NURSE Volume 11 Number 2 DISTRICT OF COLUMBIA August 2014 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 DC Nurse is “Going Green” • Expansion of Renewal Period for Nurses Government of the District of Columbia • Three Phases of the Licensure Renewal Vincent C. Gray, Mayor Process 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  JOIN OUR TEAM WVU Hospitals, West Virginia’s only Magnet recognized hospital, is currently looking for RN’s in all specialties and various levels of experience. We have full-time, part-time, casual, and per diem positions available. We offer a great benefits package that includes: • Competitve Pay • Medical/Dental/Vision • Insurance • Shift Differentials • Tuition Assistance/Nursing Certifications • RN CEUs Offered On-site • Holiday Pay and Paid Days Off • Retirement Savings Plan Apply online by visiting wvuhealthcare.com/wvuh/Content/Careers/Join-our-Team WVU Hospitals is a 531-bed, progressive teaching hospital and Level 1 Trauma center located in Morgantown. WVUH is dedicated to providing the highest quality of patient care and creating a positive work environment. Human Resources Department • Medical Center Drive • PO Box 8121 • Morgantown, WV 26506-8121 Phone: 304-598-4075 or 1-800-453-5708 • Fax: 304-598-4264 • E-mail: [email protected] EEO M/F/V/D 2 District of Columbia Nurse: Regulation • Education • Practice Districtof c o n t e n t s Columbia NURSE Message from the Chair 4 DC Nurse is “Going Green”! 4 Director, Department of Health Edition 41 R e g ulation Joxel Garcia, MD, MBA Expansion of Renewal Period for Licensed Nurses 5 B oard M embers Cathy A. Borris-Hale, RN, MHA, BSN Continuing Education Audit 5 Chairperson Speakers Wanted! 5 Simmy Randhawa DNP, MBA, MS, RN, NE-BC Vice Chairperson Prescription Fraud Reporting Website 6 Toni A. Eason, DNP, MS, APHN-BC, COHN-S Mary Ellen R. Husted, RN, BSN, OCN IN THE KNOW 7 Rev. Mary E. Ivey, D-Min Vera Waltman Mayer, JD Three Phases of the Licensure Application Process 10 Ottamissiah Moore, BS, LPN, WCC, CLNI, GC, CHPLN Coin Consult 11 Chioma Nwachukwu, DNP, PHNCNS-BC, RN Mami Preston, RN Drug Harm Reduction Strategies 11 Winslow B. Woodland, RN, MSN NAP NEWS! 12 O ffice L ocation T ele p hone N umber Apply to Serve on NAP Advisory Committee 13 DC Board of Nursing 899 North Capitol St. NE Washington, D.C. 20002 NAP Advisory Committee Applicaton 14 E-mail: [email protected] NAP NEWS! Focus on Education 15 Phone: (877) 672-2174 Phone: (202) 724-4900 Important Notice for Home Health Agencies 16 Fax: (202) 724-8677 Web site: http://doh.dc.gov/bon DOH Director Speaks to Board about MERS 17 O ffice H ours Monday thru Friday: 8:15 a.m.-4:45 p.m. E ducation B oard S taff NCSBN News 18 Karen Scipio-Skinner, MSN, RN Executive Director Nursing Schools/CNA & HHA Programs 19 Concheeta Wright, BSN, RN Nurse Consultant/Practice/COIN Bonita Jenkins, EdD, RN, CNE Practice Nurse Specialist/Education Felicia Stokes, BSN, JD DC Councilmember Yvette Alexander Salutes Nursing 20 Nurse Consultant/Discipline Evaluation of Patients Suspected of Having Ebola Virus Disease 22 Health Licensing Specialists: Donna Harris, BSHA CE Program on Wound Assessment and Support Surfaces 24 Melondy Scott Gwyn Jackson Kudos! 26 Nicole Scott Tanee Atwell, BS Board Disiplinary Action 32 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 pcipublishing.com continuing education of nursing personnel.” Created by Publishing Concepts, Inc. Circulation includes over 37,000 licensed nurses, nursing home administrators, David Brown, President • [email protected] nurse staffing agencies and nursing assistive personnel 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 Welcome to the August edition Renewal PERIOD Begins in (TMEs) of DC NURSE. Many exciting January and Home changes are happening that Please take note of the short Health Aides I would like to bring to your article on page 5—the Board has (HHAs)/ attention: approved the expansion of the Personal licensure period for nurses. The Care Aides GOING GREEN licensure period will be expanded (PCAs). In DC NURSE is “Going Green”! (for RNs and LPNs) and will now the coming As part of a Going Green begin on January 1st and end on months, Cathy Borris-Hale, RN, MHA, BSN initiative toward becoming more June 30 th. Licensees will have an regulations environmentally friendly, we will additional 3 months to renew. will be issued be mailing a reduced number for: Certified Nursing Assistants of printed copies, in batches to NAP NEWS (CNAs); Patient Care Technicians locations such as health care I would like to draw your (PCTs); Medication Aides (MA-C); facilities, community agencies attention to our new DC NURSE and Dialysis Technicians (DTs). and nursing programs. You will column, “NAP NEWS!”. NAP We are pleased to welcome our receive an electronic version of NEWS! will focus on issues of NAP readers, and hope to foster this publication that will be sent particular interest to Nursing an open line of communication to your designated email address. Assistive Personnel (NAPs), their so that NAPs and their employers You will no longer receive this employers, supervising nurses are clear about their role in health publication at home—so please be and training programs. The Board care delivery in the District of sure we have your current email currently regulates NAPs who are Columbia, and aware of the address. Trained Medication Employees requirements that these new regulations will outline. CRIMINAL BACKGROUND CHECK 2015 Be aware that the time has come for the quadrennial criminal background A PROUD TRADITION check (fingerprint) process mandated by DC law for DC health care Please continue to read DC professionals. All health professionals licensed in the District Columbia are NURSE and share the information required to obtain a fingerprint-based criminal background check every four (4) that it provides with your years per District of Columbia Municipal Regulation Title 17 § 8501.5. colleagues. In order to maintain an active license, you are required to be fingerprinted As nurses in the District, we are again and to obtain a new criminal background check within four (4) years part of a wonderful tradition of from the date of your previous background check. service. As Councilmember Yvette Alexander has noted (see page 24): To complete your criminal background check, please contact MorphoTrust “Nurses are the frontline and the at http://www.l1enrollment.com or (877) 783-4187 to schedule your live-scan backbone of health outcomes in (fingerprinting)Failure to complete the background check can result in loss of this city.” licensure status. We are a vital part of this city, and it is up to us to ensure that excellence in nursing remains our mission and our goal. n DC Nurse is “going Green”! Cathy Borris-Hale, RN, MHA, BSN The magazine will be emailed to licensees, so please be sure we have your current Chairperson, DC Board of Nursing email address. Send your updated email address to [email protected]. Also, if your facility is interested in receiving DC NURSE, please contact [email protected] 4 District of Columbia Nurse: Regulation • Education • Practice Regulation Expansion Of Renewal Period For Licensed Nurses January 1st - June 30th The Board of Nursing has approved Beginning 2015, the licensure period extended period will give licensees an the expansion of the licensure period will be expanded and will begin additional 3 months to renew their for its licensees. Traditionally, the January 1st and end June 30th (odd- license prior to the expiration of their licensure period for nurses has begun numbered years for LPNs and even- license. n April 1st and ended June 30th. numbered years for RN/APRNs). The Board of Nursing’s 2014 Continuing Education (CE) Audit For Registered Nurses, Advanced Practice Registered Nurses The Board of Nursing’s Continuing Education (CE) Audit for RNs and APRNs began March 2014, prior to the 2014 renewal period. As of the date this publication went to press, we had not received a response to the Board’s request from the persons listed below. If your name appears on the list of RN/APRNs below, YOUR LICENSE WILL NOT BE RENEWED until you: • Provide documentation of meeting Continuing Education Requirements during the timeframe of July 1, 2012 – June 30, 2014; OR • Complete the Negotiated Settlement Agreement that will be sent to the address on file. CRUMBLEY, IAN G RN964453 EGWUAGU-NDUBISI, CHINWE N. NP RN56166 ENO, BRENDA E RN1016390 FERRARA, ANDREA L. RN963856 IMPERIO, AIDA A RN56691 KENSIE, WENDY L RN36456 SAI, STEPHANIE T. RN1007173 SPRAGGINS, CRYSTAL N RN1015759 If you have any questions or need additional information, please feel free to send an email to [email protected]. n Speakers Wanted! Board of Nursing Speakers Bureau Do you love to share your knowledge of nursing and healthcare? Are you an RN or Healthcare Professional with excellent speaking skills and knowledgeable in any of the topics below? Continuing Education topics: • Faculty Development • Professional Ethics • Risk Management • Patient Safety and Quality • Wound Care • Delegation • RN Physical Assessment - Update • Preventing Patient Abuse Join our Speakers Bureau for Board-sponsored continuing education programs. Please email your resume/CV to Dr. Bonita Jenkins at [email protected]. n e-mail: [email protected] • web: http://doh.dc.gov/bon 5  Re g u l a t i o n HRLA’s Pharmaceutical Control Division Launches Prescription Fraud Reporting Website In an effort to tackle prescription Prescription drug abuse has risen drug abuse, the DC Department to historic high levels across the of Health, Health Regulation and United States, and this includes the The HRLA website Licensing Administration (HRLA), District of Columbia. With this rise includes links to Pharmaceutical Control Division come many methods of obtaining documents to report (PCD) has developed and launched prescription drugs for abuse. Some fraudulent prescriptions, a website for ‘Prescription Fraud of these drugs are obtained legally tips for safeguarding Reporting’ - to report lost, stolen, and for a legitimate purpose, and then prescriptions and fraudulent prescriptions (website: used in a manner inconsistent with http://doh.dc.gov/page/prescription- the intended purpose. This method helpful resources for fraud-reporting). This method will for abuse of prescription drugs is prescribers, pharmacists provide an accessible way for licensed not something that can be easily and other health care practitioners and pharmacies to controlled. The other method of professionals notify HRLA of incidents of fraudulent obtaining prescription drugs for prescriptions. The HRLA website abuse is through diversion by theft includes links to documents to report or fraud, which can be controlled to fraudulent prescriptions, tips for some degree. The website includes links to safeguarding prescriptions and helpful In an effort to track, monitor, documents to report fraudulent resources for prescribers, pharmacists and curtail prescription fraud, the prescriptions, tips for safeguarding and other health care professionals. District of Columbia Department prescriptions and helpful resources This brings us one step closer to of Health, Pharmaceutical Control for prescribers, pharmacists and tackling a pervasive public health Division (PCD) has developed a other health care professionals. problem. The link can be found on the method for reporting lost, stolen, The link can be found on the HRLA/Pharmaceutical Control Division and fraudulent prescriptions. This Pharmaceutical Control Division website (http://doh.dc.gov/pcd) or method will provide a convenient website (http://doh.dc.gov/pcd) or you may access it directly at http:// way for licensed practitioners and you may access it directly at http:// doh.dc.gov/page/prescription-fraud- pharmacies to notify PCD of those doh.dc.gov/page/prescription- reporting incidents of fraudulent prescriptions. fraud-reporting HRLA Deputy Director Salutes Nursing Health Regulation and Licensing Administration (HRLA) Senior Deputy Director Rikin Mehta, PharmD, JD, LLM, (center) salutes nursing during 2014 National Nurses Week by meeting with nurses of the administration to convey his gratitude for their dedicated service to the DOH and their dedication to protecting the public. 6 District of Columbia Nurse: Regulation • Education • Practice IN THE KNOW The Board of Nursing has established the “In The Know” column in response to the many phone calls and e-mails the Board receives regarding licensure and other issues. The Board often receives multiple inquiries regarding the same topic. Please share this column with your colleagues and urge them to read it. The more nurses are aware of the answers to these frequently asked questions, the less our resources will have to be used to address duplicate questions. CNA CEUs Q : A nursing assistant terminated from our organization came to my office yesterday to sign her nursing HHA Exam Translation Q : Is the DC Home Health Aide Board Exam offered in Spanish? Q : Can you tell me what the process will be? I assume the student must pass the skills exam and then goes on to assistant certification renewal form. The problem is she has not completed the number of hours she needs for her CEUs: A : Yes, the HHA examination is now offered in Spanish. It is offered as an oral examination. take the written exam. Is this correct? A : Both written and skills tests are given during the same day. The she has 2 CEUs, not the required 12 student takes the written exam and then hours of CEUs. I am therefore reluctant HHA BRIDGE FOR MARYLAND CNAs the skills exam. Once they complete both, to sign the form. Please advise me as to what I need to communicate to this nursing assistant. Q Aide? : Are Maryland CNAs eligible to take the Bridge Program to Home Health they are informed whether or not they passed. A : Advise her to complete the required CEUs/in-service requirements. CNAs are required to complete 12 CEUs or In- A : Maryland CNAs are eligible to take the HHA Bridge Course and take the HHA examination. HHA Certification Process Q : On-going, what is the process once our students complete the service hours each year. The “HHA Bridge” course provides course? In the past they first applied to Here is a link to the website which lists CNAs with content focusing on the role and the Board, and once their applications continuing education courses for CNAs. specific skills needed for HHA to provide were accepted, they would receive a They can now go to CE Broker to select care in the home-setting. (Please note: A letter from the Board and then we would continuing education courses (to access “CNA Bridge” Course is offered to HHA schedule the exam and fingerprinting. go to www.cebroker.com—click “Course focusing on the role and specific skills Will this change with the new process? Search”; select “Regulating Entity” – DC Department of Health; “Select profession”—CNA). needed to provide care in a long term care setting.) Maryland CNAs (persons who have A : This process was changed in July 2014. The applicant will not apply to the Board for certification until they pass not taken and passed the nursing assistant the HHA examination. They will submit HHA CBC certification examination) would be their exam application to the Red Cross. Q : We require all Home Health Aides to get a police clearance every year. As you already know, they now get a required to take both the skills and written HHA examination. Maryland GNA (persons who have passed the nursing Once they pass the examination they will submit their application to the Board for certification and get fingerprinted. background check done by MorphoTrust. assistant certification examination) will Many aides have questioned why they only be required to take the written HHA HHAs Traveling with Clients still need to do the police clearance since they now get cleared through the background check. examination. HHA Exam Process Q : We had no idea Home Health Aides were not allowed to travel to Maryland. The entire medical team A : Background checks (fingerprinting) are not required for certification Q : How will the written HHA exam be scheduled? is at Johns Hopkins. There has to be something I am missing. every year, but if an employer wants their personnel to have a yearly police clearance they can do so. Background A : Both written and skills testing will be scheduled at the same time. Persons interested may contact the Red Cross at A : As long as the trip out of the District is for a medical appointment, the aide can accompany checks are currently required every 4 years (888) 399-7729. The applicant will be given the client. This is the position of the for the purpose of certification. test taking instructions. Continued on page 8 e-mail: [email protected] • web: http://doh.dc.gov/bon 7  Re g u l a t i o n Continued from page 7 Type 1 diabetes, insulin dependent. If I do compliance with the facility’s policies and not receive insulin, I die. That would impair procedures. If your policy is more stringent, Department of Health Care Finance. In my ability to function as a nurse. I have the surveyors will follow that practice for addition, the Maryland Board of Nursing had diabetes for 42 years. I am a diabetes their review. does permit CNAs, LPNs, and RNs to educator and nursing supervisor. I wear an escort patients from another state to insulin pump. My last A1C was 7.1%. I see Stats medical appointments in Maryland. HHA Agency Exam Payments an endocrinologist regularly. Please contact me directly if this affects my ability to renew my license. Q : Can you tell me the number of RNs and LPNs licensed in DC and the number living in DC? Q : We have collected fees upfront to cover the cost of the exam, Board certification, and fingerprinting. Is there A : We appreciate your candid response. The answer is: No. Your medical condition does not impact your license A : Active RNs 23,600 any way that we can use our company’s renewal. RNs with DC addresses 2,600 credit card to pay for the testing? It will be a nightmare for our finance person to have APRN License Required Active LPNs 2,800 to cut individual checks for the students that are waiting to be tested. Q : When an APRN applies for an APRN position, is it the responsibility LPNs with DC addresses 450 A : You would need to contact PearsonVUE at (888) 274-6060 and request vouchers. You can pay for as many of the applicant or the employer to know that practicing in DC requires an APRN license? APPLICATION PROCESS Q : I would like to share my experiences and frustrations related to attempting students as you like using a credit card. You will give the student the voucher to submit to the Red Cross when they apply for testing. A : They both should know. A nurse should know that they have to be licensed in the jurisdiction in which they to obtain a nursing license in the District of Columbia. The employees in the Health Professions Licensing Administration found work in order to practice. Likewise, the my concerns to be amusing or apathy- TMEs in the Community facility, especially human resources, should inducing, although I found them to be Q : My nurses and DON are saying that a TME cannot carry medications around and dispense in the community. I do know the licensure requirements. Both can be penalized—the nurse for practicing without a license and the facility for neither. For whatever reason, the District of Columbia does not participate in the not see why meds, packed by the pharmacy allowing the nurse to work before being Nursing Licensure Compact, although both in whatever form necessary (and in a locked licensed. Virginia and Maryland do. That means container if necessary) cannot accompany that the angst I went through to get those the person into the community then a TME Licenses in Personnel Files licenses does not facilitate my obtaining a dispenses. Clearly this has to be done on a daily basis, based on the attendance of the person to the community program. I know Q : Do long-term care surveyors require that we have a copy of a license, with a picture on it, in our personnel records? license to practice in the District. I had to pay an additional $30 to have my licenses verified again through nursys.com, and said there are others providing community-based day services, and TMEs are dispensing meds. A : The Department of Health’s Health Regulation and Licensing verification sent to the Health Professions Licensing Administration. Another $50 to A : TMEs can administer medications to Department on Disability Services clients in a community setting, given Administration Health Care Facilities Division has not required or cited any provider for not having copies of original the American Nurses Credentialing Center to verify my advanced practice certification verified and an email sent to [Board the parameters you have described; the licenses with pictures since the automation staff members] [email protected] and medication must be properly labeled for the of licenses on the DOH website, www. [email protected]. An additional client and packaged. doh.dc.gov. The employer has the option $375 to APPLY for licensure in the District of maintaining the printed document of of Columbia. If that is not enough, and RN Ability to Perform an individual’s license verification from from my perspective, it is, there is the inane Q : I just renewed my DC license online. I replied “Yes” to the question about a physical condition that, if not treated, could the DOH website or a copy of the original.  Most importantly, the facility must have its own policies and procedures for personnel situation that has been devised for the criminal background check. I completely understand the need to impair my ability to perform my job. I have record practices. The surveyors will verify protect the public from incompetent and 8 District of Columbia Nurse: Regulation • Education • Practice unscrupulous healthcare providers. In fact, proprietary entities. of the compact because of the “licensure I endorse that laudable goal. The Health If the District of Columbia has enough where you live” requirement. Of DC’s Professions Licensing Administration, nurses that they do not need applicants 20,000 RN/APRNs, a little over 2,000 however, has designed a system that has from other states, great. The District live in DC. We would lose revenue from less to do with protecting the public fortunate indeed, as just about every place 18,000 licensee but still be required to and more to do with seeing how adept else is experiencing a nursing shortage. maintain the same board functions. We healthcare providers are at jumping over If, on the other hand, the District is cannot afford that monetary loss. But, the hurdles. The criminal background check actually interested in employing nurses Board has been working with other boards can be accomplished in one of three ways and advanced practice nurses who are of nursing to find a viable option. - go through a proprietary agency that has licensed in other jurisdictions, you may Licensure verification is available for offices in Baltimore or Hagerstown, that want to consider some commonsense the board to whom you have submitted are only open Monday through Friday, 9a revisions to the process of obtaining an application. It is therefore required - 3p and charge $50; go to an office of the a license. Participating in the nursing each time you apply to a board for initial Metropolitan Police Department that is licensure compact would be a good licensure. The same is true for APRN open Monday through Friday, 9a - 5p, or start. Contracting with a criminal certification, it needs to be verified by send a notarized letter (which, of course, background clearance agency that is user- our Board. We don’t have access to requires taking time away from work friendly is another possibility. Accepting information that has been provided to to go to a notary) to the Metropolitan documentation from other proprietary another board. Police Department and wait 6 weeks. The background clearance agencies is yet Criminal background check common theme here is that if one works another option. information can only be shared with the during the week, as I do, the only way In the meantime, I’m not going to be agency/board requesting the information. to have a criminal background clearance acting on that job offer in the District of Even though you have had previous CBCs completed is to take time off from work. Columbia for quite some time. I have to the results cannot be made available to This would not be quite so irritating accrue some more vacation time that I am others. had I not already had two FBI criminal willing to use for the purpose of either While I do understand that this background checks completed in the past tracking down a notary or taking a day trip explanation does not make the process 20 months, once for my position in the to MPDC headquarters. any easier, I do want you to know that the federal government, and once for my licensure requirements are not arbitrary. Maryland nursing license. Maryland also uses a proprietary company to mediate their FBI criminal background checks, A : Thank you for taking the time to share your experiences with our application process. While my clarification Readers, please see “BON Licensure Application Process” on page 10. n that also has offices across the country, of the process will not make it any easier. I Correction: In our April 2014 issue, but is not the same one that the District of would like to explain our licensure process we incorrectly spelled the name of Columbia uses, and neither jurisdiction and the reason for our requirements. physician Jehan El-Bayoumi, MD. We will accept the other’s clearance, although First, why isn’t DC part of the licensure apologize to Dr. El-Bayoumi for this they are both FBI clearances obtained by compact? DC is unable to be a member error. BOARD OF NURSING MEETINGS Members of the public are invited to attend... Date: *First Wednesday of every other month. To confirm meeting date and time, call (202) 724-8800. Time: 9:30 a.m - 11:30 a.m. September 4, 2014 Location: November 6, 2014 2nd Floor Board Room January 7, 2015 899 North Capitol St NE March 4, 2015 Washington, D.C. 20002 Transportation: *Please note new schedule Closest Metro station is Union Station. e-mail: [email protected] • web: http://doh.dc.gov/bon 9  Re g u l a t i o n Government of the District of Columbia Department of Health BOARD OF NURSING Licensure Application Process FOR NURSES (LPNs, RNs, APRNs) AND NURSING ASSISTIVE PERSONNEL (NAPs) IMPORTANT INFORMATION • TIMEFRAME: The application process has three phases and may take 30 to 45 days. • EMAIL: Provide CURRENT EMAIL to facilitate correspondence. • RESPOND: Applications may be closed or referred to the Board if requested information is not received. • DEADLINE: Incomplete applications may be closed 120 days after submission. • MISSING DOCUMENTS: To see if any “missing documents” are causing a delay, check application status at: https://app.hpla.doh.dc.gov/mylicense/ • NON-REFUNDABLE: Licensure fees are NOT REFUNDABLE for any reason after applications are closed. HRLA PROCESSING UNIT REVIEW (FIRST PHASE) Before the Board of Nursing receives applications, they go to the HRLA Processing Unit. The Processing Unit will not forward applications to the Board until they have received: 1. A completed application form 2. All required supporting information (e.g. NURSYS Verification; Official Transcript; CFGNS Certification) 3. Two (2) Passport sized photos 4. Fees (made payable to DC Treasurer) 5. Criminal Background Check results (completed by MorphoTrust) When all of these documents have been received, the application is entered into the system as “complete” for the first phase only and will be sent to a Board Health Licensing Specialist (HLS). BOARD HEALTH LICENSING SPECIALIST (HLS) Review (SECOND PHASE) The HLS will conduct a detailed review of the application and documents received. If further information or documents are necessary, the HLS will contact the applicant. When the second phase is complete, the HLS may: 1. Approve the application: HLS determines that the applicant meets the criteria and approves the application. “Active” status will be online at http://app.hpla.doh.dc.gov/weblookup/ and the license /certificate will be mailed within 8-10 business days, OR 2. Ask the applicant to submit additional documents (e.g. court papers; IRS acknowledgment of debt paid or approved payment schedule), or 3. Refer the application to the Board: HLS refers applications to the Board of Nursing if HLS determines that the application does not meet the requirements for licensure/certification. BOARD OF NURSING MEMBERS REVIEW AND DECISION (THIRD PHASE) Applications may not be approved for licensure or certification due to: 1. Results of criminal background check, 2. Termination from employment due to unsafe practice, and/or 3. Discipline by another board. WHEN THE HLS REFERS APPLICATIONS TO THE BOARD, it may ask the applicant to: 1. Appear in person before the Board to provide relevant information. 2. Withdraw their application/or deny licensure. The applicant will be notified regarding the request for withdrawal or denial of licensure/certification. QUESTIONS? EMAIL HRLA CUSTOMER SERVICE AT: [email protected]/ 10 District of Columbia Nurse: Regulation • Education • Practice  COIN CONSULT A Resource for Impaired Nurses Substance Use Disorder in Nursing from The National Council of State Boards of Nursing (NCSBN) (https://www.ncsbn.org/2106.htm) Substance Use Disorder encompasses a pattern of behaviors treatment program and remove the nurse from providing care that range from misuse to dependency or addiction, whether it until safety to practice can be established and confirmed. is alcohol, legal drugs or illegal drugs. Substance Use Disorder When treatment for nurses is individually tailored to meet can affect anyone regardless of age, occupation, economic their needs and an appropriate supportive monitoring system circumstances, ethnic background or gender. It is a progressive is in place, then nurses can recover and return to practice and chronic disease, but also one that can be successfully safely. An extensive body of scientific evidence demonstrates treated. that approaching substance use disorders as treatable illness is Nurses who abuse substances pose a unique challenge to the extremely effective for the individual using substances, as well as nursing profession. The behavior that results from this disease for society. has far-reaching and negative effects, not only on the nurses themselves, but also upon the patients who depend on the For information regarding substance abuse in the workplace nurse for safe, competent care. Substance Use Disorder among please access NCSBN’s new “Substance Use Disorder in health care providers also creates significant legal and ethical Nursing” video at https://www.ncsbn.org/2106.htm. You responsibilities for colleagues who work with these individuals. will also find the resource materials listed below at this site. Prior to the 1980’s, nurses were often fired by employers Please be reminded that the Board of Nursing’s Committee and/or disciplined by the board of nursing when evidence of on Impaired Nurses (COIN) is always available to offer an substance use became apparent. Non-disciplinary programs, educational program focusing on unsafe practice due to offering an alternative to traditional discipline, are now used by substance abuse and/or mental illness at your facility. If a growing number of state boards of nursing. These programs you would like COIN to speak at your facility, contact us at provide the nurse with rapid involvement in a rehabilitation or (202) 724-8870. n Online Resources: Substance Use Disorder in Nursing Video: https://www.ncsbn.org/2106.htm#video Related Online Courses: https://www.ncsbn.org/2106.htm#courses Related Journal of Nursing Regulation articles: https://www.ncsbn.org/2106.htm#jnr Substance User Disorder in Nursing Manual: https://www.ncsbn.org/2106.htm#manual Drug Harm Reduction Strategies Deaths from drug overdose have treatment, criminal justice and of heroin or opiates and helps steadily risen in the U.S. over the prevention strategies. prevent overdose deaths. The past 20 years. Policymakers continue A number of states are adopting second category of laws, known as to take action across the country harm reduction strategies to Good Samaritan laws, address fear to address this health care crisis. combat this crisis. Harm reduction of criminal repercussions or civil Vermont Governor Peter Shumlin laws generally fall within two liability for bystanders assisting devoted his entire State of the State categories. The first category overdose victims. address to heroin and opiate drug addresses increasing access to the Information on harm reduction: addiction, advocating that the state anti-overdose drug, Naloxone, an http://knowledgecenter.csg.org/kc/ system/files/OverdoseDeaths.pdf n build appropriate and coordinated agent that counteracts the effects e-mail: [email protected] • web: http://doh.dc.gov/bon 11  Re g u l a t i o n NAP NEWS! Nursing Assistive Personnel The DC Board of Nursing currently regulates Trained Medication Employees (TMEs) and Home Health Aides/Personnel Care Aides. In the coming months, regulations will be issued for Certified Nursing Assistants (CNAs); Patient Care Technicians (PCTs); Medication Aides (MA-C); and Dialysis Technicians (DTs). “NAP NEWS!” will be a new feature for DC Nurse, with a focus on issues of particular interest to NAPs, their employers, supervising nurses and training programs. We welcome our NAP readers. HOME HEALTH AIDE and report the results of the NNAAP/ 2015 RENEWALS CERTIFICATION APPLICATION HHA Examination to the DC Board of Please be reminded that There is a new process for persons Nursing. The American Red Cross (ARC) TME and HHA certifications applying for HHA certification by will be working with Pearson VUE to expire October 30, 2015. examination. schedule and administer the NNAAP The Board of Nursing requires The District of Columbia Department Examination. DC is only the second that NAPs complete of Health, Health Regulation and jurisdiction to offer this examination to 12 continuing education or Licensing Administration, has contracted HHAs. in-service hours per year with Pearson VUE®, a nationally HHA applicants completing a (24 hours per renewal period). recognized leading provider of assessment training program will now apply to services to regulatory agencies and the Red Cross upon completion of national associations, to develop, score, their training program. Applicants will be required to pass a skills and written examination. Once the HHA examination is passed, applicants will apply to the Board for certification. Passing the NNAAP examination will give HHAs, as well as CNAs, more options. Once the skills and written The Washington Home & Community Hospices has a rich heritage for compassionate care that is deeply rooted in the community. Located in Northwest DC, its mission is to provide exceptional healthcare with examinations have been passed, persons compassion and innovation while fostering dignity and independence in those served. will be able to add an additional Community Hospices Positions Available certification to become a CNA or HHA Registered Nurse-Inpatient Unit by taking a HHA or CNA bridge course We are currently seeking a Registered Nurse-IPU to plan, organize, and direct hospice patient care and passing the written examination. and who is experienced in nursing with emphasis on hospice, community health and education of patients/caregivers. The professional nurse builds from the resource of the IDT, patient/caregivers, and Bridge courses provide additional the community in order to plan and direct services to meet the needs of individual and families within their homes and communities. training focused specifically on the role To qualify, candidate must be a graduate of an accredited school of nursing with 1-2 years of recent of the CNA or HHA. Persons completing acute care experience in an institutional, hospice or home health setting. Bachelor’s degree preferred. Must hold current licensure in DC. This position is also required to maintain or acquire Hospice Nurse the CNA training can complete an HHA Certification within 2 years. bridge course, and HHAs can complete RN Clinican Liaison a CNA bridge course. Passing both We are currently seeking an experienced Clinical Liaison to coordinate smooth entry into our hospice service system. This position meets with families referred within assigned facilities to explain care delivery examinations will allow persons to and collaborates with discharge planners and physicians for the entry of patients into hospice. practice in a nursing home as a CNA and To qualify, candidate must possess a Bachelor’s degree or equivalent work experience. BSN or degree in other health related field preferred required in the region assigned if discipline warrants. Previous in a home-setting as an HHA. experience in hospice, home health, healthcare sales or marketing and clinical experience desired. At least 1 year hospice experience is preferred. Additionally, a current driver’s license and automobile Persons taking a bridge course insurance is required. will not have to re-take the skills We offer a competitive compensation package and a friendly, professional work environment. To learn more, please send your resume to: [email protected], fax: (202)895-0133. EOE examination if passed previously; they will only be required to take the written w w w. c o m mu n i t y h o s p i c e s . o r g examination. n 12 District of Columbia Nurse: Regulation • Education • Practice  Ninth NursiNg Annual CoNtiNuiNg NAP NEWS! Nursing Assistive Personnel Advisory Committee CruiseEduCatioN The Board is establishing an NAP Advisory Committee to provide advice regarding regulatory, educational and disciplinary issues. Persons interested in serving on this committee must submit their application no later than September 15, 2014. See application on page 14 of this publication and on the HRLA website: www.hrla.doh.dc.gov. The charge of the NAP Committee will be to: Provide advice regarding regulatory requirements April 12-19, 2015 Recommend NAP in-service/continuing education needs Nurse.c Provide advice regarding training programs ink o CE Th m Provide advice regarding disciplinary options CRUISE hi o m nkN T The NAP Committee Composition will include: u r s e.c Chairperson: Board of Nursing Member (1) Day Port Arrive Depart Member: NAPs (5) Sun New Orleans, LA 4:00 PM Mon Fun Day At Sea NAP Educator (1) Tue Cozumel, Mexico 8:00 AM 6:00 PM RN/LPN (2 Wed Belize 8:00 AM 5:00 PM Thu Mahogany Bay, Isla Roatan 9:00 AM 5:00 PM The following positions are available: Fri Fun Day At Sea Sat Fun Day At Sea Certified Nursing Assistant (1): Currently working in a DC Long Term Care facility Sun New Orleans, LA 8:00 AM Dialysis Technician (1): Currently working in a DC Dialysis Center Medication Aide (1): Currently administering medications in a DC facility Who says Continuing Patient Care Technician (1): Currently working in a DC acute care facility Education can’t be fun? RN or LPN educator (1): Currently teaching or administering a NAP Program Join ThinkNurse and Poe Travel for our 9th Annual RN or LPN (2): Currently supervising the practice of NAPs CE Cruise. Cruise the Caribbean on Carnival’s Dream while you earn your annual CE credits and write the trip off on your taxes! Prices for this cruise and conference are based on double occupancy (bring The frequency of meetings: your spouse, significant other, or friend) and start at The committee will be called upon to meet on an ad hoc (as needed) basis. only $838 per person (not including airfare to New Orleans) A $250 non-refundable per-person deposit The terms of committee membership are as follows: is required to secure your reservations. Please ask Committee members will be appointed by the Board about our Cruise LayAway Plan! Length of term will be 2 (two) years or until a replacement is appointed South Central Accreditation Program (SCAP) is accredited as a provider of continuing nursing Applicants must submit the following documents: education by the American Nurses Credentialing Application (Incomplete applications will not be considered) Center’s Commission on Accreditation. Letter of recommendation and support from your supervisor RN/LPN applicants attach your resume Send to the attention of: For more information about the cruise and Angela Braxton the curriculum (to be determined by Aug. DC Board of Nursing 30, 2014) please log on to our Web site 899 North Capitol Street, NE at ThinkNurse.com or call Teresa Grace at Washington, DC 20002 [email protected] Poe Travel Toll-free at 800.727.1960. Deadline date for submission: September 15, 2014 n e-mail: [email protected] • web: http://doh.dc.gov/bon 13  Re g u l a t i o n Government of the District of Columbia Department of Health Board of Nursing Application for Appointment to Board of Nursing Nursing Assistive Personnel Advisory Committee Title: __ Mr. __ Ms. __ Mrs. Name: (First, Middle, Last) Home Address: Work Address: Home Phone: Current Employer: Cell Phone: Work Phone: Email: Secondary Email: Date of Birth: DC License/Certification Type and Number: Education and General Qualifications Level Name of School Location Degree(s) Graduation Major Course of Study (City, State) Year High School/GED College/Other Graduate Declarations Do you live in the District of Columbia? __Yes __ No Are you a current employee of the DC government? __Yes __ No Have you ever had a professional/occupational license/certification Is there anything in your background that could be an revoked or suspended as a result of disciplinary action? __ Yes __ No embarrassment were it to become public?  __ Yes  __ No In space provided, please specify your interest in serving on this committee: ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ In space provided, please specify years of experience and how your experience can contribute to the work of this committee: ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ Signature: Date: _________________ Please note: Incomplete applications will not be considered 14 District of Columbia Nurse: Regulation • Education • Practice  NAP NEWS! Focus on Education Charging a fee for nursing practice needs or goals of (2) Characteristics: Educational Courses: Some the learner. Knowledge and skills (a) Content: Reflects employer’s Home Health Care agencies have may be utilized in a variety of goals and service commitments; been offering for-charge “In-services” practice and education settings. includes, but is not limited to, to Home Health Aides. Agencies are (c) Examples: Learning activities review of previously learned skills. only allowed to offer In-services (free encompassing topics from (b) Application: Knowledge and skills of charge) to their employees. Home the realms of clinical practice, are specific to a given employment Health agencies may NOT offer administration, research, and setting and are immediately courses to other HHAs for a charge. education. applicable to the learner. Agencies may contract with a school (c) Examples: Training in procedures or instructor to teach these courses as In-Service Education such as Basic Life Support, Continuing Education programs. If (1) Definition: “Learning experiences operation of specific equipment, an agency would like to offer a course provided in the work setting for the and standard operating policies for charge to any HHA, the agency purpose of assisting staff members in and procedures for a particular must obtain Board approval via CE performing their assigned functions in institution or agency. Broker – www.cebroker.com. (Please that particular agency or institution” see CE Broker article on page 16.) (Scope and Standards of Practice for NOTE: To find approved CE courses, go Nursing Professional Development, to www.cebroker.com. Please note that Differentiating Continuing ANA, 2000). contact hours cannot be awarded for in- Education from In-Service service education activities. n Education: Continuing Education (CE) (1) Definition: “Systematic professional learning experiences designed to augment the knowledge, skills, and The 65th Annual NFLPN Convention attitudes of nurses and therefore The Future of Nursing: Leading Change, Advancing Health enrich the nurses’ contributions to Will be held at the Anne Arundel Medical Center at the Belcher Pavilion quality health care and their pursuit 7th Floor, 2001 Medical Pkwy, Annapolis, Maryland 21401 of professional career goals” (Scope October 9 -10, 2014 and Standards of Practice for Nursing From: 8 am-5 pm Professional Development, ANA, 2000). Educational Topics Include: Continuing education is not: basic End of Life Care Mental Health skill training, competency training, for Geriatrics First Aide Sponsored by VITAS local policy administrative procedures training, or update briefings. (2) Characteristics: (a) Content: Reflects current and Early Bird Rate Conference Rate emerging concepts, principles, (register on or before July 1, 2014) (register on or after July 2, 2014) practices, and/or nursing assisstive Member $275 $325 information beyond that which is Non-Member $375 $425 taught in NAP training program. Student Day Only $50(per person) (b) Application: Immediate or Casino Night $30 (availability limited) futuristic application in meeting Please go to NFLPN.org to register e-mail: [email protected] • web: http://doh.dc.gov/bon 15  Re g u l a t i o n NAP NEWS! Focus on Education (continued) CE Broker: CNA & HHA CE Courses CNAs or HHAs, log into your provider account and click The DC Board of Nursing has requested that Nursing the link on your welcome page to apply to an additional Assistive Personnel (Certified Nursing Assistants and Home Board. The DC Board of Nursing Assistive Personnel Health Aides) be able to use the course search function will be first in the list. Click the “Apply Now” button to on the CE Broker website (www.cebroker.com) to find begin registering. Once you are registered and approved, acceptable continuing education courses. you can update your existing courses to include hours Although CE Broker cannot yet be used to track CE for for DC professionals. NAPs (providers will NOT be required to report course • Remember, you will not have to report course completions), NAPs will be able to use CE Broker as an completions for the DC CNAs or HHAs who complete easy way to find approved courses. your courses; listing your course is just a way to assist these professionals with finding acceptable courses. CNAs and HHAs: • If you have any questions about course content, please • Log-on to www.cebroker.com to search for continuing contact Bonita Jenkins at the DC Board of Nursing, at education programs for nursing assistive personnel. 202-724-8846. For questions about the application process or updating courses, please contact the CE Educational Providers: Broker support center via chat, email at support@ • If you are interested in advertising your courses for DC cebroker.com, or by calling toll free, 877-434-6323. n Home Health Agencies Prohibited From Directly Contacting Beneficiaries The Department of Health Care Finance (DHCF) has a long-standing The Washington Home & Community Hospices has a rich heritage for compassionate care that is deeply policy that prevents our managed rooted in the community. Located in Northwest DC, its mission is to provide exceptional healthcare with care plans from directly marketing compassion and innovation while fostering dignity and independence in those served. beneficiaries’ who are assigned to RN House Supervisor competing plans. The health plans are We are currently seeking a RN House Supervisor to assume responsibility for directing the clinical, free to generally advertise their services, operational and personnel activities of resident units. but they are prohibited from directly To qualify, candidate must be a Registered Nurse with current licensure in DC and current CPR contacting beneficiaries in other plans certification. Two years of continuous medical-surgical or geriatric nursing experience is preferred. for recruitment purposes. Effective May 20, 2014, this prohibition was extended Long-Term Staff Registered Nurses to home health care providers as well. Full, Part-Time, and Every Other Weekend Opportunities There are a range of possible sanctions We are currently seeking an experienced Registered Nurse to join our team in caring for our patients and residents. The position will be responsible for implementing and managing patient/resident care for violating this policy, including through the continuing life cycle and end of life care. The Staff RN is also responsible for implementing termination of the Medicaid provider interventions and coordinating patient/resident activities and delegating those aspects of care which may be provided by others, providing total individualized patient/resident care. agreement. This policy is posted to Qualifications include graduation from an accredited school of nursing and current DC Registered DHCF’s website. Please inform all staff Nurse licensure. CPR certification is required and medical/surgical and/or geriatric nursing experience in your respective agencies, as well as the highly preferred. personal care aides in your employ, of We offer a competitive compensation package and a friendly, professional work environment. To this prohibition. (For more information, learn more, please send your resume to: [email protected], fax: (202)895-0133. EOE visit the DHCF webpage at http://dhcf. dc.gov/) n w w w. t h ewa s h i n g t o n h o m e . o r g 16 District of Columbia Nurse: Regulation • Education • Practice  DOH Director Speaks to Board about MERS In June, DOH Director Joxel Garcia, MD, MBA, offered information to Board members about Middle East Respiratory Syndrome (MERS), a viral respiratory illness first reported in Saudi Arabia in 2012. MERS virus is spread through close contact with the infected. There was a surge of MERS cases in April 2014. Dr. Garcia noted that MERS differs from SARS— MERS Patient under investigation (PUI) people with SARS may well be, but • Caused by a beta coronavirus MERS-CoV; camels are suspected – Fever (≥38°C, 100.4°F) and people with MERS are more sick and to be the primary source of pneumonia or acute respiratory have a higher death rate. distress syndrome (based on clinical infection for humans • Incubation period: 2 ‐ 14 days. or radiological evidence); Health Care Professionals at Patients are not contagious – AND EITHER history of travel from Risk during the incubation period countries in or near the Arabian EMS personnel and nurses are • Period of infectivity: patients Peninsula within 14 days before vulnerable to exposure via droplets can shed the virus after symptom onset; OR close contact resolution of symptoms, but with a symptomatic traveler who from infected patients. Health care the duration of infectivity is developed fever and acute respiratory professionals must take precautions: unknown illness (not necessarily pneumonia) “If we don’t prepare ourselves, we are • 75% of the recently reported within 14 days after traveling from going to be hurt more than anyone cases appear to be secondary countries in or near the Arabian else,” Dr. Garcia said. “We have not cases Peninsula; OR is a member of a yet hit the top” of MERS exposures. • 30% mortality rate cluster of patients with severe acute • Patients at high risk for respiratory illness of unknown severe MERS are those with etiology in which MERS-CoV is DC is an International City diabetes, chronic lung disease, being evaluated, in consultation with The District is especially at risk pre‐existing renal failure, or state and local health departments. because “this is an international immuno‐compromised city,” Dr. Garcia said. “We are an MERS Symptoms SARS Health Care Professional international community.” Ask your The symptoms of this MERS-CoV are Protection patient: Have you recently traveled to similar to severe pneumonia: sudden • N95 mask or equivalent Saudi Arabia, Africa, or Asia? Some and serious respiratory illness with fever, • Gown travelers are US-born; many of our cough, and shortness of breath and • Gloves Certified Nursing Assistants in the breathing difficulties. As of June 24, 2014, • Eye protection the World Health Organization (WHO) • Droplet precautions (hand-washing, long-term care setting are immigrants. has reported 703 human cases, including masks, gowns and gloves) are effective At right are some tips from Dr. 250 deaths (http://www.phac-aspc.gc.ca/ in reducing the risk of infection after Garcia’s presentation. phn-asp/2013/ncoronavirus-eng.php). exposure to patients with SARS n e-mail: [email protected] • web: http://doh.dc.gov/bon 17  Education NCSBN News Domestic Test Centers (PPCs - Pearson Professional Centers) differences between candidate abilities estimates and item difficulties.) To gain access to the NCLEX, the candidate must present one form New ID Policy: NCSBN has a of acceptable identification (ID) Graduate Nurse new ID policy for candidate admission that matches exactly the name they Unemployment: A study published provided when registering. to Pearson VUE test centers to in the February issue of the American The only acceptable forms of improve the admission process while identification for domestic test centers Journal of Nursing sought to compare the maintaining the highest level of are: work lives of two cohorts of nurses, one security within the testing industry. • Passport books and cards cohort licensed in 2004-05 and the other All forms of identification listed • Driver’s license in 2010-11. The 2010-11 cohort of nurses below must be valid (non-expired) • Provincial/Territorial or state was less likely to work in hospitals, special identification card government-issued identification care units and direct care settings, and • Permanent residence card containing the following information: • Military identification card was more likely to be enrolled in formal • Name (in Roman characters) education program. Of this cohort, 68 • Photograph International Test Centers (PPCs - percent applied for RN jobs before sitting • Signature. Pearson Professional Centers) for the NCLEX®, 46.1 percent was hired To gain access to the NCLEX, the for their first RN job before sitting for the Temporary identification (examples candidate must present one form include limited term IDs and any ID NCLEX and 15.2 percent worked on a of acceptable identification (ID) reading “temp” or “temporary”) is that matches exactly the name they temporary or provisional permit before only acceptable if it meets the required provided when registering. taking the NCLEX.     elements stated above. The only identifications acceptable The 2010-11 cohort tended to for international test centers are: perceive their work environments in a • Passport books and cards positive light and expressed stronger job commitment. They also reported fewer job 2014 Passing Standard: The opportunities, were more likely to work new PN test plan went into effect April part time, work a second job, and reported 1, 2014. The test plan, available in a difficulty finding an entry-level RN job basic format, as well as detailed formats in their area. These nurses were less The Director of Nursing is primarily for candidates and educators, can be likely to have certain employee benefits, responsible for administering the nursing accessed on the NCLEX Test Plans page such as health care insurance or tuition program in the clinic to maintain standards of patient care. This includes, but not limited of www.ncsbn.org. reimbursement. to, advising medical staff, department heads, In conjunction with the release of The study also exposed some concerns and administrators in matters related to nursing services; developing standards of the new PN test plan, the new NCLEX- with patient safety, with 25 percent of the care for nursing staff in relationship to DC PN passing standard also went into 2010-11 cohort noting that patient safety and/or correctional health policies in effect on April 1, 2014. In December is, at times, sacrificed to get more work collaboration with the Health Administrator, if applicable. Required Education/Required 2013, the NCSBN Board of Directors done; and 18.9 percent noting that patient Training: Bachelor’s degree in (BOD) re-evaluated the PN passing safety problems exist on their nursing unit. Nursing/Masters preferred. Licensed or eligibility as RN in DC. CPR certification. standard and determined that safe These problems persist despite significant Required Experience: Minimum of 5 years and effective entry-level licensed investment made by the government and clinical experience with supervisory experience. Minimum of 5 years’ experience practical/vocational nurse (LPN/VN) health care industry in patient safety. in acute care/ambulatory care. Experience practice requires a greater level of These are merely a sampling of the study’s working with underserved or homeless populations preferred. Also recruiting for knowledge, skills, and abilities than more extensive findings, which could have RN’s and LPN’s. EOE was required in 2010. The passing implications for workforce planning. n standard has been revised from -0.27 Apply online at www.unityhealthcare.org to -0.21 logits. (A logit is defined as a click on careers. unit of measurement to report relative 18 District of Columbia Nurse: Regulation • Education • Practice  Professional Nursing Schools Patricia McMullen, PhD, JD, CNS, CRNP, Tammi L. Damas, PhD, MBA, WHNP-BC, RN, Denise S. Pope, PH.D.RN Susie Cato MSN, MASS, RN, Director of Associate Dean/Interim Chairperson Dean, Catholic University School of Nursing Associate Dean for Nursing and Health Associate Degree Nursing Program, University of 620 Michigan Avenue, N.E. Graduate Program 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 - RN Program PH: (202) 806-7456 [email protected] PH: (202) 274-5914 • FAX: (202) 274-5952 FULL APPROVAL - APRN Program FAX: (202) 806-5958 Phone: 202-884-9682 RN Program Only CONDITIONAL - RN Program Fax: 202-884-9308 CONDITIONAL Edilma L. Yearwood, PhD, PMHCNS-BC, FAAN FULL APPROVAL - APRN Program RN Program Only Interim Chair, Department of Nursing CONDITIONAL Mary Jean Schumann, DNP, MBA, RN, Georgetown University School of Nursing & Sandra Marshall, MSN, RN, CPNP, FAAN, Interim Senior Associate Dean Health Studies Interim Program Director of Nursing for Academic Affairs, The George Washington 3700 Reservoir Road N.W. Radians College University Graduate School of Nursing Washington, DC 20007 1025 Vermont Avenue, NW; Suite 200 900 23rd St. NW, Suite 6167 B [email protected] Washington, DC 20005 Washington, DC 20037 PH:(202)687-3214 [email protected] [email protected] RN Program. APRN Program. PH: (202) 291-9020 PH: (202) 994-5192 • FAX: (202) 994-2777 FULL APPROVAL FAX: (202) 829-9192 APRN Program Only RN Program Only FULL APPROVAL CONDITIONAL PRACTICAL NURSE PROGRAMS Michael Adedokun, PhD, MSN, RN, Director of Nursing, Sandra Marshall, MSN, RN Susie Cato, MSN, MASS, RN Interim Director St. Michael School of Allied Health Interim Program Director of Nursing, Radians College University of the District of Columbia Community College 1106 Bladensburg Road, N.E. 1025 Vermont Avenue, NW; Suite 200 Nursing Certificate Programs Washington, DC 20002-2512 Washington, DC 20005 5171 South Dakota Avenue NE [email protected] [email protected] Washington, DC. 20017 PH: (202) 388-5500 PH: (202) 291-9020 [email protected] FAX: (202) 388-9588 FAX: (202) 829-9192 PH: (202) 274-6950 CONDITIONAL CONDITIONAL FAX: (202) 274-6509 CONDITIONAL NURSING ASSISTANT AND HOME HEALTH AIDE TRAINING PROGRAMS CAPTEC Med Care (CNA/HHA) DC Public Schools (CNA) Intellect Health Institute (HHA) University of the District of Columbia- 3925 Georgia Avenue, NW Anacostia High School 4645 Nannie Helen Burroughs Ave. NE Community College (CNA/HHA) Washington, DC 20011 1601 16th St SE (address will change, but not approved at this Bertie Backus Campus Certificate Programs CNA email: [email protected] Washington, DC 20020 time) 5171 South Dakota Avenue, NE HHA email: [email protected] email: [email protected] Washington, DC. 20019 Washington, DC 20017 PH: (202) 291-7744 PH: (202) 698-2155 email: [email protected] email: [email protected] FAX: (202) 560-5119 FULL APPROVAL - CNA PH: 202-558-9443 PH: (202) 274-6950 BRIDGE COURSE - CNA & HHA PH: 202-558-9477 BRIDGE COURSE - CNA & HHA FULL APPROVAL - CNA Friendship Public Charter School (CNA) website: www.intellect-health.com FULL APPROVAL CONDITIONAL - HHA Collegiate Academy BRIDGE COURSE - HHA ONLY 120 Q Street NE Suite 200 INITIAL APPROVAL - HHA VMT Education Center (CNA/HHA) Carlos Rosario International Public Charter Washington, DC 20002 401 New York Ave, First Floor. NE School (CNA) email: [email protected] Opportunities Industrialization Center of Washington, DC 20002 514 V Street, NE PH: (202) 281-1753 Washington DC (OIC DC) (HHA) email: [email protected] Washington, DC 20002 CONDITIONAL - CNA 3016 Martin Luther King Jr. Avenue S.E PH: (202) 282-3143 email: [email protected] Washington, DC 20032 FAX: (202) 282-0012 PH: (202) 797-4700 HealthWrite Training Center (CNA/HHA) email: [email protected] BRIDGE COURSE - CNA & HHA FAX: (202) 232-6442 2025 Martin Luther King Jr. Avenue, SE. PH: (202) 373-0330 FULL APPROVAL - CNA & HHA FULL APPROVAL - CNA Washington, DC. 20020 (202) 373-0336 email: www.healthwrite.org FULL APPROVAL - HHA Nationwide Training Institute (HHA) Allied Health & Technology Institute (CNA/ PH: (202) 678-7279 6210 North Capitol Street NW HHA) FAX: (202) 678-7279 Innovative Institute (CNA/HHA) Washington, DC 20011 2010 Rhode Island Avenue, NE 2nd Fl BRIDGE COURSE - CNA & HHA 1805 Montana Avenue NE 2004 Rhode Island Avenue NE Washington, DC 20018 FULL APPROVAL - HHA Washington, DC 20002 Washington, DC 20018 email: [email protected] INITIAL APPROVAL - CNA email: [email protected] email: [email protected] PH: (202) 526-3535 PH: (202) 747-3453/ 202 747-3450 PH: (240) 460-7060 FAX: (202) 526-3939 Home Care Partners, Inc (HHA) FAX: (202) 747-3481 FAX: (202) 319-0048 BRIDGE COURSE - CNA & HHA 1234 Massachusetts Avenue, NW BRIDGE COURSE - CNA & HHA BRIDGE COURSE - HHA ONLY CONDITIONAL - CNA & HHA Suite C-1002 FULL APPROVAL - CNA & HHA Conditional - HHA Washington, DC 20005 email: [email protected] UDC Announcement: The Accreditation Commission for Education in Nursing (ACEN) is visiting the PH: (202) 638-2382 nursing program at UDC’s Community College September 23-25 for re-affirmation of their accreditation. BRIDGE COURSE - HHA ONLY A Public Forum is being held as part of this process and will occur Wednesday, September 24, 2014, FULL APPROVAL - HHA from 4-5 PM at 801 North Capitol, NE, 1st Floor Multi-Purpose Room. Please join us. e-mail: [email protected] • web: http://doh.dc.gov/bon 19  Nursing Practice DC Councilmember Yvette Alexander Salutes Nursing DC Councilmember and Chair of the Committee on Health Yvette M. Alexander (center) with nurses of the Department of Health. Frontline and Backbone celebrate themselves and to acknowledge continue to evolve. Congratulate yourself The Honorable Yvette Alexander, DC the hard work that nurses do every day. for being part of the nursing profession.” Councilmember, Ward 7, gathered with Ms. Skinner noted that, “in years past, Department of Health nurses to salute nurses were not permitted to take blood Born to be a Nurse the nursing profession. “Nurses are the pressure readings, but now we do primary Andrea Malcolm, RN, Division frontline and the backbone of health care. Nursing has evolved and it will Chief Clinical PIHP (and recipient of an outcomes in this city,” Councilmember award at the program), summed up the Alexander said. “I am counting on sentiment of the gathering: “I am grateful. you to educate our residents.” She also I was born to be a nurse. This is our read aloud a ceremonial resolution ministry.” She noted that she stands on recognizing 2014 Nurses Week in the the shoulders of her nursing colleagues. District: “The Council of the District “If I came back, I would be a nurse all of Columbia recognizes and supports over again.” nurses in the District of Columbia and DOH Nurses wish to thank encourages citizens to show their support Community Health Administration for nurses by commemorating May 6th (CHA) Program Coordinator Angela through May 12th as “Nurses Week in the Carole for coordinating the event and District of Columbia.” Senior Deputy Directors Rikin Mehta and Ryan Springer for joining in the Nursing Has Evolved celebration and sharing their words of L to R: Andrea Malcolm, RN, Council- Board of Nursing Executive Director appreciation for the nurses of the District. member Yvette Alexander, and Karen Scipio-Skinner, RN urged nurses to n Angela Carole. 20 District of Columbia Nurse: Regulation • Education • Practice  Duke Medicine FP ad to come e-mail: [email protected] • web: http://doh.dc.gov/bon 21  Nursing Practice Guidelines for Evaluation of US Patients muscle pain, vomiting, diarrhea, abdominal pain, or unexplained Suspected of Having Ebola Virus Disease hemorrhage; AND 2) Epidemiologic risk factors within the past 3 weeks before the To report expected cases of Ebola Virus and other international organizations in onset of symptoms, such as contact with please use the Government of the DC DOH response to an outbreak of EVD in West blood or other body fluids of a patient Communicable Disease Report Form and Africa, which was first reported in late March known to have or suspected to have EVD; fax the form to DOH at (202) 442-8060. 2014. As of July 27, 2014, according to residence in-or travel to-an area where EVD An epidemiologist can be reached by phone WHO, a total of 1,323 cases and transmission is active; or direct handling at (202) 442-8141 during normal business 729 deaths (case fatality 55-60%) had of bats, rodents, or primates from disease­ hours, or at (202) 737-4404 outside of been reported across the three affected endemic areas. Malaria diagnostics should normal business hours. The form can be countries. This is the largest outbreak of EVD also be a part of initial testing because it is a accessed at the following website: (http:// ever documented and the first recorded in common cause of febrile illness in persons doh.dc.gov/sites/default/files/dc/sites/doh/ West Africa. with a travel history to the affected countries. publication/attachments/communicable_ EVD is characterized by sudden onset of Testing of patients with suspected disease_rpt_form.pdf) fever and malaise, accompanied by other EVD should be guided by the risk level of nonspecific signs and symptoms, such as exposure, as described below: DC DOH and Summary myalgia, headache, vomiting, and diarrhea. CDC recommend testing for all persons The District of Columbia Department of Patients with severe forms of the disease with onset of fever within 21 days of having Health (DC DOH), in conjunction with the may develop hemorrhagic symptoms and a high­risk exposure. A high-risk exposure Centers for Disease multi-organ dysfunction, including hepatic includes any of the following: Control and Prevention (CDC) continues damage, renal failure, and central nervous *percutaneous or mucous membrane to work diligently to better understand and system involvement, leading to shock and exposure or direct skin contact manage the public health risks posed by death. The fatality rate can vary from 40- with body fluids of a person with a Ebata Virus Disease (EVD). To date, no cases 90%. confirmed or suspected case of EVD have been reported in the United States. The In outbreak settings, Ebola virus is without appropriate personal protective purpose of this health update is 1) to provide typically first spread to humans after contact equipment (PPE), updated guidance to healthcare providers with infected wildlife and is then spread *laboratory processing of body fluids and state and local health departments person-to-person through direct contact of suspected or confirmed EVD cases regarding who should be suspected of with bodily fluids such as, but not limited without appropriate PPE or standard having EVD, 2) to clarify which specimens to, blood, urine, sweat, semen, and breast biosafety precautions, or should be obtained and how to submit for milk. The incubation period is usually 8-10 *participation in funeral rites or other diagnostic testing, and 3) to provide hospital days (ranges from 2-21 days). Patients direct exposure to human remains in infection control guidelines. can transmit the virus while febrile and the geographic area where the outbreak U.S. hospitals can safely manage through later stages of disease, as well as is occurring without appropriate PPE. a patient with EVD by following postmortem, when persons touch the body recommended isolation and infection during funeral preparations. For persons with a high-risk exposure control procedures. Please disseminate but without a fever, testing is recommended this information to infectious disease Patient Evaluation only if there are other compatible specialists, intensive care physicians, primary Recommendations to Healthcare clinical symptoms present and blood care physicians, hospital epidemiologists, Providers work findings are abnormal (i.e., infection control professionals, and hospital Healthcare providers should be alert for thrombocytopenia <150,000 cells/IJL and/or administration, as well as to emergency and evaluate suspected patients for Ebola elevated transaminases) or unknown. departments and microbiology laboratories. virus infection who have both consistent Persons considered to have a low- symptoms and risk factors as follows: 1) risk exposure include persons who spent Background Clinical criteria, which includes fever time in a healthcare facility where EVD CDC is working with the World Health of greater than 38.6 degrees Celsius or patients are being treated (encompassing Organization (WHO), the ministries of 101.5 degrees Fahrenheit, and additional healthcare workers who used appropriate health of Guinea, Liberia, and Sierra Leone, symptoms such as severe headache, PPE, employees not involved in direct 22 District of Columbia Nurse: Regulation • Education • Practice patient care, or other hospital patients recommended isolation and infection quaternary ammonium or phenolic who did not have EVD and their family control procedures, including standard, products. Healthcare providers caretakers), or household members of an contact, and droplet precautions. Early performing environmental cleaning and EVD patient without high-risk exposures recognition and identification of patients disinfection should wear recommended as defined above. Persons who had direct with potential EVD is critical. Any U.S. PPE (described above) and consider use unprotected contact with bats or primates hospital with suspected patients should of additional barriers (e.g., shoe and leg from EVD-affected countries would also follow CDC’s Infection Prevention and coverings) if needed. Face protection be considered to have a low-risk exposure. Control Recommendations for Hospitalized (face shield or facemask with goggles) Testing is recommended for persons with a Patients with Known or Suspected Ebola should be worn when performing low-risk exposure who develop fever with Hemorrhagic Fever in U.S. Hospitals (http:// tasks such as liquid waste disposal other symptoms and have unknown or www.cdc.gov/vhf/ebola/hcp/infection- that can generate splashes. Follow abnormal blood work findings. Persons prevention-and­ control-recommendations. standard procedures, per hospital with a low-risk exposure and with fever and html). These recommendations include the policy and manufacturers’ instructions, abnormal blood work findings in absence of following: for cleaning and/or disinfection of other symptoms are also recommended for • Patient placement: Patients should environmental surfaces, equipment, testing. Asymptomatic persons with high- or be placed in a single patient room textiles, laundry, food utensils and low-risk exposures should be monitored (containing a private bathroom) with dishware. daily for fever and symptoms for 21 days the door closed. from the last known exposure and evaluated • Healthcare provider protection: Recommendations to Public medically at the first indication of illness. Healthcare providers should wear: Health Officials Persons with no known exposures gloves, gown (fluid resistant or If public health officials have a patient listed above but who have fever with other impermeable), shoe covers, eye that is suspected of having EVD or has symptoms and abnormal bloodwork protection (goggles or face shield), potentially been exposed and intends to within 21 days of visiting EVD-affected and a facemask. Additional PPE might travel, please contact CDC’s Emergency countries should be considered for testing be required in certain situations (e.g., Operations Center 1 (770) 488-7100. if no other diagnosis is found. Testing copious amounts of blood, other may be indicated in the same patients if body fluids, vomit, or feces present in For more information: fever is present with other symptoms and the environment), including but not Additional information on EVD can be blood work is abnormal or unknown. limited to double gloving, disposable found at: http://www.cdc.gov/ebola Interim Consultation with local and state health shoe covers, and leg coverings. Guidance on EVD for healthcare workers departments is recommended. • Aerosol-generating procedures: Avoid can be found at: http://www.cdc.gov/vhf/ If testing is indicated, the local or state aerosol-generating procedures. If abroad/healthcare-workers.html health department should be immediately performing these procedures, PPE Travel notices for each country can be notified. Healthcare providers should should include respiratory protection found at: collect serum, plasma, or whole blood. A (N95 filtering facepiece respirator or • Guinea: http://wwwnc.cdc.gov/travel/ minimum sample volume of 4 ml should be higher) and the procedure should be notices/alertlebola-guinea shipped refrigerated or frozen on ice pack or performed in an airborne isolation • Liberia: http://wwwnc.cdc.gov/travel/ dry ice (no glass tubes), in accordance with room. notices/alertlebola-liberia lATA guidelines as a Category B diagnostic • Environmental infection control: • Sierra Leone: http://wwwnc.cdc.gov/ specimen. Please refer to http://www. Diligent environmental cleaning and travel/notices/alertlebola-sierra-leone cdc.gov/ncezid/dhcpp/vspb/specimens. disinfection and safe handling of html for detailed instructions and a link to potentially contaminated materials is To report data, please use the the specimen submission form for CDC paramount, as blood, sweat, emesis, Government of the DC DOH laboratory testing. feces and other body secretions Communicable Disease Report Form and represent potentially infectious fax the form to DOH at (202) 442-8060. n Recommended infection materials. Appropriate disinfectants control measures for Ebola virus and other filoviruses Sincerely, U.S. hospitals can safely manage include 10% sodium hypochlorite Joxel Garcia, MD, MBA a patient with EVD by following (bleach) solution, or hospital-grade Director of DOH e-mail: [email protected] • web: http://doh.dc.gov/bon 23  Nursing Practice Continuing Education Update Wound Assessment and Support Surfaces Many thanks to the speakers who provided valuable Rosalyn S. Jordan, RN, BSN, MSc, CWOCN, WCC, Senior information at the Board of Nursing’s spring CE program on Director of Post-Acute Clinical Programs & Services, RecoverCare, wound assessment and support surfaces, an important component LLC: “Before discussing the prevention of pressure ulcers, we of preventing and healing wounds. Below are some speaker should review the definition of a pressure ulcer.” This definition highlights. was revised on 2007 by the National Pressure Ulcer Advisory Panel. Donna Johnson, MSN, RN, CWON: “In the past, standard • It is a localized area of tissue injury. practice did not differentiate between the various types of wounds • They usually occur over a bony prominence. and consider how multiple factors might affect wound healing. • They are the result of pressure. Current research, however, illustrates how important it is to • They can be caused by the occurrence of pressure combined carefully assess the wound and identify the correct treatment so we with shear. do not cause further harm; in other words, to work smart from the • Pressure, friction and shear may all three contribute to the beginning.” cause of pressure ulcer development. Conducting a wound assessment is a skill and requires precision and appropriate use of unique terms; use of appropriate Support surfaces are specialized devices for pressure terms is critically important. redistribution designed for the management of tissue loads, microclimate, and/or other therapeutic functions (i.e., any Wound Assessment Parameters mattress, integrated bed systems, mattress replacement, overlay, or § Anatomic location of the wound seat cushion or seat cushion overlay.) (NPUAP, 2007) § Extent of tissue loss (i.e., stage) § Characteristics of wound base Categories of Support Surfaces § Type of tissue • Reactive Support Surface § Percentage of wound containing each type of tissue observed • Active Support Surface § Dimensions of wound in cm (length, width, depth, • Integrated Bed System tunneling, undermining) § Exudate (amount, type) • Non-powered § Odor • Powered § Wound edges • Overlay § Periwound skin • Mattress § Presence or absence of local signs of infection (erythema, induration, odor, etc) Components of a Support Surface § Wound Pain • Air Anatomic Location • Cell/Bladder “The anatomic location of the wound is important to record • Viscoelastic Foam using proper terminology that will also provide clues about the • Closed Cell Foam etiology. Anatomic location will also convey plan of care needs. For • Open Cell Foam example, a wound on the ischia tuberosity should prompt caregivers • Gel to explore the patient’s sitting surface.” • Pad Ms. Johnson discussed partial-thickness (does not penetrate the dermis) and full-thickness wounds (tissue loss extends below • Viscous Fluid dermis), diabetic foot wounds and burns. Pressure ulcers, venous • Elastomer ulcers, diabetic ulcers, skin tears, lymphedema, perianal dermatitis. • Solid She recommends nurses access the free online education at • Water www.thewoundinstitute.com and www.medlineuniversity.com. 24 District of Columbia Nurse: Regulation • Education • Practice  Donna Johnson, MSN, RN, CWON Rosalyn S. Jordan, RN, BSN, LaDonna Burns, LPN, WCC, DWC MSc, CWOCN, WCC LaDonna Burns, LPN, WCC, wounds without results. To deliver setting must meet certain criteria. DWC addressed the topic of pump and dressing, we must have There must be documentation Negative Pressure Wound Care. a physician’s order. Delivery cannot in the client’s medical records “NPWT is defined as the application be made until the physician’s order of evaluation, care, and wound of sub-atmospheric pressure to is in hand.” measurements by a clinician. There a wound to remove exudate and Why does the wound need to be must be previous documentation debris from the wound,” she said. moist? “Cells are able to migrate in of a moist dressing. There must be “Just plain old suction!” a wound that is moist. A dry wound debridement of necrotic tissue, if “Therapy has to be reasonable impedes cell migration. Moist present. If there is necrotic tissue and necessary. This means that wound healing is the gold standard or slough or eschar, NPWT can be the patient must have wounds and for wound healing.” applied. “Physician documentation have tried other treatments to heal A client in the home care is essential.” n Educational courses for: RN • LPN/LVN • NP • PT • PTA • OT • MD • PA Feeling anonymous at work? Set yourself apart, become certified. Wound Care Education Institute® provides comprehensive online and nationwide onsite courses in the fields of Skin, Wound, Diabetic and Ostomy Management. In just a few days you will have the knowledge needed to become current with the standards of care and legally defensible at bedside. Skin and Wound Ostomy Management Diabetic Wound Management Program Program Program This course offers an overall This comprehensive course takes This online course takes you comprehensive approach you through the anatomy and through the science of the to risk assessment, wound physiology of the systems involved disease process and covers assessment and patient in fecal/urinary diversions and the unique needs of a treatment plans. hands-on workshops. diabetic patient. Scan QRs above for course details or visit our website at www.wcei.net. Health care professionals who meet the eligibility requirements can sit for the WCC®, OMSsm and DWC® national board certification examinations through the National Alliance of Wound Care and Ostomy (www.nawccb.org). Receive $100 off any certification course by using coupon code “PCIDC” (expires 12/31/2014). Our state of the art online learning We are here to help: management system is fully narrated • Call us at 877-462-9234 by a clinical instructor, self paced and available for most certifications. • Live online chat at www.wcei.net • Email us at [email protected] e PCI_PCIDC_030114.indd - m a i l : h p l a . d o1 h @ d c . g o v • web: http://doh.dc.gov/bon 3/10/14 10:17 AM 25  Nursing Practice KudOs! GREATER WASHINGTON, DC AREA Black Nurse of the Year Ms. Juanita A. Hall, BSN, RN, has from my Heavenly Father.” been selected as Nurse of the Year by Ms. Hall is very active in various the Black Nurses Association of Greater nursing organizations on a local, Washington, DC Area, Inc. regional, and national level. She Ms. Hall is the Nurse Manager holds leadership positions in these for Nursing Resources, Education, organizations as well – Chi Eta Phi Administration, Outpatient Infusion Nursing Sorority Incorporated and Treatment Center and Dialysis Services at the local chapter – Alpha Chapter, Providence Hospital which is a member Sigma Theta Tau International Nursing of Ascension Health – the nations’ Honor Society Incorporated and the largest Catholic and non-profit health local chapter – Gamma Beta Chapter, system. In this role, she is responsible National Black Nurses Association and for oversight of the float pools, which the local chapter – BNA of GWDCA Juanita A. Hall, BSN, RN assist with staffing needs of the various and the American Business Women’s nursing units within the hospital, work Association – DC Charter Chapter. Church in Lanham, Maryland. Under the closely with the nursing educators to Membership is these organizations also leadership of Bishop James L. Martin, provide competencies, CPR and a wide provides opportunities to educate the Sr., she teaches Sunday school, is a variety of other educational in-services community on the promotion of wellness member of the Nurses Ministry and is on numerous subject matters to our and increase health knowledge as well the chairperson of the Titus II Women’s associates. as strategies for living a healthy lifestyle Ministry. As a community outreach In July of 2013, Juanita along with through health fairs and workshops. program for the church, she was one of another associate from Carroll Manor Membership in these organizations also the trained facilitators for Project Heal a Nursing and Rehabilitation Center were provides the opportunities to mentor program based out of the University of selected to attend a yearlong Management nursing students. Maryland for the purpose of educating Formation training sessions to build Over the years, Ms. Hall has been the members on early detection, communication strategies and critical the recipient of other awards and screening options and treatments for thinking skills to foster team building honors – 100 Extraordinary Nurses in breast, colon-rectal, and prostate cancers. within the workplace – graduation from Washington, DC – Sigma Theta Tau Ms. Hall is a native Washingtonian this program will take place in April International Honor Society-Gamma and the oldest of three children. “I was 2014. Beta Chapter, Member of the Year for the reared in a Christian home, and am the She views her love for the profession Northeast Region of Chi Eta Phi Sorority, proud mother of one son – Dwight.” of nursing and the ability to provide Incorporated and Sister of the Year for She is a student and currently enrolled love, support and care to humans at a Alpha Chapter, Chi Eta Phi Sorority, in Biblical Studies at Southern Baptist vulnerable time in their life, is the calling Incorporated. Church Bible School – Washington, that God has placed on her life. “For Ms. Hall is also a member and serves DC. Her Personal Testimony: “I can me, nursing is not just a profession, but on the ministerial staff as an Associate do all things through Christ which instead it is a commissioned assignment Minister of the Corinthian Baptist strengtheneth me. Philippians 4:13.” n 26 District of Columbia Nurse: Regulation • Education • Practice  for each client. Most of our clients want KudOs! to stay at home, or in their community. Many don’t have the financial resources Congratulations to Carol Kaplun, to pay for the care they need, and RN, BSN, who was featured on CBS the demand for subsidized services network affiliate station WUSA- exceeds the supply, so there are wait 9 News this spring. A geriatric care lists. Even with rent control in place, manager at Iona Senior Services, Ms. rents have increased for seniors by Kaplun offered tips on facilitating the 2.2% each year, while Social Security transitions when a crisis occurs for increases have been in the range of an elderly loved one—an emergency- 1.5%. The budget for hiring help at room or hospital discharge plan and a home is very limited. The demand for new living situation or obtaining help home care services through the DC within the home. To see video from Ms. Medicaid Waiver program, which can Kaplun’s appearance on USA9, go to: subsidize many hours of home care, http://www.wusa9.com/videos/news/ has skyrocketed. For our clients on health/2014/04/01/7162395/ fixed incomes, hunger is a reality as Carol Kaplun, RN, BSN they try to balance their budgets. Iona’s Interview with Carol Kaplun nutritional programs, sponsored by the of IONA Senior Services is to meet individually with clients in DC Office on Aging, which provides our community to provide assessment nutrition services across the city, have DC NURSE: Please briefly tell us and coordination of care and resources been true lifesavers. about IONA Senior Services. that will enable them to live safely In addition, the supply of relatively Carol Kaplun, RN, BSN: Iona in their homes or other community affordable assisted living is limited Senior Services is a not-for-profit environment, with a meaningful within the District. A few new assisted organization now celebrating its 39th quality of life. Each client and their living residences have opened recently year of operation. Iona supports people family or support network discuss to fill this need, which is encouraging. as they experience the challenges and current concerns, medical needs, The lack of available spaces places a lot opportunities of aging. We educate, home environment, nutrition, and a of demand for at-home care. advocate and provide community-based wide variety of other issues impacting DC NURSE: What is the most programs and services to help people the senior’s quality of life. A care important guidance or advice you age well and live well. Iona’s family of plan is developed with the senior to provide to those who are the adult services include: Consultation, Care identify and put in place appropriate children or caregivers for the elderly? Management and Counseling (CCMC), resources that the client may access Ms. Kaplun: My advice to caregivers our award-winning Wellness & Arts adult within the scope of their financial is to please reach out for help. Don’t day center, Active Wellness program at resources. I am very fortunate to work try to go it alone. There is a wealth St. Alban’s , support groups, workshops, with a multidisciplinary team of social of information and counseling for home-delivered meals and much more. workers, nurses and nurse practitioners. caregivers as they try to help older We are located in Washington, DC, a DC NURSE: What is the biggest family members, (some of whom few steps away from the AU/Tenleytown challenge elderly people face when are quite resistant to any help). Iona Metro, but we serve older adults and transitioning from independence to Information and Referral Specialists can their families all over the Washington, home care or assisted living? be reached Monday-Friday from 9am to DC Metro area. www.iona.org Ms. Kaplun: The biggest challenge 5pm at 202-895-9448 or info@iona. DC NURSE: What are the primary at the current time is the lack of org. The social workers and nurses who responsibilities in your position as affordable housing and services. Our answer the calls can provide resource Nurse Care Manager? goal for long term care planning is to information and guidance on specific Ms. Kaplun: My primary find the right combination of services in responsibility as Nurse Care Manager the most independent setting possible Continued on page 28 e-mail: [email protected] • web: http://doh.dc.gov/bon 27  Nursing Practice KudOs! and social workers will tell you, is that the days are too short. Many days the “to do” list is quite challenging. less glamorous, in the time of “Grey’s Anatomy,” “ER,” and other TV shows that are fast paced and high technology Continued from page 27 Constant triage and critical thinking environments. As a care manager in skills are very important, sometimes on the community, the greatest reward is services such as caregiver support an hourly basis. It is important to take in developing a long-term relationship groups, case management services, a breath, recharge, and face the new day with clients, using creativity and critical transportation, nutrition services, just tomorrow. thinking skills to formulate the best to name a few. They can also refer to DC NURSE: What setting did you individual care plan, and guiding them services in other parts of the local area work in prior to coming to Iona Senior through the victories and challenges and across the country for long-distance Services? along the way. caregivers. Call or email us…we can Ms. Kaplun: My first career, after DC NURSE: On April 1, you were help. graduating from Georgetown University, on television, WUSA-9. Tell us about DC NURSE: What do you enjoy was at the International Monetary that experience. most in your position? What is your Fund, as an analyst in the Statistics Ms. Kaplun: Very interesting! Many biggest challenge? Department. I went back to school and thanks to WUSA for the opportunity to Ms. Kaplun: I most enjoy meeting graduated with a BSN in Nursing from appear on their broadcast. our clients. We have the privilege the University of Maryland in 2000. I realized that all of the information to serve the members of the greatest I worked for a couple of years at the that I have described in this set of generation, who have lived amazing Clinical Center (inpatient hospital) at questions had to be condensed in to lives and been eyewitnesses to so many the National Institutes of Health, in a 3-4 minutes of interview time. So, historic events over the last century, Medical-Surgical Endocrinology unit. I emphasized the essence of care and now we are working with baby Life has come full circle. I have met management at Iona by describing boomers who bring a whole new several former IMF colleagues who how we form relationships with perspective to living well and aging have contacted Iona for services after clients and their families to navigate well. Washington is a unique, diverse retirement. them through the challenges of the and international city. Every day is a DC NURSE: What advice would you eldercare universe. Several viewers new adventure. Fortunately, clients give to a nurse interested in becoming a took the “Call us, we can help” advice who may be experiencing some short Nurse Case Manager? and arranged for family consultations term memory problems are still able to Ms. Kaplun: Case Management or care management services after the share stories from earlier days that are in the community is the highest use broadcast. n so compelling! of your nursing skills. Sometimes My biggest challenge, as most nurses “Community Health” is regarded as KudOs! Carroll Manor In Washington, D.C., recognizes acute and long-term earns Pathway to Excellence distinction care organizations for creating what the ANCC calls “positive practice environments,” or settings in which By Julie Minda earn the Pathway to Excellence nurses excel. The ANCC says studies designation from the American Nurses show a positive practice environment Carroll Manor Nursing & Credentialing Center. The 252-bed for nurses helps facilities improve Rehabilitation Center in Washington, Ascension Health facility is located on care quality, patient safety, patient D.C., has become the first Catholic the Providence Hospital campus. satisfaction, nurse satisfaction and nursing home in the country to The ANCC’s Pathway program nurse retention. 28 District of Columbia Nurse: Regulation • Education • Practice  Tina Sandri, vice president and schedule, a set menu, a set showering and development program geared administrator of Carroll Manor, said schedule, for example. toward helping its nursing staff it can be difficult to recruit registered Johnson said over the past six advance their skills and achieve a nurses to nonmanagement roles in years, Carroll Manor has been giving higher credential in nursing. long-term care facilities. The Pathway staff more decision-making latitude Johnson said 57 percent of Carroll recognition may give the facility an and encouraging staff to personalize Manor’s residents are age 85 or older; advantage in that regard. care to suit a resident’s preferences for many have outlived family and friends. To receive Pathway designation, daily routines. All changes are geared Staff become a surrogate family for organizations must meet 12 practice toward improving outcomes and quality the residents — some staff have cared standards — and each standard of life for residents, Johnson said. for the same residents for more than a includes about a dozen subcategories “We started a culture change dozen years. The facility trains nurses — that indicate that the organization to establish a more homelike in care of the very old, including is providing an ideal environment for environment, and to give residents dementia care; care of the dying; nurses, licensed practical nurses and and family and staff more say-so,” and restorative nursing, or care that certified nurse assistants. There are said Johnson. “And, we had great maximizes the capability of residents slightly different standards for acute outcomes,” including decreased by improving their mobility, continence care and long-term care organizations. unhealthy weight loss, decreased and eating routines. Janice M. Johnson, director of falls and decreased pressure ulcers. The councils identified a need to nursing for Carroll Manor, said that Residents can eat what they want, increase and refine nurses’ training unlike the better-known and more when they want; take a bath rather to support increased autonomy and rigorous Magnet Recognition Program than shower if they prefer and choose leadership development. And they from the ANCC, the Pathway program the activities they are interested in. created programs to address these does not require two years of outcome Staff and leadership at Carroll challenges, including introducing a data; and it costs less to apply for Manor pursued the Pathways mentoring program. Pathway designation (Magnet costs designation to celebrate what they’d Besides the improved clinical and fees range from about $25,000 to achieved and promote continuous outcomes that Carroll Manor has more than $68,000, depending on a improvement, Johnson said. documented, Johnson said, the facility’s bed count and other factors; At the outset, Carroll Manor residents are happier. They “are Pathway costs and fees range from administrators and employees elected treated as they want to be treated, about $12,480 to more than $41,520). a 15-member executive council and (and they are) honored and positioned Pursuing a Pathway designation sub-councils charged with completing at the center of care planning and requires a substantial commitment on the Pathway application process. All decision-making,” Johnson said. the part of staff and administrators, councils had representation from staff Johnson said. She filed a 500-page of various departments and various Reprinted from Catholic Health report in support of Carroll Manor’s levels of rank and seniority. World, June 15, 2014 application. There are 401 Magnet- The councils measured Carroll Copyright © 2014 by The Catholic designated organizations and 114 Manor’s practices in the 12 Pathway Health Association of the United States Pathway-designated organizations. categories (see sidebar) against the Just four of the 114 are long-term care Pathway standards, and determined Published with permission of the facilities. where there were gaps. Catholic Health Association of the Johnson said the cultural Johnson said that Carroll Manor United States (www.chausa.org). transformation that set the stage met or exceeded many, but not for the Pathway recognition started all, of the Pathway criteria. For Link to current and archived issues in about 2008, when Carroll Manor instance, through its culture change of Catholic Health World: began to move away from a top- work, nurses already participated in http://www.chausa.org/publications/ down decision-making model that decisions that impacted their work, catholic-health-world/article/june-15- discouraged staff and residents the facility had an effective approach 2014/carroll-manor-in-washington- from veering much from established for incorporating best practices into d.c.-earns-pathway-to-excellence- protocols. There was a set eating residents’ care, and it had a training distinction e-mail: [email protected] • web: http://doh.dc.gov/bon 29  Board Disciplinary Actions NAME LICENSE # ACTION Non-Public Disciplinary Actions: Anthony Amato RN1029671 Revoked Elizabeth Arung HHA8052 Revoked Referrals to COIN = 2 Oyebisi Babarinde HHA4221 Revoked Notice of Intent to Discipline = 12 Oyebola Babarinde HHA8530 Revoked Umu Bah NA604733 Revoked Consent Orders = 5 Annie Borkowski RN1005259 Suspended Requests to Withdraw = 14 Michelle Cash HHA7242, TME435 Revoked Phedocia Downs HHA9605 Certificate Denied Letters of Concern = 0 Wendy Duncan NA604794 Reinstated Requests to Surrender = 5 Felix Fon HHA3515 Revoked Mirabel Mukum HHA5311 Revoked Ernest Nkongsah HHA0320 Revoked Michael Nyantakyi HHA1764 Revoked Joey Pascarella RN1032357 License Denied Regina Rice RN1024641 Suspended Brenda Shaw RN1026451 Suspended Amy Shafer RN1026327 Suspended Victor Tarkeh HHA9066 Revoked Latoya Tates LPN966164 Reinstated Names and license numbers are published as a means of protecting the public safety, health and welfare. 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Excellent time management and prioritization skills are necessary to balance the wide variety in: of responsibilities of this position. Must be able to work and communicate • Nursing - R.N.-to-B.S.N. effectively with personnel at all levels of the organization. • Occupational Therapy Assistant After over two decades we have become a recognized leader in helping people live better lives…in delivering healthcare to the growing patient populations of the recovering, the disabled, and the chronically ill. PHRI offers a competitive salary, paid parking, and health benefits. Equal Opportunity and Affirmative Action Employer. To apply: please submit your resume and cover letter including salary requirements to [email protected] or contact us at (703) 752-8720. 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 Magnet® Nursing at MedStar Georgetown MedStar Georgetown University Hospital, a MedStar Georgetown University Hospital has 609-bed academic medical center, is one of been ranked by U.S. News & World Report the nation’s leading teaching and research as a “high performing” hospital for oncology, hospitals. diabetes and endocrinology, geriatrics, gynecology, nephrology, neurology and As Washington, DC’s first Magnet® hospital neurosurgery, orthopedics, pulmonology and and one of the few hospitals to receive three urology. consecutive Magnet designations, MedStar Georgetown University Hospital is deeply committed to your professional development. 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