SENTINEL O R E G O N B OA R D O F N U R S I N G

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PAIN MANAGEMENT CONTINUES TO POSE CHALLENGES TO CLINICIANS

Tailoring the Approach to Precepting – Student Nurse vs. New Hire Going Back to Basics: Documentation A PUBLICATION OF THE OREGON STATE BOARD OF NURSING

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OREGON STATE BOARD OF NURSING

TABLE OF CONTENTS

Oregon State Board of Nursing 17938 SW Upper Boones Ferry Road Portland, OR 97224-7012 Phone: 971-673-0685 Fax: 971-673-0684

SENTINEL [ VO.33

NO.2 JUNE 2014 ]

www.oregon.gov/OSBN Office Hours: Monday - Friday 7:30 a.m. - 4:00 p.m. Board Members: Kay Carnegie, RN President Linda Mill, RN Secretary Donna Cain, CNA Barbara Gibbs, LPN Gary Hickmann, RN Bonnie Kostelecky, RN Benjamin Souede, JD Public Member Max Tenscher, RN, FNP Ryan Wayman Public Member Ruby Jason, MSN, RN, NEA-BC Executive Director

table of

contents 4 5 20 22

2014 Board Members 2014 Board Meeting Dates Board Disciplinary Actions The Nurse Network – Classifieds and Services

Barbara Holtry Communications Manager Editor of the Sentinel Advertisements contained herein are not endorsed by the Oregon State Board of Nursing. The Oregon State Board of Nursing reserves the right to accept or reject advertisements in this publication. Responsibility for errors is limited to corrections in a subsequent issue. S EN T IINEL NEL

Pain Management Continues to Pose Challenges to Clinicians ..................................

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Oregon Nurse Practitioner to Be Honored at National AANP Conference .................

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Tailoring the Approach to Precepting – Student Nurse vs. New Hire ................

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Going Back to Basics: Documentation .......................

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Keep Up-to-Date with the OSBN List Servs ....................

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OREGON BOARD OF NURSING

OREGON STATE BOARD OF NURSING MEMBERS KAY CARNEGIE, RN BOARD PRESIDENT

Term: 1/1/09 - 12/31/11, 1/1/12 – 12/31/14 Ms. Carnegie is currently the Dean of Health Sciences at Chemeketa Community College. She received her BSN from Illinois Wesleyan University, in Bloomington, Ill., and her master’s degree from the University of Portland in Portland, Ore. She serves in the Nurse Educator position on the Board.

LINDA MILL, RN BOARD SECRETARY

Term: 1/1/09 - 12/31/11, 1/1/12 – 12/31/14 Ms. Mill is a staff nurse at Bay Area Hospital in Coos Bay and has more than 20 years of nursing experience. She received her Associate Degree in Nursing from Southwestern Oregon Community College in Coos Bay, Ore. Ms. Mill is one of two directpatient care RNs on the Board.

DONNA CAIN, CNA

Term: 6/1/10 - 12/31/12, 1/1/13 – 12/31/15 Ms. Cain is a CNA 2-Acute Care at Rogue Valley Medical Center and has more than 10 years of experience. She is currently a Patient Care Tech in the Central Transportation Department and also is on-call for CCU and ICU. She received her nursing assistant training from the Asante Health System Training Program in Medford, Ore.

BARBARA GIBBS, LPN

Term: 5/1/13- 12/31/15 Ms. Gibbs is a staff nurse at Good Shepherd Medical Center in Hermiston, Ore., and received her degree from Blue Mountain Community College in Pendleton, Ore. She has more than 30 years of nursing experience.

GARY HICKMANN, RN

Term: 3/1/12 - 12/31/14 Mr. Hickmann is a staff nurse at St. Charles Medical Center in Bend and has more than 20 years of nursing experience. He received his Associate Degree in Nursing from Central Oregon Community College in Bend. He is one of two direct-patient care RNs on the Board.

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BONNIE KOSTELECKY, RN

Term: 6/1/12 - 12/31/14 Ms. Kostelecky is currently the Operations Manager for the Portland VA Medical Center Primary Care Clinic in West Linn, Ore. She received a BA in Nursing from Jamestown College, in Jamestown, N.D., and her Masters of Science in Community Nursing from OHSU. She serves in the Nurse Administrator position on the Board.

BENJAMIN SOUEDE, JD PUBLIC MEMBER

Term: 3/1/10 - 12/31/12, 1/1/13 – 12/31/15 Mr. Souede is an attorney with Angeli Law Group LLC, in Portland, Ore. He received two Bachelor’s degrees (political science and history) from the University of Pennsylvania in Philadelphia, Pa., and his jurist doctorate from Harvard Law School in Cambridge, Mass. He is a former senior advisor and speechwriter to former Senator Hillary Rodham Clinton. Souede resides in Portland, Ore.

MAX TENSCHER, RN, FNP

Term: 3/1/10 - 12/31/12, 1/1/13 – 12/31/15 Mr. Tenscher is a Family Nurse Practitioner and currently owns Integrative Primary Care Associates, in Portland, Ore. He received his Associate’s Degree from Shasta College in Redding, Calif., and his nurse practitioner certificate from the University of California in Davis, Calif. He has more than 30 years of nursing experience and resides in West Linn, Ore.

RYAN WAYMAN PUBLIC MEMBER

Term: 4/1/13- 12/31/15 Mr. Wayman is one of two public members on the Board. He is an executive senior partner at MassMutual Financial Group-Oregon and resides in Portland.

OREGON STATE BOARD OF NURSING

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ADVANCED PR ACTICE By OSBN Advanced Practice and Assessment Policy Analyst Sarah Wickenhagen, DNP, FNP

PAIN MANAGEMENT CONTINUES TO POSE CHALLENGES TO CLINICIANS Nationwide, many of us are aware of the increase in patients with pain diagnoses and dramatic upswing in drug misuse, abuse and overdose. The press recently has publicized several high-profile celebrity drug overdoses. In 2013, the Oregon legislature adopted Senate Bill 384, which allows family members, emergency service personnel, or others who have received proper training to use automatic injectors of naloxone (opiate antagonist) to rapidly reverse respiratory suppression and avoid heroin overdose. In 2010, almost one in 20 adolescents and adults—12 million people—used prescription pain medication when it was not prescribed for them. The National Institute of Drug Abuse (NIDA) reports that abuse of prescription medications risks heroin use and states that, “One out every 15 people who take a non-medical prescription pain reliever will try heroin within 10 years.” Oregon currently has the highest rate of opiate abuse among those under 25 in the nation. More than half of all drug overdoses in Oregon are associated with the prescription medications OxyContin and Vicodin. Of all prescriptions written in 2012, 50 percent were written specifically for opiates. This number equates to roughly one prescription for every resident in the state. In 2011, the Oregon Prescription Drug Monitoring Program (PDMP) was established to provide clinicians the ability to review a patient’s controlled substance prescription history to avoid over prescribing and diversion. However, since its implementation, many prescribers have been slow to utilize the database. A recent study (Feb 2013) conducted by Dr. Katherine Hammond DNP, FNP-C, Linfield School of Nurs-

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ing, found that of those participants surveyed, only 25 percent were using the PDMP when they considered prescribing an opiate. Understanding all of this, there are patients who have legitimate need for proper treatment of their pain and deserve compassionate evidenced-based care from advanced practice registered

nurses (APRNs) with prescriptive authority. The American Pain Society (APS) and the American Academy of Pain Medicine (AAPM) published The Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Non Cancer Pain in 2012. This evidence-based guideline made the following 14 specific recommendations for providers: 1. Conduct a complete initial history and physical with testing to define the patient problem. Further, determine the patient’s risk for substance abuse, misuse, or addiction. 2. Inform patients of the risks and benefits associated with opioid therapy and conduct an initial discussion that

OREGON STATE BOARD OF NURSING

ADVANCED PR ACTICE includes; treatment goals (patient and provider), expectations (patient and provider), the potential risks and harms, alternatives to opioid treatment, and the common opioid adverse reactions (constipation, nausea, sedation, and serious risks of abuse, addiction, and overdose). a. Patients should be informed that, in addition to the opiate medication, there will be an expectation that they will also take part in a multimodal approach to care including physical therapy, massage, acupuncture, and other nonopioid based treatment approaches. b. A written plan and agreement must clarify expectations for the patient, family members, and other clinicians. Provisions of

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the plan should include: i. One designated pharmacy. ii. One prescriber. iii. Random urine drug screens. iv. Specific follow up expectations. v. Enumeration of behaviors that will lead to discontinuation of opioids. 3. Initial treatment to be considered for a “trial period” ranging from several weeks to several months. Clinicians need to review the therapy based on the unique clinical outcomes of the patient and their progress toward meeting therapeutic goals. The decision to continue with long-term therapy should be based on the success of the initial trial meeting both patient and the providers’ goals.

4. There is no evidence to support one opioid over another in choosing options for patients. It was strongly recommended to start at a low dose, titrate medication slowly, and that shorter acting agents are always preferred for initial therapy. 5. Patient monitoring during therapy should include documentation of periodic reassessment of all patient risks and benefits to include; recording the level of pain intensity and functionality, assessment of progress towards patient goals and the presence of adverse events including periodic urine drug screens to monitor adherence to avoid diversion. 6. For providers considering treating high-risk patients, or patients with a continued on page 8

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ADVANCED PR ACTICE

Oregon currently has the highest rate of opiate abuse among those under 25 in the nation. More than half of all drug overdoses in Oregon are associated with the prescription medications OxyContin and Vicodin. Of all prescriptions written in 2012, 50 percent were written specifically for opiates. history of suspected former or current drug or substance abuse, significant psychiatric issues and or serious aberrant drug related behaviors, the recommendation is to refer these patients to the appropriate credentialed Mental Health, Addiction, and Pain Management specialists. 7. The panel stressed that therapy should be discontinued if patients are, “known to divert opioids or those engaging in serious aberrant behaviors.” Further, they recommended the use of PDMP to help identify patients who obtain drugs from multiple providers and locations. 8. Adverse reactions to opioid therapy include:

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a. Constipation — Providers should start a bowel regimen prior to starting opioid therapy that includes; increased fluids, fiber, stool softeners, and or laxatives. b. Nausea and vomiting — This is common and clinicians should consider oral and rectal agents. c. Sedation — Patients must be warned about the levels of sedation that are potentially dangerous and life threating. d. Respiratory depression — This can occur with these drugs particularly if they are increased too quickly or combined with other agents. Patients with obstructive sleep apnea and other cardiopul-

monary conditions are at a greater risk for respiratory distress and potential death. 9. Use of multidisciplinary pain management modalities should be considered whenever possible to include physical, vocational, or psychological therapies. 10. Cognitive impairment is typical with opioid therapy. APRNs need to make patients aware that they may be found criminally negligent for being impaired at work, or while driving, despite maintaining a prescription for the medication from their provider. This is particularly important for those who operative heavy equipment, bus drivers, and pilots. 11. Continuous access to a primary care provider (PCP) gives patients continuity and care coordination. PCPs are encouraged to consult with interdisciplinary teams for pain management when any additional skills or resources may be needed that the PCP is unable to provide. 12. Little evidence supports the concept of “break through pain.” APRNs should avoid writing for “as needed” doses of additional opioid medications. If providers are finding that patients are having increased or continued pain, it is recommended to reevaluate the current treatment plan and consider additional testing, follow up visits, and consultation rather than additional “as needed” opioids. The provider should consider non-pharmacologic options and non-opioid medications prior to the addition of more opioid therapies. 13. Women of childbearing age should be counseled about the risks of opioid therapy during pregnancy and after delivery. If opioid therapy is going to be continued during pregnancy, the provider should

OREGON STATE BOARD OF NURSING

Wanting to Volunteer Overseas? be prepared for complications of the newborn to include electrocardiogram changes (prolonged QT syndrome) and opioid withdrawals symptoms. Coordination of an appropriate neonatal care provider should be discussed prior to delivery of the infant. 14. Maintain currency and knowledge of federal and state laws, regulatory guidelines, and your local health agency policies in regards to opioid therapy and APRN scope of practice. The Oregon Nurse Practice Act (NPA) has specific rules around prescribing for controlled substances and pain management in Division 56 under section 851-056-0026. These rules are in congruence with many of the APS and AAPM guidelines. Washington State’s Agency Medical Director’s Group (AMDG) in 2010 developed an opioid dosing guideline to address the crisis in drug abuse, misuse, and diversion in their state. Differences between the Oregon NPA and the Washington NPA include the requirement for Washington prescribers to complete: 1. Four hours of continuing education on pain management with every two yr. licensing cycle. 2. Mandatory consultation with pain management specialists, when patients reach a specific morphine equivalent dose (MED) higher than 120 mg. The commission developed a calculator that helps providers convert opioid medications to the morphine equivalent (Available at the AMDG website).

STAKEHOLDER MEETINGS PLANNED Understanding this is a complicated and continually evolving issue, the Oregon State Board of Nursing (OSBN) is

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considering recommendations for possible revision to Division 56 around controlled substances and pain management. A stakeholder meeting was held on May 29 to gather feedback; another stakeholder meeting is scheduled July 31, 2014, from 2 - 4 p.m. at the OSBN office. Discussion will likely include: 1. Considering CE requirements for pain management tied to licensing renewal for APRNs 2. Incorporating a MED threshold for referral 3. Definition of “Pain Management Specialist” 4. Rule language recommendations for independent pain management practices 5. Rural and urban constraints 6. Required use of the PDMP Invitation for the meetings will be sent through the OSBN Advanced Practice list-serv, however those interested may contact the OSBN at ginger.simmons@ state.or.us if you would like to be included. For more information on Pain Management, visit the following links: • OSBN Division 56: http://arcweb. sos.state.or.us/pages/rules/oars_800/ oar_851/851_056.html • OSBN Policy on Pain Management: http://www.oregon.gov/OSBN/pdfs/ policies/pain_management.pdf • Oregon Regulatory Statue 689.681 on Naloxone: https://www. oregonlegislature.gov/bills_laws/ lawsstatutes/2013ors689.html • Oregon Prescription Drug Monitoring: http://www.orpdmp.com/ • Washington State AMDG 2010 Policy: http://www.agencymeddirectors.wa.gov/opioiddosing.asp • NIH National Institute on Drug Abuse: http://www.drugabuse. gov/related-topics/trends-statistics/ infographics/abuse-prescription-painmedications-risks-heroin-use

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ADVANCED PR ACTICE

OREGON NURSE PRACTITIONER TO BE HONORED AT NATIONAL AANP CONFERENCE Advanced Practice Policy Analyst Sarah Wickenhagen, FNP, DNP, will be among the recipients of the prestigious American Association of Nurse Practitioners (AANP) 2014 State Award for Excellence. Wickenhagen and other nurse practitioners and advocates will be honored at an awards ceremony and reception held during the AANP 2014 National Conference June 17-22, 2014 in Nashville, TN. The State Award for Nurse Practitioner Excellence, founded in 1991, recognizes a nurse practitioner (NP) in a state who demonstrates excellence in practice. In 1993, the State Award for Nurse Practitioner Advocate was added to recognize the efforts of individuals who have made a significant contribution toward increasing the awareness and acceptance of the NP. Prior to joining the Board of Nursing in March, Wickenhagen worked in the Oregon Health Science University (OHSU) School of Nursing teaching in the graduate nursing programs and working clinically in PreOperative Medicine. She has a varied background that includes serving as an Army Nurse and caring for patients across the lifespan in both primary and acute care settings. She obtained her Bachelor of Science in Nursing in 1996 from the University of Mobile, in Mobile, Ala., and her Masters of Science and Doctorate of Nursing Practice (DNP) from OHSU in 2005 and 2013, respectively. Wickenhagen additionally serves as an Aeromedical NP for the Oregon National Guard, where she is a

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medical crewmember for an HH-60 Blackhawk helicopter. In her spare time, she enjoys spending time with her family, including her husband who is an Army helicopter pilot and her two children. The AANP is the largest professional membership organization for NPs of all specialties. It represents the interests of the nation’s 189,000 NPs, including more than 50,000 members, providing a unified networking platform, and advocating for their role as providers of high-quality, cost-effective, comprehensive, patient-centered, and personalized health care. The organization provides legislative leadership at the local, state, and national levels, advancing health policy; promoting excellence in practice, education and research; and establishing standards that best serve NP patients and other health care consumers.

The State Award for Nurse Practitioner Excellence, founded in 1991, recognizes a nurse practitioner (NP) in a state who demonstrates excellence in practice. In 1993, the State Award for Nurse Practitioner Advocate was added to recognize the efforts of individuals who have made a significant contribution toward increasing the awareness and acceptance of the NP.

OREGON STATE BOARD OF NURSING

NURSING EDUCATION By OSBN Nursing Education and Assessment Policy Analyst Joy Ingwerson, RN, MSN

Tailoring the Approach to Precepting – STUDENT NURSE VS. NEW HIRE Nearly all nurses will likely serve as a preceptor to a newly hired nurse or student nurse at some point in their careers. The role of preceptor in these instances has many similarities but there are some areas where the approach may need to vary based on the focus for the student vs. the newly hired nurse. A review of these areas will help the nurse tailor the precepting role for the best outcomes.

A BIT OF TERMINOLOGY The term preceptor is generally applied to a person who has expertise in a given area and works with an individual who is new to that area to provide a learning experience. In Division 21 of the Nurse Practice Act (OAR 851-021), the term Clinical Teaching Associate (CTA) is used for this type of role when working with a pre-licensure nursing student rather than the term precep-

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tor. A Clinical Teaching Associate is defined as: “A nurse who has undergone specific education/training to serve as a role model, resource and coach for nursing students.” (OAR 851-021-0005(9) For advanced practice programs, the term clinical preceptor is defined in Division 50 of the NPA as: “Health care provider qualified by education and clinical competency to provide direct supervision of the clini-

cal practice experience of students…” (OAR 851-050-0000(5). In some settings, the term preceptor may be used specifically to indicate a nurse who works with a newly hired nurse and the term Clinical Teaching Associate or Clinical Preceptor may be used to indicate a nurse who works with students. Under any title, similar role expectations exist.

MAIN FUNCTIONS COMPARED In a busy healthcare facility, a nurse may function as a preceptor for a new hire on one day and as a CTA/Clinical Preceptor for a student the next. It is helpful to look at how the role may differ in these situations. continued on page 12

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NURSING EDUCATION ASPECTS OF ROLE

PRECEPTOR GUIDING A NEW HIRE

CTA/CLINICAL PRECEPTOR GUIDING A STUDENT

Setting objectives or learning outcomes

• May be defined by a “New Hire” checklist or orientation guideline. • Need to include many facility-specific policies and processes. • May need to be reviewed by the hiring manager.

• Always based on the learning outcomes for the course in which the student is enrolled. • Need to focus on broader concepts that apply in more than one setting. • Need to be reviewed by/communicated to the assigned faculty member.

Providing feedback

• Feedback is linked to progress in meeting facility-defined outcomes. • Feedback needs to be frequent and specific. • Involve the hiring manager when progress is not as expected.

• Feedback is linked to progress in meeting nursing program-defined outcomes. • Feedback needs to be frequent and specific. • Involve the assigned faculty member when progress is not as expected. NOTE: Feedback is provided to the student and faculty but the assigned faculty member is responsible to evaluate the student for purposes of grading and course completion.

Adult Learning Principles

• Seek information on background and current knowledge level. • Provide opportunities to socialize into unit “culture.”

• Seek information on the type of clinical experiences the student has recently completed and/or review skills checklists. • Provide orientation to unit care routines.

Promoting Independence

• Develop a plan for new hire to take a “full load” for the last few days of orientation.

• Move toward more independence by the end of the experience. • Ensure limitations defined by the nursing program are known (such as skills that must always be done with supervision).

Concerns with Potentially Unsafe Practice

• Communicate immediately with the new hire and the manager. • Develop a plan to review appropriate policies and processes.

• Communicate immediately with the student and the assigned faculty. • Determine if remediation under instructor supervision is needed (such as in the skills/ simulation laboratory).

WARNING SIGNS OF UNSAFE PRACTICE While any new hire or student will appreciate encouraging comments about doing well, the CTA/preceptor will want to watch for any signs of unsafe practice. Some characteristics linked to those who may not provide optimum care include: • Not recognizing gaps in patient care (such as missing assessment data, orders not completed, or missed treatments). • Having difficulty organizing work and prioritizing appropriately. • Not reporting important changes

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in patient condition from their assessments. • Failing to question own practices (Rittman and Osburn, 1995). Watching for these characteristics may function as an early warning system to trigger more support, remediation, or a new plan for learning. Stressing the positive side of these behaviors in communication with the new hire or student will assist both parties to be aware of potential practice issues that could compromise patient safety. Simple questioning techniques keep the focus on safety

and can be used with anyone new to a setting. Consider these examples: • What other information is needed before you give report on this patient? • The day is half over. What are the priority actions to complete by the end of our day? • You have just completed a medication reconciliation. Are there any steps you would handle differently the next time?

POSITIVE FEEDBACK CTAs and preceptors no doubt keep plenty busy with their patient care

OREGON STATE BOARD OF NURSING

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REFERENCES: Horton, C., DePaoli, S., Hertach, M., & Bower, M. (2012). Enhancing the effectiveness of nurse preceptors. Journal for Nurses in Staff Development, 28(4), E1-E7. Luhanga, F., Yonge, O., & Myrick, F. (2008). Strategies for precepting the unsafe student. Journal for Nurses in Staff Development, 24, 214-219. Rittman, M. R., & Osburn, J. (1995). An interpretive analysis of precepting an unsafe student. Journal of Nursing Education, 34, 217–221. Oregon Administrative Rule 851-021 (Division 21 of the Nurse Practice Act): http:// arcweb.sos.state.or.us/pages/rules/oars_800/ oar_851/851_021.html Oregon Administrative Rule 851-050 (Division 50 of the Nurse Practice Act): http:// arcweb.sos.state.or.us/pages/rules/oars_800/ oar_851/851_050.html

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By taking the right approach and tailoring the interaction with a new hire or student, the CTA/preceptor lays the foundation for development of safe practice and increasing independence.

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assignment and focusing on the new hire or student but taking time to provide reassurance with an honest compliment is a powerful learning tool. “You did a great job with supporting the patient during that painful procedure,” “You are really increasing your speed with the electronic documentation,” or, “The patient appreciated your calm approach,” are short sentences that need not take more than a few seconds to share and focus on positive development.

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NURSING PR ACTICE By OSBN Nursing Practice and Evaluation Policy Analyst Gretchen Koch MSN, RN

GOING BACK TO BASICS: DOCUMENTATION Recording the nature and quality of nursing practice implementation is one of the most fundamental aspects of nursing practice. Prudent documentation communicates the application of nursing judgment, the nursing actions that ensue, and the outcomes of nursing service provision. It also demonstrates adherence to nursing regulations and to professional nursing practice and performance standards. But with the multitude of nursing practice settings, practice roles, and documentation methods, how is a nurse to know if his/her documentation is adequate?

14

The Oregon-licensed nurse first looks to the Nurse Practice Act, specifically Division 45 (Standards and Scope of Practice for the Licensed Practical Nurse and Registered Nurse). This administrative rule codifies the nurse’s responsibility to document nursing actions and to do so in an accurate, timely, thorough, and clear manner. These standards are applicable to all nurses and in all practices roles and settings. The nurse’s next level of direction comes from the organization or business that employs the nurse. Be it an educational, administrative, research, or clinical health setting, there should be policies and procedures in place that set documentation standards and expectations specific to the setting and to the types of nursing services rendered therein. These organizational/business policies will be informed by regulations governing the setting, the Health Insurance Portability and Accountability Act and/or Family Educational Rights and Privacy Act regulations, third-party payer requirements, applicable credentialing standards, and any other data the organization deems important to collect. The same factors apply to the selfemployed Advanced Practice Registered Nurse and self-employed Registered Nurse. While adhering to Division 45 documentation standards, the recorded work product must demonstrate adherence to applicable standards, regulations, and laws that affect professional practice. Documentation for the self-

OREGON STATE BOARD OF NURSING

NURSING PR ACTICE employed practitioner can also serve to demonstrate professional practice hours required for relicensure. A nurse’s active pursuit of competency in documentation practices is an essential component of continued professional competence. Professional activities that promote this competency include: • Access and application of peer-reviewed literature on documentation-related research to professional practice, • Continuing education coursework related to legal evidentiary requirements of professional practice, • Access of current practice regulations, guidelines, standards, and organizational policies to self-evaluate if one’s documentation demonstrates compliance, or to engage in peer-review of the same with a colleague, and

Be it an educational, administrative, research, or clinical health setting, there should be policies and procedures in place that set documentation standards and expectations specific to the setting and to the types of nursing services rendered therein. • Work-place participation in a health information management related committee, risk management related committee, and/or nursing services policy development committee. Exercise your commitment to continued competence in nursing practice by engaging in one or more of these professional development activities or access

another that better suits your specific practice role. The knowledge and skills that you gain will assist you to generate a record of nursing service that demonstrates a practice consistent with Oregon Statutes and rules, with professional nursing practice and performance standards, and with position-specific practice responsibilities.

INTERESTED IN MENTAL HEALTH? CONCORDIA UNIVERSITY, PORTLAND,

is accepting applications for a full-time faculty position at the Assistant/Associate Professor rank in Mental Health or Medical/Surgical Nursing Specialty For a complete description of responsibilities, to download Concordia’s Faculty Employment Application form, and to learn more about Concordia, please visit www.cu-portland.edu/aboutcu and select “employment.” Generous benefits package, including tuition remission for immediate family members, and tuition assistance toward completion of a terminal degree. Application Protocol Applications including a cover letter outlining background and qualifications, Concordia University application (from www.cu-portland.edu), curriculum vitae, and contact information for three professional references may be sent via email, mail, or fax to: Rebecca E. Boehne, PhD, R.N., Nursing Program Director and Professor Concordia University 2811 NE Holman Street, Portland, OR 97211-6099 Fax: 503.280.8124 E-mail: [email protected] Review of applications will begin immediately and will continue until the position is filled. Position to begin July 2014 or until filled.

S EN T I NEL

Oregon State Hospital NOW HIRING Experience Natural Northwest Alaska! Norton Sound Health Corporation’s new hospital was recently ranked among the Top 20 Most Beautiful Hospitals in the U.S.! Our state-of-the-art facility serves the people of the Seward Peninsula and Bering Straits region of Northwest Alaska, some of the most breathtaking scenery you will ever see. Rolling mountains, rivers and lakes offer excellent fishing, hunting, hiking and beach acess.

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www.oregonjobs.gov Keyword Search:

Oregon State Hospital Recruitment: 503-945-2815

We are seeking RNs – ER and OB! Contact: Rhonda Schnieder, HR (877) 538-3142 • [email protected] Visit www.nortonsoundhealth.org NSHC is an equal opportunity employer affording native preference under PL93-638. AA/M/F/D. We are a Drug Free Workplace and background checks are required for all positions.

15

Reach Recruit Retain ENTINEL S SENTINEL SENTINEL OR EGON

G F NURSIN B OA R D O

[ VO.33

] NO.2 JUNE 2014

O R E G O N B OA R D O F N U R S I N G

[ Vo.28

O R E G O N B OA R D O F N U R S I N G

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No.3 SEPT 2009 ]

PAIN NT MANAGEME CONTINUES TO POSE S GE LEN PandemicCH Staffing AL Can Nursing Students Help? NS TO CLINICIA Recognizing imPaiRment

Early Discovery Can Improve Outcomes

A PUBlIcAtION OF thE OREGON StAtE BOARD OF NURSING

2009 LegisLative session Brought Changes for

nursing, heaLth Care Tailoring the h to Approac What’s new in rule and Policy for rns and LPns – epting PrecPartners in nursing education: Preceptor, se faculty Nurstudent, Student vs. New Hire A PUBlIcAtION OF thE OREGON StAtE BOARD OF NURSING

Going Back to Basics: Documentation

ION A PUBL ICAT

NUR SING BOA RD OF GON STAT E OF THE ORE

1

SENTI NEL

Mailed to every nurse in Oregon – over 66,000.

The Oregon Board of Nursing JOURNAL to reserve advertising space

contact Victor Horne

[email protected]

1-800-561-4686 ext.114 Our nursing journals reach over 1.5 million nurses, healthcare professionals and educators nationwide. Arizona Arkansas The District of Columbia Georgia Indiana Kentucky Mississippi Montana Nebraska Nevada New Mexico

North Carolina North Dakota Ohio Oregon South Carolina South Dakota StuNurse/Nationwide Tennessee Washington West Virginia Wyoming

ThinkNurse.com 16

KEEP UP-TO-DATE WITH THE OSBN LIST SERVS Subscribing to one or more of the Board of Nursing free public mailing lists, called a list-serv, is a quick and convenient method to keep abreast of the latest information on nursing scope-of-practice issues, nursing assistants, administrative rule changes, advanced practice issues, and upcoming Board meetings.

Subscribers receive regular e-mail updates regarding Board meeting agendas; upcoming Oregon Administrative Rule hearings affecting the OSBN and scopes-of-practice; CNAs; CMAs; RNs; LPNs; Nurse Practitioners; CNSs; and, CRNAs. The following are the website links to visit to set-up your subscription:

■ Board meeting agendas: http://listsmart.osl.state.or.us/mailman/listinfo/osbn_bd_mtg_agenda ■ Rule hearing notices: http://listsmart.osl.state.or.us/mailman/listinfo/osbn_rule_hearing_notif ■ Information regarding RNs and LPNs, including scopes-of-practice: http://listsmart.osl.state.or.us/mailman/listinfo/rnandlpn ■ Information regarding Advanced Practice nursing: http://listsmart.osl.state.or.us/mailman/listinfo/aprnboardnews ■ Information regarding CNAs and CMAs, including authorized duties: http://listsmart.osl.state.or.us/mailman/listinfo/cnaprogram

For more information, contact the OSBN office at 971-673-0685. OREGON STATE BOARD OF NURSING

OREGON STATE BOARD OF NURSING EDUCATIONAL PROGRAM PASS RATES As of January 2011, figures reported with percent first-time pass rate/total candidates. * PN exit option within an associate degree nursing program. BACCALAUREATE RN PROGRAM PASS RATE (by percent) CONCORDIA—PORTLAND GEORGE FOX UNIVERSITY—NEWBERG LINFIELD—PORTLAND OHSU-SOU—ASHLAND OHSU-OIT—KLAMATH FALLS OHSU-EOU—LA GRANDE OHSU—MONMOUTH OHSU—PORTLAND OHSU—ACCELERATED BSN-PORTLAND UNIVERSITY OF PORTLAND WALLA WALLA—PORTLAND (reporting period Oct. 1-Sept. 30)

1/1/09-12/31/09 89.66 82.35 89.21 93.75 100 100 -100 -92.75 93.87

1/1/10-12/31/10 96.67 93.94 89.88 91.11 88 100 -98.48 97.96 93.42 90.47

1/1/11-12/31/11 91.89/37 100/31 84.12/170 93.88/49 91.30/23 81.48/27 87.50/24 92.31/52 95.83/48 92.52/214 91.53/59

1/1/12-12/31/12 89.66/29 97.14/35 87.21/172 91.67/48 95.45/22 95.24/21 96.88/32 93.44/61 97.37/76 96.26/187 96.61/59

1/1/13-12/31/13 94.44/36 84.62/39 86.13/238 95.74/47 75/20 95.45/22 75.86/29 93.67/79 93.33/75 82.32/181 89.23/65

1/1/09-12/31/09 100

1/1/10-12/31/10 100

1/1/11-12/31/11 92.31/26

1/1/12-12/31/12 96.30/27

1/1/13-12/31/13 100/16

1/1/09-12/31/09 88 -93.55 87.93 95.35 100 100 97.26 91.11 97.44 93.75 94.39 88.57 85.71 94.74 100

1/1/10-12/31/10 83.33 -96.67 100 90 93.75 83.33 87.88 97.67 87.10 77.78 89.41 84.38 71.88 80 92.31

1/1/11-12/31/11 92/25 -95.65/46 94.12/51 97.06/34 100/18 100/15 93.85/65 90.7/43 97.26/73 78.95/19 88.51/87 90.63/32 77.27/22 95.65/23 92.50/40

1/1/12-12/31/12 94.44/18 100/14 93.62/47 97.22/36 91.43/35 100/13 100/19 97.53/81 95.45/44 95.08/61 94.44/18 97.30/37 100/31 100/26 100/19 88.14/59

1/1/13-12/31/13 100/15 88.06/67 89.13/46 94.74/38 84.21/38 100/12 90/20 92.54/67 97.73/44 91.3/69 88.24/17 98.11/53 91.18/34 80/20 85/20 86.49/37

1/1/09-12/31/09 93.98 100 93.33 100 100 98.36 89.47 --95.65 100 85.11 86.14 100 -100 --

1/1/10-12/31/10 94.05 100 100 100 100 95.12 100 --92.86 -97.37 90.41 100 100 100 100

1/1/11-12/31/11 90.63/96 100/7 100/29 100/3 92.86/14 96.49/57 89.13/46 --100/20 100/3 96.43/56 87.32/71 93.33/15 91.53/59 100/16 87.5/16

1/1/12-12/31/12 82.5/80 100/4 100/29 50/2 100/9 90/60 75.93/54 100/15 100/12 100/22 100/2 92.86/56 89.61/77 100/13 89.19/74 100/18 100/18

1/1/13-12/31/13 88.24/51 100/5 100/19 100/3 91.67/12 93.55/62 72.34/47 77.78/9 92.86/14 100/20 100/1 90.67/75 81.82/44 100/15 93.24/74 100/11 100/14

DIRECT ENTRY MASTER’S PROGRAM PASS RATE (by percent) UNIVERSITY OF PORTLAND

COMMUNITY COLLEGE RN PROGRAM PASS RATES (by percent) BLUE MTN. CC—PENDLETON BRECKINRIDGE AT ITT—PORTLAND CENTRAL OREGON CC—BEND CHEMEKETA CC—SALEM CLACKAMAS CC—OREGON CITY CLATSOP CC—ASTORIA COLUMBIA GORGE CC—THE DALLES LANE CC—EUGENE LINN BENTON CC—ALBANY MT. HOOD CC—GRESHAM OR COAST CC—NEWPORT PCC—PORTLAND ROGUE CC—GRANTS PASS SWOCC—COOS BAY TREASURE VALLEY CC—ONTARIO UMPQUA CC—ROSEBURG

PRACTICAL NURSE PROGRAM PASS RATES (by percent) CARRINGTON COLLEGE—PORTLAND (formerly Apollo College) CENTRAL OREGON CC—BEND * CHEMEKETA CC—SALEM * CLATSOP CC—ASTORIA * COLUMBIA GORGE CC—THE DALLES * CONCORDE CAREER COLLEGE—PORTLAND INSTITUTE OF TECHNOLOGY—SALEM (formerly Valley Medical College) KLAMATH COMMUNITY COLLEGE—KLAMATH FALLS LANE COMMUNITY COLLEGE—EUGENE MT. HOOD CC—GRESHAM OR COAST CC—NEWPORT * PIONEER PACIFIC COLLEGE—SPRINGFIELD PIONEER PACIFIC COLLEGE—WILSONVILLE ROGUE CC—MEDFORD SUMNER COLLEGE—PORTLAND TREASURE VALLEY CC—ONTARIO * UMPQUA CC—ROSEBURG

S EN T I NEL

17

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18

OREGON STATE BOARD OF NURSING

YOUR BOARD IN ACTION Highlights from the April 2014 Board Meeting

FIRST READINGS OF RULES The Board accepted proposed rule language to Division 62 (OAR 851062-0010) that adds a definition for the term “attempt.” The changes will be brought before the Board in June for final adoption.

an associate degree nursing program was also granted preliminary approval. The Board also approved the initial member list for the new Nursing Education Advisory Group. The 13 committee members will review issues related to nursing education prior to being presented to the Board.

EDUCATION The Board approved the Oregon Coast Community College associate degree nursing program, located in Newport, Ore., for up to eight years. Klamath Community College’s application for

ADMINISTRATION Legislative concepts for the 2015 Legislative Session were discussed, and the Board approved a suggestion to pursue title protection for the term

‘nurse.’ The intent is to give the Board clear authority to discipline those who inappropriately use the title as nurse imposters. Twenty-five states currently have that protection in statute.

For complete meeting minutes, please visit the OSBN website at www.oregon.gov/ OSBN/meetings. Board meeting dates, agendas, administrative rule hearing notices, and proposed rule language are posted on the OSBN website (www.oregon.gov/ OSBN/draft_policies_rules.shtml) at least 15 days prior to each meeting.

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DISCIPLINARY ACTIONS Name

Nenice M. Andrew

License Number

Discipline

Effective Date Violations

Voluntary Surrender

4-23-14

Bethany L. Austin Jennifer A. Barren

079043195RN/ 079043195N3 200712609CNA 200941762RN

Revocation Probation

3-19-14 4-23-14

Lucy Bentea

201030416LPN

Voluntary Surrender

4-23-14

Debra L. Blackwell

077010047LPN

Probation

2-19-14

April L. Brown William D. Brunk Stanley T. Cachapero Leslie Celeste

200942306RN 201240077RN LPN Applicant 200811428CNA

Reprimand Suspension Application Denied Probation

3-19-14 3-19-14 2-19-14 4-23-14

Carey A. Christian Billie A. Cross Melissa R. Cummings

200841429RN 000032395CNA 200642261RN

Voluntary Surrender 4-23-14 Suspension 3-19-14 Suspension/Probation 4-23-14

Kristin E. Cutter

200541585RN

Probation

3-19-14

Christina F. DePaz

201010801CNA

Suspension

3-19-14

Inocencia C. DeVargas Jalene R. Dick

LPN Applicant 200913468CNA

Application Denied Revocation

2-19-14 4-23-14

Julia A. Doherty Edie A. Donnelly Susan A. Edwards Mark D. Elliott

201340386RN 200440840RN 079011403RN 200041437RN

Probation Probation Probation Revocation

2-19-14 3-19-14 4-23-14 2-19-14

Tena L. Ferguson Judie C. Finlayson Kathy M. Florian Mary E. Forsberg Ritah Giesbers

200712721CNA 090003155RN 201400980CNA 000029268RN 201130461LPN

Voluntary Surrender Voluntary Surrender Voluntary Surrender Voluntary Surrender Reprimand

4-23-14 3-19-14 4-23-14 4-23-14 4-23-14

Laura A. Grant

200142161RN

Probation

2-19-14

James W. Green Renae C. Green Patrick J. Hallinan

201243535RN 200611824CNA 200811056CNA

Voluntary Surrender Probation Voluntary Surrender

3-19-14 4-23-14 2-19-14

Christa R. Hallowell

200341535RN

Revocation

2-19-14

Jill A. Henschel

089003340RN

Probation

3-19-14

Brett E. Hereford Michael G. Hinton

200441071RN 201030301LPN

Probation Probation

3-19-14 4-23-14

Tammy Jean M. Holt Jane A. Huggins-Willer Timothy R. Hughes Tina L. Imdieke

200010450CNA 200010708CNA 201210783CNA 200840759RN

3-19-14 2-19-14 4-23-14 4-23-14

Kathleen N. Johnson Laurie L. Johnson

200241496RN 000019286CNA/ 000019286CMA 000041314CNA 200611655CNA 000030867N7 200830457LPN

Voluntary Surrender Voluntary Surrender Voluntary Surrender Suspension/ Reprimand Voluntary Surrender Revocation Voluntary Surrender Reprimand Reprimand Revocation

4-23-14 4-23-14 3-19-14 4-23-14

Lisa L. Kennon Ablavi V. Langlidja Margaret A. Leonard Bettina F. Madrid

20

4-23-14 3-19-14

Conviction for Tampering with Drug Records, prescribing drugs for personal use, and obtaining unauthorized controlled drugs. Exploiting the client for personal gain and a Criminal Mistreatment conviction. 12-month probation. Failing to maintain professional boundaries with a client, and incomplete recordkeeping. Using intoxicants to the extent injurious to herself or others, and violating the terms and conditions of a Board Order. 24-month probation. Practicing while impaired, and using intoxicants to the extent injurious to herself or others. Fraud and failing to answer questions truthfully. Minimum of 14 day suspension. Receiving discipline in another state. Failing to meet educational requirements for licensure. 12-month probation. Client neglect, failing to respect client rights and dignity, and violating rights of privacy. Attempting to obtain unauthorized drugs, and violating the terms and conditions of a Board Order. Minimum of 14 day suspension. Failing to cooperate with the Board during an investigation. 30-day suspension, followed by 24-month probation. Using intoxicants to an extent injurious to herself or others, and failing to answer questions truthfully. 24-month probation. Inaccurate and incomplete recordkeeping, and using intoxicants to the extent injurious to herself or others. 30 day suspension. Due to a Theft conviction and failing to cooperate with the Board during an investigation. Failing to meet educational requirements for licensure. Client neglect, failing to respect client rights, and exploiting the client relationship for personal gain. 24-month probation. Using intoxicants to the extent injurious to herself or others. 24-month probation. Using intoxicants to the extent injurious to herself or others. 24-month probation. Using intoxicants to the extent injurious to herself or others. Using intoxicants to the extent injurious to himself or others, failing to conform to the essential standards of acceptable nursing practice, and failing to cooperate with the Board during an investigation. Failing to meet employment requirements for renewal of her certification. Failing to comply with the terms and conditions of the Health Professionals’ Services Program. Violating the terms and conditions of a Board Order. Failing to comply with the terms and conditions of the Health Professionals’ Services Program. Reprimand with conditions. Failing to communicate information regarding client status, incomplete recordkeeping, and failing to take action to preserve client safety. 24-month probation. Unauthorized removal of drugs from the workplace, and using intoxicants to the extent injurious to herself or others. Discipline in another state. 24-month probation. Using intoxicants to the extent injurious to herself or others. Using intoxicants to the extent injurious to himself or others, and violating the terms and conditions of a Board Order. Failing to comply with the terms and conditions of the Health Professionals’ Services Program, and failing to cooperate with the Board during an investigation. 36-month probation. Failing to comply with the terms and conditions of the Health Professionals’ Services Program. 24-month probation. Using intoxicants to the extent injurious to himself or others. 24-month probation. Using intoxicants to the extent injurious to himself or others, and a domestic violence conviction. Using unauthorized prescription drugs. Client abuse. Violating the terms and conditions of a Board Order. Reprimand and 15-day suspension. Failing to maintain client records in a timely manner, and incomplete recordkeeping. Failing to comply with the terms and conditions of the Health Professionals’ Services Program. Using unauthorized prescription drugs, and violating the terms and conditions of a Board Order. Representing herself as a CNA without current CNA certification. Failing to competently perform the duties of a nursing assistant Prescribing drugs to an individual who was not her patient. Client neglect, attempting to obtain unauthorized drugs, falsifying client records, and failing to conform to the essential standards of acceptable nursing practice.

OREGON STATE BOARD OF NURSING

Name

License Number

Discipline

Effective Date Violations

Mary J. McCurry

200141559RN

Reprimand

2-19-14

Carrie C. Meier Vallyna D. Michaelis Jerrod T. Mikel Erick O. Murillo-Camacho Janine K. Nelson

Voluntary Surrender Probation Voluntary Surrender Revocation Reprimand

4-23-14 2-19-14 2-19-14 3-19-14 4-23-14

Ruthanne Olson

200510836CNA 098000107RN 000008870CNA 201012720CNA 000031252CNA/ 000031252CMA 200341543RN

Reprimand

4-23-14

Emily T. Pantalone Jocelyn V. Perez

200913383CNA 201112798CNA

Probation Revocation

4-23-14 4-23-14

Angela L. Perry

200241838RN

Revocation

2-19-14

Cristen M. Peterson

201142642RN

Voluntary Surrender

3-19-14

Kathleen J. Phillips Arthur A. Renda Brian S. Renhard

081001871RN 201130537LPN 201230022LPN

Voluntary Surrender Voluntary Surrender Revocation

3-19-14 4-23-14 2-19-14

Sharon R. Rice

090000386RN

Probation

2-19-14

Donald W. Richie

201143073RN

Revocation

3-19-14

Esther R. Rosenshein

201010868CNA

Revocation

2-19-14

Wendi A. Schaefer

091007383RN

Revocation

4-23-14

Reprimand with conditions for inaccurate and incomplete recordkeeping, failing to take action to preserve client safety, and failing to conform to the essential standards of acceptable nursing practice. Violating the terms and conditions of a Board Order. 24-month probation. Using intoxicants to the extent injurious to herself or others. Violating the terms and conditions of a Board Order. Violating the terms and conditions of a Board Order. Inaccurate and incomplete recordkeeping, and failing to answer questions truthfully. Reprimand with conditions. Failing to respect client dignity, failing to maintain professional boundaries with a client, and client abuse. 24-month probation. Using intoxicants to the extent injurious to herself or others. Failing respect client rights, exploiting the client relationship for personal gain, and failing to cooperate with the Board during the course of an investigation. Failing to comply with the terms and conditions of a Board Order, failing to answer questions truthfully, and failing to provide requested documents. Failing to maintain professional boundaries with a client, failing to answer questions truthfully, using intoxicants to the extent injurious to herself or others, and failing to conform to the essential standards of acceptable nursing practice. Violating the terms and conditions of a Board Order. Conduct derogatory to the standards of nursing. Using intoxicants to the extent injurious to himself and others, and failing to cooperate with the Board during an investigation. 12-month probation. Inaccurate and incomplete recordkeeping, practicing nursing while impaired due to a physical condition, and failing to conform to the essential standards of acceptable nursing practice. Failing to provide requested documents, and failing to cooperate with the Board during an investigation. Leaving a CNA assignment without notifying appropriate supervisor, client neglect, falsifying an agency record, and failing to cooperate with the Board during an investigation. For failing to implement the plan of care, failing to maintain professional boundaries with a client, inaccurate and incomplete recordkeeping, and failing to conform to the essential standards of acceptable nursing practice.

The salary and benefits are excellent… but it’s the job that’s most rewarding. Mercy Medical Center serves the residents of Douglas

County in Southern Oregon. We are large enough to offer a comprehensive range of state-of-the-art healthcare services, but small enough to know our patients by name. Join us in delivering the quality of care that distinguishes Mercy Medical Center as one of the Northwest’s leading healthcare providers – and preferred nursing employers.

Opportunities are available for experienced nurses in: • Emergency • Operating Room • Home Health & Hospice • Heart Center

Contact Human Resources at

541-677-2475

For more information on Mercy and the above positions visit www.mercyrose.org S EN T INEL

21

Name

License Number

Discipline

Effective Date Violations

Patricia A. Scholz Debra L. Schwartzkopff

000023800RN L201400639RN

Voluntary Surrender Voluntary Surrender

3-19-14 4-23-14

Stacey I. Scruggs Heather L. Shaw Mary P. Shew

077039062RN 200942469RN 000020168CNA

Reprimand Suspension Reprimand

2-19-14 4-23-14 2-19-14

James D. Shinholster

201110018CNA

Revocation

3-19-14

Megan A. Simmons Patrick D. Smith Gloria L. Stevenson

200441210RN 200910588CNA 201230222LPN

Revocation Revocation Reprimand

3-19-14 3-19-14 4-23-14

Nicole T. Straney

CNA Applicant

Application Denied

4-23-14

Regina K. Syjuco Victoria M. Tooley Jennifer L. Villanueva

LPN Applicant 000028872CNA 096000465RN

Application Denied Suspension Voluntary Surrender

2-19-14 4-23-14 3-19-14

Josephe M. Vincent Christine D. Watson Lynda A. Weaver

200641180RN 200441351RN 200810177CNA/ 200920065CMA

Reprimand Suspension Voluntary Surrender

2-19-14 3-19-14 2-19-14

PhD Student Seeks Assistance

School of Nursing in Portland, Oregon

With Nursing Research –

Seeks part-time clinical instructors with master’s degrees and experience in pediatrics or critical care.

OHSU IRB#9629

· BSN RNs with learning disability · In practice 18 months or less · 2-3 interviews to share life experience

Beginning Fall, 2014. Contact [email protected] 503-251-6115 ext. 17302 -Excellence in baccalaureate nursing-

Contact Laura Mood PhD Student/Investigator

503-418-2518

[email protected]

THE NURSE NETWORK Reach every nurse in Oregon for as little as $290. Contact Victor Horne [email protected]

1-800-561-4686 ext.114 Our Mission is to enhance & enrich every life we touch. Pinnacle Healthcare is currently recruiting for Certified Nursing & Medication Assistants, LPNs, RNs & Resident Care Managers. We are an Oregon owned and operated healthcare network of post-acute nursing and rehabilitation facilities with locations in Medford, Grants Pass, Roseburg, Eugene, Corvallis & Woodburn.

Visit www.pinnacle-healthcare.com or call 1-866-744-1020 22

Failing to comply with the terms and conditions of the Health Professionals’ Services Program. Mental health condition that prevents her from practicing nursing, and violating the terms and conditions of a Board Order. Violating the terms and conditions of a Board Order. Minimum 14-day suspension. Failing to cooperate with the Board during an investigation. Failing to communicate information regarding client status, and failing to competently perform CNA duties. Exploiting the client relationship for personal gain, obtaining unauthorized drugs, failing to provide requested documents, and failing to cooperate with the Board during an investigation. Failing to comply with the terms and conditions of the Health Professionals’ Services Program. Exploiting the client relationship for personal gain. Reprimand with conditions. Inaccurate recordkeeping, falsifying a client record, and failing to conform to the essential standards of acceptable nursing practice. Failing to answer questions truthfully and engaging in behavior unbecoming to a nursing assistant. Failing to meet educational requirements for licensure. 15-day suspension. Failing to answer questions truthfully. Using intoxicants to the extent injurious to herself or others, practicing while impaired, and failing to conform to the essential standards of acceptable nursing practice. Altering agency records and an Identity Theft conviction. Minimum 14 day suspension. Failing to cooperate with the Board during an investigation. Using intoxicants to the extent injurious to herself or others, and a physical condition that prevents her from performing CNA duties safely.

$5,000 sign-on Bonus

Portland, Oregon

RN CLINICAL MANAGER

Full-time Manager - Clinical Asst to CNO Manage Staff, Oversee clinical delivery care Staff educ / training, Performance Evals Stress free lifestyle & career Supportive environment with great benefits

FT with Benefits, 3 yrs experience in an Ambulatory Care Setting preferred

Email resume to:

[email protected] (503) 227-2737 www.pdxstaffing.com Enrich OREGON your SCHOOL work of with MASSAGE. massage! COM Rogue Community College Now accepting applications for: • Nursing Instructor • Nursing Clinical Instructor • Practical Nursing Instructor For more info. and to apply, visit apptrkr.com/479650 EOE

541-947-7288

Management exp. Required Apply online: www. lakehealthdistrict.org

Emergency Medical Training Associates Contact Mary Ann Vaughan, BSN, RN, CEN

(541) 430-7149

ACLS, PALS, ENPC, TNCC and BLS Certification and Recertification Earn CEUs....Professional Licensed Trainers We can provide on-site training!

Visit www.emtassoc.com for schedules.

Benson Health Clinic

seeks an ANP, FNP or PMHNP to join our growing medical clinic. Bring your heart and experience to our team where our Theory of Caring is centered on patient care. • Full or Part time availability • Create your own schedule • Benefits included • *Full time could earn 120-160K yearly • *Part time could earn 60-80K yearly *Based on net receivables

Email Resume to [email protected] or call (541) 345-1722 Benson Health Clinic • 66 Club Road #160 • Eugene, OR 97401

UCC has Full-time Nurse Educator Positions! If you love learning and students, view our new job openings at:

www.umpqua.edu Click “Human Resources”

(541) 440.4626

[email protected]

OREGON STATE BOARD OF NURSING

Do You Know Oregon’s Nurse Staffing Law’s Key Requirements? The Most Important Requirements of Oregon’s Hospital Nurse Staffing Law are - The staffing plan must be based on the individual and aggregate needs of the patients and their requirements for nursing care. - The plan must delineate specialized qualifications and competencies required of the nursing staff. - The plan must be based upon nationally recognized specialty standards. - Each staffing plan must be developed through a collaborative partnership between direct care nurses and nurse managers. - The committee developing the staffing plan must be composed of equal numbers of direct care RNs and nurse managers.

A hospital may not require RNs, LPNs or CNAs to work (with a few exceptions − including voluntary overtime) - Beyond the agreed-upon shift - More than 48 hours in any hospital-defined work week - More than 12 consecutive hours in a 24-hour period Legislation to strengthen this law will be introduced in the 2015 legislative session. To read the entire law, including Oregon’s Nurse Staffing Administrative Rules, go to www.OregonRN.org and look for Oregon’s Nurse Staffing Law on our home page.

If you have additional questions please email your inquiry to [email protected] S EN T INEL ONA Sentinel_Ad_Nurse Staffing 6_2014.indd 1

23 6/6/2014 3:49:44 PM

Oregon State Board of Nursing 17938 SW Upper Boones Ferry Road Portland, OR 97224-7012

PRESORTED STANDARD U.S. POSTAGE

PAID

LITTLE ROCK, AR PERMIT NO. 1884

You are invited to join Salem Health’s Magnet Team What’s so great about Salem? • • • • •

Everything is close: the beach, the mountains and the city. Low cost of living in a medium-sized community. Good schools. We have a vibrant downtown and waterfront area. We are close to Portland, OR.

What’s so great about Salem Health? • • • • • • • • • •

Salem Hospital is a Magnet hospital. We offer generous paid time off. The benefits are great. We offer 12-hour shifts. You may be eligible for tuition reimbursement or certification assistance. Our buildings are bright and modern. You’ll actually enjoy eating our cafeteria food. There’s a park next door and an on-site farmer’s market in season. The parking is free; the commute is easy and we offer locked bike parking, if you choose to pedal to work. There’s a fitness center on-site with classes and a

personal trainer, plus a ‘healthy living’ program for staff.

Join the team that will appreciate everything you have to offer. For more information, contact Salem Health Recruiting at [email protected] or visit our careers page at salemhealth.org. 24

OREGON STATE BOARD OF NURSING