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Updates from the State Board of Nursing.

The State Board of Nursing met on April 28, 2010 for its quarterly meeting of the Full Board. The renewal date for LPNs who renew this June, 2010 has been changed and LPN licenses will next renew on August 31, 2012. This change was made to better coincide with the State fiscal year.

The Colorado Nurses Association presented a sample Articulated Plan for safe prescribing, which was reviewed by the Board and is available at the State Board of Nursing's website.

NPATCH, the Nurse-Physician Advisor y Taskforce for Colorado Healthcare, addresses issues of mutual concern in the practices of nursing and medicine. The Nurse-Physician Advisory Taskforce for Colorado Healthcare (NPATCH) has created a template to help Advance Practice Nurses create an articulated plan for safe prescribing. The template and examples are available at this website: http://www.dora.state. co.us/npatch/index.htm

Legislative/Rule Changes Affecting Advanced Practice and Prescriptive Authority:

On July 1, 2010, legislative changes to the Nurse Practice Act and corresponding amendments to the State Board of Nursing Rules-Chapter XIV, Rules and Regulations to Registered Professional Nurses Qualified to Engage in Advanced Practice Nursing, and Chapter XV, Rules and Regulations Regarding Prescriptive Authority for Advanced Practice Nurses-are effective.

Advanced Practice Registry

The Colorado Nurse Practice Act (CRS 12-28-101) and the State Board of Nursing Chapter XIV Rules, Rules and Regulations to Registered Professional Nurses Qualified to Engage in Advanced Practice Nursing, require registration with the State Board of Nursing by those professional nurses using the titles "advanced practice nurse", "certified nurse midwife", "clinical nurse specialist", "certified registered nurse anesthetist", or "nurse practitioner".

Prescriptive Authority

The Colorado Nurse Practice Act and the State Board of Nursing Chapter XV Rules, Rules and Regulations Regarding Prescriptive Authority for Advanced Practice Nurses, state that an advanced practice nurse may be granted authority to prescribe prescription drugs and controlled substances to provide treatment to clients. Effective 7/1/10, there are two levels of Prescriptive Authority:

Provisional Prescriptive Authority: The authority granted to the Applicant to prescribe medications upon completion of the required Preceptorship in accordance with the Role/Specialty and Population Focus of the RXN. Prescribing with Provisional Prescriptive Authority requires that a Mutually Structured Mentorship exist between the RXN-P and a Physician Mentor or Physician Mentor and RXN Mentor.

Provisional Prescriptive Authority does not alter or limit your prescribing practice and does not affect your DEA Registration if you hold one.

Full Prescriptive Authority: The authority granted to the RXN to prescribe medications upon completion of the required Mentorship and development of an Articulated Plan in accordance with the Role/Specialty and Population Focus of the RXN. Prescribing with Full Prescriptive Authority will be in accordance with the RXN's Articulated Plan. (If your prescriptive authority was granted prior to 7/1/10, you will receive a letter further explaining the changes and new requirements.)

Complete information can be located at the State Board of Nursing website: http:// www.dora.state.co.us/nursing/LegislativeRules ChangesEffective7-1-10.pdf

Rulemaking Hearings-Adopted Rules:

The Board held a Rulemaking Hearing to discuss Chapter XIII-Rules and Regulations regarding the Delegation of Nursing Tasks, Chapter XIV-Rules and Regulations to Register Professional Nurses Qualified to Engage in Advanced practice Nursing, and Chapter XXI-Rules and Regulations Regarding Liability Insurance for Advanced Practice Nurses Engaged in Independent Practice.

Chapter XIII-Rules and Regulations regarding the Delegation of Nursing Tasks to include the delegation of insulin in the developmentally disabled nursing setting. The Chapter XIII Rules were discussed and passed with an effective date of June 30, 2010.

Chapter XIV-Rules and Regulations to Register Professional Nurses Qualified to Engage in Advanced Practice Nursing to include requirements for National Certification for all new APN's and liability insurance for APN's engaged in independent practice. The Chapter XIV Rules were discussed and passed with an effective date of July 1, 2010.

Chapter XXI-Rules and Regulations regarding Liability Insurance for Advanced Practice Nurses Engaged in Independent Practice to be repealed as the requirements will be included in the revised Chapter XIV Rules. The Chapter XXI Rules repeal was discussed and passed with an effective date of June 30, 2010.

State Board of Nursing Board Member Updates:

Due to the expiring term of Sandy Summers, RN, DNP, NP, Ms. Eva Tapia MSN, RN, NP-BC, who is the Nursing Program Director at Pueblo Community College, has been appointed to the State Board of Nursing as a new member. Please welcome Ms. Tapia with warm wishes as she begins her first term as a Board Member starting July 2010.

Carolyn Jefferson-Jenkins, PhD, Bartlett Writer, and Lisa Davis, RN, MS have been reappointed to their positions on the Board for another 4 year term.

State Board of Nursing Personnel Updates:

Mark Merrill has been appointed as the new Section Director for the Health Services Section in DORA's Division of Registrations effective June 15, 2010. Mark has been with the Division in his role as the Program Director for the State Board of Nursing for the past 4 years. In his 4 years with the Division he has demonstrated leadership abilities, which along with his experience and education; make him well suited for the Health Services Section Director position.

Kennetha Julien has been appointed as the Program Director for the Board of Nursing and will begin her new assignment on June 15, 2010. Most recently, Kennetha has served as the Director of the Division's Office of Expedited Settlement and built this new and extremely successful program. In her position as Director of Expedited Settlement, Kennetha has worked directly with the Board of Nursing and its staff in fulfilling its mission of public protection. Kennetha's healthcare experience includes 14 years as a surgical technician which specialized in the areas of neuro, cardiac, and trauma. She also practiced law as a solo practitioner in the areas of family/domestic relations, administrative law and criminal litigation both as a prosecutor and defense attorney in her home state of Florida for 10 years. Kennetha's legal and healthcare backgrounds, as well as her working knowledge of the State Board of Nursing make her an ideal candidate to fill the position of Program Director. Please welcome Kennetha as she transitions into her new position as the Program Director for the State Board of Nursing.
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Publication:Colorado Nurse
Date:Aug 14, 2010
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