Arizona Board of Nursing: Letters of No Concern

The following are from the September and November 2014 AZBON Minutes

McCormies moved Busby seconded to issue a letter of concern for refusing to place a patient on the bedpan, instructing the same patient void in her brief, and for forcibly moving the patient up in bed on or about July 25, 2013 while working a shift through dependable nursing at Avalon Southwest in Tucson, Arizona, and for sleeping on duty while working a shift for Catalina in-home health services Inc. in Tucson, Arizona in or around July 2011. After further discussion the motion failed. Busby moved Quinn seconded to retry board option number two, to issue a letter of concern for refusing to place the patient on the bedpan, instructing the same patient void in her brief, and for forcibly moving the patient up in bed on or about July 25, 2013 while working a shift through dependable nursing at Avalon Southwest in Tucson, Arizona, and for sleeping on duty while working a shift for Catalina in-home health services Inc. in Tucson, Arizona in or around July 2011.

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Busby moved Dalton seconded and it was unanimously carried to issue a letter of concern for working outside the scope of practice for registered nurse while employed at back in line spine health and wellness from in and around September 9, 2014 through September 17, 2014, and for continuing to work in an advanced practice role on or about September 17, 2014 after he had been advised by the board staff that he was not authorized to work as a nurse practitioner. After discussion, the motion was amended to include upon meeting all license requirements grant licensure.

 

Busby moved and it was unanimously carried issue a letter of concern for on or about April 4, 2012 instructing a CNA to place a hot pack on patient without a current physician order and not documenting the action or doing a pain assessment and for sleeping while on duty on or about August 7, 2012 which resulted in a confused patient wandering who was not supposed to be bearing weight after surgery

 

McCormick moved Dalton seconded and it was unanimously carried to issue a letter of concern for testing positive for marijuana in a January 3, 2014 preemployment screening at Flagstaff medical Center in Flagstaff, Arizona

 

McCormies moved Dalton seconded and it was unanimously carried to issue a letter of concern for her November 16, 2012 conviction pursuant to a guilty plea of extreme driving under the influence, a misdemeanor, in Phoenix Municipal Court in Phoenix, Arizona and the December 17, 2012 violation of St. Joseph’s Hospital medical administration policy when she failed to waste a controlled substance that was removed for patient from the Omni cell until three days later when she returned to work and her June 24, 2013 violation of St. Joseph’s Hospital medication administration policy when she failed to return controlled substances to the Omni cell after the medication was not used for patient during the procedure

 

Busby moved and after discussion for complaint number one, it was unanimously carried to issue a letter of concern for receiving a DUI on March 4, 2013 in Phoenix, Arizona, and for bringing a family member to Tuscany McCormick Ranch in Scottsdale, Arizona, on or about March 16, 2013. Busby moved Machesney seconded and it was unanimously carried to dismiss complaint number two

 

Busby moved and it was unanimously carried to grant licensure upon meeting all requirements to issue a letter of concern for her February 13, 2013 misdemeanor conviction of driving under the influence a misdemeanor. Both occurring in Prescott city court in Prescott Arizona

 

Busby moved and it was unanimously carried to issue a letter of concern for his misdemeanor conviction on or about April 15, 2013 for attempted stalking/ domestic violence in Gilbert, Arizona

 

After discussion, it was unanimously carried issue a letter of concern to respondent for documenting she performed a sharp debridement where patient A’s wound bled more than normal, but failed to document the debridement in the nurse’s notes, causing a delay in treatment while employed at Cornerstone Hospital in Tucson, Arizona

 

Busby moved Berrigan seconded and it was unanimously carried, based on the information in the investigative report to issue a letter of concern for testing positive for cannabinoids on a preemployment urine drug test on or about November 22, 2013 at Scottsdale healthcare in Scottsdale, Arizona

 

Quinn moved and it was unanimously carried to grant licensure upon meeting all requirements and issue a letter concern for his June 7, 2002 DUI conviction Mesa, Arizona and January 5, 2013 DUI conviction Phoenix, Arizona

 

Busby moved and after discussion was unanimously carried to issue a letter of concern for her May 25, 2013 conviction for DUI misdemeanor in the city court of Phoenix in Phoenix, Arizona and respondent’s admission of marijuana use without a medical marijuana card

 

Busby moved McCorvey seconded and it was unanimously carried to issue a letter of concern for abandoning her patient assignment in Prescott, Arizona, on or about August 27, 2013

 

Busby moved and after discussion, it was unanimously carried to issue a letter of concern for failing to submit to random urine drug testing on July 31, 2014 and August 22, 2014

 

McCormies moved Dalton seconded and it was unanimously carried issue a letter of concern for initiating a propofol infusion on a patient in the intensive care unit on or about March 15, 2014, who was not mechanically ventilated and for failing to follow facility policy on bypassing the barcode medication administration system prior to hanging propofol while employed in the ICU at the Southern Arizona Veterans Administration hospital in Tucson, Arizona

 

Busby moved McCormies seconded and after discussion, it was unanimously carried to issue a letter concern for failing to remove nitroglycerin patches from patient A on or about December 2, 2012; December 3, 2012; December 4, 2012; and December 5, 2012 while on duty at the Hacienda at La Posada in Green Valley, Arizona and incorrectly documenting removal of the patches in the medical record

 

Quinn moved Dalton seconded and it was unanimously carried to grant certification upon meeting all requirements and issue a letter of concern for July 7, 2012 attempt to smuggle Crystal methamphetamines into the United States, which was never charged on September 20, 2012

 

Quinn moved. Busby seconded and it was unanimously carried to grant certification upon meeting all requirements and issue a letter of concern for the October 6, 2011 conviction of domestic violence. A misdemeanor in the Municipal Court of Phoenix, Arizona, and on November 27, 2013 conviction for DUI and misdemeanor in the Municipal Court city of Phoenix in Phoenix, Arizona

 

Mcormies moved Dalton seconded and it was unanimously carried to issue a letter of concern for testing positive for marijuana in a return to work drug test on or about December 20, 2012 while employed as a RN at Scottsdale Healthcare

 

 September 2014

Snyder moved it was unanimously carried issue a letter of concern for medication errors made on or about November 8, 2009 and July 31, 2013 while working as an RN at hospice of Arizona in Phoenix, Arizona

 

Johnson move Snyder seconded to issue a letter of concern for tampering with the prescription label and submitting the label as false evidence. In response to a positive urine drug test for oxycodone a drug for which she did not have a prescription after discussion motion filled with five opposed into in favor Dalton moved Berrigan seconded based upon the findings of fact and statute, rule violations identified in investing date of report offered a consent agreement for decree of censure

 

Johnson move Snyder seconded and it was unanimously carried to grant registered nurse anesthetist certification upon meeting all requirements and issue a letter of concern for applicants April 4, 2013 conviction of driving under the influence of alcohol with a blood alcohol content of .144 at 20 to 50 hours

 

Quinn moved Terrell seconded and it was unanimously carried to allow responded to continue on consent agreement and order, issue a letter of concern, while under consent agreement and order number for failing to complete a psychiatric substance abuse and anger management evaluation of the PhD level board approved evaluator within 30 days of the effective date for the order and for failing to make an appointment to undergo a complete the nursing ethics counseling or submit a syllabus of proposed ethics course work to board staff within 30 days of the effective date of the order

 

Snyder moved, Johnson seconded and it was unanimously carried to issue a letter of concern for failing to obtain relapse prevention evaluation in a timely manner

 

Busby moved Dalton seconded and it was unanimously carried upon meeting all requirements grant licensure and issue a letter of concern for the May 2, 2002 arrest by Phoenix, Arizona Police Department for assault, but did not result in prosecution; for the June 5, 2009 misdemeanor theft conviction, for the December 22, 2003 conviction of disorderly conduct a misdemeanor in the Lake Havasu Municipal Court in Lake Havasu, Arizona for the January 4, 2004 conviction of possession of drug paraphernalia, a class one misdemeanor, for the November 22 2005 conviction of possession of drug paraphernalia, a class I misdemeanor, and for the December 19, 2008 conviction of possession of drug paraphernalia, undesignated felony for which was later designated as a misdemeanor in the Yavapai County Superior Court in Prescott, Arizona

 

Busby moved Berrigan seconded, upon completing of retraining/ retesting within six months of today’s date and meeting all certification requirements grant certification and issue a letter of concern for the October 1, 2009 misdemeanor conviction of driving under the influence of an alcoholic beverage with a blood alcohol concentration of .132 in the Gilbert Municipal Court in Gilbert, Arizona, and for the April 19, 2011 misdemeanor conviction of possession or use of marijuana in the Superior Court of the state of Arizona

 

Busby moved Dalton seconded and it was unanimously carried issue letter of concern for mistakenly administering amphetamine salts to the student, MO, when it had been prescribed to another student on or about April 22, 2014 working as a school nurse

 

 

Busby moved. Johnson seconded to issue a letter of concern for being rough and rude taking care of patients while on duty at the caring house in Sacaton, Arizona, on or about February 9, 2013.

 

Gutierrez moved Dalton seconded and after discussion, it was unanimously carried issue a letter of concern for being verbally abusive to patient, causing the patient emotional distress, as reported by staff and the patient regarding his request for as needed medication during overnight shift on or about January 5, 2014 at foothills rehabilitation Center in Tucson, Arizona

 

Johnson moved Snyder seconded to issue a letter of concern for respondents arrest on or about October 4, 2013 for possession of marijuana and possession of paraphernalia in Tucson, Arizona later dismissed; and for her admission to board staff of her periodic use of marijuana and for failing to report the charge to the board within 10 days as required by statute, enrolled after discussion motion filled with five opposed into in favor Quinn moved Dalton seconded based upon the findings of fact and statute, rule violations identified in the investigative report offer a consent agreement for decree of censure, if not sign within 30 days issue notice of charges

 

Johnson moved Dalton seconded and it was unanimously carried upon meeting all licensure requirements grant licensure and issue a letter concern for the June 30, 1998 conviction in Maricopa County Superior Court for possession of marijuana, a misdemeanor. The November 2, 2011 conviction in Phoenix Municipal Court for driving or being an actual physical control under the influence of intoxicating liquor any drug vapor releasing substance or any combination thereof, a misdemeanor, and for failure to report July 22, 2011 DUI charge to the board within 10 days as required

 

Busby moved Dalton seconded and it was unanimously carried to issue a letter of concern for submitting a dilute random urine drug test specimen on October 25, 2013 consent agreement and order will remain in effect

 

Gutierrez moved Berrigan seconded and it was unanimously carried issue a letter of concern for failing to assure that all surgical materials were accounted for prior to moving patient A to the post anesthesia care unit while working as a circulating nurse at Banner Good Samaritan on March 1, 2013

 

Dalton moved, Busby seconded and it was unanimously carried to issue a letter of concern for failing to check patient’s blood sugar, prior to administration of Lispro insulin 10 unit subcutaneous and failing to notify the physician of a significant delay in patient’s discharge on or about September 21, 2012 at Banner Baywood

 

Johnson moved, Dalton seconded, and it was unanimously carried to issue a letter of concern for failing to notify the physician patient A’s blood glucose result greater than 500 and for discharging patient A with unstable blood sugar on or about September 21, 2012 while employed and on duty as an RN at Banner Baywood

 

Dalton moved Busby seconded and it was unanimously carried issue a letter of concern for failing to cause appropriate follow-up for patient A’s blood sugar of 500 and directing RN to continue discharge order for patient A on or about September 1, 2012 while employed and on duty as a charge RN nurse at Banner Baywood

 

Quinn moved Busby seconded and it was unanimously carried to issue a letter concern for participating in the practice of using a hot pack on or about April 11 and 12, 2012. Without a providers order which caused second-degree burns of the abdomen of the postsurgical patient while on duty as RN

 

Snyder moved Delton seconded and it was unanimously carried to grant certification upon meeting all requirements and issue a letter of concern for the April 30, 2012 citation by the Peoria Police Department for shoplifting, a misdemeanor, from Target for which applicant was convicted on August 7, 2012

 

Busby moved, Snyder seconded, and it was unanimously carried to grant licensure upon meeting all requirements and issue a letter of concern for the January 1, 2014 incident involving her public intoxication and failure to cooperate with police for which she was convicted on March 26, 2014 for obstruction in Scottsdale, AZ.

 

Comments

  1. abbey H RN says:

    Seems like the arizona board of nursing , has a soft spot for law breakers. and some of these nurses/cna’s had more than one complaint against them .
    The law has specific rules / fines for lst time dui , 2nd time dui , extreme dui, but seems the board can decide based on how well they like the person what hospital that they work for, and play favortism . No set policies, no pattern or rhyme or reason for any of their decisions. Some things you can do with a set punishment , not case by case. But , oh I forgot LETTER OF CONCERN is NOT punishment.

  2. Casity Snow BSN says:

    If the Board of Nursing wants to silence you , they can dream stuff up. But real law breakers they let off without anything .. and now INCLUDING not putting Letter of concern marked on their license.
    Like a clean slate. Expunging the record without the nurse even asking for it. And the Az BON is protecting WHo again. ???

    • gettingoutofaz says:

      THie is an excellent answer.
      There is no fairness or any kind of pattern to their discipline, but when a nurse breaks the law, it doesnt matter.

  3. John Davis says:

    The inequities are frequently noted when that person is somebody they know?? The cult is at it again.

  4. gettingoutofaz says:

    And John, if you notice what the differences in the punishment , depending on what hospital they were at.

  5. dontworkasnurseinaz says:

    DO NOT TRUST NIKKI AUSTIN, SHE’S NOT AT THE BON ANYMORE , She might be trying to teach nursing students. She makes up lies, does not know how to be non biased , is a complete failure as a investigator. Seriously , how do you call it investigation when you never contacted any of one parties witnesses??
    NIKKI RAE AUSTIN, is trouble, I get nauseated when I think of this two faced , stab you in the back. Also when I think she is raising poor innocent children, I hope David gets FULL custody so we dont have more sociopaths.

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