Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...

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Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
WINTER 2021 • Volume 19 Issue 1

            Official Publication of the Ohio Board of Nursing

Providers Help to Stop COVID-19:
Vaccinations
Please consider enrolling to provide COVID-19 Vaccinations
If you have not yet enrolled through OHID, please follow the steps below to
access and complete enrollment:

•   Visit OHID webpage: https://ohid.ohio.gov
•   Log-in using your OHID or create a new account
•   Request access to the Vaccination Program (COVID-19) application
•   Complete, sign, and submit all required forms, including the ImpactSIIS
    security agreement, electronically through the application

If you have additional enrollment questions, please
email covidvaccine@odh.ohio.gov.
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
Momentum
               is published by the
           Ohio Board of Nursing
         17 South High St., Suite 660
                                                   CONTENTS
                                                   WINTER 2021 I            Volume 19 Issue 1
         Columbus, Ohio 43215-3466
            Phone: 614-466-3947
              Fax: 614-466-0388
             www.nursing.ohio.gov
                                                   4   From the President

                   President
           Lauralee Krabill, MBA, RN
                                                   6   From the Executive Director

                Vice President
             Joanna Ridgeway, LPN                  8   Influenza Vaccine Administration

                                                  10
               Executive Director
                                                       Board Host Next Generation
         Betsy J. Houchen, JD, MS, RN
                                                       — Quick Tips of the Month
    The mission of the Ohio Board

                                                  12
    of Nursing is to actively safeguard                Consult Agreements Established
   the health of the public through the                Between Pharmacists and CNSS,

                                                                                                                          4
   effective regulation of nursing care.               CNMS, or CNPS

                                                  14
   Information published in Momentum is                2021 Renewal for DTS and CHWS
  not copyrighted and may be reproduced.
                                                       Begins January 2, 2021
    The Board would appreciate credit for
             the material used.
      Advertisements contained herein
        are not necessarily endorsed
                                                  16   DEA Registration Guidance for CRNAS

                                                  18
        by the Ohio Board of Nursing.
         The publisher reserves the                    APRN Updates
           right to accept or reject
       advertisements for Momentum.

                                                  20
                                                       Nursing Education: Program

                                                                                                                       20
        The Ohio Board of Nursing is an                Completion Letters and Ohio
          equal opportunity employer.
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                                                  22
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                                                                                                                              3
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
FROM                                                                                       Lauralee Krabill, MBA, RN
                                                                                                               President

   THE PRESIDENT
                                                                            information on Ohio’s response to
                                                                            COVID-19, visit coronavirus.ohio.gov
                                                                            or call 1-833-4-ASK-ODH.

                                                                            Ohio must be prepared to administer the vaccine immediately to
                                                                            individuals who are identified in the first vaccination phase and
                                                                            choose to receive it. The vaccine supply is expected to be limited
                                                                            initially, and Ohio will first vaccinate individuals who are most at
                                                                            risk, including high-risk healthcare workers, those who work in
                                                                            long-term care facilities/nursing homes, and first responders.
                                                                            Director McCloud also wants you to fully understand that ultra-
                                                                            cold storage is NOT required to enroll as a COVID-19 vaccination
                                                                            provider. If this misunderstanding has prevented you from

A
        s the COVID-19 pandemic continues to surround Ohio and              enrolling as a COVID-19 vaccination provider, please consider
        the world, we know that nurses are on the front line of caring      becoming one now. Go to the State of Ohio’s “OH|ID” webpage
        for critically ill patients and support for nurses is imperative.   at https://ohid.ohio.gov and follow the steps outlined in the
                                                                            enrollment job aid and checklist. The Ohio Department of Health
The American Nurses Association has provided six quick videos               (ODH) has prepared a fact sheet (“COVID-19 Ultra-Cold Vaccine
on COVID-19 mental health support for nurses. The 5 to                      Planning Considerations”) which includes considerations for
15-minute videos are intended to help nurses learn how to                   handling the shipping container, dry ice packaging and the ultra-
manage their mental health needs while caring for COVID-19                  cold vaccine itself.
patients, in addition to providing the most current tools for
staying strong and focused while providing care. The six videos on          As we begin 2021, the Board is committed to persevering through
mental health support are:                                                  these difficult times to meet the Board’s mission to actively
• Pros and Cons of Stress                                                   safeguard the public through effective nursing regulation. Towards
• Identifying Mental Health Support                                         that end, I am pleased to have been re-elected President of the
• Coping with COVID-19                                                      Board for 2021. I look forward to serving as President and
• How to Build Resiliency                                                   working with the other elected officers, Joanna Ridgeway, LPN,
• Is this Normal?                                                           Vice-President; and Patricia Sharpnack, DNP, RN, Supervising
• Suicide Prevention Strategies                                             Member for Disciplinary Matters.

Nurses can also register for a free 60-minute on-demand webinar,            In addition, the Board appointed Board Member Chairs for
“How to Survive the Pandemic with An Unbroken Spirit: Actions               Advisory Groups: Barbara Douglas, RN, CRNA, Advisory Group
to Take Right Now to Stay Strong and Focused,” presented by                 on Dialysis; Patricia Sharpnack, DNP, RN, Advisory Group on
three nurse experts who serve on ANA’s Healthy Nurse, Healthy               Nursing Education; and Daniel Lehmann, RN, LPN, Advisory
Nation’s Strength through Resiliency Committee.                             Group on Continuing Education. Advisory Groups meet
                                                                            periodically throughout the year to provide recommendations to
Moreover, with federal approval of one or more COVID-19                     the Board regarding various programs and administrative rules.
vaccines, it is critical that we develop a strong network of vaccine
providers across the state. The U.S. Centers for Disease Control &          Also, at the Board’s year end meeting, Board members recognized
Prevention recently posted on its website “8 Things Healthcare              Nancy Fellows, RN, for her eight years of service as her term on
Professionals Need to Know about U.S. COVID-19 Vaccination                  the Board is ending. Board members praised Nancy for her
Plans”(https://www.cdc.gov/coronavirus/2019-ncov/hcp/                       commitment to public service, focus on public protection, and
vaccination.html) that Ohio Department of Health Director                   mentorship of fellow Board members. Thank you, Nancy!
Stephanie McCloud requested that we share with you. Once again,
it is time for nursing to lead in this public health crisis. For more       Stay safe everyone.
4 MOMENTUM
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
Ohio Board of Nursing 5
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
FROM THE
                                                                                        Betsy J. Houchen,
                                                                                               RN, MS, JD
                                                                                        Executive Director

   EXECUTIVE DIRECTOR
A
      s the world addresses the COVID-19 pandemic, so does Ohio and the Board of
      Nursing. Along with other agencies and organizations throughout the State, we
      continue to work remotely in the challenging environment resulting from this
COVID declared emergency.                                                                           Increased use of
For licensing, the COVID-19 pandemic means that calls and emails continue to be                     technology heightens
tremendously high and difficult to address. Our statistics show that the Board is processing
applications more rapidly than ever before. Yet, despite best efforts, these unprecedented
                                                                                                    expectations for
numbers and new processes have created outliers that demand more attention.
                                                                                                    licensing to be
When evaluating timelines, it is important to recognize that licensing is often dependent on        immediate, but this
other entities outside the Board office, including BCI (which processes FBI and BCI criminal
records checks) and Pearson Vue (which handles NCLEX registration). We continue to                  expectation must be
address issues to expedite these processes. For example, we identified there was a delay in
receipt of criminal records checks (CRCs) for certain applicants; staff worked with BCI and         balanced with
at our request, BCI is now overnighting batches of CRCs to the Board on a daily basis.
Another example was that we learned that certain applicants were entering different
                                                                                                    completing processes
information in the Pearson Vue system than what they provided on their Board application,           necessary for public
and this causes delays in issuing authorizations to test. This is a Pearson Vue protection to
guard against false applications. The discrepancy could have been a name or address                 protection
difference or even a typographical error. We worked with Pearson Vue and have notified
applicants of this issue.

In response to COVID-19 pressures on the health care system, in March 2020, the Ohio
legislature authorized new HB 197 temporary licenses that do not require passing the NCLEX
prior to initial licensing. This was intended to add nurses to the workforce quickly and
provide more nursing care in the field.

The new HB 197 temporary licenses have significantly increased the licensure workload - as
of mid-December, the Board received over 16,000 applications, a 35% increase over 2019,
while we work short-staffed and remotely. These temporary licenses result in more
applications to review, manual processes, and less time to complete licensing functions and
issue other types of licenses. Unlike initial licenses that are issued through automated
processes using a Pearson Vue interface, HB 197 temporary licenses require additional steps.
Further, the Board must respond separately to employers who require Board confirmation
when the HB 197 licensees pass the NCLEX.

While many individual inquiries require follow-up that adds time, we have other instances
of applicants making unusual demands. For example, four minutes after submitting an
application, an applicant emailed me asking when his license would be issued. Increased use
of technology heightens expectations for licensing to be immediate, but this expectation
must be balanced with completing processes necessary for public protection. Nevertheless,
receiving questions and feedback from licensees and applicants has enabled staff to better
identify issues resulting in system changes to address outlier cases, and to implement changes
that should assist other applicants and decrease questions and call volume.
6 MOMENTUM
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
The Licensure Unit continues to prioritize responses to calls      We will persevere as we work together through the challenges of
and emails, work overtime, and explore methods to decrease         COVID-19 -- the new year and promising results of vaccinations
the number of call/emails received. One such strategy is to        can’t get here quickly enough. We are pursuing authorization to
increase proactive communications with applicants. While over      add staff to address this declared emergency that has continued
the last several years, staff have increased messaging with        far longer than expected.
licensees about renewal and various issues, communications to
applicants have not been as robust. In October staff developed     We also appreciate the positive feedback received as inquiries
messages to send to those with applications in “pending or         are resolved. These experiences heighten awareness of our role
generate fee” status to let them know their application is         not only in public protection, but also in the lives of applicants
incomplete or their fee was not paid. For applications in          entering the health care workforce in Ohio -- at last count, that
“submitted or review” status, the Board restored the online        is tens of thousands in 2020, and over 300,000 licensees in total.
Applicant Review Checklist for applicants to check if additional
documents are needed, rather than contacting the Board.            Nursing continues to be a cornerstone of health care and public
                                                                   health efforts and we again commend all nurses who are facing
Board staff continue to identify additional automated IT           the challenge. We appreciate your continued understanding
processes in the Ohio eLicense system for greater efficiency.      and patience as we address these unprecedented challenges.
One focus has been to decrease manual processing time for
Program Completion Letters (PCL). The Board is planning to
pilot a new process; programs would name the PCL file with the
student’s application number and submission date rather than
the student’s name to enable automatic integration of the PCL
and the application and eliminate the manual work involved in
matching the two documents.

                                                                                                            Ohio Board of Nursing 7
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
INFLUENZA VACCINE ADMINISTRATION

T
        he current COVID-19 pandemic conditions have               Nurses may administer flu vaccine to individuals in a flu
        made influenza (flu) immunization very important.            clinic based on an authorized flu vaccine protocol. Nurses
        All Ohioans are encouraged to be immunized against         who administer the vaccine in the flu clinic would implement
the flu. Each year, immunizations are being offered in more         the protocol for vaccine administration in the same manner
locations to encourage vaccination protection for Ohio citizens.   they would implement a patient-specific order.

One such location is called a “flu clinic.” Flu clinics, often     It is important to note that in a flu clinic, LPNs must practice
organized by health departments, employer health services,         in accordance with the guidance or direction addressed in
or health care practices provide the capacity to increase          the protocol itself or by a RN associated with or in the clinic.
public access for vaccinations. Generally, individuals provide     LPNs should find this direction in the protocol itself or by a
insurance/payment information if required, complete a              RN associated with or in the clinic.
general questionnaire about allergies and health, and receive
the flu vaccine.                                                   In response to prior outbreaks of flu, the Pharmacy Board,
                                                                   in 2018, issued a Resolution that is specific to long-term care
Nurses often ask whether they may provide the flu vaccine          facilities. (Resolution: Influenza Outbreak Management in Long-
without a physician or other authorized prescriber onsite,         Term Care Facilities by Emergency Protocol) Adopted: 2/7/2018,
and if it is appropriate for the nurse to administer the vaccine   recognizes “that a long-term care facility’s administration
based on a flu vaccine protocol rather than an order for each      of influenza antiviral treatment and chemoprophylaxis to
individual receiving the vaccine.                                  residents and health care personnel according to the Center
                                                                   for Disease Control and Prevention’s ‘Interim Guidance for
Flu Vaccine Protocols                                              Influenza Outbreak Management in Long-Term Care Facilities’
The State of Ohio Board of Pharmacy’s Rule 4729:5-3-12             constitutes an emergency and may be administered via protocol
(http://codes.ohio.gov/oac/4729:5-3-12), Ohio Administrative       pursuant to paragraph (L)(1) of Rule 4729-5-01 of the Ohio
Code (OAC) establishes circumstances in which a nurse may          Administrative Code.” (http://nursing.ohio.gov/wp-content/
initiate or administer a medication using a protocol and one       uploads/2019/09/Pharmacy_Influenza_Outbreak-5.1.pdf.)
of the specified circumstances is for the administration of
vaccines. See paragraph (A)(2) Rule 4729:5-3-12, OAC.              Authorized Prescriber Onsite and
                                                                   Nursing Practice
Protocols are treatment guidelines that apply to the general       Whether the vaccine is authorized by a protocol or by a
population rather than a specific patient and include              patient-specific order, RNs and LPNs have the authority
definitive orders for drugs and drug dosages approved by a         pursuant to Section 4723.01(B) and (F), ORC, respectively
prescriber for the population being served.                        to administer flu vaccine without a physician or other
8 MOMENTUM
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
authorized provider onsite. As with any

                                                   For information about
medication, a nurse must administer the
vaccine consistent with the standards of

                                                   COVID-19:
practice set forth in Chapter 4723-4, OAC.

                                                   coronavirus.ohio.gov
As with other nursing care, nurses are
responsible for reviewing and evaluating
the patient and circumstances prior to
administering flu vaccine. For example,            1-833-4-ASK-ODH
consider the potential side effects of
the vaccine, the patient’s condition,
and documented allergies. If the nurse
believes or has reason to believe the flu
vaccine protocol is inaccurate, not current
                                                         FOR ADVERTISING
or valid, or not properly authorized; or              INFORMATION, CONTACT
that administration of the flu vaccine
is harmful or potentially harmful, or                     Jesseca Youngblood
the vaccine is contraindicated by other
documented information, such as a                       1-800-561-4686 ext# 115
reported allergy to flu vaccine, the nurse
should not administer the vaccine. LPNs
must follow similar requirements. (RNs              jyoungblood@pcipublishing.com
see Rule 4723-4-03, OAC; LPNs see Rule
4723-4-04, OAC.) If a nurse believes or has
reason to believe any of these conditions
exist, it is the nurse’s responsibility to seek
additional clarification and take any other
action necessary for the patient’s safety
and well-being.

Questions
Please email questions about RN or LPN practice
to practicernandlpn@nursing.ohio.gov. Many
practice resources are available on the Board
website, www.nursing.ohio.gov under Practice
Resources on the RN & LPN page. Finally,
please subscribe to eNews on the website to
receive timely announcements from the Board
delivered to your inbox. The Ohio Nurse Practice
Act, Chapter 4723., ORC, and administrative
rules are available in their entirety under
the “Law and Rules” link on the Board website.

                                                                            Ohio Board of Nursing 9
Providers Help to Stop COVID-19: Vaccinations - Ohio Board ...
BOARD HOSTS NEXT GENERATION
 NCLEX WEBINAR

 I
      n November 2020, the Board was pleased to host the        Please see www.ncsbn.org/nextgenerationnclex for more
      Next Generation NCLEX (NGN) Webinar. The                  information about NGN, including updates, frequently
      conference was presented by the National Council of       asked questions, and the research behind the project.
 State Boards of Nursing (NCSBN). This has become an            Additional NCLEX and testing information is also available
 annual webinar presented by the staff of the NCSBN             on the NCSBN website at https://www.ncsbn.org/nclex.htm.
 Examinations Department.
                                                                Another NCLEX Regional Workshop, including an NGN
 This year the Board welcomed approximately 200 attendees       update, is anticipated for November 2021. Check the Board
 virtually, including many nursing education faculty            website at www.nursing.ohio.gov later this year for the
 members. The presenters were well-received.                    announcement of the date and details about registration.

 The Board thanks NCSBN staff Lisa Suvanto, MSN, RNC-OB,
 and Patty Gunning, MS, RN, Test Development Associates,
 who presented information about how the NGN is developed.
 NCSBN is dedicated to developing psychometrically sound
 and legally defensible nurse licensure examinations that are
 consistent with current practice.

                  QUICK TIPS
                  OF THE MONTH
                  •   To see if additional documents are needed to obtain your license and speed up
                      the process, the Board has an Application Checklist so you can monitor what is
                      needed to complete your application in Ohio eLicense. To determine the items
                      received and the ones still needed, go to the Checklist -- log into your Ohio
                      eLicense account portal, click options, then application status.

                  •   When contacting the Board please use the email address you originally created
                      XQGHU\RXU2KLRH/LFHQVHSURÀOH7KLVZLOOKHOSXVWRORFDWH\RXUSURÀOHLQWKH
                      system so that we may respond to your inquiry sooner.

                  •   CE for RNs and APRNs -- plan now to complete your 24 hours of CE prior to October
                      31, 2021 for the upcoming renewal period. Please refer to Continuing Education
                      for APRNs and Continuing Education for RNs, LPNs, DTs, CHW & Medication Aides
                      IRULQIRUPDWLRQUHJDUGLQJVSHFLÀF&(UHTXLUHPHQWV

10 MOMENTUM
Ohio Board of Nursing 11
CONSULT AGREEMENTS ESTABLISHED BETWEEN
 PHARMACISTS AND CNPS, CNMS, OR CNPS

 W
             ith the recent passage of HB 203 in the 133rd Ohio          including whether each disease is primary or comorbid; description
             General Assembly, effective December 16, 2020,              of the drugs or drug categories the agreement involves; description
             APRNs who are designated as CNSs, CNMs, or                  of the procedures, decision criteria, and plan the pharmacist is to
 CNPs are authorized, under specific circumstances, to enter into         follow in acting under the agreement; and a description of how the
 drug therapy consult agreements with pharmacists. Prior to this         pharmacist is to comply with documentation and communication
 recent law change, pharmacists were authorized to enter into            requirements, including communication with the primary and
 drug therapy consult agreements only with physicians. See               consulting practitioners.
 Section 4729.39, Ohio Revised Code (ORC), as in effect
 December 16, 2020, at https://codes.ohio.gov/orc/4729.39v2.             The consult agreement authorizes a pharmacist to do both of the
                                                                         following, to the extent specified in the written agreement:
 A CNS, CNM, CNP, and pharmacist who manage a patient’s drug
 therapy using a consult agreement shall comply with all                    •    Manage drug therapy for treatment of specified diagnoses
 requirements set forth in Section 4729.39, ORC, and rules in                    or diseases for each patient who is subject to the
 Chapter 4729:1-6, Ohio Administrative Code (OAC), that apply                    agreement, including changing the duration of treatment
 to the consult agreement and that govern the practice of the                    for the current drug therapy; adjusting a drug’s strength,
 APRN’s collaborating physician. This year the Board will propose                dose, dosage form, frequency of administration, or route
 rules, in consultation with the Pharmacy and Medical Boards, that               of administration; discontinuing the use of a drug;
 establish standards and procedures for entering in a consult                    administering a drug; and, notwithstanding the
 agreement and managing drug therapy under the agreement.                        definition of “licensed health professional authorized to
 Under existing rules, CNSs, CNMs, and CNPs are required to                      prescribe drugs” in Section 4729.01, ORC, add a drug to
 utilize and incorporate into their practice knowledge of law and                the patient’s drug therapy.
 rules that govern the practice of their collaborating physician. Rule
 4723-8-02(D), OAC. Rule 4723-8-04(C)(5), OAC, requires that                •    Order laboratory and diagnostic tests, including
 standard care arrangements (SCAs) include a statement of services               blood and urine tests related to the drug therapy
 offered by the APRN including a description of prescriptive                     being managed, and evaluate the results of the tests
 practice. CNSs, CNMs, or CNPs may enter into consult agreements                 that are ordered. The pharmacist’s authority to
 if authorized by one or more collaborating physicians with whom                 evaluate test results does not authorize the pharmacist
 they have entered into a SCA. Section 4729.39, ORC.                             to make a diagnosis.

 Section 4729.39(C), ORC, requires that for a practitioner               Section 4729.39, ORC, also includes information regarding
 (physician, PA, or CNS, CNM, or CNP) to enter into a consult            required documentation; who may terminate the agreement;
 agreement with a pharmacist, all of the following must be met:          notices required following notice of termination; documentation
 •    Each practitioner must have an ongoing practitioner-               of notice of termination; practitioner’s and pharmacist’s liability,
      patient relationship with each patient whose drug therapy is       and other considerations and limitations.
      to be managed.
 •    The diagnosis for which each patient has been prescribed           Please use these links for the law and
      drug therapy must be within the scope of each practitioner’s       rules noted in this article:
      practice.                                                          https://codes.ohio.gov/orc/4729.39v2
 •    Each pharmacist must have training and experience related          http://codes.ohio.gov/orc/4723.431
      to the particular diagnosis for which drug therapy is to be        http://codes.ohio.gov/oac/4723-8
      prescribed.
                                                                         If you have questions, email practiceAPRN@nursing.ohio.gov.
 The consult agreement with the pharmacist must be in writing
 and include the following: diagnoses and diseases being managed,

12 MOMENTUM
Ohio Board of Nursing 13
2021 RENEWAL FOR DTS AND CHWS
     Renewal for CHWs and DTs began January 2, 2021. Renewal             To Start: CLICK HERE https://www.elicense.ohio.gov on or
 is online through Ohio eLicense at https://www.elicense.ohio.gov.   after January 2nd.

    Payment: Fees must be paid online at the time of renewal            •    Log in under “Existing Users.” You will be directed to
 and are non-refundable. Use Master Card, VISA or Discover                   your online user Dashboard page where you can renew.
 credit or debit cards. If you do not have a personal credit or
 debit card, you can obtain these pre-paid cards at local stores.       •    On the Dashboard page, scroll down to the panel that
 The renewal fee is $35 plus a $3.50 state transaction fee.                  displays your license/certificate type and number. Click
                                                                             OPTIONS on the appropriate panel, and then click
     Deadline for Renewal: Recent Ohio law changes have                      Renew. You will be routed to the Applications
 extended the effective date of your certificate through July 1,             Instruction page. Scroll to the bottom of the instructions,
 2021 due to the COVID-19 emergency. Your certificate will                   click on the “Proceed to Application” button and begin
 lapse on July 2, 2021. You cannot work as a DT as long as your              the renewal process.
 certificate is lapsed and CHWs cannot refer to themselves as
 a Board certified CHW if your certificate is lapsed. If your           •    If you begin the renewal but cannot complete it, you can
 certificate lapses, you must apply to reinstate your certificate            save your responses until you return to complete it.
 which may take additional time to process. To keep your
 certificate active and avoid it lapsing, the Board recommends          •    The Dashboard page is where you manage your profile,
 you renew no later than March 31st. If circumstances are such               submit service requests (e.g., name and address changes,
 that you cannot renew by March 31st, your certificate will                  verifications, wall certificate, etc.), and access the pay cart.
 remain active through July 1, 2021. However, on July 2, 2021, if
 you have not renewed, you will not be certified, and you must          Password: Resetting your Ohio eLicense Account Password
 submit an additional application and fees. Please avoid possible
 delays and renew during your regularly scheduled renewal                If you forgot your password or need to reset your password,
 period if at all possible.                                          go to the eLicense log in page and click on “Forgot your
                                                                     password?” and enter your email address; then check your email
    Documents: If you are asked to provide court documents or        for a password reset link from elicense-noreply@das.ohio.gov. If
 other information, be prepared to scan and upload the documents     the link does not open, copy the entire link (begin with “https”
 through the online system.                                          and ending with your last name) and paste the entire link into
                                                                     the Google Chrome address bar to get to the reset password
     CEs: You must meet the CE requirements by the end of            page. The reset link sent to you will expire after 24 hours, so
 renewal. For CE information go to www.nursing.ohio.gov,             reset your password as soon as possible!
 click “Continuing Education” on the left side of the page, then
 click “Continuing Education for Renewal-RNs, LPNs, DTs,
 CHWs, and Medication Aides.”
                                                                           Assistance needed? Call the Help Desk at (614) 466-3947
    Inactive Status: If you do not intend to work as a DT or           and select “Option 1” (weekdays 8am-5pm, except for
 CHW, you can place your certificate on “inactive” status.             holidays). After business hours, email nursing.registration@
 Go to www.nursing.ohio.gov and click on “LICENSING,                   das.ohio.gov and include a brief description of the issue, your
 CERTIFICATION & CE,” and then the “License Inactivation”              first and last name, telephone number, email address, and
 link on the page.                                                     certificate number, if you have it.
                                                                           Watch the Board website at www.nursing.ohio.gov for
                                                                       updates and information.

14 MOMENTUM
Ohio
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DEA REGISTRATION GUIDANCE FOR CRNAS

I
    n March 2020, the Ohio General Assembly passed                   1.   Such dispensing, administering or prescribing is done in
    House Bill 197 adding Certified Registered Nurse                      the usual course of his/her professional practice.
    Anesthetists (CRNAs) to the definition of a “licensed
health professional authorized to prescribe drugs” or                2.   Such individual practitioner is authorized or permitted
“prescriber” in section 4729.01 of the Revised Code, to the               to do so by the jurisdiction in which he/she is practicing.
extent authorized under sections 4723.43 and 4723.434 of
the Revised Code.                                                    3.   The hospital or other institution by whom he/she is
                                                                          employed has verified that the individual practitioner is
Since the passage of HB 197, the Boards of Pharmacy and                   so permitted to dispense, administer, or prescribe drugs
Nursing have been contacted by Ohio hospitals regarding the               within the jurisdiction.
prescribing of controlled substances by CRNAs. The State of
Ohio Board of Pharmacy recently posted DEA guidance for              4.   Such individual practitioner is acting only within the scope
hospitals and CRNAs concerning this law change. https://                  of his/her employment in the hospital or institution.
www.pharmacy.ohio.gov/Pubs/Special.aspx (scroll down to
Controlled Substances).                                              5.   The hospital or other institution authorizes the
                                                                          individual practitioner to administer, dispense or
Pursuant to federal regulations, CRNAs employed by or                     prescribe under the hospital registration and designates
who serve as agents of, for example, of a hospital or other               a specific internal code number for each individual
institutional facility, are not required to obtain a mid-level            practitioner so authorized. The code number shall
registration from the DEA to order controlled substances                  consist of numbers, letters, or a combination thereof
but may use the institutional DEA registration of the facility            and shall be a suffix to the institution’s DEA registration
where they are employed or contracted. The DEA recently                   number, preceded by a hyphen (e.g., APO123456-10 or
provided further clarification to the Board of Pharmacy:                  APO123456-A12).

     While 21 CFR 1301.22(c) exemptions do not bar Ohio              6.   A current list of internal codes and the corresponding
     CRNA’s from obtaining individual DEA registrations;                  individual practitioners is kept by the hospital or
     medications being administered, dispensed, and                       other institution and is made available at all times to
     distributed in hospitals and health care facilities are              other registrants and law enforcement agencies upon
     likely registered to those institutions, not CRNA’s.                 request for the purpose of verifying the authority of the
     Therefore, Ohio CRNA’s seeking to obtain individual                  prescribing individual practitioner.
     DEA registrations should communicate with their
     respective employers to establish best practices as it          See also State Board of Pharmacy Rule 4729:5-3-15, OAC, Use of
     pertains to ordering, dispensing, administering, and            hospital and other institution DEA registrations. Click here for the
     handling controlled substances.                                 rule. [http://codes.ohio.gov/oac/4729:5-3-15]

5PGEKĂECĚĚX HGFGRCĚ RGITĚCěKONS CTěJORKYG ěJG                  For information regarding the implementation of HB 197 and
following:                                                           CRNA scope of practice, please refer to the article, “Recent
§1301.22 Exemption of agents and employees; affiliated               Legislative Changes to CRNA Practice in Ohio,” (page 14)
practitioners                                                        in the Fall 2020 Momentum at https://nursing.ohio.gov/wp-
(c) An individual practitioner who is an agent or employee of        content/uploads/2020/10/2020-Fall-Momentum.pdf.
a hospital or other institution may, when acting in the normal
course of business or employment, administer, dispense, or           For questions, email practiceAPRN@nursing.ohio.gov.
prescribe controlled substances under the registration of the
hospital or other institution which is registered in lieu of being
registered him/herself, provided that:

16 MOMENTUM
Ohio Board of Nursing 17
APRN UPDATES
*OMG%CRG%GRěKĂECěKON4GEGRěKĂECěKON                             physician or podiatrist not later than thirty days after engaging
Recent changes to Medicare and Medicaid home health                 in practice, and to notify the board of any change in the name
certification and related regulations promulgated by the            and business address of a collaborating physician or podiatrist
Secretary of HHS pursuant to the Coronavirus Aid, Relief,           not later than thirty days after the change takes effect. Section
and Economic Security (CARES) Act, allow certified nurse            4723.431(A), ORC.
practitioners and clinical nursing specialists to certify
the need for home health services, and order home health            To update collaborating physician information (discontinuing
services, provided that such practitioners are able to do           a SCA, adding a new collaborating physician, new contact
so under state law. In light of these changes, the Board            information, etc.), please go to eLicense.ohio.gov and log
has received requests for guidance as to whether Ohio law           into your account. Once you are logged in, click the button
prohibits these practitioners from engaging in certification        located on your APRN license icon and then click “update
and recertification of home health services. Nothing in Ohio        collaborating physician” on the menu that appears. The
law or rule prohibits an APRN, acting within their scope            electronic form asks that you attach something which could
and consistent with standards of practice, from ordering or         be a word document or even a scanned note. Make sure that
overseeing a patient’s home care.                                   whatever you attach includes the name and business address
                                                                    of your collaborating physician(s). You can upload the SCA
Please note that law and rules enforced by the Board does not       itself, but unless asked to do so, you are not required to upload
address specific billing questions. CMS (or a private insurer or     the entire SCA.
other payor) may impose certain requirements for home health
care certification or recertification. That would be based on the     Senate Bill 310
payor’s law and rule or policies and not based on the Ohio Nurse    Effective December 29, 2020 through May 1, 2021, Senate
Practice Act. APRNs with questions about billing will want to       Bill 310 authorizes APRNs who hold Ohio APRN licenses
contact the insurer/payor about billing for particular practices.   that lapsed or were placed on inactive status within the
                                                                    past five years, to practice without reactivating/reinstating
4GQTKRGFUGRKĂECěKONOH1#445CEEOTNěKNHORMCěKON                   the license. This does not apply to revoked/surrendered/
The State of Ohio Board of Pharmacy recently announced              suspended licenses. In addition, the law authorizes APRNs
a new OARRS verification process that requires account              to practice without a standard care arrangement as long as
holders to verify their OARRS account details biannually.           the APRN (CNM, CNS, CNP) practices with a physician or
Additionally, OARRS will require semi-annual confirmation           podiatrist who is continuously available to communicate with
of all linked delegates. The purpose of the information             the APRN either in person or by electronic communication.
verification process is to ensure that all OARRS profile
information is current and accurate and to protect the              Questions
security of patient data. For additional information, see:          Please send questions about APRN practice to practiceaprn@
https://www.pharmacy.ohio.gov/Documents/Pubs/Newsletter/2020/       nursing.ohio.gov. Many practice and prescribing resources are
OARRS%20Account%20Update%20and%20Delegate%20                        available on the Board website, www.nursing.ohio.gov, under
Reverification%20Workflow.pdf                                         Practice Resources / APRN / Prescribing Resources. Updates
                                                                    and guidance are also posted on the Board homepage at www.
                                                                    nursing.ohio.gov, including those related to ongoing health
Updating Standard Care Arrangement Information                      public events. In addition, you may subscribe to eNews at www.
with the Board                                                      nursing.ohio.gov to receive timely announcements from the
APRN-CNPs, APRN-CNSs, and APRN-CNMs, may only                       Board delivered to your inbox.
practice pursuant to standard care arrangements (SCAs) entered
into with at least one collaborating physician or podiatrist.
Section 4723.431(A), Ohio Revised Code (ORC). APRNs are
required to notify the Board of the identity of the collaborating
18 MOMENTUM
Ohio Board of Nursing 19
NURSING EDUCATION: PROGRAM COMPLETION
LETTERS AND OHIO ELICENSE EFFICIENCIES
                                                                1.   If submitting individual PCLs, they will have to be named
                                                                     with the graduate’s application number, the date of
                                                                     submission, and the graduate’s last name and first initial,
                                                                     for example: APP-00012345_11162020_LastnameZ.

                                                                2.   If submitting the PCLs in a “zip file”, as some currently
                                                                     do, the zip file will have to be named with the program
                                                                     name (either full or abbreviated), the date submitted
                                                                     and the number of the file submitted the same day,
                                                                     for     example:       Columbusstate_11162020_1.zip       or
                                                                     Columbusstate_11162020_2.zip (if a second file was
                                                                     submitted the same day). Please note that it is important to
                                                                     add a file number at the end, otherwise a second file would
                                                                     overwrite the first file. Also, each individual PCL within
                                                                     the zip file will have to follow the same naming convention
                                                                     referred in (1) above.

 T
         he Ohio Board of Nursing continues to identify
         additional efficiencies for the automation of its IT   Application numbers are available to programs either
         processes in the Ohio eLicense system, the State’s     through the “License Search” on the Board website at
 licensing platform shared by many boards and agencies.         www.nursing.ohio.gov or graduates can provide their
 One of our recent focuses has been to decrease the manual      application number to the program.
 processing time for Program Completion Letters (PCL).
 Completing this manual process takes staff a significant       The Board continues to identify enhancements in the
 amount of time, especially during peak licensing season when   Ohio eLicense system to achieve even greater efficiencies.
 the volume of applications for licensure by examination is     Automating the PCL process will be a significant factor in
 high. We made this request of the Ohio eLicense system and     reducing manual work and the processing time for licensure
 the State anticipates that the new enhanced process will be    by examination applications. As we transition together, we
 available in the spring of 2021.                               believe that student applicants, nursing programs and Board
                                                                staff will all benefit from these IT and process enhancements.
 Once implemented, when nursing education programs
 submit their PCLs to the Board, programs will need to name     We appreciate the positive responses received from so many
 the PCL file with the student’s application number and         education programs and look forward to working with
 submission date, rather than the student’s name. This will     programs during the pilot and through implementation.
 enable automatic integration of the PCL with the eLicense
 application and eliminate the manual work involved in
 matching the two documents.

 Programs can continue to submit their files by email to
 Completion-letters@nursing.ohio.gov using one of the
 following methods to attach the files:

20 MOMENTUM
Ohio Board of Nursing 21
How Do I Change My NAME with the Board?
                                              Requests received online are processed in 2-3 business days
 • Go to eLicense.ohio.gov
 • Log into your account
 • Scroll to the panel displaying your license type and number
 • Click the “Options” link on the appropriate license panel
 • Click on the link “Change Name”
 • Upload one of the certified court records listed below:
           o   Marriage Certificate/Abstract           o    Court Record indicating change of name
           o   Divorce Decree                         o    Documentation from another state/country consistent with the laws of that jurisdiction
 • Click “Submit”

If you have difficulties logging into your account or uploading documents, contact the Customer Service Center at 614-466-3947, “Option 1”
(weekdays 8am-5pm, except for holidays). If you need assistance after business hours, email nursing.registration@das.ohio.gov. and include a brief
description of the issue, your first and last name, telephone number, email address, and license number, if you have it.
For other questions, email licensure@nursing.ohio.gov and include a brief description of the issue, your first and last name, telephone number,
email address, and license number, if you have it.

                          How Do I Change My ADDRESS with the Board?
Make sure you timely update your address – it is a requirement by law that licensees report address changes, within 30 days of the change, to the Board.
Your address of record is used for communication purposes.
                                                                                      If you have difficulties, contact the Customer Service Center at 614-466-3947,
                                                                                      “Option 1” (weekdays 8am-5pm, except for holidays). If you need assistance
 • Go to eLicense.ohio.gov                                                            after business hours, email nursing.registration@das.ohio.gov and
 • Log into your account                                                              include a brief description of the issue, your first and last name, telephone
 • Scroll to the panel displaying your license type and number                        number, email address, and license number, if you have it.
 • Click the “Options” link on the appropriate license panel
 • Click on the link “Change Address”                                                 For other questions, email licensure@nursing.ohio.gov and include a brief
 • Click “Submit”                                                                     description of the issue, your first and last name, telephone number, email
 • Address changes made online are processed through the system automatically address, and license number, if you have it.

                              Advisory Groups and Committees
         All meetings of the advisory        Advisory Committee on Advanced Practice Registered Nursing – Chair: Erin Keels, RN, APRN-CNP
               groups are held in the        March 9, 2021, July 12, 2021, November 9, 2021
             Board office. If you wish        Advisory Group on Continuing Education – Chair: Lauralee Krabill, RN
               to attend one of these        March 19, 2021, July 23, 2021, September 24, 2021
            meetings, please contact         Advisory Group on Dialysis – Chair: Barbara Douglas, RN, APRN-CRNA
         the Board office at 614-466-         March 16, 2021, September 21, 2021 (Meeting starts @ 1:00pm)
             6940 or board@nursing.          Advisory Group on Nursing Education – Chair: Patricia Sharpnack, DNP, RN
              ohio.gov to confirm the         February 4, 2021, May 6, 2021, October 7, 2021
               location, date or time.       Committee on Prescriptive Governance – Chair: Sherri Sievers, DNP, APRN-CNP
                                             July 20, 2021, November 16, 2021
   Members                                                Members                                           Members
   Ohio Board of Nursing                                  Ohio Board of Nursing                             Ohio Board of Nursing
   City                            Term Expires           City                         Term Expires         City                            Term Expires

   Lauralee Krabill, MBA, RN President                    Barbara Douglas, RN, APRN-CRNA                    Daniel Lehmann, RN, LPN
   Sandusky                            2021               Chardon                       2020                Dayton                                    2021

   Joanna Ridgeway, LPN, Vice President                   Nancy Fellows, RN                                 Sandra A. Ranck, RN
   Hilliard                           2022                Willoughby Hills                       2020       Ashtabula                                 2022

   Sandra Beidelschies, RN                                Erin Keels, RN, APRN-CNP                          Patricia A. Sharpnack, DNP, RN
   Upper Sandusky                            2021         Columbus                               2022       Supervising Member
                                                                                                            Chardon                                   2021
   Matthew Carle, Consumer Member                         Deborah Knueve, LPN
   Blacklick                                 2023         Columbus Grove                         2021

  Board Meeting Schedule 2021
  January 13-14, 2021, March 17-18, 2021, April 14-15, 2021 (RETREAT), May 19-20, 2021, July 21-22, 2021,
  September 22-23, 2021, November 17-18, 2021

22 MOMENTUM
BOARD DISCIPLINARY ACTIONS
The following includes lists of Board disciplinary actions taken at public meetings regarding licensed nurses or certificate holders. You can
review the type of action taken by checking the individual’s credential at the Ohio eLicense Center at: http://www.nursing.ohio.gov/Verifica-
tion.htm#VERInfo, or by clicking on License and Certificate Verification on the Board of Nursing’s website (www.nursing.ohio.gov). You may
also request a copy of a public disciplinary record by completing the electronic form on the Board’s website at: http://www.nursing.ohio.gov/
iw-DisciplineRecReq.htm or by clicking on Discipline Records Requests on the Board’s website.

September 2020 Disciplinary Actions
Last Name         First Name LT1      Lic. #1    Last Name           First Name LT1      Lic. #1   Last Name         First Name LT1       Lic. #1

Alco              Alice        R.N.   191811     Garcia              Amanda       R.N.   344717    Mather            Wendy         R.N.   383638
Alt               Ashley       R.N.   430882     Gascho              Rachel       R.N.   NCLEX     McCord            Johna         R.N.   294700
Ayarkwa           Akosua       P.N.   148179                                      P.N.   162265    McCue             Matthew       P.N.   111037
Banks             Julia        R.N.   NCLEX      Gingerich           Faith        R.N.   229069    McLaughlin        Kevin         R.N.   364481
Barnes            Whitney      R.N.   389797     Gingerich           Kiernan      R.N.   NCLEX                                     P.N.   124240
                               P.N.   132659     Glaser              Angelia      R.N.   402088    McTier            Chika         R.N.   363128
Barrows           Jacob        R.N.   387001     Griffin              Lisa         R.N.   472032    Metz              Holly         R.N.   396310
                               P.N.   144089                                      P.N.   170893    Mikel-Patterson   Katie         R.N.   362483
Beatty            Heather      P.N.   145328     Grudus              Edward       R.N.   203968    Miller            Amanda        R.N.   239062
Beecher           Darryl       P.N.   160477     Gurley              Cary         D.T.   003535    Mitchell          Kristen       P.N.   097152
Bell              Christina    P.N.   130399     Hagwood             Elissa       P.N.   158084    Moore             Shannon       P.N.   140688
Berdan            Tamara       R.N.   433672     Hardy               Kevin        R.N.   NCLEX     Morris            Donasia       DTI    006167
Best              Margaret     R.N.   320973     Hawkins             Thomas       R.N.   331388    Mueller           Kaitlyn       R.N.   434527
Blazer            Rustina      R.N.   456633     Hawkins             Kari         R.N.   endorse   Munro             Ashley        R.N.   350618
Bockelman Days    Kathy        R.N.   231225                                      P.N.   108441    Nicholas          Diana         R.N.   279915
Bowers            Corby        R.N.   378216     Hernandez           Alisha       R.N.   457362    Nickens           Rosalind      P.N.   088430
Bryant            Evon         R.N.   214043                                      P.N.   134598    Olson             Patty         R.N.   470973
Buckle            Tiffany      R.N.   404229     Hindel              Tasha        R.N.   357298    Osborne           Christopher   R.N.   393371
Carrier           Amy          R.N.   397893                                      P.N.   123110    Osborne           Rebecca       R.N.   412234
Chiody            Christina    P.N.   123398     Hite                Susan        P.N.   146065    Parabtani         Stephanie     R.N.   457219
Cloyd             Robbie       R.N.   304111     Hlavaty             Breanna      P.N.   171677    Parfait           Kathleen      P.N.   153464
Colbert           Angel        P.N.   126439     Holt                Danielle     R.N.   440645    Parra             Emily         R.N.   355932
Cook              Lashonda     P.N.   154785                                      P.N.   159712    Patrick           Shane         R.N.   390946
Coulter           Douglas      R.N.   endorse    Hoyng               Jenny        R.N.   312676                                    P.N.   147106
Dawley            Lauryn       R.N.   381044     Hruby               Erin         R.N.   297245    Peric             Joy           R.N.   349296
Dawson            Adrienne     P.N.   130502     Johnson             Antoinette   P.N.   093568    Perkins           Florence      R.N.   382745
Delgado           Jarod        P.N.   128682     Jolliff             Amy          R.N.   407449    Powell            Malinda       R.N.   382911
Dinya             Carrie       R.N.   292125                                      P.N.   111709    Prewitt           Sandra        R.N.   258853
Doherty           Erin         R.N.   434616     Kidwell             Linsey       P.N.   168080    Pugh              Chantay       P.N.   151546
Dougan            Nancy        R.N.   426248     Kirksey             Breanna      P.N.   173291    Ransom            Shirla        R.N.   endorse
                               P.N.   111954     Klawonn             Kristina     R.N.   365704    Reddick           Stormy        R.N.   445442
Downs             Christine    P.N.   129399                                      P.N.   122399    Rife              Mila          R.N.   432781
Dulbs             Samantha     R.N.   445016     Knapp               Ashley       P.N.   131320                                    P.N.   155830
Euton             Angel        R.N.   189551     Koral Kwiatkowski   Jennifer     R.N.   256488    Rinehart          Jeromy        P.N.   110085
Fenn              Molly        P.N.   171445     Krawza              Allison      R.N.   445471    Ripley            Kristen       P.N.   169531
Ferguson          Kiame’Shia   P.N.   170845     Kuzma               Jennifer     D.T.   001518    Risner            Bonnie        P.N.   104020
Fernandez         Thomas       R.N.   281366     Langenkamp          Amanda       R.N.   NCLEX     Roach             Danielle      R.N.   380420
                               CRNA   04692      Lewis               Nicole       P.N.   endorse   Roberts           Shannon       R.N.   377571
Ferris            Katharine    R.N.   350129     Lombardi            Angelina     R.N.   325126    Rogers            Tiffany       R.N.   endorse
Fleming           Tiffany      R.N.   365679     Lowe                David        R.N.   448963    Rudman            Tyler         R.N.   390433
Folliett-Vranic   Kimberly     R.N.   326335     Lynch               Royse        P.N.   145730    Sanchez           Diane         P.N.   096123
                               CNP    026630     Lyons               Stephanie    R.N.   262210    Scholl            Kevin         DTI    applicant
Franko            Molly        R.N.   401767     Maas                Robyn        R.N.   377373    Schroeder         Nicole        P.N.   135301
Fyffe             Stephanie    R.N.   289920                                      P.N.   107955    Shaffer           Ellen         R.N.   425818
Gabor             Tracy        R.N.   395432     Martin              Michael      R.N.   378158    Shaw              Lori          R.N.   285587

                                                                                                                           Ohio Board of Nursing 23
September 2020 Disciplinary Actions
Last Name     First Name     LT1    Lic. #1   Last Name    First Name   LT1 Lic. #1         Last Name     First Name     LT1    Lic. #1

Singleton
Smalley
                Carey
                Margaret
                             R.N.
                             R.N.
                                    315404
                                    358135
                                               November 2020 Disciplinary                    Flower          Ashley      R.N.     405657

Smith           Mindi        P.N.   132254     Actions                                       Foster
                                                                                             Francis
                                                                                                             Alexia
                                                                                                             Lori
                                                                                                                         P.N.
                                                                                                                         R.N.
                                                                                                                                  NCLEX
                                                                                                                                  282358
Snyder          Jaime        R.N.   380677
                                               Adams        Sharnerra   R.N.   NCLEX                                     P.N.     096880
                             CNP    15210      Allen        Angela      R.N.   393913        Garcia          Toni        P.N.     147540
Soltwedel       MacKenzie    R.N.   401295                                                   Gauthier        Jenna       P.N.     143054
                                                                        P.N.   115234
Spiegelberg     Eric         R.N.   354625                                                   Geer            Kara        P.N.     145334
                                               Allen        Renee       P.N.   141967
Stiles          Donna        R.N.   280753                                                   Geisler         Michelle    P.N.     124195
                                               Arnold       Kiana       P.N.   NCLEX
Stojakovic      Maja         R.N.   450976                                                   Geyer           Jennifer    R.N.     341399
                                               Ayarkwa      Akosua      P.N.   148179
Sullivan        Jeanne       R.N.   205520                                                   Giacomoni       Michelle    R.N.     320001
                                               Azzarello    Angela      P.N.   NCLEX
Summers         Nancy        P.N.   093022                                                   Glantzis        Allison     R.N.     353028
                                               Baker        Jaime       P.N.   128729
Swinehart       Zachary      R.N.   388939                                                                               P.N.     117806
                                               Baker        Nahdia      P.N.   132187
Taylor          Julia        P.N.   155048                                                   Goldauskas      Ashley      P.N.     161467
                                               Ball         Megan       R.N.   414113
Taylor          Tahzi        P.N.   endorse                                                  Gooch           Alexandra   P.N.     162277
                                               Beckman      Dawn        R.N.   334610
Thigpen         Tre’Chelle   MAC    000579                                                   Gower           Jocelyn     P.N.     110347
                                                                        P.N.   103448
Tovanche        Nadia        R.N.   406530                                                   Graham          Yvonne      R.N.     234420
                                               Beery        Jamie       R.N.   477100
                             P.N.   128519                                                   Greathouse      Nancy       R.N.     221965
                                               Beni         Matthew     R.N.   355024
Turner          Deborah      P.N.   113464                                                   Griffith         Jeannine    P.N.     109271
                                               Berg         Erica       P.N.   152719
Ugwu            Queen        P.N.   173490                                                   Groom           Erica       R.N.     335264
                                               Besingi      Besingi     P.N.   NCLEX
Vilk            Angela       P.N.   091171
                                               Blaha        Stacey      R.N.   353168                                    CRNA     15189
Von Ahn         Erick        R.N.   418991
                                               Blake        Lindsay     R.N.   376991        Hackworth       Jami        P.N.     128734
                             P.N.   149989                                                   Hagedorn        Amber       P.N.     152601
                                                                        CNP    applicant
Walters         Chance       P.N.   NCLEX                                                    Haidet          Tommi       R.N.     420584
                                               Bowling      Terri       P.N.   104691
Ward            Ashley       R.N.   375618
                                               Brooks       Kaci        P.N.   162284                                    CNP      024303
Washington      Wesley       R.N.   461677
                                               Brown        Michelle    P.N.   144621        Halstead        Kelsey      R.N.     462480
Weldin          Belinda      R.N.   381032
                                               Brown        Nicole      P.N.   153987                                    P.N.     164448
                             P.N.   110579                                                   Hamker          Jean        R.N.     165181
                                               Brown        Robin       R.N.   480648
Werman          Tracy        R.N.   432295                                                   Harper          Jerrica     P.N.     157535
                                                                        CNP    applicant-
Whipp           Jill         P.N.   120487                                                   Hatch           Corynne     R.N.     354298
                                               Browning     Jacki       R.N.   261912
Whittier        Severine     R.N.   391340                                                   Henry           Sandra      R.N.     197246
                                               Bruce        Jeannette   P.N.   145540
                             CRNA   18794                                                    Hill            John        R.N.     309841
                                               Burger       James       P.N.   164861
Wilmore         Ross         P.N.   NCLEX                                                    Hines           Lauren      P.N.     168079
                                               Byrum        Brittany    P.N.   163782
Wright          Blondina     P.N.   119286                                                   Hines           Nicole      R.N.     406428
                                               Campbell     Ilisa       P.N.   173789
Zimmer          Michelle     P.N.   152476                                                                               P.N.     129646
                                               Campbell     Wensdee     P.N.   163431
Zinni           Katlin       R.N.   400730                                                   Hinton          Lindsey     P.N.     146152
                                               Carver       Amber       R.N.   363724
                                               Charlton     Vickie      P.N.   099571        Hlywiak         Sarah       R.N.     396470
                                               Clevinger    Carol       R.N.   247690        Hopkins         William     P.N.     130762
                                               Courtland    Natoshia    R.N.   endorse       Hopper          Stephanie   P.N.     152577
                                               Cox          Jacob       R.N.   endorse       Horning         Stacey      P.N.     143277
                                               Craig        Jennifer    R.N.   351625        Hull            Joellen     P.N.     166050
                                               Craig        Laura       R.N.   441856        Hunt            Bobby       P.N.     160809
                                               Cullison     Tiffany     P.N.   156608        Hutton          Rebecca     R.N.     endorse
                                               Damron       Christina   R.N.   387095        Ivory           Judith      R.N.     345894
                                               Davis        Tiffany     P.N.   146018        Jackson         Ash’Leah    P.N.     166066
                                               Deerfield     Almeda      R.N.   254341        Jackson         Helen       P.N.     106989
                                               DiTommaso    David       R.N.   NCLEX         Jackson         Tozua       P.N.     NCLEX
                                               Dobbins      Suzanne     R.N.   280405        Jimenez         Kathryn     R.N.     352570
                                               Douglas      Todd        P.N.   150163        Johnson         Jannette    R.N.     117212
                                               Duncan       Sarah       R.N.   413641                                    CRNA     03971
                                               Durham       Joy         R.N.   410519        Johnson         Shawn       D.T.     000299
                                               Durst        Michelle    P.N.   126062        Kane            Patricia    R.N.     307112
                                               Farkas       Jill        R.N.   396950        Kazmaier        Zachary     R.N.     350101
                                               Ferry        Stephanie   P.N.   119047        Keyes           Joshua      R.N.     470836

 24 MOMENTUM
November 2020 Disciplinary Actions
Last Name      First Name       LT1     Lic. #1       Last Name           First Name     LT1 Lic. #1    Last Name      First Name       LT1 Lic. #1

 Kinback           Antoinette    R.N.     461849      Pflager                Kirk        R.N.   314303   Vandergraff    Michael        P.N.   135666
                                 P.N.     133913      Phillips              Roxanne     P.N.   115479   Venn           Vicki          R.N.   354331
 Kindle            Jeremy        R.N.     347528      Phophan               Christina   P.N.   150519                                 P.N.   119462
 Lambert           Jeremiah      R.N.     366705      Pierce                Brandon     P.N.   135765   Vernier, III   Paul           P.N.   141957
 Lanum             Charles       R.N.     458458      Platz                 Megan       R.N.   467747   Vito           Christina      P.N.   158836
 Larrieux          Anne          R.N.     475547      Prather               Michelle    R.N.   345830   Ward           Keith          P.N.   147605
 Leasure           Katrina       R.N.     344045      Pryor                 Anita       R.N.   364992   Ware           Tasha          R.N.   434083
 Lent              Staci         P.N.     134281      Pyros                 Christina   R.N.   401801   Warters        Patricia       P.N.   126769
 Locke             Donna         R.N.     367500      Readence              Jamie       P.N.   166661   Wharton        Sherry         R.N.   409328
 Long              Roxanne       R.N.     385032      Readout               Chad        R.N.   413658                                 P.N.   137409
 Lowry             Renita        P.N.     096761      Reaman-Taylor         Deborah     R.N.   219951   Wickard        Penny          P.N.   165156
 Lute              Amanda        R.N.     309646      Reiss                 Ashleigh    P.N.   150846   Wightman       Lisa           P.N.   153109
 Mangus            Carli         R.N.     423298      Reminder              Denise      P.N.   119634   Wilder         Sara           R.N.   388018
 Mantia            Sabrina       P.N.     131178      Richardson            Stacy       R.N.   407040                                 P.N.   120017
 Martin            Ann           R.N.     NCLEX       Ripley                Kristen     P.N.   169531   Williams       Taneesha       P.N.   158638
                                 P.N.     158486      Ritter                Mark        R.N.   176318   Wurzelbacher   Gina           R.N.   278191
 Martin            Larissa       R.N.     264699      Roaden                Sandra      P.N.   153897   Young          Julie          R.N.   397968
 Martin            Marilyn       P.N.     066218      Robinson              Douglas     R.N.   386672   Zimmer         Michelle       P.N.   152476
 May               Steve         P.N.     129107      Rowland               Nicole      R.N.   388863   Zimmerman      Katrina        P.N.   171189
 McMannis          Devlin        P.N.     158629      Rush                  Colleen     P.N.   139469   Zumstein       James          R.N.   375071
 Menzie            Anella        R.N.     480353      Sanchez               Diane       P.N.   096123
 Merrida           Latonya       P.N.     NCLEX       Sanders               Adriane     R.N.   370736
 Mickle            Pamela        P.N.     136911      Sankovitch            Rhonda      P.N.   109696
 Mikel-Patterson   Katie         R.N.     362483      Santana               Jocelyn     P.N.   156376
 Miller            Charlene      R.N.     252081      Santoiemma            Misty       P.N.   123239
 Moeckel           Paul          P.N.     129272      Schimmelpfennig-Waldo Donna       R.N.   331319
 Monk              Miranda       P.N.     159650      Schnabel              Jennifer    R.N.   294228
 Monsman           Jason         DT       001943      Schroeder             Krystal     R.N.   372004
 Moore             Rachel        P.N.     139422      Schultz               Emily       R.N.   379256
 Moore             Rachel        P.N.     152188      Seale                 Stephanie   R.N.   332994
                                 R.N.     NCLEX       Sellman               Lee         R.N.   326267
 Morton            Darin         D.T.     applicant   Shankland             Denise      P.N.   093969
 Mounts            Marian        P.N.     088899      Shea                  Veronica    R.N.   244262
 Mowery            Kendra        R.N.     420101      Simmons               Amiee       R.N.   375537
                                 P.N.     132040      Simon                 Weldie      P.N.   176139
 Muhongere         Illuminee     R.N.     429410      Simpson               Kelley      R.N.   403243
 Mullinex          Melissa       P.N.     105780      Simpson               Valencia    P.N.   167137
 Mullins           Amanda        R.N.     321555      Slovak                Monica      R.N.   370049
                                 CNP      14312       Smith                 Mark        R.N.   270481
 Mullins           Sarah         P.N.     166301      Snyder                Jaime       R.N.   380677
 Murphy            Shannon       R.N.     336070                                        CNP    15210
 Murphy            Thuy          R.N.     416141      Solinsky             Cindy        R.N.   158430
 Mwasumbi          Esther        R.N.     endorse     Spangler             Carrie       R.N.   335429
 Nehoda            Alexandra     R.N.     437744      Springer             Tyler        R.N.   405551
 Nicolas           Jeanette      R.N.     480907      Stricklen            Thomas       R.N.   200461
 Norris            Fred          R.N.     303103      Strohmeyer           Kathleen     R.N.   424355
 Nzisabira         Nicodeme      R.N.     425395      Stutler              Azzalia      R.N.   430873
 Ondash            Kimberly      R.N.     312994      Switzer              Kathryn      R.N.   268212
                                 CNP      15154       Thomas               Lynn         P.N.   147466
 Orji              Myrna         P.N.     132961      Thomas               Marcus       R.N.   365206
 Osting            Mackenzie     R.N.     383752      Thompson             Antoinette   R.N.   444987
 Peart             Tamara        R.N.     480859      Thornberry           Kayla        P.N.   145772
 Peskura           Marian        P.N.     095939      Tucker               Rogenea      P.N.   104717

                                                                                                                                 Ohio Board of Nursing 25
September 2020 Monitoring Actions
Last Name    First Name        LT1      Lic. #1    Last Name       First Name      LT1 Lic. #1     Last Name     First Name     LT1 Lic. #1

Aitken          Tiffany          R.N.    318321     Magnuson         Candice       R.N.   326887      Wagner        Karrie       R.N.   294881
Akers           Colleen          P.N.    099781     Marshall         Ebony         R.N.   413603      Webber        Rosalia      P.N.   152160
Ali             Porsha Elle Sade P.N.    174905     Martin           Marketa       P.N.   155252      Weisburn      Megan        R.N.   358345
Apicello        Rebekah          P.N.    117788     Martin           Nicole        P.N.   121507      Williams      Debra        R.N.   320657
Ballou          Meredith         R.N.    456408     Maurath          Tracy         P.N.   146524      Williams      Elizabeth    R.N.   318103
Banks           Samocki          P.N.    117565     McConville       Allison       R.N.   310319      Wilson        Angela       R.N.   280329
Barker          Taylor           P.N.    164174                                    CNP    09310       Wilson        Cateri       R.N.   367740
Barone          Stephanie        P.N.    168011     McCreary         Brandy        P.N.   158961                                 P.N.   128199
Barry           Jayson           R.N.    466749     McGinnis         Jeanne        R.N.   320815      Wilson        Mark         R.N.   442275
Barton          Ciara            P.N.    164863     McNamara         Shannon       R.N.   371458      Yates         Michelle     R.N.   356854
Bautista        Melissa          R.N.    399124     Middendorf       Sarah         R.N.   383324
Becker          Kelley           R.N.    362256     Miller           Jamie         R.N.   328641
                                 CNP      019437                                   CRNA   18164
Bennett         Lynn             P.N.    105113     Mullins          Jessica       P.N.   119205
Bernges         Debbie           R.N.    277737     Murphy           Shannon       R.N.   336070
Bowyer          Holly            R.N.    470616     Murry            Susan         R.N.   161447
Brock           Audrey           R.N.    336550                                    CNP    04092
Brown           Shelly           R.N.    341167     Norton           Leslie        R.N.   355176
                                 CNP     12799      Okolish          Michael       R.N.   382705
Brubaker        Gretchen         P.N.    144461                                    CRNA   019698
Carroll         Amy              R.N.    299298     Papich           Melissa       P.N.   122837
Case Henke      Colleen          R.N.    209983     Parry            Samantha      R.N.   346181
Clark           Nancy            P.N.    156040                                    P.N.   117711
Coleman         Catrice          R.N.    426136     Pawlaczyk        Lisa          R.N.   339744
                                 P.N.    124934     Pearson          Tenesha       P.N.   175598
Cook            Kimberly         R.N.    254759     Pernell          Cristy        P.N.   171041
Cox             Zachary          P.N.    148856     Perrin           Lakeisha      R.N.   435104
Cuellar         Juan             R.N.    383292     Platek           Christopher   R.N.   353869
Dailey          Melissa          R.N.    474355     Prem             Sarah         R.N.   347798
Dean            Elizabeth        P.N.    145035     Raudabaugh       Jeffrey       R.N.   261645
DeJohn          Amanda           R.N.    329665     Rhodes           Tina          R.N.   336147
Denhart         Emily            R.N.    429025     Ritchie          Melissa       P.N.   157478
Deran           Jennifer         P.N.    137078     Rose             Shannon       R.N.   294219
Dunn            Lojuanah         R.N.    286834     Rosenstengel     Caprice       R.N.   375193
Dziak           Erin             P.N.    136321     Saa              Michelle      R.N.   449406
Eblin           Rebecca          R.N.    255964     Samokovski       Nadia         R.N.   285563
French          Amanda           P.N.    145902     Schlueter        Kristen       R.N.   395905
Garner          Rhonda           P.N.    085426     Schultz          George        R.N.   399637
Giles           Betsy            R.N.    403796     Schultz          Lisa          R.N.   433840
Harbrecht       Benjamin         R.N.    448408     Shackelford      Hollyn        R.N.   396081
Harmon          Dixie            R.N.    434567     Shaffner         Lauren        R.N.   429324
                                 P.N.    077669     Simmerman        Patricia      R.N.   264727
Harvey          Carol            R.N.    184149     Skinner          Christina     R.N.   401934
Hicks           Lashawn          R.N.    335588                                    P.N.   134589
Hinton          Richon           R.N.    466751     Smith            Shannon       P.N.   161143
Hoskins         Laron            P.N.    159291     Springer         Sara          P.N.   159242
Jairam          Sunita           R.N.    337895     Stephens         Carrie        P.N.   121602
Janson          Brad             P.N.    150214     Sullivan         Amanda        R.N.   281095
Jarman          Jennifer         R.N.    362408     Tanner           Gregory       R.N.   270002
Kindel          Tammey           R.N.    334192     Thompson         Allysonn      P.N.   171898
Lapaugh         Kiana            P.N.    153533     Tomaro           Mirella       P.N.   112188
Lawrence        Charles          R.N.    318418     VanSant          Elizabeth     R.N.   480675
Long            Michelle         P.N.    131919     Waers            Donna         P.N.   142785
Mabrey          Rose             P.N.    094340

26 MOMENTUM
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