NURSE Volume 10 Number 4 DISTRICT OF COLUMBIA November 2013 R e g u l at i o n E d u c at i o n P r a c t i c e Delegating Tasks to NAPs (page 18) Government of the East of the River Students Can Find District of Columbia Opportunity in Nursing (page 11) Vincent C. Gray, Mayor Nurse Imposter (page 29) eO -mf afi il c ia : h p ll a . dPo u h@ v •i owne bo bdlc i. gcoat : fh t tt p h: e/ / dDo histrict . d c . g o v / b o n of C olumbia B oard of N ursin g1  Marshall University MSN Online Choose your path to success! The programs are designed with the working nurse in mind. Have you thought about pursuing a career in Nursing Education? As an RN, the Marshall MSN degree program is for you! • Prepare and work in a collegial environment where there are many job opportunities now and in the future. • Scholarship opportunities are available. Or maybe you would like to pursue a career in Administration? Enroll in our MSN Administration Program. • Prepare to function in a variety of administrative or managerial positions in a variety of healthcare settings. • Develop critical leadership skills which will allow you to make an impact in today’s complex healthcare environment. RN to BSN Online Education in a supportive setting. Marshall’s RN to BSN Program combines quality education with flexibility and personal attention to student needs. • An active RN License is required. New graduates have one semester to complete this requirement. • Total of 120 credit hours required for graduation. • Opportunities for further graduate level education. • Online classes Marshall University School of Nursing • Affordable tuition One John Marshall Drive, Huntington, WV 25755 • Highly qualified faculty For more information contact: • Full or part time study available [email protected] (for MSN program) • Accredited by ACEN or [email protected] (for RN to BSN program) or call 304-696-5272. 2 www.marshall.edu/cohp District of Columbia Nurse: Regulation • Education • Practice Districtof c o n t e n t s Columbia NURSE Director, Department of Health Edition 39 Message from the Chair R e g ulation 4 Joxel Garcia, MD, MBA Open Meetings Act 7 B oard M embers Mary Ellen R. Husted, RN, BSN, OCN IN THE KNOW 8 Chairperson Cathy A. Borris-Hale, RN, MHA, BSN COIN CONSULT 10 Vice Chairperson Toni A. Eason, DNP, MS, APHN-BC, COHN-S Rev. Mary E. Ivey, D-Min Vera Waltman Mayer, JD Ottamissiah Moore, BS, LPN, WCC, CLNI, GC, CHPLN E ducation Chioma Nwachukwu, DNP, PHNCNS-BC, RN Sukhjit “Simmy” Randhawa DNP, MBA, MS, East of the River Students Can Find Opportunity in Nursing 11 RN, NE-BC, CPN Board Meeting Schedule 14 Winslow B. Woodland, RN, MSN O ffice L ocation T ele p hone N umber NCSBN News 15 DC Board of Nursing 899 North Capitol St. NE Washington, D.C. 20002 Nursing Schools/CNA & HHA Programs 17 E-mail: [email protected] Phone: (877) 672-2174 Phone: (202) 724-4900 Fax: (202) 724-8677 Web site: http://doh.dc.gov/bon Practice O ffice H ours DELEGATION 18 Monday thru Friday: 8:15 a.m.-4:45 p.m. Nurse Practitioner Autonomy 22 B oard S taff Karen Scipio-Skinner, MSN, RN Home Health/Companion Workers to Get Minimum Wage and Overtime 24 Executive Director Concheeta Wright, BSN, RN Nursing Assistive Personnel Update 25 Nurse Consultant/Practice/COIN Bonita Jenkins, EdD, RN, CNE Nurse Specialist/Education Kudos! 26 Felicia Stokes, BSN, JD Nurse Consultant/Discipline Nurse Imposter Warning 29 Health Licensing Specialists: Donna Harris, BSHA Boards of Nursing and Nursing Home Administration Seeking to Fill Vacancies 29 Melondy Scott Gwyn Jackson Board Disciplinary Actions 30 Nicole Scott Tanee Atwell, BS Angela Braxton Nancy Kofie DC Nurse: REP Managing Editor Address Change? Name Change? Question? In order to continue uninterrupted delivery of this magazine, please notify the Board of any change to your name or address. Thank you. DC BON Mission Statement: “The mission of the Board of Nursing is to safeguard the public’s health and well being by assuring safe quality care in the District of Columbia. This is achieved through the regulation of nursing practice and education programs; and by the licensure, registration and continuing education of nursing personnel.” pcipublishing.com Circulation includes over 22,000 licensed nurses, nursing home Created by Publishing Concepts, Inc. David Brown, President • [email protected] administrators, and nurse staffing agencies in the District of Columbia. For Advertising info contact Tom Kennedy • 1-800-561-4686 Feel free to e-mail your “Letters to the Editor” for our quarterly column: IN THE KNOW: Your opinion on [email protected] the issues, and our answers to your questions. E-mail your letters to [email protected]. (Lengthy letters ThinkNurse.com may be excerpted.) e-mail: [email protected] • web: http://doh.dc.gov/bon 3 Message from the Chair Fall is my favorite time of year. It represents going back to school and seeing friends, watching the trees switch to beautiful oranges and yellows, cooler weather, and soon, the arrival of my baby—a future consumer of healthcare in the District! During my maternity leave, Cathy Borris-Hale, our Vice Chairperson, will be covering the duties of the Board Chairperson, and I appreciate you welcoming her, as you have me. I look forward to serving you again in the new year. In August, both Cathy, and fellow Board Member Simmy Randhawa, attended the National Council of State Boards of Nursing (NCSBN) Annual Conference as first-time attendees, and as delegates. Below, Simmy provides us with an overview of the NCSBN Annual Meeting. – Mary Ellen Husted Board Chair Mary Ellen R. Husted, RN, BSN, OCN From Board Member Sukhjit “Simmy” Randhawa This August, my colleague and fellow Board member Cathy Boris-Hale and I traveled to Providence, Rhode Island, for the Annual NCSBN meeting to serve as delegates representing the DC Board of Nursing. (NCSBN is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing Board members Cathy A. Borris-Hale, RN, MHA, BSN (left), and Simmy Randhawa, DNP, MBA, MS, RN, NE-BC, CPN (right), with “Honest Abe” Lincoln—actor Gene Griessman. examinations in nursing.) Cathy and I began our first morning session at delegate orientation. It is a good thing we did; we learned a lot about the voting process and our responsibilities as delegates and representatives for our board of nursing. The council parliamentarian provided us with an overview of expectations, to ensure that we followed the expected process for meeting. We were all also provided with a copy of Robert’s Rules of Order (Henry Martyn Robert, 1876), a book that provides common rules and procedures for deliberation and debate. (See page 6.) 4 District of Columbia Nurse: Regulation • Education • Practice  The presentation was intense but informative. and activist for healthcare transformation, Cathy and I were excited; this meeting was participatory medicine and personal health data so different from any meeting we had attended rights. previously. Being delegates, we would be taking In the afternoon, each of us attended different an active role in making important decisions that knowledge network lunches: would impact all the state boards of nursing and I attended the Regulatory Network lunch. ultimately nursing practice! This was an extravaganza! The lunch/meeting The opening ceremony began with an was set up as an awards show, and the presenters introduction of the NCSBN board members and were all glammed up in gorgeous evening then we quickly moved into hearing from the slate wear. The format for the ceremony included a of candidates who were up for election as board video presentation about key topics in nursing members. While all the presentations were very regulation, such as minimum education for informative, I think Cathy and I agreed that the licensure, scope of practice for advance practice presentation by the candidate with the skydiving registered nurses, etc. After the video presentation, video was by far the best presentation. For lunch past and current perspectives were provided on we celebrated Elaine Ellibee, a founding member this topic, and then all participants engaged in and the first president of NCSBN. Her son and a group discussion. It was a very interactive and daughter were present to receive an award in her informative network lunch! honor. That evening we attended the awards ceremony The rest of the afternoon we heard from each and dinner. Again we were able to celebrate with of the NCSBN committees, and the day ended the award winners, and have the opportunity to with a presentation concerning the strategic network with our colleagues. direction and future of NCSBN. Friday morning began with an amazing Election Day!!! Day two began with the presentation from Jonathon Peck, President and election process for the nominated board Senior Futurist, at the Institute for Alternative candidates. Through this process we were able Futures. He gave an insightful presentation on to vote for our area Director, and members of the alternatives for the future of healthcare. His Leadership Succession Committee. Each of the presentation was intriguing and certainly left winning candidates were excellent choices and each of us with something to think about. I representatives. was so impressed by him that I could not stop Meeting Abraham Lincoln….yes, we did! talking about him with Cathy on our way to the After the elections, we were visited by Abraham airport. Then, as luck would have it, he was on Lincoln. Well not really, but an amazing actor, our plane and sitting in the seat right next to Gene Griessman, who gave an absolutely amazing me! We had a great conversation about the idea lesson on leadership while portraying one of of alternative thinking, realizing the potential for the greatest historical figures of all time. Yes, of different possibilities and the opportunities we course we got our picture taken with him! have to change the future just by believing in the Later that morning we got the opportunity to potential for something different. hear an exceptional presentation. Dave “e-patient The annual meeting ended with the delegate Dave” deBronkart, a widely-known patient assembly voting on new business. Significant advocate, cancer patient/survivor and blogger, actions approved by the delegates included: spoke about his journey with cancer and the participatory role he played in his own treatment. This journey led him to become an advocate Continued on page 6 e-mail: [email protected] • web: http://doh.dc.gov/bon 5 Message from the Chair Continued from page 5 • Adoption of the 2014 NCLEX-PN Test Plan; As first time delegates, Cathy and I certainly and learned from this experience and we were honored to take such an active role in the process. We • Adoption of the Association of Registered both look forward to the opportunity to attend Nurses of Newfoundland & Labrador, the future NCSBN meetings and to also continue to College of Licensed Practical Nurses of share our learning with our colleagues here in Manitoba, Saskatchewan Association of DC! n Licensed Practical Nurses, and the Nursing & Midwifery Board of Ireland as associate members. Key concepts of Robert’s Rules (Kennedy, 1997) include: Guidelines • Obtain the floor (the right to speak) by being the first to stand when the person speaking has finished; state “Mr./Madam Chairman”. Raising your hand means nothing, and standing while another has the floor is out of order! Must be recognized by the Chair before speaking. • Debate cannot begin until the Chair has stated the motion or resolution and asked “Are you ready for the question?” If no one rises, the Chair calls for the vote. • Before the motion is stated by the Chair (the question) members may suggest modification of the motion; the mover can modify as he pleases, or even withdraw the motion without consent of the seconder; if mover modifies, the seconder can withdraw the second. • The “immediately pending question” is the last question stated by the Chair. Motion/Resolution - Amendment - Motion to Postpone • The member moving the “immediately pending question” is entitled to preference to the floor. • No member can speak twice to the same issue until everyone else wishing to speak has spoken to it once. • All remarks must be directed to the Chair. Remarks must be courteous in language and deportment - avoid all personalities, never allude to others by name or to motives. • The agenda and all committee reports are merely recommendations! When presented to the assembly and the question is stated, debate begins and changes occur. 6 District of Columbia Nurse: Regulation • Education • Practice Regulation Open Meetings Act To promote transparency and good government, the DC Council passed the Open Meetings Amendment Act of 2010, which requires that boards and commissions provide notice of upcoming meetings and agendas, and make minutes available so the public will be aware of what topics were discussed and what actions were taken. At its September 2013 meeting, the Board of Nursing welcomed Traci L. Hughes, Esq., the inaugural Director of the DC Office of Open Government. Ms. Hughes spoke Traci L. Hughes, Esq., Director of the DC Office of Open Government, oversees Freedom of Information Act to Board members about open meeting compliance among District agencies. She also ensures compliance with the District’s Open Meetings Act, requirements and that boards must provide training more than 170 boards and commissions regarding the law’s procedural requirements. the public with complete information about the open-session portion of their meetings. on the DOH website (www.doh.dc.gov). official final version of the minutes will A draft of the minutes from every Board Once the minutes have been reviewed and be posted. In addition to written minutes, of Nursing open session will be posted approved at the next board meeting, the audio from each open session is recorded. n Office of Open Government: http://bega.dc.gov/page/office-open-government Open Meetings Act Official Code: http://bega.dc.gov/node/650572 Reference: http://bega.dc.gov/node/650582 MISSION Are subcommittees exempt from the The mission of the Office of Open Government (OOG) is Opening Meetings Act requirements? to ensure that District government operations at every level are Yes. However, boards are not permitted to go into a transparent, open to the public and promote civic engagement. closed subcommittee session for the purpose of hiding The OOG has oversight over compliance of all public bodies, discussion of an issue from the public. officials and employees, including the Council of the District of Columbia, with the Open Meetings Act (OMA) (DC Official Can a member of the public request to Code §§2-571 through 580; DC Official Code §§2- 592, 593). speak with a board in private? The OOG may bring a lawsuit in the Superior Court of the Members of the public may speak to the Board in District of Columbia against a public body for failure to comply private. However, the issue may have to be discussed with the OMA. The OOG ensures compliance of public bodies in open session unless specifically exempted, such as with the Freedom of Information Act (FOIA), but does not retain discipline. enforcement authority. Upon notification to the OOG of FOIA non-compliance that is persistent and problematic at any public Does board training occur in open or body, the director of the OOG may refer the matter to the Board closed sessions? of Ethics and Government Accountability for investigation. Training can be held in closed session. e-mail: [email protected] • web: http://doh.dc.gov/bon 7  Re g u l a t i o n IN THE KNOW A : Continuing education is NOT required for first-time renewal applicants. While it is expected that you will The Board of Nursing has established the “In The Know” column in response to the many phone calls obtain some continuing education hours and e-mails the Board receives regarding licensure and other issues. The Board often receives multiple during the one year, the 24 required hours inquiries regarding the same topic. Please share this column with your colleagues and urge them to requirement does not begin until your read it. The more nurses are aware of the answers to these frequently asked questions, the less our second renewal. resources will have to be used to address duplicate questions. CNA-to-HHA RN RENEWALS BEGIN APRIL 2014 Q : In addition to my clinical position, I teach a core course in a Nurse Practitioner program. This is a 3-credit Q : I am currently a CNA licensed in Maryland, and I am interested in getting a Home Health Aide license in DC. REMINDER: Please be reminded that all RN licenses will expire graduate course which I teach twice per year. Teaching this course requires many hours for preparing lectures and grading June 30, 2014. The renewal fee Please guide me on how to go about it. assignments each week. In addition, I for persons applying for licensure A :   If you have a Maryland CNA certificate, you may complete a 32-hour HHA bridge course, and then take the DC in 2014 will not be pro-rated. attend an on-campus intensive session each semester which entails 24 hours of hands- on instruction. Students taking this course Board’s HHA exam to become certified as CBCs are granted CEUs, and I believe that the an HHA. Please see page 17 for the list of instructors that teach the course should also the District’s Approved Home Health Aide Training Programs. Q : Does a nurse renewing in Maryland have to have a CBC done again for Maryland even though it was already done be granted CEUs. I am attaching the course syllabus for your review. I have contacted the Boards of Nursing in DC? Can’t they get the information from in Virginia and Maryland for their policies the FBI? Also, I thought when we renew for on this same issue. Maryland does not You realized your nursing dream. DC we do not have to do fingerprints again. require CEUs for an RN with more than Now Realize Your poteNtial. A : FBI results cannot be shared with 1,000 practice hours, and Virginia allows other jurisdictions, so fingerprinting renewal for teaching or developing a would have to be done in Maryland, nursing-related course resulting in no less Earn your BSN or MSN Online. also. The system that will allow us to than three semester hours of college credit. You’ve come a long way since your first day as an RN. Go automatically receive information about I understand that every board has its own even further with one of Jacksonville University’s acclaimed nursing programs, offered in a 100% online classroom. convictions and arrests “rap-back” is approval process, but strongly believe that • RN to BSN – Now Offering not available for FBI CBCs at this time. if all boards would agree on such matters Scholarships! (Currently, prints are destroyed or returned it would benefit everyone. In the current • MSN: Leadership in Healthcare when the background checks are completed. environment of online instruction and Systems But the FBI is planning a “rap-back” service; virtual classrooms, it is becoming easier to • MSN: Clinical Nurse Educator the FBI can keep the fingerprints in the cross state borders, and inconsistencies such JacksonvilleU.com/onlineprogram Or, talk with a specialist: database, subject to state privacy laws, so that as this create confusion. A 800-571-4934 8-week classes | 6 sessions per year if that employees are ever arrested or charged : If teaching a credit course in a with a crime, the employers/licensing body graduate nursing program is a would be notified.) requirement for your position, it cannot be applied toward continuing education. Continuing Education The Board expects educators to meet the continuing education requirement. Online © 2012 All Rights Reserved. Made Available by University Alliance® The Nation’s Leading Universities Online. SC: 191734ZJ1 | MCID: 13186 Q : I recently received my RN license in DC and it needs to be renewed next year. I see that there are 24 hours of CEUs continuing education courses approved by an accreditating body or board of nursing are accepted by the District’s Board of One of America’s Best Colleges required per two-year period. Do I need CE Nursing. U.S. News & World Report since mine was only for one year? 8 District of Columbia Nurse: Regulation • Education • Practice  BOARD OF NURSING LICENSURE APPLICATION PROCESS FOR LICENSED NURSES AND NURSING ASSISTIVE PERSONNEL Terminated During Orientation The application process involves three distinct phases and may take 30-45 days. Q : Most hospitals have an introductory period for RNs. During that time, an RN can resign or the facility can let the RN Please note: Application and processing fees are non-refundable for any reason after applications are closed. go without any notice or reason. If a facility Phase one (Processing) feels that the position the RN was hired for The following, in addition to all required supporting documents, must be received is not a “good fit” and terminates the RN, by the processing unit before your application can be reviewed and approved by what is the RN’s responsibility for reporting Board staff. [Incomplete applications will be closed 120 days after submission]: that to the DC Board of Nursing? Would the 1. A completed application form Board keep this on the RN’s file and would 2. Two (2) Passport sized photos it require explanation? What if the RN does 3. Fees (made payable to DC Treasurer) not know why they were terminated? 4. Criminal Background Check results (completed by MorphoTrust) [Please note: Examination applications may progress to phase 2 prior to staff A : Boards will ask “Have you been terminated from or resigned from a clinical or professional training program?” receiving CBC results. This allows applicants to sit for examination while awaiting CBC results. But, applications cannot be approved until results are received.] Some may specifically ask whether or not Requests for submission of missing documentation will be sent 30 days after the termination was due to a practice issue. receipt of the application. [To facilitate this process please provide a current email It is recommended that the applicant address on your application. Inactive applications will be closed 120 days after indicate that they were terminated during submission]. You may check the status of your applications for documents needed at the orientation period and explain the https://app.hpla.doh.dc.gov/mylicense/ reason for the termination. The DC When all documents have been received, the application is entered into the system Board keeps all applications, therefore the as “complete” for the first of three phases and will be sent to a Health Licensing application, which includes the explanation, Specialist (HLS) for review and approval. would be kept, but it would not be included in our discipline files. Phase two (Review and Decision) Please Note: Nurses are usually aware The HLS will conduct a detailed review of all the documents. If further of the reason that they are terminated. information or documents are necessary the HLS will contact the applicant. [To If not, I suggest that the nurse speak to facilitate this process please provide a current email address on your application]. their supervisor or to human resources to When the second of three phases is completed, the HLS may: determine the reason for the termination. 1. Determine that the applicant meets the criteria for licensure/certification and They need to be aware of the reason that approved. Your “active” status will be available for review online at http://app. they were terminated so that they can correct hpla.doh.dc.gov/weblookup/. And a license /certificate will be mailed within the practice or behavior. 8-10 days; or 2. Refer your application to the Board of Nursing. Application Process Phase three (Referral to Board of Nursing) Q : I submitted my application a couple of weeks ago. I have been told that it is complete. Why haven’t I received my license? The Board will exercise one of the following options depending on the facts in each application: 1. Determine the applicant is not eligible for licensure/certification due to: (1) results of criminal background check, (2) termination from employment due to A : The application process involves three distinct phases and may take 30-45 days. unsafe practice or (3) discipline by another board. The applicant may then be asked to withdraw their application; or 2. Send the applicant a notification of the Board’s intent to deny the application Please see yellow box at right for details and provide the reason, if the applicant chooses not to withdrawn their about the licensure application process. application; or 3. Ask the applicant to appear in person to provide relevant information. n e-mail: [email protected] • web: http://doh.dc.gov/bon 9  COIN CONSULT A Resource for Impaired Nurses Farewell and Welcome By Kate Driscoll Malliarakis, RN, MSM, CNP Our Committee on Impaired Nurses is changing!! As we say “good-bye” to COIN member Dr. Teresa Coombs, we welcome new member Dr. Peggy Compton. Both are highly accomplished in their field and possess broad expertise and experience. It is a pleasure working with nurses who are committed to ensuring excellence in their profession and supporting the recovery of impaired nursing colleagues. Outgoing COIN Committee Member Dr. Teresa Coombs From 1999 to 2001, Teresa Coombs, PhD, RN, worked as member of the DC Nurses Association’s Psychiatric Nurse Network to establish COIN. The Network members worked with the Board of Nursing and pushed for legislation to create a much-needed alternative-to-discipline program for nurses whose practice is unsafe due to mental illness and/or substance abuse. Later, in 2002 when COIN was established, Dr. Coombs was a founding member and worked to establish its regulatory model—a model that continues to be followed today. Since its inception, COIN has helped close to a hundred nurses into recovery. Dr. Coombs was formerly a Nurse Consultant with the Teresa Coombs, PhD, RN DC Department of Health’s Health Regulation Administration. New COIN Committee Member Dr. Peggy Compton As Dr. Coombs leaves, Dr. Peggy Compton joins us. Margaret “Peggy” Ann Compton, RN, PhD, FAAN, is Professor and Associate Dean of Academic Affairs in Nursing at Georgetown University School of Nursing and Health Studies. She received her BSN from the University of Rochester, her MS from Syracuse University as a Clinical Nurse Specialist, and her PhD in neuroscience nursing from NYU. Following completion of a postdoctoral fellowship at the interdisciplinary UCLA Drug Abuse Research Center, she joined the faculty at the UCLA School of Nursing, and where she was promoted to tenured Professor Margaret “Peggy” Ann and served as Associate Dean for Academic Affairs. Her areas of clinical expertise Compton, RN PhD, FAAN are neuroscience, opioids, addiction and pain. She currently serves as Principal Investigator on two NIH-supported grants, and has an active research program exploring pain and opioid addiction with a specific focus on opioid-induced hyperalgesia in chronic pain and opioid dependent individuals. She has served on many coalitions and taskforces and has served as an advisory board member for a number of international conferences addressing the topic of substance use disorder, chemical dependency, pain management, and the pharmacologic treatment of addictions. Contact COIN for a training program at your facility Our COIN Committee includes Dr. Joanne Joyner, Dr. Marilyn Stevenson, Dr. Jyotika Vazirani, Dr. Terry Walsh, Dr. Peggy Compton, and Dr. Kate Malliarakis serves as Chair. Concheeta Wright, RN, is our Case Manager and assisting her is Tanee Atwell. The COIN is available to facilities to provide training on substance use disorders. For more information, please contact Concheeta Wright at [email protected]. n 10 District of Columbia Nurse: Regulation • Education • Practice  Education East of the River Students Can Find Opportunity in Nursing By Stephen Lilienthal Blendia can explain why she favors issued a report, “Healthcare,” on the nursing over other careers she once anticipated increase in healthcare Blendia Moore, Banneker High considered. “If I go into nursing I professionals during this decade. School junior, is already thinking can make a difference every day and GUCEW’s revised estimates predict about what comes after graduation. see it,” she explains. A recent report’s DC will have over 16,000 job Whatever option Blendia chooses, projections suggest she is making a openings in healthcare, from 2010 whether it’s joining the Air Force wise choice. to 2020, and one-third will be for or going straight to college, her nurses. One-quarter of Maryland’s sights are set on nursing as a career. Nursing Today and anticipated 83,000 job openings She’s been volunteering at Howard Tomorrow will be for nurses. Nursing positions University Hospital, helping in Last year Georgetown the oncology and ophthalmology University’s Center on Education departments. and the Workforce (GUCEW) Continued on page 12 e-mail: [email protected] • web: http://doh.dc.gov/bon 11  Education Continued from page 11 nursing educator who serves on Medicine and the RWJF elaborates: the Scholarship Committee of the “By virtue of its numbers and should comprise over one-quarter Black Nurses Association of Greater adaptive capacity, the nursing of Virginia’s 104,000 openings in Washington (BNAGW). Now, she profession has the potential to healthcare. says, nurses can have their own effect wide-reaching changes in the That’s a potential 55,000 jobs independent practices, even run health care system. Nurses’ regular, in nursing created over this decade clinics and write prescriptions. close proximity to patients and in DC and neighboring Maryland Increasingly, proclaims Susan scientific understanding of care and Virginia. The report forecasts Hassmiller, director of the Robert processes across the continuum of an additional 1.6 million new and Wood Johnson Foundation’s (RWJF) care give them a unique ability to replacement nursing positions Future of Nursing: Campaign for act as partners with other health nationwide could be created over Action, which promotes nursing, professionals and to lead in the the decade. “Nurses are taking on more improvement and redesign of the leadership roles. Because they form health care system.” New Challenges the front line of health care, nurses That moves Dr. Pier Broadnax, “There was a time when nurses are in a position to make a unique director of the nursing program stood up when a doctor entered contribution to our health care at the University of the District the room and even did more system.” of Columbia (UDC), to assert non-clinical housekeeping,” says “The Future of Nursing,” a 2010 that nurses see their role as more Barbara Baskerville, a retired report issued by the Institute of “collaborative” with physicians. “It is the goal we are moving toward,” stresses Dr. Broadnax. How can you improve the big picture of healthcare? Nursing Chooses You Maximize your talents in an innovative setting, and make the world a healthier place, with Healthways. As the Two current UDC nursing largest independent global provider of well-being solutions, we use the science of behavior change to produce program students, both mid-career positive change. Join us, and see the big difference you can make. professionals, personify the changes Local Care Coordinators – RN the current trends in nursing. Sitting Full-Time Opportunities in MD, DC and VA at the Big Chair Cafe, Southeast It’s one thing to work with a healthcare provider that treats symptoms. But it’s quite another to work directly with individuals in your community to help improve their DC residents Dawna Gadson and health, and create lasting solutions. This is a unique position—and a rare opportunity to offer the patient education, care management, and care coordination others will Katrina Clark discuss their own need to learn in order to maintain healthier habits—and build longer, happier lives. career paths in nursing and the Working remotely from your home and in the field, you will travel locally profession’s importance. approximately 50-60% of the week. Dedicated to educating our participants, you will develop and coordinate care plans with physicians, patients, and Gadson, a DC native, traces Allied Health professionals to provide engaging, cost-efficient, quality care to the highest-risk health plan members in your community. her desire to become a nurse to The ideal candidate will possess a minimum of 3 years of RN the rudeness experienced by her experience, RN licensure, case management/care coordination grandmother and aunt when ill. experience, the ability to collaborate with physicians for successful program outcomes, and keyboarding/computer “They were not treated with the proficiency. compassion nursing is known Our competitive pay and benefits package, fitness programs, professional and personal development, and community for,” Gadson explains. In an volunteer opportunities encourage balance, helping you earlier conversation Gadson said stay emotionally and socially fit. of nursing,“It chose me. I enjoy Please contact us at 866-754-1884 helping people.” or apply online at www.healthways.com/careers Clark, also raised in Southeast, credits the influence of her grandmother, a maid who Equal Opportunity Employer M/F/D/V 12 District of Columbia Nurse: Regulation • Education • Practice  performed nursing duties for the at DC General. Later they worked among African Americans, Clark family employing her when illness for Children’s National Medical and Gadson are now enhancing occurred. “She was very responsible Center’s Community School Services their professional nursing careers and accountable and never shrank in the DC public schools. as students in UDC’s bachelor of from any task no matter how Gadson recalls the satisfaction science in nursing program. The difficult,” says Clark, who credits she felt when implementing curriculum includes not just a care- her grandmother’s work ethic and an exercise program at Randle related curriculum but also courses “professional pride” for being Highlands Elementary School. in leadership skills, research, and “instrumental” in helping her to One student, dogged by health legal and ethical issues. Clark says become “the nurse I am today.” problems, had started to slim down nursing is stable employment. She Both women started out as but transferred to another school. has “never been concerned about licensed practical nurses studying Yet the child kept losing weight, and unemployment” as a nurse. at the now closed Margaret Murray the mother thanked Gadson for her Both women volunteer at the Washington Nursing School. help. Senior Wellness Center on Alabama They worked at the now closed Realizing that the profession Avenue SE and NBC 4’s annual DC government-run DC Village has a great contribution to make health fair. Both want to continue in nursing home and DC General in thwarting chronic conditions community nursing, promoting the Hospital. Both started studying at such as diabetes and obesity that UDC to earn associate’s degrees in contribute to all kinds of serious registered nursing while working health problems, particularly Continued on page 14 PDF/X-1a:2003 You’re there for Mom. We’re here for you. Connect with experts aarp.org/caregiving and other caregivers 1.877.333.5885 e-mail: [email protected] • web: http://doh.dc.gov/bon 13 ADC131001NY__MAG_7x4,875-PARK.indd | 2013-10-15 | 10:19 | PAGE 1  Education Continued from page 13 middle schools and career fairs to degrees. “Advanced Practice acquaint young people with the Registered Nurses” will have the profession. Scholarships are also training to do more, not just in preventive medicine that can help offered. “We’d like more students caring for individual patients but in people to lead healthier lives. Both to apply for our scholarships,” addressing problems in health care see working in community clinics Wharton insists. through research and developing as leading to developing continuing The District of Columbia Nurses policy. Nurses should even acquire relationships with their patients. Association undertakes similar the entrepreneurship skills to efforts to attract people to nursing. operate their own businesses. Opportunities in Nursing DC students who are entering Baskerville and Wharton see Diana Wharton, president of high school and who have an many opportunities for nurses in the the local black nurses chapter, and interest in nursing should consider DC region, noting its many colleges UDC’s Broadnax emphasize that applying for admission to Eastern and universities with nursing students with ability in science High School’s Health and Science programs, leading hospitals, and and math should consider nursing. Academy, where students participate medical research centers. Baskerville There’s more though. “You have to in health related projects, can says those students and mid-career have compassion for people. It’s a obtain advanced CPR certification, professionals living in DC who quality that can’t be underestimated, receive mentoring from healthcare possess an interest in having a career says Broadnax, also DC’s co- professionals, and participate in in nursing are “blessed” to have so lead for the “Future of Nursing: internships. many opportunities for education Campaign for Action.” So is skill at and interesting work. n collaboration, which is increasingly Lifelong Learners important as nurses work in team Today’s successful nurses need Reprinted with the permission environments. to be lifelong learners. The “Future of Capital Community News (http:// Efforts are being put forth in of Nursing” report stresses the www.capitalcommunitynews.com) DC to interest students in nursing. importance of having at least a BS The BNAGW chapter has a “Choose degree in nursing but urges nurses Nursing Project.” Members visit to obtain master’s and doctoral BOARD OF NURSING MEETINGS Members of the public are invited to attend... Date: *First Wednesday of every other month. Transportation: Time: Closest Metro station is Union Station. 9:30 a.m - 11:30 a.m. To confirm meeting date and time, call Location: (202) 724-8800. 2nd Floor Board Room *November 6, 2013 899 North Capitol St NE January 8, 2014 Washington, D.C. 20002 March 5, 2014 May 7, 2014 *Please note new schedule 14 District of Columbia Nurse: Regulation • Education • Practice  NCSBN News Nursys e-Notify: The National Council of State Boards of Nursing (NCSBN) has announced the launch of Nursys e-Notify, the national nurse licensure notification system that automatically delivers licensure and publicly available discipline data directly to employers as the data is entered into the Nursys database by U.S. boards of nursing. Nursys is the only national database for verification of nurse licensure, discipline and practice privileges for registered nurses (RNs) and licensed practical/vocational nurses (LPN/VNs). It is comprised of data obtained directly from the licensure systems of U.S. BONs through frequent, secured updates. The e-Notify system alerts subscribers when changes are made to a nurse’s record, including changes to license status, license expirations, pending license renewals, and public disciplinary action/resolutions and alerts. If a nurse’s license is about to expire, employers have the option to receive a notification about the expiration date. Employers can also immediately learn about new disciplinary actions issued by a board for their employed nurse, including receiving access to available public discipline documents. Nursys e-Notify eliminates the need for employers to proactively search for nurse data because they are notified when changes occur. Nurse employers are able to subscribe to this service to track licensure and discipline information for little or no charge (cost is dependent on the number of nurses enrolled in the system). The first 100 nurses in a facility registered with Nursys e-Notify are free of charge. After that, each nurse is $1 per year. If an employer has 99 nurses they pay nothing; if they have 200 nurses, the cost per year is $100. Employers can customize how often they receive notifications and when they want to run reports. Another valuable option is the ability to enter nurse contact information so the employer may send licensure renewal reminders to the nurses directly from the e-Notify system. Sign-up for e-Notify at Nursys web page: https://www.nursys.com/ Press release announcing launch of e-Notify: https://www.ncsbn.org/3978.htm National Workforce Survey of RNs: An adequate supply of RNs is one of the essential components of a safe and effective health care system. With an aging nursing workforce, and aging U.S. population, and the implementation of the Affordable Care Act—will there be enough RNs to meet the escalating demand? NCSBN and The National Forum of State Nursing Workforce Centers (The Forum) have announced the publication of the National Nursing Workforce Survey of Registered Nurses, a new study that provides a comprehensive snapshot of the U.S. nursing workforce in 2013. The results of this survey are especially valuable in that the data obtained can be used to project possible shortages and assist in the allocation of resources, program development decisions, and recruitment efforts in both the health care system and education sectors. NCSBN and The Forum conducted this study between January and March 2013. A total of 42,294 RNs participated in the study, with representation from all 50 states, the District of Columbia and four U.S. territories (American Samoa, Guam, the Northern Mariana Islands and Virgin Islands). The article, “Highlights of National Workforce Survey of Registered Nurses,” is available in the July 2013 issue of the Journal of Nursing Regulation (JNR). The full report The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce Survey of RNs is available as supplement to JNR and can be purchased from the JNR website: http://jnr.metapress.com/home/main.mpx. (NCSBN’s website is: www.ncsbn.org. The National Forum of State Nursing Workforce Centers’ website is http://NursingWorkforceCenters.org.) Continued on page 16 e-mail: [email protected] • web: http://doh.dc.gov/bon 15  Education NCSBN News continued 2014 NCLEX-PN Test Plan is Now Available Online NCSBN reviews the NCLEX-PN Test Plan every three years to ensure that the examination continues to be reflective of entry-level LPN/VN practice. The test plan provides a concise summary of the content and scope of the licensing examination and serves as a guide for candidates preparing to sit for the examination. The 2014 NCLEX-PN Test Plan will go into effect April 1, 2014, and can be found on the current NCSBN website at https://www.ncsbn.org/1287.htm. This document offers a more thorough and comprehensive listing of content for each client needs category and subcategory as outlined in the test plan. The 2014 NCLEX-PN Detailed Test Plan will exist in two versions: a candidate version and an item writer/item reviewer/nurse educator version. The versions are identical in content except the item writer/item reviewer/ nurse educator version offers an item writing guide and a section with case scenarios. Faculty: Please Notify students of the following nclex changes Enhanced NCLeX Security Screening NCSBN’s effort to maintain a high level of security for the NCLEX exams includes capturing a series of biometrics upon admittance to the test center. Currently, an NCLEX candidate must provide a digital signature, palm vein scan, fingerprint scan and a photograph. Fingerprint technology utilized at the test centers is not forensic-quality, and therefore no longer provides state of the art fraud detection security that is the hallmark of the NCLEX administration procedures.  Enhancements to palm vein technology now allow NCSBN the ability to compare a candidate’s palm vein biometric against all NCLEX palm vein records. This allows NCSBN to maintain a “no test list” of individuals identified by the boards of nursing, as well as identify potential proxy test takers. Because of these enhancements and the fact that the palm vein scan has proven to be accurate, tamper-proof and non-intrusive, NCSBN will discontinue the use of the fingerprint biometric starting in October 2013.   Email address now required as NCLEX EXAMS go “Green” In an effort to improve both effectiveness and efficiency, NCSBN’s NCLEX® program will go “green” and transition to a completely paperless program. Internet access has largely replaced print-based materials for information gathering and transactions; because of this NCSBN can now deliver the same information more expeditiously and reliably through electronic means. The list of current paper- based materials that have been identified as going paperless include: • Authorization to Test (ATT) letter • NCLEX® Examination Candidate Bulletin and Candidate Bulletin At-A-Glance • “Eights Steps of the NCLEX®” handout • Scan form registrations • Money order, certified check and cashier check payments • “You’ve Completed the NCLEX® but Still Have Questions” brochure To begin the process of transitioning to paperless, an email address for all candidates that register on the phone or online will be required immediately. Candidates who do not have an email address will be instructed to obtain a free email account through providers such as Gmail or Yahoo. Once the email account has been created the candidate may register for the NCLEX online at www.pearsonvue. com/nclex or by phone. Implementation for the paperless initiative will take place in the first quarter of 2014. NCSBN ensures a smooth transition and that the same information will be delivered through electronic means. Visit www.nclex.org. n 16 District of Columbia Nurse: Regulation • Education • Practice  Professional Nursing Schools Patricia McMullen, PhD, JD, CNS, CRNP, Tammi L. Damas, PhD, MBA, WHNP- Teresa L. Panniers, PhD, RN Susie Cato MSN, MASS, RN, Director of Dean, Catholic University School of Nursing BC, RN, Associate Dean/Interim Chair & Associate Dean for Nursing and Health Associate Degree Nursing Program, University of 620 Michigan Avenue, N.E. Associate Professor Professions District of Columbia Community College Washington, DC 20017 Howard University College of Nursing Chief Nursing Officer Associate Degree Nursing Program [email protected] 2400 6th St. N.W. Trinity Washington University 801 North Capitol Street NE Room 812 PH: (202) 319-5400 Washington, DC 20059 125 Michigan Avenue, N.E. Washington, DC 20002 FAX: (202) 319-6485 [email protected] Washington, D.C. 20017 [email protected] CONDITIONAL PH: (202) 806-7456 [email protected] PH: (202) 274-5914 • FAX: (202) 274-5952 FAX: (202) 806-5958 PH: (202) 884-9689 CONDITIONAL Jeanne Matthews, PhD, RN, Chair, Department CONDITIONAL FAX: (202) 884-9308 of Nursing, Associate Professor & Program CONDITIONAL Stephanie Wright Ph.D., CRNP, Senior Director for Nursing Education, Georgetown Sandra Marshall, MSN, RN, Associate Dean for Academic Affairs, The George University School of Nursing & Health Studies Dean of School of Nursing, Radians College Washington University Graduate School of 3700 Reservoir Road N.W. 1025 Vermont Avenue, NW; Suite 200 Nursing Washington, DC 20007 Washington, DC 20005 900 23rd St. NW, Suite 6167 B [email protected] [email protected] Washington, DC 20037 PH: (202) 687-0754 PH: (202) 291-9020 [email protected] FULL APPROVAL FAX: (202) 829-9192 PH: (202) 994-5192 • FAX: (202) 994-2777 FULL APPROVAL FULL APPROVAL PRACTICAL NURSE PROGRAMS Michael Adedokun, PhD, MSN, RN, Director of Nursing, Sandra Marshall, MSN, RN Susie Cato, MSN, MASS, RN Interim Director Comprehensive Health Academy Dean of School of Nursing, Radians College University of the District of Columbia Community College School of Practice Nursing 1025 Vermont Avenue, NW; Suite 200 Nursing Certificate Programs 1106 Bladensburg Road, N.E. Washington, DC 20005 5171 South Dakota Avenue NE Washington, DC 20002-2512 [email protected] Washington, DC. 20017 [email protected] PH: (202) 291-9020 [email protected] PH: (202) 388-5500 FAX: (202) 829-9192 PH: (202) 274-6950 FAX: (202) 388-9588 FULL APPROVAL FAX: (202) 274-6509 FULL APPROVAL CONDITIONAL NURSING ASSISTANT AND HOME HEALTH AIDE TRAINING PROGRAMS Bethel Training Institute (HHA) DC Institute of Allied Health (CNA/HHA) Home Care Partners, Inc (HHA) University of the District of Columbia- 824 Upshur Street, NW 2010 Rhode Island Avenue, NE 2nd Fl 1234 Massachusetts Avenue, NW Community College (CNA/HHA) Washington, DC 20011 Washington, DC 20018 Suite C-1002 Bertie Backus Campus Certificate Programs email: [email protected] email: [email protected] Washington, DC 20005 5171 South Dakota Avenue, NE PH: (202) 723-0755 or 0304 PH: (202) 526-3535 email: [email protected] Washington, DC 20017 FAX: (202) 723-0367 FAX: (202) 526-3939 PH: (202) 638-2382 HHA email: [email protected] FULL APPROVAL FULL APPROVAL FULL APPROVAL CNA email: [email protected] PH: (202) 274-6950 CAPTEC Med Care (CNA/HHA) Friendship Public Charter School (CNA) Intellect Health Institute (HHA) FULL APPROVAL 3925 Georgia Avenue, NW Anacostia High School 4645 Nannie Helen Burroughs Ave. NE Washington, DC 20011 1601 16th St SE Washington, DC. 20019 VMT Education Center (CNA/HHA) CNA email: [email protected] Washington, DC 20020 email: [email protected]: 401 New York Ave, First Floor. NE HHA email: [email protected] email: [email protected] PH: (202) 621-2348 Washington, DC 20002 PH: (202) 291-7744 PH: (202) 698-2155 website: www.intellect-health.com email: [email protected] FAX: (202) 560-5119 FULL APPROVAL FULL APPROVAL PH: (202) 282-3143 FULL APPROVAL FAX: (202) 282-0012 Friendship Public Charter School (CNA) Opportunities Industrialization Center of FULL APPROVAL Carlos Rosario International Public Charter Collegiate Academy Washington DC (OIC DC) (HHA) School (CNA) 120 Q Street NE Suite 200 3016 Martin Luther King Jr. Avenue S.E Washington Training Institute (HHA) 514 V Street, NE Washington, DC 20002 Washington, DC 20032 6210 North Capitol Street NW Washington, DC 20002 email: [email protected] email: [email protected] Washington, DC 20011 email: [email protected] PH: (202) 281-1753 PH: (202) 373-0330 2004 Rhode Island Avenue NE PH: (202) 797-4700 FULL APPROVAL (202) 373-0336 Washington, DC 20018 FAX: (202) 232-6442 FULL APPROVAL email: [email protected] FULL APPROVAL HealthWrite Training Center (CNA/HHA) PH: (240) 460-7060 2025 Martin Luther King Jr. Avenue, SE. Total Healthcare Innovations (CNA/HHA) FAX: (202) 319-0048 Washington, DC. 20020 1805 Montana Avenue NE FULL APPROVAL email: www.healthwrite.org Washington, DC 20002 PH: (202) 678-7279 email: [email protected] FAX: (202) 678-7279 PH: (202) 747-3453/ 202 747-3455 FULL APPROVAL FAX: (202) 747-3481 FULL APPROVAL e-mail: [email protected] • web: http://doh.dc.gov/bon 17  Nursing Practice The Board’s authority to regulate Nursing Assistive Personnel (NAP) has resulted in an increased number of inquiries regarding the role of the licensed nurse in delegating tasks to NAPs. Below you will find guidance in making your decision regarding what and to whom to delegate. PLEASE NOTE: You must also be aware of the policies and procedures of the facility/agency for which you work. They may have specific requirements for frequency of supervision as well as requirements for what and when to document. D E L E G AT I O N DELEGATION: Transferring to a performed by an individual consistent Nurse Supervisors May Be Held competent individual the authority to with his/her licensed scope of practice. Liable For: perform a selected nursing task in a selected situation. It needs to be noted, assignment • Improper training differs from delegation in that assignment • Improper delegation ACCOUNTABILITY: Being responsible may only be made to another licensed • Improper assignments and answerable for actions or inactions of nurse who has a legally defined scope of • Inadequate supervision, and self and others in the context of delegation. practice. The assignment must be made to • Failure to take appropriate a nurse who is capable of accomplishing action DELEGATOR: The person who delegates the assigned activity as well as legally responsibility to another person. licensed to perform the activity. Nurses have the following options in the face of a DELEGATEE: The person who accepts Responsibilities of the professionally objectionable or receives delegation of a task or Delegating Nurse Include: assignment: responsibility. • Verify the competence of staff 1) Accept the assignment— SUPERVISION: The provision of guidance • Staff teaching however, this may leave the or direction, evaluation and follow-up by • Staff direction nurse open to civil liability the licensed nurse for accomplishment of • Ongoing evaluation of the acts of if a patient suffers an injury the work and the result client outcomes. individuals which stems from an act of • Rectifying any incompetent commission or omission How Does Delegation Differ actions of staff by the nurse or by another From Assignment? • Reassessing patients employee for whom the nurse • Taking responsibility for all is responsible. Furthermore, Assignment is the downward (i.e., from delegated tasks the nurse’s license may be a nursing supervisor to a staff nurse) or • Assuring accurate documentation jeopardized if he/she knowingly the lateral (i.e., from one staff nurse to accepts and misperforms a another) transfer of both the responsibility role beyond his/her level of and accountability of an activity from To Ensure Proper Delegation competence. one individual to another. The transfer must be made to an individual of skill, • Check the Nurse Practice Act to 2) Accept the assignment and knowledge and judgment and it must be learn what acts may be delegated file an appeal—this will not within the individual’s scope of practice. • Only delegated nursing acts to help if a problem occurs during According to the National Council of State individuals who are appropriately the course of the assignment— Boards of Nursing (1997), ASSIGNMENT trained however, it is always appropriate is designating nursing activities to be to document problems that 18 District of Columbia Nurse: Regulation • Education • Practice  occur as a result of an The Five Rights of Delegation The supervising nurse must: improper assignment— Right Task—One which may be personal diary, letter or delegated for a specific patient. • Know the expected method of memo to the appropriate In general, tasks that can be supervision—direct or indirect person, incident report, etc. delegated (assigned) are those: • Know the qualifications of NAP • Know the competencies of the 3) Reject the assignment— 1) Which frequently reoccur NAP this may cause problems in the day-to-day care of • Have specific information for the nurse who might be a patient/client about the tasks that have been charged with insubordination, delegated disciplined or even fired. 2) Which do not require • Monitor the performance of the nursing assessments, NAP nursing judgment • Obtain information from the Activities Which Should Not NAP and provide feedback Be Done By nAPs (NURSING 3) Which do not require • Intervene in the care being given ASSISTIVE PERSONNEL including complex and/or multi- by the NAP if necessary but not limited to CNAs, HHAs, dimensional application • Evaluate the client/patient’s etc.) include: of the nursing process condition and outcomes • Evaluate the performance of the 1) The initial nursing assessment 4) For which the results NAP. are predictable and the 2) Any subsequent assessment that potential risk is minimal; Continued on page 20 requires professional nursing and knowledge, judgment and skill EOE M/F/D/V 5) Which utilize a standard YOU make every 3) Establishing nursing diagnoses and unchanging moment matter to procedure. patients.... 4) Mutualization of care goals with That’s why YOU the patient/client Right Circumstances—Consider all matter to us.... relevant factors including such things As one of the largest nonprofit hospices in the nation, 5) Development of the nursing as the appropriateness of the patient we continue to grow, and invite passionate, clinically -expert professionals to join our team! plan of care setting and the available sources.  RN Case Managers 6) Evaluation of the client’s Right Person—Right person is  RN Coordinators progress in relation to the plan delegating the right task to be  Licensed Practical Nurses  Certified Nursing Assistants of care performed on the right person.  Nurse Practitioners You will have an extraordinary opportunity for 7) Any nursing intervention which Right Direction/Communication— impact. You can make a difference and be a part of a requires professional nursing Clear, concise description of the task, talented, highly effective team of professionals. knowledge, judgment, and including its objective limits and Opportunities in home-based hospice, palliative care and two inpatient centers are available NOW. skill—According to the ANA, expectations. Full-time, Part-time and PRN positions available in a nursing judgment is the Virginia, Maryland and Washington, DC! intellectual process that a nurse Right Supervision/Evaluation— Sign-On Bonus, extraordinary health benefits and paid exercises in forming an opinion Appropriate monitoring, evaluation, time off program available for part-time and full-time. and reaching a conclusion by intervention, as needed and www.capitalcaring.org/careers analyzing the evidence. feedback. e-mail: [email protected] • web: http://doh.dc.gov/bon 19  Nursing Practice After Delegating the Task, Have You: Monitored performance of the delegated nursing intervention? Verified that the delegated nursing intervention has been implemented? Evaluated the client’s response and the outcome of the delegated nursing intervention? Monitored the client’s condition? Assessed? The HSC Health Care System In recognition of National Home Care and Hospice Month, HSC Home Care, LLC and HSC Health & Residential Services Salutes all Home Care and Hospice Nurses! HSC Home Care, LLC, is a CHAP accredited Medicare/Medicaid home health agency located and licensed in the District of Columbia. Now also operating in Maryland as HSC Health & Residential Services, we provide focused, pediatric care services in the home to complex and medically fragile infants, children and young adults with disabilities. Learn more about our services and joining our health care team at www.hsc-homecare.org. HSC Home Care, LLC, a non-profit organization, is part of The HSC Health Care System, along with The HSC Pediatric Center and Health Care Services for Children with Special Needs, Inc. Its mission as a community health provider is to ensure access to quality rehabilitative and specialty services for children with disabilities and their families in their homes and community. HSC Health & Residential Services Provisional License R3528P 20 District of Columbia Nurse: Regulation • Education • Practice  DELEGATE DECISION TREE Is delegated task permissible by law? NO Do not delegate. YES Is the delegated task within the scope of the RN/LPN? NO Do not delegate. YES Has the nurse developed a plan of care and identified those NO Develop plan of care; identify interventions that can interventions that can be safely permitted by the NAP? be safely performed by a NAP YES Has the nurse selected and identified nursing interventions, NO Select and identify interventions appropriate to the which do not require NAP to exercise critical thinking and inde- skill level of the NAP pendent nursing judgment, which do not require either complex or multi-dimensional application of the nursing process? YES Has the nurse trained or assured that the NAP has been trained NO Train NAP to perform identified task. to perform the delegated task? YES Is the NAP competent to accept the delegation? NO YES Can the task be performed without requiring nursing judgment? NO YES Are the results of the task reasonably predictable? NO YES DO NOT DELEGATE. Can the task be safely performed according to policies and pro- NO Seek alternative ways to provide care needed. cedures established by the nurse administrator or supervisor? YES Can the task be performed without repeated nursing NO assessments? YES DELEGATE. e-mail: [email protected] • web: http://doh.dc.gov/bon 21  Nursing Practice Nurse Practitioner Autonomy Nurse Practitioners Slowly nurse practitioners to work without a high blood pressure and other Gain Autonomy: According to supervising physician (legal language chronic conditions,” said Melinda an article “Nurse Practitioners Slowly varies by state). Abrams of the Commonwealth Fund, Gain Autonomy” published in the You may keep up with current who was quoted in the article. Pew Charitable Trust’s Stateline state scope-of-practice law at: http:// Heavy educational debt was noted daily news service, the increasing www.ncsl.org/issues-research/health/ as a burden which motivates younger need for primary care practitioners scope-of-practice-legislation-tracking- physicians to move toward the higher- is motivating state-level officials to database.aspx paying specialty medicine and away look at “relaxing decades-old medical Read the article online at: www. from the lower-paying area of primary licensing restrictions, known as ‘scope pewstates.org/projects/stateline or care, which includes family practice, of practice’ laws that prevent these www.generationnp.com pediatrics and general internal nurse practitioners from playing a medicine. lead role in providing basic health The nurse practitioner will services.” see you now: The District of While the rural states were the Columbia is ahead of many states in Advanced Practice Providers first to push for NP autonomy, more the nation with regard to allowing • Nurse Practitioners (NP) states have seen such legislation APRNs to practice independently. In • Certified Nurse Midwives proposed since the passage of the District, Nurse Practitioners have (CNM) the Affordable Care Act. Recently, autonomy and prescriptive authority. • Certified Registered Nurse medical associations in Kentucky and The topic of nurse practitioner Anesthetists Connecticut successfully opposed autonomy was addressed on the • Clinical Nurse Specialists NP independence. However, as pages of Consumer Reports magazine • Physician Assistants (PA) older physicians retire and younger in a recent article entitled “The nurse • Podiatrists (DPM) physicians chose to pursue specialty practitioner will see you now.” • Clinical Psychologists medicine, there will be a gap in the There is a shortage of primary (PhD or PsyD) area of primary care. care practitioners, and that need will • Dietitians (RD) Those advocating NP autonomy become even more apparent once the • Pharmacists (PharmD) note that “family medicine has Affordable Care Act goes into effect: changed in the past 20 years… “We have about 30 primary-care Read the article online at: Doctors treated a wide variety of physicians per 100,000 people,” the http://www.consumerreports.org/ illnesses, set bones and performed article states. Consumer Reports noted cro/magazine/2013/08/the-nurse- minor surgery. Today, most spend the sharp increase in walk-in clinics practitioner-will-see-you-now/index. their days treating common colds, in recent years: “usage has almost htm managing diabetes, hypertension tripled since 2008.” These clinics are and other chronic diseases, and usually staffed by nurse practitioners. Nurse Practitioners Try diagnosing and referring patients “Nurses’ training might also make New Tack: An article entitled to specialists.” According to the them more qualified than doctors “Nurse Practitioners Try New Tack,” American Association of Nurse to handle aspects of care for certain published in the KAISER Health Practitioners, at least 17 states and problems, such as wound care for News, sheds light on the political the District of Columbia permit diabetics and helping people manage entities blocking Nurse Practitioner 22 District of Columbia Nurse: Regulation • Education • Practice  autonomy. Currently, most NPs the NP has a collaborative agreement. official declined to comment,” the cannot get on insurance companies’ In New Jersey, similar NP author noted. provider lists. “Despite laws in 17 legislation has also been thwarted. states [and DC] allowing them The article states: “Insurers’ practices Kaiser Health News is an to practice independently, nurse vary. The region’s biggest insurer, editorially independent program practitioners say some insurers … Independence Blue Cross, credentials of the Henry J. Kaiser Family restrict them mainly to rural areas,” nurse practitioners as primary care Foundation, a nonprofit, nonpartisan the author notes. providers when they work in nurse- health policy research and Insurance companies are more managed primary care practices or in communication organization not amenable to utilizing NPs who are retail clinics in drug or grocery stores. affiliated with Kaiser Permanente. part of a joint practice (“medical It plans to expand that soon to nurse Read the article online at: http://www. home”) made up of a mix of NPs, practitioners working for primary care philly.com/philly/health/healthcare- physicians, physician assistants and doctors.” exchange/20130908_Nurse_ other health care professionals, As a result of the opposition practitioners_try_new_tack.html) n who work as part of a team. from both insurance companies and Many insurance companies only physicians, NPs are hoping that allow nurses to bill directly if a they will be able to gain increased e d u c a t i nationwide collaborating physician is in that autonomy in the wake of the o n / e m p l o y m e n t April 2009 insurer’s network. new Affordable Care Act. More Physicians, in Pennsylvania Americans will be insured—there nationwide t l o y m e n for example, have lobbied against will be 30 million additional e d u c a t i o n / e m p Thin king AL Outside the Box: CATION legislation granting NP autonomy. patients seeking primary care MAKE YOU RUREDU COM TBINING CARING JO NEY SMAR AND TECHNOLOG Y OPO P "The nurse practitioners, as valuable providers. But “this will not happen FOR NURSING DEGREE HL AW HOLDERSRS and good as they are, do have limited if private insurers continue to WEST EDITION E D I T I O N 1 2 Reaching every nursing student/school in America training that is far less than that of exclude or restrict advanced-practice The Art and Science of Crafts SICAL TREATMENT OF PHYBILITIES a physician. Ideally, a physician-led registered nurses from their provider AND COGNITIVE DISA a 1 studenwt/school Ninu rAmeric se.com team approach is the way to go" networks,” said Karen Daley, nursing ww.Stu ER 2009 Reaching every SEPTEMB T I O N 1 3 E D I according to a quote from physician president of the American Nurses Free Subscription to Richard Schott, president of the Association. Pennsylvania Medical Society. " Many The article cites the Institute StuNurse magazine! physicians note that NPs are only of Medicine’s 2010 report which Do you know someone who is a essential in rural areas. However, advocates the removal of barriers student nurse, or someone Philadelphia Nurse Practitioner Jerry that prevent nurse practitioners considering a nursing career? Then let them know about the StuNurse Driscoll says: “If you can’t get out from making “full use of their magazine. A subscription to the of your house and down the steps, training.” StuNurse digital magazine is FREE and you are just as isolated in the city as The “new tack” alluded to, is can be reserved by visiting you are out in a farmhouse in a rural Nurse Practitioners’ effort to gain www.StuNurse.com and clicking on area.” He notes that the provider lists support from President Obama the Subscribe button at the upper of insurance companies do not list as the Affordable Care Act is right corner. Educators... let your students know they can subscribe NPs, only list physicians with whom implemented. “An administration free of charge! e-mail: [email protected] • web: http://doh.dc.gov/bon 23  Nursing Practice Home Health/Companion Workers to Get Minimum Wage and Overtime The United States Department of Companionship Services Changes from Prior Labor has issued a Final Rule concerning The term “companionship Regulations: pay for health care workers who care for services” means the provision (1) tasks of the elderly and those with disabilities. of fellowship and protection for “companionship A worker cannot be exempt from an elderly person or person with services” are more receiving minimum wage and overtime an illness, injury, or disability clearly defined; just because their job includes hours who requires assistance in caring (2) exemptions for spent offering simple fellowship, for himself or herself. Under companionship companionship and protection. If the Final Rule, “companionship services and live- the home health aide spends MORE services” also includes the in domestic service THAN 20 PERCENT of their total hours provision of “care” if the care employees are limited performing care (see box below), the is provided attendant to and in to the individual, worker is entitled to minimum wage conjunction with the provision family, or household and overtime. The Final Rule prohibits of fellowship and protection and using the services; “third party employers, such as home if it does not exceed 20 percent and care agencies, from claiming the of the total hours worked per (3) recordkeeping companionship or live-in exemptions. person and per workweek. requirements for The major effect of this Final Rule is that employers of live- more domestic service workers will be in employees are protected by the FLSA’s minimum wage What about the exception? revised. and overtime provisions.” The Final Rule The Companionship Services will be effective January 1, 2015. Exemption is not applicable when the employee spends more than 20 percent of his or her The Fair Labor Standards Act Care = workweek performing care; in (FLSA) was passed in 1938 to Activities of Daily Living such workweeks, the employee is provide minimum wage and overtime • Dressing entitled to minimum wage and protections for workers. • Grooming overtime. • Meal Preparation • Feeding • Bathing For more information, go online: • Toileting • Transferring http://www.dol.gov/whd/homecare/workers-what-are-protections.htm • Driving • Light housework http://www.dol.gov/whd/regs/compliance/whdfsFinalRule.htm. • Managing finances • Assistance with taking http://www.wagehour.dol.gov medications • Arranging medical care Or call toll-free helpline 1-866-4USWAGE (1-866-487-9243). 24 District of Columbia Nurse: Regulation • Education • Practice  Nursing Assistive Personnel Update Home Health Aides—where (b) Completion of practical (b) The applicant’s ability are we now? nursing or registered nursing to perform skills listed “Fundamentals of Nursing”; in § 9327.2 (letter from 8,000 HHA applications or employer certifying ability). have been approved; 1500 HHA applications are pending. (c) CGFNS certificate indicating education as RN or LPN TESTING SITES EXPANDED within the past 36 months. FOR HOME HEALTH AIDES & What about applicants who TRAINED MEDICATION AIDES have not completed the CERTIFICATION BY process? ENDORSEMENT Examination locations have been expanded to include locations in An applicant for endorsement as Maryland and Virginia. This should We are closing applications of an HHA shall provide proof of the allow persons to be able to take the persons who have not completed the following: examinations sooner. n application process; their status will read “closed” instead of “pending.” (a) Current certification as an HHA or similar title and duties; or May these applicants reapply? Once their application is closed, if they meet the requirements, they can reapply by examination or endorsement. (See regulatory requirements below.) Reapply by Examination or Director of Nursing Endorsement Volunteers of America Chesapeake, Inc. is a faith-based, non-profit organization whose mission is to inspire self-reliance, dignity and hope through health and human service. CERTIFICATION BY We are looking for a highly qualified Director of Nursing that will provide program support, direction, and provide EXAMINATION supervision to all nursing staff; works in coordination with the Medical Director on providing additional medical oversight and review. Ensure competency among all nursing staff through the development of training schedules and materials with a focus on nursing best practice models as well as promoting the health and wellness standards. This To qualify for certification by position Supervises nursing staff in scattered community group home sites in a non institution setting; Excellent time examination, an applicant shall management and prioritiza-tion skills is essential to effectively balance field work and administrative duties. provide proof of one (1) of the following: The qualified candidate will have graduated from an accredited school of nursing and registration and license (RN) to practice nursing in the District of Columbia with a minimum of at least 3 years of clinical experience working with persons with medical and health needs. Experience working with Individuals with disabilities is highly desir-able. (a) Successful completion Experience working in the ICF Model of services is preferred as well as a minimum of at least 3 years of experience of a home health aide working in a capacity of supervising other nurses. Reasonable accommodations may be made to enable individuals program, approved by with disabilities to perform the essential functions. the Board or by a nursing To Apply: Please send your resumes/ CV and cover letter with salary requirement to Connie Price, State Director of board in the United States District of Columbia Programs, Intellectual Disability Division at [email protected] or fax 301.298.5509. with standards determined by the Board to be Volunteers of America Chesapeake, Inc. is an Equal Opportunity and Affirmative Action Employer. It is our policy that we will not discriminate against any person based on race, color, religion, sex, national origin, ancestry, disability or substantially equivalent veteran status. We provide a drug-free and harassment-free workplace for all employees. to the standards in the District; or e-mail: [email protected] • web: http://doh.dc.gov/bon 25  Nursing Practice KudOs! Congratulations to Division of Long Term Care Nurses DC Nurses Take the Lead in Overhaul of the assessment will in no way affect Delmarva will now perform face-to-face of Day Care their eligibility for services (i.e., their assessments independent of the provider After her team visited several day eligibility for services will not be so as to avoid any conflict of interest, care centers in the District and met with reassessed at this time using this tool). to allow bundling of like services and stakeholders, Department of Health Care Currently, the providers of these various to ensure the beneficiary is receiving Finance (DHCF) Medicaid Director/ services perform all evaluation services services consistent with needs and Senior Deputy Director Linda Elam, to ascertain the beneficiary’s needs. preferences. PhD, MPH, issued a mandate to Health Care Policy and Planning Director Claudia Schlosberg, JD, and her Assistant Director Katherine Rogers, PhD, to overhaul the Day Care Program in the District. Subsequently, Yvonne Iscandari, Director of Division Long Term Care (DLTC), and her assistant Chai Williams, created a plan for the overhaul, utilizing the expertise of registered nurses. DLTC nurses with the DHCF Policies Department are currently testing and validating a new assessment tool that will impact and change how services will be delivered in the District. This validating and testing of the assessment tool will impact all DC Medicaid beneficiaries that are receiving and will receive Home and Community Based Services populations (HCBS). The recommended sample is a minimum 574-person, stratified proportional bases on four subgroups (strata) of LTSS user. Claims were used for the random sample. During the testing and validation phase, individuals Left to right: Phurbu McAlister, RN; Mariam E. Kanu, RN; Maria Sesay, RN; Falmata Binta Bah, RN; Camille Fountain, RN; Nenna Nnadili, RN; Amrill Savary, RN; seated: Kathleen (Medicaid beneficiaries sampled from Rogers, PHD, Assistant Director of Healthcare Policy and Planning; Pamela L. Hodge, RN, LTC users in FY12) will be assessed Management Analysis; and Claudia Schlosberg, JD Director of HealthCare Policy and using the tool, though the outcomes Planning. 26 District of Columbia Nurse: Regulation • Education • Practice  KudOs! Congratulations to Gretchen Brandon, MSN, NNP-BC, NE-BC, who has been appointed to serve as AANP Washington DC State Representative by the American Association of Nurse Practitioners (AANP). This is a one-year In September 2013, ten Georgetown University (GU) nursing students, who were interning appointment. for the semester at the DOH Community Health Administration (CHA), met with Board of Congratulations to Allison Nursing staff to learn more about the licensure process and the Board’s role and functions. Armstrong, RN, who has been selected The students spoke with Board Executive Director Karen Scipio-Skinner, MSN, RN (above), as well as BON staff members Felicia Stokes, BSN, JD, and Bonita Jenkins, EdD, RN, CNE. Also in as a member of the 2013 RN Practice attendance was GU Adjunct Instructor Lorraine C. Spencer, Preceptor for the nursing students, Analysis Expert panel which is scheduled and CHA Program Coordinator Angela Carole. The students are enrolled in Georgetown’s for November 4-6, 2013. accelerated nursing program. “Nurse Spencer expressed that this was a unique experience” for the students, according to Ms. Carole. Board Member Speaks at Board of Medicine Workforce Symposium at George Washington University Board of Nursing Member Sukhjit “Simmy” Randhawa, DNP, MBA, MS, RN, NE-BC, CPN, represented the Nursing Board and shared the results of our workplace survey (survey results are in Ms. Randhawa participated in the symposium panel discussion on the future healthcare workforce FEBRUARY 2013 issue of DC NURSE). needs of the District. e-mail: [email protected] • web: http://doh.dc.gov/bon 27  Nursing Practice Congratulations the Ottamissiah “Missy” Moore, BS, LPN, WCC, CLNI, GC, CHPLN, who KudOs! has been selected to receive the 2014 Certified Hospice and Palliative Licensed Nurse (CHPLN®) of the Year Award. This has been awarded by the National Board for Certification of Hospice and Palliative Nurses (NBCHPN). We would also like to congratulate Missy for her participation in Wild on Wounds (see photo). Interview with Missy Moore on Wild on Wounds Conference What is this event? The event was called the Wild on Wounds Conference. It is a yearly wound event held for wound care professionals. What was the significance of the event? It is an opportunity for wound care professionals of all disciplines to get together to discuss and review Board member Ottamissiah Moore. best wound practices, research, skills and product information. Did you have to apply to participate? I submitted an abstract on the survey results from the 2013 DC Board of Nursing Wound program. What information did your poster provide? The poster provided details of the knowledge of regarding support surfaces in pressure ulcer prevention. Who did you survey, and why did you chose to survey that group of people? The survey was provided to the participants of the 2013 DC Board of Nursing Wound Care program. This group of individuals was chosen because they have an interest in wound care, provide wound care or may write policies, procedures or processes. What did your survey results show? The results of the survey showed that additional information, education and training needs to be provided on the topic of support surfaces. 96% of the people surveyed felt they needed more education and training. What did you find rewarding about doing the survey? The opportunity to have the wound care professionals from our area participate in areas of research. What did you find rewarding about doing the poster event? The reward is having data to review to prepare for future trainings. Also, to try my hand at research as an LPN. 28 District of Columbia Nurse: Regulation • Education • Practice  Nurse Imposter Warning If you have any knowledge or information regarding the employment practices of the following individual, please contact the Board of Nursing, (202) 724-8800. Taiwo Sobamowe came to the attention of the Department of Health when she secured employment as a Registered Nurse (RN) with a District of Columbia facility. Ms. Sobamowe provided credentials under a different name, for a Registered Nurse licensed in the District of Columbia, for the purposes of employment. Upon investigation, the Department of Health was unable to find any evidence of licensure and determined that Ms. Sobamowe was not licensed as a RN in DC or anywhere else in the United States. Ms. Sobamowe surrendered her employer identification. The facility notified the Metropolitan Police Department. This individual is using a legitimate license number, but the name on the license is not hers. Please contact the Metropolitan Police Department and the Board of Nursing if she applies for a job at your facility. n Boards Seeking to Fill Vacancies The Board of Nursing Home Administration is seeking to fill the following vacancies: • 2 Nursing Home Administrators licensed in the District • 1 Educator from an institution of higher learning engaged in teaching health care administration • 1 Physician or Osteopath licensed in the District who has a demonstrated interest in long-term • 1 Consumer Member The Board of Nursing is seeking to fill the following vacancies: • RN Member who lives in the District • LPN Member who lives in the District • Consumer Member who lives in the District Please contact: Office of Boards and Commissions 1350 Pennsylvania Avenue, NW, Suite 302, Washington, DC 20004 Phone: (202) 727-1372 Fax: (202) 727-2359 TTY: 711 Email: [email protected] Web: http://obc.dc.gov/ All Board appointees must live in the District. e-mail: [email protected] • web: http://doh.dc.gov/bon 29  Board Disciplinary Actions NAME LICENSE # ACTION Nursing Staffing Kathy McCormick RN1006198 Suspended Agencies Janie Herring-Long RN50722 Suspension Order terminated Aburro Staffing - Revoked Senora Seaborne RN65516 Summarily Suspended AEF Comfort Nursing Care - Revoked Names and license numbers are published as a means of protecting the public safety, health and welfare. Only Final Decisions are published. Final Orders and the Certified Franka Blossom - Revoked Nurse Aide Abuse Registry can be assessed by going to http://doh.dc.gov. Dedicated Care - Revoked Prime Consulting - Revoked Non-Public Disciplinary Actions: Public vs. Non-Public Discipline Referrals to COIN 2 Notice of Intent to Discipline 10 Public Discipline: Disciplinary actions that are reported to Nursys, National Practitioner’s Data Bank and viewed in DC NURSE and at http://app.hpla.doh.dc.gov/ Consent Orders 9 weblookup/. Requests to Withdraw 5 Fitness to Practice 1 Non-Public Discipline: Disciplinary actions that constitute an agreement between the Requests to Surrender 0 Board and the licensee and, if complied, are not made public. Letters of Concern 0 License denied 0 A m e m b e r o f N u r s e s S e r v i c e O r g a n i z a t i o n ( N S O**) Targeted Networking ** N S O m a y c o v e r m o s t o f y o u r a t t o r n e y f e e s . 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EEO/AA EMPLOYER. e-mail: [email protected] • web: http://doh.dc.gov/bon 31 DC Board of Nursing 899 North Capitol Street NE Presorted Standard First Floor U.S. Postage Paid Little Rock, AR Washington, DC 20002 Permit No. 1884 MedStar Georgetown University Hospital As one of the nation’s leading academic teaching and research hospitals, MedStar As Washington, DC’s first Georgetown University Hospital provides unique opportunities for experienced Magnet® hospital and one of nurses who are looking to take their careers to the next level. Currently, we have the few hospitals to receive openings in many of our units including: Magnet re-designation, • MedStar Georgetown’s Neurosciences Department treats some of the MedStar Georgetown University region’s most complex cases of stroke, aneurysm, epilepsy and cancer, as well Hospital offers a unique as disorders of the brain and spine. environment in which to develop your nursing career. For more • Case Management monitors the care and services delivered to patients during the acute hospital stay, promotes effective utilization of resources, and assumes information, please contact a leadership role with the interdisciplinary team to achieve optimal clinical and Nurse Recruitment at resource outcomes for the acute and post-hospital phases of care. 202-444-1215 or visit www.medstargeorgetown.org/ • Operating Room (23 Suites) – Our OR provides a comprehensive range of nursing surgical services, including Robotics, Transplant/Vascular Surgery, Pediatrics, General Surgery/Thoracic, Neurosurgery and Orthopaedics. • Lombardi Comprehensive Cancer Center is the only National Cancer Institute- designated “comprehensive cancer center” in the Washington, DC area. • MedStar Georgetown Transplant Institute is a national leader in the treatment of advanced liver disease, intestinal disorders, chronic kidney disease and complications of diabetes. An equal opportunity employer