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Discipline, Delegation, Telenursing MBP 2015 Kathleen Russell 5/5/2016 3:01:10 PM 48 Jurisdictions Included in the report: Table of Contents 1 . Terminology 2 . Agency Type 3 . Required Reporting to Law Enforcement 4 . Mandatory Reporting to Board of Nursing 5 . Board of Nursing Investigation/Discipline practices 6 . Subpoena Power 7 . Malpractice Payment Reports 8 . Evaluations during Investigation 9 . Disciplinary Proceedings, Standard of Proof, Actions 10 . Payment of Fees 11 . Required Disciplinary Actions 12 . Non-disciplinary Alternative Programs 13 . References to Delegation 14 . Telenursing/telehealth Alabama (AL) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) California-VN (CA-VN) Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME) Maryland (MD) Massachusetts (MA) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) North Carolina (NC) North Dakota (ND) Northern Mariana Islands (CNMI) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia-PN (WV- PN) Wisconsin (WI) Wyoming (WY) 11 Jurisdictions not included in the report due to non-response: Alaska (AK) American Samoa (AS) Indiana (IN) Louisiana-PN (LA-PN) Michigan (MI) Nebraska (NE) Nebraska-AP (NE- APRN) New York (NY) Rhode Island (RI) Virgin Islands (VI) West Virginia-RN (WV- RN) Page 1 of 34 Discipline, Delegation, Telenursing MBP 2015

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Page 1: Discipline, Delegation, Telenursing MBP 2015 Kathleen ... · Discipline, Delegation, Telenursing MBP 2015 Kathleen Russell 5/5/2016 3:01:10 PM 48 Jurisdictions Included in the report:

Discipline, Delegation, Telenursing MBP 2015 Kathleen Russell

5/5/2016 3:01:10 PM

48 Jurisdictions Included in the report:

Table of Contents

1 . Terminology

2 . Agency Type

3 . Required Reporting to Law Enforcement

4 . Mandatory Reporting to Board of Nursing

5 . Board of Nursing Investigation/Discipline practices

6 . Subpoena Power

7 . Malpractice Payment Reports

8 . Evaluations during Investigation

9 . Disciplinary Proceedings, Standard of Proof, Actions

10 . Payment of Fees

11 . Required Disciplinary Actions

12 . Non-disciplinary Alternative Programs

13 . References to Delegation

14 . Telenursing/telehealth

Alabama (AL) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) California-VN (CA-VN)

Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL)

Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL)

Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME)

Maryland (MD) Massachusetts (MA) Minnesota (MN) Mississippi (MS) Missouri (MO)

Montana (MT) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM)

North Carolina (NC) North Dakota (ND) Northern Mariana Islands (CNMI)

Ohio (OH) Oklahoma (OK)

Oregon (OR) Pennsylvania (PA) South Carolina (SC) South Dakota (SD) Tennessee (TN)

Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA)

West Virginia-PN (WV-PN)

Wisconsin (WI) Wyoming (WY)

11 Jurisdictions not included in the report due to non-response:

Alaska (AK) American Samoa (AS) Indiana (IN) Louisiana-PN (LA-PN) Michigan (MI)

Nebraska (NE) Nebraska-AP (NE-APRN)

New York (NY) Rhode Island (RI) Virgin Islands (VI)

West Virginia-RN (WV-RN)

Page 1 of 34Discipline, Delegation, Telenursing MBP 2015

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Member Board Profile Terminology

In this survey, the words Complaint and Case are used, those terms are defined below:

Complaint: An allegation received by the Board of Nursing related to a specfic licensee.

Case: A complaint that rises to the Board of Nursing threshold that a violation of the Nurse Practice Act may have occurred and merits investigation/collection of evidence.

The following terms are used throughout all profiles:

Board of Nursing: Jurisdiction's governmental agency responsible for the regulation of nursing practice. Includes any other terminology to refer to the regulatory authority (i.e. commission, examiners, registration, jurisdiction). When referring to board of nursing, the reference collectively includes Board Members, Executive Officer and Staff.

Jurisdiction: Refers to state, territory or district where a board of nursing is located. May also be used to refer generally to the board of nursing in a particular jurisdiction.

Board Staff: Staff of the board of nursing

Executive Officer: Person responsible for running the board of nursing. Includes any other terminology to refer to that authorized person (i.e. Executive Director)

Board Member: Member of the governing body of the board of nursing as outlined by statute

Practical nurse or PN: licensed practical or vocational nurse (LPN/LVN)

Page 2 of 34Discipline, Delegation, Telenursing MBP 2015

Terminology 1.1

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Agency Type:

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Independent agency within state government

AL, AR, AZ, CNMI, IA, ID, KS, KY, LA-RN, MD, ME, MN, MO, MS, ND, NM, NV, OH, OK, OR, SD, TX, WV-PN, WY 24 50%

Board within an umbrella state agency

CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, GU, HI, IL, MA, MT, NH, NJ, PA, SC, TN, UT, VA, VT, WA, WI 23 48%

Independent agency outside state government

NC 1 2%

Page 3 of 34Discipline, Delegation, Telenursing MBP 2015

Agency Type 2.1

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Is child, elder, vulnerable adult abuse by a licensee required to be reported to law enforcement or another agency?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No GA, MT, NC, WI, WV-PN 5 11%

YesAL, AR, AZ, CA-RN, CA-VN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, ND, NH, NJ, NM, NV, OH, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WY

42 89%

Page 4 of 34Discipline, Delegation, Telenursing MBP 2015

Required Reporting to Law Enforcement 3.1

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Is there a provision requiring mandatory reporting of violations of the nurse practice act?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No CA-RN, CO, CT, HI, ID, MT, SD 7 15%

YesAL, AR, AZ, CA-VN, CNMI, DC, DE, FL, GA, GU, IA, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

41 85%

Page 5 of 34Discipline, Delegation, Telenursing MBP 2015

Mandatory Reporting to Board of Nursing 4.1

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Are any of the following allowed as exception to the mandatory reporting requirement? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Mandatory reporting of substance use disorder is not required if the nurse is monitored by an employer or an Alternative to Discipline Program.

DC, FL, IL, MD, ME, MN, MS, NJ, TN, UT 10 26%

Mandatory reporting is not required by a nurse who has a bona fide health professional-patient relationship with a licensee or applicant

AZ, GA, IA, KS, MA, NM, NV, PA, TX, WA 10 26%

Mandatory reporting pertains only to hospital and other health care institutions

0 0%

Mandatory reporting is not required if violations of the nurse practice act are not directly observed

MA 1 3%

None AL, AR, CA-VN, CNMI, DE, GU, KY, LA-RN, MO, NC, ND, NH, OH, OR, VA, VT, WI, WV-PN, WY 19 49%

Page 6 of 34Discipline, Delegation, Telenursing MBP 2015

Mandatory Reporting to Board of Nursing 4.2

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Who conducts investigations of complaints against licensees? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Executive Officer AL, AR, GU, ME, MS 5 11%

RN or PN investigative Board of Nursing staff

AL, AR, AZ, CNMI, GU, IA, ID, KS, KY, LA-RN, MA, MD, MN, MS, NC, ND, NJ, NM, NV, OH, OR, SD, TX, WA, WV-PN, WY 26 55%

Non-nursing investigative Board of Nursing staff

AL, AR, AZ, CA-RN, CA-VN, CT, IA, LA-RN, MA, ME, MO, MS, MT, NC, NJ, NM, OH, OR, PA, TX, VA, WA, WY 23 49%

Non-nursing investigative staff from another department/division

CA-RN, CA-VN, CO, DC, DE, FL, GA, GU, IL, MN, MS, NJ, SC, UT, VA, VT, WI 17 36%

Office of Attorney General CO, DE, GU, ME, MN, MS, NH 7 15%

Attorney AL, GU, MS, NH 4 9%

RN or PN investigative staff from another department/division

AR, CT, FL, MA, MS, NJ, OK, TN, VA, VT 10 21%

Page 7 of 34Discipline, Delegation, Telenursing MBP 2015

Board of Nursing Investigation/Discipline practices 5.1

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Does the Board of Nursing utilize any of the following practices? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Online complaint submission

AL, AR, AZ, CA-RN, CA-VN, CO, DE, FL, GA, GU, ID, IL, KY, LA-RN, MD, MS, MT, NC, NJ, NM, NV, OH, OR, PA, UT, VA, VT, WA, WI, WV-PN, WY

31 66%

Case assignment to particular investigators

AL, AR, AZ, CT, FL, GU, IA, IL, KY, LA-RN, MA, MD, MN, MS, MT, NV, OH, OK, OR, TN, TX, UT, VA, VT, WA, WI, WV-PN 27 57%

Interview templates AL, AZ, CA-RN, FL, GA, GU, IA, ID, IL, KY, LA-RN, MA, MD, MS, NC, ND, NM, NV, OH, OK, TN, TX, VA, WI 24 51%

Report templatesAL, AZ, CA-RN, CA-VN, CO, CT, FL, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MO, MS, NC, NM, NV, OK, OR, TN, TX, VA, VT, WA, WI, WY

31 66%

Expedited process for admitted allegations

AL, AZ, CT, FL, GU, ID, KY, MD, MN, MS, NC, NH, NJ, NV, OK, TN, TX, VA, WI 19 40%

Approved guidelines, policies or matrix for discipline

AL, AZ, CA-VN, CT, DC, FL, GU, ID, KS, KY, LA-RN, MA, MD, ME, MS, NC, ND, NJ, NV, OH, OK, TN, TX, VA, WA, WV-PN, WY 27 57%

None of the above 0 0%

Delegation to subcommittee for resolution of cases

CNMI, DC, DE, GU, KY, LA-RN, MD, MO, MS, NJ, SC, SD, TN, TX, VA, WA, WV-PN, WY 18 38%

Automatic suspension for noncompliance with order

AL, AZ, CT, DE, GU, IA, ID, LA-RN, MD, ME, MN, MS, NC, ND, NJ, NV, OH, OK, OR, PA, SC, TN, TX, VA, WI, WV-PN 26 55%

Page 8 of 34Discipline, Delegation, Telenursing MBP 2015

Board of Nursing Investigation/Discipline practices 5.2

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Does the Board of Nursing staff have delegated authority for any of the following? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Closure of complaints through approved guidelines and policies for allegations that fall below threshold to investigate

AL, AZ, CA-RN, CA-VN, CO, DC, GA, GU, IA, ID, IL, KY, LA-RN, MA, MD, MO, MS, NJ, NV, OH, OK, SD, TX, VA, WI, WV-PN, WY 27 57%

Expediting the closure of cases where a violation has not been established

AL, AR, AZ, CA-RN, CA-VN, CO, DC, GA, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MS, NC, NH, NJ, NV, OH, OK, SD, TX, VA, WI, WV-PN

31 66%

Determine priority or risk level at time of complaint assignment

AL, AR, AZ, CA-RN, CA-VN, CO, CT, DC, GA, GU, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, NC, NH, NJ, NM, NV, OH, OK, SD, TX, VA, WI, WV-PN, WY

34 72%

Offer consent agreements in particular instances

AL, AR, AZ, DC, GU, IA, ID, IL, KS, KY, LA-RN, MA, MN, MO, MS, NC, NJ, NM, NV, OH, OK, SC, SD, TX, VA, WI, WV-PN 27 57%

None of the above DE, FL, MT, OR, PA, TN, UT, WA 8 17%

Other CNMI, KS, ND, VT 4 9%

Other

KS offer alternatives to discipline to resolve

ND Disciplinary Review Panel

VT licensee qualifications including previous discipline and convictions

Page 9 of 34Discipline, Delegation, Telenursing MBP 2015

Board of Nursing Investigation/Discipline practices 5.3

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Does the Board of Nursing have subpoena power during investigation?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No DC, HI, ID, MA, UT 5 10%

Yes

AL, AR, AZ, CA-RN, CA-VN, CNMI, CO, CT, DE, FL, GA, GU, IA, IL, KS, KY, LA-RN, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, VA, VT, WA, WI, WV-PN, WY

43 90%

Page 10 of 34Discipline, Delegation, Telenursing MBP 2015

Subpoena Power 6.1

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Does the Board of Nursing have subpoena power during prosecution?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No DC, HI, OR, SD, UT 5 10%

Yes

AL, AR, AZ, CA-RN, CA-VN, CNMI, CO, CT, DE, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, PA, SC, TN, TX, VA, VT, WA, WI, WV-PN, WY

43 90%

Page 11 of 34Discipline, Delegation, Telenursing MBP 2015

Subpoena Power 6.2

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Does the Board of Nursing receive malpractice payment reports as a result of insurers reporting to the National Practitioner Data Bank?

No

Yes, as a mandatory requirement under state law

Yes, even though there is no mandatory requirement under state law

Occasionally

No

Yes, as a mandatory requirement under state law

Yes, even though there is no mandatory requirement under state law

Occasionally

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No CNMI, GU, MT, WV-PN 4 8%

Yes, as a mandatory requirement under state law

AR, AZ, CA-RN, CA-VN, CO, CT, FL, GA, IA, IL, KS, KY, MA, MN, MO, ND, NH, NJ, NV, OK, OR, TN, TX, VA, WA, WI 26 54%

Yes, even though there is no mandatory requirement under state law

AL, DE, ID, LA-RN, ME, MS, NC, NM, OH, PA, SC, SD 12 25%

Occasionally DC, HI, MD, UT, VT, WY 6 12%

Page 12 of 34Discipline, Delegation, Telenursing MBP 2015

Malpractice Payment Reports 7.1

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Are malpractice payment reports reviewed to determine if a disciplinary investigation is warranted?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No ID, NM, UT 3 7%

YesAL, AR, AZ, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, HI, IA, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, NC, ND, NH, NJ, NV, OH, OK, OR, PA, SC, SD, TN, TX, VA, VT, WA, WI, WY

41 93%

Page 13 of 34Discipline, Delegation, Telenursing MBP 2015

Malpractice Payment Reports 7.2

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Are malpractice payment reports stored/filed for future reference?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AR, ID, MO, NM, OH, UT 6 14%

YesAL, AZ, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, HI, IA, IL, KS, KY, LA-RN, MA, MD, ME, MN, MS, NC, ND, NH, NJ, NV, OK, OR, PA, SC, SD, TN, TX, VA, VT, WA, WI, WY

38 86%

Page 14 of 34Discipline, Delegation, Telenursing MBP 2015

Malpractice Payment Reports 7.3

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Can the Board of Nursing require evaluation for substance use disorder during an investigation?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AL, CA-RN, CNMI, DE, HI, ID, MA, MO, MT, NC, NM, OK, TN, UT, VA, VT, WI 17 35%

YesAR, AZ, CA-VN, CO, CT, DC, FL, GA, GU, IA, IL, KS, KY, LA-RN, MD, ME, MN, MS, ND, NH, NJ, NV, OH, OR, PA, SC, SD, TX, WA, WV-PN, WY

31 65%

Page 15 of 34Discipline, Delegation, Telenursing MBP 2015

Evaluations during Investigation 8.1

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Can the Board of Nursing require evaluation of physical and/or mental health during an investigation?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AL, CA-RN, CNMI, DE, HI, ID, MA, MO, MT, NC, NM, OK, TN, UT, VA, VT, WI 17 35%

YesAR, AZ, CA-VN, CO, CT, DC, FL, GA, GU, IA, IL, KS, KY, LA-RN, MD, ME, MN, MS, ND, NH, NJ, NV, OH, OR, PA, SC, SD, TX, WA, WV-PN, WY

31 65%

Page 16 of 34Discipline, Delegation, Telenursing MBP 2015

Evaluations during Investigation 8.2

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What is the standard of proof for final adjudication?

Clear and convincing evidence

Preponderance of the evidence

Substantial evidence

Reasonable cause/suspicion evidence

Clear and convincing evidence

Preponderance of the evidence

Substantial evidence

Reasonable cause/suspicion evidence

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Clear and convincing evidence

AL, CA-RN, CA-VN, CNMI, FL, GU, IL, MD, MS, NC, OK, SC, SD, VA, WA, WY 16 33%

Preponderance of the evidence

AZ, CO, CT, DE, GA, IA, ID, KY, LA-RN, MA, ME, MN, MO, MT, ND, NH, NJ, NM, NV, OH, OR, PA, TN, TX, UT, VT, WI, WV-PN 28 58%

Substantial evidence AR, HI, KS 3 6%

Reasonable cause/suspicion evidence

DC 1 2%

Page 17 of 34Discipline, Delegation, Telenursing MBP 2015

Disciplinary Proceedings, Standard of Proof, Actions 9.1

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Who hears formal disciplinary proceedings? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Hearing officer/examiner

AL, DE, GU, HI, ID, KS, KY, MA, MO, MT, OH, PA, SD, VT, WA, WV-PN, WY 17 35%

Administrative law judge

AL, AZ, CA-RN, CA-VN, CO, DC, FL, GA, GU, HI, IA, IL, MD, MN, MS, ND, NJ, SD, TX, UT, VT, WA, WI 23 48%

All board members AR, CA-RN, CNMI, CT, DC, DE, GA, GU, IA, ID, KS, MD, ME, MN, MS, NC, NH, NJ, NM, NV, OK, OR, SC, SD, UT, VA, VT, WY 28 58%

Panel/committee of board members

CO, DC, DE, GU, KS, KY, LA-RN, MD, MS, NC, NJ, OH, PA, SC, TN, UT, VA, WA 18 38%

Board chair or board member IL, KS, MS, NH, UT 5 10%

Page 18 of 34Discipline, Delegation, Telenursing MBP 2015

Disciplinary Proceedings, Standard of Proof, Actions 9.2

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Which of the following disciplinary actions can be ordered? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Censure AZ, CT, IA, KS, KY, LA-RN, ME, MO, MS, MT, NV, WI, WV-PN 13 28%

Cease and desist order

AL, AR, AZ, CA-VN, CO, CT, GA, GU, ID, IL, KY, LA-RN, ME, MO, MS, MT, NC, ND, NH, NJ, NM, NV, PA, SC, TN, TX, UT, VT, WI, WY

30 64%

Reprimand

AL, AR, AZ, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, KY, LA-RN, MA, MD, ME, MN, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

44 94%

RemediationAR, AZ, CA-RN, CT, DC, FL, GA, ID, LA-RN, MA, ME, MN, MS, MT, NC, ND, NJ, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VT, WI, WV-PN, WY

31 66%

Citation Order CA-VN, GA, IA, MS, NV, PA, TN, UT 8 17%

Warnings AR, CA-VN, CNMI, CT, IA, IL, LA-RN, MA, ME, MS, NC, NJ, NM, NV, PA, SC, TN, TX, UT, VA, VT, WI, WY 23 49%

Practice limitation with probation

AL, AR, AZ, CA-VN, CNMI, CT, DE, FL, GA, IA, ID, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WV-PN, WY

41 87%

Practice limitation without probation

CA-RN, CNMI, CT, FL, GA, ID, KS, MN, MT, NC, NJ, OK, SC, SD, TX, VA, VT, WA 18 38%

ProbationAL, AR, AZ, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, IA, ID, IL, KY, LA-RN, MA, MD, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WV-PN

41 87%

Conditional Probation

AL, AR, CT, DC, FL, IA, ID, KS, KY, LA-RN, MA, MD, ME, MN, MO, MT, NC, NH, NM, NV, PA, SC, TN, TX, VA, VT, WA, WV-PN, WY 29 62%

Summary suspension

AL, AR, AZ, CO, CT, DC, FL, GA, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MS, MT, NC, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, VA, VT, WA, WI, WV-PN, WY

38 81%

Page 19 of 34Discipline, Delegation, Telenursing MBP 2015

Disciplinary Proceedings, Standard of Proof, Actions 9.3

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Suspension

AL, AR, AZ, CA-RN, CA-VN, CNMI, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

47 100%

Revocation

AL, AR, AZ, CA-RN, CA-VN, CNMI, CO, CT, DC, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

46 98%

Fine/civil penaltyAL, AR, AZ, CA-VN, CO, CT, DC, FL, GA, GU, IA, KS, KY, LA-RN, MA, MD, ME, MN, MS, ND, NH, NJ, NM, NV, OK, OR, PA, SC, TN, TX, UT, VA, VT, WA, WV-PN

35 74%

Assessment of costs CA-RN, CA-VN, FL, GA, GU, ID, KS, LA-RN, ME, MN, MT, NC, ND, NH, NJ, NM, NV, OK, SC, SD, TN, TX, VA, WI, WV-PN 25 53%

Surrender of licenseAR, AZ, CA-RN, CA-VN, CO, CT, DC, FL, GA, GU, IA, ID, IL, KY, LA-RN, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NV, OH, OK, OR, PA, SD, TN, TX, VA, VT, WI, WV-PN, WY

39 83%

Community service FL, LA-RN, NM, NV, TX 5 11%

DenialAR, AZ, CA-RN, CA-VN, CO, CT, DC, FL, GU, IA, ID, IL, KS, KY, LA-RN, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

42 89%

Page 20 of 34Discipline, Delegation, Telenursing MBP 2015

Disciplinary Proceedings, Standard of Proof, Actions 9.4

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Back To Table of Contents

Can the licensee be ordered to pay investigative fees?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AL, AR, AZ, CNMI, CO, CT, DC, DE, IA, IL, KS, KY, MA, MD, MN, MO, MS, NC, ND, NH, OH, OR, TX, UT, VA, VT, WY 27 56%

Yes CA-RN, CA-VN, FL, GA, GU, HI, ID, LA-RN, ME, MT, NJ, NM, NV, OK, PA, SC, SD, TN, WA, WI, WV-PN 21 44%

Page 21 of 34Discipline, Delegation, Telenursing MBP 2015

Payment of Fees 10.1

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Can the licensee be ordered to pay legal fees?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

NoAL, AR, AZ, CNMI, CO, CT, DC, DE, GA, IA, ID, IL, KS, KY, MA, MD, ME, MN, MO, MS, NC, ND, NH, OH, OR, PA, SD, TX, UT, VA, VT, WV-PN, WY

33 69%

Yes CA-RN, CA-VN, FL, GU, HI, LA-RN, MT, NJ, NM, NV, OK, SC, TN, WA, WI 15 31%

Page 22 of 34Discipline, Delegation, Telenursing MBP 2015

Payment of Fees 10.2

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Can the licensee be ordered to pay monitoring fees?

No

Yes

Does not apply

No

Yes

Does not apply

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AR, AZ, CA-RN, CA-VN, CT, DC, FL, ID, KS, KY, MA, MN, MO, NC, NH, NM, OH, OK, OR, SC, SD, VA, VT, WA, WY 25 52%

Yes DE, GU, HI, IL, LA-RN, MD, ME, MS, ND, NJ, NV, PA, TN, TX, UT, WI, WV-PN 17 35%

Does not apply AL, CNMI, CO, GA, IA, MT 6 12%

Page 23 of 34Discipline, Delegation, Telenursing MBP 2015

Payment of Fees 10.3

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Back To Table of Contents

Is the Board of Nursing required to take disciplinary action in any of the following instances? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Non-payment of child support

AR, AZ, DE, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, NC, NM, NV, OH, OR, PA, SC, TN, TX, WA, WV-PN 27 57%

Non-payment of student loan CA-VN, FL, GA, GU, HI, IA, IL, KY, LA-RN, MN, MS, TN, TX, WA 14 30%

Non-payment of alimony/spousal support

GU, IA, MN 3 6%

Non-payment of jurisdiction taxes CA-RN, DC, GU, IA, IL, KY, MA, MD, ME, MN, MO, OR 12 26%

Does not apply AL, CNMI, CO, CT, MT, ND, NH, NJ, SD, UT, VA, VT, WI, WY 14 30%

Page 24 of 34Discipline, Delegation, Telenursing MBP 2015

Required Disciplinary Actions 11.1

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Back To Table of Contents

Does the Board of Nursing use non-disciplinary alternative programs for any of the following types of cases? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Substance Use Disorder

AL, AZ, CA-RN, CO, CT, DC, DE, FL, GU, HI, ID, IL, KS, KY, LA-RN, MA, MD, ME, MN, MS, MT, NC, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI

38 79%

Psychiatric/mental health related

AL, CA-RN, CO, CT, DC, DE, FL, GU, ID, KS, KY, LA-RN, MA, MD, MN, MS, MT, NC, NJ, NM, NV, OR, PA, SD, TN, TX, VA, VT, WI 29 60%

Physical or health related

AL, CO, CT, DC, FL, GU, KS, LA-RN, MA, MD, MN, MS, MT, NJ, NM, OR, PA, TN, VA, VT 20 42%

Practice related GU, HI, ID, MA, NC, NJ, NV, OH, OK, PA, VT, WA 12 25%

Does not apply AR, CA-VN, CNMI, GA, IA, MO, ND, NH, WV-PN, WY 10 21%

Page 25 of 34Discipline, Delegation, Telenursing MBP 2015

Non-disciplinary Alternative Programs 12.1

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Does the Board of Nursing offer an in-house non-disciplinary monitoring program for Substance Use Disorder?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AR, CA-RN, CNMI, CO, CT, FL, GA, GU, HI, IA, IL, KS, ME, MN, MO, MT, ND, NH, NJ, OR, SC, SD, TN, TX, VA, WV-PN, WY 27 57%

Yes AL, AZ, DC, DE, ID, KY, LA-RN, MA, MD, MS, NC, NM, NV, OH, OK, PA, UT, VT, WA, WI 20 43%

Page 26 of 34Discipline, Delegation, Telenursing MBP 2015

Non-disciplinary Alternative Programs 12.2

Page 27: Discipline, Delegation, Telenursing MBP 2015 Kathleen ... · Discipline, Delegation, Telenursing MBP 2015 Kathleen Russell 5/5/2016 3:01:10 PM 48 Jurisdictions Included in the report:

Does the Board of Nursing refer the licensee to a contracted alternative to discipline program for Substance Use Disorder?

No

Yes

No

Yes

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AL, AR, AZ, DC, GA, GU, HI, IA, ID, KY, LA-RN, MA, MO, NC, ND, NH, NM, NV, OH, OK, PA, UT, VT, WA, WI, WV-PN, WY 27 57%

Yes CA-RN, CNMI, CO, CT, DE, FL, IL, KS, MD, ME, MN, MS, MT, NJ, OR, SC, SD, TN, TX, VA 20 43%

Page 27 of 34Discipline, Delegation, Telenursing MBP 2015

Non-disciplinary Alternative Programs 12.3

Page 28: Discipline, Delegation, Telenursing MBP 2015 Kathleen ... · Discipline, Delegation, Telenursing MBP 2015 Kathleen Russell 5/5/2016 3:01:10 PM 48 Jurisdictions Included in the report:

If the Board of Nursing uses a non-disciplinary practice-related alternative program, which of the following may be included in the alternative program? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Civil penalty KS 1 2%

Conference/meeting CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, NC, NJ, OH 11 25%

Community service KS 1 2%

Continuing education CT, DC, GU, ID, KS, LA-RN, MA, MS, NC, NJ, NV, OH, OK, PA, TX, VT, WA, WI 18 41%

Fine GU, KS, LA-RN, MS, NH, OK 6 14%

Mediation KS 1 2%

Monitored practice AZ, CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, MA, NC, NJ, NV, OH, PA, TX, VT, WA, WI 19 43%

Non-disciplinary probation CT, DC, ID, KS, KY, LA-RN, MA, NJ, PA, VT 10 23%

Restitution 0 0%

Self-study CT, ID, KS, NC, PA, VT, WA 7 16%

Teaching conference CT, ID, KS, NC, PA, VT 6 14%

Warning letter CT, GU, ID, KS, LA-RN, MA, MS, NC, NH 9 20%

Does not apply AR, CNMI, CO, DE, FL, GA, HI, IA, IL, MD, ME, MN, MO, ND, NM, OR, SD, TN, UT, VA, WV-PN, WY 22 50%

Page 28 of 34Discipline, Delegation, Telenursing MBP 2015

Non-disciplinary Alternative Programs 12.4

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Is participation by the licensee in non-disciplinary practice-related alternative program disclosed as public information?

No

Yes

Yes, if requested

No

Yes

Yes, if requested

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AZ, CA-RN, CT, DC, GU, LA-RN, MS, NH, NJ, NV, OH, PA, TX, VT, WA, WI 16 73%

Yes KY, MA, OK 3 14%

Yes, if requested ID, KS, NC 3 14%

Page 29 of 34Discipline, Delegation, Telenursing MBP 2015

Non-disciplinary Alternative Programs 12.5

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Back To Table of Contents

Are there specific references to delegation in any of the following: (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Nurse Practice ActAZ, CA-RN, CA-VN, CNMI, CO, DE, FL, GU, HI, IA, ID, IL, KS, KY, LA-RN, ME, MN, MO, MS, MT, NC, ND, NV, OH, OK, OR, SC, SD, TX, UT, VA, VT, WA

33 70%

Rules and Regulations

AL, AR, AZ, CNMI, CO, DC, DE, FL, GU, HI, ID, IL, KS, KY, LA-RN, MA, ME, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

38 81%

Declaratory ruling/advisory opinion

AZ, CA-RN, CT, DC, GU, KY, LA-RN, MA, MS, NV, OK, TX, WA, WY 14 30%

Position statement CA-RN, GA, GU, ID, KY, LA-RN, MO, MS, NC, ND, NV, SC, TN, TX, VT 15 32%

Written Guideline CO, ID, NC, ND, NJ, NV, OK, TN, TX, VT, WV-PN 11 23%

Does not apply PA 1 2%

Page 30 of 34Discipline, Delegation, Telenursing MBP 2015

References to Delegation 13.1

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Do the references to delegation apply to registered nurses or practical nurses? (Check all that apply)

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Registered Nurses

AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY

45 98%

Practical NursesAL, AR, AZ, CA-VN, CNMI, CT, DC, FL, GU, HI, IA, ID, KS, KY, MA, ME, MN, MO, MS, MT, NC, ND, NH, NM, OH, OK, OR, SC, SD, TN, TX, UT, VT, WA, WY

35 76%

Page 31 of 34Discipline, Delegation, Telenursing MBP 2015

References to Delegation 13.2

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Back To Table of Contents

Are there specific references to telenursing, telehealth or other terms referring to electronic practice in any of the following: (Check all that apply):

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Nurse Practice Act HI, ID, KY, MO, NV, TN, VT 7 15%

Rules and Regulations CO, DE, HI, ID, MA, MO, NV, VT 8 17%

Declaratory rulings/advisory opinions

AZ, KY, LA-RN, MA, NH, NV, WA, WY 8 17%

Position statements CA-RN, GA, GU, ID, LA-RN, NV, TN, TX, VT 9 20%

Written Guidelines CO, GU, ID, VT 4 9%

None AL, AR, CA-VN, CNMI, CT, DC, FL, IA, IL, KS, ME, MN, MS, MT, NC, ND, NJ, NM, OH, OR, PA, SC, SD, UT, VA, WI, WV-PN 27 59%

Page 32 of 34Discipline, Delegation, Telenursing MBP 2015

Telenursing/telehealth 14.1

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Does the Board of Nursing permit a nurse licensed and practicing telenursing in another jurisdiction to provide telenursing services to in-jurisdiction patients?

No

Yes

Yes, provided the practitioner has a valid Compact license

Other*

No

Yes

Yes, provided the practitioner has a valid Compact license

Other*

*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No CA-VN, CO, GA, GU, IL, LA-RN, MN, NV, OH, OR, PA, VT, WA, WV-PN, WY 15 33%

Yes DC, HI, KS, KY 4 9%

Yes, provided the practitioner has a valid Compact license

AR, AZ, IA, ID, MO, MS, NC, ND, NH, NM, SD, TN, TX, VA, WI 15 33%

Other* AL, CA-RN, CNMI, CT, DE, FL, MA, ME, MT, NJ, UT 11 24%

Other*

AL Yes with a state license

CA-RN Yes, if the RN has a valid CA-RN license

CNMI Not in R & R,No guideline, not in nurse practice act

CT she must have a license in CT. CT is not currenlty a compact state

DE Must have valid DE license or PtoP

FL w/ a FL license

MA yes if also licensed in MA

ME Has to have a license in Maine or a MSP from another Compact state

Page 33 of 34Discipline, Delegation, Telenursing MBP 2015

Telenursing/telehealth 14.2

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MT has to have a license for MT or a compact license

NJ Only if licensed in NJ

UT silent on issue

Page 34 of 34Discipline, Delegation, Telenursing MBP 2015

Telenursing/telehealth 14.3