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November 2011 Amendments to ONPA Impact Peer Assistance Program 2 Amendments to the Oklahoma Nursing Practice Act Take Ef-fect November 1, 2011 3 Continuing Qualifications for Practice to be Required for Li-cense Renewal 5 Graduating from a Nursing Program and Passing the Licen-sure Exam: What Should You Know? 6 Discipline Information Now Available on the Board’s Web-site 9 OBN Launches a “Green” Ini-tiative 9 NCLEX-RN and PN Pass Rates For CY 2010 10 Oklahoma Nursing Popula-tion— FY 2011 15 Board Meeting Notice 17 Summary of Board Activities 18 INSIDE THIS ISSUE Choices By Liz Michael, RN, MS Board President VOLUME 25 ISSUE 1 OKLAHOMA BOARD OF NURSING 2915 N. Classen Boulevard, Suite 524 Oklahoma City, Oklahoma 73106 Phone: 405-962-1800 Website: www.ok.gov/nursing OKLAHOMA BOARD OF NURSING NEWSLETTER When you decided on your chosen profession, did you understand all of the implications that might come in to play? For instance, did you take into consideration how your behavior off the job might impact how you are perceived in the workplace or that your livelihood could be affected by the choices you make in the heat of the moment? There are many professions that are held to higher standards of behavior; physicians, teachers, police officers, firefighters, judges, nurses, and members of the clergy come to mind, although I am sure there are many more. We are taught to trust and respect these professionals due to the services they provide. In the provision of those services, they must continue to earn that trust and respect. Nursing is one of those professions where it is imperative for a trust relationship to develop. Patients literally place their lives in the nurse’s hands because they trust that the nurse will do what is appropriate and take the very best care of them. Families trust that when they leave a loved one in the care of a nurse, the loved one will get the care expected. Whether in a clinic, school, home health, hospital, or other setting where a nurse may work, nurses are responsible for building and nurturing trust relationships with the patients they care for. Trustworthiness is a desired characteristic in all of the professions mentioned above. We trust our well-being to each of them at some point in time, so how do we respond when that trust is compromised? Consider this: Would you feel safe if a police officer broke into a home when he or she was not on duty? Would you want a physician caring for your loved one after being arrested for domestic abuse? How about finding out that your child’s teacher has been diverting cash from a school fund-raiser? Or that the nurse you trusted with your mother’s life had been convicted of elder abuse? Trust would disappear, and fear would take its place. We would be disappointed, (Continued on page 2) Page 2 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 disillusioned, and in some instances angry, because we expect more from these professionals. Each one of these scenarios represents an extreme behavior that happened while the individuals were off duty, but that nevertheless impacted their professional statuses and careers. The professionals made conscious decisions to break trust. They were held accountable for their actions and lost their livelihoods because of the choices they made. Are they being held to a higher standard than others who might (Continued from page 1) commit the same crimes? Possibly, but they chose to be in professions where they are held in high regard. Whether on duty or off duty, your behavior matters. How you live your life and the example you set before others matters. None of us is perfect, and we all make mistakes, but sometimes you should stop and ask yourself the question, “Will what I am about to do negatively impact my life or career?” If there is any question, choose to stop. AMENDMENTS TO ONPA IMPACT PEER ASSISTANCE PROGRAM House Bill 1275, which was signed into law by the Governor and becomes effective November 1, 2011, has two changes affecting the Peer Assistance Program (“Program”). The first change (59 O.S. §567.17(J)) affirmatively states that participants are responsible for the costs related to participation in the Program. The Rules of the Oklahoma Board of Nursing (OAC 485:10-19-6(2)) and the contractual agreement with the Program have required that the financial cost of participation be assumed by participants, so this does not change current practice in the Program for participants. The second change (59 O.S. §567.17(K)) directs conditions to be placed on the licensure status of nurses entering the Program, whether their application is voluntary or ordered by the Board. These conditions will remain in place during the nurses’ periods of participation in the Program. This is a change that will affect those nurses who choose to enter the Program voluntarily. It will not affect nurses who are in the Program before November 1, 2011. For nurses who voluntarily enter the Program without Board action, the conditions are non-disciplinary. For nurses entering the Program beginning on November 1, 2011, the Board will now acknowledge that the nurse is participating in the Program. The records of the nurses in the Program will continue to be confidential as long as the nurse is compliant with the Program contract(s). Records of nurse participants include, but are not limited to reports, memoranda, statements, interviews, and other documents. Records of the nurse may also be made public by a subpoena and court order (59 O.S. §567.17(F)). This change has occurred because it was identified as a public protection issue. Nursing employers have requested that they be able to identify if a nurse is in the Peer Assistance Program and not have to rely on the nurse to give them this information. Nurses in the Peer Assistance Program have always been required to notify employers and potential employers of their participation in the Program through their contract with the Program. This change will promote the accountability of the nurse participant to abide by this requirement. Page 3 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 AMENDMENTS TO THE OKLAHOMA NURSING PRACTICE ACT TAKE EFFECT NOVEMBER 1, 2011 Amendments to the Oklahoma Nursing Practice Act were passed unanimously by the Legislature and signed by Governor Mary Fallin during the 2011 Legislative Session. The amended Oklahoma Nursing Practice Act will take effect November 1, 2011. In this article, we will review the amendments to the Act and their impact on Oklahoma nurses. Advanced Practice Registered Nurses Many of the amendments to the Oklahoma Nursing Practice Act are related to advanced practice nursing. The title of advanced practice nurses as a group changes to Advanced Practice Registered Nurses (APRN), and the title of advanced registered nurse practitioners changes to Certified Nurse Practitioners (CNP). All Advanced Practice Registered Nurses, including Certified Nurse Practitioners (CNP), Certified Nurse Midwives (CNM), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNA), are required to use the title Advanced Practice Registered Nurse (APRN) and their specific specialty role title (CNP, CNM, CNS, or CRNA) in their communications with the public. For example, the Advanced Practice Registered Nurse might sign his or her name “Jane Doe, APRN-CNP” or “John Doe, APRN, CRNA” (the law does not specify whether a dash, comma, or space should separate the two portions of the title). The amended statute also establishes a criminal penalty for using the title Advanced Practice Registered Nurse, or APRN; any of the specialty role titles or abbreviations; or any other language that may lead people to believe that the user is an Advanced Practice Registered Nurse, unless the user of the title is licensed as an APRN by the Oklahoma Board of Nursing. Effective November 1, 2011, Advanced Practice Registered Nurses will hold licenses, rather than recognitions, in advanced practice registered nursing and their specialty roles. CNP, CNS, or CNM authority to prescribe, as well as CRNA authority to select, order, obtain, and administer drugs, will remain as a separate recognition for qualified APRNs. In addition, the definition of advanced practice registered nursing is amended to better define the role of the APRN, by incorporating the following statements into the definition: “who has acquired advanced clinical knowledge and skills in preparation for providing both direct and indirect care to patients; however, the defining factor for all Advanced Practice Registered Nurses is that a significant component of the education and practice focuses on direct care of individuals” [OS 59 §567.3a(5)(c)] and “whose practice builds on the competencies of Registered Nurses by demonstrating a greater depth and breadth of knowledge, a greater synthesis of data, and increased complexity of skills and interventions….” [OS 59 §567.3a(5)(d)]. One section of the amended Oklahoma Nursing Practice Act impacting Advanced Practice Registered Nurses does not take effect until January 1, 2016. On that date, an applicant for licensure as an Advanced Practice Registered Nurse must have completed a graduate level advanced practice registered nursing education program in at least one of the following population foci: family/individual across the lifespan, adult-gerontology, neonatal, pediatrics, women’s health/gender-related, or psychiatric/mental health nursing. Advanced Practice Registered Nurses licensed by the Board prior to January 1, 2016, may continue to hold advanced practice licensure with their current specialty certification, even if it is not in one of the above population foci. The amended Oklahoma Nursing Practice Act also establishes a process for licensure by endorsement for Advanced Practice Registered Nurses who hold recognition in another state. In addition, the amendments establish requirements for approval of advanced practice registered (Continued on page 4) Page 4 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 nursing education programs, which will become effective on January 1, 2016. Registered Nurses, Licensed Practical Nurses, and Advanced Unlicensed Assistants The amended Act also changes the official title of an Advanced Unlicensed Assistive Person (AUAP) to Advanced Unlicensed Assistant (AUA). It dissolves the Board’s Advanced Unlicensed Assistant Advisory Committee, the functions of which are incorporated into the Board’s Nursing Education and Practice Advisory Committee. The amended Act establishes requirements for initial licensure of Registered Nurses or Licensed Practical Nurses, or for initial certification as Advanced Unlicensed Assistants, including a requirement for a federal criminal background check and a minimum age of 18 for eligibility. The requirement for the federal criminal background check becomes effective January 1, 2013. Payment of Fees Not Honored by Financial Institution A new provision of the Act requires the Executive Director to suspend the license of certificate of a person who submits a check, money draft, or similar instrument for payment of a fee that is not honored by the financial institution named. The suspension becomes effective ten days following the delivery by certified mail of written notice to the person’s address on file at the Board office. The person may reinstate upon payment of the fees and any and all costs associated with the notice and collection. Disciplinary Action The amendments clarify the Board’s responsibility to take disciplinary action on a licensee or certificate holder who defaults from the Peer Assistance Program for any reason, fails to maintain professional boundaries with patients, or engages in sexual misconduct with a current or former patient or key party inside or outside the health care setting. (Continued from page 3) In addition, the amendments allow the Board to retain jurisdiction over any person issued a license, certificate, or temporary license after the license has expired, lapsed, or been relinquished during or after the alleged occurrence or conduct. As well, the amended Act requires the Executive Director to suspend the license or certificate of any individual who has been sentenced to a period of continuous incarceration. Exceptions to the Act Exceptions to the Oklahoma Nursing Practice Act are amended to better define the parameters for a nurse who is called into attendance to a patient temporarily in Oklahoma. The amendments also provide an exception for a nurse who is licensed in another state or territory and who is a military spouse, allowing that individual to obtain a temporary license for 120 days while meeting all requirements for full licensure. Peer Assistance Program The amended Oklahoma Nursing Practice Act clarify that the costs for participation in the Peer Assistance Program are the responsibility of the participant. In addition, the amendments establish that conditions will be placed on the license of the participant during the period of participation in the Peer Assistance Program. Summary The purpose of the amendments to the Oklahoma Nursing Practice Act is to enhance the Board’s ability to protect the public, by ensuring well-qualified applicants for licensure and certification, and by defining the responsibility of licensees and the Board. The full text of the Oklahoma Nursing Practice Act may be reviewed on the Board’s website: www.ok.gov/nursing. Click on the link for “Nursing Practice Act” on the side of the page. If you have any questions regarding the amendments, feel free to call the Board office at (405) 962-1804. CONTINUING QUALIFICATIONS FOR PRACTICE TO BE REQUIRED FOR LICENSE RENEWAL Page 5 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 *CHANGE OF ADDRESS* Please Mail To: Oklahoma Board of Nursing 2915 N. Classen Blvd., Ste. 524 Oklahoma City, OK 73106 I need to report my change of address to the Oklahoma Board of Nursing. Address changes may also be made on the Board’s website: www.ok.gov/nursing. License Number ________________________________(Or) Social Security Number ___________________________ Full Name _________________________________________ Signature (*required) _____________________________ New Address _______________________________________________________________________________________ Old Address ________________________________________________________________________________________ * In accordance with OAC 485:10-7-9 & 485:10-9-9 it is the legal duty of a licensed nurse to notify the Oklahoma Board of Nursing of a change of address in writing within 30 days of the change. The Rules of the Oklahoma Board of Nursing were amended recently, taking effect on July 1, 2011. One significant change in the rules relates to the need for evidence of continuing qualifications for practice prior to renewal of a Registered Nurse or Licensed Practical Nurse license. The updated Rules are available for view the Board’s website. Beginning January 1, 2014, all RNs and LPNs renewing their licenses will be required to meet one of the following requirements for renewal within the two (2) years prior to the date of expiration of the license: (1) Verify employment in a position that requires a registered/practical nurse license with verification of at least 520 work hours (Please note: this requirement is not exclusive to clinical positions. Other positions may also incorporate nursing knowledge and skills and require RN or LPN licensure. Examples include, but are not limited to nurse administrators, nurse educators, and nurse researchers.); or (2) Verify the completion of at least twenty-four (24) contact hours of continuing education applicable to nursing practice; or (3) Verify current certification in a nursing specialty area; or (4) Verify completion of a Board-approved refresher course; or (5) Verify completion of at least six (6) academic semester credit hours of nursing coursework at the licensee’s current level of licensure or higher. Because at least one of the above five options must have been completed within the two years prior to the date of expiration of the license, RNs should begin their efforts to meet the continuing qualifications requirements during the two years prior to the expiration date of their licenses in 2014. Additionally, LPNs should begin planning for meeting their continuing qualifications requirements two years before they are due to renew in 2015. Also, please make note that a random audit will be routinely conducted, requiring the audited nurse to present evidence to support the continuing qualification he/she indicated on renewal. If you have questions about the requirements, feel free to call the Board office. Page 6 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 GRADUATING FROM A NURSING PROGRAM AND PASSING THE LICENSURE EXAM: WHAT SHOULD YOU KNOW? You have graduated from your nursing program, are waiting to take your National Council Licensure Examination (NCLEX), and life is good! Now all you have to do is go to work, do as directed, and all will be taken care of…right? Well, not exactly. There are guidelines to guide your employment in a health care facility after graduating from a nursing education program yet prior to obtaining licensure. Employment before Licensure Employment of Nursing Students or Non-Licensed Graduates Guidelines provide direction when a nursing student or recent graduate of a nursing education program is employed by a health care institution. Recent graduates of nursing education programs may be hired to perform basic nursing assistant skills as well as other technical skills learned in the nursing education program, under the supervision of a Registered Nurse, prior to obtaining nurse licensure. The title used for this position according to the Employment of Nursing Students or Non-Licensed Graduates Guidelines is “Nurse Technician” or “Practical Nurse Technician”; however, some facilities may use other titles for this role. The Nurse Technician or Practical Nurse Technician MAY NOT administer medication (including but not limited to blood products and intravenous fluids), perform assessments, act in a supervisory position, take verbal orders from the physician or other health care provider, or develop the plan of care. The graduate may continue to be employed in a Nurse Technician role until licensed in any state, territory, or country, provided that the first licensure examination is taken within 90 days after graduation and the examination is passed within 6 months of graduation, on either the first or second attempt. The Employment of Nursing Students or Non-Licensed Graduates Guidelines can be accessed at http://www.ok.gov/nursing/ed-guide. pdf. You must obtain a license before orienting or working in a position requiring a nursing license. Failure to do so results in practicing nursing without a license. You may participate in general hospital orientation that is non-specific to your future position that requires a nursing license. Know Your Scope of Practice You have now successfully passed your NCLEX exam, obtained a nursing license, completed orientation to your role in a health care facility, and know all that you need to know in providing safe nursing care. Right? WRONG! As a newly-licensed nurse, you need to be thoroughly familiar with the Oklahoma Nursing Practice Act and Rules. These documents provide the legal basis for your practice. It is the responsibility of the newly licensed nurse to become familiar with nursing licensure regulation. This can be easily accomplished through the Board of Nursing website: www.ok.gov/nursing. The first step is to become familiar with your scope of practice. The scope of practice is included in the Nursing Practice Act. For Registered Nurses, see Section 567.3a.3, and for Licensed Practical Nurses, see Section 567.3a.4. Licensed practical nursing means the practice of nursing under the supervision or direction of a Registered Nurse, licensed physician, or dentist. The scope of practice does not provide a listing of all acts permissible at your level of licensure. When questioning whether you can perform a specific act, you may access the Decision- Making Model for Scope of Nursing Practice Decisions: Determining Advanced Practice Registered Nurse, Registered Nurse, and Licensed Practical Nurse Scope of Practice Guidelines (Decision-Making Model). The model can be reviewed on the homepage by accessing “Guidelines” or at http:www.ok.gov/ (Continued on page 7) Page 7 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 nursing/prac-decmak.pdf. To determine if the act is within your scope of practice, move through the seven questions. If uncertainty continues, contact the Board of Nursing. In protecting both the public and your license, you need to be aware of what acts may result in denial, revocation or suspension of your nursing license. This information is included in the Nursing Practice Act, specifically Section 567.8. Unprofessional conduct, included in the list of causes for imposition of disciplinary action, is defined in the Rules, specifically Section 485:10-11-1(b)(3). Rules may be accessed through the legend on the left of the homepage. Use Board Guidelines and Other Resources Additional information helpful in your practice environment can be found under “Guidelines” on the Board of Nursing website: http://www.ok.gov/nursing/ prac1/html. Guidelines particularly useful to the new nurse include but are not limited to the following: Abandonment Statement: This statement provides information specific to acts that may be considered patient abandonment, and acts that may not be considered as patient abandonment. The direct link to this guideline is http://www.ok.gov/nursing/prac-aband. pdf. Delegation of Nursing Functions to Unlicensed Persons: While the guideline advises that delegation must fall within the nurse’s respective scope of practice and must occur within the framework of the job description of the delegatee and organizational policies and procedures, it also lists nursing tasks that require nursing assessment, judgment, evaluation, and teaching during implementation that cannot be delegated. These tasks include physical, psychological, and social assessment; formulation of the nursing plan of care and evaluation of the client’s response to care provided; and the administration of medications except as authorized by state and/or federal regulations. This guideline can be accessed at http://www.ok.gov/nursing/delegation.pdf. IV Medication Administration by Licensed Practical Nurses Statement: IV therapy and medication administration may be within the scope of practice of the Licensed Practical Nurse who has appropriate educational training and under supervision. In (Continued from page 6) addition to other valuable information, the guideline identifies the responsibility of the assessment and analysis of the assessment data to determine nursing care needs as that of the Registered Nurse. The guideline can b e a c c e s s e d a t http://www.ok.gov/nursing/IVMed.pdf. �� Moderate (Conscious) Sedation Guidelines for Registered Nurse Managing and Monitoring Patients: This guideline includes qualifications for the administration, management, and/or monitoring by Registered Nurses as well as the process for providing this act. The most frequent issue surrounding this guideline includes what medications the Registered Nurse may administer. It is noted that a licensed nurse who is not a Certified Registered Nurse Anesthetist may not administer or monitor any and all drugs used in general anesthesia or moderate (conscious) sedation if the drug manufacturer’s general warning advise the drug should be administered and monitored by persons experienced in the use of general anesthesia who are not involved in the conduct of the surgical and/or diagnostic procedure. For access: http://www.ok.gov/ nursing/prac-rnguid.pdf. Monitoring of the Moderate (Conscious) Sedation Patient by Licensed Practical Nurse Guidelines: Differing from the guideline listed previously, this guideline is specific to the role of the Licensed Practical Nurse (LPN) in monitoring moderate (conscious) sedation. It should be noted that the administration of medication to and the management of the moderate sedation remains the responsibility of the Registered Nurse, licensed physician, or dentist. The LPN monitoring the patient receiving moderate sedation shall have no other responsibilities that would leave the patient unattended or would compromise continuous monitoring. This guideline can be accessed at http://www.ok.gov/nursing/prac-lpnguid.pdf. Patient Assessment Guidelines: The purpose of this guideline is to identify the roles of the (Continued on page 8) Page 8 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 NOTICE TO LICENSEES SUBMITTING ONLINE RENEWALS: The OBN online renewal system provides a convenient way for you to submit your renewal. However, it is essential that you protect the secu-rity of your online information. Your PIN number, which is required for the renewal, should not be shared with anyone, even with your spouse or with support staff members at your place of employment who tell you that it is their “job” to submit the renewal for you. You are the only per-son who can complete and submit your online renewal! Registered Nurse (RN) and Licensed Practical Nurse (LPN) in the assessment of patients. Both the comprehensive nursing assessment (to be performed by the RN) and focused assessments (allowed to be performed by LPNs) are defined, as well as the licensed nurse’s role in nursing assessment. Access is provided at http:// www.ok.gov/nursing/ptassessgl.pdf Frequently Asked Questions: The Board staff receives questions from licensed nurses and other stakeholders regarding nursing practice issues. The Board of Nursing has trended these questions and provided a listing of the frequently asked questions as a resource for nurses. Do note that the questions and answers provided are included for illustration ONLY and cannot be relied upon as correct under ALL circumstances. Each situation may present unique facts for consideration on a case-by-case basis. The questions can be accessed at http:// www.ok.gov/nursing/practicefaq.pdf. Preparing for Renewal Nursing licensure renewal is required. If you are a Licensed Practical Nurse, your license will expire on the last day of your birth month during odd years. (Continued from page 7) Registered Nurses must renew their nursing licenses on or before the last day of the birth month during even years. Nurses who are not U.S. citizens, U.S. nationals, or permanent legal resident aliens may have different expiration dates. Licensure renewal is the responsibility of the licensee, and may be performed online within 90 days prior to the license expiration date. Failure to renew by the expiration date will result in a lapsed license, requiring the licensee to cease nursing practice and to proceed through the license reinstatement process. Beginning in January 2014, licensed nurses will be required to indicate continuing qualifications for license renewal. The requirements for continuing qualifications for practice are included in the Rules, specifically 485:10-7-3 (e)(1) – (5). Summary Recognizing the importance of providing safe patient care and in an attempt to provide an orientation to nursing regulation, the above information has been provided as a support for newly licensed nurses. If you have practice questions that are not addressed, do not hesitate to call the Board of Nursing at (405) 962-1800. Page 9 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OBN LAUNCHES A “GREEN” INITIATIVE In the FY 2012 - 2016 Strategic Plan of the Oklahoma Board of Nursing, one of the Key Performance Measures is to achieve a 50% reduction in the use of paper for the office operations. To implement this measure, the Oklahoma Board of Nursing (OBN) will undertake several actions over the next several years, including converting the current Oklahoma Board of Nursing Newsletter to an electronic format. The November 2011 Newsletter will be the last hard-copy newsletter you receive from OBN. In Spring 2012, OBN will make the newsletter available on its website: www.ok.gov/nursing. In addition, OBN has begun requesting email addresses for all licensed nurses on initial applications and at the time of renewal, with the goal of providing the newsletter, as well as other communication from OBN, to each nurse via email in the future. OBN’s website provides a wealth of information for the practicing nurse, including access to forms and applications, practice guidelines and policies, practice news and alerts, nursing education guidelines and policies, minutes of Board and committee meetings, and OBN data. We encourage all licensed nurses to check the OBN website frequently for new information that may impact them. DISCIPLINE INFORMATION NOW AVAILABLE ON THE BOARD’S WEBSITE Effective July 1, 2011, the Board’s disciplinary orders are provided online dating back to January 2009. Board Orders are usually posted within two (2) months of the nurse’s administrative hearing. To access discipline, go to the Board’s website and click on the link to “License Verification.” If there has been disciplinary action taken since Jnaury 2009, there will be a “Y” under Discipline Since 1/09.” Click on the “Y” to review and/or print the related information. For certified copies of the disciplinary action, or for disciplinary action taken prior to January 2009, a request for Written Verification of Licensure and the appropriate fee will need to be submitted to the Board. You may obtain the appropriate form on the Board’s website on the following link: www.ok.gov/nursing/writverify.pdf. Submit the completed form with the fee to the Oklahoma Board of Nursing requesting a copy of the disciplinary records. Alternatively, you may visit the Board office to request the open records. To verify licensure status and expiration date, please go to the Board’s website: www.ok.gov/nursing. Click on the link for “License Verification.” Do you have questions related to the Board’s regulations and guidelines? You may access the Oklahoma Nursing Practice Act, Rules of the Oklahoma Board of Nursing, and Board guidelines on the Board’s website: www.ok.gov/nursing. NCLEX-RN AND PN PASS RATES FOR CY 2010 Page 10 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 In the State of Oklahoma, there are 34 registered nursing education programs and 31 practical nursing education programs that lead to initial licensure. These programs graduated 3,408 students during FY 2011. After graduation, graduates take the National Council Licensure Examination (NCLEX) to become licensed in the state or territory to which they have applied. In Calendar Year (CY) 2010, 2,298 graduates of Oklahoma registered nursing education programs took the NCLEX-RN, and 1,255 graduates of Oklahoma practical nursing education programs took the NCLEX-PN as first-time candidates. Oklahoma-educated first-time candidates for registered nurse licensure achieved an overall 86.77% NCLEX-RN pass rate in CY 2010. This is the second highest NCLEX-RN pass rate that the state has achieved in the past ten years. The highest NCLEX-RN Oklahoma pass rate of 88.88% occurred in CY 2006. The Oklahoma NCLEX-RN pass rate rose for the fourth consecutive year, ranking higher than 21 other states and jurisdictions. Between CY 2007 and 2010, the Oklahoma NCLEX-RN pass rate rose from 82.07% to 86.77%. Approximately 53% of all campuses in Oklahoma pre-licensure associate degree and baccalaureate degree nursing education programs achieved higher pass rates, and 16% averaged more than 10 percentage points lower than the national CY 2010 NCLEX-RN pass rate of 87.42%. In 2010, there were 2,298 first-time Oklahoma-educated RN candidates taking the NCLEX-RN exam, which is a record high. In CY 2010, first-time Oklahoma-educated candidates for practical nurse licensure achieved an NCLEX-PN pass rate of 91.95%, which is the highest pass rate the state has achieved in the past ten years. Between CY 2003 and CY 2010, the first-time Oklahoma-educated NCLEX-PN candidate averages ranked consistently above the national NCLEX-PN average. Approximately 75% of all campuses offering practical nursing education achieved higher pass rates, and 8% averaged more than 10 percentage points lower than the national CY 2010 NCLEX-PN pass rate of 87.05%. Oklahoma practical nursing programs ranked higher than 29 other states or jurisdictions on the NCLEX-PN exam in CY 2010. In 2010, there were 1,255 first-time Oklahoma-educated PN candidates taking the NCLEX-PN exam. Oklahoma nursing education program NCLEX-RN and NCLEX-PN pass rate percentages per calendar year from 2001 through 2010 are listed on pages 11- 14. Page 11 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-RN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 Nursing Program 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Bacone College - Muskogee 81.80 61.11 68.75 58.82 78.57 72.41 100.00 85.71 33.30 62.96 27 Carl Albert State College - Poteau 85.00 94.74 90.24 100.00 93.33 95.83 73.91 77.78 100.00 100.00 14 Carl Albert State College - Sallisaw N/A N/A N/A N/A 80.00 100.00 100.00 66.67 100.00 83.33 6 Connors State College - Warner 87.00 94.44 77.27 77.78 92.00 100.00 95.65 100.00 92.59 N/A N/A Connors State College - Muskogee 100.00 100.00 87.50 78.79 91.67 100.00 91.43 100.00 97.62 95.80 72 East Central University - Ardmore N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 3 East Central University - Ada 100.00 91.67 91.30 82.05 88.00 79.07 83.33 94.29 97.30 85.71 35 East Central University - Durant N/A N/A 81.82 100 91.67 81.25 88.24 92.86 100.00 90.00 10 Eastern Okla State College - Wilburton 52.90 76.47 93.75 52.38 88.88 84.21 86.36 79.31 77.78 86.67 15 Eastern Okla State College - McAlester 61.10 N/A N/A N/A N/A N/A N/A 92.86 80.00 100.00 14 Eastern Okla State College - Idabel 81.80 84.62 86.96 81.82 86.66 86.36 80.00 93.75 76.00 60.00 25 Langston University - Langston 53.30 42.86 100.00 100.00 80.00 87.50 60.00 85.71 83.33 83.33 18 Langston University - Tulsa 85.70 81.25 71.43 78.94 69.23 91.11 65.96 62.22 70.21 80.95 42 Murray State College - Tishomingo 73.20 66.67 96.00 85.71 87.50 98.04 80.70 71.43 78.57 72.92 48 Murray State College - Internet N/A N/A N/A N/A N/A N/A N/A N/A 84.21 83.33 18 Northeastern Okla A&M College - Miami 62.50 90.00 92.86 89.58 87.50 100.00 84.78 88.64 70.83 77.61 67 Northeastern Okla A&M College - Grove N/A N/A N/A N/A N/A 100.00 100.00 100.00 85.71 100.00 5 Northern Oklahoma College - Tonkawa 100.00 90.00 92.86 90.00 86.21 81.25 95.83 80.00 80.00 92.31 26 Northern Oklahoma College - Enid 95.00 78.26 85.00 89.66 94.74 97.06 96.00 76.00 75.00 92.00 25 Northern Oklahoma College - Stillwater N/A N/A 100.00 100.00 88.24 86.36 87.50 86.96 85.71 91.67 24 Northwestern Okla State University - Alva 75.00 100.00 33.33 66.67 50.00 93.33 70.00 100.00 100.00 100.00 7 Northwestern Okla State University - Enid 83.33 83.33 100.00 88.89 82.35 100.00 73.33 88.89 100.00 100.00 9 Northwestern Okla State University - Woodward N/A N/A N/A N/A 66.67 50.00 100.00 N/A 100.00 100.00 1 Oklahoma Baptist University - Shawnee 96.30 94.74 93.33 86.96 80.00 65.71 90.91 87.50 80.95 91.49 47 Oklahoma Christian University - Okla City N/A N/A N/A N/A N/A N/A N/A 88.24 88.89 63.64 22 Oklahoma City Community College - Okla City 85.20 85.86 89.00 86.61 83.47 85.71 89.55 92.78 91.75 92.57 202 Oklahoma City University - Okla City 77.80 63.64 58.00 57.89 92.59 97.67 92.11 97.73 94.74 98.25 57 Oklahoma State University - Okla City 86.90 88.41 86.00 81.61 89.42 96.04 93.97 83.33 90.70 86.36 154 Oklahoma State University - Goodwell 100.00 83.33 100.00 83.33 83.33 100.00 100.00 100.00 N/A N/A N/A Oklahoma State University - Okmulgee N/A N/A N/A N/A 53.85 62.07 66.67 71.43 82.35 92.31 13 Oklahoma Wesleyan University - Bartlesville N/A N/A N/A N/A N/A N/A N/A 70.00 66.67 100.00 9 Oral Roberts University -Tulsa 80.00 86.67 83.00 74.07 83.33 89.29 76.32 90.32 100.00 86.11 36 Page 12 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-RN CANDIDATE PASS RATE (Percent by Calendar Year) # 2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Platt College - Okla City N/A N/A N/A N/A 84.00 69.39 47.57 56.18 59.26 68.35 79 Platt College - Tulsa N/A N/A N/A N/A N/A 67.57 53.13 67.24 80.49 76.36 55 Re-Entry/Board Request N/A N/A N/A N/A 100.00 100.00 100.00 75.00 45.45 64.71 17 Redlands Community College - El Reno 90.30 84.62 88.89 69.49 87.17 94.74 83.72 95.24 96.43 88.89 27 Redlands Community College - Mercy Campus N/A N/A N/A 100.00 71.42 50.00 66.67 25.00 N/A N/A N/A Redlands Community College - OU Medical Ctr. N/A N/A N/A N/A N/A N/A 58.33 N/A N/A N/A N/A Rogers State University - Claremore N/A 97.14 92.50 86.96 85.00 96.77 92.00 92.16 77.05 93.88 49 Rogers State University - Bartlesville N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 6 Rose State College - Midwest City 90.00 77.42 87.01 87.36 92.75 95.95 85.23 95.55 81.65 81.71 82 Rose State College - Internet 87.50 81.25 93.10 93.55 79.17 100.00 90.00 77.78 88.89 86.36 22 Seminole State College - Seminole 100.00 77.78 84.21 88.00 85.71 90.48 76.19 87.50 92.00 80.00 20 Southern Nazarene University - Bethany 57.10 N/A 66.67 50.00 46.67 85.19 68.97 88.89 100.00 91.67 12 Southwestern OK State University - Weatherford 100.00 100.00 82.35 90.00 93.33 83.33 86.11 95.65 90.91 84.21 38 Tulsa Community College - Tulsa 79.50 86.30 85.86 92.78 88.37 90.48 91.60 95.53 94.06 90.00 130 University of Central Oklahoma - Edmond 86.10 83.61 78.85 90.91 91.89 93.55 90.24 89.71 91.01 87.91 91 University of Oklahoma - Mercy N/A 50 N/A N/A N/A N/A N/A N/A N/A N/A N/A University of Oklahoma - Okla City 91.60 84.21 86.32 83.48 92.36 91.62 84.02 87.21 92.57 87.50 168 University of Oklahoma - Tulsa 100.00 100.00 100.00 96.15 100.00 94.44 90.00 88.89 94.44 93.83 81 University of Oklahoma - Lawton 88.57 78.13 96.00 90.63 80.56 82.05 59.52 82.46 97.96 82.35 51 University of Oklahoma - Woodward/Enid 100.00 80.00 100.00 100.00 N/A N/A N/A N/A N/A N/A N/A University of Oklahoma - Internet Campus N/A N/A N/A N/A N/A 100.00 100.00 100.00 96.08 92.86 210 University of Tulsa - Tulsa 94.40 82.35 88.24 53.33 80.00 95.45 77.27 100.00 90.48 92.86 28 Western Oklahoma State College - Altus 95.80 90.91 91.67 81.25 93.33 82.75 80.95 86.36 100.00 90.24 41 Western Oklahoma State College - Duncan N/A N/A N/A N/A N/A N/A N/A 85.71 87.50 N/A N/A Western Oklahoma State College - Elk City N/A N/A N/A N/A N/A N/A N/A 84.62 91.67 84.62 13 Western Oklahoma State College - Lawton N/A N/A N/A N/A 92.86 82.35 75.00 88.46 100.00 76.67 30 Oklahoma Pass Rate 84.92 83.92 86.36 83.68 86.59 88.88 82.07 85.65 86.67 86.77 2,298 National Pass Rate 85.53 86.66 87.01 85.26 87.29 88.11 85.47 86.73 88.42 87.42 140,883 Page 13 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-PN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Autry Technology Center - Enid 80.00 95.24 93.75 100.00 100.00 100.00 100.00 90.00 93.33 90.00 10 Caddo-Kiowa Technology Center - Ft. Cobb 86.70 90.00 95.83 100.00 89.47 72.73 88.89 84.21 60.00 94.44 18 Canadian Valley Technology Center - Chickasha 100.00 100.00 100.00 100.00 95.24 93.75 100.00 100.00 85.71 100.00 20 Canadian Valley Technology Center - El Reno 100.00 88.89 82.35 100.00 95.24 100.00 88.24 100.00 100.00 100.00 20 Central Technology Center - Drumright 95.80 87.10 N/A 68.42 N/A 79.17 75.00 76.47 77.27 84.62 13 Central Technology Center - Sapulpa N/A N/A 100.00 95.00 95.24 88.10 80.00 72.22 86.67 100.00 9 Chisholm Trail Technology Center - Omega 80.00 100.00 100.00 100.00 100.00 100.00 77.78 100.00 83.33 71.43 7 Comanche Nation College - Lawton N/A N/A N/A N/A N/A N/A N/A N/A N/A 83.33 6 Equivalency (Air Force) 100.00 100.00 56.25 85.71 N/A 70.00 89.47 83.33 N/A N/A N/A Francis Tuttle Technology Center - Okla City 80.00 88.00 96.97 94.44 88.10 92.11 86.05 92.59 86.84 93.88 49 Gordon Cooper Technolgy Center - Shawnee 100.00 77.27 80.95 86.36 92.59 100.00 96.15 100.00 96.15 95.45 22 Great Plains Technology Center - Lawton 84.20 90.57 90.91 96.15 93.18 84.91 91.67 87.18 94.59 90.91 44 Great Plains Technology Center - Frederick N/A N/A 69.23 62.50 80.00 71.43 100.00 100.00 100.00 80.00 5 Great Plains Technology Center - Comanche Nation N/A N/A N /A N/A N/A 100.00 83.33 100.00 N/A N/A N/A Green Country Technology Center - Okmulgee 58.30 69.23 90.91 83.33 95.45 70.83 90.48 62.50 83.33 66.67 27 High Plains Technology Center - Woodward 53.30 68.42 94.12 81.82 85.71 68.75 80.95 100.00 95.24 81.82 22 Indian Capital Technology Center - Tahlequah 100.00 84.62 90.00 100.00 90.91 100.00 100.00 91.67 100.00 100.00 14 Indian Capital Technology Center - Muskogee 100.00 100.00 90.91 100.00 100.00 100.00 100.00 100.00 93.75 91.67 12 Indian Capital Technology Center - Sallisaw 80.00 100.00 87.50 93.33 100.00 100.00 100.00 95.65 81.25 95.45 22 Indian Capital Technology Center - Stilwell 80.00 71.43 66.67 100.00 100.00 100.00 70.00 90.00 100.00 90.00 10 Kiamichi Technology Center - Antlers N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 11 Kiamichi Technology Center - Atoka N/A 66.67 N/A 91.30 N/A 100.00 100.00 100.00 100.00 N/A N/A Kiamichi Technology Center - Durant 95.20 90.32 94.74 89.29 92.31 100.00 95.24 96.67 96.15 100.00 29 Kiamichi Technology Center - Hugo 76.50 94.44 95.24 95.24 100.00 95.24 95.83 100.00 100.00 100.00 17 Kiamichi Technology Center - Idabel 100.00 93.75 100.00 100.00 100.00 93.10 100.00 96.55 100.00 100.00 22 Kiamichi Technology Center - McAlester 90.90 100.00 88.89 100.00 94.12 95.00 100.00 100.00 100.00 100.00 14 Kiamichi Technology Center - Poteau 78.30 80.95 91.30 100.00 84.00 70.83 100.00 95.24 100.00 100.00 13 Kiamichi Technology Center - Stigler N/A 92.31 N/A 100.00 N/A 81.82 N/A 77.78 N/A 100.00 12 Kiamichi Technology Center - Talihina 100 88.89 N/A 90.00 N/A 100.00 N/A 100.00 N/A 100.00 4 Page 14 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-PN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Meridian Technology Center - Stillwater 84.60 70.00 90.63 90.00 100.00 77.78 94.74 90.00 64.71 72.00 25 Metro Technology Center - Okla City 78.90 90.91 82.61 90.00 90.00 97.30 92.31 91.80 95.12 95.65 46 Mid-America Technology Center - Wayne 86.70 90.91 79.17 91.30 91.30 87.50 96.00 95.24 86.96 100.00 24 Mid-Del Technology Cntr. - Midwest City 78.60 57.14 88.89 85.71 100.00 100.00 95.45 90.91 100.00 100.00 13 Moore Norman Tech. Cntr. - Norman 71.40 89.47 90.70 87.88 87.80 87.88 97.92 97.06 97.14 93.75 32 Northeast Technology Center - Afton 81.30 93.30 95.45 91.67 83.33 96.15 93.33 96.15 90.48 100.00 13 Northeast Technology Center - Claremore N/A N/A N/A N/A N/A N/A N/A N/A N/A 88.89 9 Northeast Technology Center - Kansas 93.30 84.61 71.43 85.71 85.71 84.21 92.31 86.21 100.00 100.00 25 Northeast Technology Center - Pryor 95.70 100.00 91.30 100.00 95.65 88.24 86.36 95.45 88.46 100.00 24 Pioneer Technology Center - Ponca City 81.30 100.00 94.12 100.00 100.00 94.74 100.00 95.65 85.71 92.86 14 Platt College - Okla City 79.20 72.73 84.00 77.36 86.54 70.49 90.70 81.25 75.81 79.41 68 Platt College - Tulsa 94.30 87.88 86.15 90.77 93.15 97.22 93.67 98.73 95.52 97.26 73 Platt College - Lawton 76.70 70.27 93.55 86.49 86.96 83.33 83.33 91.67 75.00 93.75 16 Platt College - Moore N/A N/A N/A N/A 70.77 67.86 70.19 83.10 77.08 83.33 60 Pontotoc Technology Center - Ada 81.00 79.17 81.48 80.77 81.82 83.33 85.00 84.21 82.00 70.83 24 Partial RN Education taking PN 96.20 96.90 98.57 94.96 N/A 98.17 96.04 96.59 94.96 97.24 145 RN Failure Taking PN N/A N/A 97.30 95.65 N/A 100.00 100.00 100.00 100.00 100.00 6 Re-Entry/Board Request N/A N/A N/A N/A N/A N /A N/A N/A 100.00 83.33 6 Red River Technology Center - Duncan 87.50 100.00 79.17 100.00 95.00 100.00 100.00 90.00 89.47 100.00 13 Southern Okla Tech. Cntr. - Ardmore 100.00 93.75 78.57 100.00 100.00 100.00 100.00 95.24 100.00 100.00 20 Southwest Technology Center - Altus 79.20 91.67 82.61 92.00 100.00 88.24 83.33 83.33 90.91 93.75 16 Tri County Tech. Cntr. - Bartlesville 96.30 80.00 97.14 96.00 100.00 91.18 97.06 93.94 87.18 92.31 39 Tulsa Technology Center - Tulsa 95.00 80.56 88.57 84.62 80.43 82.35 79.41 85.51 85.96 84.06 69 Tulsa Technology Center - St. Francis N/A N/A 100.00 100.00 100.00 N/A 100.00 100.00 N/A N/A N/A Tulsa Technology Center - Hillcrest N/A N/A N/A 100.00 100.00 100.00 N/A N/A N/A N/A N/A Tulsa Technology Center - St. John's N/A N/A N/A 100.00 N/A N/A 100.00 N/A N/A N/A N/A Wes Watkins Tech. Cntr. - Wetumka 100.00 100.00 100.00 92.86 100.00 87.50 100.00 77.78 88.89 100.00 9 Western Technology Center - Burns Flat 65.40 90.48 94.44 100.00 88.89 94.44 95.65 88.24 80.77 84.62 13 Oklahoma Pass Rate 86.41 86.07 89.21 91.81 90.95 88.95 90.14 90.90 89.43 91.95 1,255 National Pass Rate 86.46 86.50 88.21 89.36 89.06 87.87 87.25 85.62 85.73 87.6 66,818 Page 15 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA NURSING POPULATION - FY 2011 Introduction According to the 2011 Annual Report of the Oklahoma Board of Nursing, the State of Oklahoma continues to have an increasing number of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Advanced Unlicensed Assistants (AUAs). At the end of FY 2011, there were a total of 43,586 Registered Nurses licensed in the State of Oklahoma, which represents an increase of nearly 17% in the last five years. There are also more Licensed Practical Nurses licensed in Oklahoma than there were five years ago, with a total of 17,991 currently licensed, an increase of more than 2% from five years ago. In addition, 649 Advanced Unlicensed Assistants held certification through the Oklahoma Board of Nursing at the end of FY 2011. Employment of the Nursing Population Information regarding employment of licensees is gathered at the time of renewal. In FY 2011, 80% of RNs and 71% of LPNs with active licenses reported employment in nursing at the time of license renewal. The actual percentage of employed RNs and LPNs is likely even higher, since the employment status of new licensees is shown as unknown until submission of the first renewal (the employment status is listed as unknown for almost 10% of RNs and 17% of LPNs). Of those who live in Oklahoma and report employment in nursing, 85% of RNs and 86% of LPNs work full-time. Nurses Residing in Oklahoma and Reporting Employment in Nursing: (Continued on page 16) FIELD # RNs % RNs # LPNs %LPNs Ambulatory Care 1,036 3.4% 319 2.6% Case Management 811 2.7% 244 2% Community/Public Health 1,188 3.9% 445 3.7% Home Health 2,423 7.9% 1,890 15.5% Hospital 18,566 60.9% 2,779 22.9% Long-Term/Extended Care 1,450 4.8% 3,666 30.2% Occupational Health 124 0.4% 98 0.8% Other 2,508 8.2% 1,358 11.2% Private Practice 1,202 3.9% 1,194 9.8% School of Nursing 423 1.4% 129 1.1% School Health 752 2.5% 29 0.2% Unknown 9 0% 7 0% Total 30,492 100% 12,158 100% Page 16 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 Education and Gender of the Nursing Population The FY 2011 annual report also indicated that almost 52% of all RNs licensed in Oklahoma hold an associate degree, and 32% hold a baccalaureate degree in nursing as the highest degree held. Less than 7% of RNs hold graduate degrees in nursing. Approximately 8% of RNs and 6% of LPNs who are employed and residing in Oklahoma are male. This percentage has remained unchanged for the past three years. Advanced Practice Registered Nurses Of the 43,586 RNs licensed in Oklahoma at the end of FY 2011, 2,010 held advanced practice recognition. Advanced practice recognition is required for practice as an Advanced Registered Nurse Practitioner (ARNP), Certified Nurse Midwife (CNM), Certified Registered Nursing Anesthetist (CRNA), or Clinical Nurse Specialist (CNS). The number of Registered Nurses holding advanced practice recognition has increased by 43% in the past five years. The following table shows the population of advanced practice nurses in each of the four advanced practice fields during the past five years: Advanced Practice Registered Nurses Recognized in Oklahoma The percent of advanced practice nurses with prescriptive authority also continues to rise. Currently, approximately 66% of advanced practice nurses hold either prescriptive authority recognition, or, in the case of Certified Registered Nurse Anesthetists, authority to select, order, obtain, and administer drugs. Advanced Registered Nurse Practitioners are most likely to obtain prescriptive authority recognition, with 86% of ARNPs holding prescriptive authority recognition. Conclusion Significant increases in the Oklahoma Registered Nurse population in particular are noted over the past five years. The population of Licensed Practical Nurses is holding steady, with a small increase noted. In addition, the percentage of Registered Nurses holding advanced practice recognition has increased dramatically over the past five years. At the time of preparation of this newsletter, work on the 2011 Annual Report of the Oklahoma Board of Nursing was being completed in preparation for publication. Once published, the Annual Report may be viewed in full on the Board’s website: www.ok.gov/nursing, under the link for “Publications.” (Continued from page 15) Type of Recognition FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 1 & 5 Year Variances ARNP 731 841 940 1,024 1,092 6.6% / 49.4% CNM 46 53 59 57 58 1.8% / 26.1% CNS 186 229 243 247 249 0.8% / 33.9% CRNA 511 544 589 564 611 8.3% / 19.6% TOTAL 1,474 1,667 1,831 1,892 2,010 6.2% / 36.4% BOARD MEETING NOTICE All Oklahoma Board of Nursing meetings are open to the public except those portions that may be in Ex-ecutive Session. The first day of Board meetings generally begins at 5:30 p.m., with the second and third day beginning at 8:00 a.m. All actions of the Board are taken in open session. Nurses, members of other professional disciplines, students, and the public are invited to attend. Groups that plan to attend should schedule their attendance in advance with the Board office to ensure that seating is available. There is an Open Forum on the first day of each Board meeting. Anyone wishing to address the Board about a nurs-ing issue should contact Kim Glazier, Executive Director, and request to be placed on the agenda for the Open Forum. Committee meetings are also open to the public. Please call ahead if you plan to attend, as dates, times, and locations may be changed. The committee meetings are cancelled and rescheduled if it is determined that a quorum will not be present. OKLAHOMA BOARD OF NURSING MEMBERS TERM ENDS Liz Michael, RN, MS, President 2013 Joni Jeter, RN, MS, Vice-President 2014 Lauri Jones, RN, BSN, Secretary-Treasurer 2015 Linda Martin, LPN 2011 Elizabeth Schultz, CRNA, MS 2011 Nettie Seale, RN, MEd 2011 Francene Weatherby, PhD, RN 2012 Linda Coyer, LPN 2012 Jean Winter, LPN 2013 June Cash, Public Member 2011 Page 17 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 Oklahoma Board of Nursing Generally begins 1st day - 5:30 p.m. 2nd & 3rd day - 8:00 a.m. Please check agenda for time. Nov. 8, 9, & 10, 2011 Jan. 31, Feb. 1, & 2, 2012 March 27, 28, & 29, 2012 May 22, 23, & 24, 2012 July 24, 25, & 26, 2012 Sept. 25, 26, & 27, 2012 Nov. 6, 7, & 8, 2012 Wyndham Garden Hotel 2101 S. Meridian Oklahoma City, OK 405-685-4000 Advanced Practice Advisory Committee February 23, 2012 Board office CRNA Formulary Advisory Council April 23, 2012 Board office MEETING DATE SITES SUMMARY OF BOARD ACTIVITIES During the March 2011 Board meeting, the Board: Appointed Kelligh Lloyd, RN, to the Peer Assistance Committee; Accepted a follow-up report from Platt College Associate Degree Nursing Program, Tulsa; Accepted a follow-up report from Comanche Nation College Practical Nursing Program, Lawton, and granted Full Approval status for a period of two (2) years; Accepted a survey visit report for Platt College Associate Degree Nursing Program, Oklahoma City, and granted Full Approval status for a period of two (2) years; Accepted a report on 2010 NCLEX pass rates for Oklahoma nursing education programs; Accepted a survey visit report for Francis Tuttle Technology Center Practical Nursing Program, Oklahoma City, and granted continuing Full Approval status for a period of five (5) years; Accepted a survey visit report for Western Oklahoma State College Associate Degree Nursing Program, campuses in Altus, Lawton, and Elk City, and granted continuing Full Approval status for a period of five (5) years; and Accepted a curriculum change request and the addition of a high school option for Indian Capital Technology Center Practical Nursing Program, campuses in Muskogee, Tahlequah, Stilwell, and Sallisaw. During the May 2011 Board meeting, the Board: Reviewed and approved proposed revisions or accepted without revision the following policies, procedures, or guidelines: o Determining Appropriate Faculty to Student Ratios in the Clinical Area in Board-Approved Nursing Education Programs Guidelines, #E-09 o Registered Nurse in Administering, Managing and Monitoring Non-Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques (Epidural, PCEA and Intrathecal Catheters) Guidelines,#P-03 o Registered Nurse Monitoring Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques (Epidural, PCEA and Intrathecal Catheters) Guidelines, #P-04 o Evaluation Criteria Investigation Division, #I-13 o Self-Assessment Report Guidelines, #I-16; Appointed Tim Castoe, RN, CARN, and Jayne Oertle, RN, MSN, CNS, CARN, to the Peer Assistance Committee; Accepted a survey visit report for Oklahoma Christian University, Oklahoma City, and granted continuing Full Approval status for five (5) years; Accepted curriculum change request for Kiamichi Technology Center, campuses in Atoka, Idabel, Antlers, Durant, Hugo, Poteau, Stigler, Talihina, and McAlester; Accepted 2010 NCLEX pass rate reports and committee recommendations on the following nursing education programs: o Bacone College, Muskogee o Eastern Oklahoma State College, Idabel o Green Country Technology Center, Okmulgee o Meridian Technology Center, Stillwater (Continued on page 19) PAGE 18 OKLAHOMA BOARD OF NURSING NEWSLETTER NOVEMBER 2011 o Murray State College, Tishomingo o Platt College- Associate Degree, Oklahoma City o Platt College- Associate Degree, Tulsa o Pontotoc Technology Center, Ada o Oklahoma Christian University, Edmond o Western Oklahoma State College, Lawton; Accepted a report on 2010 pass rates for Advanced Unlicensed Assistant programs; Accepted survey visit reports and granted continuing Full Approval status for five (5) years for the following programs: o Northern Oklahoma College, campuses in Tonkawa, Stillwater, and Enid o Southern Nazarene University, Bethany; and Approved curriculum change requests for the following programs: o Western Technology Center, Burns Flat o Central Technology Center, campuses in Drumright and Sapulpa. During the July 2011 Board meeting, the Board: Reviewed and approved proposed revisions or accepted without revision the following policies, procedures, or guidelines: o CRNA Inclusionary Formulary, #P-50A o Continuance of Hearings Policy, #I-01 o Approved Skills List for Performance by Board-Certified Advanced Unlicensed Assistants, #E- 43 o Moderate (Conscious) Sedation Guidelines for Registered Nurse Managing and Monitoring Patients, #P-06; Accepted survey visit reports and granted continuing Full Approval status for five (5) years for the following programs: o Pontotoc Technology Center, Ada o Oklahoma Baptist University, Shawnee o East Central University, campuses in Ada, Durant, and Ardmore o Oklahoma Wesleyan University, Bartlesville o Red River Technology Center, Duncan o High Plains Technology Center, Woodward; and Accepted survey visit report and granted Full Approval status for three (3) years for ITT Technical Institute, Oklahoma City. Minutes of the meetings of the Oklahoma Board of Nursing are available for review on the Board’s website: www.ok.gov/nursing. Click on the link for “Board Info.” (Continued from page 18) PAGE 19 OKLAHOMA BOARD OF NURSING NEWSLETTER NOVEMBER 2011 OKLAHOMA BOARD OF NURSING 2915 N. CLASSEN BLVD., SUITE 524 OKLAHOMA CITY, OK 73106 (405) 962-1800 www.ok.gov/nursing PRSRT STD U. S. POSTAGE OKLAHOMA CITY, OK 73106 PERMIT NO. 398 This publication, printed by the University Printing Services, is issued by the Oklahoma Board of Nursing as au-thorized by the Oklahoma Nursing Practice Act [59 O.S. Section 567.1] 62,800 copies have been prepared and distributed at a cost of $12,124.00. Copies have been deposited with the Publications Clearinghouse of the Okla-homa Department of Libraries [74.O.S. Section 3105 B].
Object Description
Okla State Agency |
Nursing, Oklahoma Board of |
Okla Agency Code | '510' |
Title | Oklahoma Board of Nursing newsletter. |
Authors | Oklahoma. Board of Nursing. |
Publisher | Oklahoma Board of Nursing |
Publication Date | 2007; 2008; 2009; 2010; 2011 |
Publication type | Newsletter |
Serial holdings | Electronic holdings: 2007-2011 |
Subject |
Oklahoma Board of Nursing--Periodicals. Nursing--Oklahoma--Periodicals. |
Notes | issues through 2011 |
OkDocs Class# | N1200.6 N974n |
For all issues click | N1200.6 N974n |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.ok.gov/nursing/pubs.html |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Month/year uploaded | December 2009 |
Date created | 2015-02-18 |
Date modified | 2015-02-18 |
OCLC number | 229901335 |
Description
Title | 2011-11 Nursing Board newsletter |
OkDocs Class# | N1200.6 N974n 11/2011 v.25 no.1 |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.ok.gov/nursing/newsltr1111.pdf |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Full text | November 2011 Amendments to ONPA Impact Peer Assistance Program 2 Amendments to the Oklahoma Nursing Practice Act Take Ef-fect November 1, 2011 3 Continuing Qualifications for Practice to be Required for Li-cense Renewal 5 Graduating from a Nursing Program and Passing the Licen-sure Exam: What Should You Know? 6 Discipline Information Now Available on the Board’s Web-site 9 OBN Launches a “Green” Ini-tiative 9 NCLEX-RN and PN Pass Rates For CY 2010 10 Oklahoma Nursing Popula-tion— FY 2011 15 Board Meeting Notice 17 Summary of Board Activities 18 INSIDE THIS ISSUE Choices By Liz Michael, RN, MS Board President VOLUME 25 ISSUE 1 OKLAHOMA BOARD OF NURSING 2915 N. Classen Boulevard, Suite 524 Oklahoma City, Oklahoma 73106 Phone: 405-962-1800 Website: www.ok.gov/nursing OKLAHOMA BOARD OF NURSING NEWSLETTER When you decided on your chosen profession, did you understand all of the implications that might come in to play? For instance, did you take into consideration how your behavior off the job might impact how you are perceived in the workplace or that your livelihood could be affected by the choices you make in the heat of the moment? There are many professions that are held to higher standards of behavior; physicians, teachers, police officers, firefighters, judges, nurses, and members of the clergy come to mind, although I am sure there are many more. We are taught to trust and respect these professionals due to the services they provide. In the provision of those services, they must continue to earn that trust and respect. Nursing is one of those professions where it is imperative for a trust relationship to develop. Patients literally place their lives in the nurse’s hands because they trust that the nurse will do what is appropriate and take the very best care of them. Families trust that when they leave a loved one in the care of a nurse, the loved one will get the care expected. Whether in a clinic, school, home health, hospital, or other setting where a nurse may work, nurses are responsible for building and nurturing trust relationships with the patients they care for. Trustworthiness is a desired characteristic in all of the professions mentioned above. We trust our well-being to each of them at some point in time, so how do we respond when that trust is compromised? Consider this: Would you feel safe if a police officer broke into a home when he or she was not on duty? Would you want a physician caring for your loved one after being arrested for domestic abuse? How about finding out that your child’s teacher has been diverting cash from a school fund-raiser? Or that the nurse you trusted with your mother’s life had been convicted of elder abuse? Trust would disappear, and fear would take its place. We would be disappointed, (Continued on page 2) Page 2 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 disillusioned, and in some instances angry, because we expect more from these professionals. Each one of these scenarios represents an extreme behavior that happened while the individuals were off duty, but that nevertheless impacted their professional statuses and careers. The professionals made conscious decisions to break trust. They were held accountable for their actions and lost their livelihoods because of the choices they made. Are they being held to a higher standard than others who might (Continued from page 1) commit the same crimes? Possibly, but they chose to be in professions where they are held in high regard. Whether on duty or off duty, your behavior matters. How you live your life and the example you set before others matters. None of us is perfect, and we all make mistakes, but sometimes you should stop and ask yourself the question, “Will what I am about to do negatively impact my life or career?” If there is any question, choose to stop. AMENDMENTS TO ONPA IMPACT PEER ASSISTANCE PROGRAM House Bill 1275, which was signed into law by the Governor and becomes effective November 1, 2011, has two changes affecting the Peer Assistance Program (“Program”). The first change (59 O.S. §567.17(J)) affirmatively states that participants are responsible for the costs related to participation in the Program. The Rules of the Oklahoma Board of Nursing (OAC 485:10-19-6(2)) and the contractual agreement with the Program have required that the financial cost of participation be assumed by participants, so this does not change current practice in the Program for participants. The second change (59 O.S. §567.17(K)) directs conditions to be placed on the licensure status of nurses entering the Program, whether their application is voluntary or ordered by the Board. These conditions will remain in place during the nurses’ periods of participation in the Program. This is a change that will affect those nurses who choose to enter the Program voluntarily. It will not affect nurses who are in the Program before November 1, 2011. For nurses who voluntarily enter the Program without Board action, the conditions are non-disciplinary. For nurses entering the Program beginning on November 1, 2011, the Board will now acknowledge that the nurse is participating in the Program. The records of the nurses in the Program will continue to be confidential as long as the nurse is compliant with the Program contract(s). Records of nurse participants include, but are not limited to reports, memoranda, statements, interviews, and other documents. Records of the nurse may also be made public by a subpoena and court order (59 O.S. §567.17(F)). This change has occurred because it was identified as a public protection issue. Nursing employers have requested that they be able to identify if a nurse is in the Peer Assistance Program and not have to rely on the nurse to give them this information. Nurses in the Peer Assistance Program have always been required to notify employers and potential employers of their participation in the Program through their contract with the Program. This change will promote the accountability of the nurse participant to abide by this requirement. Page 3 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 AMENDMENTS TO THE OKLAHOMA NURSING PRACTICE ACT TAKE EFFECT NOVEMBER 1, 2011 Amendments to the Oklahoma Nursing Practice Act were passed unanimously by the Legislature and signed by Governor Mary Fallin during the 2011 Legislative Session. The amended Oklahoma Nursing Practice Act will take effect November 1, 2011. In this article, we will review the amendments to the Act and their impact on Oklahoma nurses. Advanced Practice Registered Nurses Many of the amendments to the Oklahoma Nursing Practice Act are related to advanced practice nursing. The title of advanced practice nurses as a group changes to Advanced Practice Registered Nurses (APRN), and the title of advanced registered nurse practitioners changes to Certified Nurse Practitioners (CNP). All Advanced Practice Registered Nurses, including Certified Nurse Practitioners (CNP), Certified Nurse Midwives (CNM), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNA), are required to use the title Advanced Practice Registered Nurse (APRN) and their specific specialty role title (CNP, CNM, CNS, or CRNA) in their communications with the public. For example, the Advanced Practice Registered Nurse might sign his or her name “Jane Doe, APRN-CNP” or “John Doe, APRN, CRNA” (the law does not specify whether a dash, comma, or space should separate the two portions of the title). The amended statute also establishes a criminal penalty for using the title Advanced Practice Registered Nurse, or APRN; any of the specialty role titles or abbreviations; or any other language that may lead people to believe that the user is an Advanced Practice Registered Nurse, unless the user of the title is licensed as an APRN by the Oklahoma Board of Nursing. Effective November 1, 2011, Advanced Practice Registered Nurses will hold licenses, rather than recognitions, in advanced practice registered nursing and their specialty roles. CNP, CNS, or CNM authority to prescribe, as well as CRNA authority to select, order, obtain, and administer drugs, will remain as a separate recognition for qualified APRNs. In addition, the definition of advanced practice registered nursing is amended to better define the role of the APRN, by incorporating the following statements into the definition: “who has acquired advanced clinical knowledge and skills in preparation for providing both direct and indirect care to patients; however, the defining factor for all Advanced Practice Registered Nurses is that a significant component of the education and practice focuses on direct care of individuals” [OS 59 §567.3a(5)(c)] and “whose practice builds on the competencies of Registered Nurses by demonstrating a greater depth and breadth of knowledge, a greater synthesis of data, and increased complexity of skills and interventions….” [OS 59 §567.3a(5)(d)]. One section of the amended Oklahoma Nursing Practice Act impacting Advanced Practice Registered Nurses does not take effect until January 1, 2016. On that date, an applicant for licensure as an Advanced Practice Registered Nurse must have completed a graduate level advanced practice registered nursing education program in at least one of the following population foci: family/individual across the lifespan, adult-gerontology, neonatal, pediatrics, women’s health/gender-related, or psychiatric/mental health nursing. Advanced Practice Registered Nurses licensed by the Board prior to January 1, 2016, may continue to hold advanced practice licensure with their current specialty certification, even if it is not in one of the above population foci. The amended Oklahoma Nursing Practice Act also establishes a process for licensure by endorsement for Advanced Practice Registered Nurses who hold recognition in another state. In addition, the amendments establish requirements for approval of advanced practice registered (Continued on page 4) Page 4 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 nursing education programs, which will become effective on January 1, 2016. Registered Nurses, Licensed Practical Nurses, and Advanced Unlicensed Assistants The amended Act also changes the official title of an Advanced Unlicensed Assistive Person (AUAP) to Advanced Unlicensed Assistant (AUA). It dissolves the Board’s Advanced Unlicensed Assistant Advisory Committee, the functions of which are incorporated into the Board’s Nursing Education and Practice Advisory Committee. The amended Act establishes requirements for initial licensure of Registered Nurses or Licensed Practical Nurses, or for initial certification as Advanced Unlicensed Assistants, including a requirement for a federal criminal background check and a minimum age of 18 for eligibility. The requirement for the federal criminal background check becomes effective January 1, 2013. Payment of Fees Not Honored by Financial Institution A new provision of the Act requires the Executive Director to suspend the license of certificate of a person who submits a check, money draft, or similar instrument for payment of a fee that is not honored by the financial institution named. The suspension becomes effective ten days following the delivery by certified mail of written notice to the person’s address on file at the Board office. The person may reinstate upon payment of the fees and any and all costs associated with the notice and collection. Disciplinary Action The amendments clarify the Board’s responsibility to take disciplinary action on a licensee or certificate holder who defaults from the Peer Assistance Program for any reason, fails to maintain professional boundaries with patients, or engages in sexual misconduct with a current or former patient or key party inside or outside the health care setting. (Continued from page 3) In addition, the amendments allow the Board to retain jurisdiction over any person issued a license, certificate, or temporary license after the license has expired, lapsed, or been relinquished during or after the alleged occurrence or conduct. As well, the amended Act requires the Executive Director to suspend the license or certificate of any individual who has been sentenced to a period of continuous incarceration. Exceptions to the Act Exceptions to the Oklahoma Nursing Practice Act are amended to better define the parameters for a nurse who is called into attendance to a patient temporarily in Oklahoma. The amendments also provide an exception for a nurse who is licensed in another state or territory and who is a military spouse, allowing that individual to obtain a temporary license for 120 days while meeting all requirements for full licensure. Peer Assistance Program The amended Oklahoma Nursing Practice Act clarify that the costs for participation in the Peer Assistance Program are the responsibility of the participant. In addition, the amendments establish that conditions will be placed on the license of the participant during the period of participation in the Peer Assistance Program. Summary The purpose of the amendments to the Oklahoma Nursing Practice Act is to enhance the Board’s ability to protect the public, by ensuring well-qualified applicants for licensure and certification, and by defining the responsibility of licensees and the Board. The full text of the Oklahoma Nursing Practice Act may be reviewed on the Board’s website: www.ok.gov/nursing. Click on the link for “Nursing Practice Act” on the side of the page. If you have any questions regarding the amendments, feel free to call the Board office at (405) 962-1804. CONTINUING QUALIFICATIONS FOR PRACTICE TO BE REQUIRED FOR LICENSE RENEWAL Page 5 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 *CHANGE OF ADDRESS* Please Mail To: Oklahoma Board of Nursing 2915 N. Classen Blvd., Ste. 524 Oklahoma City, OK 73106 I need to report my change of address to the Oklahoma Board of Nursing. Address changes may also be made on the Board’s website: www.ok.gov/nursing. License Number ________________________________(Or) Social Security Number ___________________________ Full Name _________________________________________ Signature (*required) _____________________________ New Address _______________________________________________________________________________________ Old Address ________________________________________________________________________________________ * In accordance with OAC 485:10-7-9 & 485:10-9-9 it is the legal duty of a licensed nurse to notify the Oklahoma Board of Nursing of a change of address in writing within 30 days of the change. The Rules of the Oklahoma Board of Nursing were amended recently, taking effect on July 1, 2011. One significant change in the rules relates to the need for evidence of continuing qualifications for practice prior to renewal of a Registered Nurse or Licensed Practical Nurse license. The updated Rules are available for view the Board’s website. Beginning January 1, 2014, all RNs and LPNs renewing their licenses will be required to meet one of the following requirements for renewal within the two (2) years prior to the date of expiration of the license: (1) Verify employment in a position that requires a registered/practical nurse license with verification of at least 520 work hours (Please note: this requirement is not exclusive to clinical positions. Other positions may also incorporate nursing knowledge and skills and require RN or LPN licensure. Examples include, but are not limited to nurse administrators, nurse educators, and nurse researchers.); or (2) Verify the completion of at least twenty-four (24) contact hours of continuing education applicable to nursing practice; or (3) Verify current certification in a nursing specialty area; or (4) Verify completion of a Board-approved refresher course; or (5) Verify completion of at least six (6) academic semester credit hours of nursing coursework at the licensee’s current level of licensure or higher. Because at least one of the above five options must have been completed within the two years prior to the date of expiration of the license, RNs should begin their efforts to meet the continuing qualifications requirements during the two years prior to the expiration date of their licenses in 2014. Additionally, LPNs should begin planning for meeting their continuing qualifications requirements two years before they are due to renew in 2015. Also, please make note that a random audit will be routinely conducted, requiring the audited nurse to present evidence to support the continuing qualification he/she indicated on renewal. If you have questions about the requirements, feel free to call the Board office. Page 6 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 GRADUATING FROM A NURSING PROGRAM AND PASSING THE LICENSURE EXAM: WHAT SHOULD YOU KNOW? You have graduated from your nursing program, are waiting to take your National Council Licensure Examination (NCLEX), and life is good! Now all you have to do is go to work, do as directed, and all will be taken care of…right? Well, not exactly. There are guidelines to guide your employment in a health care facility after graduating from a nursing education program yet prior to obtaining licensure. Employment before Licensure Employment of Nursing Students or Non-Licensed Graduates Guidelines provide direction when a nursing student or recent graduate of a nursing education program is employed by a health care institution. Recent graduates of nursing education programs may be hired to perform basic nursing assistant skills as well as other technical skills learned in the nursing education program, under the supervision of a Registered Nurse, prior to obtaining nurse licensure. The title used for this position according to the Employment of Nursing Students or Non-Licensed Graduates Guidelines is “Nurse Technician” or “Practical Nurse Technician”; however, some facilities may use other titles for this role. The Nurse Technician or Practical Nurse Technician MAY NOT administer medication (including but not limited to blood products and intravenous fluids), perform assessments, act in a supervisory position, take verbal orders from the physician or other health care provider, or develop the plan of care. The graduate may continue to be employed in a Nurse Technician role until licensed in any state, territory, or country, provided that the first licensure examination is taken within 90 days after graduation and the examination is passed within 6 months of graduation, on either the first or second attempt. The Employment of Nursing Students or Non-Licensed Graduates Guidelines can be accessed at http://www.ok.gov/nursing/ed-guide. pdf. You must obtain a license before orienting or working in a position requiring a nursing license. Failure to do so results in practicing nursing without a license. You may participate in general hospital orientation that is non-specific to your future position that requires a nursing license. Know Your Scope of Practice You have now successfully passed your NCLEX exam, obtained a nursing license, completed orientation to your role in a health care facility, and know all that you need to know in providing safe nursing care. Right? WRONG! As a newly-licensed nurse, you need to be thoroughly familiar with the Oklahoma Nursing Practice Act and Rules. These documents provide the legal basis for your practice. It is the responsibility of the newly licensed nurse to become familiar with nursing licensure regulation. This can be easily accomplished through the Board of Nursing website: www.ok.gov/nursing. The first step is to become familiar with your scope of practice. The scope of practice is included in the Nursing Practice Act. For Registered Nurses, see Section 567.3a.3, and for Licensed Practical Nurses, see Section 567.3a.4. Licensed practical nursing means the practice of nursing under the supervision or direction of a Registered Nurse, licensed physician, or dentist. The scope of practice does not provide a listing of all acts permissible at your level of licensure. When questioning whether you can perform a specific act, you may access the Decision- Making Model for Scope of Nursing Practice Decisions: Determining Advanced Practice Registered Nurse, Registered Nurse, and Licensed Practical Nurse Scope of Practice Guidelines (Decision-Making Model). The model can be reviewed on the homepage by accessing “Guidelines” or at http:www.ok.gov/ (Continued on page 7) Page 7 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 nursing/prac-decmak.pdf. To determine if the act is within your scope of practice, move through the seven questions. If uncertainty continues, contact the Board of Nursing. In protecting both the public and your license, you need to be aware of what acts may result in denial, revocation or suspension of your nursing license. This information is included in the Nursing Practice Act, specifically Section 567.8. Unprofessional conduct, included in the list of causes for imposition of disciplinary action, is defined in the Rules, specifically Section 485:10-11-1(b)(3). Rules may be accessed through the legend on the left of the homepage. Use Board Guidelines and Other Resources Additional information helpful in your practice environment can be found under “Guidelines” on the Board of Nursing website: http://www.ok.gov/nursing/ prac1/html. Guidelines particularly useful to the new nurse include but are not limited to the following: Abandonment Statement: This statement provides information specific to acts that may be considered patient abandonment, and acts that may not be considered as patient abandonment. The direct link to this guideline is http://www.ok.gov/nursing/prac-aband. pdf. Delegation of Nursing Functions to Unlicensed Persons: While the guideline advises that delegation must fall within the nurse’s respective scope of practice and must occur within the framework of the job description of the delegatee and organizational policies and procedures, it also lists nursing tasks that require nursing assessment, judgment, evaluation, and teaching during implementation that cannot be delegated. These tasks include physical, psychological, and social assessment; formulation of the nursing plan of care and evaluation of the client’s response to care provided; and the administration of medications except as authorized by state and/or federal regulations. This guideline can be accessed at http://www.ok.gov/nursing/delegation.pdf. IV Medication Administration by Licensed Practical Nurses Statement: IV therapy and medication administration may be within the scope of practice of the Licensed Practical Nurse who has appropriate educational training and under supervision. In (Continued from page 6) addition to other valuable information, the guideline identifies the responsibility of the assessment and analysis of the assessment data to determine nursing care needs as that of the Registered Nurse. The guideline can b e a c c e s s e d a t http://www.ok.gov/nursing/IVMed.pdf. �� Moderate (Conscious) Sedation Guidelines for Registered Nurse Managing and Monitoring Patients: This guideline includes qualifications for the administration, management, and/or monitoring by Registered Nurses as well as the process for providing this act. The most frequent issue surrounding this guideline includes what medications the Registered Nurse may administer. It is noted that a licensed nurse who is not a Certified Registered Nurse Anesthetist may not administer or monitor any and all drugs used in general anesthesia or moderate (conscious) sedation if the drug manufacturer’s general warning advise the drug should be administered and monitored by persons experienced in the use of general anesthesia who are not involved in the conduct of the surgical and/or diagnostic procedure. For access: http://www.ok.gov/ nursing/prac-rnguid.pdf. Monitoring of the Moderate (Conscious) Sedation Patient by Licensed Practical Nurse Guidelines: Differing from the guideline listed previously, this guideline is specific to the role of the Licensed Practical Nurse (LPN) in monitoring moderate (conscious) sedation. It should be noted that the administration of medication to and the management of the moderate sedation remains the responsibility of the Registered Nurse, licensed physician, or dentist. The LPN monitoring the patient receiving moderate sedation shall have no other responsibilities that would leave the patient unattended or would compromise continuous monitoring. This guideline can be accessed at http://www.ok.gov/nursing/prac-lpnguid.pdf. Patient Assessment Guidelines: The purpose of this guideline is to identify the roles of the (Continued on page 8) Page 8 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 NOTICE TO LICENSEES SUBMITTING ONLINE RENEWALS: The OBN online renewal system provides a convenient way for you to submit your renewal. However, it is essential that you protect the secu-rity of your online information. Your PIN number, which is required for the renewal, should not be shared with anyone, even with your spouse or with support staff members at your place of employment who tell you that it is their “job” to submit the renewal for you. You are the only per-son who can complete and submit your online renewal! Registered Nurse (RN) and Licensed Practical Nurse (LPN) in the assessment of patients. Both the comprehensive nursing assessment (to be performed by the RN) and focused assessments (allowed to be performed by LPNs) are defined, as well as the licensed nurse’s role in nursing assessment. Access is provided at http:// www.ok.gov/nursing/ptassessgl.pdf Frequently Asked Questions: The Board staff receives questions from licensed nurses and other stakeholders regarding nursing practice issues. The Board of Nursing has trended these questions and provided a listing of the frequently asked questions as a resource for nurses. Do note that the questions and answers provided are included for illustration ONLY and cannot be relied upon as correct under ALL circumstances. Each situation may present unique facts for consideration on a case-by-case basis. The questions can be accessed at http:// www.ok.gov/nursing/practicefaq.pdf. Preparing for Renewal Nursing licensure renewal is required. If you are a Licensed Practical Nurse, your license will expire on the last day of your birth month during odd years. (Continued from page 7) Registered Nurses must renew their nursing licenses on or before the last day of the birth month during even years. Nurses who are not U.S. citizens, U.S. nationals, or permanent legal resident aliens may have different expiration dates. Licensure renewal is the responsibility of the licensee, and may be performed online within 90 days prior to the license expiration date. Failure to renew by the expiration date will result in a lapsed license, requiring the licensee to cease nursing practice and to proceed through the license reinstatement process. Beginning in January 2014, licensed nurses will be required to indicate continuing qualifications for license renewal. The requirements for continuing qualifications for practice are included in the Rules, specifically 485:10-7-3 (e)(1) – (5). Summary Recognizing the importance of providing safe patient care and in an attempt to provide an orientation to nursing regulation, the above information has been provided as a support for newly licensed nurses. If you have practice questions that are not addressed, do not hesitate to call the Board of Nursing at (405) 962-1800. Page 9 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OBN LAUNCHES A “GREEN” INITIATIVE In the FY 2012 - 2016 Strategic Plan of the Oklahoma Board of Nursing, one of the Key Performance Measures is to achieve a 50% reduction in the use of paper for the office operations. To implement this measure, the Oklahoma Board of Nursing (OBN) will undertake several actions over the next several years, including converting the current Oklahoma Board of Nursing Newsletter to an electronic format. The November 2011 Newsletter will be the last hard-copy newsletter you receive from OBN. In Spring 2012, OBN will make the newsletter available on its website: www.ok.gov/nursing. In addition, OBN has begun requesting email addresses for all licensed nurses on initial applications and at the time of renewal, with the goal of providing the newsletter, as well as other communication from OBN, to each nurse via email in the future. OBN’s website provides a wealth of information for the practicing nurse, including access to forms and applications, practice guidelines and policies, practice news and alerts, nursing education guidelines and policies, minutes of Board and committee meetings, and OBN data. We encourage all licensed nurses to check the OBN website frequently for new information that may impact them. DISCIPLINE INFORMATION NOW AVAILABLE ON THE BOARD’S WEBSITE Effective July 1, 2011, the Board’s disciplinary orders are provided online dating back to January 2009. Board Orders are usually posted within two (2) months of the nurse’s administrative hearing. To access discipline, go to the Board’s website and click on the link to “License Verification.” If there has been disciplinary action taken since Jnaury 2009, there will be a “Y” under Discipline Since 1/09.” Click on the “Y” to review and/or print the related information. For certified copies of the disciplinary action, or for disciplinary action taken prior to January 2009, a request for Written Verification of Licensure and the appropriate fee will need to be submitted to the Board. You may obtain the appropriate form on the Board’s website on the following link: www.ok.gov/nursing/writverify.pdf. Submit the completed form with the fee to the Oklahoma Board of Nursing requesting a copy of the disciplinary records. Alternatively, you may visit the Board office to request the open records. To verify licensure status and expiration date, please go to the Board’s website: www.ok.gov/nursing. Click on the link for “License Verification.” Do you have questions related to the Board’s regulations and guidelines? You may access the Oklahoma Nursing Practice Act, Rules of the Oklahoma Board of Nursing, and Board guidelines on the Board’s website: www.ok.gov/nursing. NCLEX-RN AND PN PASS RATES FOR CY 2010 Page 10 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 In the State of Oklahoma, there are 34 registered nursing education programs and 31 practical nursing education programs that lead to initial licensure. These programs graduated 3,408 students during FY 2011. After graduation, graduates take the National Council Licensure Examination (NCLEX) to become licensed in the state or territory to which they have applied. In Calendar Year (CY) 2010, 2,298 graduates of Oklahoma registered nursing education programs took the NCLEX-RN, and 1,255 graduates of Oklahoma practical nursing education programs took the NCLEX-PN as first-time candidates. Oklahoma-educated first-time candidates for registered nurse licensure achieved an overall 86.77% NCLEX-RN pass rate in CY 2010. This is the second highest NCLEX-RN pass rate that the state has achieved in the past ten years. The highest NCLEX-RN Oklahoma pass rate of 88.88% occurred in CY 2006. The Oklahoma NCLEX-RN pass rate rose for the fourth consecutive year, ranking higher than 21 other states and jurisdictions. Between CY 2007 and 2010, the Oklahoma NCLEX-RN pass rate rose from 82.07% to 86.77%. Approximately 53% of all campuses in Oklahoma pre-licensure associate degree and baccalaureate degree nursing education programs achieved higher pass rates, and 16% averaged more than 10 percentage points lower than the national CY 2010 NCLEX-RN pass rate of 87.42%. In 2010, there were 2,298 first-time Oklahoma-educated RN candidates taking the NCLEX-RN exam, which is a record high. In CY 2010, first-time Oklahoma-educated candidates for practical nurse licensure achieved an NCLEX-PN pass rate of 91.95%, which is the highest pass rate the state has achieved in the past ten years. Between CY 2003 and CY 2010, the first-time Oklahoma-educated NCLEX-PN candidate averages ranked consistently above the national NCLEX-PN average. Approximately 75% of all campuses offering practical nursing education achieved higher pass rates, and 8% averaged more than 10 percentage points lower than the national CY 2010 NCLEX-PN pass rate of 87.05%. Oklahoma practical nursing programs ranked higher than 29 other states or jurisdictions on the NCLEX-PN exam in CY 2010. In 2010, there were 1,255 first-time Oklahoma-educated PN candidates taking the NCLEX-PN exam. Oklahoma nursing education program NCLEX-RN and NCLEX-PN pass rate percentages per calendar year from 2001 through 2010 are listed on pages 11- 14. Page 11 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-RN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 Nursing Program 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Bacone College - Muskogee 81.80 61.11 68.75 58.82 78.57 72.41 100.00 85.71 33.30 62.96 27 Carl Albert State College - Poteau 85.00 94.74 90.24 100.00 93.33 95.83 73.91 77.78 100.00 100.00 14 Carl Albert State College - Sallisaw N/A N/A N/A N/A 80.00 100.00 100.00 66.67 100.00 83.33 6 Connors State College - Warner 87.00 94.44 77.27 77.78 92.00 100.00 95.65 100.00 92.59 N/A N/A Connors State College - Muskogee 100.00 100.00 87.50 78.79 91.67 100.00 91.43 100.00 97.62 95.80 72 East Central University - Ardmore N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 3 East Central University - Ada 100.00 91.67 91.30 82.05 88.00 79.07 83.33 94.29 97.30 85.71 35 East Central University - Durant N/A N/A 81.82 100 91.67 81.25 88.24 92.86 100.00 90.00 10 Eastern Okla State College - Wilburton 52.90 76.47 93.75 52.38 88.88 84.21 86.36 79.31 77.78 86.67 15 Eastern Okla State College - McAlester 61.10 N/A N/A N/A N/A N/A N/A 92.86 80.00 100.00 14 Eastern Okla State College - Idabel 81.80 84.62 86.96 81.82 86.66 86.36 80.00 93.75 76.00 60.00 25 Langston University - Langston 53.30 42.86 100.00 100.00 80.00 87.50 60.00 85.71 83.33 83.33 18 Langston University - Tulsa 85.70 81.25 71.43 78.94 69.23 91.11 65.96 62.22 70.21 80.95 42 Murray State College - Tishomingo 73.20 66.67 96.00 85.71 87.50 98.04 80.70 71.43 78.57 72.92 48 Murray State College - Internet N/A N/A N/A N/A N/A N/A N/A N/A 84.21 83.33 18 Northeastern Okla A&M College - Miami 62.50 90.00 92.86 89.58 87.50 100.00 84.78 88.64 70.83 77.61 67 Northeastern Okla A&M College - Grove N/A N/A N/A N/A N/A 100.00 100.00 100.00 85.71 100.00 5 Northern Oklahoma College - Tonkawa 100.00 90.00 92.86 90.00 86.21 81.25 95.83 80.00 80.00 92.31 26 Northern Oklahoma College - Enid 95.00 78.26 85.00 89.66 94.74 97.06 96.00 76.00 75.00 92.00 25 Northern Oklahoma College - Stillwater N/A N/A 100.00 100.00 88.24 86.36 87.50 86.96 85.71 91.67 24 Northwestern Okla State University - Alva 75.00 100.00 33.33 66.67 50.00 93.33 70.00 100.00 100.00 100.00 7 Northwestern Okla State University - Enid 83.33 83.33 100.00 88.89 82.35 100.00 73.33 88.89 100.00 100.00 9 Northwestern Okla State University - Woodward N/A N/A N/A N/A 66.67 50.00 100.00 N/A 100.00 100.00 1 Oklahoma Baptist University - Shawnee 96.30 94.74 93.33 86.96 80.00 65.71 90.91 87.50 80.95 91.49 47 Oklahoma Christian University - Okla City N/A N/A N/A N/A N/A N/A N/A 88.24 88.89 63.64 22 Oklahoma City Community College - Okla City 85.20 85.86 89.00 86.61 83.47 85.71 89.55 92.78 91.75 92.57 202 Oklahoma City University - Okla City 77.80 63.64 58.00 57.89 92.59 97.67 92.11 97.73 94.74 98.25 57 Oklahoma State University - Okla City 86.90 88.41 86.00 81.61 89.42 96.04 93.97 83.33 90.70 86.36 154 Oklahoma State University - Goodwell 100.00 83.33 100.00 83.33 83.33 100.00 100.00 100.00 N/A N/A N/A Oklahoma State University - Okmulgee N/A N/A N/A N/A 53.85 62.07 66.67 71.43 82.35 92.31 13 Oklahoma Wesleyan University - Bartlesville N/A N/A N/A N/A N/A N/A N/A 70.00 66.67 100.00 9 Oral Roberts University -Tulsa 80.00 86.67 83.00 74.07 83.33 89.29 76.32 90.32 100.00 86.11 36 Page 12 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-RN CANDIDATE PASS RATE (Percent by Calendar Year) # 2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Platt College - Okla City N/A N/A N/A N/A 84.00 69.39 47.57 56.18 59.26 68.35 79 Platt College - Tulsa N/A N/A N/A N/A N/A 67.57 53.13 67.24 80.49 76.36 55 Re-Entry/Board Request N/A N/A N/A N/A 100.00 100.00 100.00 75.00 45.45 64.71 17 Redlands Community College - El Reno 90.30 84.62 88.89 69.49 87.17 94.74 83.72 95.24 96.43 88.89 27 Redlands Community College - Mercy Campus N/A N/A N/A 100.00 71.42 50.00 66.67 25.00 N/A N/A N/A Redlands Community College - OU Medical Ctr. N/A N/A N/A N/A N/A N/A 58.33 N/A N/A N/A N/A Rogers State University - Claremore N/A 97.14 92.50 86.96 85.00 96.77 92.00 92.16 77.05 93.88 49 Rogers State University - Bartlesville N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 6 Rose State College - Midwest City 90.00 77.42 87.01 87.36 92.75 95.95 85.23 95.55 81.65 81.71 82 Rose State College - Internet 87.50 81.25 93.10 93.55 79.17 100.00 90.00 77.78 88.89 86.36 22 Seminole State College - Seminole 100.00 77.78 84.21 88.00 85.71 90.48 76.19 87.50 92.00 80.00 20 Southern Nazarene University - Bethany 57.10 N/A 66.67 50.00 46.67 85.19 68.97 88.89 100.00 91.67 12 Southwestern OK State University - Weatherford 100.00 100.00 82.35 90.00 93.33 83.33 86.11 95.65 90.91 84.21 38 Tulsa Community College - Tulsa 79.50 86.30 85.86 92.78 88.37 90.48 91.60 95.53 94.06 90.00 130 University of Central Oklahoma - Edmond 86.10 83.61 78.85 90.91 91.89 93.55 90.24 89.71 91.01 87.91 91 University of Oklahoma - Mercy N/A 50 N/A N/A N/A N/A N/A N/A N/A N/A N/A University of Oklahoma - Okla City 91.60 84.21 86.32 83.48 92.36 91.62 84.02 87.21 92.57 87.50 168 University of Oklahoma - Tulsa 100.00 100.00 100.00 96.15 100.00 94.44 90.00 88.89 94.44 93.83 81 University of Oklahoma - Lawton 88.57 78.13 96.00 90.63 80.56 82.05 59.52 82.46 97.96 82.35 51 University of Oklahoma - Woodward/Enid 100.00 80.00 100.00 100.00 N/A N/A N/A N/A N/A N/A N/A University of Oklahoma - Internet Campus N/A N/A N/A N/A N/A 100.00 100.00 100.00 96.08 92.86 210 University of Tulsa - Tulsa 94.40 82.35 88.24 53.33 80.00 95.45 77.27 100.00 90.48 92.86 28 Western Oklahoma State College - Altus 95.80 90.91 91.67 81.25 93.33 82.75 80.95 86.36 100.00 90.24 41 Western Oklahoma State College - Duncan N/A N/A N/A N/A N/A N/A N/A 85.71 87.50 N/A N/A Western Oklahoma State College - Elk City N/A N/A N/A N/A N/A N/A N/A 84.62 91.67 84.62 13 Western Oklahoma State College - Lawton N/A N/A N/A N/A 92.86 82.35 75.00 88.46 100.00 76.67 30 Oklahoma Pass Rate 84.92 83.92 86.36 83.68 86.59 88.88 82.07 85.65 86.67 86.77 2,298 National Pass Rate 85.53 86.66 87.01 85.26 87.29 88.11 85.47 86.73 88.42 87.42 140,883 Page 13 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-PN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Autry Technology Center - Enid 80.00 95.24 93.75 100.00 100.00 100.00 100.00 90.00 93.33 90.00 10 Caddo-Kiowa Technology Center - Ft. Cobb 86.70 90.00 95.83 100.00 89.47 72.73 88.89 84.21 60.00 94.44 18 Canadian Valley Technology Center - Chickasha 100.00 100.00 100.00 100.00 95.24 93.75 100.00 100.00 85.71 100.00 20 Canadian Valley Technology Center - El Reno 100.00 88.89 82.35 100.00 95.24 100.00 88.24 100.00 100.00 100.00 20 Central Technology Center - Drumright 95.80 87.10 N/A 68.42 N/A 79.17 75.00 76.47 77.27 84.62 13 Central Technology Center - Sapulpa N/A N/A 100.00 95.00 95.24 88.10 80.00 72.22 86.67 100.00 9 Chisholm Trail Technology Center - Omega 80.00 100.00 100.00 100.00 100.00 100.00 77.78 100.00 83.33 71.43 7 Comanche Nation College - Lawton N/A N/A N/A N/A N/A N/A N/A N/A N/A 83.33 6 Equivalency (Air Force) 100.00 100.00 56.25 85.71 N/A 70.00 89.47 83.33 N/A N/A N/A Francis Tuttle Technology Center - Okla City 80.00 88.00 96.97 94.44 88.10 92.11 86.05 92.59 86.84 93.88 49 Gordon Cooper Technolgy Center - Shawnee 100.00 77.27 80.95 86.36 92.59 100.00 96.15 100.00 96.15 95.45 22 Great Plains Technology Center - Lawton 84.20 90.57 90.91 96.15 93.18 84.91 91.67 87.18 94.59 90.91 44 Great Plains Technology Center - Frederick N/A N/A 69.23 62.50 80.00 71.43 100.00 100.00 100.00 80.00 5 Great Plains Technology Center - Comanche Nation N/A N/A N /A N/A N/A 100.00 83.33 100.00 N/A N/A N/A Green Country Technology Center - Okmulgee 58.30 69.23 90.91 83.33 95.45 70.83 90.48 62.50 83.33 66.67 27 High Plains Technology Center - Woodward 53.30 68.42 94.12 81.82 85.71 68.75 80.95 100.00 95.24 81.82 22 Indian Capital Technology Center - Tahlequah 100.00 84.62 90.00 100.00 90.91 100.00 100.00 91.67 100.00 100.00 14 Indian Capital Technology Center - Muskogee 100.00 100.00 90.91 100.00 100.00 100.00 100.00 100.00 93.75 91.67 12 Indian Capital Technology Center - Sallisaw 80.00 100.00 87.50 93.33 100.00 100.00 100.00 95.65 81.25 95.45 22 Indian Capital Technology Center - Stilwell 80.00 71.43 66.67 100.00 100.00 100.00 70.00 90.00 100.00 90.00 10 Kiamichi Technology Center - Antlers N/A N/A N/A N/A N/A N/A N/A N/A N/A 100.00 11 Kiamichi Technology Center - Atoka N/A 66.67 N/A 91.30 N/A 100.00 100.00 100.00 100.00 N/A N/A Kiamichi Technology Center - Durant 95.20 90.32 94.74 89.29 92.31 100.00 95.24 96.67 96.15 100.00 29 Kiamichi Technology Center - Hugo 76.50 94.44 95.24 95.24 100.00 95.24 95.83 100.00 100.00 100.00 17 Kiamichi Technology Center - Idabel 100.00 93.75 100.00 100.00 100.00 93.10 100.00 96.55 100.00 100.00 22 Kiamichi Technology Center - McAlester 90.90 100.00 88.89 100.00 94.12 95.00 100.00 100.00 100.00 100.00 14 Kiamichi Technology Center - Poteau 78.30 80.95 91.30 100.00 84.00 70.83 100.00 95.24 100.00 100.00 13 Kiamichi Technology Center - Stigler N/A 92.31 N/A 100.00 N/A 81.82 N/A 77.78 N/A 100.00 12 Kiamichi Technology Center - Talihina 100 88.89 N/A 90.00 N/A 100.00 N/A 100.00 N/A 100.00 4 Page 14 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA BOARD OF NURSING FIRST-TIME NCLEX-PN CANDIDATE PASS RATE (Percent by Calendar Year) #2010 NURSING PROGRAM 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Candidates Meridian Technology Center - Stillwater 84.60 70.00 90.63 90.00 100.00 77.78 94.74 90.00 64.71 72.00 25 Metro Technology Center - Okla City 78.90 90.91 82.61 90.00 90.00 97.30 92.31 91.80 95.12 95.65 46 Mid-America Technology Center - Wayne 86.70 90.91 79.17 91.30 91.30 87.50 96.00 95.24 86.96 100.00 24 Mid-Del Technology Cntr. - Midwest City 78.60 57.14 88.89 85.71 100.00 100.00 95.45 90.91 100.00 100.00 13 Moore Norman Tech. Cntr. - Norman 71.40 89.47 90.70 87.88 87.80 87.88 97.92 97.06 97.14 93.75 32 Northeast Technology Center - Afton 81.30 93.30 95.45 91.67 83.33 96.15 93.33 96.15 90.48 100.00 13 Northeast Technology Center - Claremore N/A N/A N/A N/A N/A N/A N/A N/A N/A 88.89 9 Northeast Technology Center - Kansas 93.30 84.61 71.43 85.71 85.71 84.21 92.31 86.21 100.00 100.00 25 Northeast Technology Center - Pryor 95.70 100.00 91.30 100.00 95.65 88.24 86.36 95.45 88.46 100.00 24 Pioneer Technology Center - Ponca City 81.30 100.00 94.12 100.00 100.00 94.74 100.00 95.65 85.71 92.86 14 Platt College - Okla City 79.20 72.73 84.00 77.36 86.54 70.49 90.70 81.25 75.81 79.41 68 Platt College - Tulsa 94.30 87.88 86.15 90.77 93.15 97.22 93.67 98.73 95.52 97.26 73 Platt College - Lawton 76.70 70.27 93.55 86.49 86.96 83.33 83.33 91.67 75.00 93.75 16 Platt College - Moore N/A N/A N/A N/A 70.77 67.86 70.19 83.10 77.08 83.33 60 Pontotoc Technology Center - Ada 81.00 79.17 81.48 80.77 81.82 83.33 85.00 84.21 82.00 70.83 24 Partial RN Education taking PN 96.20 96.90 98.57 94.96 N/A 98.17 96.04 96.59 94.96 97.24 145 RN Failure Taking PN N/A N/A 97.30 95.65 N/A 100.00 100.00 100.00 100.00 100.00 6 Re-Entry/Board Request N/A N/A N/A N/A N/A N /A N/A N/A 100.00 83.33 6 Red River Technology Center - Duncan 87.50 100.00 79.17 100.00 95.00 100.00 100.00 90.00 89.47 100.00 13 Southern Okla Tech. Cntr. - Ardmore 100.00 93.75 78.57 100.00 100.00 100.00 100.00 95.24 100.00 100.00 20 Southwest Technology Center - Altus 79.20 91.67 82.61 92.00 100.00 88.24 83.33 83.33 90.91 93.75 16 Tri County Tech. Cntr. - Bartlesville 96.30 80.00 97.14 96.00 100.00 91.18 97.06 93.94 87.18 92.31 39 Tulsa Technology Center - Tulsa 95.00 80.56 88.57 84.62 80.43 82.35 79.41 85.51 85.96 84.06 69 Tulsa Technology Center - St. Francis N/A N/A 100.00 100.00 100.00 N/A 100.00 100.00 N/A N/A N/A Tulsa Technology Center - Hillcrest N/A N/A N/A 100.00 100.00 100.00 N/A N/A N/A N/A N/A Tulsa Technology Center - St. John's N/A N/A N/A 100.00 N/A N/A 100.00 N/A N/A N/A N/A Wes Watkins Tech. Cntr. - Wetumka 100.00 100.00 100.00 92.86 100.00 87.50 100.00 77.78 88.89 100.00 9 Western Technology Center - Burns Flat 65.40 90.48 94.44 100.00 88.89 94.44 95.65 88.24 80.77 84.62 13 Oklahoma Pass Rate 86.41 86.07 89.21 91.81 90.95 88.95 90.14 90.90 89.43 91.95 1,255 National Pass Rate 86.46 86.50 88.21 89.36 89.06 87.87 87.25 85.62 85.73 87.6 66,818 Page 15 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 OKLAHOMA NURSING POPULATION - FY 2011 Introduction According to the 2011 Annual Report of the Oklahoma Board of Nursing, the State of Oklahoma continues to have an increasing number of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Advanced Unlicensed Assistants (AUAs). At the end of FY 2011, there were a total of 43,586 Registered Nurses licensed in the State of Oklahoma, which represents an increase of nearly 17% in the last five years. There are also more Licensed Practical Nurses licensed in Oklahoma than there were five years ago, with a total of 17,991 currently licensed, an increase of more than 2% from five years ago. In addition, 649 Advanced Unlicensed Assistants held certification through the Oklahoma Board of Nursing at the end of FY 2011. Employment of the Nursing Population Information regarding employment of licensees is gathered at the time of renewal. In FY 2011, 80% of RNs and 71% of LPNs with active licenses reported employment in nursing at the time of license renewal. The actual percentage of employed RNs and LPNs is likely even higher, since the employment status of new licensees is shown as unknown until submission of the first renewal (the employment status is listed as unknown for almost 10% of RNs and 17% of LPNs). Of those who live in Oklahoma and report employment in nursing, 85% of RNs and 86% of LPNs work full-time. Nurses Residing in Oklahoma and Reporting Employment in Nursing: (Continued on page 16) FIELD # RNs % RNs # LPNs %LPNs Ambulatory Care 1,036 3.4% 319 2.6% Case Management 811 2.7% 244 2% Community/Public Health 1,188 3.9% 445 3.7% Home Health 2,423 7.9% 1,890 15.5% Hospital 18,566 60.9% 2,779 22.9% Long-Term/Extended Care 1,450 4.8% 3,666 30.2% Occupational Health 124 0.4% 98 0.8% Other 2,508 8.2% 1,358 11.2% Private Practice 1,202 3.9% 1,194 9.8% School of Nursing 423 1.4% 129 1.1% School Health 752 2.5% 29 0.2% Unknown 9 0% 7 0% Total 30,492 100% 12,158 100% Page 16 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 Education and Gender of the Nursing Population The FY 2011 annual report also indicated that almost 52% of all RNs licensed in Oklahoma hold an associate degree, and 32% hold a baccalaureate degree in nursing as the highest degree held. Less than 7% of RNs hold graduate degrees in nursing. Approximately 8% of RNs and 6% of LPNs who are employed and residing in Oklahoma are male. This percentage has remained unchanged for the past three years. Advanced Practice Registered Nurses Of the 43,586 RNs licensed in Oklahoma at the end of FY 2011, 2,010 held advanced practice recognition. Advanced practice recognition is required for practice as an Advanced Registered Nurse Practitioner (ARNP), Certified Nurse Midwife (CNM), Certified Registered Nursing Anesthetist (CRNA), or Clinical Nurse Specialist (CNS). The number of Registered Nurses holding advanced practice recognition has increased by 43% in the past five years. The following table shows the population of advanced practice nurses in each of the four advanced practice fields during the past five years: Advanced Practice Registered Nurses Recognized in Oklahoma The percent of advanced practice nurses with prescriptive authority also continues to rise. Currently, approximately 66% of advanced practice nurses hold either prescriptive authority recognition, or, in the case of Certified Registered Nurse Anesthetists, authority to select, order, obtain, and administer drugs. Advanced Registered Nurse Practitioners are most likely to obtain prescriptive authority recognition, with 86% of ARNPs holding prescriptive authority recognition. Conclusion Significant increases in the Oklahoma Registered Nurse population in particular are noted over the past five years. The population of Licensed Practical Nurses is holding steady, with a small increase noted. In addition, the percentage of Registered Nurses holding advanced practice recognition has increased dramatically over the past five years. At the time of preparation of this newsletter, work on the 2011 Annual Report of the Oklahoma Board of Nursing was being completed in preparation for publication. Once published, the Annual Report may be viewed in full on the Board’s website: www.ok.gov/nursing, under the link for “Publications.” (Continued from page 15) Type of Recognition FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 1 & 5 Year Variances ARNP 731 841 940 1,024 1,092 6.6% / 49.4% CNM 46 53 59 57 58 1.8% / 26.1% CNS 186 229 243 247 249 0.8% / 33.9% CRNA 511 544 589 564 611 8.3% / 19.6% TOTAL 1,474 1,667 1,831 1,892 2,010 6.2% / 36.4% BOARD MEETING NOTICE All Oklahoma Board of Nursing meetings are open to the public except those portions that may be in Ex-ecutive Session. The first day of Board meetings generally begins at 5:30 p.m., with the second and third day beginning at 8:00 a.m. All actions of the Board are taken in open session. Nurses, members of other professional disciplines, students, and the public are invited to attend. Groups that plan to attend should schedule their attendance in advance with the Board office to ensure that seating is available. There is an Open Forum on the first day of each Board meeting. Anyone wishing to address the Board about a nurs-ing issue should contact Kim Glazier, Executive Director, and request to be placed on the agenda for the Open Forum. Committee meetings are also open to the public. Please call ahead if you plan to attend, as dates, times, and locations may be changed. The committee meetings are cancelled and rescheduled if it is determined that a quorum will not be present. OKLAHOMA BOARD OF NURSING MEMBERS TERM ENDS Liz Michael, RN, MS, President 2013 Joni Jeter, RN, MS, Vice-President 2014 Lauri Jones, RN, BSN, Secretary-Treasurer 2015 Linda Martin, LPN 2011 Elizabeth Schultz, CRNA, MS 2011 Nettie Seale, RN, MEd 2011 Francene Weatherby, PhD, RN 2012 Linda Coyer, LPN 2012 Jean Winter, LPN 2013 June Cash, Public Member 2011 Page 17 OKLAHOMA BOARD OF NURSING NEWSLETTER November 2011 Oklahoma Board of Nursing Generally begins 1st day - 5:30 p.m. 2nd & 3rd day - 8:00 a.m. Please check agenda for time. Nov. 8, 9, & 10, 2011 Jan. 31, Feb. 1, & 2, 2012 March 27, 28, & 29, 2012 May 22, 23, & 24, 2012 July 24, 25, & 26, 2012 Sept. 25, 26, & 27, 2012 Nov. 6, 7, & 8, 2012 Wyndham Garden Hotel 2101 S. Meridian Oklahoma City, OK 405-685-4000 Advanced Practice Advisory Committee February 23, 2012 Board office CRNA Formulary Advisory Council April 23, 2012 Board office MEETING DATE SITES SUMMARY OF BOARD ACTIVITIES During the March 2011 Board meeting, the Board: Appointed Kelligh Lloyd, RN, to the Peer Assistance Committee; Accepted a follow-up report from Platt College Associate Degree Nursing Program, Tulsa; Accepted a follow-up report from Comanche Nation College Practical Nursing Program, Lawton, and granted Full Approval status for a period of two (2) years; Accepted a survey visit report for Platt College Associate Degree Nursing Program, Oklahoma City, and granted Full Approval status for a period of two (2) years; Accepted a report on 2010 NCLEX pass rates for Oklahoma nursing education programs; Accepted a survey visit report for Francis Tuttle Technology Center Practical Nursing Program, Oklahoma City, and granted continuing Full Approval status for a period of five (5) years; Accepted a survey visit report for Western Oklahoma State College Associate Degree Nursing Program, campuses in Altus, Lawton, and Elk City, and granted continuing Full Approval status for a period of five (5) years; and Accepted a curriculum change request and the addition of a high school option for Indian Capital Technology Center Practical Nursing Program, campuses in Muskogee, Tahlequah, Stilwell, and Sallisaw. During the May 2011 Board meeting, the Board: Reviewed and approved proposed revisions or accepted without revision the following policies, procedures, or guidelines: o Determining Appropriate Faculty to Student Ratios in the Clinical Area in Board-Approved Nursing Education Programs Guidelines, #E-09 o Registered Nurse in Administering, Managing and Monitoring Non-Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques (Epidural, PCEA and Intrathecal Catheters) Guidelines,#P-03 o Registered Nurse Monitoring Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques (Epidural, PCEA and Intrathecal Catheters) Guidelines, #P-04 o Evaluation Criteria Investigation Division, #I-13 o Self-Assessment Report Guidelines, #I-16; Appointed Tim Castoe, RN, CARN, and Jayne Oertle, RN, MSN, CNS, CARN, to the Peer Assistance Committee; Accepted a survey visit report for Oklahoma Christian University, Oklahoma City, and granted continuing Full Approval status for five (5) years; Accepted curriculum change request for Kiamichi Technology Center, campuses in Atoka, Idabel, Antlers, Durant, Hugo, Poteau, Stigler, Talihina, and McAlester; Accepted 2010 NCLEX pass rate reports and committee recommendations on the following nursing education programs: o Bacone College, Muskogee o Eastern Oklahoma State College, Idabel o Green Country Technology Center, Okmulgee o Meridian Technology Center, Stillwater (Continued on page 19) PAGE 18 OKLAHOMA BOARD OF NURSING NEWSLETTER NOVEMBER 2011 o Murray State College, Tishomingo o Platt College- Associate Degree, Oklahoma City o Platt College- Associate Degree, Tulsa o Pontotoc Technology Center, Ada o Oklahoma Christian University, Edmond o Western Oklahoma State College, Lawton; Accepted a report on 2010 pass rates for Advanced Unlicensed Assistant programs; Accepted survey visit reports and granted continuing Full Approval status for five (5) years for the following programs: o Northern Oklahoma College, campuses in Tonkawa, Stillwater, and Enid o Southern Nazarene University, Bethany; and Approved curriculum change requests for the following programs: o Western Technology Center, Burns Flat o Central Technology Center, campuses in Drumright and Sapulpa. During the July 2011 Board meeting, the Board: Reviewed and approved proposed revisions or accepted without revision the following policies, procedures, or guidelines: o CRNA Inclusionary Formulary, #P-50A o Continuance of Hearings Policy, #I-01 o Approved Skills List for Performance by Board-Certified Advanced Unlicensed Assistants, #E- 43 o Moderate (Conscious) Sedation Guidelines for Registered Nurse Managing and Monitoring Patients, #P-06; Accepted survey visit reports and granted continuing Full Approval status for five (5) years for the following programs: o Pontotoc Technology Center, Ada o Oklahoma Baptist University, Shawnee o East Central University, campuses in Ada, Durant, and Ardmore o Oklahoma Wesleyan University, Bartlesville o Red River Technology Center, Duncan o High Plains Technology Center, Woodward; and Accepted survey visit report and granted Full Approval status for three (3) years for ITT Technical Institute, Oklahoma City. Minutes of the meetings of the Oklahoma Board of Nursing are available for review on the Board’s website: www.ok.gov/nursing. Click on the link for “Board Info.” (Continued from page 18) PAGE 19 OKLAHOMA BOARD OF NURSING NEWSLETTER NOVEMBER 2011 OKLAHOMA BOARD OF NURSING 2915 N. CLASSEN BLVD., SUITE 524 OKLAHOMA CITY, OK 73106 (405) 962-1800 www.ok.gov/nursing PRSRT STD U. S. POSTAGE OKLAHOMA CITY, OK 73106 PERMIT NO. 398 This publication, printed by the University Printing Services, is issued by the Oklahoma Board of Nursing as au-thorized by the Oklahoma Nursing Practice Act [59 O.S. Section 567.1] 62,800 copies have been prepared and distributed at a cost of $12,124.00. Copies have been deposited with the Publications Clearinghouse of the Okla-homa Department of Libraries [74.O.S. Section 3105 B]. |
Date created | 2011-11-22 |
Date modified | 2011-11-22 |