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Meet Your Board PUBLICATION OF THE OHIO BOARD OF NURSING Fall 2004 Volume 2 Issue 4 Pain Management at the Forefront Meet Your Board

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Page 1: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Meet Your Board

P U B L I C A T I O N O F T H E O H I O B O A R D O F N U R S I N G

Fall 2004 • Volume 2 Issue 4

Pain Management

at the ForefrontMeet Your Board

Page 2: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

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Page 3: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 3

Meet Your Board7

4 Letter from thePresident

5 Letter from theExecutive Director

20 Payment Failures

22 Board News

23 Duplicate Licenses

24 Board DisciplinaryAction

30 Address Change

contentsFall 2004 ■ Volume 2 Issue 4

Momentumis published by the

Ohio Board of Nursing17 South High Street, Suite 400

Columbus, Ohio 43215-7410Phone: 614-466-3947

Fax: 614-466-0388www.nursing.ohio.gov

PresidentYvonne M. Smith, MSN, RN, CNS

Vice-PresidentMary Jean Flossie, LPN, LNHA

Executive DirectorJohn M. Brion, RN, MS

EditorCynthia R. Snyder, JD

Editorial AssistantRosa M. Smith

The mission of the OhioBoard of Nursing is to actively

safeguard the health of thepublic through the effectiveregulation of nursing care.

Information published in theMomentum is not copyrighted and

may be reproduced. The Boardwould appreciate credit for the

material used.

Advertisements contained hereinare not necessarily endorsed by the Ohio Board of Nursing.

The publisher reserves the right to accept or reject

advertisements for Momentum.

The Ohio Board of Nursing is an equal opportunity employer.

MOMENTUM is produced at no cost to Ohio taxpayers

Momentum reaches every Nurse and DialysisTechnician, every Hospital and Nursing SchoolAdministrator in the State of Ohio. Over 192,000copies are addressed and mailed statewide. Estimatedreadership is well over 540,000 with each issue.

Pain Management at the Forefront9

Frequently Asked Questions19

Staff Profile: Rick Young20

Created byPublishing Concepts, Inc.

Virginia Robertson, [email protected]

14109 Taylor Loop Road • Little Rock, AR 72223501.221.9986 or 800.561.4686

www.thinkaboutitnursing.comFor advertising information contact:

David Brown, V.P. Sales at501.221.9986 or 800.561.4686

[email protected] 7

Note: The automated telephone verification line,614-752-3980, is no longer in service. Pleaseremove this number from any listings or distributionlists. License verifications may be obtained on ourweb site at www.nursing.ohio.gov or by calling theBoard office at 614-466-3947. Thank You.

Page 4: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

4 MOMENTUM

The role of President of the OhioBoard of Nursing (OBN) embracesmany responsibilities, one of whichis to represent the OBN at meetingsand events of the National Councilof State Boards of Nursing(NCSBN). Executive Director JohnBrion and I have recently returnedfrom the 2004 NCSBN annual meet-ing and delegate assembly.

The NCSBN is a not-for-profitorganization whose membership iscomprised of state boards of nursingfrom 50 states, the District ofColumbia, and five US territories(American Samoa, Guam, Northern

Mariana Islands, Puerto Rico and the VirginIslands). The mission of the organization is toprovide leadership to advance regulatory excel-lence for public protection. Each year, the dele-gate assembly, composed of two representativesfrom each member board, convenes to conductthe business meeting. The resolutions adopted bythis body provide direction for the NCSBN Boardof Directors and the organization.

One of the significant outcomes from the annu-al NCSBN delegate assembly is the election ofofficers and directors to the NCSBN Board ofDirectors. In this year’s elections, OBN ExecutiveDirector Brion was elected to the position ofDirector-at-Large. John’s election to this positionon the NCSBN Board comes as a result of his ded-ication to nursing regulation as demonstratedthrough his work with the organization on a num-ber of committees and task forces. John andother OBN staff members are actively involved inthe work of NCSBN which gives our state signifi-cant influence in the development and implemen-tation of national regulatory guidelines, protocols,and policy initiatives.

The NCSBN is responsible for developing andadministering the NCLEX-RN and NCLEX-PNlicensure exams. At this year’s meeting, the dele-gate assembly accepted the new NCLEX-PN testplan which will be implemented in April, 2005.This new plan places increased emphasis onhealth promotion, psychosocial integrity, comfortand physiological adaptation.

The delegation also approved:

• ratification of the NCSBN Board of Directors’Strategic Initiatives for 2005-2007; adoption ofthe revised NCSBN Model Nursing PracticeAct and Model Administrative Rules;

• a resolution that NCSBN support the inclusionof planned, structured, and supervised clinicalinstruction as essential to nursing education;

• a new NCSBN publication entitled: “MinimalData Set for the Evaluation of InternationalNurses”;

• referral of a resolution allowing administrationof NCLEX examinations in any language otherthan English to the NCSBN ExaminationCommittee for research and review; and

• a resolution that the NCSBN Examinationcommittee conduct a research study to deter-mine if there is a difference in NCLEX perform-ance between US educated graduate nurses,for whom English is a second language (ESL),and their non-ESL graduate counterparts.

Involvement in NCSBN offers an opportunityto dialogue with regulators from other statesand territories about issues that affect us all.Participation in a national organization of thismagnitude is empowering, yet at the same time,humbling. It is fascinating to see that Ohio isnot alone in dealing with challenging regulatoryissues. It is also enlightening to see that somestates are dealing with issues that may face usin the future.

The work of NCSBN impacts individual nurs-es and nurse regulatory boards throughout theUnited States and its territories. This is one rea-son why it is so beneficial to have an Ohio voiceon the NCSBN Board of Directors, as well as oncommittees and task forces.

If you would like additional information ontopics addressed at the Delegate Assembly, orany of the other services provided by theNational Council of State Boards of Nursing, Iwould encourage you to visit the NCSBN web-site: www.ncsbn.org.

Yvonne M. SmithMSN, RN, CNSPresident

f r o m t h e p r e s i d e n t

Page 5: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Fall is in the air, the leaves arechanging colors, college footballseason is well underway and thatall means that election day is notfar off. One of the most valuableand hard won freedoms we haveas Americans is the right to go tothe polls and cast our ballotseach November. Many brave menand women have struggled anddied to assure the right of eachAmerican to vote for the candi-dates and issues of their choice.While every American shouldconsider the act of voting a

responsibility associated with membership ina free society, nurses need to realize they havea special mandate to get to the polls. Aspatient advocates nurses vote not only forthemselves, but also for those for whom theycare. Nurses represent the largest group of

healthcare professionals in this country. Asexperts in patient care, nurses have the oppor-tunity to speak collectively to assure that ourelected officials adequately address thehealthcare concerns of our citizens. AsNovember 2nd approaches it is imperativethat each nurse understands that he or she hasan obligation to vote as an act of patriotism,professional duty, and patient advocacy. If youare not informed about candidates or theissues on the ballot in your area seek outinformation today. And when November 2ndrolls around, don’t look for excuses to avoidgoing to the polls but remember that, as ahealthcare professional, you have an obliga-tion to vote for yourself, for your profession,and for your patients.

John M. BrionRN, MSExecutive Director

f rom the execut ive d i rector

Ohio Board of Nursing 5

John Brion elected to NCSBN Director-at-Large PositionSubmitted by Cynthia Snyder, JD

As mentioned in the President’s

Column, OBN Executive Director John

Brion, RN, MS, was recently elected to

one of the two Director-at-Large posi-

tions on the board of the National

Council of State Boards of Nursing.

This is a great accolade to John indi-

vidually, and also to the Ohio Board of

Nursing as a whole.

In seeking election to the NCSBN

board, John discussed the importance

of working toward a clear vision of the

future for nursing. He highlighted the

need for the profession to take a lead-

ing role in addressing the nursing

shortage, and the importance of bring-

ing all of the nursing constituencies

into the dialog. He also shared some of

the measures undertaken in Ohio to

engage public policymakers in a pro-

ductive discourse on this critical issue,

and on other issues of interest to the

nursing community. Finally John

shared his thoughts on the changes

and challenges facing state boards of

nursing and other regulatory boards

around the country.

John’s candidacy for the NCSBN

board was encouraged and endorsed

by members of the Ohio Board. Their

support was reflected in a letter writ-

ten to NCSBN delegates by Board

President Yvonne Smith, MSN, RN,

CNS. In addition, assembly delegates

received a letter supporting John’s

election from Karen Budd, PhD, RN,

president of the Ohio Nurses

Association.

John has already begun to serve in

his new role on the NCSBN Board of

Directors. He looks forward to an

exciting and productive year.

n c s b n

Page 6: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

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One of the longest serving membersof the Ohio Board of Nursing isPatricia A. Schlecht, RN, MSN ofLoveland, in the Cincinnati area. Pat wasfirst appointed to the Board in 1996 andwas reappointed in 2000. She will retirefrom the Board in December at the con-clusion of her second four year term.

A New York native, Ms. Schlechtbegan her nursing career as a staffnurse in 1970 at a Syracuse hospital.She began teaching nursing at Indiana

University in1972 and hastaught nurs-ing eversince. Pat iscurrently anAssociateProfessor atRaymondWaltersCollege,University ofCincinnati

where she joined the teaching staff in1976. While she has taught in virtuallyall areas of nursing, Pat cites OB, pedi-atrics, and nursing regulation as herareas of specialty.

Over the course of her career, Pathas been very active in professionalorganizations dedicated to theadvancement of nursing and nursingeducation. She has served as an asso-ciate degree Accreditation ProgramEvaluator for the National League ofNursing since 1988. She also per-formed a similar service for the HigherLearning Commission of the NorthCentral Association. A long time mem-ber of ONA, Pat has also been anactive force in the Southwestern OhioNurses Association. Having served inthe past as Vice President, she nowsits on the Human Rights Committee.This committee runs a nursing clinic at

Patricia A. Schlecht

Page 7: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 7

the Drop Inn Center, a Cincinnatihomeless shelter where Pat volunteersher services on a regular basis.

Pat has approached her duties as amember of the Board of Nursing withdedication and focus. The Board hasgreatly benefited from the depth andbreadth of her knowledge of the prac-tice of nursing, and of the laws andrules governing nursing in Ohio.

Debra Broadnax, MSN, RN, CNS

wears several hats on the Ohio Boardof Nursing. Aresident ofColumbus,she wasappointed toserve on theBoard byGovernorTaft in 2000.

Ms.Broadnaxholds a bach-elor of sci-

ence degree in biology from theUniversity of Cincinnati and a bachelorof science degree in nursing fromCapital University. In 1994, sheobtained a Master of Science inNursing from the Ohio StateUniversity. She holds a Certificate ofAuthority as a Clinical Nurse Specialistand has devoted her professionalcareer to renal care.

The expertise that Ms. Broadnaxholds in the area of renal care hasproven extremely valuable to theBoard as it commenced the certifica-tion and regulation of dialysis techni-cians in 2001. Prior to her appoint-ment to the Board in 2000, Ms.Broadnax was an active participant inthe coalition advocating for this addi-tion to the Board’s area of responsibil-ity. Once appointed to the Board, sheassumed the position as Chair of the

statutorily-created Dialysis AdvisoryGroup. There her insights and guid-ance in formulating administrativerules were most helpful to the Boardas it implemented these significantnew responsibilities. Her experiencewith the roles of dialysis techniciansand nurses in the dialysis setting hasassisted Board members in evaluatingissues relating to certification and dis-cipline. Ms. Broadnax continues tolead the Dialysis Advisory Group infulfilling its statutory charges.

Aside from her involvement withthe Board, Deb has also been activewith many professional organizationsrelating to dialysis and nursing care.These include the Ohio RenalAssociation (former board member),the National Kidney Foundation ofOhio, the Buckeye Chapter of theAmerican Nephrology Nurses’Association (past President), and theTri-State Renal NetworkAdministrators’ Conference.

Ms. Broadnax’s current term on theBoard will end in December of thisyear. She has expressed her interest inserving a second four year term. Thisrequest for reappointment has beenendorsed by the full Board.

One of the most time intensiveroles on the Ohio Board of Nursing isthat of the Supervising Member forDisciplinary Matters. By law, thismember must be a registered nurse,and he or she is charged with workingwith Board staff to make preliminarydecisions regarding disciplinaryactions. The current SupervisingMember is Bertha M. Lovelace, RN,

BA, CRNA. Those who have thepleasure of working with her knowher better as “Bert”.

Bert was first appointed to theBoard in 1999 and is currently in thesecond of her four-year terms. As a

Certified Registered NurseAnesthetist, Bert offers the Boardgreat expertise and insights on anes-thesia issues, as well as on other mat-ters impacting the advanced practicenursing community in general. Shewas an active participant on behalf ofOBN during the Medical Board’sdevelopment of office based surgeryrules governing the use of anesthet-ics, conscious sedation, and localanesthesia in physician office set-

tings. Sinceassuming herrole asSupervisingMember forDisciplinaryMatters, Bertis in ongoingcontact withthe Board’sDisciplinaryUnit as caseswend their

way through the investigative and dis-ciplinary process.

Bert began her nursing career inPennsylvania in 1966. She moved intothe area of anesthesia early in hercareer and has practiced as an OhioCRNA since 1973. Bert has shared her energy and talents with both theOhio State Association of NurseAnesthetists and the AmericanAssociation of Nurse Anesthetists.Dedicated to advancing the practice ofnursing Bert serves as a preceptor fornursing students from UrsulineCollege, and for masters of nursingstudents from Cleveland StateUniversity. Since 1984, Bert hasworked as the chief CRNA for theDepartment of Anesthesiology at theCleveland Clinic Foundation.

Bert’s term on the Board of Nursingruns through December 2006.

Meet Your Board

b o a r d n e w s

Debra Broadnax Bertha M. Lovelace

Page 8: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

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Page 9: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

In 2002, recognizing the profoundphysical, emotional and societal impactof severe chronic pain and terminal ill-ness, the Ohio General Assembly enact-ed legislation (House Bill 474, 124thGeneral Assembly) that created theCompassionate Care Task Force(CCTF). This task force is charged withstudying and making recommendationsabout issues relating to treatment ofpersons with terminal illness and severechronic pain. An interdisciplinary groupof Ohio health care professionals andconsumers, this task force has met forover a year to examine issues surround-ing intractable pain and terminal illness.In July 2004, an initial report was issuedthat highlighted the difficulties associat-ed with adequate pain assessment andmanagement for patients andtheir families. The report alsoexplored recommendations toresolve these problems.

Focus of the Compassionate

Care Task Force

The CCTF studied and maderecommendations concerningsevere chronic pain issues acrossthe life span, including identifica-tion of resources for patients andfamilies living with pain. The taskforce did not address issues relat-ing to euthanasia, assisted suicide,advanced directives, or the use,continuation, withholding or withdraw-ing of life-sustaining treatment.

The 30-plus member task force heldnumerous full and subcommittee meet-ings during the course of its delibera-tions. In addition to these meetings, thegroup convened a series of town hall-style forums in nine different locationsthroughout the state. The town hallmeetings afforded patients, familymembers, and health care professionalsan opportunity to share with the taskforce their experience and opinionsrelating to intractable pain and the man-

ner in which it is currently addressed.In these meetings, many witnesses pro-vided compelling testimony illustratingareas in which today’s health care sys-tem is ineffective in caring for peoplewith pain. These personal storiesserved to reinforce the need for a vari-ety of changes to break down barriersto comprehensive and compassionatetreatment of pain.

Report of the Compassionate

Care Task Force*

Among the findings in the CCTFreport are those that relate directly tonursing education and nursing care.These include:

In their prelicensure, basic educationprograms, nurses (and other profession-

als) receive insufficient education on thecare of people with pain;

Many practicing nurses have notupdated their knowledge and skills in theareas of pain management, palliativecare, and end of life care;

In many areas of the state, especiallyrural communities, there is a dearth ofhealth care professionals with expertisein pain management and palliative care.

Identification of barriers to effectivepain management provides a frame-work and rationale for the subsequentrecommendations formulated by the

CCTF. Certain task force recommenda-tions are specific to nursing, including:

Schools of nursing (and other healthprofessions) should ensure that appro-priate and sufficient curricula on painmanagement (acute and chronic), andpalliative care are integrated into corecontent;

Schools should establish and trackstudent outcome measures for compe-tencies in caring for people with chronicpain and those with terminal illness;

Schools should establish an office ofpain management and palliative care toassure the goals of improving studentcompetency in the areas mentionedabove;

Ohio professional licensing boardsshould discuss with relevant profes-

sional associations and otherinterested parties the feasibilityof mandatory continuing educa-tion on pain management andpalliative care.

Additional recommendationsof the CCTF relate to all healthcare professionals and speak tothe need for:

Comprehensive assessment ofpatients and caregivers, includ-ing psychological and emotionalassessment, with particularattention paid to children andtheir caregivers;

Establishment of guidelinesand standards based on evidence-basedpractice to better meet the needs ofpatients and caregivers facing the far-reaching effects of pain, with a focus onspecial needs populations;

Basic and continuing educational pro-grams should be strengthened to incor-porate current relevant information topromote proper pain management.

Nurses’ Role with Patients and

Families Faced with Pain

Nurses are uniquely qualified to pro-vide comprehensive, effective, and com-

Ohio Board of Nursing 9

n u r s i n g p r a c t i c e

Pain Management at the Forefront

continued on page 29

By Susan M. Milne, RN, MSN, JD,

Advanced Practice Nursing Consultant

* Link to the full report of the CCTF is available on the Board’s homepage: www.nursing.ohio.gov under “Alerts”.

Page 10: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-
Page 11: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 11

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Page 12: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

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Page 13: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

For some hospital patients, the natural apprehen-

sion they feel about a medical procedure may be com-

pounded by cultural and language barriers. That’s why

Riverside Methodist Hospital, Grant Medical Center and

Doctors Hospital, part of the OhioHealth system in

Columbus, Ohio, are making sure their employees

reflect the cultural diversity of their patients.

“At OhioHealth, we need to provide an environment

that is welcoming for all our patients, including more

than 100,000 immigrants in Franklin County,” says Brad

McLaughlin, manager of employment for OhioHealth.

Nursingprogramsattractminorities

A D V E R T I S E M E N T

Page 14: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

“Diversity helps us accomplish our

mission of improving the health of

those we serve.”

Focused recruitment

OhioHealth has developed pro-

grams to recruit nurses and other

professionals from diverse popu-

lations. For example, OhioHealth

sends a team of recruiters to job

fairs at historically black colleges

and universities. Recruiters have

recently traveled to fairs at

Hampton University in Virginia

and Cleveland State University,

and participated in a virtual job

fair held by Kentucky State

University. OhioHealth also

partners with a firm that spe-

cializes in recruiting minority

talent for management positions.

A dedicated portion of the health

system’s recruitment advertising

is done in diversity-focused

magazines like Minority

Nurse and Web sites like

www.ohiodiversity.com.

Other recruitment programs

also contribute to the diversity of

the OhioHealth workforce.

OhioHealth is making plans with

Capital University School of

Nursing to bring 10 Philippine RNs

to Columbus to receive their

Masters degrees. During their four

years here, these RNs will work at

one of the OhioHealth campuses.

Upon completion of the advanced

degree, these RNs will return to the

Philippines to teach in one of their

schools of nursing. “We are creat-

ing an environment in which each

person’s uniqueness is recognized

and valued as an asset,” says Brad.

For more information about

nursing positions at OhioHealth,

please call Kathy Talbott at (614)

566-4866.

A D V E R T I S E M E N T

Page 15: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 15

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that takes pride in each other.

Join the nursing community at Fairview Hospital andbegin a career that changes as you do – a career that is fullof opportunity and growth potential. Fairview is a 500-bedacute care teaching hospital that offers state-of-the-arttechnology in a community hospital setting.

• Medical / Surgical UnitsFull- and part-time positions, 7pm - 7:30 am, open onParview Terrace, a medical telemetry unit which featuresprivate rooms for all of your patients. Evening and nightshift positions available on the 5th floor med/surg unit –a general med/surg unit – this is a unit on which to use allyour nursing skills.

• Level II – Emergency DepartmentPositions available for RNs with critical care/ED experience – be the first nurse your patient meets – makea difference!

See the Fairview difference for yourself! Enjoy generousbenefits, excellent compensation and the work/life balance that every nurse needs. And boasting an array ofcultural, sporting, recreational and entertainmentoptions, along with many residential areas and affordablehousing, the Cleveland area has something for everyone!Please forward your response, specifying area of interest,to: Fairview Hospital, Human Resources, 18101 LorainAvenue, Cleveland, OH 44111 or fax to (216) 476-7023.www.fairviewhospital.org. EOE.

REGISTERED NURSELICENSED PRACTICAL NURSENorthcoast Behavioral Healthcare isseeking RN’s, and LPN’s, to providequality care to clients with severe

and persistent mental illness

WE OFFER:IN-HOUSE EDUCATION–CEU’S

COMPETITIVE WAGESEXCELLENT BENEFIT PACKAGE

UNIVERSITY AFFILIATIONS QUALIFIED CANDIDATES PLEASE

FORWARD YOUR RESUME TO:

MARVIN PHILLIPS, HUMAN RESOURCES

([email protected])NORTHCOAST BEHAVIORAL

HEALTHCARE–CORPORATE CAMPUSP.O. BOX 305, NORTHFIELD,

OHIO 44067

NBH EMBRACES CONTINUOUS QUALITY IMPROVEMENT. DRUG

TESTING PRIOR TO APPOINTMENT ISREQUIRED. AN APPLICANT WITH A

POSITIVE TEST RESULT WILL NOT BEOFFERED EMPLOYMENT.

EOE/ADA

Page 16: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

16 MOMENTUM

The first thing doctors realize when theygraduate from medical school is how muchless they know about the practice of medi-cine than nurses. Nurses have experience inobserving patients; and doctors realize theycan be their eyes and ears when they’re outof the hospital. Physicians know nurses arethe heart of a hospital. However, despiterecognition of their importance, the U.S. isexperiencing an unrelieved shortage of RNs.UHHS has always valued its nurses’ contri-butions, and in the face of the shortage, isacting to guarantee superior patient care,nurses’ satisfaction and continuation of acentury-old tradition of some of the region’sfinest nursing services.

University Hospitals Health System Responds

The nursing shortage is a social problemthat will not be solved by the profession orindustry alone. While nursing is intellectual-ly challenging, emotionally rewarding andconsistently ranked as the “most trusted pro-fession” in public polls, it’s not attractingyoung people. The profession must takeownership of this problem and address theprejudice that undervalues nursing as anattractive vocation.

The first initiative is the nationally suc-

cessful Ladders in Nursing Careers (LINC)program, funded through generous supportfrom the John Huntington Fund forEducation, which offers nursing-schooltuition in exchange for post-graduationwork at University Hospitals.

Secondly, University Hospitals isstrengthening relationships with northeastOhio nursing schools. The hospital works

with these schools to recruit sophomorenursing students who receive scholarshipsthrough the Charlene Phelps NursingScholars Program made possible by a leader-ship gift from the Elisabeth SeverancePrentiss Foundation. The Phelps Scholarsreceive tuition reimbursement for nursingstudies in return for a commitment to work-ing at UHHS after graduation. And thirdly,is the newly-created position of NurseRecruitment Strategist and Liaison. Fundedby the Prentiss Foundation, this administra-tor will direct training and recruitment ofRNs whose quality of care can contributegreatly to the hospital’s continued reputa-tion for excellence. Other initiativesinclude regularly scheduled forums wherenurses share problems and solutions.

An Environment of SupportThe hospital’s nursing model tran-

scends a task-based approach, combiningpatient advocacy and education with tradi-tional expectations of advanced medicineand unsurpassed compassion.

A nurse must have the same scientificknowledge base that physicians have, with adifferent focus. Physicians are primarily con-cerned with diagnosis and treatment of dis-eases, where nurses must not only know and

it’s easy to see why so many nurses feel they

“BELONG”at University HospitalsHealth System (UHHS)

A D V E R T I S E M E N T

With the largest system of hospitals in northern Ohio;

one of the best children’s hospitals in the Midwest, Ohio’s

only hospital dedicated to women’s health, northern

Ohio’s only NCI-designated comprehensive cancer center

and a system of outstanding community hospitals…

Page 17: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 17

understand the disease and medical plan, butalso know how to help patients understandand integrate the physicians’ recommenda-tions to attain and maintain optimal health.

The most attractive thing about nursingat University Hospitals is the respect accord-ed nursing care by physicians and adminis-trators. It’s this communicating and con-necting that translates into good patientcare.

And, as these stories show, UniversityHospitals offers nurses a wealth of oppor-tunities:

A Calling from YouthJane Trayte, RN, ND, was attracted to

medicine for as long as she can remember.She recalls watching with fascination, asambulances pulled up to the emergency roomof the hospital near her home. Later, she vol-unteered at the same hospital, enrolled atCase Western Reserve University to earn herNursing Doctorate, fulfilled her clinicalrequirements at UHHS and has remainedever since. “People say, ‘You could have left,’but I enjoy nursing here. When I was a nurse,I made independent decisions that impactedpatient care. One reason: RNs have a voice.”Dr. Trayte, now director for Non-invasiveCardiology and Medical-Surgical Nursing,says “the administration’s commitment to itsnurses and staff inspires excellence.”

The PeacemakerCaryl Eyre, RN, MSN, a psychiatric clin-

ical nurse specialist, is a peacemaker in thehospital community among both patientsand staff. The nursing shortage affects bothpatients and the stress levels of floor nurses.Mrs. Eyre is a resource for nurses who feeloverwhelmed by job demands. “I really lookat my job as helping the staff with stressmanagement. Just as I can help patientsrelax, I enjoy helping staff do the same.”

Healing, Teaching, Discovering, and Working Miracles

A staff nurse, Molly Heinrich, RN, par-ticipates in every aspect of UniversityHospitals’ mission: to heal, to teach, to dis-cover. Each day she cares for about five chil-dren with cancer on the pediatric oncologyfloor of Rainbow Babies & Children’sHospital, and participates in all phases ofcare, from diagnosis to treatment, to life ordeath after cancer.

“When a child is firstdiagnosed, parents are devas-tated. They think their childis never going to be able towalk, play or laugh again.We do a lot of teaching par-ents, and being there forfamilies when there is noth-ing else physically that canbe done for their child.

Ms. Heinrich knows thejoy in successful recovery,too, and recalls a young boywho miraculously survivedserious brain surgery for acancerous tumor. “Weworked our hardest to carefor him, and later the boycame back to see us. Hecame to our floor, and Istarted crying. Here he wasnow, a typical little boy,going to school, playingand getting into trouble.”These moments illustratethe tremendous satisfactionnursing affords, and thesupport and camaraderiethat contribute to joblongevity; with severalnurses in this unit havingworked at UHHS for morethan 12 years.

An Environment of CareWith its Centers of Excellence, a sys-

tem of outstanding community hospitals,and as an academic medical center withties to Case Western Reserve University,University Hospitals has created an envi-ronment where nurses continue learningand enjoy advancement opportunities andadministrative support at all levels. Despitethe national shortage, University Hospitalsis responding with a comprehensive strate-gy to ensure that its nurses today andtomorrow will build on their tradition ofcompassionate, patient-centered care.

A supportive environment that givesnurses a voice, a team of professionals whoare like family, more areas of specializationwhere nurses can make a difference inpatient care; these are a few of the reasonsso many RNs find they “belong” atUniversity Hospitals.

For information about nursing opportu-nities with University Hospitals HealthSystem, visit www.uhhs.com

Advertisement

Molly Heinrich, RN, pediatrics oncology, Rainbow Babies & Children’s Hospital

Phot

os b

y Do

n Sn

yder

Jane Trayte, RN, ND, director, Non-invasive Cardiology & Medical Surgical Nursing

Caryl Eyre, RN, MSN, clinical psychiatric nurse specialist

Page 18: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

18 MOMENTUM

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Page 19: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 19

f requently a sked q uestions

Frequently Asked

Questions Related to

Medication

Administration

in the Public

Schools of Ohiosubmitted by Nancy Manns, RN, MS

QCan a school nurse dele-

gate the administration of

medication to an

unlicensed person?

AThe rules ofthe board ofnursing pro-

hibit nurses fromdelegating medica-tion administrationto an unlicensedperson (UAP)EXCEPT wherelaws allow for theadministration ofmedications by theUAP (Rule 4723-13-04 OhioAdministrative Code(OAC)). TheDepartment ofEducation law(Section 3313.713Ohio Revised Code (ORC)) allows forpublic schools to adopt a medicationadministration policy that would allowfor the administration of medicationsby an UAP. Rule 4723-13-02 (E) OACstates that the Board of Nursing cannotprevent persons from engaging in anursing activity if they are authorizedto do so under law, such as the educa-tion law, 3313.713 ORC.

If the public school has adopted amedication administration policy, thepolicy may or may not require that alicensed nurse be involved in delega-tion of the administration of medica-tion. Under Ohio law, a board of edu-cation may adopt a policy that pro-vides that:

“Designated persons employed bythe board are authorized to administer

to a student a drug prescribed by anauthorized prescriber for the student.Except as otherwise provided by feder-al law, the board’s policy may providethat certain drugs or types of drugsshall not be administered or that noemployee, or no employee withoutappropriate training, shall use certainprocedures, such as injection to admin-ister a drug to a student.” R.C. Section

3313.713(B)(2).

If the nurse chooses to delegatemedication administration to an unli-censed person in the public school

system, the nursemust do so inaccordance withthe standards ofdelegation foundin Chapter 4723-13OAC including:determining thatthe unlicensedperson has hadthe appropriatetraining, educationto perform thetask; that the unli-censed person hasdemonstrated thecompetency tosafely perform the

task; and, that there is appropriatesupervision of the unlicensed person.

QWhen is nurse delegation

required in a school setting

in order for

unlicensed persons to administer

prescribed medications?

APrescribed medications maybe administered by an unli-censed person without nursing

delegation only if:

1) school district policy authorizes thispractice; or,

2) the medication is administered in anemergency situation.

QCan unlicensed persons

administer emergency med-

ications in a school setting?

AThe Nurse Practice Act pro-vides an exemption from licen-sure requirements for the provi-

sion of nursing services in emergencysituations. R.C. 4723.32(D). A UAP mayperform nursing services, including theadministration of prescribed medica-tions, in an emergency situation withouta nursing license, and without delega-tion from a licensed nurse.

QWhat are “emergency”

medications?

AThe term “emergency” is notdefined in the law and rulesregulating the practice of nurs-

ing in Ohio, but the Board has deter-mined it to mean a situation creating apotential risk to life or of long term dis-ability or loss of limb if untreated.Emergency medication may include,but are not limited to, epi-pens, diastatand glucagons.

QIs the school nurse required toprovide training in and/or dele-gate the administration of

emergencymedications?

AWhen a school nurse under-takes the delegation of theadministration of medication,

whether it is an emergency medicationor not, the nurse must do so in accor-dance with the standards of delegationas contained in Chapter 4723-13 OAC,which requires that the nurse delegatenursing tasks only to a trained unli-censed person. In addition, the dele-gating nurse must know that the UAPhas demonstrated competency in per-forming the delegated task and canperform the task safely for the studentreceiving the care.

Even if a medication is an “emer-gency medication” which would notrequire delegation by a nurse for theUAP to administer, a school mayrequire a school nurse to provide train-ing for the UAP to administer thatmedication. This is a matter of theschool nurse’s employment arrange-ment with the school district andschool district policy.

Page 20: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

In a continued effort to acquaintOhio’s nursing community with the staffof the Board of Nursing, this issue ofMomentum profiles Rick Young RN,LMT, MBA.

If one were to seek a definition ofthe term “Renaissance Man” in the dic-tionary, he or she could well find therea photo of Ohio Board of Nursing staffmember Rick Young. With a wide arrayof interests, education and profession-al experiences, Rick brings a wealth ofskill and knowledge to the Board ofNursing. As a member of the Board’sMonitoring Unit, Rick currently servesas a monitoring agent. In this capacity,he monitors nurses and dialysis techni-cians who are under either a consentagreement or adjudication order withthe Board. It is Rick’s job to ensurethose licensees and certificate holdersremain in compliance with the termsincorporated in their individual con-sent agreement or adjudication order.For a particular individual, this mightinvolve periodic drug screens, practicerestrictions, remedial education, atten-dance at peer support meetings, indi-

vidual counseling or other specific con-ditions. At any given time, the BoardMonitoring Unit is involved in monitor-ing approximately 600 licensees or cer-tificate holders.

Prior to joining the Board ofNursing, Rick worked in several posi-tions that drew on his skills as alicensed social worker and a regis-tered nurse. He served as a hospitalbased social worker in Union County,and worked as a psychiatric nurse atRiverside Hospital in Columbus. Rickbegan his state service as a psychnurse for the Ohio Department ofMental Health in 1999, and also servedas the first Hepatitis C Coordinator forthe Ohio Department of Health. Hejoined the Board of Nursing as a mon-itoring agent in September 2002.

In addition to maintaining an activelicense as a nurse, Rick also holds alicense to practice Massage Therapyissued by the Ohio State Medical Board.He obtained a dual bachelors degreefrom Ohio State University in Englishand Psychology, and in May of this yearcompleted a Masters of BusinessAdministration degree at FranklinUniversity in Columbus. Says Rick, “Idon’t know what I’m going to do next”!

P R O F I L E

20 MOMENTUM

p a y m e n t f a i l u r e s

There is often a lag-time betweenwhen a payment is processed by thebank and when the Board receives notifi-cation of error or insufficient funds. Eventhough a renewed license may havebeen received in the mail, failure of apayment to clear the bank will cause anapplication to become incomplete. It isnot the Board’s intention in publishingthis list to embarrass licensees who failto render proper payment for theirlicense or certificate. The purpose is tonotify current and potential employersand to reach the individual when otheravenues have failed.

There are many reasons a personalcheck may not properly ‘clear’ duringbank processing. It is for this reasonthat each person listed here has beennotified by certified mail, using the lastknown address of record, and given 30days (or more) to render proper pay-ment to the Board. These applications,certificates or licenses, will not be con-

sidered complete until proper paymenthas been rendered. Once that graceperiod has expired (and if applicablethe renewal cycle has ended) licenseeinformation is turned over to theDiscipline Unit and recommended forinvestigation on charges of workingwithout a license. Individuals found tobe working on a lapsed license will besubject to the penalties defined in ORCSection 4723.99 (B).

Below is a list of those nurses anddialysis technicians whose renewalapplications, certificates, or duplicatelicenses are incomplete due to paymentfailure related to insufficient funds. Thelicensee and certificate holders listedbelow failed to render payment by thedate this publication went to press.

Registered NursesRN 284031 Conner, DeborahRN 229036 Sweetland, DundeeRN 258556 Rine, DuaneRN 081572 Hartmann, Mary

RN 179628 Balogh, CherylRN 254146 Jarven, AnnRN 225176 Dooley, DeborahRN 213908 Driscoll, PamelaRN 256289 McDaniel, LindaRN 099852 McCutcheon, Jane

Licensed Practical NursesPN 026851 Lauinger, EugeniaPN 076801 Harper, WandaPN 109961 Carter, SandraPN 109807 Townsend, StaceyPN 016998 Majors, MaryPN 105124 Groves, LisaPN 027403 Allgower, Barbara

If your name is listed here, pleasecontact the Board at 614-466-9976 toarrange for proper payment of yourfees. Because the name of a licenseemay be the same as another, please donot assume from the name alonethat a particular individual has a pay-ment failure. You may verify the licensenumber on the Board’s web site atwww.nursing.ohio.gov by clickingon Verification.

Available for Purchase:• Current Law (dated June 26, 2003) and Rules (dated

February 1, 2004), $7 if shipped; $4 if picked up at theBoard office. Single copies only are available.

• Combined Board Publications, $12.50-Includes the current lawand rules of the Board and a copy of all Board brochuresincluding; Facts About the Ohio Board of Nursing brochure andContinuing Education Requirements for RN’s, LPN’s andDialysis Technicians in Ohio. Single copies only are available.

Please use the order form on this page.

ORDER FORMUse this form to order Board publications. All orders mustbe pre-paid. This form and fee should be made payable toTreasurer, State of Ohio and sent to Attention: Administration,Ohio Board of Nursing, 17 South High Street, Suite 400,Columbus, Ohio, 43215-7410.

Name________________________________Agency ______________________________Address______________________________________________________________________________________________________

Telephone Number _____________________E-mail address ________________________

Please send me the following checked items. I have

enclosed the appropriate fees, totaling $_________❏ Current Law and Rules-$7 ❏ Combined Board Publications-$12.50Unless otherwise noted, the materials listedabove may be duplicated. All orders must bepre-paid. NOTE: No cash will be accepted.

Page 21: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 21

Find out why nearly 20,000 nurses call Greater Columbus home.

www.columbushealthcare.com/pub/

Four collaborating nationally ranked and recognized hospital systems

One of the nation’s foremost research universities

The world’s largest, private non-profit research institute

The number one pharmaceutical distribution company

A vibrant nightlife, family attractions and diverse cultural arts

Metropolitan excitement and “small town” comfort, convenience & charm

ONLY IN COLUMBUS!

Unique Healthcare EmployersPowerful Employment Opportunities

Page 22: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

22 MOMENTUM

b o a r d n e w s

The Ohio Board of Nursing meets sixtimes per year with the meetingsbeginning on Thursday and continuinguntil business is completed the follow-ing Friday. The Board may also meet onWednesdays prior to the Board meetingas a whole or in small groups to discussspecific items or issues, to participate in

continuing education activities, or toconduct a public rules hearing (generallyin November). Watch for formal notifi-cation of the date, time and location ofrules hearings. Summaries of thesemeetings or hearings are presented tothe full Board during a regularly sched-uled Board meeting for information and

possible action by the Board. TheThursday meeting begins promptly at9:00 AM. The public is invited to attend,however, potential attendees shouldcontact the Board office at 614/466-6940prior to the scheduled meeting to deter-mine if there have been any changes inthe location of the session.

January 15-16, 2004

March 18-19, 2004

April 15-16 (retreat)

May 20-21, 2004

July 15-16, 2004

September 9-10, 2004

November 17-18-19, 2004*

January 20-21, 2005

March 17-18, 2005

(retreat - T.B.A)

May 19-20, 2005

July 21-22, 2005

September 15-16, 2005

November 16-17-18, 2005

January 19-20, 2006

March 16-17, 2006

(retreat - T.B.A)

May 18-19, 2006

July 20-21, 2006

September 20-21, 2006

November 15-16-17, 2006

All meetings of the advisory groups

begin at 10:00 AM (unless otherwise

noted) and are held in the Board

office. Because space is limited, if

you have an identified need to

attend one of these meetings,

please contact the Board office at

614/466-9970 to determine space

availability, as well as any change

in the location, date or times from

those listed.

The Advisory Group on Nursing

Practice and Education Issues

will meet February 12; April 22;

June 10; August 12; October 14;

and December 9, 2004.

Chair: Kathleen Driscoll

The Advisory Group on Dialysis

will meet February 17; April 20;

June 15; August 17; and

October 19, 2004.

Chair: Debra Broadnax

The Advisory Group on

Continuing Education will

meet February 20; June 18; and

October 15, 2004.

Chair: Lisa Klenke

The Committee on Prescriptive

Governance will meet February

23; June 14; and October 18, 2004.

Chair: Joanne Navin

Dates and Location of Scheduled Board Meetings

Advisory Groups/Committees

2004 MembersOhio Board of Nursing Term Expires

Yvonne M. Smith, MSN, RN, CNS / Canton, President 2005

Mary Jean Flossie, LPN, LNHA / Massillon, Vice President 2005

Debra Broadnax MSN, RN, CNS / Columbus 2004

Elizabeth Buschmann, LPN / Oregon 2004

Patricia Schlecht, RN, MSN / Loveland 2004

T. Diann Caudill, LPN / Newark 2005

Kathleen Driscoll, JD, MS, RN / West Chester 2005

Lisa Klenke, MBA, RN, CNAA / Coldwater 2005

Anne Barnett, BSN, RNC / Junction City 2006

Bertha Lovelace, RN, BA, CRNA / Cleveland, Supervising Member for Disciplinary Matters 2006

Judith Brachman, Consumer Member / Columbus 2007

Cynthia Krueger, RN, MSN / Napoleon 2007

Teresa L. Williams, LPN / West Union 2007

*Note: There will be a public hearing of proposed rules on Wednesday, November 17, 2004 at 10:00 AM.

The public hearing will be held in the Lobby Hearing Room of the Rhodes State Office Tower, 30 East

Broad Street, Columbus, Ohio 43215.

Page 23: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing 23

d u p l i c a t e l i c e n s e sDuplicate 2003-2005 RN LicensesRN-294667, ADAMS, STEPHANIERN-278657, ADAMS, TOBIRN-297967, AKOSILE, CLEMENTRN-283342, ALBRIGHT, LYNNETTERN-230389, ALEXANDER, BETTYRN-261449, ALTEVERS, CORINNERN-146820, ANDERSON, ARLENERN-305512, ANDERSON, MADELINERN-296498, ANDRAS, STEVENSRN-231414, ARMSTRONG-COOK,

MICHELLERN-198475, ARNETTE, KELLYRN-303114, AUGUSTINE, JENNIFERRN-296076, AURIN, CARRIERN-194031, AYOGU, CAROLRN-196656, BACHTEL, KIMBERLYRN-147700, BALDRIDGE, DEBORAHRN-114223, BARBONE, CARLARN-306056, BARNES, ANGELARN-172430, BARNES, SALLYRN-172395, BARRICK, SUERN-273952, BAUER, HARALDRN-252509, BECKMAN, SUSANRN-259566, BEDEL, SHONDARN-199542, BENNETT, BRUCERN-295878, BETZ, JAMESRN-289801, BILLICK, AMBERRN-159303, BOGGS, CATHYRN-166185, BORDENKIRCHER, KIMRN-270115, BOWERS, KEVINRN-132116, BREHM, GRACERN-298665, BROWN, CAROLYNRN-183560, BURROUGHS, PATRICIARN-146376, BYE, CAROLERN-190271, CATHELL, PATRICIARN-206650, CHAUDRY, ROSERN-263242, CLEMENS, DANIELRN-131855, COFFMAN, MADELINERN-234831, COLLINS, STEPHENRN-192146, COMBS, JUANITARN-306471, COOK, CINDYRN-230297, CROLLEY, KATHLEENRN-189075, CROSBY, ALDRENIARN-280815, CULLY, MARGARETRN-200846, CUMMINGS, CHRISTINERN-256951, DAGGETT, SUSANRN-097405, DAVIS, PAMELARN-283433, DEGRANDIS, MARYRN-256760, DELATORE, ANDREARN-279468, DEMPSEY, CHRISTYRN-274689, DENKER, JAMESRN-252939, DOERGER, RUTHRN-227731, DYMOND, TIMOTHYRN-303768, EISON, ANTOINETTERN-153562, ELERSICH, ELIZABETHRN-286292, ELOFF, NOELRN-192990, EMERINE, JOHNRN-308585, ENZWEILER, MELEARN-211495, FAIRBANKS, JOYCERN-162236, FILES, CAROLYNRN-196016, FISHER, DANESERN-284871, FRANK, DANARN-297225, FULLER, MICHELLERN-273270, GABEL, CORINNERN-133656, GEDEON, DARYLRN-202920, GERMANN, CECELIARN-092298, GIBSON, REBECCARN-269283, GRIFFAW, LAURARN-229375, HAHNLEN, LAURIERN-143970, HAMILTON, JOYRN-138846, HAMILTON, NANCYRN-281326, HAYES, TAMMYRN-278457, HEISLER, BRIANRN-261541, HELTON, TIM

RN-262930, HENDERSON, TIFFANIERN-213095, HERCHIK, TERRYRN-262060, HICKEY, KEVINRN-220306, HOHMAN, DIANNARN-287671, HOLLENBECK, TONYARN-302051, HORTON, ELIZABETHRN-186248, HUGHES, CAROLYNRN-302190, JARRELL, TAMMYRN-284305, JARRET, PAIGERN-095351, JOHNSON, CONNIERN-191321, KELLER, KARENRN-290050, KENDERSKI, JENNIFERRN-277859, KETO, MELINDARN-155814, KNOUFF, BETHRN-156551, KNOUFF, BEVERLYRN-253115, LAFFERTY, TRACYRN-201631, LAHEY, YVONNERN-288904, LEACH, JUDITHRN-155755, LEDBETTER, JOANRN-268376, LEGGETT, SHAWNRN-214504, LESKO, BETH RN-283547, LINDSEY, SYRITA RN-307394, ROBERSON, ASIA RN-307376, LUSE, NICOLE RN-282067, ROBINETTE, KRISTI RN-310497, LYNCH, MICHELLE RN-273307, ROSARIO, COLLEEN RN-290557, MACALUSO, MEREDITH RN-153095, SANDLIN, MICHELE RN-141578, MAJERS, JOAN RN-224378, SCHMIDT, JILL RN-152133, MARTIN, WANDA RN-285909, SCHMUCKER, JENNIFER RN-277187, MARTINEZ, THERESA

RN-170038, SHERWOOD, JENNIFER RN-145987, MATHEWS, MELINDA RN-211137, SHREMBEK, DAVID RN-257181, MAVROMATIS, SARAH RN-298584, SINGREE, JESSICA RN-145030, MAYNARD, MARY ALICE RN-091609, SMITLEY, NANCY RN-285409, MAYO, CHRISTINA RN-263702, SMYTH, CATHERINE RN-195573, MCELFRESH, LORI RN-302189, STANLEY, KARYN RN-147680, MEHL, DEBORAH RN-303550, SUNDBERG, AARON RN-260168, MELVIN, VALERIE RN-222202, SWARTZ, BARBARA RN-253529, MERCER, ANGELA RN-302151, TEACH, KRISTIN RN-260338, MICHELETTI, SHARON RN-213966, TEMPLETON, MELISSA RN-140121, MILLER, KATHLEEN RN-276695, THOMAS, CYNTHIA RN-253067, MILLER, MARY JO RN-170009, THOMPSON, MARGARET RN-248553, MILLER, VINCENT RN-289360, THRASHER, TANIA RN-246602, MOORE, JULIA RN-206996, TUSTIN, BRENDA RN-255606, MOSGROVE, LAURIE RN-129731, ULREY, SUSAN RN-109676, MUELLER, KAREN RN-186633, VANDENBUSCHE,

PATRICIA RN-276368, MURPHY, EVE RN-301540, VICORY, KATHLEEN

RN-255432, NAGY, ROSE RN-173536, VON HAGEN, PATRICIA RN-203957, NORTON, MAURA RN-267590, WALSH, KELLIE RN-233800, OESTRICH, JANET RN-138776, WILLIAMS, CATHERINE RN-190525, OWENS, WENDY RN-083072, WILLIAMS, LINDA RN-259846, PAVKOV, GRETCHEN RN-266508, WILLMAN, JAMES RN-211245, PIEPER, SHARON RN-198624, WINKS, VERONICA RN-292972, PIERCE, SHELLY RN-178327, WOLFE, JAMES RN-256823, PILLAR, MARIAN RN-299098, WOTT, MANDY RN-143561, PINKERTON, DEBRA RN-299830, YORK, CHRISTOPHER RN-291625, PROCTOR, LINA RN-196612, ZOECKLEIN, DIANE

Duplicate 2002-2004 LPN LicensesPN-091339, ADAMS, GAIL PN-097999, HORN, DIANNA PN-106384, BROWN, VANESSA PN-067046, NELSON, KIM PN-125655, DOBROZSI, MARY PN-109632, SMITH, SAMANTHA PN-112057, GUPTIL, LAURA

Current as of 9/3/04 June ’04 – Aug. ‘04

Join Our Nursing Team!Every nurse has a unique vision of nursing. The hopes and dreams of a career that

will touch the lives of patients – and make a difference. Nursing at Akron GeneralMedical Center is about more than just making a living, it's about having a life.

Current opportunities:

Critical Care Nurses • Med Surg Nurses Contact our Nurse Recruitment Team at 330-344-6867,

or visit Career Opportunities on our website at www.akrongeneral.org.

“A great thing about nursing at Akron GeneralMedical Center is that I have a fulfilling career that payswell, too. It gives me the flexibility to spend time with my family. – Ed Ingol, RN, BSN, PACU

Akron General has been repeatedly named “One of America's Best Hospitals” by US News & World Report,one of the nation's “100 Most Wired Hospitals” for use of technology by Hospitals & Health Networks magazine,

a Solucient “Top 100 Hospital” in the US for overall organizational performance, a Solucient “Top 100 Cardiovascular Hospital”in the US,“Akron's Most Preferred Hospital for Overall Quality and Image” by the National Research Corporation and

“One of the 99 Best Places to Work in Northeast Ohio” by the Employers Resource Council.

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Equal Opportunity Employer

www.medcentral.org

EXPERT CARE, CLOSE TO HOMEREGISTERED NURSESLICENSED PRACTICAL NURSESWe have a variety of shifts and status available at our 2 hospitals:

• Emergency• OR/Cardiac OR• Coronary ICU/Stepdown• Surgical ICU/Stepdown• CVICU (Cardiovascular ICU)• Neuro/Trauma ICU/Stepdown • ICU/Stepdown (at Shelby Hospital)• Hematology/Oncology• Short Term Care• Radiology Nursing• Maternal Child Health/Labor & Delivery• Physical Rehab• Psychiatry• Home Health Care and Hospice

We offer a competitive salary, excellent benefits and incredible opportunities for growth. Send resume to: Human Resources,MedCentral Health System, 335 Glessner Avenue, Mansfield,OH 44903, Fax (419) 526-8848. E-mail: [email protected]

QUALITY. CUSTOMER SERVICE. INNOVATION. TEAMWORK.

Ohio Board of Nursing 29

passionate care to patients and familiesdealing with pain and its dramatic impacton daily life. In so doing, it is essentialthat nurses possess complete and updat-ed information on pain assessment, painmanagement, interdisciplinary care, andavailable resources. This allows nurses toassist patients and families in better deal-ing with chronic pain however it maytouch their lives, their families, and thecommunity at large. Nurses can andshould play a lead role in transformingthe health care system to ensure high-quality pain management for end of lifecare, and to advance the rights of serious-ly ill patients and their families.

Selected Resources to

Update Your Knowledge

http://www.aacn.nche.edu/elnecEnd-of-Life Nursing Education Consortium(ELNEC) Projecthttp://www.nationalconsensusproject.orgThe National Consensus Project for QualityPalliative Care (NCP)http://www.ohiopaininitiative.orgOhio Pain Initiativehttp://www.ohpco.org Ohio Hospice and Palliative CareOrganizationhttp://prc.coh.orgPain Resource Center, City of Hope

Nurse Participation in the CCTF:

HB 474 identified a specific interdiscipli-nary composition of the task force.Several nurses contributed their timeand expertise to the work of the CCTF:

Elaine Glass, MS, RN, CNS; Ohio NursesAssociation Representative;

Deborah Heidrich, MSN, RN, CHPN,AOCN; Executive Director for theCCTF and Ohio Pain InitiativeRepresentative;

Margaret Kruckmeyer, MSN, RN, CNP;American Cancer SocietyRepresentative;

Jeff Lycan, RN; President/CEO OhioHospice and Palliative CareOrganization;

Susan Milne, RN, MSN, JD; Ohio Board ofNursing Representative;

Amy Pettigrew, DNS, RN; AccreditedSchool of Nursing Representative;

Veronica Steffen, MSN, RN, ClinicalDirector and CNS for Pain Services,Department of Veterans Affairs,Veterans Health Care System of Ohio,Cincinnati; and

Diane Stevenson, MS, RN; Ohio Council forHome Care Representative.

continued from page 9

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Name and/or Address Change Form (Please type or print)

License # _________________________________________________

SS#• ____________________________________________________Old Information: Name ______________________________________

Address __________________________________________________________________________________________________________

County ___________________________________________________

Changes: Name* ___________________________________________

Address __________________________________________________________________________________________________________

County ___________________________________________________

Effective Date ______________________________________________

Signature _________________________________________________

• Flexible Schedule• Top Pay• Great Bonuses• Excellent Benefits• Immediate Work

RNs, LPNs, STNAs and Allied

Let YourQuality ShineColumbus 1-866-882-8981Cincinnati 1-800-886-8771Cleveland 1-866-395-4176

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Cleveland800-568-6216Elyria866-715-4900

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When you make adifference in thelives of children,you make a differ-ence in your ownlife. That’s whatcaring is all about atAkron Children’sHospital. We’re the region’s leadingindependent hospital for children andteens and consistently ranked one ofthe Top 25 Pediatric Care Facilities inthe U.S. by Child magazine.

We offer our Nurses an excellent com-pensation and benefits package, nomandatory overtime, high activity,weekend and night bonuses duringpeak seasons and our Building StepsProgram (helping adult-experiencedNurses transition to Pediatrics).

Make a difference in the life of achild...and in your own future. For acomplete listing and description of current openings, visit: www.akronchildrens.org. We are an equalopportunity employer.

$$ Nurses $$All Areas, All Shifts • $2000 Performance Bonus!Referal Bonus! • Flexible Scheduling! • RN’s & LPN’sCome Join the leading team in supplemental staffing.We offer a variety of long and short term assignments.

Apply Today!216.574.9300 phone

216.574.9198 fax

www.premierohio.com

Health Care FacilitiesSurveyor (RN) The Ohio Dept. of Health, hasexcellent career opportunities fornurses interested in becomingHealth Care Facilities Surveyors.Selected candidates will receivetraining on conducting complianceinspections of a variety of healthcare providers. Successful appli-cants must be licensed as aRegistered Nurse in Ohio and have2 years current work experience inan acute or long term care facility.Must be able to provide own trans-portation. Travel with overnightstays, including some eveningsand weekends required. Startingsalary $19.70 per hour with excellent benefits. Interested appli-cants can contact; Ohio Departmentof Health, Office of HumanResources, 246 North High Street,Columbus, Ohio 43216, Attn: LoriSwoope, 614-466-2434 or applyon line at www.odh.state.oh.us(then click on “about ODH”) or fax an application or resume to614-466-3232. Send completed form to: ATTN: Renewal, Ohio Board of Nursing,

17 South High Street, Suite 400, Columbus, Ohio, 43215-7410

Did You Change Your Name? Did You Change Your Address?Did You Notify The Ohio Board of Nursing?• Provision of your social security

number is mandatory [RC3123.50] and may be provided forchild support enforcement pur-poses [RC 3123 et seq.], report-ing requirements to theHealthcare Integrity and ProtectionData Bank [42 USC §1320a-7e(b), 5 USC §552a, and 45 CFRpt 61], and to facilitate the pro-cessing of your licensure.

• A change in name must beaccompanied by a certifiedcopy of a marriage certifi-cate/abstract or divorcedecree, a certified copy of acourt record, or a certifiedcopy of documentation con-sistent with the laws of thestate where the changeoccurred. A certified copy canbe obtained directly from thecourt where the originalrecord was filed.

Interested candidates, call:Christine Begalla, RN,

at 330-480-6616or send resume to:

[email protected]

HUMILITY OF MARYHEALTH PARTNERS

St . E 's and St . Joe 'sFirst ANCC MagnetHospitals in Ohio

Immediate RN openings

www.HMpartners.org

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440-248-04541-866-543-6877

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Deodorizer For YourSuction Canisters

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Perfect for individuals dependenton a ventilator, tracheostomy or who just need suctioning.Developed by an RN who

works with ventilator patients.Visit us on the Web to request a free sample.

www.respiratoryinnovations.com

One number lets you apply for any RN position at the six hospitals of the HealthAlliance network located inGreater Cincinnati.1-877-RN-Success, Ext. 10 Toll-Free, 24 hrs/7days www.health-alliance.com/jobs

At Memorial Hospital of Union County in Marysville, we do more thanwork together. We support each other, listen to each other and takecare of each other - just like a family. State of the art technology, quality care and a family focused environment. We offer competitivesalaries; onsite daycare; ten paid holidays; shift & week-end differen-tial; health and life insurance available to full time employees; andretirement benefits provided by Ohio Public Employees Retirement.Learn more about us at our website: www.memorialhosp.org Contact us at: Memorial Hospital of Union County, HumanResources, 500 London Ave, Marysville, OH 43040E-mail: [email protected] Phone: 937-578-2539 Fax: 937-578-2814

N U R S I N G C L A S S I F I E D S

Page 26: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Advanced medical care close to home.

For more information on these and other positions, or to apply, visit: www.e-mercy.com

At Mercy, our mission is to improve the health of our communities. The best way to accomplish our goals is to hire, support and reward an exceptional team. That’swhy we strongly promote work/life balance. Our facili-ties are located throughout suburban Cincinnati, so you can concentrate on your career, not your commute. Wealso offer exceptional salaries and one of the area’s most comprehensive benefits packages, including 403(b) withcompany match, a pension plan, FREE parking, and up to 24 paid days off your fi rst year!

Nurse Management

AndersonContact: Rachel Dattilo, Nurse Recruiter – 513-624-3200

• Director of Perioperative Services

ClermontContact: Diane Morrison, RN, Nurse Recruiter – 513-735-7534

• Director of Behavioral Health• Director of Med/Surg

Mount AiryContact: Nurse Recruiter – 513-853-5760

• Emergency Department• Child Adolescent Psychology Services

Western HillsContact: Shannon Mcknight – 513-389-5037

• Med/Surg (Assistant Manager)• OR

We are always seeking RNs with specialties in:

• Behavioral Health• Choices Float Pool• Critical Care• CVOR• CVU• Family Birth• Med/Surg• Surgery

Call the Nurse Recruiter listed for the hospital nearest you for immediate attention.

EOE

Mercy Spotlight

We’ve created an environment where nurses stand out.Our culture, which supports and respects the talented individuals who

work for us, has evolved from the direct feedback of nurses themselves. That’s why you’ll find flexibility, educational opportunity and a true

collaborative atmosphere – all the things nurses ask for – right here.

RNs – Critical Care and Operating RoomMercy Hospital Fairfield provides the residents of northern Cincinnati, Ohio suburbs with compassionate, quality care in an advanced setting. As we near the completion of our expansion, which will double the size of the facility by adding a heart hospital with an 18-room CVU, a third

cardiac catheterization lab, 3 operating rooms and more, we invite qualified RNs to join our team in critical care, OR and other areas.

For additional information, please contact Nancy Scheffel, RN, Nurse Liaison at (513) 682-7229 or

(513) 325-HIRE, email: [email protected] or visit our website.

Page 27: Fall 2004 Volume 2 Issue 4 - OhioThe task force did not address issues relat- ing to euthanasia, assisted suicide, advanced directives, or the use, continuation, withholding or withdraw-

Ohio Board of Nursing17 South High StreetSuite 400Columbus, Ohio 43215-7410

614/466-3947

Momentum is the Official Publication of the Ohio Board of Nursing

PRESORTEDSTANDARD

U.S. POSTAGE

PAIDLITTLE ROCK, ARPERMIT NO. 1884