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Discipline, Delegation, Telenursing MBP 2014 Beth Radtke 7/22/2015 11:22:07 AM 48 Jurisdictions Included in the report: Table of Contents 1 . Terminology 2 . Agency Type 3 . Required Reporting to Law Enforcement 4 . Mandatory Reporting to Board of Nursing 5 . Investigation of Complaints 6 . Subpoena Power 7 . Malpractice Payment Reports 8 . Evaluations during Investigation 9 . Disciplinary Proceedings, Standard of Proof, Actions 10 . Payment of Fees 11 . Required Disciplinary Actions 12 . Non-disciplinary Alternative Programs 13 . References to Delegation 14 . Telenursing/telehealth Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) North Carolina (NC) North Dakota (ND) Northern Mariana Islands (CNMI) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virgin Islands (VI) Virginia (VA) Washington (WA) West Virginia-PN (WV- PN) Wisconsin (WI) Wyoming (WY) 11 Jurisdictions not included in the report due to non-response: Alabama (AL) American Samoa (AS) California-VN (CA-VN) Indiana (IN) Louisiana-PN (LA-PN) Montana (MT) Nebraska-AP (NE- APRN) New York (NY) Rhode Island (RI) South Carolina (SC) West Virginia-RN (WV- RN) Page 1 of 31 Discipline, Delegation, Telenursing MBP 2014

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Page 1: Discipline, Delegation, Telenursing MBP 2014 Beth Radtke 7 ... · Discipline, Delegation, Telenursing MBP 2014 Page 13 of 31 Evaluations during Investigation 8.1. Can the Board of

Discipline, Delegation, Telenursing MBP 2014 Beth Radtke

7/22/2015 11:22:07 AM

48 Jurisdictions Included in the report:

Table of Contents

1 . Terminology

2 . Agency Type

3 . Required Reporting to Law Enforcement

4 . Mandatory Reporting to Board of Nursing

5 . Investigation of Complaints

6 . Subpoena Power

7 . Malpractice Payment Reports

8 . Evaluations during Investigation

9 . Disciplinary Proceedings, Standard of Proof, Actions

10 . Payment of Fees

11 . Required Disciplinary Actions

12 . Non-disciplinary Alternative Programs

13 . References to Delegation

14 . Telenursing/telehealth

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA)

Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Iowa (IA)

Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME) Maryland (MD)

Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO)

Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM)

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

Ohio (OH) Oklahoma (OK)

Oregon (OR) Pennsylvania (PA) South Dakota (SD) Tennessee (TN) Texas (TX)

Utah (UT) Vermont (VT) Virgin Islands (VI) Virginia (VA) Washington (WA)

West Virginia-PN (WV-PN)

Wisconsin (WI) Wyoming (WY)

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

Alabama (AL) American Samoa (AS) California-VN (CA-VN) Indiana (IN) Louisiana-PN (LA-PN)

Montana (MT) Nebraska-AP (NE-APRN)

New York (NY) Rhode Island (RI) South Carolina (SC)

West Virginia-RN (WV-RN)

Page 1 of 31Discipline, Delegation, Telenursing MBP 2014

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Member Board Profile Terminology

 

The following terms are used throughout all profiles: 

 

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

 

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

 

Board Staff:  Staff of the board of nursing

 

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

 

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

 

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

 

Page 2 of 31Discipline, Delegation, Telenursing MBP 2014

Terminology 1.1

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Agency Type:

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Independent agency within state government

AR, AZ, CNMI, IA, ID, KS, KY, LA-RN, ME, MN, MO, MS, ND, NH, NM, NV, OH, OK, OR, SD, TX, WV-PN, WY 23 48%

Board within an umbrella state agency

AK, CA-RN, CO, CT, DC, DE, FL, GA, GU, HI, IL, MA, MD, MI, NE, NJ, PA, TN, UT, VA, VI, VT, WA, WI 24 50%

Independent agency outside state government

NC 1 2%

Page 3 of 31Discipline, Delegation, Telenursing MBP 2014

Agency Type 2.1

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No GA, MI, MN, NC, NJ, VA, WI, WV-PN 8 17%

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

39 83%

Page 4 of 31Discipline, Delegation, Telenursing MBP 2014

Required Reporting to Law Enforcement 3.1

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, CA-RN, CO, CT, HI, ID, MA, SD 8 17%

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

40 83%

Page 5 of 31Discipline, Delegation, Telenursing MBP 2014

Mandatory Reporting to Board of Nursing 4.1

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

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

DC, FL, GA, IL, MD, ME, MN, MS, NJ, TN, UT, VT, WA 13 33%

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

GA, KS, MD, MI, NM, NV, PA, TX, WA 9 23%

Mandatory reporting pertains only to hospital and other health care institutions

VT 1 3%

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

0 0%

None AR, AZ, CNMI, DE, GU, IA, KY, LA-RN, MO, NC, ND, NE, NH, OH, OR, VA, VI, WI, WV-PN, WY 20 51%

Page 6 of 31Discipline, Delegation, Telenursing MBP 2014

Mandatory Reporting to Board of Nursing 4.2

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Executive Officer GU, MS, SD, VI, WV-PN 5 10%

RN or PN investigative Board of Nursing staff

AR, AZ, CNMI, CT, GU, IA, ID, KS, KY, LA-RN, MA, MD, MN, MS, NC, ND, NM, NV, OH, OK, OR, SD, TX, VI, WA, WV-PN, WY 27 56%

Non-nursing investigative Board of Nursing staff

AZ, CA-RN, CO, CT, IA, IL, ME, MI, MN, MO, MS, NC, OH, OR, TX, VI, WA, WY 18 38%

Non-nursing investigative staff from another department/division

AK, CA-RN, CT, DC, DE, FL, GA, HI, ME, MI, MS, NC, NJ, PA, UT, VA, VI, VT, WA, WI 20 42%

Office of Attorney General GU, ME, MN, MS, NH, UT, VI 7 15%

Attorney MS, VI 2 4%

RN or PN investigative staff from another department/division

NE, NJ, TN, VI 4 8%

Page 7 of 31Discipline, Delegation, Telenursing MBP 2014

Investigation of Complaints 5.1

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Does the Board of Nursing have subpoena power during investigation?

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No HI, ID, MA, NE, VI 5 10%

Yes

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

43 90%

Page 8 of 31Discipline, Delegation, Telenursing MBP 2014

Subpoena Power 6.1

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Does the Board of Nursing have subpoena power during prosecution?

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No HI, NE, OR, SD, VI 5 10%

Yes

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

43 90%

Page 9 of 31Discipline, Delegation, Telenursing MBP 2014

Subpoena Power 6.2

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

No

Yes, as a mandatory requirement under state law

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

Occasionally

No

Yes, as a mandatory requirement under state law

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

Occasionally

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No CNMI, GU, IA, MS, UT, VA, VI, VT, WV-PN 9 19%

Yes, as a mandatory requirement under state law

AR, AZ, CA-RN, CO, CT, FL, GA, IL, KS, KY, MA, MD, MI, MN, MO, ND, NE, NJ, NV, OK, OR, TN, TX, WI 24 50%

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

AK, DE, ID, LA-RN, ME, NH, NM, OH, PA, SD, WA 11 23%

Occasionally DC, HI, NC, WY 4 8%

Page 10 of 31Discipline, Delegation, Telenursing MBP 2014

Malpractice Payment Reports 7.1

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No ID, NH, NM 3 8%

YesAK, AR, AZ, CA-RN, CO, CT, DC, DE, FL, GA, HI, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, NC, ND, NE, NJ, NV, OH, OK, OR, PA, SD, TN, TX, WA, WI, WY

36 92%

Page 11 of 31Discipline, Delegation, Telenursing MBP 2014

Malpractice Payment Reports 7.2

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Are malpractice payment reports stored/filed for future reference?

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AR, ID, MO, NE, NM, OH 6 15%

YesAK, AZ, CA-RN, CO, CT, DC, DE, FL, GA, HI, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, NC, ND, NH, NJ, NV, OK, OR, PA, SD, TN, TX, WA, WI, WY

33 85%

Page 12 of 31Discipline, Delegation, Telenursing MBP 2014

Malpractice Payment Reports 7.3

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, CA-RN, CNMI, DC, DE, HI, MA, MO, NC, NM, OK, TN, VA, WI 14 29%

YesAR, AZ, CO, CT, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NV, OH, OR, PA, SD, TX, UT, VI, VT, WA, WV-PN, WY

34 71%

Page 13 of 31Discipline, Delegation, Telenursing MBP 2014

Evaluations during Investigation 8.1

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, CA-RN, CNMI, DC, DE, HI, MA, MO, NC, NM, OK, TN, VA, WI 14 29%

YesAR, AZ, CO, CT, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NV, OH, OR, PA, SD, TX, UT, VI, VT, WA, WV-PN, WY

34 71%

Page 14 of 31Discipline, Delegation, Telenursing MBP 2014

Evaluations during Investigation 8.2

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What is the standard of proof for final adjudication?

Clear and convincing evidence

Preponderance of the evidence

Substantial evidence

Reasonable cause/suspicion evidence

Clear and convincing evidence

Preponderance of the evidence

Substantial evidence

Reasonable cause/suspicion evidence

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Clear and convincing evidence

CA-RN, CNMI, FL, GU, IL, MS, NC, NJ, OK, OR, SD, VA, VI, WA, WY 15 31%

Preponderance of the evidence

AK, AZ, CT, DC, DE, GA, IA, ID, KY, LA-RN, MA, MD, ME, MI, MN, MO, ND, NE, NH, NM, NV, OH, PA, TN, TX, UT, VT, WI, WV-PN 29 60%

Substantial evidence AR, CO, HI, KS 4 8%

Reasonable cause/suspicion evidence

0 0%

Page 15 of 31Discipline, Delegation, Telenursing MBP 2014

Disciplinary Proceedings, Standard of Proof, Actions 9.1

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Hearing officer/examiner

DE, FL, GU, HI, ID, KS, KY, MA, MO, NE, OH, PA, SD, VI, WA, WV-PN, WY 17 35%

Administrative law judge

AK, AZ, CA-RN, CO, DC, GA, HI, IA, IL, MI, MN, MS, ND, OR, TX, UT, WA, WI 18 38%

All board members AR, CA-RN, CNMI, CT, DC, DE, GA, GU, IA, ID, KS, MD, ME, MN, MS, NC, NH, NJ, NM, NV, OK, OR, SD, UT, VA, VI, VT, WI, WY 29 60%

Panel/committee of board members CO, DC, DE, KS, KY, LA-RN, MS, NC, OH, PA, TN, UT, VA, WA 14 29%

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

Page 16 of 31Discipline, Delegation, Telenursing MBP 2014

Disciplinary Proceedings, Standard of Proof, Actions 9.2

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Censure AK, AZ, CT, DE, HI, IA, KS, LA-RN, ME, MO, NC, NE, NM, NV, OR, VT, WA 17 35%

Cease and desist order

AR, AZ, CO, CT, DC, GA, GU, HI, IA, ID, KY, LA-RN, ME, MN, MO, NC, ND, NE, NJ, NM, NV, SD, TN, TX, VA, VI, VT, WA, WI, WY 30 62%

ReprimandAK, AR, AZ, CA-RN, CT, DC, DE, FL, GA, HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-PN, WY

43 90%

Remediation AZ, CT, FL, GA, HI, IA, ID, IL, LA-RN, MA, MI, MN, MS, NC, NJ, NM, NV, OK, PA, SD, TN, TX, VI, VT, WA, WI 26 54%

Citation Order CT, HI, IA, MD, NV, PA, TN, UT 8 17%

Warnings AR, CT, GA, HI, IA, IL, ME, MS, NC, NE, NM, OH, OK, SD, TX, UT, VA, VI, VT, WI, WY 21 44%

Practice limitation with probation

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

45 94%

Practice limitation without probation

AK, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, KS, LA-RN, MA, MN, MS, NC, NJ, NM, NV, OH, OK, PA, SD, TX, VA, VT, WA, WI, WY 30 62%

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

43 90%

Conditional Probation

AK, AZ, DE, HI, IA, ID, IL, KY, LA-RN, MI, MN, MS, NC, NE, NJ, NM, NV, PA, SD, TX, UT, VA, WY 23 48%

Summary suspension

AR, AZ, CA-RN, CO, CT, DC, GA, HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MS, NC, NE, NJ, NM, NV, OH, OK, PA, SD, TN, TX, VA, VT, WA, WI, WV-PN, WY

36 75%

Suspension

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

48 100%

Page 17 of 31Discipline, Delegation, Telenursing MBP 2014

Disciplinary Proceedings, Standard of Proof, Actions 9.3

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Revocation

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

46 96%

Fine/civil penaltyAK, AR, AZ, CO, CT, DC, FL, GA, GU, HI, IA, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, TN, TX, UT, VA, VI, VT, WA, WV-PN

39 81%

Assessment of costs AZ, CA-RN, FL, GA, HI, IA, ID, KS, KY, LA-RN, ME, NC, ND, NJ, NM, NV, OK, PA, SD, TN, TX, WA, WI 23 48%

License surrenderAK, AZ, CA-RN, CNMI, CO, CT, DC, GA, GU, HI, IA, IL, KY, LA-RN, MA, ME, MN, MS, NC, ND, NE, NJ, NV, OH, OK, PA, SD, TN, TX, VA, VI, VT, WA, WI, WV-PN, WY

36 75%

Community service CT, FL, HI, LA-RN, ND, NM, NV, SD, TX, WA 10 21%

Page 18 of 31Discipline, Delegation, Telenursing MBP 2014

Disciplinary Proceedings, Standard of Proof, Actions 9.4

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Can the licensee be ordered to pay investigative fees?

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, AR, AZ, CNMI, CO, CT, DC, DE, IA, IL, KS, KY, MA, MD, MI, MN, MO, MS, NC, ND, NE, NH, OH, OR, TX, UT, VA, VT, WY 29 60%

Yes CA-RN, FL, GA, GU, HI, ID, LA-RN, ME, NJ, NM, NV, OK, PA, SD, TN, VI, WA, WI, WV-PN 19 40%

Page 19 of 31Discipline, Delegation, Telenursing MBP 2014

Payment of Fees 10.1

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Can the licensee be ordered to pay legal fees?

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

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

35 73%

Yes CA-RN, FL, GU, HI, LA-RN, NJ, NM, NV, OK, TN, VI, WA, WI 13 27%

Page 20 of 31Discipline, Delegation, Telenursing MBP 2014

Payment of Fees 10.2

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Can the licensee be ordered to pay monitoring fees?

No

Yes

Does not apply

No

Yes

Does not apply

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AR, AZ, CA-RN, CO, ID, KS, MA, MD, MN, MO, NC, NH, NM, OH, OK, OR, SD, VA, VT, WY 20 42%

Yes AK, DC, DE, FL, GU, HI, IL, KY, LA-RN, ME, MI, MS, ND, NE, NJ, NV, PA, TN, TX, UT, VI, WA, WI, WV-PN 24 50%

Does not apply CNMI, CT, GA, IA 4 8%

Page 21 of 31Discipline, Delegation, Telenursing MBP 2014

Payment of Fees 10.3

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Non-payment of child support

AK, AR, AZ, DE, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, ME, MN, NC, NE, NJ, NM, NV, OH, OK, OR, PA, TN, TX, VT, WA, WV-PN

30 62%

Non-payment of student loan

AK, FL, GA, GU, HI, IA, IL, KY, LA-RN, MN, MS, NJ, OK, TN, TX, WA 16 33%

Non-payment of alimony/spousal support

GU, MN 2 4%

Non-payment of jurisdiction taxes CA-RN, DC, GU, IA, IL, KY, MA, ME, MN, MO, OR, VI, VT 13 27%

Does not apply CNMI, CO, CT, MD, MI, ND, NH, SD, UT, VA, WI, WY 12 25%

Page 22 of 31Discipline, Delegation, Telenursing MBP 2014

Required Disciplinary Actions 11.1

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Substance Use Disorder

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

36 75%

Psychiatric/mental health related

CA-RN, CT, DC, DE, FL, GU, ID, KS, LA-RN, MD, MI, MN, MS, NC, NJ, NV, OR, PA, SD, TN, TX, VA, WI 23 48%

Physical or health related CT, DC, FL, GU, KS, LA-RN, MN, MS, NC, NJ, PA, TN, VA 13 27%

Practice related GU, HI, ID, MS, NC, NJ, NV, OH, PA, VT, WA 11 23%

Does not apply AK, AR, CNMI, GA, IA, MO, ND, NE, NH, VI, WV-PN, WY 12 25%

Page 23 of 31Discipline, Delegation, Telenursing MBP 2014

Non-disciplinary Alternative Programs 12.1

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

NoAK, AR, CA-RN, CNMI, CO, CT, FL, GA, GU, HI, IA, ID, IL, KS, ME, MI, MN, MO, ND, NE, NH, NJ, OR, SD, TN, TX, VA, VI, WV-PN, WY

30 62%

Yes AZ, DC, DE, KY, LA-RN, MA, MD, MS, NC, NM, NV, OH, OK, PA, UT, VT, WA, WI 18 38%

Page 24 of 31Discipline, Delegation, Telenursing MBP 2014

Non-disciplinary Alternative Programs 12.2

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

No

Yes

No

Yes

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, AR, AZ, DC, GA, GU, HI, IA, KY, LA-RN, MA, MD, MO, NC, ND, NE, NH, NM, NV, OH, OK, UT, WI, WV-PN, WY 25 52%

Yes CA-RN, CNMI, CO, CT, DE, FL, ID, IL, KS, ME, MI, MN, MS, NJ, OR, PA, SD, TN, TX, VA, VI, VT, WA 23 48%

Page 25 of 31Discipline, Delegation, Telenursing MBP 2014

Non-disciplinary Alternative Programs 12.3

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Civil penalty KS 1 2%

Conference/meeting CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, NC, NJ, OH 11 23%

Community service KS, WA 2 4%

Continuing education CT, DC, GU, ID, KS, LA-RN, MS, NC, NV, OH, PA, TX, VI, VT, WA, WI 16 33%

Fine GU, KS, LA-RN, MS, NH 5 10%

Mediation KS 1 2%

Monitored practice AZ, CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, NC, NJ, OH, PA, TX, VI, VT, WA, WI 18 38%

Non-disciplinary probation CT, DC, KS, KY, LA-RN, NJ, PA, VT 8 17%

Restitution 0 0%

Self-study CT, ID, KS, NC, PA, VT, WA 7 15%

Teaching conference CT, KS, NC, NV, PA, WA 6 12%

Warning letter CT, GU, KS, LA-RN, MS, NC, NH, VI 8 17%

Does not apply AK, AR, CNMI, CO, DE, FL, GA, HI, IA, IL, MA, MD, ME, MI, MN, MO, ND, NE, NM, OK, OR, SD, TN, UT, VA, WV-PN, WY 27 56%

Page 26 of 31Discipline, Delegation, Telenursing MBP 2014

Non-disciplinary Alternative Programs 12.4

Page 27: Discipline, Delegation, Telenursing MBP 2014 Beth Radtke 7 ... · Discipline, Delegation, Telenursing MBP 2014 Page 13 of 31 Evaluations during Investigation 8.1. Can the Board of

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

No

Yes

Yes, if requested

No

Yes

Yes, if requested

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AZ, CA-RN, CT, DC, GU, LA-RN, MS, NH, NJ, NV, OH, PA, TX, VI, VT, WI 16 76%

Yes KY 1 5%

Yes, if requested ID, KS, NC, WA 4 19%

Page 27 of 31Discipline, Delegation, Telenursing MBP 2014

Non-disciplinary Alternative Programs 12.5

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Nurse Practice ActAK, AZ, CA-RN, CNMI, CO, DE, FL, HI, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MO, MS, NC, ND, NE, NV, OH, OK, OR, SD, TX, UT, VA, VI, VT, WA

33 69%

Rules and Regulations

AK, AR, AZ, CNMI, CO, DC, DE, FL, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, SD, TN, TX, UT, VA, VI, WA, WY

38 79%

Declaratory ruling/advisory opinion

AZ, CA-RN, CT, GU, IA, KY, LA-RN, MA, MS, ND, NH, NV, OK, TX, WA, WY 16 33%

Position statement CA-RN, GA, GU, ID, KY, LA-RN, MO, MS, NC, ND, NV, TN, TX, VT 14 29%

Written Guideline NC, NJ, NV, OK, TN, TX, WV-PN 7 15%

Does not apply PA, WI 2 4%

Page 28 of 31Discipline, Delegation, Telenursing MBP 2014

References to Delegation 13.1

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Registered Nurses

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

46 100%

Practical NursesAK, AR, AZ, CNMI, CT, DC, FL, GA, GU, HI, IA, ID, KS, KY, MA, MD, ME, MI, MN, MO, MS, NC, ND, NH, OH, OK, OR, SD, TN, TX, UT, VI, VT, WA, WY

35 76%

Page 29 of 31Discipline, Delegation, Telenursing MBP 2014

References to Delegation 13.2

Page 30: Discipline, Delegation, Telenursing MBP 2014 Beth Radtke 7 ... · Discipline, Delegation, Telenursing MBP 2014 Page 13 of 31 Evaluations during Investigation 8.1. Can the Board of

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

Nurse Practice Act HI, KY, MD, NV, TN 5 11%

Rules and Regulations CO, DE, HI, MA, MD, NV 6 13%

Declaratory rulings/advisory opinions

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

Position statements CA-RN, GA, ID, LA-RN, NV, TN, TX 7 15%

Written Guidelines IA 1 2%

None AK, AR, CNMI, CT, DC, FL, GU, IL, KS, ME, MI, MN, MO, MS, NC, ND, NE, NJ, NM, OH, OR, PA, SD, UT, VA, VI, VT, WI, WV-PN 29 62%

Page 30 of 31Discipline, Delegation, Telenursing MBP 2014

Telenursing/telehealth 14.1

Page 31: Discipline, Delegation, Telenursing MBP 2014 Beth Radtke 7 ... · Discipline, Delegation, Telenursing MBP 2014 Page 13 of 31 Evaluations during Investigation 8.1. Can the Board of

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

No

Yes

Yes, provided the practitioner has a valid Compact license

Other*

No

Yes

Yes, provided the practitioner has a valid Compact license

Other*

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

Responses JurisdictionsNumber

of Boards

Percentage of Boards

Responding

No AK, CO, DC, GA, IA, IL, LA-RN, MA, MI, MN, NV, OH, OR, PA, VI, VT, WA, WV-PN, WY 19 40%

Yes HI, KS, KY, NH 4 9%

Yes, provided the practitioner has a valid Compact license

AR, AZ, CT, GU, ID, MD, MO, MS, NC, ND, NE, NM, SD, TN, TX, VA, WI 17 36%

Other* CA-RN, CNMI, DE, FL, ME, NJ, UT 7 15%

Other*

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

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

DE Must have valid DE license or PtoP

FL w/ a FL license

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

NJ Only if licensed in NJ

UT silent on issue

Page 31 of 31Discipline, Delegation, Telenursing MBP 2014

Telenursing/telehealth 14.2