN 19404 DORGAN LEE S

LPN 19405 BLUITT MIESHA M

LPN 19406 VASQUEZ JAYME M

LPN 19407 HO ALANA K

LPN 19408 LOUIS JEAN MISSAIDE

LPN 19409 COSTA EMMA R

LPN 19410 GLENN LEILA R

LPN 19411 PALMER JENNIFER D

LPN 19412 FRANCKLIN DUJOUR JEM

LPN 19413 OLIVELLA TAMMY L

LPN 19414 CASTRO STACY F

LPN 19415 MEYERS KIANA A

LPN 19416 GARRETT TALANA M

LPN 19417 ATUTI EVALINE K

LPN 19418 SALOMON FABILOU

LPN 19419 CORTESE VICTORIA J

LPN 19420 SECCO SUSAN M

LPN 19421 LU JEANNETTE M

LPN 19422 KAAA ANELALEOLANI A


Registered Nurse (RN)

RN 91802 FENTON KYLEE D M

RN 91803 PINKSTON ASHLEY E

RN 91804 DREGELY VIKTORIA R

RN 91805 BABY RAHUL

RN 91806 ANDREWS TRACY L

RN 91807 DAVIS ALEXANDRA N

RN 91808 LINEBARGER MEGAN B

RN 91809 AUCHTERLONIE MOLLY A

RN 91810 BRANHAM AMY D

RN 91811 DOTY MELANIE A

RN 91812 PALMER ANN E

RN 91813 BENDER CHERYL D

RN 91814 ROLLINS JUDITH A

RN 91815 FARROW LAURA A

RN 91816 JACOBS JENNIFER L

RN 91817 LEAF COURTNEY R

RN 91818 LEWIS PATRICIA E

RN 91819 REITER RICHARD J

RN 91820 LELAND KIMBERLY M

RN 91821 SEIFERTH DAVID F

RN 91822 BEALL BEVERLY A

RN 91823 BRADY KRISTI L

RN 91824 GARCIA JULIE N

RN 91825 LANUEVO CHRISTIE J

RN 91826 SCHMITZ MARY L

RN 91827 MILLS VANESSA N

RN 91828 CASE AMANDA M

RN 91829 KENNERLY KAYLEE L

RN 91830 SCHMEER KIM M

RN 91831 COLLINGE JOSEPH C

RN 91832 SAWYERS ASHLEY N

RN 91833 FLOCH DAWN

RN 91834 KIRSCHBAUM AMBER M

RN 91835 MANGUM NANCY L

RN 91836 FUNAKOSHI LORI-ANN E

RN 91837 THOMPSON MICHAEL ROY

RN 91838 OGBONNYA EMMANUEL

RN 91839 LEONARD MARY ANN

RN 91840 LACUATA CAMILLE

RN 91841 BURKE RICHARD A

RN 91842 GOLTER MIRANDA G

RN 91843 LYON KATHY L

RN 91844 HARTMAN MELORA L

RN 91845 FILTER LAURA L

RN 91846 PURELLO CHERYL D

RN 91847 MCKEE MEGAN L

RN 91848 KUHN TRINA M

RN 91849 WATSON RENEE R

RN 91850 WOODS SHERYL N

RN 91851 ANDERSON STARLAR C

RN 91852 LAUTMANN SAMANTHA A

RN 91853 PEFLEY MARCIA

RN 91854 NELSON BRIAN S

RN 91855 ANDERSON VERONICA T

RN 91856 INES ROWENA MARIE U

RN 91857 KANEKOA KEVIN K JR

RN 91858 GILBERT HOLLY M

RN 91859 KUSUMOTO BRANDI ANN

RN 91860 PERGOLESE DOMINIC C

RN 91861 AMANO ALEA K

RN 91862 ABRAHAM TONEY P

RN 91863 ARQUELADA RONELIA L

RN 91864 ALTEUS HOKINELY

RN 91865 LIPPOLD DAVID D

RN 91866 KELELEW MERON

RN 91867 JOSEPH JEAN DAVID

RN 91868 OUIMETTE DONNA M

RN 91869 BORGELIN NIRVA L

RN 91870 DANTE BERTHA J

RN 91871 DAJAY ROLAN


RN 91872 ENCINA MELVIN M

RN 91873 BAJAMUNDE LALAINE P

RN 91874 BAPTISTA RUTH A S

RN 91875 BLANCH ERIN K

RN 91876 KRAMER DESARAE A

RN 91877 MALONEY KATHRYN M

RN 91878 DESMARATTES MARIE

RN 91879 LARRIEUX MYRTHA R

RN 91880 LORIENT JEUNETTE

RN 91881 MARIN JOANA MARIE A

RN 91882 MCDADE MARILYN A

RN 91883 MANUEL KRYSTAL ASHLE

RN 91884 MODJESKA-CARVALHO PA

RN 91885 MERISIER MARIE G

RN 91886 OCHI MARISSA Y

RN 91887 OBI ADAEZE P

RN 91888 LAPLANTE ELIZABETH A

RN 91889 POPE ANNE CHRISTINE

RN 91890 PED JOANA L

RN 91891 PACPACO DEBORAH TUTO

RN 91892 PASALO JEANETTE P

RN 91893 PATTON BREANNE R

RN 91894 SANCHEZ MARILYN B

RN 91895 SNELLINGS MICHELLE B

RN 91896 SHIMOMURA ASHLEY Y

RN 91897 SHIMADA TAYLOR-JORDA

RN 91898 KERBER EMILY E

RN 91899 TORRES NATASHA R

RN 91900 UENO DEVAN P A

RN 91901 VITAN SHARMAINE M

RN 91902 RYDER TIMOTHY D

RN 91903 ARMSTRONG JADA

RN 91904 ABERTH NATASHA A

RN 91905 BANKS GRETA A

RN 91906 CORMIER LAURENMARIE

RN 91907 DALOIA DANIELLE

RN 91908 FUNDRELLA VERONA

RN 91909 MADRID JULIET N

RN 91910 WONG KAYLIN K

RN 91911 SAUFLEY SAMANTHA LEA

RN 91912 GRIFFITH CYNTHIA G

RN 91913 EIKOV ZACHARY B

RN 91914 SMITH CASSANDRA E

RN 91915 LUKE SARA J

RN 91916 MCVEY MELISSA D

RN 91917 GORDON SARAH L

RN 91918 WEDEKIND KRYSTAL G

RN 91919 BARBASA DARIUS B

RN 91920 HADGE SHEILAMARIE D

RN 91921 HARDIE CLAUDIA N

RN 91922 JOHNSON DANIELLE M

RN 91923 KEATING ERIN M

RN 91924 POWELL CHRISTINE L

RN 91925 ROLLO CAROLYN C

RN 91926 STARENKO ANDREA A

RN 91927 WILEY CLARA J

RN 91928 SHEAFFER AMANDA M

RN 91929 LUNDGREEN HEATHER R

RN 91930 COX ARIEL J

RN 91931 HADDEN ELIZABETH L

RN 91932 ADAMS JAMES L JR

RN 91933 PACHECO JASMIN L K

RN 91934 BAUTISTA APPLE C

RN 91935 ZEINERT GLADYS L

RN 91936 VEINOT SUSAN E

RN 91937 FLORES JONAH K

RN 91938 SCHNELLER JENNIFER

RN 91939 EARLY WILMA E

RN 91940 FLORENCE ROLANDA T

RN 91941 HRABOWSKI-GRIER DARL


RN 91942 MASTRODONATO MELISSA

RN 91943 MORENCY KACEY S

RN 91944 MARCHAND BRITTANY A

RN 91945 RICARDS MARY A

RN 91946 HEDDLESTEN KRISTIE L

RN 91947 BOUCHARD KATELYN M

RN 91948 FINK ASHLEY B

RN 91949 GAYE NICOLE M

RN 91950 MCDONNELL LORESSA K

RN 91951 NERY CHRISTIAN M

RN 91952 NOWELL RANDY V

RN 91953 PENN NICOLE M

RN 91954 PHILLIPS JAYSON

RN 91955 REED NICHOLAS B S

RN 91956 BAROUK PHOEBE E

RN 91957 PIERCE DIANE L

RN 91958 BEHING ANGELICA B

RN 91959 IOKEPA LEE ANNE K

RN 91960 BRANDT LINDA A

RN 91961 BARRERA JOYCELYN E

RN 91962 CRAWFORD REBECCA L

RN 91963 PARSONS APRIL T

RN 91964 HALAPUA KELLY L

RN 91965 STEVENSON JAMIE V

RN 91966 MCMULLAN GINA

RN 91967 BUCKALEW CHRISTOPHER

RN 91968 SWANSON REANNA J

RN 91969 CHACON JUSTINNE C

RN 91970 PENBERTHY PATRICIA A

RN 91971 FATRY HANANE

RN 91972 DYLAN CHARITO D

RN 91973 KIDO SACHIE

RN 91974 CHAVEZ VANESSA L

RN 91975 ELLICA ANGELA MARIE

RN 91976 ROMERO CLAUDIA

RN 91977 LEVIN NICOLE S

RN 91978 HOWARD CYNTHIA A

RN 91979 AGAG JANINE G L

RN 91980 CALDWELL KELSEY M

RN 91981 GEORGE KAITLIN A

RN 91982 HALL KARLA J

RN 91983 RODRIGUEZ EDWIN J

RN 91984 SWEHLA SAMANTHA K

RN 91985 HOFFIUS KARI N

RN 91986 TIBURZI CORINNE M

RN 91987 WENGER SARAH

RN 91988 RUTHERFORD CHARLES A

RN 91989 HAYKAL MUAD

RN 91990 RODEMAN CYNTHIA B

RN 91991 COBBINS RACINE

RN 91992 BAIRD BARBARA L

RN 91993 ASHTON JENNICA L

RN 91994 ARMSTEAD TATYANA

RN 91995 SNYDER PATTY W

RN 91996 WAHL JULIE R

RN 91997 JEROME MAGGY

RN 91998 CAPILI DAYNNIE GRACE

RN 91999 GALACE MARELLA L M

RN 92000 ABBOTT ALAINA A

RN 92001 BRADLEY SARAH E

RN 92002 KIM CYNTHIA HUI

RN 92003 CAMARGO CHRISTY LYNN

RN 92004 SANES MICHAEL L

RN 92005 VANDERPLOEG KERRY L

RN 92006 DAVIS TARA M

RN 92007 RICHBURG LEHRA F

RN 92008 STAMM TAYLOR J

RN 92009 MENDOZA RODA P

RN 92010 FLOYD CINDY P

RN 92011 HALEY JESSICA ANN

RN 92012 PAROLIN AUDREY A

RN 92013 RIEMAN REBECCA ANN


RN 92014 TORAN WILLICIA R

RN 92015 KOROLEV OKSANA

RN 92016 BOWERS REBECCA L

RN 92017 KEOGH MEGGIE A

RN 92018 BRADFORD SARA A

RN 92019 BLINDMAN FELICIA D

RN 92020 BISSITT KATHRYN M

RN 92021 BURNS JENNIFER M

RN 92022 DIODONET ALEXIS K

RN 92023 EATON LORI R

RN 92024 GRIFFITH TRENISE R

RN 92025 NELSON K'EISHA L

RN 92026 PALOMINO FIORELLA Y

RN 92027 WILLIAMS CHRISTINE

RN 92028 BEATTY GINGER L

RN 92029 BURCIAGA RYAN L

RN 92030 CLARKE TY O

RN 92031 GIACOMARO KELLY

RN 92032 WILLIAMS JANICE A

RN 92033 MINOR PAMELA A

RN 92034 MEDINA RODERL ANNE F

RN 92035 GRIERSON ROCHELE C

RN 92036 BARNES TRECIA

RN 92037 GUO MARY W M

RN 92038 KADOKAWA CZARINA A L

RN 92039 FREDERICK DEBRA J

RN 92040 BUTLER ROSEMARY M

RN 92041 QUINABO SONIA E

RN 92042 LECHNER CHARLOTTE A

RN 92043 GARCIA CELIA L

RN 92044 LAMPE JOAN E

RN 92045 KENNEDY LYNN A

RN 92046 FILSINGER ERICA B

RN 92047 BAKER STEPHEN L

RN 92048 NIGHTINGALE LAURA J

RN 92049 DOUGLAS CATHERINE J

RN 92050 KEY MARJORIE R

RN 92051 VINCENT ELLEN M

RN 92052 OLAJIDE JENNIFER O

RN 92053 ALBA GILBERTO V

RN 92054 NORMAN ERICA N

RN 92055 CHANG-VAZQUEZ VAIJUN

RN 92056 CALDERON-DUVAL HEATH

RN 92057 GANITANO GRETCHEN D

RN 92058 ASOR SHEENA E

RN 92059 ABEL CHINNA D

RN 92060 FREEMAN CHASSY VENIC

RN 92061 CHANG EMILY M Y

RN 92062 COLLINS NOREEN A

RN 92063 CYR KARYSMA R

RN 92064 GARCIA DOLLY A

RN 92065 KIM KYUNGMI

RN 92066 REEVES ASHLEY N

RN 92067 CORPUZ CHARISSE B

RN 92068 HARDESTY CATHRYN A

RN 92069 ARAKAKI AMY K

RN 92070 LUCE JILL E

RN 92071 OLIVAS RACHEL B

RN 92072 ROBERTS MEREDITH L

RN 92073 CARTER BETHANY M

RN 92074 HENRY BERTA E

RN 92075 HEMINGWAY MONICA M

RN 92076 KEEN SHANNON A K

RN 92077 WARD MICHELLE L

RN 92078 VALENZUELA TERA L

RN 92079 PENN MEGHAN A

RN 92080 ETIENNE SHANLAY

RN 92081 ERICKSON-VIERRA CHEL

RN 92082 NIGRO ROZALYN R

RN 92083 HERHOLD MARY L

RN 92084 RIDEAU DIONNE W


RN 92085 SMITH ASHLEY B

RN 92086 TABACO KAILEE R K

RN 92087 DEGARMO LANDON J

RN 92088 JOSEPH JESSICA G

RN 92089 MATSON THERESAA

RN 92090 CHONG NOELLE

RN 92091 BOOTH STEPHANIE B

RN 92092 HEAD RONDA M

RN 92093 PITT JONATHAN C

RN 92094 BOYCE MARGARET J

RN 92095 MURPHY CATHERINE A

RN 92096 BORDENAVE MARIE S

RN 92097 RANDOLPH MICHELLE

RN 92098 MACANAS KAREN JOY P

RN 92099 DICKSON DEBORAH D

RN 92100 RANKIN MARIA M

RN 92101 CONKEY JAMIE T

RN 92102 KITER MARSHA A

RN 92103 DENSON EMILY R

RN 92104 ERDELY JACOB P

RN 92105 NEIL MACKENZIE M

RN 92106 PATRICK TERRY ANN

RN 92107 MEYER MARTIN J

RN 92108 LOSBY LESLIE

RN 92109 DUNCAN KENDALL

RN 92110 KAGIRI PHYLESHA

RN 92111 ANDERSON LAURA K

RN 92112 COOPER ROSEMARY

RN 92113 ALITAGTAG MA C L

RN 92114 HASSANZADEH SELINA

RN 92115 HUEZO ROSE ANNE

RN 92116 IGNACIO MARY ANN C

RN 92117 JOHNSON KYSHONNA R

RN 92118 KAUH JUN

RN 92119 SKUDLARICK ERIK K

RN 92120 DAVIS LAUREN R

RN 92121 WASHINGTON JENNIFER

RN 92122 ARMSTRONG KELLI-ANN

RN 92123 AMIN BHARGAVI S

RN 92124 SUTHERLAND KAREN J

RN 92125 MULARCHUK ATHENA K

RN 92126 HENSON TIFFANY M

RN 92128 KEENER SINA NICOLE

RN 92129 HARRIS TIFFANY R

RN 92130 PAYAWAL REA S

RN 92131 KANOE TIA LEE K

RN 92132 CABONCE NORLYN E

RN 92133 BONILLA KRYSTAL MAE

RN 92134 AUGUSTIN CYNTHIA

RN 92135 JARQUIO DARLENE A

RN 92136 KOH BEE S

RN 92137 JOSEPH AJAY P

RN 92138 GEKONGE VERA M

RN 92139 GARCIA AIZA A

RN 92140 FROST RACHEL B

RN 92141 KANESHIRO ALISON G

RN 92142 OBIANO EDNA LYN A

RN 92143 DICKERSON LORI R

RN 92144 ELKINS MICHELE R

RN 92145 GEORGES GERARD T

RN 92146 HIRANO CHELSEA S

RN 92147 EBINA KIMBERLY N

RN 92148 HERRINGTON JENNIFER

RN 92149 AKIMOTO KYOKO C

RN 92150 HICKSENHISER THERESA

RN 92151 SAINTIL ZEPHYR VALER

RN 92152 YOUKHANA VALENTINA A

RN 92153 MENDOZA ELLEANA M S

ADVANCED PRACTICE REGISTERED NURSES

RATIFICATION LIST

December 6, 2018 APRN ONLY

Christine C. Celone, CRNA National Certification

Current Requirements: Brittany Khotmanivong, Adult-Gerontology Acute Care NP









Teresa Ann Conner, CRNA




Leila Eileen Miranda-Lavertu, Family NP


Elaine Lau, Adult-Gerontology Acute Care NP

Joanne Spafford, Family NP





APRN W/ PRESCRIPTIVE AUTHORITY

Brittany Khotmanivong, Adult-Gerontology Acute Care NP

Dayu Zhang, CRNA







Craig Y. Fujii, Family NP






Cortney K. Crocker, Pediatric NP




