NURSE VOLUME 14 NUMBER 2 DISTRICT OF COLUMBIA JUNE 2019 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 Supporting New Nurses • LPN Renewal • Adverse Events Decision Pathway • Nursing Symposium: Entry Level Nurse Competencies eO -mF aFi Il C : I bAo L n . dPc U @dBcL. gI oCv AT• I wOeNb : ohft t pt :h/ /ed c D h eIaS l tT h .R d cI. C g oT v / bOo F n C O L U M B I A B O A R D O F N U R S I N G1  Join Our Team! $1 onus B 0,0 fo 00 r N Sig urs Work @ Fort Washington Medical Center n O es! n PROFESSIONAL DEVELOPMENT OPPORTUNITIES ✓ Tuition Reimbursement ✓ Professional Development Fund ✓ Partnership with ANA for Certifications ✓ Clinical Advisory Council with CNO ✓ Lucrative Shift Differential ✓ New to Specialty/New to Practice Nurses Residency Program FWMC A Nexus Health Company Apply Online: www.FortwashingtonMC.org Email Resume: [email protected] FORT WASHINGTON MEDICAL CENTER 11711 Livingston Road, Upper Marlboro, MD, 20744 Advance your career in nursing! Registered Nurse to Bachelor of Science in Nursing Program (RN to BSN) APPLY TODAY! Admission Criteria Graduation from an accredited nursing program Cumulative GPA of 2.7 Must possess an active license at the time of application The RN to BSN program is accredited by the Accreditation Commission for Education in Nursing (ACEN). udc.edu/causes/nursing 2 District of Columbia Nurse: Regulation • Education • Practice DISTRICTof c o n t e n t s COLUMBIA NURSE Message from the Senior Deputy Director 4 Letter from the Interim Executive Director 5 Edition 50 R E G U L A T I O N Director, District of Columbia Department of Health LaQuandra S. Nesbitt, MD, MPH Meet the New Board Members 6 Senior Deputy Director LPN RENEWAL 8 Health Regulation and Licensing Administration Sharon Williams Lewis, DHA, RN-BC, CPM NAP NEWS! 9 Board of Nursing Members Board of Nursing Meetings 9 Meedie Bardonille, RN, BSN, FCN Acting Chairperson MOST Program Replaces CCO/DNR 10 Laverne Plater, BSN, RN-BC DC Medical Reserve Corps 11 Vice-Chairperson Rick García, PhD, RN, CCM, FAAOHN Zika Health Notice 11 Layo George, BSN, RN Monica Goletiani NURSYS.COM No Cost Nurse Licensure Verification Service 12 Margaret A. Green, LPN Crystal Johnson CE Broker 12 Elizabeth Lamme, MS, CNM Nancy Uhland, MSN, RN, NP-C IN THE KNOW 13 Office Location Adverse Event Decision Pathway 14 COIN CONSULT 15 Email Address DC Board of Nursing Nurse Practitioners: Did you check the DC PDMP? 17 899 North Capitol St. NE, 2nd Floor Washington, DC 20002 [email protected] Web site: http://dchealth.dc.gov/bon Office Hours E D U C A T I O N Monday thru Friday: School Scores: District of Columbia Pass Rates 18 8:30 a.m.-4:30 p.m. Nursing Schools/CNA & HHA Programs 20 Board Staff Frank Meyers, JD Interim Executive Director Cathy Borris-Hale, RN, MHA, BSN P R A C T I C E Nurse Specialist II/Discipline Joanne C. Drozdoski, JD 2018 Nurse Leadership Symposium: Entry Level Nurse Competencies 22 Investigator Bonita Jenkins, EdD, RN, CNE Kudos! 29 Nurse Specialist II/Education Concheeta Wright, BSN, RN Medical Marijuana Guidelines 29 Nurse Specialist II/Practice/COIN Disciplinary Action 30 Health Licensing Specialists: Melondy Scott, Supervisory Health Licensing Specialist Tanee Atwell, BS Antoinette Butler Kierstin Moses Nicole Scott Antoinette Stokes Nancy Kofie Address Change? Name Change? Question? DC Nurse: REP Managing Editor Please notify the Board of Nursing of any changes to your name or address. Thank you. DC BON Mission Statement: “The mission of the Board of Nursing is to safeguard the public’s health and well being by assuring safe quality care in the District of Columbia. This is achieved through the regulation of nursing practice and education programs; and by the licensure, registration and continuing education of nursing personnel.” pcipublishing.com Circulation includes over 40,000 licensed nurses, nursing home administrators, nurse staffing agencies and nursing assistive personnel in the District of Columbia. Created by Publishing Concepts, Inc. David Brown, President • [email protected] Feel free to e-mail your “Letters to the Editor”. The IN THE KNOW and NAP Q&A columns include your For Advertising info contact opinion on the issues, and our answers to your questions. E-mail your letters to [email protected]. (Lengthy Malia Ford • 1-800-561-4686 ext. 106 letters may be excerpted.) [email protected] ThinkNurse.com e-mail: [email protected] • web: http://dchealth.dc.gov/bon 3  Message from the Senior Deputy Director Your dedication and compassion independence above most APRNs are essential ingredients for the practicing in other parts of our high-quality care offered in the nation. District’s hospitals and long-term There are six concepts that I care facilities. DC Health celebrates think embody Ms. Scipio-Skinner’s each nurse striving for higher work: (1) Evidence of a caring levels of competency and a deeper spirit by treating people with knowledge and understanding of respect and dignity; (2) Structure the best practices of the profession. standards for nursing practice that Within the District Government, implicates compassion as a value there is one nurse who has been a that must be a part of one’s daily Dr. Sharon Lewis treasured colleague, and who served routine; (3) Advocate for higher within the District Government for levels of nursing competence and Hope you had a wonderful 31 years. She will be greatly missed require that knowledge and skills National Nurses Week (May 6-12)! now that she has embarked upon be kept up to date with the latest Thank you for all you do for retirement. best practices, (4) Communicate the residents of the District of Karen Scipio-Skinner, MSN, and offer a listening ear with a Columbia and the millions of RN, had a great impact on the calm spirit; (5) Have the courage to visitors who travel here every year. practice of nursing in DC. Ms. speak up about nursing standards Scipio-Skinner served as executive of practice; participate in Mayoral director of the Board of Nursing for committees and other forums; 16 years. She provided leadership advocate for excellence in the for the nursing profession and profession, (6) Demonstrate advocated for the protection of the commitment (perhaps her first public. Active at the national level, name should start with a “C” for she was and is sought after for her Commitment, instead of a “K”!). knowledge and advocacy of nursing Although Ms. Scipio-Skinner’s practice. Due to her advocacy, work for DC Government Advance Practice Registered concluded in December 2018, her Nurses (APRNs) practicing in DC legacy lives on in the current work have a level of autonomy and of the Board of Nursing. Thank you, Karen. You accomplished so Thank you, Karen Scipio-Skinner much for nursing in the District of Columbia, and we wish you well. Sharon Williams Lewis, DHA, RN-BC, CPM Senior Deputy Director For advertising Health Regulation and Licensing information contact Administration MALIA FORD Karen Scipio-Skinner, 800-561-4686 ext.106 MSN, RN [email protected] For your 31 years of dedicated service! 4 District of Columbia Nurse: Regulation • Education • Practice  Letter from the Interim Executive Director provides a means for addressing a treatment and monitoring issues affecting licensees and program for nurses with keeping you abreast of news substance use disorders or facing and regulations affecting your the challenge of mental illness. practice. Please take a moment Through COIN nurses can seek to review our Q&A in IN THE help and treatment without KNOW and COIN Consult. fear of professional stigma, loss Also in this issue, you will find of employment, or having to Frank Meyers, JD information about LPN renewal, relocate to another jurisdiction the exam pass rates for District just to seek help. Hello nurses of DC! programs and an article about The Board of Nursing has had My name is Frank Meyers, JD, our latest Nursing Symposium, many achievements during its and I am the Interim Executive which focused on Entry Level more than 100 years of history in Director of the DC Board of Nurse Competencies. We also the District, and we look forward Nursing (Board). In addition have an article introducing two of to the next 100 years of the same. to this new role, I also serve as our newer Board Members, Rick The Department of Health (DC the Executive Director for the Garcia and Crystal Johnson. Health) is currently searching for DC Board of Medicine and the On behalf of the Board of the next, permanent executive DC Board of Chiropractic. I am Nursing, we hope you had a director, but in the meantime I honored to have been appointed great National Nurses Week (May promise to do my best to ensure to this position, and look forward 6-12, 2019)! As we celebrate the Board continues on the path to working with the Board, its nursing this spring, I want to of progress and achievement wonderful staff, and each of you, take a moment to highlight the set by Karen. Only by working in helping accomplish the Board’s service of our recently retired together, can we successfully goal of public protection. Executive Director, Karen safeguard the public’s health and As you know, the Board Scipio-Skinner, MSN, RN. A well-being, and assure safe quality is tasked with protecting former Board Member and care for the residents and visitors the public by overseeing the an outstanding leader, Karen in the District. licensing and certification of brought stakeholders together Thank you for being a part of Registered Nurses in DC, as well and supported the Board’s nursing excellence in the District. as Licensed Practical Nurses, endeavors towards formulating Certified Nursing Assistants, nursing regulations for best Home Health Aides and Trained practices in the District. While Frank Meyers, JD Medication Employees. In the Karen is responsible for many Interim Executive Director near future, the Board will also of the Board’s achievements, DC Board of Nursing regulate Medication Aides, Patient perhaps one of the greatest was Care Technicians and Dialysis the formation of the Committee Technicians. This publication on Impaired Nurses (COIN), e-mail: [email protected] • web: http://dchealth.dc.gov/bon 5  Regulation Meet the New Board Members Rick García, PhD, RN, a safeguard to the public’s health and well-being by assuring safe quality CCM, FAAOHN care in the District of Columbia. I WHEN WERE YOU APPOINTED TO have enjoyed 25 years as a nurse to THE BOARD? date and have been fortunate to have I was appointed to the District of many firsts including being one of Columbia Board of Nursing (DC BON) four founding case managers at both on November 28, 2018. Georgetown University Medical Center and National Naval Medical Center. WHY AND HOW DID YOU GET I’ve worked at the point of care in INVOLVED WITH THE BOARD? neonatal, post anesthesia care, case WHAT SPARKED YOUR INTEREST IN management, neurosurgery, urology, SERVICE AS A BOARD MEMBER? otorhinolaryngology, ophthalmology My involvement with the DC BON nursing, and have held a multitude of began in 2003 when Mayor Anthony nursing leadership roles. Williams appointed me to the Board. My interest to join the Board came from WHAT WOULD YOU TELL SOMEONE receiving my copy of DC Nurse REP and THINKING ABOUT APPLYING TO noting a vacancy on the Board. I renewed SERVE ON THE BOARD? my license in person that year when the I would make a call to nurses District began requiring the submission practicing and living in the District of a picture to renew nursing licenses. I to answer the call to serve on the DC inquired about the process to apply and BON; it is a wonderful opportunity was directed to the Mayor’s Office of Rick Garcia PhD, RN, CCM, FAAOHN, and Mayor to serve and give back while using Muriel Bowser Talent and Appointments (MOTA). one’s expertise. Regulation affords us all an opportunity to understand the CAN YOU TELL US (BRIEFLY) ABOUT WHAT UNIQUE PERSPECTIVE DO specifics of our scope of practice and YOUR BACKGROUND? YOU BRING TO THE BOARD? to develop a deeper understanding of I served on the Board (DC BON) for I hold a unique perspective as a the DC nurse practice act. 3 years before being recruited to serve as nurse researcher and nurse educator the executive director of the Florida Board of Nursing. While serving as executive and I am happy to share my passion of nursing with those I meet and come Crystal Johnson director of the Florida Board of Nursing, I across. Nursing education is one of my My name is Crystal Johnson. was able to institute an online application passions and I look for opportunities I was appointed to the Board on for candidates seeking Florida licensure to bring the conversations on September 27, 2018. I desired to for both examination and endorsement innovation within the nursing become a member because I enjoy pathways for licensure. I relocated to education space into action. helping others. Life has afforded me New York State a few years later and was an opportunity to assist my elderly appointed as a registered nurse member WHAT BOARD-RELATED ISSUES family members. This experience of the New York State Board of Nursing INTEREST YOU THE MOST? taught me the value of giving back and and chair of the practice committee. This Our professional responsibility is to helping along the way, so my work current appointment completes my circle engage in service in a variety of ways. will not be in vain. I’m thankful for and returns me to where my experience Regulation is one that supports the this opportunity and look forward to and service to regulation all began. mission of the DC BON of providing serving. n 6 District of Columbia Nurse: Regulation • Education • Practice DC Nurse 2019.indd 1 2/27/2019 9:58:33 AM facebook.com/U HCH R BENEFITS United Hospital Center offers a comprehensive benefit Please apply on line at program including a competitive salary, health and life insurance, wvumedicine.org/united-hospital-center retirement and TSA plans, vacation and ill time, tuition reimbursement, a Clinical Ladder for advancement and much more! 'f WVUMedicine UNITED HOSPITAL CENTER 11II-= e,;dgepo,t, W.Vo. I We're Port of So=tMng Greot I e-mail: [email protected] • web: http://dchealth.dc.gov/bon 7  Re g u l a t i o n LPN RENEWAL: PLEASE NOTE NEW REQUIREMENTS LPN Renewals Period Has Begun! Licenses Expire Sunday, June 30, 2019 We are excited to inform you that the Health Regulation LPNs MUST COMPLETE 18 HOURS OF CONTINUING and Licensing Administration (HRLA) is transitioning to a EDUCATION (CE) new online licensure system THIS RENEWAL PERIOD. The LPN CE Compliance Options: changes you will see are as follows: (1) Contact Hour Option: Provide Course Completion • You will no longer be able to submit a paper Certificates application. (2) Academic Option: Provide transcript that indicates completion of an undergraduate or graduate course • You will no longer receive a “license card”. You will in nursing or relevant to the practice of nursing. receive an email and be able to print the license (3) Teaching Option: Provide acceptance letter/email certificate. as evidence of having developed or taught a CE course or educational offering approved by the • You will be required to upload your Continuing Board or a Board-approved accrediting body. Education (CE) documents unless you are a CE Broker (4) Author or Editor Option: Provide acceptance letter Subscriber (see page 12). Persons selected for audit from publishers, as evidence that you authored will be notified prior to renewal. or edited a book, chapter or published a peer reviewed periodical. • If you want to make your licensure status inactive, you will be able to select “Inactive Status”. PLEASE NOTE: All continuing education must be relevant to your current field of practice. • If you answer “No” to a screening question, you will be able to write an explanation or upload documents. HOW TO RENEW LPN Renewal: April 15 through June 30, 2019 A renewal notice with additional information will be Renewal reminders will be mailed and emailed to you in sent to you via mail and to your email. August. To renew online, please go to Please update your mailing and/or email address at https://dchealth.dc.gov/service/online-license-renewal [email protected]. and follow the steps. You will need to create an account You will still be able to renew your license at the HRLA even if you have renewed online in previous years. Please website at https://dchealth.dc.gov/service/online-license- note you can also verify and update your address during renewal. this process. Renewing ONLINE will be the ONLY way to renew your license. WORKFORCE SURVEY YOU WILL NOT RECEIVE A WALLET CARD Please complete or update the online Nurses Workforce In keeping with our progression towards a fully Survey when you renew. This survey will allow the Board electronic system, you will no longer receive wallet cards in of Nursing and HRLA to accurately capture, quantify, and the mail following the renewal of your license. Once you analyze our current nursing workforce demographics. This have successfully completed renewing your license you will survey will provide the information needed by the DC be emailed a printable verification of licensure. You and health care community to develop strategies for building your employer can verify that your license was renewed the capacity needed to meet the workforce needs of the using our License Lookup at future. The data will be used for workforce statistical https://app.hpla.doh.dc.gov/Weblookup/. analyses and reporting purposes ONLY. 8 District of Columbia Nurse: Regulation • Education • Practice  What happens if you miss the June 30th application from the DC HEALTH website, but it deadline? The online renewal system for LPN licenses must be mailed to our office with a check or money will close at midnight on June 30th. If you miss the order to cover the $145.00 reinstatement fee plus an deadline, your license will be placed on “expired” additional $85 late fee. status. But you may renew late until (October 31st) by Licensees who practice after the expiration of their applying for renewal and paying the late fee. license will be subject to an administrative penalty. After October 31st in order to get your license Practicing while holding an expired license can also on “active” status again, you will be required to lead to disciplinary action. apply for reinstatement. You can find the LPN Need Assistance? If you have questions about reinstatement application by going to dchealth. renewal, feel free to send an email to dcbon. dc.gov/bon. You can print a reinstatement [email protected] or [email protected]. n NAP NEWS! due to the large number of claims submitted, including: • Claims for services in excess of 24 hours a day TWO HOME HEALTH AIDES ARRESTED IN $1.7 MILLION MEDICAID FRAUD SCHEME • Claims for services for Medicaid beneficiaries who were receiving no services Two Maryland residents certified to practice as Home Health Aides (HHAs) in the District of • Claims for services for Medicaid beneficiaries to Columbia were arrested last fall for $1.7 million in whom the defendants had paid illegal kickbacks Medicaid Fraud, according to the US Department of Justice’s US Attorney’s Office for the District of • Claims filed (by Ogunbiyi) for services provided Columbia. while she was out of the country. Temitope Oluwa-Bakare Ogunbiyi (also known as “Deborah Brown”) practiced under two different The arrests were made after investigations by HHA certification numbers. Ogunbiyi and the other the FBI’s Washington Field Office, the District of defendant, Nkiru “Nikki” Uduji, worked as Personal Columbia Medicaid Fraud Control Unit, and the Care Aides. Each appeared in court on October Office of Inspector General for the US Department 24, 2018, and were charged separately with health of Health and Human Services. care fraud and health care fraud conspiracy. They “The charges in a criminal complaint are merely practiced in the District from 2013 to 2018. allegations, and every defendant is presumed The DC Department of Health Care Finance innocent until proven guilty beyond a reasonable began taking a closer look at these two individuals doubt in a court of law,” states the US Attorney. n BOARD OF NURSING MEETINGS Meeting dates subject to change; please check the DC Health Members of the public are invited to attend... website. Date: Location: Meetings scheduled: First Wednesday of every other 2nd Floor Board Room May 1, 2019 month. 899 North Capitol St NE July 3, 2019 Time: Washington, DC 20002 September 4, 2019 9:00 a.m - 11:00 a.m. (subject to Transportation: change) Closest Metro station is Union Station. (Red Line) e-mail: [email protected] • web: http://dchealth.dc.gov/bon 9  Re g u l a t i o n Dear Healthcare Providers, announce the Medical Orders for of Hea lth (DC Health) EMS Division is excited to itate The DC Dep artm ent fort Care Order – Do Not Resusc pe of Trea tme nt (MO ST) pro gram which will replace the Com gram has pro vide d Sco /DNR pro NR) pro gram in the Dis trict of Columbia. As you know, the CCO ital care. Pro vide rs (CC O-D and/or in-h osp inal ly-il l pati ents the righ t to request or deny resuscitation for pre- CCO /DN R pro gram by term ance of the you rsel f, hav e bee n inst rum enta l in the implementation and perform like es as indicated on their order. honoring patients’ end-of-life wish providers and partners for MO ST pro gram, we look to our healthcare As we imp lem ent the new n expanded autonomy for their ess of this end eavor. Under MOST, patients are give assi stan ce in the succ care. They are able to do so in s and are able to have a voice in their end-of-life ST own trea tme nt opt ion (MD/DO or ARNP). The new MO sult atio n with an auth oriz ed Dis trict-licensed healthcare provider they wish to rece ive. The con l of care that is bro ken into fou r key area s, where patients can indicate the leve form four areas are: tion (DNAR) (CPR)/ Do Not Attempt Resuscita • Cardio-Pulmonary Resuscitation g) se who have a pulse and/or breathin • Medical Interventions (For tho • Medically-assisted nutrition • Antibiotics tions. Every provider allo w pro vide rs to hon or similar forms from other jurisdic DC laws and regu latio ns tion is complete. If to hon or any wish es or exp licit orders as long as the documenta is expected to atte mp t ces, the provider should rly dete rmi ne a pati ents’ end-of-life treatment preferen a provider is una ble to clea form must accompany tme nt and con duc t all life- savi ng efforts. In addition, the MOST administer full trea d by an authorized sfer red to a new faci lity, and upon arrival, must be reviewe the patient whe n tran r and the patient/ ion al with in 72 hou rs. The revi ew must be done with the provide healthcare profess e, if possible. patient’s authorized representativ S Division at 202-671-422 2 or mo re info rma tion on the MO ST program, please contact the EM For e on-line at and instructions are readily availabl [email protected]. The MOST form ent- mo st-p rogr am. al-orders-scope-treatm https://dchealth.dc.gov/page/medic Regards, PRA) EMS Division and Response Administration (HE Health Emergency Preparedness DC Health 10 District of Columbia Nurse: Regulation • Education • Practice DC Medical Reserve Corps The mission of the DC Medical Reserve The DC MRC is comprised of Service as well as participating in Corps (MRC) is to establish a network of nurses, doctors, emergency medical numerous drills and exercises. local volunteers who are willing to donate technicians (EMTs), paramedics, The DC MRC is actively their time and expertise to supplement dentists, veterinarians, social workers, recruiting for medical professionals, existing public health and medical and other medical professionals, public health professionals and resources during emergencies and other as well as non-medical support administrative personnel. times of community need. personnel. More information can be found on: The purpose of the DC MRC is to: All volunteers receive instruction Medical Reserve Corps website (http:// • Provide properly trained medical and in the areas of the Incident Command www.medicalreservecorps.org/). support personnel to assist in the System, Strategic National Stockpile You may also register to become organized response to an emergency (SNS), Weapons of Mass Destruction a member of the DC MRC at: or disaster event, whether naturally and other trainings relevant to DCResponds website (http://www. occurring, or man-made in nature. emergency response. All trainings and dcresponds.org/). courses are offered free to DC MRC • Allow medical and non-medical members. For further information or questions, volunteers to contribute their skills The DC MRC regularly participates please contact: MRC Coordinator and expertise throughout the year as in special events including the Safeway at 202-671-4222 or dcresponds@ well as during times of community Barbecue Battle, DC Caribbean dc.gov. n need. Carnival, Presidential Inaugurations, Martin Luther King Jr. Day of Zika Health Notice A m e m b e r o f N u r s e s S e r v i c e O r g a n i z a t i o n ( N S O**) ** N S O m a y c o v e r m o s t o f y o u r a t t o r n e y f e e s . Updated Guidance from the DC Health Center for Policy, Planning to-person through an unknown route. Locally acquired mosquito-borne Izu I. Ahaghotu, RN, JD and Evaluation (CPPE), Division of transmission in the United States has A T T O R N E Y A T L A W Epidemiology—Disease Surveillance and only been documented in Florida Investigation and Texas. In DC, there have been no reported cases of ZVD spread by local To date, there have been 36 cases mosquitoes or through blood or tissue of laboratory-confirmed Zika virus products (e.g., blood transfusion, disease (ZVD) in the District of sperm donation). Columbia (DC), all of which have In this notice, we describe updated been travel-associated or sexually guidance for preconception counseling transmitted. As of September 5, 2018, and prevention of sexual transmission If you or a colleague is in need of an states have reported a total of 5,723 of Zika for men with possible Zika Attorney to represent you before the D.C. cases of ZVD to the Centers for Disease virus exposure. Please share this Board of Nursing or FOR ANY OTHER LEGAL MATTER, Call a Nurse Attorney Control and Prevention (CDC) since notice with all appropriate staff at for a confidential consultation. January 1, 2015. Of these, 5,437 were your facility. Please contact Izu I. Ahaghotu, RN, Esquire directly: travel-associated, 231 were locally The complete health notice can Office: 202.726.0001 DIRECT 202.361.6909 acquired mosquito-borne cases, 52 be viewed on our website at https:// www.IZUAHAGHOTU.com were sexually transmitted, 2 were dchealth.dc.gov/page/health-notices. Email: [email protected] laboratory acquired, and 1 was person- n 3724 12th St NE Washington, DC 20017 e-mail: [email protected] • web: http://doh.dc.gov/bon 11  Re g u l a t i o n NURSYS.COM No Cost Nurse Licensure Verification Service Typically, when employers want to • License expirations; as a primary source equivalent database. know if a nurse’s license is about to expire, • License renewal; and NCSBN posts licensure and discipline they have to look it up one nurse at a • Public disciplinary action/resolutions information in Nursys as it is submitted by time. When it comes to learning about and alerts/notifications. individual BONs. discipline status, employers must seek out this information on their own as For example, if a nurse’s license is about NURSYS® BENEFITS NURSES TOO! well. Not anymore! With NCSBN’s Nursys to expire, the system will send a notification Nurses can self-enroll for free and take e-Notify® system, institutions that employ to the institution about the expiration date. advantage of a quick, convenient and nurses or maintain a registry of nurses, If a nurse was disciplined by a BON, his/ free way to keep up-to-date with their now have the ability to receive automatic her institution will immediately learn about professional licenses. They can receive licensure, discipline and publicly available the disciplinary action, including access to license expiration reminders, licensure status notifications quickly, easily, securely and free available documents. updates and track license verifications for of charge. Nursys e-Notify is an innovative endorsement. nurse licensure notification system that UNDERSTANDING NURSYS® Learn more about Nursys® e-Notify: automatically provides institutions Nursys is the only national database introductory video – https://www.nursys. licensure and publicly available discipline for licensure verification, discipline for com/Help/HelpVideoPlayer.aspx?VID=EN data as it is entered into Nursys by boards registered nurses (RNs), licensed practical/ Nursys website – https://www.nursys.com/ of nursing (BONs). Institutions don’t have vocational nurses (LPN/VNs) and advanced to proactively seek licensure or discipline practice registered nurses (APRNs). Nursys Questions? Contact: information about their nurses because data is pushed directly from participating Dennis S. Roy, MBA that information will be sent to them BONs’ database (for participating Nursys E-Notify Project Consultant automatically. jurisdictions visit nursys.com). Nursys is live National Council of State Boards of Nursing The e-Notify system alerts subscribers and dynamic, and all updates to the system Email: [email protected] or when modifications are made to a nurse’s are reflected immediately. [email protected] record, including changes to: Through a written agreement, Website: www.nursys.com/e-notify n • License status; participating BONs have designated Nursys CE Broker CE Broker simplifies the process of THE PROFESSIONAL ACCOUNT storage, course history backlog, helpful tips tracking your continuing education with ($29/ YR): CE Broker’s most popular and deadline notifications. easy reporting, digital storage for your option is the best value for professionals THE CONCIERGE ACCOUNT ($99/ certificates and licenses, and a credit with several licenses or cards to keep up YR): Designed for the extra busy healthcare counting CE Compliance Transcript all with. Online Reporting—Easily report your professional, this full reporting service in one online portal. There are three accomplishments from your computer or option provides you with a personal subscription options. phone. CE Compliance Transcript—See reporting assistant. THE BASIC ACCOUNT: This NO COST all of your requirements, what has been For more info call 1-877-434-6323 or account provides licensees a no-frills way to completed, and what CE still needs to be go to www.CEBroker.com. n report course completions and verify that all fulfilled. Course Search—Search for all the completed hours have been entered into the board approved courses needed to fulfill system. your requirements. Plus digital certificate 12 District of Columbia Nurse: Regulation • Education • Practice IN THE KNOW The District of Columbia 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. 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 better outcomes we can expect. RN WORKING AS AN LPN PSYCHIATRIC NPs CE BROKER WOES Q Q Q : We hired a nurse who : There are Nurse : I am unable to report received her Bachelor’s Practitioner (NP) CE information with CE degree in Nursing (BSN) programs with a Broker. I co-authored from outside the United States for psychiatric focus. Does DC have several articles, but the system does an outpatient clinic. She has her psychiatric NPs? If not, what would not allow me to provide the citation DC LPN license and now has an RN qualify one to be a psych NP? Also, and abstract in Word or as a PDF. license in New York State. In DC, we have providers trying to replace I teach graduate courses yet they if she continues to work as an LPN psychiatrists with “psychiatric NPs”. cannot be entered into the system and does not apply for endorsement Are the two interchangeable? because they are 3 credit courses A for an RN license in DC, will she be : Regarding psych NPs: Yes. vs. CEU credits. How is teaching a held to the higher RN license that We do have psychiatric NPs, CE course a higher level skill than she has in NY? as well as psychiatric mental teaching a university-level course? A A : Since she is only licensed health clinical nurse specialists : On behalf of DC Health I as an LPN in DC we cannot (CNS). NPs and CNSs can provide apologize for the difficulty affect her RN licensure psychotherapy and they have you experienced. Regarding status, but if disciplined as an prescriptive authority. Are they receiving teaching credit for LPN and reported to the National interchangeable with psychiatrists? renewal: as a professor, preparing Practitioner Data Bank, New York They are not interchangeable as courses and teaching are the may discipline her RN license. physicians and nurses are not requirements for your position. interchangeable. It is the agency’s Continuing education courses CLEAN HANDS ACT AND RN decision regarding who would be would need to be additional RENEWAL the best fit for their clientele. educational opportunities you can Q : Does the Clean Hands use to enhance your knowledge. n Act apply to Non-DC residents and traffic violations? May I renew my RN license if I have outstanding traffic violations in DC? A : The Clean Hands Act applies to anyone owing fees FREE CONTINUING EDUCATION: LBGTQ & HIV COURSE ONLINE to the DC Government and applying for licensure or licensure Here is a link to free online webinairs and video training that nurse renewal. You cannot renew if you licensees may consider to satisfy the LGBTQ (and HIV) CE requirement: owe fees to the DC Government. If you owe fees to DC Motor Vehicles, https://www.lgbthealtheducation.org/lgbt-education/webinars/ you need to either provide evidence of a payment plan from motor vehicles or pay your traffic fines. e-mail: [email protected] • web: http://dchealth.dc.gov/bon 13  Re g u l a t i o n Adverse Event Decision Pathway What adverse events should be reported to the Board? Below you will find an “Adverse Event Decision Pathway” to assist you. If you remain unsure, report the event. The Adverse Event Decision Pathway State boards of nursing (BONs) and (2) provisions in the state law/ (AEDP) was developed by the National may also have specific requirements regulations for reporting death or serious Council of State Boards of Nursing and for special or mandatory reporting. The injury resulting from adverse event/error. the American Organization of Nurse pathway provides questions regarding (Online at www.ncsbn.org/npa.htm.) Executives. system error, mitigating factors and Following principles of the systems behavioral choices of the nurse which, DIRECTIONS approach and Just Culture, the AEDP when used with data from your In partnership with the facility suggestions include a complete investigation, will promote a consistent quality team, conduct an internal investigation of the adverse event, as framework for making important patient investigation on the adverse event. well as the nurse’s behavioral choices. safety decisions. With your data from the investigation, The AEDP reflects a balance between In addition, nurse leaders should use the pathway starting with the justice and fairness and the need to learn be aware of (1) Nurse Practice Act question at the top, and progress to from a mistake and disciplinary action requirements for special or mandatory other questions based on affirmative or (Russell & Radtke, 2014). reporting to the board of nursing negative answers. n 14 District of Columbia Nurse: Regulation • Education • Practice COIN CONSULT What Should I Do? Question: I work in a PACU [post-anesthesia care unit]. Answer: You should refer yourself to the COIN Program I think one of my colleagues may have a substance use (Committee on Impaired Nurses) for assistance. After doing issue. He frequently asks if he could help with my patient an intake with COIN, you will be evaluated to see if you need medications or says he will waste my narcotic meds. His medical assistance for detox, or if you need treatment if you patients seem to have more pain than other patients with are addicted to the meds, and/or if you need talk therapy. You similar procedures. I can’t quite put my finger on what’s will be given referrals and support that meet your needs. If wrong, but I know that something is not right. How do I you report yourself to COIN and there is no other action by a handle it? third party (i.e., you were not caught diverting or you were not Answer: What you can do is to reach out to your nurse told by your employer to get help) then the interaction with manager and tell him/her about your concerns. It feels COIN is confidential. If you are referred to COIN because of uncomfortable “telling on” your colleague; however, you are an employer action or you fail to comply with COIN’s contract, responsible to your patients first and foremost. It is our job then you are considered to be on the disciplinary track and to protect the patient from any possible harm. What your your participation in COIN may be shared with the Board of manager can do is collaborate with the pharmacy to review Nursing. Don’t wait until you have been caught to reach out for the data to determine the nurse’s medicating practices. This help! nurse may be an outlier among the nurses on your unit. He may simply need more education on pain management, Question: I got a second DUI and my lawyer suggested documentation, or other nursing practices. Or he may indeed I get treatment. I got myself into an outpatient program and I be diverting drugs. It is not your responsibility to “catch” him am attending that program weekly. Why do I need to be part of in the act of diverting, or to accuse him of diverting. Your the COIN Program? responsibility is to reach out to a higher authority to have the Answer: COIN was specifically designed for nurses. In unit leadership make the determination of diversion. It is addition, it is staffed by nurses with credentials in the areas of vitally important to determine if the nurse is diverting drugs substance use disorders and behavioral health. The goal of the for personal use and if he is diverting for personal use, then he COIN Program is to preserve the nurse while protecting the needs help getting into treatment. patient. COIN works in collaboration with treatment programs to insure your compliance with and stability in an outpatient Question: I think I might have a problem with drugs program. When you reapply for your RN license, you will be and alcohol. I sometimes take Valium or Fentanyl or asked very specific questions about your relationship with drugs Dilaudid from my patient’s medications. I don’t use it to and alcohol. Failure to respond honestly to the questions will get high; I just need it to help me get some sleep. My unit is result in disciplinary action by the Board of Nursing. Receiving understaffed and has me working different shifts and I find your second DUI will trigger a review of your application, at it hard to get the sleep I need, so I “borrow” a couple of pills which point, you would be referred to COIN. Joining the COIN now and then, so I can get the rest I need. I know that I am program voluntarily is another opportunity to demonstrate your taking more meds than before and don’t want to stop because willingness to participate in the treatment process. COIN is here I know I need them, but feel I am still in control of them. I’m to help nurses and self-disclosure is a key factor in recovery. worried about being caught. What should I do? COIN Contact Information The Committee on Impaired Nurses (COIN) is a resource for impaired Board of Nursing licensees. If you are a Trained Medication Employee, Home Health Aide, Certified Nursing Assistant, Licensed Practical Nurse, Registered Nurse, or Advanced Practice Registered Nurse whose practice is unsafe due to drug or alcohol dependence, or mental illness, please feel free to contact Concheeta Wright, Nurse Specialist II, by email at [email protected]. The purpose of the COIN (Committee on Impaired Nurses) is to provide an alternative to Board discipline. The Committee monitors the recovery of participants and their practice to ensure that they practice within acceptable standards of care. All information about the participants in the program is confidential. n e-mail: [email protected] • web: http://dchealth.dc.gov/bon 15  DID YOU CHECK THE DC PDMP? The District of Columbia Prescription Drug Monitoring Program (DC PDMP) is an electronic database used to monitor and collect data on the dispensation of controlled substances. The District of Columbia Department of Health (DC Health) encourages Nurse Practitioners to check the DC PDMP before prescribing and dispensing opioids. Register Now for the DC PDMP: https://districtofcolumbia.pmpaware.net/login Go to the link above, then click “Create an Account” DEA Registration # DC Health Professional License # DC Controlled Substance Registration # National Provider ID (NPI) Email Questions to: [email protected] DC Center for Rational Prescribing: https://dchealth.dc.gov/dcrx Website: https://dchealth.dc.gov/pdmp Email Address: [email protected] 16 District of Columbia Nurse: Regulation • Education • Practice  Free Subscription to Reach StuNurse magazine! nationwide Do you know someone who is a student nurse, or Recruit nationwide someone considering a nursing career? Then let them know about the StuNurse magazine. A subscription Mind MappingeaS ing the to the StuNurse digital magazine is FREE and can be Retain : nSition How It Can Help tranurSing from You Write a Bett er dent to College Paper StunurSing ProfeSSional reserved by visiting www.StuNurse.com and clicking on february 2013 the Subscribe button at the upper right corner. E D I T I O N 2 7 StuNu Reaching every rse.com 1 nursing student/school SecondS educati on/emp loyment in America of Safety Port angeleS Educators…let your students know 3 NURSENURSE Volume 9 Number they can subscribe free of charge! August 2012 COLU MB IA DISTR ICT OF Reachi1ng eevery nursing student/school yment in America April 2014 n/emplo ducatio And find us on Facebook. .com uNurse N 3 1 St E D I T I O VOLUME 13 NUMBER 4 DISTRICT OF COLUMBIA JANUARY 2018 d u c at i o n PR a c t i c e R e g u l at i o n e 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 IA & SOC IAL MED : YOU R LICE NSE Are You On k, Twi tter? FacebooJ U S T C U LT U R E & D I V E R S I T Y • RN/APRN Renewal – New Licensure Renewal Process GOVERNMENT OF THE • APRNs May Recommend Medical Marijuana DISTRICT OF COLUMBIA • Board Hosts Medicaid Fraud Roundtable MURIEL BOWSER, MAYOR eO -mF aFi Il C : I bAo L n . dPc U @dBcL. gI oCv AT• I wOeNb : ohft t pt :h/ /ed oD h . Id S c .T g oR v /IbC onT O F C O L U M B I A B O A R D O F N U R S I N G1 INSIGHTS FOR (CNAs) ING ASSISTANTS of the CERTIFIED NURS Government District of Columbia (See page 20) S I N g1 Mayor D OF NUR Vincent C. Gray, B IA BOAR h .R g oTv cI.C OF COLUM t hw e l aI. dSoT pD d : fw w bo .h bdlc i. gcv •i Owne oat i a a . dPo u p ll h@ eO -mf afi il c : h Reaching over 37,000 Nurses in Washington DC. The Washington, D.C. Board of Nursing JOURNAL THE GOLDBERG CENTER FOR COMMUNITY PEDIATRIC HEALTH to reserve advertising space, contact SEEKS EXPERIENCED RN AND LPN CANDIDATES Malia Ford at The mission of the Goldberg Center for Community Providing high quality care for children and their [email protected] Pediatric Health is to build healthy communities through clinical care, advocacy, research, and families is at the heart of everything we do at Children’s National. Comprehensive, coordinated care begins in education. Children’s aims to give every infant, child, our primary care Medical Homes and extends 1-800-561-4686 ext. 106 and adolescent in the District of Columbia the opportunity to access family-centered care in the throughout Children’s National Health System. The primary health care services provided include: community that is culturally sensitive, promotes  Well child check ups disease prevention, and provides for the diagnoses of  School and Sports Physicals Our nursing journals reach over 2 million childhood health problems.  Immunizations nurses, healthcare professionals  Developmental testing and screening  Care for minor injuries and illnesses The Goldberg Center offers a community-based and educators nationwide each quarter. model which focuses on comprehensive primary  On-going care for children with special needs care, prevention, diagnoses, and treatment of and health problems pediatric health conditions prevalent in the District of  Comprehensive adolescent healthcare Arizona New Mexico Columbia. Through its broad scope of services, Arkansas North Carolina Children’s presence extends further into District Interested RN & LPN candidates should send cover letter and The District North Dakota neighborhoods and establishes the Goldberg Center resume to [email protected] of Columbia as an integral component of community life. Ohio Florida Oregon Georgia South Carolina Indiana South Dakota Kentucky StuNurse/Nationwide Mississippi Tennessee Montana Washington Nebraska West Virginia Nevada Wyoming ThinkNurse.com Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities childrensnational.org/careers e-mail: [email protected] • web: http://dchealth.dc.gov/bon 17  Education District of Columbia NCLEX® Pass Rates National Council Licensing Examination (NCLEX) Test Results October 1, 2017 – September 30, 2018 REGISTERED NURSE PROGRAMS % pass Status Catholic University of America 98.57 Full Approval Georgetown University - BSN 100 Full Approval Georgetown University - CNL 100 Full Approval Howard University 82.14 Full Approval Trinity Washington University 82.61 Full Approval University of District of Columbia Community College 0 Conditional Approval National Average: Baccalaureate Programs 91.17 Associate Degree programs 85.51 District of Columbia Required Pass Rate 80 PRACTICAL NURSE PROGRAMS % pass Status Saint Michael School of Allied Health 100 Full Approval National Average: Practical Nurse Programs 85.07 District of Columbia Required Pass Rate 80 *Accreditation Pending DC National Nurse Aide Assessment Program Pass Rates • 2018 Training programs % pass Status Allied Health & Technology Institute 88.46 Conditional Approval Carlos Rosario International 95.60 Approval Healthwrite Training Center 75.76 Approval Innovative Institute 86.89 Approval Nursing Assistant Academy 75.33 Approval University of District of Columbia Community College 78.57 Approval Required DC Pass Rate 75% 18 District of Columbia Nurse: Regulation • Education • Practice DC Home Health Aide Exam Pass Rates • 2018 Training programs % pass Status Allied Health & Technology Institute 84.38 Approved Bethel Training Institute 62.60 Conditional Approval Healthwrite Training Center 72.09 Conditional Approval Immaculate School of Allied Health 84.96 Approved Innovative Institute 80.16 Approved Intellect Health Institute 73.20 Conditional Approval Opportunities Industrialization Center 87.50 Approved Required DC Pass Rate 75.00 Free Resource for Nursing Graduates NCSBN “Welcome to the Profession” Booklet The National Council of State Boards of Nursing (NCSBN) has just published a new booklet entitled “NCSBN Welcomes You to the Nursing Profession.” Offered as a gift to newly licensed nurses in honor of its 40th anniversary, NCSBN created this booklet as a resource to help nurses better understand nursing regulation and their board of nursing (BON). It is the goal of the organization to provide each newly licensed nurse in the U.S. with this booklet. Designed to ease the transition from student to working professional, the booklet provides information about the nursing licensure process and the responsibilities of nurse licensure. The booklet also features case studies that cover a wide variety of topics including substance use disorder, the appropriate use of social media and professional boundaries. Additionally, the document provides links to free online resources such videos, brochures, posters, magazines and newsletters. Hard copies of the booklet can be ordered or the publication can be accessed online at: https://www.ncsbn.org/12096.htm n Nurses at 911 Nurses will be in DC’s 911 call center in latest attempt to cut emergency call volume. Check out this article in the Washington Post: https://www.washingtonpost.com/local/public-safety/nurses-will-be-in-dcs-911-center-in-latest- attempt-to-cut-emergency-call-volume/2018/04/18/6b40764c-4288-11e8-8569-26fda6b404c7_story.html?utm_ term=.0fd805059692 n e-mail: [email protected] • web: http://dchealth.dc.gov/bon 19  PROFESSIONAL NURSING SCHOOLS Catholic University School of Nursing Georgetown University School of Nursing & Health Studies Trinity Washington University School of Nursing and Health Dr. Patricia McMullen, Dean Dr. Edilma Yearwood, Chair Professions Catholic University School of Nursing Department of Professional Nursing Dr. Denise Pope, Associate Dean 620 Michigan Avenue, N.E. email: [email protected] 125 Michigan Avenue, N.E. Washington, DC 20017 Dr. Mary Haras, Chair, Advanced Practice Programs Washington, D.C. 20017 email: [email protected] [email protected] email: [email protected] PH: (202) 319-5400 Georgetown University PH: (202) 884-9682 FAX: (202) 319-6485 3700 Reservoir Road N.W. FAX: (202) 884-9308 RN, APRN Programs Washington, DC 20007 RN Program Only FULL APPROVAL PH: (202) 687-0754 FULL APPROVAL RN, APRN Programs George Washington University School of Nursing FULL APPROVAL University of the District of Columbia Community College Dr. Pamela Jeffries, Dean Ms. Susie Cato, Director The George Washington University School of Nursing Howard University Division of Nursing Associate Degree Nursing Program 2030 M Street, NW Suite 300 Dr. DeVora Winkfield, Interim Chief Nurse Administrator 801 North Capitol Street NE Room 812 Washington, District Of Columbia 20036 2400 6th St. N.W. Washington, DC 20002 email: [email protected] Washington, DC 20059 email: [email protected] PH: (202) 994-3484 email: [email protected] PH: (202) 274-5914 APRN Program Only PH: (202) 806-7456 FAX: (202) 274-5952 FULL APPROVAL FAX: (202) 806-5958 RN Program Only RN FULL APPROVAL CONDITIONAL APRN CONDITIONAL PRACTICAL NURSE PROGRAMS St. Michael College of Allied Health Dr. Michael Adedokun, Director 1106 Bladensburg Road, N.E. Washington, DC 20002-2512 email: [email protected] PH: (202) 388-5500 FAX: (202) 388-9588 LPN Program FULL APPROVAL – PN PROGRAM NURSING ASSISTANT AND HOME HEALTH AIDE TRAINING PROGRAMS Allied Health & Technology Institute (CNA/HHA) Immaculate School of Allied Health Opportunities Industrialization Center of 2010 Rhode Island Avenue, NE 2nd Fl 2512 24th Street NE Washington DC (OIC DC) (HHA) Washington, DC 20018 Washington, DC 20018 3016 Martin Luther King Jr. Avenue S.E email: [email protected] email: [email protected] Washington, DC 20032 PH: (202) 526-3535 PH: (202) 735-5925 email: [email protected] FAX: (202) 526-3939 APPROVAL - HHA PH: (202) 373-0330 CONDITIONAL APPROVAL – CNA & HHA (202) 373-0336 Innovative Institute (CNA/HHA) APPROVAL - HHA Bethel Training Institute 1805 Montana Avenue NE 824 Upshur Street, NW Washington, DC 20002 University of the District of Columbia-Community Washington, DC 20011 email: [email protected] College (CNA/HHA) email: [email protected] PH: (202) 747-3453/ 202 747-3450 Bertie Backus Campus Certificate Programs PH: (202) 723-0755 FAX: (202) 747-3481 5171 South Dakota Avenue, NE CONDITIONAL APPROVAL – HHA CONDITIONAL APPROVAL - CNA & HHA Washington, DC 20017 email: [email protected] Carlos Rosario International Public Charter School (CNA) Intellect Health Institute PH: (202) 274-6950 514 V Street, NE 1809 Benning Rd. NE APPROVAL - CNA Washington, DC 20002 Washington, DC 20002 email: [email protected] www.intellect-health.com PH: (202) 797-4700 PH: (202) 239-2666 FAX: (202) 232-6442 Email: [email protected] APPROVAL - CNA CONDITIONAL APPROVAL – HHA HealthWrite Training Center (CNA/HHA) Nursing Assistant Academy 2303 14th St NW, Suite 100 1418 Pennsylvania Avenue, SE Washington, DC 20009 Washington, DC 20003 www.healthwrite.org www.nassistantacademy.com PH: (202) 349-3934 PH: (202) 748-5479 APPROVAL - CNA & HHA FAX: (202) 748-5593 APPROVAL - CNA 20 District of Columbia Nurse: Regulation • Education • Practice  WEST VIRGINIA WESLEYAN COLLEGE Start your future with COMMITTED TO us and apply today! OUTSTANDING www.wvwc.edu NURSE LEADERSHIP Contact Graduate Admissions: [email protected]|304.473.8525 • http://www.wvwc.edu/academics/schools/nursing/graduate-programs Online Doctor of Nursing Practice Two points of entry: Two areas of study:  BSN-DNP  Advanced Nursing Practice  MSN-DNP  Nursing Leadership MSN and DNP Concentrations:  Family Nurse Practitioner  Psychiatric Mental Health Nurse Practitioner (with Shenandoah University)  Nursing Leadership  Nurse-Midwifery  Post-Graduate APRN (joint program with Shenandoah University) Certificate-Family Nurse Practitioner Programs offer online course design. Students choose their own pace of study. e-mail: [email protected] • web: http://dchealth.dc.gov/bon 21  Nursing Practice 2018 Nurse Leadership Symposium: Entry Level Nurse Competencies highlighting the dedication of Board well as the public at large: “You will one Chairperson Amanda J. Liddle, Dr.PH, day be a recipient of care. We all have the RN, FAAN, Vice Chair Laverne Plater and potential to get treatment in a facility or the other Board members. “They work in our homes. Providers and programs very hard on behalf of DC nurses,” Dr. need to ‘step up.’” she said. Collaboration Lewis said. “I would also like to recognize between nursing programs and providers, Board Executive Director Karen Scipio- to educate and support graduate nurses Skinner and the Board of Nursing staff. in practice, is important because, “new They put in a lot of work to ensure safe nurses will become the future leaders to nursing practice in the District for the advance the profession of nursing.” protection of the public.” Laverne Plater, BSN, RN-BC Dr. Lewis noted that nursing in DC is District of Columbia nursing leaders one of the most diverse professions, and were warmly welcomed to the DC that we must lend careful consideration Board of Nursing’s third annual nursing to our responsibility to ensure the safety symposium (held at Kellogg Conference of our patients. “We need a workforce Center, Gallaudet University). “We need with verified competency,” she said. more communication and collaboration Emphasizing the importance that schools like this morning,” said DC Board Vice provide quality academic programs and Chairperson Laverne Plater, BSN, RN- meaningful clinical experiences, Dr. BC, greeting attendees. “We must inspire Lewis reminisced about her days as a new and innovate, so RNs after graduation are nurse, working at the bedside in the acute prepared for the challenge.” care setting. Meedie Bardonille, RN, BSN, FCN Her first job was in Obstetrics. An OB clinical specialist, she was sent as a ‘float’ MANY ARE CALLED to the Gynecological unit. “My patient “Many are called but few are chosen,” was in an iron lung machine, and my DC Board of Nursing Member and patient in the iron lung was a nurse. I moderator Meedie Bardonille, RN, BSN, was given a 10-minute in-service on the FCN said of the nursing profession. iron lung. I wanted to learn more about “There is never a dull moment for a new the device,” Dr. Lewis said. “I wanted to nurse.” She recalled her “roller-skating alleviate her fears.” days” as a new-to-practice Cardiac ICU Helping new nurses transition into nurse. She recalled the “patients singing real nursing practice in the clinical setting in harmony ‘Nurse, Nurse, Nurse’.” is crucial. “As nursing leaders, we must Nursing is a vocation with an Sharon Lewis, DHA, RN-BC, CPM come together to provide support to our earthshattering impact, she said: “We are Senior Deputy Director of the Health providers,” Dr. Lewis said. asked to care. To sit with an expectant Regulation and Licensing Administration, Ensuring quality nursing care is mother, interact with family members, Sharon Lewis, DHA, RN-BC, CPM, important on many levels. Protecting say ‘I’m here for you’... Our staff bring offered words of gratitude to the DC the public means we are protecting our comfort where there is pain; comfort, Board of Nursing in her opening remarks, own family members and ourselves, as care, respect, love.” 22 District of Columbia Nurse: Regulation • Education • Practice  She urged nursing leaders to join When many Millennials had clinicals, together, as new technologies emerge it was with simulation experiences. They and healthcare challenges arise: “Let’s are expected to be perfect, so in a real collaborate to ensure quality care. We life practice environment, they will not must ask the question: ‘What might volunteer the information if they have be possible?’ We must develop new made a mistake because the response in templates, new frameworks. We must their educational program was punitive. bend and not break during these rapid- fire changes in healthcare. We must be PREMATURE AMBITION willing and able to do what is required.” Buoyed by praise as youngsters, Ms. Bardonille also urged nursing Millennials may lack confidence, but they leaders to look for ways to build the possess ambition and drive: “They thrive Sasha McNeely morale and critical thinking skills of on advancement. Millennials may take new nurses. The transition of leaving Boomers worked hard to provide and steps to advance too soon. They are going the educational setting and entering the gave their children everything. Joining the to graduate school sooner. A new RN clinical setting can be made easier when workforce can be a shock because nursing may enter graduate school to become an nursing educators partner with facilities. leaders are not praising them every time Advance Practice RN with only six months “We must ask how preceptors can work they pass a medication, and turnover is of practice as a nurse. They need a solid with instructors to help students develop high.” foundation (which could be gained during clinical reasoning, clinical judgement. Millennial graduate nurses have had their first 5 years of experience). They are Clinical teaching strategies are essential limited clinical experience and exposure. not only ambitious, they may have entered to ensuring successful transitions. The What they were taught and actual practice nursing for different reasons than nurses word for the day is ‘collaborate!’” differ. They may not have any experience of the past. Some see nursing as a quicker with documentation. “RNs are coming alternative to medical school. Some are MILLENNIALS: INEXPERIENCED to us without adequate training, without entering the profession with no intention AND AMBITIOUS an adequate skill set. Many have never of staying at the bedside.” There are three major challenges for set foot in a hospital before; their only To grow in nursing you need to reflect nursing in acute care: clinical experience has been through on your practice: “What would you do 1) there is a shortage of nurses, simulation and it is hard to simulate a differently? What’s the plan? Did you 2) patients are a lot sicker, and 12-hour night shift with 5-6 patients.” follow through on the plan? What to do?” 3) the healthcare facility environment In addition to these issues, Millennials We must find a way to keep RNs at the does not understand Millennials. may have had a sheltered upbringing, and bedside. may have only dealt with confrontations These three points were provided with others via social media, not face to Skills Learned through Clinical by speaker Sasha McNeely, the Nurse face. “Millennials are addicted to social Experience Residency Coordinator for MedStar media,” she said, “and they are somewhat Resolving conflict. Washington Hospital Center. Ms. less adept at in-person interpersonal Time management. McNeely urged nursing leaders to be communication in real life. Millennials Prioritizing. aware of the characteristics of this new have trouble dealing with conflict and Delegating to Nursing Assistive generation entering the profession. knowing how to voice concerns or admit Personnel. “Millennials are super tech savvy,” mistakes.” Developing relationships. Ms. McNeely said, “but they grew up To pass the nursing exam, applicants being constantly praised. They were put need only to select an answer from a PREVENTING AN EARLY EXIT in Honors classes and on varsity sports group of multiple choice answers, but in “New nurses leave due to stress, teams, not due to their skills, but because real life, there is no list of multiple choice bullying, lateral violence and not their parents pressed the school. Baby answers. Critical thinking is needed. Continued on page 24 e-mail: [email protected] • web: http://dchealth.dc.gov/bon 23  Nursing Practice Continued from page 23 from the harsher realities of life, she thinking. Stress management. Special knowing how to speak up,” Ms. said. “We must collaborate to fill in situations—like putting a patient on McNeely said. Millennials value the gaps in their practice because we palliative care. New nurses need to freedom and flexibility, they have need them to succeed. Baby Boomers further develop their critical thinking commitment issues. There is no stigma are retiring, and 42% of nurses in the skills. “If it says ‘Do a pregnancy test,’ against job hopping. New nurses leave hospital setting are new nurses. There and the patient is a male patient, they because they know there is a shortage is a high level of RN burnout in first will do the pregnancy test. That’s an of nurses. 18 months. Studies show 25-60% of exaggeration! There are some measures we can nurses are resigning in the first year. “We need programs to help them take to stem the tide of exits. We And the new nurses are in a hurry transition to the bedside. Nurse need to help new nurses want to stay to advance. “She’s going to graduate residency programs improve retention and to do some “adulting”. Nurse school, when I just taught her to rates by 78% to 90%. Recognition residency programs are a great resource administer IM Injections last week,” makes a big difference to them. for helping new RNs survive and Ms. Hess said, quoting an experienced When the Chief Nursing Officer thrive, Ms. McNeely said. We must nurse. talks to them, they are excited. It is embrace new nurses’ ambition and also important to debrief. They need their desire to advance in their career. ARE YOU EXPERIENCED? time to do a debrief about their day. Through nurse residency programs Some new nurses have not had Spend time with them; not telling and collaborative partnerships, new much clinical experience and they have them but helping them with reflection nurses’ transition into the profession had even less experience engaging in and questioning. Critical thinking. will be supported. We must support conversation with a person who: Bridge the gap. Help support them in new nurses and the preceptors that • speaks a different language transition.” mentor them. Currently, not only are • is homeless the new nurses new to practice, but • has lice their preceptors are new to serving as • is verbally abusive (cursing, using preceptors. racial slurs, and sexist language) New nurses may be confronted REVOLVING DOOR with a reality they never have seen “New RNs have limited life before, Ms. Hess said, and when experience,” according to Marianne they do, they feel overwhelmed and Hess, MSN, RN, education coordinator exhausted. They go home and sleep for in critical care at George Washington 12 hours. University Hospital. Many have been “Thirty years ago, new nurses got protected, by their Baby Boom parents, more clinical time,” she said. “Because [new nurses] have had little clinical Amelia Alcema experience, they lack confidence. LONG TERM CARE They don’t know how to question Amelia Alcema spoke about nursing an order. They don’t seek help or in the long-term care (LTC) setting. Ms. escalate it. We need them to escalate. Alcema, Administrator of Deanwood The challenge is that new RNs have Rehabilitation & Wellness Center, said: theoretical knowledge, not the inner “Most nurses practicing in the long-term confidence to question an order. care setting are overwhelmed. Clinical They want to fit in, so they don’t education does not include LTC, where want to ask a question. They have RNs must assess and reassess. We are very difficulty with communicating with heavy on documentation—if not, when physicians.” our beautiful ladies come (Department of Marianne Hess, MSN, RN Delegating. Prioritizing. Critical Health surveyors), you’re dead. 24 District of Columbia Nurse: Regulation • Education • Practice  “It is so important to think critically. evaluating you. One hundred percent of my faculty. We expect faculty to work 5 days a Knowledge must extend beyond what’s in students are planning to stay in the area, not week. It becomes a 24 hour job. We need the book. We ask candidates ‘Why do you leaving DC.” actively practicing nurses to become adjunct want to be a nurse?’ They must be in it for The nursing shortage affects nursing faculty. We have to change the model of the right reasons. It cannot just be for the educational programs also, she said. clinical education. You can help us with glamour. This is not Grey’s Anatomy. It must “Nursing schools are pressured by those that.” be more than for money and security. You outside of the institution to accept more have to care. You have to love it to be great. students, but there is a shortage of nursing Continued on page 26 “Many nurses are wary to work in long- term care. You have seen the commercials, Happy National ‘Nursing home neglect? Call Johnnie Cochran.’ But one day our mothers, sisters, brothers, will be in long-term care. “Our residents are so vulnerable. LTC takes a lot out of you, from time you wake Nurses Week up thoughts run through your mind: ‘How is Mrs. So and So? …Did Mr. So and So get his meds?’ Your work becomes your home. It is a calling. When it’s a calling, it’s a different ballgame.” Denise S. Pope, PhD, RN NURSING EDUCATION Denise S. Pope, PhD, RN, provided a perspective from the point of view of a nursing educator. Dr. Pope is the Associate Dean/Chief Nursing Officer for the nursing program at Trinity Washington University. “We need to work collaboratively. It is important that RNs at the facilities (where students take their clinicals) be willing to work with students, she said. “During clinical experience, our students are also e-mail: [email protected] • web: http://dchealth.dc.gov/bon 25  Nursing Practice Continued from page 25 academic programs. Facilities could allow an experienced nurse the freedom MEANINGFUL CLINICALS to teach one day a week. Then, students “It is difficult to find clinical could have an educator who is practicing placements in DC. Activities have become as a nurse in real time. “We need to limited. Nursing students are not allowed work progressively forward to mandate to document. Students in clinicals need a collaborative relationship between an active role in a variety of settings: academic faculty and unit staff,” she said. dialysis, wound care, cath lab, the OR. “Share your organization’s policies and At the present time, nursing students procedures with nursing education faculty are limited to one area. ‘How does this and students,” she said. “They need to know impact reimbursement? How does one what to do.” delegate?’ Students need to know that.” Simmy King, DNP, MS, MBA, RN-BC, NE-BC SHOCK OF THE NEW ENVIRONMENT “The problem is not getting nursing students, it is keeping them,” according to Simmy King, DNP, MS, MBA, RN- BC, NE-BC, Nursing Director of Clinical Information Systems and Professional Development at Children’s National Health System. The facility’s website describes her as “one of the first people new nurses meet when they come to work at Children’s National.” “The shock of the new environment makes new nurses want to leave,” Dr. King told attendees. “We have a responsibility to help them in the transition from academic program to practice environment.” Nursing is now so complex, yet nursing programs in academia are finding it difficult to provide experiences in the clinical environment for their students. Nurses entering the workforce having completed a 2-year associate’s degree or an 18-month BSN, may have had very limited clinical experience, maybe none at all. Students need to learn about using the Pyxis (BD Pyxis™ MedStation™ automated medication dispensing system) and documenting in the MAR (Medication Administration Record), she said. Dr. King concurred that there should be a partnership between facilities and 26 District of Columbia Nurse: Regulation • Education • Practice REAL EXPERIENCE & PRECEPTORS Certification Simulation is helpful but not sufficient, NCSBN Resource for New New nurses can grow by getting she said. Reality-based experiences are Nurses certified in their practice area. essential: If we solely rely on simulation, The National Council of they are not going to be prepared for State Boards of Nursing’s End Bullying & Make Amends reality. An online avatar simulating the booklet, “NCSBN Welcomes There is a saying, “Nurses eat experience of the birth of a baby is very You to the Nursing Profession,” their young.” In other words, different from the reality of a live birth. is for newly licensed nurses new nurses get bullied by veteran Are we making the offerings as accessible? and is designed to ease the RNs. “Have you bullied anyone? “Make sure your preceptors understand transition from student to Have you apologized?” asked DC what to do with the students,” Dr. King working professional. The Board of Nursing Member Meedie said. Preceptors should identify if a booklet provides information Bardonille. “Hazing must cease, student has a performance issue. It is about the nursing licensure and policies supporting preceptors better to identify the errors of students process and provides links to and new nurses need to be while they are still students, versus waiting free online videos, brochures, established.” until errors are identified when they are posters, magazines and nurses. Nursing students are not going to newsletters. Hard copies of the Read All About It! – self-report errors. booklet can be ordered or the Articles about Bullying Preceptors can help the students publication can be accessed Mean Girls of the ER recognize their limitations, and help them online at: https://www.ncsbn. Excerpt: “Nurse bullying is learn to move past that error. We can make org/12096.htm so pervasive that it has its own mistakes. We’re not perfect. How can we expression. In 1986, nursing learn from them? How do we evaluate professor Judith Meissner coined competencies? Seek Opportunities for the phrase “Nurses eat their young” “We need more fully-engaged Growth as a call to action for nurses to preceptors. Being a preceptor is a good “New nurses struggle stop ripping apart inexperienced segue into nursing education.” As of now, not with hard skills, but coworkers.” Link to article: there is no formal training for preceptor with work/life balance and http://www.womansday.com/life/ staff. Working collaboratively, we can build confidence building. Encourage work-money/a54976/mean-girls-of- a system of kind and thoughtful support them to join professional the-er/?src=social-email for nurses throughout the trajectory from organizations. New nurses nursing school through retirement. should be encouraged to Adopt Zero Tolerance for Hospital participate in health fairs, Staff Bullying Nursing Students Millennial Generation where practice is not so Excerpt: “Any nursing instructor Characteristics dependent on technology. knows that nursing students are often Super Tech Savvy Organizations should sponsor victims of bullying by hospital staff Task Oriented/Goal Oriented conferences that students nurses. Anthony and Yastik (Journal Seek Advancement can afford to attend. Nursing of Nursing Education, 2011) have Praised during childhood students and new nurses: fill characterized types of staff incivility Sheltered during childhood your cup with many mentors toward students as “exclusionary, Crave Recognition and professional organizations.” hostile or rude, or dismissive.” Link to article: https://journals.lww.com/ (See “10 Millennial Personality Traits —Attendee Dr. Pier ajnonline/Fulltext/2018/05000/ That HR Managers Can’t Ignore”at Broadnax, Nursing Program Adopt_Zero_Tolerance_for_ https://www.mindtickle.com/blog/10- Director, Hospital_Staff_Bullying.2.aspx millennial-personality-traits-hr- University of the District of managers-cant-ignore/) Columbia Continued on page 28 e-mail: [email protected] • web: http://dchealth.dc.gov/bon 27  Nursing Practice Continued from page 27 Suggestions from Small Group Breakout Discussions Attendees broke into small groups and wrote down their observations and their views on how academic institutions and facilities can work together to create systems where new nurses can be supported. “The Problem” New nurses are fearful and lack confidence. New nurses may not know how to seek out a mentor. Let the new nurse know: No question is a dumb question. Audience commentor. Nursing Leaders A solution to “The Problem” must begin with leadership. Create a system of support for every nurse after orientation. Don’t give a new nurse all critical patients. Leaders have to be clear, consistent, and approachable. It’s like parenting. New nurses should have access to resources/books to outline procedures if they can’t find a supervisor. Facilities should encourage currently-practicing nurses to serve as adjunct nursing faculty. Preceptors Preceptors should have a positive attitude. Part of your progression in a nursing career should be being a preceptor as part of your progression. Preceptor programs should provide training, policies, and procedures. It should be a formal preceptor/mentor program. Turning in evaluations. Preceptors should collaborate with instructors. Academia/Faculty Nursing programs should seek currently-practicing nurses to serve as adjunct faculty. Nursing schools should let facility administrators and preceptors see the curriculum. Design a curriculum to match what is practiced in the facility. When seeking clinicals, think outside of the box: Can we go to pre-OP, post-OP? Can we go to DC jail? Long-term care? Have a student follow a patient to various practice settings. Simulation cannot substitute for real patient experience, but can prepare. Collaboration Policies should be shared. Schools should meet with facilities in a forum like this! n Ex Board Members Missy Moore, RN and Chioma Nwachukwu, DNP, PHNCNS-BS, RN. 28 District of Columbia Nurse: Regulation • Education • Practice  Congratulations Solanges Vivens, KudOs! Congratulations to DC Board of Nursing Member Nancy RN, MSNA, LNHA, D.H.L. The District of Columbia Health Care Association recognized and honored Dr. Vivens on May 18, 2018 at their annual convention by Uhland, DNP, FNP-C, who has been awarded a scholarship to presenting her with a nursing scholarship attend the NCSBN and George Washington University Health Policy for her 47 years of dedication, contributions and Media Engagement graduate certificate program. Dr. Uhland and achievements in nursing and Long-Term Health in has a unique perspective, and varied career experiences by drawing the United States of which 42 of those years were in the on her many years of nursing practice. Her special interests include nursing home profession in the District of Columbia. Dr. reducing healthcare disparities and improving healthcare access for Solanges Vivens would like to award this scholarship to a persons with kidney disease. With her clinical and academic skills diverse group of future nursing graduates in the District, she will be an asset to the Health Policy and Media Engagement Maryland and Virginia - the DMV. The “Dr. Solanges graduate certificate program. Vivens Nursing Scholarship” will be for students pursuing a degree in nursing and a license in Registered Nursing Congratulations to Board Member Meedie L Bardonille, BSN, (RN). The scholarship will offer the recipient (s) financial RN, who has been selected for a two-year appointment to the assistance needed to pursue and complete their academic FY 2019 NCLEX Item Review Subcommittee. “The expertise and assignments while acquiring the knowledge and learning talent you will bring to this committee is crucial to the mission and the skills required to be successful in the nursing and health strategic initiatives of the National Council,” a NCSBN representative care industry. Details and Application can be found on the said of her selection. DCHCA website. www.dchca.org. n Congratulations to Joanne Joyner, PhD, APRN, BC, former Chair of the DC Board of Nursing. Dr. Joyner was interviewed by NBC 4 News on the occasion of the 50 Year Reunion of the Washington Hospital Center School of Nursing. Congratulations to the entire class of 1968 of the Washington Hospital Center School of Nursing! Dr. Joyner was the first African American student to graduate from the program. NBC 4 news online: https://drive.google.com/open?id=1FL- 72-Q0DcaZ2mpdqr32VWKgKcuywmF- (short version) and https://drive.google.com/open?id=1h0yyAeTxkaU8ORjK1IsD0c 5ekKkcqBZ6 (long version). Medical Marijuana Guidelines The National Council of State Boards of Nursing (NCSBN) • Medical Marijuana Education in Pre-Licensure is offering guidance on the issue of Patients Using Marijuana. Nursing Programs Their guidance package fills the gap in the literature on the • Medical Marijuana Education in APRN Nursing nursing care of patients using medical marijuana and provides Programs evidence-based nursing guidelines: • Current Legislation, Scientific Literature Review, and Go online at the NCSBN website for their Guidelines Nursing Implications on Patients Using Marijuana: https://www.ncsbn.org/ • Nursing Care of the Patient Using Medical Marijuana marijuana-guidelines.htm n e-mail: [email protected] • web: http://dchealth.dc.gov/bon 29  Licensure Actions: June 2018 - November 2018 The following is list of licensure actions taken between June 2018 - November 1, 2018. The full citation for disciplinary actions can be found on the DC Health website at https://app.hpla.doh.dc.gov/Weblookup/. Licensed nurses and health care facilities should report any actual or suspected unsafe practice to the Board of Nursing. To submit a report to Compliance and Discipline: Use the online complaint form at https://doh.dc.gov/nod; or send an email to [email protected]; or mail your complaint to DC Board of Nursing, DC Health, Health Regulation and Licensing Administration, 899 North Capitol Street NE, Washington, DC, 20002. Date of Licensee Action Violation Action Ndamfombad, 6/4/18 HHA Dishonorable Conduct Andrew Suspend until Committing an act of fraud appears before the Board of Nursing. Easterling, 9/18/18 CNA Dishonorable Conduct Tasha Suspend until Committing an act of fraud appears before Convicted of a crime the Board of Nursing Adetunji. 9/19/18 HHA Dishonorable Conduct Olubunmi Revocation Committing an act of fraud Board of Nursing Options for Disciplinary Actions (1) Deny a license, registration, or certification to any applicant or an application to establish a school of nursing or nursing program; (2) Revoke or suspend the license, registration, or certification of any licensee, registrant, or person certified or withdraw approval of a school of nursing or nursing program; “Revocation” means termination of the right to practice a health profession and loss of licensure, registration, or certification for 5 years or more. “Suspension” means termination of the right to practice a health profession for a specified period of time of less than 5 years or until such time that the specified conditions in an order are satisfied. (3) Revoke or suspend the privilege to practice in the District of any person permitted by this subchapter to practice in the District; (4) Reprimand any licensee, registrant, person certified, or person permitted by this subchapter to practice in the District; (5) Impose a civil fine not to exceed $ 5,000 for each violation by an applicant, licensee, registrant, person certified, or person permitted by this subchapter to practice in the District; (6) Require a course of remediation, approved by the board, which may include: (A) Therapy or treatment; (B) Retraining; (C) Require participation in continuing education and essay. (7) Require a period of probation; or (8) Issue a cease and desist order pursuant to § 3-1205.16. Source: District of Columbia Health Occupations Revision Act (HORA) n 30 District of Columbia Nurse: Regulation • Education • Practice  We’re looking for Experienced Nurses to join our GWU team in the following Units: Med/Surg, ICU, ED, OR and Women’s Services. A designated Level I Trauma Center and Comprehensive Stroke Center, The George Washington University Hospital delivers complex care to some of the most severely injured and critically ill individuals in the DC area. We offer robust benefits: • Critical Care Shift Differential ICU, PACU, OR and ED! • Annual Certification Bonus • Relocation and RN referral bonuses • Annual tuition reimbursement • Eligibility to apply for the GW Signature Scholarship to obtain a degree from GWU • A monthly travel stipend Join the hospital that is DEFINING MEDICINE. To learn more, please contact: The George Washington University Hospital [email protected] • 202.715.5087 (GW Hospital) is a 385-bed tertiary care, academic The mission of The George Washington University Hospital is to provide the medical center located in downtown Washington, highest quality healthcare, advanced technology and world-class service to our patients in an academic medical center dedicated to education and research. DC. As an academic medical center, our employees and providers are Defining Medicine through their capacity to think, study, research, discover, evaluate, teach, learn, refine and innovate. The George Washington University Hospital is an equal opportunity employer. Physicians are independent practitioners who are not employees or agents of The George Washington University Hospital. The hospital shall not be liable for actions or treatments provided by physicians. 170349 1/17 LOVE WHERE YOU WORK NOW HIRING AmeriHealth Caritas DC, the District’s top rated Managed Care Organization, is hiring and has immediate openings for nurses, social workers, and care connectors that are committed to building healthy communities. Enjoy full health benefits, 401(k), up to 20 days paid time off, annual bonuses and more. Nurses and social workers can receive up to a $5,000 sign on bonus just for being a DC resident. Special consideration given to bilingual applicants. Call 202-326-8754 for more information Email Resumes to: [email protected] e-mail: [email protected] • web: http://dchealth.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 Congratulations to our nurses on achieving Magnet® designation for the fourth time MedStar Georgetown University Hospital proudly announces it has earned Magnet® designation for the fourth consecutive time by the ANCC. We are now one of fewer than 70 institutions in the United States to have achieved this honor. Do you want to join our team and become an exceptional Magnet nurse? Visit www.MedStarGeorgetown.org/Nursing to explore opportunities! MedStarGeorgetown.org/Nursing EOE