Meeting Minutes - the New Mexico Board of Nursing

New Mexico Board of Nursing Advanced Practice Advisory Committee
DRAFT Meeting Minutes September 12, 2014
Member
Virginia Valentine (Chair)
Jacquelyn Williams
Roy Addignton
Elaine Brightwater
Karen-Lynn Fiato
Gina Fullbright
Janet Thelen
Deanna Suggs
Darlene Batson
APRNRole
CNS
CNS/CNP
CNP
CNP
CNP
CNP
CNP
CNP
CRNA
Appointment
Expiration
Pending
August 2016
Pending
April, 2016
April, 2016
June, 2014
April, 2016
April, 2016
August, 2015
Attendance*
Guests
Present
Present
Absent
Present
Absent
Absent
Present
Absent
Absent
Carloyn Robers; Bonita Hulin, San Juan Regional Medical Center;
Shauna Saiz, San Juan Regional Medical Center; Meaghan Carey,
UNMH; Darren Braude, UNMH; Eric Quintana, UNM SOM/PRes.;
Robb McKean, UNMH; Michael (Mick) Leo, NM ACEP; Tony Salazar,
NM ACEP; G. Mulzon, NM ACEP; Kim McKinley, UNMH; Melissa
Reyes, GCU; Michael Chicarelli, UNMH/NM ENA; Julianna Kof, NM
ANA; Kathy Lopez-Bushnell, UNMH; Talerra Rich, GCU; Reyna
Gonzalez, GCU; Mariah Teasdale, GCU. Phone Guests: Chris Felt,
Deborah Walker, NMNA
Board Members: Kirk Irby (Video Conference) and Kris Willingham (Phone Conference)
.
Agenda Item
Minutes
Membership
Notes
Minutes from the July meeting were reviewed
Virginia informed the Committee of her limited
ability to serve as chair.
The Committee discussed leadership and
determined that co-chairs would be serve the
committee best.
There was a discussion about how meetings will be
conducted.
Meeting
Operation
Action
The July 2014 minutes were approved by consensus
Virginian Valentine and Elian Brightwater will serve as
co-chairs.
Gina Fullbright has now missed 5 meeting in a row and
her appointment expired June of 2014. She has not
submitted a new nomination form and will be removed
from the roster.
The Committee decided:
1. The agenda and associated documents will be
sent to committee members a week prior to the
meeting date by Board staff and/or Board
officers
2. The Committee meeting agenda will be posted
on the BON website a week prior to the meeting
for public review.
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New Mexico Board of Nursing Advanced Practice Advisory Committee
DRAFT Meeting Minutes September 12, 2014
3. Documents associated with Committee
meetings and the Committee’s
work/recommendations/minutes will not be
made available to the public until the
committee has finished their work and is ready
to make a recommendation to the Board of
Nursing.
Board Member, Willingham suggested to the Committee
that the language around CRNA practice be changed to
reflect the independence that is clear in the language of
the CNP roles. The Committee discussed this and
unanimously agreed.
Rules Language:
CRNA
Independent
Practice
Procedural
Sedation Rules
Language
The Committee declined to review the proposed
rules language provided by Board staff, stating that
they want to ensure that only the most current
version of the proposed language is being reviewed.
 Demetrius will inquire about the ability for a
members’ Sharepoint or similar electronic platform for
the exchange of documents.
The Committee recommends to the Board of Nursing
the following rules change:
Current
16.12.2.14.M.(2). The CRNA functions in an
interdependent role as a member of the health care
team in which the medical care of the patient is
directed by a licensed physician, osteopathic physician,
dentist or podiatrist licensed in New Mexico.
Recommended
16.12.2.14.M.(2). The CRNA makes independent
decisions regarding the health care needs of the client
and also makes independent decision in carrying out
health care regimes.
The Committee recommends the creation of an ad
hoc committee that includes representation from the
Board Members, the Advanced Practice Committee, the
Nursing Practice Committee, The New Mexico
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New Mexico Board of Nursing Advanced Practice Advisory Committee
DRAFT Meeting Minutes September 12, 2014
Association of Nurse Anesthetists and the New Mexico
Emergency Nurses Association.
The Committee also recommends that this ad hoc
committee move quickly to wordsmith the most
current version of the procedural sedation language
and to make a recommendation to the BON. The
meeting will be chaired by Kim McKinely of the Nursing
Practice Committee.
Non-cancer pain
management CE
Requirement
16.12.2.11 and
16.12.9.11
Nurses being
treated with
opiates
16.12.9.12
Valid
practitioner
Anita Ralstin suggested at the last BON meeting a
change to rules regarding the pharmacological
continuing education requirement, and suggested a
language change that is inclusive of nonpharmocological interventions. 16.12.2.13.L.(2).(iii).
The equivalent language for CNSs is at
16.12.2.15.K.(2).(d)
This requirement is also noted as a requirement
under the PMP program language at
16.12.9.10
There was a discussion about the rules language
16.12.9.12.
 Demetrius will facilitate the meeting of this
committee and solicit the most current proposed
language from the Board Members who have worked
on it.
Anita did not reply to a request to meet on this issue
nor is she present at this meeting. The Committee
tabled this issue.
The Committee tabled this issue.
There is a recommendation to make an exception for Elaine Brightwater needs an opportunity to do more
public health emergencies in the definitions the valid research on this. The Committee tabled the issue for
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New Mexico Board of Nursing Advanced Practice Advisory Committee
DRAFT Meeting Minutes September 12, 2014
patient
relationship
Fingerprints
Marijuana
Prescribing by
APRNs
New and Views
articles
Jurisprudence
Exam for new
licensees
practitioner patient relationship.
now.
Demetrius explained to the Committee that when
APRNs endorse into New Mexico and hold an RN
license from a compact state which is her or his state
of legal residence and which does not require a
criminal background check for RN licensure, then
that advanced practice nurse can practice in New
Mexico without ever having had a criminal
background check. There is no provision in the NM
NPA or rules for doing criminal background check for
APRN licensure. The states that do not require CBC
and are members of the Nurse Licensure Compact
are Colorado, Maine, Nebraska, Virginia and
Wisconsin.
The committee discussed APRNs making
recommendation for their patients for the use of
cannabis and the fact that the DEA has cannabis
listed as a schedule 1 drug. The Committee also
discussed the recreational use of cannabis by nurses
in both Colorado and New Mexico.
Janet Thelen has written an article on CNP
certification that she shared with the committee.
This committee recommends that the Board consider
modifying rules to ensure that all advanced practice
nurses practicing in New Mexico who did not receive a
criminal background check as part of their RN licensure
receive a criminal background check.
The Committee discussed a required exam on the
New Mexico Nursing Practice Act for nurses being
licensed by New Mexico
The Committee has no recommendations regarding
cannabis at this time.
The Committee members will review the article for
edits.
 Demetrius will work with Janet to submit an
electronic version of the article for publication in the
next News and Views. The deadline is September 19.
The Committee does not recommend to the BON that
a jurisprudence exam be required by the BON for
nurses being licensed by New Mexico.
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New Mexico Board of Nursing Advanced Practice Advisory Committee
DRAFT Meeting Minutes September 12, 2014
The Committee does recommend to the New Mexico
Nursing Education Committee to include The New
Mexico Nursing Practice Act and New Mexico Nursing
Jurisprudence to the NMEC statewide common
Curriculum.
The Committee reviewed the upcoming meeting
dates for the BON and NCSBN and selected meeting
dates for the coming year.
The FY15 meeting dates:




Meetings
Please submit your agenda items to one of the cochairs or Demetrius.
Next Agenda
 Demetrius will draft a letter NMNEC on behalf of the
committee.
The next meeting is November 3, 2014
April 6
July 10
September 7
December 4
All meetings will be at 0900 at the BON office.
Membership
 Down to 8 members, poor attendance (60% for
current members for the last 7 meetings)
New and Views Articles
 No current articles proposed.
Rules Changes
Meeting Operation
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