january - texas board of nursing · hinton, nyisha cherie, lvn# 326520 warning with stipulations...

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TEXAS BOARD OF NURSING Regular Meeting January 24, 2019 8:35 am - 6:25 pm 333 Guadalupe, Tower II, Room 225 Austin, Texas Present: Kathy Shipp, MSN, RN, FNP, Board President, Representing APN Practice David Saucedo II, Board Vice-President, Representing Consumers Nina Almasy, BSN, RN, MSN, Representing LVN Education Patti Clapp, BA, Representing Consumers Laura A. Disque, MN, RN, Representing RN Allison Porter-Edwards, DrPH, MS, RN, Representing BSN Education Diana Rodriguez Flores, MN, RN, Representing RN Practice Doris Jean Jackson, DHA, MSN, RN, Representing ADN Education Mazie Jamison, B.A., M.A., Representing Consumers (departed meeting @ 3:00pm) Kathy Leader-Horn, LVN, Representing LVN Practice Francis D. Stokes, Representing Consumers Kimberly Wright, LVN, Representing LVN Practice Absent: Melissa Schatt, LVN, Representing LVN Practice Staff Present: Katherine A. Thomas, Executive Director Patricia Vianes-Cabrera, Executive Assistant Anthony Diggs, Director of Enforcement Mark Majek, Director of Operations Kristin Benton, Director of Nursing James “Dusty” Johnston, General Counsel Jena Abel, Assistant General Counsel Jan Hooper, Nursing Consultant Ann Amaefule, Nursing Consultant Virginia Ayars, Nursing Consultant Heather Franz, Nursing Consultant Linda Laws, Nursing Consultant Elise McDermott, Nursing Consultant Kristen Sinay, Nursing Consultant Beverly Skloss, Nursing Consultant Gayle Varnell, Nursing Consultant Jolene Zych, Nursing Consultant Bruce Holter, Information Specialist Darryl Holt, Information Technology

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AGENDA ITEM DISCUSSION ACTION

CALL TO ORDER Kathy Shipp called the meeting to order at 8:35 a.m. on January 25, 2019.

ROLL CALL Katherine Thomas did the roll call. Board Member Doris Jean Jackson, DHA, MSN, RN, Representing ADN Education and Melissa Schatt, Representing LVN Practice were absent. A quorum was established with eleven members in attendance.

INTRODUCTION Board Members and Staff introduced themselves to the audience and attendees.

AGENDA The Board reviewed the agenda. Motion by Kathy Leader Horn; Second by Patti Clapp Move to approve the agenda. For: Allison Porter Edwards, Laura Disque, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader Horn, Kathy Shipp, Kimberly Wright, Mazie Jamison Final Resolution: Motion Carries

MINUTES The Board reviewed the minutes of the October 24, 2018 Board Retreat and October 25-26, 2018 Board Meeting

Motion by Laura Disque; Second by Kathy Leader Horn Move to approve the Minutes form the October 24, 2018 Board Retreat and October 25-26, 2018 Board Meeting. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

CONSENT AGENDA The Board reviewed the Consent Agenda.

Motion by Patti Clapp; Second by Francis Stokes Move to approve the Consent Agenda For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

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CONSENT AGENDA ITEMS

1.2.1. Update of Pending Litigation in the Matters of: Ex Parte Brian Zalesky, Cause No. D-1-EX-09-000516, 427th Judicial District Court, Travis County, Texas; and Donald Sias v. Genny Davis and Katherine A. Thomas, United States District Court for the Western District of Texas, Cause No. A:18-CA-306 RP.

Approved on Consent.

2.1. Financial Statement – 1ST Quarter, Fiscal Year 2019


3.2.1. Status Report on New Nursing Education Programs and Currently Active and Potential Proposals


3.2.2 Status Report on Programs with Sanctions.


3.2.3. Report on Communication Activities with Nursing Education Programs


3.2.4. Consideration of Reports of Survey Visits 3.2.4.a. Coastal Bend College in Beeville, Texas-Vocational and Associate Degree Nursing Education Programs


3.2.5. Consideration of Notification of Voluntary Closure of a Nursing Education Program 3.2.5.a. Joe G. Davis School of Vocational Nursing in Huntsville, Texas-Vocational


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Nursing Education Program

3.2.6. An Analysis of Four Self-Study Reports - Vocational Nursing Education Programs - 2017 NCLEX-PN® Examination Pass Rates


3.2.7. Consideration of Change in Approval Status from Initial Approval to Full Approval 3.2.7.a. Lamar State College in Port Arthur, Texas - Associate Degree Nursing Education Program


3.2.7.b. Texas State Technical College in Harlingen, Texas-Associate Degree Nursing Education Program


3.2.7.c. National American University in Austin, Texas-Baccalaureate Degree Nursing Education Program


3.2.7.d. Wayland Baptist University in New Braunfels, Texas-Baccalaureate Degree Nursing Education Program-


3.2.8. Consideration of Change in Approval Status from Initial/Full Approval with Warning to Full Approval 3.2.8.a. Clarendon College in Pampa, Texas – Associate Degree Nursing Program


3.2.8.b. The College of Health Care Professions in Houston, Texas-Associate Degree


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Nursing Education Program

3.2.8.c. University of Texas of the Permian Basin in Odessa, Texas-Baccalaureate Degree Nursing Education Program


3.2.9. Consideration of Change in Approval Status from Initial Approval to Initial Approval with Warning and Approval of Survey Visit-Carrington College in Mesquite, Texas-Associate Degree Nursing Education Program


3.2.10. Consideration of Change in Approval Status from Initial Approval to Initial Approval with Warning-St. Philip’s College in San Antonio, Texas – Associate Degree Nursing Education Program


4.1. Criminal Background Check Update


4.2. Complaint Status Report


5.1.1. Eligibility and Disciplinary Committee


5.1.2. Quarterly Statistical Report – 1ST Quarter, Fiscal Year 2019


6.2. Adoption of Amendments to 22 Tex. Admin. Code Chapter 219, relating to Advanced Practice Nurse Education


6.3. Adoption of Amendments to 22 Tex. Admin. Code Chapter 216, relating


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to Continuing Competency

6.4. Adoption of Amendments to 22 Tex. Admin. Code §222.8, relating to Authority to Order and Prescribe Controlled Substances and §222.10, relating to Enforcement


6.5. Adoption of New 22 Tex. Admin. Code §228.2, relating to Prescription Drug Monitoring Program


6.6. Adoption of New 22 Tex. Admin. Code §217.24 , relating to Telemedicine Medical Service Prescriptions


6.7. Adoption of Amendments to 22 Tex. Admin. Code §217.13, relating to Peer Assistance Program


7.1. Texas Peer Assistance Program for Nurses (TPAPN) 7.1.1. TPAPN Quarterly Report


7.1.2. Texas Peer Assistance Program for Nurses Third Party Referral Report


8.1. AGREED ORDERS

The Board voted to ratify the Agreed Orders on Consent with the following actions:

Allen, Kristy Ruth, LVN# 193962

Warning with Stipulations

Allen, Tyna Michelle, RN# 718085 Warning with Stipulations

Alphonso, Clintone Savio, RN# 873910 Reprimand with Stipulations

Alvarado, Pamela, LVN# 212417 Warning with Stipulations

Anderson, Michael Jessee, RN# 633555 Reprimand with Stipulations

Berry, Melissa Fennell, RN# 581517 Warning with Stipulations

Berry, Reginald, APRN# AP102236 / RN# 448907

Suspend/Probate

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Brower, Sheri Ann, LVN# 164148 Warning with Stipulations

Cary, Holly Lou, LVN# 331571 Reprimand with Stipulations

Castillo, Jannette Marie, LVN# 329328 Warning with Stipulations

Castro, Isabela Marie, LVN# 322380 Warning with Stipulations

Chirayil, Mercy Antony Madambil, RN# 718457

Reprimand with Stipulations

Egbim, Clara Ebere, LVN# 211743 Warning with Stipulations

Ellison, Brandi D., LVN# 169007 Reprimand with Stipulations

Espinoza, Sylvia, LVN# 201629 Warning with Stipulations

Fournier, Sarah, RN# 746695 Warning with Stipulations

Gonzalez, Nathan Joe, LVN# 300338 Reprimand with Stipulations

Hamilton, Gary Don, LVN# 132674 Suspend/Probate

Hinton, Nyisha Cherie, LVN# 326520 Warning with Stipulations

Horton, Rebekah, RN# 930749/ LVN# 317518

Reprimand with Stipulations

Jewett, Teresa Dichell-Martin, LVN# 300933 Suspend/Probate

Johnson, Robert, LVN# 225993 Reprimand with Stipulations

Larkin, Michelle Jean, LVN# 220121 Warning with Stipulations

Lavender, Lacey, LVN# 223746 Warning with Stipulations

Layton Salazar, Ronda Lee, RN# 840214 Warning with Stipulations

Locke II, Lou Randall, APRN# AP128352 / RX# 18143 / RN# 803997

Voluntary Surrender/Suspend/Probate

Martinez, Alejandro, RN# 790855 Suspend/Probate

May, Phyllis Renee, RN# 794597/ LVN# 131749


Ngochi, Christian Ngetleng, LVN# 233096 Warning with Stipulations

Reed, Njeri, LVN# 342715 Reprimand with Stipulations

Renteria, Michael, LVN# 223564 Warning with Stipulations

Ross, Amanda S., RN# 789020 Suspend/Probate

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Salazar, Leslie Allison, RN# 685939 Reprimand with Stipulations

Shadle, Shonda Renee, LVN# 208114 Reprimand with Stipulations

Souter, Delilah Jeannine, RN# 916223 Suspend/Probate

Swirsky, Rebecca Anne, RN# 936690 Warning with Stipulations

Tinsley, Sara Francine, RN# 709728 Warning with Stipulations

Valmores, Shelly Jan, RN# 728197 Limited License with Stipulations

Vines, Janiska Jenette, LVN# 330257 Reprimand with Stipulations

Wentworth, Lonnie Scott, RN# 758001 Warning with Stipulations

Wilkirson, Krystal Nichole, RN# 824521 Reprimand with Stipulations

Williams, Cecelia Nicole, RN# 882317 Warning with Stipulations

Young, Donna Jane, RN# 736448/ LVN# 190037

Suspend/Probate

8.2. Agreed Orders – KSTAR Program

Johnson, Phillip Charles, RN# 872009 Warning with Stipulations

Jurek, Kristine, RN# 923803 Warning with Stipulations

Kennedy, Sarah Marie, RN# 774872/ LVN# 192317


Ladiwala, Minhas Shukat, RN# 852875 / APRN Petitioner


McGraw, Seleah, Maurine, RN# 909951 Warning with Stipulations

Vinson, Savannah Elizabeth, RN# 881243 / LVN# 318592


Young, Hong Shu, RN #851343 Warning with Stipulations

8.3. Deferred Agreed Orders

Asare, Afua Seguaa, RN# 842325 Warning with Stipulations - Deferred

Canada, Brandi Lashae, LVN# 313217 Warning with Stipulations - Deferred

8.4. Reinstatement Agreed Orders

Eller, Jacklyn Ann, RN# 613186 Reinstated with Stipulations

Knatt, Cartessa Danette, APRN# AP120297/ RN# 687034

Reinstated with Stipulations

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Martin, Jason, RN# 651715 Reinstated with Stipulations

Schickel (Majuri), Linda Susan, RN# 762561 Reinstated with Stipulations

Weatherly, Ashton Cord, LVN# 188528 Reinstated with Stipulations

Whipple, Jennifer Lindsey, RN# 723964 Reinstated with Stipulations

8.5. Eligibility Agreed Order

Hinton-France, Charmin Lakeisha, LVN# 221313/ RN Exam Petitioner

Petitioner for Eligibility of Licensure

1. ADMINISTRATION 1.1. Executive Director’s Report

Katherine Thomas reviewed her report with the Board.

No action.

1.3. Texas Board of Nursing - Fiscal Year 2018 Annual Report

Katherine Thomas reported on the Fiscal Year 2018 Report.

No action.

3. NURSING 3.1. Practice 3.1.1. Promoting Competency Report

Linda Laws and Kristen Sinay did a review of the Promoting Competency Report.

No action.

3.1.2. Report on Implementation of the Knowledge Skills Training Assessment and Research (KSTAR)

Kristin Benton reviewed the Report on Implementation of the Knowledge Skills Training Assessment and Research (KSTAR) program with the Board.

No action.

3.2. Education 3.2.11. Consideration of Change in Approval Status from Full Approval With Warning to Conditional Approval – McLennan College in Waco, Texas – Associate Degree Nursing Education Program

The Board considered the Change in Approval Status from Full Approval With Warning to Conditional Approval – McLennan College in Waco, Texas – Associate Degree Nursing Education Program. Representatives Rebecca Griffin, MSN, RN, Director; Johnette McKown, President; Fred Hills, Vice-President of Instruction; and Glynnis Gaines, Dean of Health Professions were present and available to answer questions.

Motion by David Saucedo; Second by Francis Stokes Move to change the approval status for the McClennan Community College Associate Degree Nursing Education Program in Waco, Texas from Full Approval with Warning to Conditional Approval based upon the NCLEX-RN® examination pass rate for 2018, findings in the 2017 Self Study Report, and areas for improvement to align with Rule 215, as indicated in the letter and Board Order: 1. The program shall not enroll students while on conditional approval status. 2. The program will remain on conditional approval status until the program demonstrates a pass rate for first-time candidates of at least 80% for the 2019 NCLEX-RN® examination year. The

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NCLEX-RN® examination year is October 1, 2018 through September 30, 2019. 3. The program must demonstrate full compliance with Rule 215 prior to consideration of a change in approval status. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

3.2.12. Consideration of Proposal to Establish a New Nursing Education Program 3.2.12.a. Texas Southmost College in Brownsville, Texas – Associate Degree Nursing Education Program

The Board held a Public Hearing on the Proposal to Establish a New Associate Degree Nursing Education Program submitted by Texas Southmost College in Brownsville, Texas. Representatives Adela Garza, BS, Board of Trustees Chair; Jesus Roberto Rodriguez, PhD, TSC President; Scott Nelson, BS, NRP, LP, Interim Dean of Health Professions; Beth Kasprisin, MSN, APRN, Proposed Director were present and available to answer questions.

Motion by Patti Clapp; Second by Diana Flores Move to grant initial approval to Texas Southmost College to establish a new Associate Degree Nursing Education Program in Brownsville, Texas and impose the conditions and requirements as outlined in the Board Order: 1. The program shall not admit more than one (1) cohort of 24 generic students in Fall 2019, one (1) cohort of 24 generic students in Spring 2020, and one (1) cohort of 10 LVN to ADN students in Summer 2020 until the program achieves Full Approval from the Board. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

3.2.12.b. Western Technical College in El Paso, Texas – Baccalaureate Degree Nursing Education Program

The Board held a Public Hearing on the Proposal to Establish a New Baccalaureate Degree Nursing Education Program submitted by Western Technical College in El Paso, Texas. Representatives Margie Aguilar, BBA, MAC< Campus President; Brad Kuykendall, BA, MBA, Chief Executive Officer; Samson Yigezu, PhD, MSN, PHN, RN, Proposed Director were present and available to answer questions.

Motion by Francis Stokes; Second by Kathy Leader Horn Move to grant initial approval to Western Technical College to establish a new Baccalaureate Degree Nursing Education Program in El Paso, Texas and impose the conditions and requirements in the Board Order: 1. The program shall not admit more than one (1) cohort of thirty (30) students in

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2019 and no more than two (2) cohorts of thirty (30) students each during each year beginning in 2020. For: Laura Disque, Francis Stokes, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Against: Allison Porter Edwards, Diana Flores Abstain: Mazie Jamison Final Resolution: Motion Carries

3.2.13. 2018 Report of NCLEX-RN® Examination Pass Rates

Jan Hooper presented the report on the 2018 Report of NCLEX-RN® Examination Pass Rates.

No action.

3.2.14. Notification of Closure of Nursing Education Program – Brightwood College in Corpus Christi and San Antonio, Texas – Vocational Nursing Education Programs

Jan Hooper and Virginia Ayars presented the report on the Notification of Closure of Nursing Education Programs – Brightwood College in Corpus Christi and San Antonio, Texas – Vocational Nursing Education Programs.

No action.

3.2.15. Consideration of Change in Approval Status from Conditional Approval to Full Approval 3.2.15.a. Vernon College in Wichita Falls, Texas – Vocational Nursing Education Program

The Board considered the Change in Approval Status from Conditional Approval to Full Approval for Vernon College in Wichita Falls, Texas – Vocational Nursing Education Program. Representatives Dusty Johnston, Vernon College President; Mary T. Rivard, PhD, RNC-OB, Director of Nursing; Pam Rotz, ADN, RN, Assistant Director of Vocational Nursing were present and available for questions.

Motion by Diana Flores; Second by Patti Clapp Move to change the approval status for the Vernon College at Wichita Falls Vocational Nursing Education Program in Wichita Falls, Texas from Conditional Approval to Full Approval. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

3.2.15.b. Valley Grande Institute in Weslaco, Texas-

The Board considered the Change in Approval Status from Conditional Approval to Full Approval for Valley Grande Institute in

Motion by Diana Flores; Second by Kathy Leader Horn

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Vocational Nursing Education Program

Weslaco, Texas-Vocational Nursing Education Program. Representatives Mari Aviles, School Director; Leonardo Galvan, RN, Interim Program Director were present and available to answer questions.

Move to change the approval status for the Valley Grande Institute for Academic Studies Vocational Nursing Education Program in Weslaco, Texas from Conditional Approval to Full Approval. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

3.2.16. Report on Follow Up Actions Related to Excelsior College Associate Degree Nursing Education Program Pursuant to Texas Occ. Code 301.157(d-11)(2)

Kathy Thomas reported on the history of Texas legislation related to Excelsior College, including the 2017 Sunset review and legislation resulting in authorization of the Board to monitor the program should the NCLEX pass rate fall below the required 80% pass rate. Further, she reported that although the 2017 pas rate was 77.37%, the 2018 pass rate was 80%, therefore the program is not subject to monitoring requirements at this time.

No action.

5. COMMITTEE REPORTS 5.1. Board Committees 5.1.3. Board Development and Items of Interest for Future Meetings

The Board discussed items of interest for future meetings. Allison Porter Edwards requested that Staff attempt to secure a meeting with the Governor and a tour of the Capitol; David Saucedo requested Staff secure a meeting with the Secretary of State; Diana Flores requested Staff secure a meeting with the Lieutenant Governor. Board Members requested a presentation on the Texas Peer Assistance Program and on the NCSBN Policy Summit Recordings of Robotics in health care.

No action.

5.2. Advisory Committees/Task Forces 5.2.1. Advanced Practice Advisory Committee

Jolene Zych reported on the December 2018 meeting of the APNAC. Committee members completed their charge to review the comments on the rule review of Rule 228.1. Committee members voted not to make the changes to the rule suggested in those comments. Minor editorial edits were recommended by the committee and will be submitted for the Board’s consideration at a future Board meeting. The committee also provided input to staff regarding the APRN

No action.

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scope of practice information on the Board’s website. Committee members had no recommendations for updates to the APRN scope of practice information at this time.

5.2.2. Nursing Practice Advisory Committee

No report. No action.

5.2.3. Advisory Committee on Education


5.2.4. Advisory Committee on Licensure, Eligibility and Discipline


5.2.5. Task Force to Study Implications of Growth of Texas Nursing Education Programs

Kristin Benton reported that the Task Force met on November 15, 2018 in Austin to begin work on the current charge to create a dialogue between nursing education and clinical partners to facilitate optimal clinical learning experiences for all constituents. The members discussed and prioritized themes relevant to the charge, and will meet again on March 25, 2019 in Austin.

No action.

5.3. Collaboration with Outside Agencies / Stakeholders 5.3.1. Statewide Health Coordinating Council Texas Center for Nursing Workforce Studies Advisory Committee

Katherine Thomas reviewed the purpose and findings of the Center as well as current projects including evaluation of the 2018 Nursing Education Program Information Survey (NEPIS); Update of the Workplace Violence Survey which recently concluded; and Dashboards on nursing education, nursing demographics and progress on the Future of Nursing Campaign for Action are under development at this time.

No action.

5.3.2. Updates Related to the Texas Higher Education Coordinating Board, the Texas Workforce Commission, and the Texas Education Agency


5.3.3. Taxonomy of Error Root Cause Analysis of Practice

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Responsibility (TERCAP) 5.3.3.a. National Council of State Boards of Nursing - Taxonomy of Error Root Cause Analysis of Practice Responsibility (TERCAP)

No report.

No action.

5.3.4. Texas Team Report - Robert Wood Johnson Initiative

Kristin Benton reported the Texas Team Education Committee met by conference call on November 26, 2018. Two subcommittees are currently working on developing a toolkit to assist practicing nurses interested in teaching to transition to the faculty role, producing a draft letter with infographics to illustrate the faculty shortage once 2018 data are available, and creating a survey to gather qualitative data from faculty. The next conference call is scheduled for January 28, 2019.

No action.

5.3.5. National Council of State Boards of Nursing 5.3.5.a. Appointment of Board Members to attend the NCSBN Mid-Year Meeting to be held March 26-28, 2019 in San Antonio, Texas

Kathy Shipp discussed attendance at the NCSBN Mid Year meeting.

Kathy Shipp, Diana Flores and Laura Disque will attend the NCSBN MidYear meeting.

5.3.6. Texas Department of State Health Services, Texas School Health Program


5.3.7. Texas Health and Human Services Commission e-Health Advisory Committee

Elise McDermott reported that the Committee last met on December 6th, 2018. At this meeting the Committee discussed the status of the rule amendments, the committee membership and term expirations, a review of the bylaws, a subcommittee report on possible incentive payments for providers related to their use of health Information technology in care delivery, update on Telemedicine, a review of the Committee’s annual report, and disaster response in health information technology.

No action.

5.3.8. Nursing Peer Review Evaluation of

Elise McDermott reported that Board staff have been persistently working on the newly

No action.

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Practice-breakdown (NPREP)

adapted version of the TERCAP Protocol that will be utilized by Nursing Peer Review Committees for better evaluation of nursing practice breakdown. Since the last Board meeting a name for the new resource tool has been created and this project will now be known as Nursing Peer Review Evaluation of Practice-breakdown or NPREP. Board staff are in the final stages of this resource tool’s development after receiving stakeholder feedback through three focus groups discussions and a survey of a hospital system in the understanding of its use. Staff anticipate that this resource tool will be finalized in the upcoming months, during this time Board staff will also work diligently on the creation of an orientation module to disseminate this resource tool’s intent and instructions. In October of 2018, Board staff provided a hospital system in Texas pilot education surrounding this resource tool to determine the impact of the education on nursing peer review committees and to obtain feedback from participants on ways to improve the education and/or the resource. This educational intervention provided Board staff with data and suggestions for improvement surrounding the education and use of this newly adapted resource. This information will guide Board staff in the development of the orientation modules that will be presented to nursing peer review committees across the state of Texas later this year both in person and online. Next steps for Board staff will involve finalization of the instrument and the creation of education for its dissemination to Nursing Peer Review Committees.

OPEN FORUM Board President Kathy Shipp announced the format and invited participation from the audience. Lolly Lockhart came forward to present the board with the original of her thesis on the History of the Nursing Practice Act, 1909-1959. Ms. Lockhart contributed the bound thesis to the Board for keeping with the Board’s historical reference materials. No other speakers came forward and the open forum was closed.

6. OLD BUSINESS 6.8. Consideration of Adoption of Proposed

The Board considered the Adoption of Proposed Amendments to 22 Tex. Admin.

Motion by Francis Stokes; Second by Laura Disque

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Amendments to 22 Tex. Admin. Code Chapter 221, relating to Advanced Practice Nurses, Including Written Comments Received and Results of Public Hearing, if any

Code Chapter 221, relating to Advanced Practice Nurses, Including Written Comments Received and Results of Public Hearing, if any.

Move to adopt 22 Texas Administrative Code Chapter 221, Relating to Advanced Practice Registered Nurses, with changes as set forth. Further, authorize Staff to publish the summary of comments and response to comments. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

7. NEW BUSINESS 7.1. Texas Peer Assistance Program for Nurses (TPAPN) 7.1.3. Texas Peer Assistance Program for Nurses Advisory Committee

Denise Benbow reported The Texas Peer Assistance Program for Nurses (TPAPN) Advisory Committee met on Friday, December 7, 2018. A proposed draft of the TPAPN Matrix was presented to the Advisory Committee. The specific steps related to nurse enrollment in TPAPN will change with implementation of the Matrix in January of 2019. The Advisory Committee membership is changing as a result of the TPAPN audit. The first meeting of the newly structured TPAPN Advisory Committee will be March 1, 2019.

No action.

7.2. Consideration of Proposed Amendments to 22 Tex. Admin. Code §213.33, relating to Factors Considered for Imposition of Penalties/Sanctions

The Board considered the Proposed Amendments to 22 Tex. Admin. Code §213.33, relating to Factors Considered for Imposition of Penalties/Sanctions.

Motion by Laura Disque; Second by Kathy Leader Horn Move to approve the proposed amendments to 22 Texas Administrative Code Chapter §213.33, relating to Factors Considered for Imposition of Penalties/Sanctions, with authority for the General Counsel to make editorial changes as necessary to clarify rule and Board intent and to comply with the formatting requirements of the Texas Register. If no negative comments and no request for a public hearing are received, move to adopt the proposed amendments to 22 Texas Administrative Code §213.33, relating to Factors Considered for Imposition of Penalties/Sanctions, as proposed. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, Daivd Saucedo, Patti Clapp, Nina

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Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

7.3. Review and Consideration of Position Statements 7.3.1. Review and Consideration of Current Position Statements without Changes 15.1. Nurses Carrying Out Orders from Physician Assistants 15.4. Educational Mobility 15.5. Nurses with Responsibility for Initiating Physician Standing Orders 15.9. Performance of Laser Therapy by RNs or LVNs 15.10. Continuing Education: Limitations for Expanding Scope of Practice 15.11. Delegated Medical Acts 15.12. Use of American Psychiatric Association Diagnoses by LVNs, RNs, or APRNs 15.14. Duty of a Nurse in any Practice Setting 15.15. Board’s Jurisdiction over a Nurse’s Practice in Any Role and Use of the Nursing Title 15.16. Development of Nursing Education Programs 15.17. Texas Board of Nursing/Board of Pharmacy, Joint Position Statement, Medication Errors 15.18. Nurses Carrying out Orders from Advanced Practice Registered Nurses

The Board considered the current position statements without change.

Motion by David Saucedo; Second by Patti Clapp Move to accept current Position Statements without any recommended changes, with allowance for non-substantive word editing for purposes of clarity as may be deemed necessary by Board Staff. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

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15.19. Nurses Carrying out Orders from Pharmacists for Drug Therapy Management 15.22. APRNs Providing Medical Aspects of Care for Individuals with whom there is a Close Personal Relationship 15.24. Nurses Engaging In Reinsertion of Permanently Placed Feeding Tubes 15.25. Administration of Medication & Treatments by LVNs 15.30. Workplace Violence

7.3.2. Review and Consideration of Current Position Statements with Changes 15.2. The Role of the Licensed Vocational Nurse in the Pronouncement of Death 15.3. LVNs Engaging in Intravenous Therapy, Venipuncture, or PICC Lines 15.6. Board Rules Associated with Alleged Patient “Abandonment” 15.7. The Role of LVNs & RNs in Management and/or Administration of Medications via Epidural or Intrathecal Catheter Routes 15.8. The Role of the Nurse in Moderate Sedation 15.13. Role of LVNs and RNs in School Health 15.20 Registered Nurses in the Management of an Unwitnessed Arrest in

The Board considered the Current Position Statements with Changes.

Motion by Francis Stokes; Second by Diana Flores Move to adopt the Board Position Statements with changes, along with allowance for non-substantive word editing for purposes of clarity as may be deemed necessary by Board Staff. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright, Mazie Jamison Final Resolution: Motion Carries

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a Resident in a Long Term Care Facility 15.23. The Use of Complementary Modalities by the LVN or RN 15.27. The Licensed Vocational Nurse Scope of Practice 15.28. The Registered Nurse Scope of Practice 15.29. Professional Boundaries including Use of Social Media by Nurses

7.4. Update on Progress of Implementation of Requirements and Management Recommendations of the Sunset Review Process

Katherine Thomas provided an Update and Progress of Implementation of Requirements and Management Recommendations of the Sunset Review Process.

No action.

8. PROPOSED BOARD ORDERS 8.6. ALJ Proposals for Decision 8.6.1. Consideration of Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #592102, Issued to ADAKU ABAKWUE, SOAH Docket No. 507-18-2026 8.6.1.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Certificate #592102, Issued to ADAKU ABAKWUE, SOAH Docket No. 507-18-2026

The Board considered the Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #592102, Issued to ADAKU ABAKWUE, SOAH Docket No. 507-18-2026

Motion by Patti Clapp; Second by Laura Disque Move to adopt all of the proposed Findings of Fact and Conclusions of Law in the PFD and impose a probated suspension against the Respondent’s license, as set out in the proposed order. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

8.6.2. Consideration of Proposal For

The Board considered the Proposal For Decision, Recommendations, proposed

Motion by Laura Disque; Second by Franics Stokes

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Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #231944, Issued to DAVID ALVAREZ-BERNAL, SOAH Docket No. 507-18-4577 8.6.2.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Certificate #231944, Issued to DAVID ALVAREZ-BERNAL, SOAH Docket No. 507-18-4577

settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #231944, Issued to DAVID ALVAREZ-BERNAL, SOAH Docket No. 507-18-4577

Move to adopt all of the proposed Findings of Fact and Conclusions of Law in the PFD and require the Respondent to complete remedial education, as set out in the proposed order. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

8.6.3. Consideration of Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #225782, Issued to EDMUND-VINCENT NWADINIGWE, SOAH Docket No. 507-18-4115 8.6.3.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Certificate #225782, Issued to EDMUND-VINCENT NWADINIGWE, SOAH Docket No. 507-18-4115

The Board considered the of Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #225782, Issued to EDMUND-VINCENT NWADINIGWE, SOAH Docket No. 507-18-4115

Board Members Patti Clapp, Laura Disque and Kathy Leader Horn Recused themselves prior to the consideration and vote on this agenda item as they were the members of the Temporary Suspension Committee. Motion by Francis Stokes; Second by Diana Flores Move to adopt all of the proposed Findings of Fact and Conclusions of Law in the PFD and revoke the Respondent’s license, as set out in the proposed order. For: Allison Porter Edwards, Francis Stokes, Diana Flores, David Saucedo, Nina Almasy, Kathy Shipp, Kim Wright Recused: Patti Clapp, Kathy Leader-Horn, Laura A Disque Final Resolution: Motion Carries

8.6.4. Consideration of Petition for Declaratory Order, filed by ERICA MICHELLE

The Board considered the Petition for Declaratory Order, filed by ERICA MICHELLE JACKSON, and Recommendations, proposed settlement

Motion by Kathy Leader Horn; Second by Kim Wright Move to adopt all of the proposed Findings of Fact and Conclusions of Law

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JACKSON, and Recommendations, proposed settlement agreements, if any, and Board Action: SOAH Docket No. 507-18-3633 8.6.4.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Petition for Declaratory Order, filed by ERICA MICHELLE JACKSON, SOAH Docket No. 507-18-3633

agreements, if any, and Board Action: SOAH Docket No. 507-18-3633

in the PFD and deny the Petitioner’s Petition for Declaratory Order, as set out in the proposed order. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

8.6.5. Consideration of Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #779076, Issued to DON C. LEACH, SOAH Docket No. 507-18-2455 8.6.5.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Certificate #779076, Issued to DON C. LEACH, SOAH Docket No. 507-18-2455

The Board considered the Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #779076, Issued to DON C. LEACH, SOAH Docket No. 507-18-2455

Motion by Allison Porter Edwards; Second by Laura Disque Move to adopt all of the proposed Findings of Fact and Conclusions of Law in the PFD and impose a probated suspension against the Respondent’s license, as set out in the proposed order. with the exception that the supervision be indirect. For: Allison Porter Edwards, Laura Disque, Diana Flores, David Saucedo, Kathy Leader-Horn, Kathy Shipp, Kim Wright Against: Francis Stokes, Patti Clapp, Nina Almasy Final Resolution: Motion Carries

8.6.6. Consideration of Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #613782, Issued to DEREK K. QUILLIAN,

The Board considered the Proposal For Decision, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #613782, Issued to DEREK K. QUILLIAN, SOAH Docket No. 507-18-4086

Motion by Patti Clapp; Second by Kathy Leader Horn Move to adopt all of the proposed Findings of Fact and Conclusions of Law in the PFD and revoke the Respondent’s license, as set out in the proposed order. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina

135


SOAH Docket No. 507-18-4086 8.6.6.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: Certificate #613782, Issued to DEREK K. QUILLIAN, SOAH Docket No. 507-18-4086


8.7. ALJ Default Proposals for Decision Remands 8.7.1. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #737224, Issued to LARISSA JANICE BOTTOMS, SOAH Docket No. 507-19-0045 8.7.1.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #737224, Issued to LARISSA JANICE BOTTOMS, SOAH Docket No. 507-19-0045

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #737224, Issued to LARISSA JANICE BOTTOMS, SOAH Docket No. 507-19-0045.

Board Members Allison Porter Edwards, David Saucedo and Kathy Leader Horn recused themselves prior to the consideration and vote on this agenda item as they were the members of the Temporary Suspension Committee. Motion by Francis Stokes; Second by Patti Clapp Move to adopt the proposed order and revoke the Respondent's nursing license by default. For: Laura Disque, Francis Stokes, Diana Flores, Patti Clapp, Nina Almasy, Kathy Shipp, Kim Wright Recused: Allison Porter Edwards, David Saucedo, Kathy Leader-Horn Final Resolution: Motion Carries

8.7.2. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #212315, Issued to JEANELLE BREWER,

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #212315, Issued to JEANELLE BREWER, SOAH Docket No. 507-18-4323.

Motion by Kathy Leader Horn; Second by Francis Stokes Move to adopt the proposed order and revoke the Respondent's nursing license by default. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright

136


SOAH Docket No. 507-18-4323 8.7.2.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #212315, Issued to JEANELLE BREWER, SOAH Docket No. 507-19-4323

Final Resolution: Motion Carries

8.7.3. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #880249, Issued to MICHELLE CASEY BROWNLOW, SOAH Docket No. 507-19-0118 8.7.3.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #880249, Issued to MICHELLE CASEY BROWNLOW, SOAH Docket No. 507-19-0118

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #880249, Issued to MICHELLE CASEY BROWNLOW, SOAH Docket No. 507-19-0118

Motion by Patti Clapp; Second by Laura Disque Move to adopt the proposed order and revoke the Respondent’s nursing license by default. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader Horn, Kathy Shipp, Kim Wright Final Resolution: Motion Carries

8.7.4. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #741633 and #180406, Issued to ALICIA LYDIA HICKS,

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #741633 and #180406, Issued to ALICIA LYDIA HICKS, SOAH Docket No. 507-18-5363.

Board Members Allison Porter Edwards, David Saucedo and Kathy Leader Horn recused themselves prior to the consideration and vote on this agenda item as they were the members of the Temporary Suspension Committee. Move to adopt the proposed order and revoke the Respondent's nursing license by default.

137


SOAH Docket No. 507-18-5363 8.7.4.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #741633 and #180406, Issued to ALICIA LYDIA HICKS, SOAH Docket No. 507-18-5363

For: Laura Disque, Francis Stokes, Diana Flores, Nina Almasy, Kathy Shipp, Kim Wright Recused: Allison Porter Edwards, David Saucedo, Patti Clapp, Kathy Leader-Horn Final Resolution: Motion Carries

8.7.5. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #140273, Issued to SUSAN LEIGH MOODY, SOAH Docket No. 507-19-0256 8.7.5.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #140273, Issued to SUSAN LEIGH MOODY, SOAH Docket No. 507-19-0256

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #140273, Issued to SUSAN LEIGH MOODY, SOAH Docket No. 507-19-0256.

Motion by Francis Stokes; Second by Patti Clapp Move to approve the proposed agreed order and impose an enforced suspension against the Respondent’s license pending an evaluation that meets the requirements set out in the order. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Shipp, Kim Wright Abstain: Kathy Leader-Horn Final Resolution: Motion Carries

8.7.6. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #210105 and #754991, Issued to KRISTINA NICOLE MURDOCH, SOAH

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #210105 and #754991, Issued to KRISTINA NICOLE MURDOCH, SOAH Docket No. 507-18-5289

Motion by Patti Clapp; Second by Francis Stokes Move to adopt the proposed order and revoke the Respondent’s nursing licenses by default. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina Almasy, Kathy Leader-Horn, Kathy Shipp, Kim Wright

138


Docket No. 507-18-5289 8.7.6.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #210105 and #754991, Issued to KRISTINA NICOLE MURDOCH, SOAH Docket No. 507-18-5289

Final Resolution: Motion Carries

8.7.7. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #327319 and #935580, Issued to CALEB RYAN OCHOA, SOAH Docket No. 507-19-0065 8.7.7.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #327319 and #935580, Issued to CALEB RYAN OCHOA, SOAH Docket No. 507-19-0065

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #327319 and #935580, Issued to CALEB RYAN OCHOA, SOAH Docket No. 507-19-0065

Prior to the consideration and vote on this agenda item Board Members Allison Porter Edwards, David Saucedo and Kathy Leader Horn recused themselves as they were the members of the Temporary Suspension Committee. Motion by Laura Disque; Second by Diana Flores Move to adopt the proposed order and revoke the Respondent's nursing licenses by default. For: Laura Disque, Francis Stokes, Diana Flores, Pattr Clapp, Nina Almasy, Kathy Shipp, Kim Wright Recuse: Allison P Edwards, David E Saucedo, Kathy Leader-Horn Final Resolution: Motion Carries

8.7.8. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #754707 and

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #754707 and #171111, Issued to MICHELLE M. SANDIFER, SOAH Docket No. 507-18-4627

Motion by Patti Clapp; Second by Kathy Leader Horn Move to adopt the proposed order and revoke the Respondent's nursing licenses by default. For: Allison Porter Edwards, Laura Disque, Francis Stokes, Diana Flores, David Saucedo, Patti Clapp, Nina

139


#171111, Issued to MICHELLE M. SANDIFER, SOAH Docket No. 507-18-4627 8.7.8.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #754707 and #171111, Issued to MICHELLE M. SANDIFER, SOAH Docket No. 507-18-4627


8.7.9. Consideration of Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #731665, Issued to KRISTI LEEHIN STRINGER, SOAH Docket No. 507-18-5361 8.7.9.a. Executive Session pursuant to 551.071(1), Texas Government Code, to discuss pending or contemplated litigation: In the Matter of Permanent Certificate #731665, Issued to KRISTI LEEHIN STRINGER, SOAH Docket No. 507-18-5361

The Board considered the Order of Dismissal and Remand, Recommendations, proposed settlement agreements, if any, and Board action: In the Matter of Permanent Certificate #731665, Issued to KRISTI LEEHIN STRINGER, SOAH Docket No. 507-18-5361

Prior to the consideration and vote on this agenda item Board Members Allison Porter Edwards, David Saucedo and Kathy Leader Horn recused themselves as they were the members of the Temporary Suspension Committee. Motion by Francis Stokes; Second by Laura Disque Move to adopt the proposed order and revoke the Respondent's nursing license by default. For: Laura Disque, Francis Stokes, Diana Flores, Patti Clapp, Nina Almasy, Kathy Shipp, Kim Wright Recuse: Allison P Edwards, Kathy Leader-Horn, David E Saucedo Final Resolution: Motion Carries

9. MISCELLANEOUS 9.1. Board Development: State Office of Administrative Hearings (SOAH)

John Vanderford did a presentation on the State Office of Administrative Hearings.

No action.

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9.2. Review of the Board Quarterly Meeting Evaluation

Kathy Shipp reviewed the October, 2018 Quarterly Board Meeting Evaluation

No action.

9.3. Report on the Governor’s Training Seminar for Appointees

Mazi Jamison and David Saucedo reported on the Governor’s Training Seminar.

No action.

9.4. Recognition of Board Members for their Service on the Board, Whose Terms are Expiring January, 2019

Kathy Shipp and Katherine Thomas presented plaques of appreciation to the following Board Members whose terms expire in January, 2019: Nina Almasy, DNP, RN, CNE Patti Clapp, BA Laura Disque, MN, RN Melissa Schat, LVN

No action.

ADJOURNMENT: Having completed all business as listed on the agenda, the meeting adjourned at 6:25 p.m _________________________________ Kathy Shipp, MSN, RN, FNP Board President _________________________________ Katherine A. Thomas, MN, RN, FAAN Executive Director

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