2021 Kentucky Nurses Association Virtual Annual Summit

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2021 Kentucky Nurses Association

FACING THE CHALLENGES:

PREPARING FOR THE FUTURE.

2021 KNA Virtual Annual Summit

November 4-5


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2021 Kentucky Nurses Association

TABLE OF CONTENTS

Business Meeting ....................................................13

Agendas

Meeting Rules

Parliamentary Procedures

Speaker Bios ....................................................... 23

Conference Agenda & Registration ................................... 32

Proposed Bylaw Revisions ........................................... 38

Leadership Pledge ..................................................40

Resolutions .........................................................41

KNA Strategic Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Annual Reports .....................................................48

Kentucky Board of Nursing Annual Report ............................ 63

www.kentucky-nurses.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

Printed and Published for the Kentucky Nurses Association By:

Arthur L. Davis Publishing Agency

P.O. Box 216

Cedar Falls, IA 50613

(319) 277-2414

1


2021 Kentucky Nurses Association

2021 KNA VIRTUAL

ANNUAL SUMMIT

“The purpose of the Kentucky Nurse shall be to convey information relevant to KNA members and the

profession of nursing and practice of nursing in Kentucky

Copyright #TX1-333-346

Any article herein written does not necessarily reflect the opinions or the stand of the Kentucky Nurses

Association. Individuals may direct in writing any questions regarding accuracy of the articles to the editor.

Copyright © 2020 Kentucky Nurses Association. Written permission from the Kentucky Nurses Association

is required to reproduce any of the content of this publication in printed form, to store it within a retrieval

system, or transmit it in any form or by any means.

KNA ADVERTISING POLICY: Acceptance of advertising does not imply endorsement or approval by the

Kentucky Nurses Association of the product advertised, the advertisers, or the claims made. Similarly,

rejection does not imply that a product offered for advertising is without merit or that the manufacturer

lacks integrity, or that this Association disapproves of the product or its use. KNA and the Arthur L.

Davis Publishing Agency, Inc. shall not be liable for any consequences resulting from purchase or use of

advertisers’ products from the advertisers’ opinions expressed or reported, or the claims made herein.

Advertisements will be accepted on a first come, first served basis as long as space is available. KNA

and publishers reserve the right to reject advertising without giving reasons. Responsibility for errors in

advertising is limited to correction in the next issue or refund of price of advertisement. The Kentucky

Nurse is published quarterly by Arthur L. Davis Publishing Agency, Inc. for KNA.Subscriptions are available

at $18.00 per year. The KNA organization subscription rate will be $6.00 per year except for one free

issue to be received at the KNA Annual Convention. Members of KNA receive the newsletter as part of

their membership services. Any materials appearing herein may be reprinted with permission of KNA.(For

advertising information, call 1-800-626-4081.) 16mm microfilm, 35mm microfilm, 105mm microfiche and

article copies are available through University Microfilms International, 300 North Zeeb Road, Ann Arbor,

Michigan 48106.

3


2021 Kentucky Nurses Association

BOARD OF DIRECTORS 2021

President:

Immediate Past President:

Vice-President:

Secretary:

Treasurer:

DIRECTORS-AT-LARGE:

Donna Meador, MSN, RN, CENP, CPHQ

(2020-2022)

Ruth Carrico, PhD, DNP, APRN, FNP-C

(2020-2022)

Patty Spurr, EdD, MSN, CNE, FRE

(2019 – 2021)

Misty Ellis, DNP, APRN, CPNP-PC/AC

(2019-2021)

Arica Brandford, PhD, JD, RN

(2020 -2022)

Loretta Elder, DNP, MSN, BSN, RN

(2020-2022)

Michael Rager, PhD, DNP, MSN, FNP-BC, APRN, CNE

(2019-2021)

Julie Ossege, PhD, FNP-BC, FNAP-FAANP

(2020-2022)

Jody Rogers, MSN, BSN, RN

(2019-2021)

EDUCATION

Judi Godsey, PhD, MSN, RN

& RESEARCH CABINET: (2019-2021)

GOVERNMENTAL

Brittney Welch, DNP, RN

AFFAIRS CABINET: (2020-2022)

PROFESSIONAL NURSING Teresa Villaran, MS MSN, CCRN, CNE

PRACTICE & ADVOCACY (2020-2022)

CABINET:

KNAC President:

Janie Heath, PhD, APRN-BC, FAAN, FNAP, FAANP

KANS/Student

Lisa Lockhart, MSN, MHA, RN, NE-BC,

Subscriber Consultant: (2019-2021)

Chapter Liaison:

Dolores White, DNP, RN, CNE

(2020-2022)

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2021 Kentucky Nurses Association

2021 – 2022 EDITORIAL BOARD

EDITORS:

Ida Slusher, PhD, RN, CNE (2019 – 2022)

Delanor Manson, MA, BSN, RN

MEMBERS:

Patricia Calico, PhD, RN (2021 – 2024)

Sherill Cronin, PhD, RN-BC (2020 – 2023)

Vickie Ann Miracle, EdD, RN (2019 – 2022)

Kim Hawkins, PhD, APRN (2020 – 2023)

Connie Lamb, PhD, RN, CNE (2021 – 2024)

REVIEWERS:

Deb Chilcote, DNP, RNC-MNN

Dawn Garrett-Wright, PhD, MSN, RN

Heather K. Gilchrist, DNP, MED, MS, RN

Lisa Lockhart, MSN, MHA, RN, NE-BC

Teresa Villaran, MS, MSN, APRN-BC, CCRN

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2021 Kentucky Nurses Association

KNA STAFF

Chief Executive Officer:

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Membership and Communication Director:

Stephanie Smith, MA, BA

Administrative Coordinator:

Sherry Chandler

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2021 Kentucky Nurses Association

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2021 Kentucky Nurses Association

CABINETS

Delanor Manson, MA, BSN, RN, KNA Chief Executive Officer, staff

Donna Meador, MSN, BSN, CENP, CPHQ, Ex-Officio, KNA President, KNA Board Chair

EDUCATION & RESEARCH CABINET

Judi Godsey, PhD, MSN, RN, Nurse Administration-Chair, (2019 – 2021)

Jitana Benton-Lee, DNP, MSN, MBA-HC, RN, NEA-BC, Nurse Faculty, (2019 – 2021)

Michele Dickens, PhD, RN, Nurse Faculty, (2020 – 2022)

Gannon Tagher, Ed.D., MSN, RN, APRN, Staff Nurse, (2019 – 2021)

Barbara Jackson, PhD, RN, Nurse Faculty, (2019 – 2021)

Linda Thomas, PhD, MSN, RN, Member-at-Large, (2021– 2023)

Lisa English Long, PhD, RN, CNS, Member-at-Large, (2021– 2022)

Susan Parish, BSN, RN, NE-BC, Member-at-Large, (2021– 2022)

Sheri Lancaster, BSN, RN, NPD-BC, Member-at-Large, (2021– 2022)

Jennifer Shoemake, EdD, MSN, RN, CE Planner, (2020 – 2022)

GOVERNMENTAL AFFAIRS CABINET

Cynthia Pearson, MSN, APRN, FNP-BC, Staff Nurse, (2020 – 2022)

Brittany Welch, DNP, MSN, RN, Staff Nurse, (2020 – 2022)

Beth McCraw, DNP, APRN, ACNS-BCV, Staff Nurse, (2020 – 2022)

Linda Robinson, MSN, BSN, RN, Staff Nurse, (2020 – 2022)

Sheila Melander, PhD, APRN-BC, FCCM, FAANP, FAAN, Member-at-Large, (2019 – 2021)

Eva Stone, DNP, APRN, Member-at-Large, (2019 – 2021)

Stephen Sizemore, DNP, RN, FNP-BC, Member-at-Large, (2021)

PROFESSIONAL NURSING & ADVOCACY CABINET

Denise Alvey MSN, RN-BC, Staff Nurse, (2019 – 2021)

Elizabeth Rowland, MSN, RN-BC, Administration Role, (2019 – 2021)

Teresa Villaran, MS, MSN, CCRN, CNE, Administration Role, (2020 – 2022)

Candice Gentry, DNP, MPH, BSN-RN, Education Role, (2020 – 2022)

Judy Mitchell, MSN, BSN, Education Role, (2020 – 2022)

Teresa Huber, DNP, MSN, BSN, RN, Member-at-Large, (2020 – 2022)

Jennifer Ramsey, DNP, APRN, FNP-C, WHNP-BC, SANE, Member-at-Large, (2019 – 2021)

Judy Ponder, DNP, RN-BC, CGB, Representative from KNAC, Evergreen

Arica Brandford, PhD, JD, RN Representative from Finance Committee

Lynn Roser, PhD, RN, CIC, FAPIC, Representative from Finance Committee

11


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2021 Kentucky Nurses Association

2021 BUSINESS MEETING:

Agendas

Summit Rules

Parliamentary Procedures

13


2021 Kentucky Nurses Association

14


2021 Kentucky Nurses Association

2021 KNA VIRTUAL ANNUAL

BUSINESS MEETING REGISTRATION

Register now! | THURSDAY, OCTOBER 28, 2021 | AGENDA | 5:00- 7:30 PM

5:00-5:05 Welcome and official call to order of the meeting President Donna Meador

5:05-5:10 Roll Call and reading Secretary Misty Ellis

5:10-5:15 Review Business Meeting Rules (as printed in the yearbook) Secretary Ellis

• Timekeeper-appointed

5:15-5:25 Nightingale Tribute KNF Board of Trustees Chair

Ida Slusher

5:25-5:45 Introductions

• KNA Board of Directors President Meador

• KNAC Board of Directors President Janie Heath

• KNF Board of Trustees Chair Ida Slusher

• KNA Staff President Meador

5:45-5:55 Reading of the Proposed ByLaws Changes - Vote KNA Vice President - Patricia Spurr

5:55-6:10 Review of past resolutions and

reading of the substantive resolutions – Vote

Chair PPR/ Michael Rager

6:10-6:30 Year In-Review

• President’s/BOD Report President Meador

• Treasurer’s Report Treasurer Arica Brandford

6:30-6:50 Awards/Scholarship Ceremony Member-at-Large Jody Rogers

KNF Chair Ida Slusher

President Meador

• Nurse Excellence Scholarship

• Mildred Metz Scholarship

• Chapter Challenge Trophy

• Voter Challenge Trophy

• Student of the Year

• Volunteer of the Year

• Citizen of the Year

• Researcher of the Year

• Nurse of the Year

6:50-7:00 KNA Election Teller’s Report Teller’s Chair

7:00-7:10 Welcome-Installation of new leaders-pledge Immediate Past President Carrico

7:15-7:20 New Business President Meador

7:25-7:30 Meeting adjourned President Meador

15


2021 Kentucky Nurses Association

KNA SUMMIT &

BUSINESS MEETING RULES

1 Admission to ALL Virtual sessions of the Conference shall be granted ONLY to individuals who have

registered.

2 The business meeting (October 28) shall be closed to non-members (exception: nursing students**,

legal counsel, CPA and Parliamentarian). Other exceptions may be admitted with Executive Committee

approval.

3 To obtain the floor in business meetings: please send moderator a note in ZOOM Chat Box.

4 Each member shall be limited to two (2) minutes to debate or discussion at a given time; the time may

be extended by unanimous consent of the voting body.

5 No member may speak twice until all who wish to speak have had the opportunity to do so.

6 All motions and amendments must be written and given to the Secretary prior to voting. The maker of

any motion that has financial implications for KNA must supply the membership with an estimated cost

of implementation and include fiscal impact.

7 Taping of programs by individuals is not permitted.

8 Emergency resolutions shall be provided to the Resolutions Committee no later than 11:00 am,

October 28, 2021. All Resolutions must be written and contain fiscal impact and suggested

implementation strategies. The submitting individual or group shall be identified.

9 All unpublished reports and supplement to reports shall be written and given to the Secretary before

presentation.

** Definition of Nursing Student: for KNA purposes, a Student Nurse is defined as an individual enrolled

in a pre-licensure nursing program.

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2021 Kentucky Nurses Association

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2021 Kentucky Nurses Association

PARLIAMENTARY INFORMATION

Robert’s Rules of Order, Newly Revised is the parliamentary authority that shall govern the Business

Meeting (October 28, 2021.) The President, as the presiding officer, rules on all matters relative to

parliamentary law and procedures. The Parliamentarian serves only in an advisory capacity to the presiding

officer and members.

Members’ participation in the business session is governed by the Standing Rules.

The motions that follow are defined in terms of action a member may desire to propose. Rules governing

these motions are listed in the table.

A main motion introduces a subject for consideration as is stated: “I move that…”

An amendment (primary) is a motion to modify the working of a motion. The motion to amend may be

made in one of the following forms, determined by the action desired: “I move to amend by…

. . . striking (word(s), phrase, paragraph).

. . . inserting (word(s), phrase, paragraph).

. . . striking and inserting (word(s), phrase, paragraph).

. . . adding (word(s), phrase, paragraph at the end of a motion).

. . . substituting (paragraph or entire text of a resolution or main motion and inserting

another that is germane).”

An amendment to an amendment is a motion to modify the wording of the proposed amendment and is

made as follows: “I move to amend the amendment by . . .” The same forms for making an amendment are

applicable for making a secondary amendment.

The motion to commit or refer is generally used to send a pending motion (also called “the question”) to

a small group of select persons – a committee, board, or cabinet, for example so that the question may be

studied and put in better condition for the assembly to consider. The motion is stated: “I move to commit

the question to . . . for further study.”

The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops

discussion and amendment on the pending question and is stated: “I move the previous question.”

A division of the assembly may be called to any one member if the president’s decision on a voice vote is

in question. The member proceeds to the microphone and states: “I call for a division of the house . . .” The

President then takes a standing or roll call vote.

A division of the question may be called when a pending motion relates to a single subject that contains

several parts, each capable of standing as a complete proposition. The parts can be separated, and each

considered and voted on as a proposition. The parts can be separated, and each considered and voted on

as a distinct question. The motion is stated: “I move to divide the question . . . as follows . . .”

The motion to reconsider enables a majority of the assembly to bring back for further consideration a

motion that has already been voted. The purpose of reconsidering a vote is to permit correction of hasty,

ill-advised or erroneous action, to consider added information or a situation that has changed since the vote

was taken.

Parliamentary inquiry is a question directed to the presiding officer to obtain information on parliamentary

law or the rules of the organization as relevant to the business at hand. A member addresses the President

and states: “I rise to a point of parliamentary inquiry.”

19


2021 Kentucky Nurses Association

Point of information is a request directed to the President or through the President to another officer

or member, for information relevant to the business at hand. The request is not related to parliamentary

procedure. The member addresses the chair and states: “I rise to a point of information.”

The motion to appeal the decision of the President is made at the time the President makes a ruling. If

it is made by a member, and seconded by another member, the question is taken from the President and

vested in the membership for a final decision. The motion is stated: “I move to appeal the decision of the

President.”

Before a member can make a motion or address the assembly on any question, it is necessary that he or she

obtain the screen through recognition by the presiding officer. The member must:

• Send a message to the Chat Box to be recognized.

• Address the President by saying, “Madam/Mister President.”

• Await recognition.

• Give name and the Chapter he or she is from.

• State immediately the reason he or she has risen.

RULES GOVERNING MOTIONS

Interrupt

Speaker

Recognized

by Chair

Requires A

Second

Debated

Vote

Main Motion No Yes Yes Yes Majority

Amendment No Yes Yes Yes Majority

Amendment to

Amendment

No Yes Yes Yes Majority

Refer to Committee No Yes Yes Yes Majority

Limit Debate No Yes Yes No Two-thirds

Close Debate

(Previous Question)

No Yes Yes No Two-thirds

Divide the Question No Yes Yes No Majority

Division of Assembly Yes No No No

Demand of Single

Member Compels

Reconsider No Yes Yes Yes Majority

Point of

Parliamentary Inquiry

Yes Yes No No Chair Decides

Point of Information Yes Yes No No Chair Decides

Appeal Decision of Chair

Yes

(At time of ruling)

No

Yes

Yes

(Limited)

Majority

21


2021 Kentucky Nurses Association

2021 SUMMIT:

Speaker Bios

23


2021 Kentucky Nurses Association

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24


2021 Kentucky Nurses Association

KEYNOTE SPEAKERS

JEFF MCGOY, MA, BS

“Preparing for the New Normal –

Refresh, Renew and Refocus”

Last year was full of unexpected changes that affected everyone;

2021 offers us a chance to put the pieces back together while

adapting to the changes which affects one’s mind, body, and

spirit. This presentation, facilitated by Jeff McGoy, will identify

ways to deal with the changes and differences of the past, during

the present, while preparing for the future.

Jeff McGoy is the director of Exploratory Student Advancement

and the Center for Learning at Southern Illinois University at

Carbondale. He has more than 19 years of progressive, increased

levels of experience in higher education/student affairs.

Jeff has a master of arts and a bachelor of arts in speech communication from Southern Illinois University at

Carbondale.

TARA RYNDERS,

MFA, BSN, BA, RN-BC

“Intensive Care: Holding Fatigue, Injury,

and Joy Through the Arts”

Join nurse, dancer and advanced grief recovery specialist Tara

Rynders as she guides you through an interactive, multimedia

experience of the art and science of caring for others and

yourself. As a truth-teller and disrupter, Tara embraces

vulnerability, confession, grief and failure as means to end

burnout and its detrimental effects which acutely impacts our

patients of color. She harnesses her passion for nursing and the

arts to collectively honor our shared humanity by creating a

culture of caregiving nested in self-compassion, curiosity, creativity and joy.

Tara Rynders is a clinical health educator at Denver Health. She has master of fine arts, dance and somatic

practices from the University of Colorado at Boulder and a bachelor of science in nursing and a bachelor of

arts in Spanish from the University of Nevada, Reno.

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SPEAKERS

2021 Kentucky Nurses Association

Anthony Carney, DNP, APRN, CCRN, FNP-C

“LGBTQIA+ Health Education”

Anthony Carney is a family nurse practitioner at the Phyllis D. Corbett Community

Center in Wilmore and serves as an assistant professor, clinical title series, at the

University of Kentucky College of Nursing. Anthony has a doctorate of nursing

practice and a bachelor of science in nursing from UK.

Ruth Carrico, PhD, DNP, APRN, FNP-C, FSHEACIC, FAAN

“Leading A New Agenda Through the Pandemic: Inclusion, Diversity & Unity”

Ruth Carrico is a professor and family nurse practitioner in the Division of Infectious

Diseases and clinical director of the Global Health Center Vaccine and International

Travel at the University of Louisville School of Medicine. She is the immediate past

president of the Kentucky Nurses Association. Ruth has more than 40 years of

clinical experience including noted expertise in infection control.

She has a doctor of nursing practice from Northern Kentucky University; a doctor

of philosophy management from California Coast University; a master of arts from

Webster University; a bachelor of science in nursing from Bellarmine University and a

diploma in nursing from the Norton Memorial Infirmary School of Nursing.

Natalie Davenport, MSN, RN

“Has Caring and Compassion become Extinct?

Encouraging Self-Reflection and Change”

Natalie Davenport is a staff nurse in the Surgery Center at the Medical Center at

Franklin. She has more than 12 years of experience as a hospital nurse and educator.

Natalie has a master of science in nursing and a bachelor of arts in sociology from

Western Kentucky University and a bachelor of science in nursing from Spalding

University.

Frances Hardin-Fanning, PhD, RN

“Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during the COVID-19 Pandemic”

Frances Hardin-Fanning is a professor and Shirley B. Powers Endowed Chair at the

University of Louisville School of Nursing. She has more than 25 years of clinical and

academic/education nursing experience. Frances has a doctoral degree in nursing

science and a master of science in nursing from the UK College of Nursing and an

associate degree in nursing from Morehead State University.

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2021 Kentucky Nurses Association

Kathy Hager, DNP, APRN, FNP-BC, CDE

“Looking to the Future of Nursing, its scope and target: Population Health”

Kathy Hager is a professor at the Lansing School of Nursing at Bellarmine University

and works at Bellarmine as a family nurse practitioner. She has more than 40

years of clinical and academic experience. Kathy has a doctor of nursing practice,

a master of science and a bachelor of science in nursing from the UK College of

Nursing.

Vera Hall, MSN, RN

“Leadership Response During COVID-19: One Team One Vision”

Vera Hall is senior vice president/chief nursing officer at St. Elizabeth Healthcare.

She has nearly 30 years of nursing and clinical leadership experience.

Vera has a master of science in nursing from the University of Phoenix and a

bachelor of science in nursing from Marshall University.

Debra Hampton PhD, MSN, RN, FACHE, NEA-BC, CENP

“Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during the COVID-19 Pandemic”

Debra Hampton is the assistant dean of the MSN and DNP Programs, academic

coordinator of Graduate Leadership and associate professor at the UK College

of Nursing. She has more than 40 years of leadership experience as a frontline

manager, nurse leader and nurse educator.

Debra has a doctoral degree in nursing and a master of science in nursing from the

University of Cincinnati and a bachelor of science in nursing from Eastern Kentucky

University.

Angela Hensley, DNP, APRN

“Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during the COVID-19 Pandemic”

Angela Hensley is an assistant professor at the UK College of Nursing. She has more

than 20 years of clinical and academic experience.

Angela has a doctor of nursing practice from the UK College of Nursing and a

bachelor of science in nursing from Eastern Kentucky University.

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2021 Kentucky Nurses Association

Jitana Benton-Lee, DNP, MSN, MHA, BSN

“The Current State: A Review of DEI Developments

Within Kentucky Colleges & Universities”

Jitana Benton-Lee is an assistant professor at Northern Kentucky University. She

has more than 15 years of clinical leadership and academic experience. Jitana has a

doctor of philosophy in nursing from Texas Women’s University; a doctor of nursing

practice and a bachelor of arts from Northern Kentucky University; a master of

science in nursing/healthcare administration from the University of Phoenix and a

bachelor of science in nursing from NKU.

Evelyn Parrish, PhD, APRN, PMHNP-BC, FAANP

“Horizontal Violence, Incivility, Bullying: It is Time to End the

Disruptive Behaviors in the Nursing Profession”

Evelyn Parrish is assistant dean of accreditation & strategic outcomes and associate

professor at the UK College of Nursing. She has been a nurse for more than 25

years, focusing on the care of the mentally ill. Evelyn also is the medical director and

practices at the Access Wellness Group in Lexington.

She has a doctoral degree and a master of science in nursing from UK and a

bachelor of science in nursing from Eastern Kentucky University.

Amanda Culp-Roche, PhD, APRN, FNP-BC

“Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during the COVID-19 Pandemic”

Amanda Culp-Roche is an assistant professor in the College of Human & Health

Services at the University of North Carolina Wilmington and is a faculty member at

the UK College of Nursing. Her 25+ years of experience includes a variety of clinical

and academic roles.

Amanda has a doctoral degree and a master of science in nursing from the UK College

of Nursing; a bachelor of science in nursing from Clarion University of Pennsylvania and

a diploma in nursing from St. Vincent Health Center School of Nursing.

Nisia Thornton MEd, MSN, BSN, BA, RN

“Stand Up, Stand Out | Politicizing Nurses for LGBTQIA+ Healthcare”

Nisia Thornton is a staff nurse in the Ambulatory Infectious Disease Clinic at the

University of Cincinnati Medical Center. She has 12 years of clinical experience

in neuroscience and ambulatory care. Nisa has a master of education from the

Xavier University; a master of science in nursing from Benedictine University and a

bachelor of science in nursing from Northern Kentucky University.

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2021 Kentucky Nurses Association

Teresa R. Villaran MS MSN CCRN(Alumnus) CNE

“Intersection of Social Justice and Healthcare: Nurses Can Lead these Discussions”

Teresa Villaran is the anemia management leader at Fresenius of North America.

She has more than 30 years of clinical, educational, research and editorial

experience. Teresa has a master of science in nursing from the UK College of

Nursing; a master of science in community health administration and wellness

promotion from California College for Health Sciences; a bachelor of science

in nursing from University of Illinois-Springfield; a diploma in nursing from St.

John’s School of Nursing and an associate degree in science from Lincoln Land

Community College.

Megan Walden, BSN, RN

“LGBTQIA+ Health Education”

Megan Walden is a staff development specialist, behavioral health and health

educator, Transform Health LGBTQ Clinic, Department of Family and Community

Medicine, UK Healthcare. She has more than 12 years of nursing experience in

behavioral health and LGBTQ education. Megan has a master of science in nursing,

a bachelor of science and an associate of science from Eastern Kentucky University

and a bachelor of arts in sociology from the University of Kentucky.

Holly Wei, PhD, RN, CPN, NEA-BC

“Collective Trauma, Burnout, Post-Traumatic Growth, and Telemore:

Preparing Beyond the Pandemic”

Holly Wei is assistant dean of the PhD Program and a professor at the University

of Louisville School of Nursing. She has more than 20 years of academic and

research experience. Holly has a doctoral degree in nursing and a master of science

in nursing from the University of North Carolina at Chapel Hill and a bachelor of

science in nursing from North Carolina Central University.

Lavoria Williams PhD, FNP-C, FAANP, FAAN

“Microagressions: The Pinpricks of Racism in Nursing”

Lavoria Williams is an associate professor and endowed research professor in

cancer health equity at the UK College of Nursing. She has more than 30 years of

clinical and academic experience. Lavoria has a doctoral degree in nursing from

Georgia Regents University; a master of science in nursing from Georgia Southern

University; a bachelor of science in nursing from the Medical College of Georgia and

an associate of science in nursing from Union University.

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2021 Kentucky Nurses Association

Jessica Rice Wilson Ph.D., RN, APRN

“Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during the COVID-19 Pandemic”

Jessica Rice Wilson is an assistant clinical professor and director of Online

Innovation Nurse Practitioner Program at the UK College of Nursing. She has more

than 25 years of clinical, research and academic nursing experience.

Jessica has a doctorate degree in nursing from UK College of Nursing; a master

of science in nursing from Spalding University and a bachelor of science and an

associate degree in nursing from Midway College.

Necholyia Wright, DNP, MSN, BSN, RN

“Has caring and compassion become extinct? Encouraging Self-Reflection and Change”

Necholyia Wright is the orthopedic program coordinator, Baptist Health Louisville

and is an adjunct assistant professor at Spalding University. She has more than

11 years of clinical and academic experience. Necholyia has a doctor of nursing

practice from Chamberlain University; a master of science in nursing and bachelor

of science in nursing at Indiana Wesleyan University; an associate degree in nursing

from Galen College and a licensed practical nurse degree from Kentucky Technical

Vocational School.

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2021 Kentucky Nurses Association

2021 SUMMIT:

Conference Agenda

Registration

32


Thursday, November 4

Day 1

2021 Kentucky Nurses Association

2021 Virtual Summit Agenda

Thursday, November 4 & Friday, November 5

Register today!

12:00 – 12:10 Welcome and Summit Information

Donna Meador, KNA President

12:10 – 1:00 “Facing the Challenge and Preparing for the Future”

Jeff McGoy, Keynote Speaker | Donna Meador, Moderator

1:00 – 1:15 Break

1:15 – 1:40 “Leading a New Agenda Through the Pandemic:

Inclusion, Diversity & Unity”

Ruth Carrico, Speaker | Kathy Hager, Moderator

1:40 – 2:05 “Leadership Response During COVID-19; One Team One Vision”

Vera Hall, Speaker | Jennifer Shoemake, Moderator

2:05 – 2:20 Break

2:20 – 2:45 “Leadership in Challenging Times: Resilience and Self-Efficacy of

Kentucky Nursing Faculty during theCOVID-19 Pandemic”

Frances Hardin-Fanning, Speaker | Debra Hampton, Speaker |

Angela Hensley, Speaker | Amanda Culp-Roche, Speaker|

Jessica Rice Wilson, Speaker | Leslie Jeffries, Moderator

2:45 – 3:10 “Intersection of Social Justice and Healthcare: Nurses can

Lead these discussions”

Teresa Villaran, Speaker | Kathy Hager, Moderator

3:10 – 3:25 Break

3:25 – 3:50 “Has Caring and Compassion become Extinct? Encouraging

Self-Reflection and Change”

Natalie Davenport, Speaker | Necholyia Wright, Speaker |

Betty Kuiper, Moderator

3:50 – 4:15 “Horizontal Violence, Incivility, Bullying: It is Time to End the Disruptive

Behaviors in the Nursing Profession”

Evelyn Parrish, Speaker | Jo Singleton, Moderator

4:15 – 4:30 Wrap Up/2021 KNA Awards Review/ Preparation for Friday, November 5

Donna Meador, KNA President

11-4-2021

Contact Hours: 4.0

KBN #: 1-0001-12-21-59

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2021 Kentucky Nurses Association

Friday, November 5

Day 2

9:00 – 9:10 Welcome

Donna Meador

9:10 – 10:00 “Intensive Care: Holding Fatigue, Injury, and Joy Through the Arts”

Tara Rynders, Keynote Speaker | Donna Meador, Moderator

10:00 – 10:15 Break

10:15 – 10:40 “The Current State: A Review of DEI Developments Within

Kentucky Colleges & Universities”

Jitana Benton-Lee, Speaker | Betty Kuiper, Moderator

10:40 – 11:05 “Collective Trauma, Burnout, Post-Traumatic Growth, and

Telemore: Preparing Beyond the Pandemic”

Holly Wei, Speaker | Kim McGinnis, Moderator

11:05 – 11:20 Break

11:20 – 11:45 “Microagressions: The Pinpricks of Racism in Nursing”

Lovoria Williams, Speaker | Julie Ossege, Moderator

11:45 – 12:10 “LGBTQIA+ Health Education”

Anthony Carney, Speaker | Megan Walden, Speaker |

Jo Singleton, Moderator

12:10 – 12:25 Break

12:25 – 12:50 “Stand Up, Stand Out | Politicizing Nurses for LGBTQIA+ Healthcare”

Nisia Thornton, Speaker | Jo Singleton, Moderator

12:50 – 1:15 “Looking to the Future of Nursing, its Scope and Target:

Population Health”

Kathy Hager, Speaker | Stephanie Perry, Moderator

1:15 – 1:30 Wrap-Up/Evaluations

Donna Meador, KNA President

11-5-2021

Contact Hours: 4.0

KBN# 1-0001-12-21-60

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2021 Kentucky Nurses Association

2021 KNA Virtual Summit Registration Form

Register today to attend the 2021 KNA Virtual Summit, “Facing the Challenges: Preparing for the

Future,” Thursday, November 4 and Friday, November 5. You won’t want to miss this innovative

learning experience! Also, nominate “the best of the best” in nursing for a KNA Award.

At the conclusion of the Summit, participants will be able to:

• Define diversity, equity, and inclusion and their impact on healthcare, employment, and education and

• Identify leadership traits that are beneficial in challenging times.

11-4-2021 | Contact Hours: 4.0 | KBN #: 1-0001-12-21-59

11-5-202 1 | Contact Hours: 4.0 | KBN#: 1-0001-12-21-60

Attendees must stay for duration of the program to be awarded contact hours for continuing nursing education provide license

number upon registration and complete an evaluation for the program. Partial credit will not be awarded for any session. We

reserve the right to cancel or alter the program if unanticipated circumstances necessitate changes.

The Kentucky Nurses Association is an approved provider of continuing nursing education by the Kentucky Board of Nursing

(KBN). The KBN approval of an individual nursing continuing education provider does not constitute endorsement.

0 Thursday, November 4 0 Friday, November 5

Name_________________________________________________ Credentials _________________________________________

Address _______________________________________________ RN License No. ______________________________________

City _____________________________State ________ Zip_________________ Home Phone _____________________________

Employer ______________________________________________ Work Phone ________________________________________

*If student, please list School of Nursing ___________________________________________________________________________

E-mail ________________________________________

(Required to Complete Registration)

Registration Fees for the 2021 KNA Virtual Summit

Check all that apply

Total Enclosed

Category Early Bird (9/15/2021) Regular

☐ KNA Member Two Days $125 $135

☐ KNA Member One day $105 $115

☐ Non KNA Member Two Days $155 $160

☐ Non KNA Member One Day $130 $150

☐ KNA Student (non-licensed) Subscriber All Days $25 $25

☐ Non KNA Student (non-licensed) Subscribers $35 $35

For those in need, the KNA will offer a limited number of scholarships; admin@kentucky-nurses.org

Select Payment Type: 0 Check or Money Order. Make check Payable to Kentucky Nurses Association

0 Visa 0 MasterCard 0 Discover 0 American Express

Account #___________ - ___________ - ____________ - ____________ Expiration Date: _______________/_________________

Signature______________________________________________________________________ 3-4 digit CVV Code____________

(Required for Credit Card Payments)

On-Line: Before November 2 at kentucky-nurses.org | By Phone: 502-245-2843 (Credit Card Only) | By Fax: 502-245-2844 (Credit Card Only)

By Mail: Send completed Registration Form with check or credit card information to: Kentucky Nurses Association, 305 Townepark Circle, Suite 100, Louisville, KY 40243

Questions: admin@kentucky-nurses.org | Refund Policy: Cancellations received prior to Tuesday, October 26 will receive 50% refund.

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2021 Kentucky Nurses Association

JOIN US FOR “THE CLINIC” ON NOVEMBER 4

An immersive performance to help nurses

Join the KNA, in partnership with Actors Theater of Louisville, for “The Clinic” at 7 p.m. on Thursday,

November 4. The cost to participate virtually is $10; CLICK HERE to register. "The Clinic" is a virtual, largescale,

immersive performance to help nurses build tools to relieve the stress of nursing and to address their

mental health and wellness.

Tara Rynders, MFA, BSN, BA, RN-BC, is an artistic director and founder of “The Clinic.” She believes that her

work as a nurse and performer are symbiotically intertwined and are not as different as one would think.

Her current and future research includes how the arts decrease burnout and secondary stress, increase

empathy, and advance the correlation between burnout, health disparities and the role nurses play in racism

at the bedside.

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2021 Kentucky Nurses Association

KNA Summit Sponsors

at press time (8/11/2021)

Bellarmine University Lansing School of Nursing

BluMine Health

Campbellsville University

Kidz Club

University of Louisville School of Nursing

Norton Healthcare

Click here for KNA Summit Sponsorship opportunities.

You and your organization can sponsor the Summit and receive sponsor benefits 365 days a year!

The Clinic Sponsors

University of Louisville School of Nursing

Kathryn Mershon

YOU ARE MORE

THAN A SET OF SCRUBS

WE ARE MORE

THAN A

UNIVERSITY

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2021 Kentucky Nurses Association

2021 SUMMIT:

Proposed Bylaw Revisions

38


2021 Kentucky Nurses Association

Draft July 30, 2021 - KNA Bylaws Committee / Approved August 2, 2021 - KNA Board of Directors

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2021 Kentucky Nurses Association

KNA PLEDGE AS A SERVANT LEADER IN THE KNA

As a Servant Leader in the KNA:

I pledge to do my best…

To practice and represent the nursing profession with dignity and professionalism

To advocate for, engage with and advance the standards of nursing

To be a strong voice for Nursing throughout the Commonwealth of Kentucky

To commit my time, attend KNA meetings and events

To place the interests of KNA above my own and those of family and friends

To faithfully provide leadership and governance support to the KNA

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2021 Kentucky Nurses Association

Kentucky Nurses Association Substantive

Resolution Proposal WorkPlace Safety

and Violence Prevention

Author(s): Denise Alvey, Candice Gentry, Teresa Huber, Donna Meador,

Judy Mitchell, Linda Robinson, Teresa Villaran

Whereas: The Kentucky Nurses Association does not approve of, support, or tolerate workplace

violence of any type, including but not limited to the following:

1. Criminal Intent. Violence carried out in conjunction with a crime.

2. Customer/client/patient. The most common health care environment-based assault is when the

perpetrator is a member of the public with whom the nurse is interacting during the course of regular

duties.

3. Worker-on-worker. When the perpetrator and victim work together – though not necessarily in the

same role or at the same level.

a) Incivility: one or more rude, discourteous, or disrespectful action(s) that may or may not have

negative intent.

b) Bullying: repeated, unwanted, harmful actions intended to humiliate, offend, and cause distress in

the recipient.

4. Personal relationship. In these incidents, the victim has been targeted because of an existing exterior

relationship with the perpetrator, with the violence taking place in the workplace.

Whereas: Healthcare workers are five times more likely to experience workplace violence and four

times more likely to be victimized than workers in the private industry.

Whereas: Approximately, 85% of all workplace homicides fall into the criminal intent violence category.

Whereas: Workplace disruptions occur among women, who make up 80% of the healthcare workforce,

who experience domestic/ intimate partner violence, including on-the-job harassment, potentially

leading to unemployment and/or death.

Whereas: Nurses must collaborate with all communities with which they work to create a culture of

trust, safety and respect.

Resolved, That the Kentucky Nurses Association serves as a resource for nurses, other healthcare

professionals and organizations regarding workplace safety, especially as it relates to public health,

and the health of our Commonwealth and local communities.

Resolved, That the Kentucky Nurses Association promotes the awareness of nurses with respect to

workplace safety and violence and advances their welfare.

Resolved, That the Kentucky Nurses Association adopts evidence-based strategies, that prevent and

mitigate incivility, bullying, and workplace violence, thus promoting the health, safety, and wellness and

optimal outcomes in health care.

Resolved, That the Kentucky Nurses Association encourages nurses to create an ethical environment

and culture of civility and kindness, treating colleagues, coworkers, employees, students, and patients/

families with dignity and respect.

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2021 Kentucky Nurses Association

Resolved, That the Kentucky Nurses Association supports development and implementation of

workplace safety training for healthcare and nursing education facilities across the Commonwealth of

Kentucky.

Resolved, That the Kentucky Nurses Association supports federal and state policymakers in developing

legislation that addresses violence against healthcare workers.

Resolved, That the Kentucky Nurses Association urges policymakers to support legislation that

expands or restructures work programs that will reduce the stress and burden of the healthcare

workforce experiencing workplace violence that impacts mental and physical health, productivity, job

loss, and/or unemployment.

References

American Nurses Association (2015). Position Statement: Incivility, bullying and workplace violence. https://www.

nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/incivility-bullying-andworkplace-violence/

American Nurses Association (2018). ANA responds to the Joint Commission Sentinel Event Alert on physical and

verbal violence against healthcare workers. https://www.nursingworld.org/news/news-releases/2018/anaresponds-to-the-joint-commission-sentinel-event-alert-on-physical-and-verbal-violence-against-health-careworkers/

Code of Ethics PDF. ANA. (2015). https://www.nursingworld.org/coe-view-only

Injury Prevention Research Center. (2001). A report to the nation. University of Iowa. Retrieved from https://www.

dgs.pt/departamento-da-qualidade-na-saude/observatorio-da-violencia/estudoint2-pdf.aspx

The Joint Commission (2021). Workplace Violence Prevention Resources. https://www.jointcommission.org/

resources/patient-safety-topics/workplace-violence-prevention/

Kentucky Nurses Association (2020). Bylaws. https://s3.amazonaws.com/nursing-network/production/

files/100918/original/KNA_approved_Bylaws_October_2020.pdf?1614721778

Showalter, Kathryn (2016). Women’s employment and domestic violence: A review of the literature

United States Census Bureau (2020) retrieved on July 5, 2021 from https://www.census.gov/library/

stories/2019/08/your-health-care-in-womens-hands.html

United States Department of Labor Occupational Safety and Health Administration (2016). Guidelines for

preventing workplace violence for healthcare and social service workers. https://www.osha.gov/sites/default/

files/publications/osha3148.pdf

Vellani, K. H. (2019). 2019 Healthcare crime survey. https://iahssf.org/assets/2019-Healthcare-Crime-Survey-

IAHSS-Foundation.pdf

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2021 Kentucky Nurses Association

2021 SUMMIT:

KNA 2021 Strategic Plan Update

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2021 Kentucky Nurses Association

KNA releases key FY Year 2020-2021 Accomplishments

Successes aligned with Strategic Plan

As Kentucky and the nation continued to rally against COVID-19, KNA chapters, staff and volunteers

swung into action to test and vaccinate residents of the Commonwealth. LouVax, the massive

vaccination and testing site in Louisville, touted nationally by news outlets such as the New York Times

and the Washington Post, was organized and staffed by KNA nurses and volunteers in collaboration

with the Louisville Metro Health and Wellness Department. LouVax is one of countless examples of

nurses taking leadership roles to fight COVID-19. KNA members statewide reached out to health

departments, churches, fellow non-profit organizations and many other groups to set up pop-up

clinics often in underserved areas.

To celebrate and thank nurses, the KNA launched and implemented a comprehensive National Nurses

Month campaign to educate nurses and the public about issues such as nurse suicide prevention

and the mental health issues nurses face in the war against COVID. With an eye toward improving

the mental health of all nurses and saving lives, Governor Beshear declared May as “Kentucky Nurse

Suicide Prevention Month.”

In addition, Nurses Month included a statewide “Thank a Nurse – A Cinema of Gratitude” video series

to thank nurses for their tireless commitment to patients, families and each other during one of the

most devastating healthcare crises in our nation’s history.

Kentucky Nurses Association progress toward goals (July 1, 2020– June 30, 2021).

GOAL: Build a sustainable, relevant professional nursing organization

Strategic Focus: Membership

1. Develop and implement a recruitment and retention program by Spring 2018, increase membership

by 25% annually, and increase retention and decrease cancellations by 25% monthly – results:

(FY 2020 – 2021) increased membership by less than one percent 0.98 percent; retention remained

constant at 75 – 77% year over year (YOY). The Fourth Annual Chapter Challenge brought in 124

new members less than half of 2020 total; this mirrors challenges faced by state associations across

the country and the fatigue/burnout nurses are reporting after some 18 months of fighting the COVID

pandemic.

2. Develop and implement other health related organization affiliate programs, including making LPNs

an affiliate group by April 2018 – results:

(FY 2020 – 2021) recruited seven new affiliate organizations for a total of 14:

Association of periOperative Registered Nurses

• Eastern Kentucky University School of Nursing

• Foundation for a Healthy Kentucky

• Galen College of Nursing

Kentucky Organization of Nurse Leaders

Kentucky Public Health Association

• KYANNA (Black Nurses Association of Louisville KY, Inc.)

• KyANA (Kentucky Association of Nurse Anesthetists)

• University of Kentucky College of Nursing

• University of Kentucky College of Social Work

• University of Louisville School of Nursing

• National Black Nurses Association – Lexington Chapter

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2021 Kentucky Nurses Association

Strategic Focus: Practice Development, Education/Research/Leadership

1. Improve technology to increase educational opportunities by January 2019 – results:

(FY 2020 – 2021) KNA employed the use of Zoom technology to provide 43 CE programs; 147.49

contact hours with 1,778 attendees. The organization hosted its first ever virtual conference, November

4 – 6. As the COVID pandemic hits the 18-month mark, the KNA continues to make good use of Zoom

technology and hosted its first-ever virtual Nurses Day at the Capitol that garnered over 200 attendees

and 12 legislator speakers in addition to countless committee, cabinet and chapter meetings. The

KNA has expanded its social media platform to include an active You Tube channel, On Demand 24/7

education platform, significant increase in Facebook Twitter and Instagram followers.

2. Explore feasibility of ANCC approval process by January 2019 – results:

(FY 2020 – 2021) not accomplished.

3. Develop and implement chapter orientation, leadership development and mentorship guidelines by

February 2019 – results:

(FY 2020 – 2021) – Policy, Procedure and Resolution Committee finalized job descriptions for chapter

officers and completed an overhaul of KNA forms. KNA Nightingale Chapter hosted, “A Better

Understanding of KNA Roles and Resources” in August; Dolores White, DNP, RN, CNE, chapter liaison

and chair of the River City Chapter, presented.

4. Create guidelines to develop SIGS. Identify/designate Special Nurse Interest Practice Groups (SNIP)

by June 2018 – results:

(FY 2020 – 2021) not accomplished.

5. Improve KNA governance effectiveness at the state and chapter levels – results:

(FY 2020 – 2021) hosted KNA, KNF and KNAC December 2020 June 2021 Governance Retreats and

KNF June Board Orientation

Strategic Focus: Advocacy/Health Policy

1. Retain a professional lobbyist for KNA annually – results:

(FY 2020 – 2021) Governmental Affairs Cabinet

Led KNA advocacy efforts in conjunction with very supportive Lobbyist Sheila Schuster

2. Increase the number of members educated on health policy and advocacy through KNA sponsors by

20% annually – results:

(FY 2020 – 2021) More than 200 nurses and nursing students participated in KNA’s first-ever virtual

Nurses Day at the Capitol. The KNA also hosted two CE programs, with nearly 100 nurses participating

in two sessions hosted by Kentucky Secretary of State Michael Adams about the 2020 Election

(10/6/2020) and Election Reform (6/15/2021). In addition, the KNA hosted five virtual Town Hall

Meetings via its chapters - Pennyrile/Western, Northeastern, River City, Bluegrass and Chapter 6 in

advance of the 2020 General Election.

3. Develop and implement the annual KNA legislative agenda by January of each year – results:

Legislative Priorities & Results (2020-2021)

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2021 Kentucky Nurses Association

Removal of CAPA-CS Requirement for APRNs Who Meet Criteria ensures that nurse practitioners can

practice to the full extent of their education and training to increase access to underserved populations

throughout Kentucky. Result: SB 78 with amendment considered; bill not passed.

School Nurse in Every School, All Day, Every Day - This initiative ensures access to health providers

for public school children throughout Kentucky. Studies suggest that schools with a school nurse have

higher graduation rates and better overall outcomes. Result: Not a GA bill in the 2021 session; KNA

School Nurse Task Force members are seeking Coronavirus Aid, Relief, and Economic Security (CARES)

and Elementary and Secondary School Emergency Relief (ESSER) funds to place nurses in schools for

the next budgeted year.

Increase Access to Sexual Assault Nurse Examiners (SANE) – Sexual Assault Nurse Examiners are

specifically trained to care for victims of sexual assault. Care by a SANE nurse result in better patient

outcomes and higher conviction rates. Sexual assault nurse examiners have become the gold standard

in care for victims of sexual assault, but Kentucky has a huge deficit which results in a delay in care.

Result: Introduced, not assigned as a bill.

Evacuation of Surgical Smoke – Surgical smoke contains hundreds of carcinogens that puts patients

and medical providers at risk. The answer, that many states have already mandated, is very simple.

Result: Gov. Beshear signed Kentucky SB 38 into law, requiring hospitals and outpatient centers to use

a surgical smoke evacuation system during any procedure that generates smoke.

Strategic Focus: Voice & Visibility

1. Increase statewide brand visibility through print media outlets by at least 2 times a month beginning

January 2018 – results:

Results are rough estimates; no media monitoring service/company used for tracking.

(FY 2020-2021) 134 earned media hits – more than triple last year’s total of 35, (this includes 90 “I

Got the Shot” PSA placements).

2. Increase visits to KNA through social media by 20% annually beginning January 2018 (measurement

link through ANA)– results:

(FY 2020 – 2021):

• 30.14% increase in number of website visitors

• 8.2% increase from 2019 - 2020 (FB followers); 8.5% increase FB likes

• 46.2% increase in Twitter traffic

• 8.7% increase in Instagram views

• 8.3% increase in LinkedIn visits

During the last fiscal year, KNA launched its first-ever app, KNA365. To date, 724 users have used

the app for the first 10 months. In addition, the KNA redesigned its website to employ a more userfriendly

platform that has proven successful for other state nursing associations.

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2021 Kentucky Nurses Association

3. Increase nurses on Boards and Commissions by 15% annually beginning January 2019 (measurement

data from ANA)– results:

(FY 2020 – 2021) – nurses on boards and commissions:

NOBC Database Registrations:

22,064 individuals registered

10,107 counting boards

14,244 nurses want to serve

4,744 nurses interested in serving on an additional board

KY NOBC Database Registrations: (04/12/2021)

216 total board service

91 nurses interested in serving on an additional board

228 nurses want to serve

142 counting board service

151 goal – 94%!!!

With 142 nurses on boards counted, KNAC reached 94% of its goal of 151 and committed to Nurses

on Boards and Commissions (NOBC) to continue efforts in this area.

4. Develop/implement partnerships to include statewide healthcare leaders/organizations and increase

by 10% annually– results: this focus was retired as the data are presented within another focus.

Promote and expand Nightingale program by 50% beginning June 2018 – results:

(FY 2020 – 2021) – Due to COVID-19 restrictions and to ensure the safety of Kentucky nurses, the

KNA continued its suspension of in-person Nightingale Tributes. Members of the KNF board and

chapter leaders regularly reach out to bereaved families by sending cards/condolences; however,

188 nurses were honored during Nightingale Tribute during the 2020 annual business meeting.

5. Develop and implement volunteer program by June 2018– results:

(FY 2020 – 2021) – KNA’s volunteer efforts have increased dramatically with the onset and fight

against COVID-19. To date, some 600 volunteers have vaccinated and tested residents at more

than 93 mobile mission COVID-19 vaccination clinics and 52 testing sites in some of Louisville’s

most underserved areas and in Frankfort for legislators. These volunteers administered more than

3,600 COVID vaccine doses and nearly 2,700 COVID tests in the Louisville alone. In addition, KNA

volunteers provided countless hours at LouVax, Louisville’s mass vaccination site. KNA leadership

team members have also advised KNA chapters throughout the state regarding volunteering to

administer COVID tests and vaccines in conjunction with their health departments.

Last fiscal year, 638 volunteers; 2,725 hours for a dollar value of $77,117.

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2021 Kentucky Nurses Association

ANNUAL REPORTS

Kentucky Nurses Association Chapters

Kentucky Nurses Foundation

Kentucky Nurses Action Coalition

Kentucky Association of Nursing Students

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2021 Kentucky Nurses Association

5

8

11

1

4

7

SOUTHEASTERN

9

3

2

6

10

PENNYRILE

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2021 Kentucky Nurses Association

KNA Bluegrass Chapter

Despite challenges brought about by COVID, the chapter hosted several CE programs via Zoom

during the fiscal year and will continue to meet virtually through the end of this fiscal year. Chapter

officers will look to fill vacant positions and move the Bluegrass election time to match the fiscal year.

Members are reviewing chapter award criteria to consider more direct care nominees. The chapter is

developing a Facebook page and continues to look for ways to recruit and retain members.

The chapter will offer a series of CEUs centered on diversity this Fall and hosts its meetings, 6 -7 p.m.

and CE programs, 7-8 p.m., (EST) on the third Tuesday of each month.

Officers include:

• Jitana Benton-Lee, DNP, MSN, MBA-HC, RN, NEA-BC, chair

• Chair-Elect, vacant

• Nancy Barnum, PhD, MSN, RN, immediate past chair

• Ella Hunter, PhD, MHS, RN, second vice chair

• Amanda Martin, DNP, RN, NE-BC, secretary

• Dee Beckman, DNP, MBA, MSN, RN, NE-BC, treasurer

KNA Green River Chapter

The chapter hosted a CE Program, “Adverse Childhood Experiences (ACEs) on October 22; Angela

Mehringer, MSN, RN, IBCLC, assistant professor of nursing, U of L School of Nursing, presented.

Chapter members are planning to facilitate a CE event this Fall about PTSD in nurses related to COVID.

To increase membership recruitment and retention, the chapter regularly presents at nurse residency

classes at hospitals in their geographic area.

Officers include:

• Kim McGovern, MSN, RN-BC, chair

• Amanda Howell, MSN, RN, chair-elect

• Amy Higdon, DNP, RN, secretary

• Amy Wimsatt, MSN, RN, treasurer

• Marlena Buchanan, MSN, RN, CNS, membership/Nightingale Tribute

KNA Heartland Chapter

Officers include:

• Gina Leigh, BSN, RN, chair

• Sonia Miller, BSN, RN, immediate past chair

• Mary Bauer, RN, secretary

KNA Nightingale Chapter

The chapter hosted meetings and CE programs, with one free contact hour, in August and October

2020 and March and May 2021:

• “What We Learned about a Safe and Caring Workplace,” presented by Nightingale Chapter Summit

scholarship recipients, Denise Alvey, MSN, RN-BC; Teresa Bell, BSN, RN; Hannah James, BSN, RN;

Gwyneth Pyle, BSN, RN and Jeanette Rogers, DNP, BSN, RN;

• “A Better Understanding of KNA Roles & Resources,” presented by Dolores White, DNP, RN, CNE,

KNA chapter liaison and River City chair;

• “COVID-19 and School Nurses,” presented by Eva Stone, DNP, MSN, APRN, district health manager,

JCPS and

• “The KIDZ Club PPEC: A Medical Day Treatment Facility for Medically Fragile Children,” presented by

Christina Arredondo, RN, SDON, TKC site director of nursing.

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2021 Kentucky Nurses Association

Chapter members facilitated a Nightingale Tribute in honor and memory of Maxine Johnson. Two

baskets were donated to Ephraim McDowell Health for the Nurses Week 2021 silent auction; proceeds

benefitted the Chaplain’s Fund.

Members provided lunch for the Lincoln County Health Department and breakfast for the Anderson

County Health Department during Public Health Week, April 5 – 11. Members also continue to volunteer

at local departments with activity reported in local newspapers. The Nightingale Chapter thanks these

members and additional volunteers for lending their time to fight the COVID pandemic:

Anderson County

Denise Alvey

Christina Arredondo

Debra Elgaouni

Barbara Howard

Patti Marraccini

Garrard County

Michael Tain

Mercer County Medical Reserve Core

Janice Bugg

Johannah Cheek

Mary Claire Cobetto

Kim Ellis

Melinda Harder

Mary McCaffey

Amanda Payton

Christy Ransdell

Susan Readnower

Pat Walston

Pat Warner

Dana Warren

Lincoln County

Linda Holtsclaw

Jamie Wadell

Members distributed hand sanitizer to fellow members, students, health departments, local EMTs and a

local farmer.

To encourage students to join KNA as Student Subscribers, students who participated in a vaccination

clinic at the Anderson County Health Department received “goodie bags” with information about

KNA, how to become a subscriber and how to apply for a chapter scholarship. Members continue to

keep nursing faculty members/program directors and students informed about chapter activities.

During the Student Subscriber presentation on January 28, attendees received information about

scholarships. Lisa Lockhart, MSN, MHA, RN, NE-BC, chapter vice-chair and KANS/Student Subscriber

consultant, worked with nursing instructors to encourage students to download the KNA365 app and

to become subscribers.

Denise Alvey, chapter secretary, maintained contact with all members who were personally invited to

participate in chapter activities. Those nearing renewal expiration dates were invited to continue their

membership. Special recognitions included:

• Gwyneth Pyle was named Member of the Month at the May 2021 meeting; the chapter donated to the

Kentucky Nurses Foundation in her honor;

• Taylor Chadwell, Kentucky State University nursing student and Danville resident, received the

Nightingale Chapter Student Scholarship;

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2021 Kentucky Nurses Association

• The chapter nominated Denise Alvey for the 2020 KNA Nurse of the Year Award and

• Jeanette Rogers received a doctor of nursing practice from Capella University.

The Executive Committee met in June to plan for the 2021-2022 fiscal year programs and activities.

(Left): Taylor Chadwell, Christina Arredondo, RN, SDON, and

Samantha Megilligan, RN, at the May Nightingale Chapter meeting

Gwyneth Pyle, BSN, RN, chapter treasurer, proudly displays a

“Thank You Nurses” sign in her yard to recognize her frontline

colleagues who are still fighting against COVID-19.

Officers include:

• Pat Calico, PhD, RN, chair

• Lisa Lockhart, MSN, MHA, RN, NE-BC, vice-chair

• Denise Alvey, MSN, RN-BC, secretary

• Gwyneth Pyle, BSN, RN, treasurer

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2021 Kentucky Nurses Association

KNA Northeastern Chapter

In honor of Nurses Month and to increase retention and recruitment efforts, the Northeastern Chapter

gave away five $10 Starbucks gift cards to members at random and created and sent out post cards to

show appreciation for nurses. To raise money for community outreach, chapter members designed and

sold KNA/nursing t-shirts.

In addition, the chapter facilitated $25 Amazon gift card raffles at its meetings and created a Nursing

Excellence Scholarship that was awarded in August.

In an effort increase chapter visibility and membership, the KNA

Northeastern Chapter donated $500 to Lakeside Christian Academy,

in Morehead, for the purchase of an AED. (Left) Northeastern Chapter

Vice Chair Lisa Wallace DNP, MSN, RNC-OB, NE-BC; Shelia Mays,

assistant administrator of Lakeside Christian Academy and Tonya

Kennedy, MSN, RN, Northeastern Chapter treasurer.

Officers include:

• Tabbetha Carver, MSN AGACP-BC, chair

• Lisa Wallace, DNP, MSN, RNC-OB, NE-BC, vice chair

• Levita Larson, MSN, APRN, FNP-BC, secretary

• Tonya Kennedy, MSN, RN, treasurer

KNA Northern Chapter

Officers include:

• Teresa Williams, DNP, MSN, RN, NE-BC, chair

• Callie Gollihue, MSN, RN-BC, secretary

• Paula Teleky, MSN, BSN, RNC-LRN, CHSE, treasurer

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2021 Kentucky Nurses Association

KNA Pennyrile Chapter

The Pennyrile Chapter’s community outreach activities this fiscal year included distributing hand

sanitizer, 2,000 masks and mental health talking points to students at Madisonville and Hopkinsville

Community Colleges. This initiative started in the Fall of 2020 and continued through Spring 2021.

In addition, members reached out to all health departments in its six-county geographic reach to ask

about needs in those areas. The overwhelming response indicated that food insecurity was the biggest

challenge departments identified. Based on that, the chapter donated money won from the chapter,

money from the voter challenge and a portion of its chapter start-up funds in the sum of $250 to each

of the two Salvation Army locations in the area.

Several members volunteered their time to administer COVID vaccines at the Hopkins County Health

Department. To show support for KNA legislative priorities, members participated in the organization’s

first-ever virtual Nurses Day at the Capitol and hosted several break-out sessions.

Members recently formed scholarship and fundraising subcommittees to establish a sustainable

nursing student scholarship like the one offered by the Kentucky Nurses Foundation. Immediate plans

for the scholarship committee, chaired by Linda Thomas, PhD, MSN, RN, include providing two $500

scholarships awarded annually to Madisonville and Hopkinsville nursing students as well as those

throughout the region. Contact lindajthomas1946@gmail.com for information.

Pennyrile Chapter Chair Marshall Woodall, DNP, MBA, RN, offers this advice for membership growth

and recruitment, “Spread enthusiasm about KNA – literally spreading the word and encouraging nurses

to join to have a collective voice. Also, tell them about leadership opportunities to serve nurses and our

community making a difference and impacting lives.”

She adds, “We had 15 members present at our last meeting; I try to give everyone a chance to share by

informing the entire chapter about KNA committee work and encourage members to get involved on a

KNA committee. We also ask that members invite at least one person to each meeting.”

Awards and recognition include:

• Winning the KNA365 Chapter Challenge, KNA Membership Profile Challenge and KNA Voter

Challenge (in a tie with the Western Chapter);

• Linda Thomas’ appointment to the Baptist Health System’s Board of Directors and its Safety, Quality

and Patient Experience Committee as well as the Audit and Enterprise Risk Committee and

• Drs. Greshin Markwell and Tracy Littlehale receiving doctors of nursing practice from Eastern

Kentucky University.

Officers include:

• Marsha Woodall, DNP, MBA, RN, chair

• Shannon Allen, MSN, RN, CHSE, CNE, vice chair

• Loretta Elder, DNP, MSN, BSN, RN, secretary

• Karen Perry, RN, membership committee chair

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2021 Kentucky Nurses Association

KNA REACH Chapter

During the 2020-2021 fiscal year, the REACH Chapter hosted its meetings via Zoom with great

attendance. Offerings included:

• “Leg Pain in the Workplace,” September 15; James Isenberg, APRN, FNP-BC, presented;

• “Cultivating Self-Care and Managing Stress,” November 17; Susan A. Polk, E-RYT 500, RPYT, C-IAYT,

presented;

• “COVID-19 Vaccine Briefing: Empowering Nurses,” February 17; Ruth Carrico, PhD DNP APRN FNP-C

FSHEA CIC and Dawn Balcom, DPN, APRN, FNP-C, presented and

• “You’ve joined a health-related board – Now What,” Matthew Hunt, EdD, district director, Barren

County Health Department, presented.

Officers include:

• Myria Harris, DNP, RN, CNE, chair

• Kim Riddle, PhD(c), MSN, RN, SANE, CEN, EMT-B, vice-chair

• Dawn Garrett-Wright, PhD, CNE, APRNPMHNP, secretary

• Anne Afton, RN, treasurer

• Miranda Peterson, DNP, MSN, BSN, membership

KNA River City Chapter

River City Chapter members continue to provide invaluable volunteer help at COVID-19 testing and

vaccination clinics through the KNA Office and the Louisville Metro Health & Wellness Department. At

press time, these dedicated nurses and nursing students have provided more than 2,700 COVID tests

and 3,600 COVID vaccines at LouVax and 92 mobile clinics in Louisville’s most underserved areas.

In addition, chapter members volunteer at other community health fairs and clinics to provide blood

pressure, heart rate, lipid screening and education. In August 2020, the chapter hosted a continuing

education opportunity about resiliency. The chapter hosted a Town Hall meeting on September 17

about election information and a virtual painting party in the Fall of 2020.

The River City Chapter hosted continuing education opportunities with proceeds donated to local nonprofit

organizations:

• “Blessings in a Backpack: Who will Feed the Kids this Weekend?” January 25; $600 registration

proceeds benefitted Louisville Chapter, Blessings in a Backpack; Jenny Alvey, board member,

Blessings in a Backpack, presented and

• “One of These People is Not Like the Other,” June 21; $405 registration fees benefitted the Kentucky

Nurses Foundation; Matt LaRocco, BS, manager of harm reduction, Norton Hospital, presented.

Chapter members are planning additional community continuing education opportunities with The

Center for Women and Children, Water with Blessings, The Healing Place for Women and The Office of

Globalization with all proceeds being donated to these organizations.

Dolores White, DNP, RN, CNE, chapter chair, produced a video recording that she distributed to all

members via Facebook and email about the importance of sharing information about best practices

for COVID prevention during the holiday season. KNA web visitors watched the video 249 times the

segment was viewed more than 500 times on Facebook.

To celebrate National Nurses Certification Day, chapter members completed a survey to indicate their

certification and 10 prizes were awarded to honor their dedication to excellence. To celebrate National

Nurses Month, chapter members randomly selected four River City Chapter members each Friday to

receive a prize. In addition, members were awarded four prizes at its May meeting.

The chapter developed bylaws that were approved by the KNA Board of Directors.

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2021 Kentucky Nurses Association

To increase Student Subscriber membership, the chapter developed a Student Liaison Team to

communicate with schools of nursing to encourage student attendance at meetings and participation

in chapter activities. Members have contacted deans and program directors at all college and

university schools of nursing within the chapter area to encourage subscriber membership.

At each chapter meeting, members who bring a non-KNA member nurse are entered in a drawing

to win a prize or gift card. For the first time the chapter will offer 2021 KNA Summit scholarships for

nurses and students to participate in the event. The chapter is planning an NCLEX Trivia Night for later

this year.

The chapter offered its first scholarships in the Spring of 2021. Shannon Tew, BSN, received $500

and is pursuing a master of science and doctorate at Triune University. The chapter awarded Sawyer

Bevin, an undergraduate nursing student at Bellarmine University’s Lansing School of Nursing, a $250

scholarship.

Julie Wolford, DNP, RN (left), one of the River City National Certification Day winners showed off

her prize; Brittany Pollock, RN, provided blood pressure screenings at a health fair and Shannon

Tew, BSN, graduate scholarship recipient, proudly displayed her designation.

Officers include:

• Dolores White, DNP, RN, CNE, chair

• Audria Denker, DNP, RN, immediate past chair

• Brittney Welch, DNP, RN, vice chair

• Katie Bradshaw, MSN, RN, CNE, secretary

• Joann Mattingly, MSN, MBA, NE-BC, treasurer

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2021 Kentucky Nurses Association

School Nurses in Every Kentucky School SNIP(G)

The work of the School Nurse Taskforce is ongoing with meetings the first and third Mondays of each

month. With the onset of COVID-19 and the consequent disbursement of federal monies (ESSERs),

monies are available for each Kentucky public school to place a school nurse in every school, every

day, all day; however, this funding ends in September 2024. Other major focus areas include:

• studying national standards for school nurse curricula;

• establishing a certification process for school nurses;

• developing a statewide documentation system to consistently enter child health encounters (to

measure school nurse outcomes) and

• funding nurse researchers to monitor student outcomes that verify the value of school nurses.

The group recognizes the importance of the whole child, the inclusion of mental, physical, and spiritual

health, as well as the role of the school nurse to achieve positive outcomes for all children in the school

environment.

Officers include:

• Kathy Hager, DNP, APRN, FNP-BC, CDE, co-chair

• Patricia Burkhart, PhD, FAAN, RN, co-chair

KNA Western Chapter

Officers include:

• Betty Kuiper, PhD, RN, chair

• Michael Gordon, MSN, APRN, RN, immediate past chair

• Dana Todd, PhD, RN, secretary

• Katy Garth, PhD, RN, treasurer

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2021 Kentucky Nurses Association

KENTUCKY ASSOCIATION OF NURSING STUDENTS/

KNA STUDENT SUBSCRIBERS

KANS/KNA Student Subscriber Consultant Lisa Lockhart, MSN, MHA, BSN, NE-BC, facilitated bi-monthly

presentations for nursing students that included KNA overview, information regarding chapter leadership

and contact information, benefits, scholarships and grant opportunities. Additional student recruitment and

retention efforts included:

• Engagement with the KNA Membership Recruitment & Retention Committee and the Chapter

Leadership Committee to increase outreach to statewide student population and

• Work with academic leaders at various nursing programs across the state to promote Student

Subscriber membership.

As a result of these efforts, many schools are now making membership as a KNA Student Subscriber a

requirement.

KANS officers include:

Nurses

Pat Walston, WHNP-C, KANS State Appointed Consultant

KLN Elected State KANS Consultant

Lisa Lockhart, MSN, MHA, BSN, NE-BC, Consultant

KANS/KNA Student Subscriber

Nursing Students –

President - Logan Brown, Campbellsville University Harrodsburg Regional Center

First Vice President - Bryttia Parker, Campbellsville University Harrodsburg Regional Center

Second Vice President - Hannah Burnett, Campbellsville University Harrodsburg Regional Center

Secretary - Hannah Kearney, Campbellsville University Harrodsburg Regional Center

Treasurer - Haven Hester, Campbellsville University Harrodsburg Regional Center

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2021 Kentucky Nurses Association

Board of Directors

2020-2021

Delanor Manson, MA, BSN, RN, Chief Executive Officer, staff

Donna Meador, MSN, RN, CENP, CPHQ, President, KNA, ex-officio

Janie Heath, PhD, APRN-BC, FAAN, FNAP, FAANP, President

Julie Marfell, DNP, FNP-BC, FAANP, Vice President

Carlos Marin, BA, Director at Large

Deeanna McCallie, DNP, RN, Director-At-Large

Marsha Woodall, DNP, MBA, RN, Director-At-Large

Judy Ponder, DNP, RN-BC, CGB, Director-At-Large

Eva Stone, DNP, APRN, Member-at-Large

Kimberly Nealis-Williams, MSN, RN, Member-at-Large

KNAC External Advisory Board Members

Carlos Marin, BA, chair, KNAC

Area Health Education Center – University of Kentucky

Board Members (Above)

Emily Beauregard

Kentucky Voices for Health

David Bolt

Kentucky Primary Care Association

Mark Carter

Cabinet for Health & Human Services

Seth Curtis

UK Healthcare

Tina McCormick

Kentucky Office of Rural Health

Mike Muscarella

Baptist Health Paducah

Kevin Pearce

UK Healthcare

Lois Post

St. Elizabeth Healthcare

Melissa Stone

Kentucky Office for Rural Health

Lovoria Williams

UK College of Nursing

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2021 Kentucky Nurses Association

• KNAC Structure Status: KNAC general membership voted on April 21 to approve bylaws changes

and articles for next steps in seeking 501 (c) 4 status. KNAC is working closely with KNA CEO

Delanor Manson and Tad Myer, KNA attorney, regarding the 501 (c) 4 application to include

name change from the Secretary of State. This action is anticipated to be finalized mid-fall 2021.

KNAC’s October/November election will include openings for four new board members including

one non-nurse. Carlos Marin, Kimberly Nealis-Williams, Deeanna McCallie and Judy Ponder terms

of office are complete. Eva Stone and Marsha Woodhall will serve as financial liaisons to KNA

finance committee.

• Financial Statement: Memorandum of Understanding (MOU) developed to support KNF. KNAC

balance of $6,130 was transferred to KNF after business transaction fees paid and account closed

out. Annual dues from KNAC members will be contributed to the KNF as stipulated in the MOU.

• Membership Status for KNAC and NOBC: Reconciliation of membership was completed with

94 KNAC members confirmed; 83 confirmed as KNA members. The remaining were declared

as organizational or individual members with dues paid to KNF as appropriate ($300 a year for

organization; $100 a year for individuals). Nurses on Boards Coalition (NOBC) –With 142 nurses

on boards counted, KNAC reached 94% of its goal of 151 and committed to NOBC to continue

efforts in this area.

• Council Workgroups: Selected outcomes - Julie Marfell and Janie Heath received a Robert

Woods Johnson Foundation (RWJF) Nursing Innovation Grant to address farmer suicide. Janie

provided leadership for KNA and KYNDD Resolutions for Integrating Wellness and Suicide

Prevention in Schools of Nursing. Julie Marfell and Lee Anne Walmsley provided QPR training in

May, the month Gov. Beshear declared as “Nurse Suicide Prevention Month.” Judy Ponder and

DeeDee McCallie continue NOBC efforts to register Kentucky nurses serving on “non-nursing

boards.”

• NTL Affiliation: Future of Nursing Campaign for Action (1) NTL/Statewide Survey conducted

continues to show significant gains with workforce meeting/exceeding NTL goals - (top =

promoting nursing leadership; increasing diversity; collecting workforce data; advancing

population health and strengthening health policy) and (2) National recognition by ANA/AAN for

nurse suicide prevention re: opinion editorial news articles, presentations and publications.

• External Advisory Board: The board met via Zoom on October 22 and April 13.

• KNAC General Membership Meetings: KNAC met on October 24 and April 21 (after KNDD)

included Lori Benson, CEO of NOBC presentation.

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2021 Kentucky Nurses Association

2020-2021 Board of Trustees

Donna Meador, MSN, RN, CENP, CPHQ, Ex-Officio (2020 – 2022)

Delanor Manson, MA, BSN, RN, KNA Chief Executive Officer, Staff

Ida Slusher, PhD, CNE, RN, Chair, (2021 – 2023)

Linda Thomas, PhD, MSN, RN, Vice Chair, (2021 – 2024)

Debra Rayman, MA, BSN, RN, Secretary, (2021 – 2023)

Liz Sturgeon, PhD, RN, Treasurer (2020 – 2024)

Kathy Hager, DNP, APRN, FNP-BC, CDE, Trustee, (2020 – 2024)

John Blumenstock, BSN, MHA, CHC, Trustee (2021 – 2025)

Beverly Williams-Coleman, DNP, APRN, Trustee, (2021 – 2025)

Robert Fleming, PhD, Trustee, (2021 – 2025)

Bill Hayden, BSN, RN, Trustee, (2021 – 2025)

Angela Brandford Stevenson, PHR, Trustee, (2021 – 2025)

Loretta Elder, DNP, MSN, BSN, RN, Trustee, (2021 – 2025)

Ruth Carrico, PhD, DNP, APRN, FNP-C, Trustee, (2020 – 2022)

Janie Heath, PhD, APRN-BC, FAAN, Trustee, (2021 – 2025)

Since its inception in 2017, the KNF “Honor a Nurse – Remember a Nurse” campaign has brought in more

than more than $11,000. This campaign affords donors a great way to highlight those special nurses in

their lives. Our COVID-19 Nurses Support Fund brought in more than $20,300 to help nurses and nursing

students with, face shields, hand sanitizer, signs and an apricot ribbon campaign.

We are happy to report that we just kicked off our 2021 Kentucky Nurses Foundation Virtual Raffle. From

chances on exclusive packages to a “Split-the-Pot” drawing, there’s something for everyone. Proceeds

benefit nursing education, scholarships and research across the state. To learn more visit page 62. Thanks

to charitable contributions, KNF and KNA are providing the type of support Kentucky nurses and students

have come to depend upon. Most recently, activities have centered on research surrounding diversity, equity

and inclusion, nurse suicide prevention and infection control.

KNF has temporarily discontinued in-person Nightingale Tributes due to the COVID-19 outbreak; however,

members continue to reach out to bereaved families of legacy nurses to offer condolences.

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2021 Kentucky Nurses Association

Take a Chance on a Kentucky Nurse!

Support the 2021 KNA-KNF Online Raffle

The proceeds of this online virtual event will support nursing

education, scholarships and research.

This is your chance to purchase raffle tickets on the

“Golden Ticket Packages” where only

200 tickets will be sold.

You can also purchase a “Split-the-Pot” ticket (unlimited

sales) where you and KNA split the total sales. These

items and new Raffle Packages will open

Monday, October 25. Raffle closes

Monday, November 15

at 6pm EST. Winners will be chosen in a live Facebook

event on Tuesday, November 16, 2021 at 6 pm EST.

Golden Ticket Packages Include:

- Dine Around Package of $250 of gift cards

- Bourbon Bonanza Basket worth over $250

- $250 KY State Parks Gift Card

- $250 Amazon Gift Card

- $250 Visa Gift Card

PURCHASE TICKETS NOW!

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2021 Kentucky Nurses Association

2021 SUMMIT

Kentucky Board of Nursing

Annual Report FY 2021

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2021 Kentucky Nurses Association

Kentucky Board of Nursing

Annual Report FY 2021

The Kentucky Board of Nursing protects the

public by development and enforcement of

state laws governing the safe practice of nurses,

dialysis technicians, and licensed certified

professional midwives.

The KBN report is available on the KNA website at kentucky-nurses.org or in the

electronic version of this yearbook..

Kentucky Board of Nursing Timeline and Procedure for Nominations

KNA members are invited to apply for Kentucky Board of Nursing (KBN) positions. Those interested must

submit a KNA Application for Board of Nursing Positions and the Governor’s application for state boards and

commissions and a CV/resume to the KNA by Wednesday, December 1 at admin@kentucky-nurses.org for a

2022 position. Upon receipt of applications, the KNA Board of Directors recommends those for consideration for

appointment by the Governor to the KBN. See timeline below:

Wednesday, December 1, 2021

Deadline to submit applications and CVs/to the KNA

Tuesday, March 1, 2022

KNA Board of Directors submits applications to Governor’s Office

Thursday, June 30, 2022

Governor Beshear makes selection

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2021 Kentucky Nurses Association

Table of Contents

President and Executive Director’s Message ........................................................66

Board Members .................................................................................67

Mission Statement, Core Values and Vision, Goals ...................................................69

Highlights of Board Councils and Committees ...................................................... 71

Advanced Practice Registered Nurse Council .............................................. 71

Certified Professional Midwives Advisory Council ..........................................73

Consumer Protection Committee .........................................................74

Credentials Review Panel ................................................................75

Dialysis Technician Advisory Council ......................................................76

Education Committee ...................................................................77

Governance Committee .................................................................80

Practice Committee ..................................................................... 81

Fiscally Responsible Use of Funds .................................................................82

Protecting the Public Through Education ..........................................................83

Number of Board Approved Prelicensure Programs of Nursing ..............................83

Program of Nursing Admission Data ......................................................84

Program of Nursing Graduation Data .....................................................85

Licensure Examination (NCLEX) Data .....................................................86

Approved Nursing Programs .............................................................87

Continuing Education ............................................................................ 91

Summary of Approved Continuing Education Providers .....................................92

Continuing Education Audit .............................................................92

Nursing Practice: Advisory Opinion Statements .....................................................93

Kentucky Administrative Regulations ..............................................................94

Amended KBN regulations for FY 2021 ....................................................94

Emergency regulation revisions ongoing as of 6/302021 per SB 150 (2020RS) ................96

Emergency regulation revisions per SB 150 (2020RS) that are no longer 38 effective ..........96

Protecting the Public Through Investigation and Enforcement ........................................97

Kentucky Alternative Recovery Effort (KARE) for Nurses Program ...................................100

Protecting the Public Through Licensure and Credentialing ..........................................101

Communications ...............................................................................108

Communications: Credentials Branch ....................................................108

Communications: Professional Support Branch ...........................................109

Presentations ..........................................................................111

Social Media Initiative ...................................................................111

KBN Connection ........................................................................112

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2021 Kentucky Nurses Association

President and Executive Director’s Message

Fiscal year 2021 continued to bear the impact of COVID-19 on

regulations pertaining to nurses, dialysis technicians (DTs), and licensed

certified professional midwives (LCPMs). In March 2020, the Kentucky

Board of Nursing (KBN) responded to the changing regulatory climate

by implementing emergency measures to ensure continuity of patient

care.

Pursuant to the authority in KRS 214.020, KRS 39A.356, and

Executive Order 2020-215, the Cabinet for Health and Family Services

authorized the Kentucky Board of Nursing to accept and review

licenses for volunteer health care practitioners to confirm that they

are licensed and in good standing to perform health services during the state of emergency. The order

rescinding the Out-of-State Registry was effective on July 23, 2021 and the KBN ceased placing applicants

on the registry on June 17 pursuant to the Cabinet’s directive. The following were placed on the Out-of-

State Registry: 1639 APRNs; 606 RNs; 141 LPNs; and 20 DTs.

In addition to the Out-of-State Registry, the Cabinet for Health and Family Services created the Personal

Care Attendant Program and directed the KBN to place qualified applicants on the Personal Care Attendant

Registry. As of June 30, there were 310 Personal Care Attendants on the registry, although this number

has rapidly grown with the enactment of HB 276, which allows a pathway for Personal Care Attendants to

transition to an SRNA certification.

Of the COVID-19 related measures implemented, the following remain in effect: suspension of collaborative

agreement requirements [201 KAR 20:057§7, KRS 314,042(8, 10)]; suspension of one year waiting period

during which newly licensed APRNs were previously required to refrain from prescribing controlled

substances [201 KAR 20:057§7, KRS 314,042(8, 10)]; suspension of the concentrated seven consecutive

week requirement for completion of the 120 hour integrated practicum (201 KAR 20:320); and suspension

of the fifty percent simulation cap allowing practicum to be up to 100% simulation (201 KAR 20:320).

In December of 2020, Kentucky began using IdentoGO® to provide state and federal criminal background

checks. The transition to IdentoGO® provided greater opportunities for access to fingerprint driven criminal

background checks and eliminated many of the barriers that previously existed. As a result, all emergency

modifications related to fingerprint-driven criminal background checks were rescinded on March 5, 2021.

Further, CE requirements for reinstatement applicants resumed their effectiveness on the same date.

During this fiscal year, the KBN licensed the first Certified Professional Midwife pursuant to KRS 314.400-

.416 and 201 KAR 20:600-.690. Regulating certified professional midwives ensures educational and training

standards, as well as enhancing patient safety.

While much of the Board of Nursing’s focus centered on ensuring that measures were implemented to allow

continuity in workforce and to reduce barriers to practice, the KBN stayed true to its mission of protecting

the public. In addition to the COVID-19 related measures, the KBN continued to license or credential nurses,

dialysis technicians, and licensed certified professional midwives; regulate educational programs; provide

practice related information; investigate licensees and credential holders who were accused of violating KRS

314 and 201 KAR 20; monitor licensees and credential holders who have entered disciplinary monitoring;

and work with participants in the Kentucky Alternative Recovery Effort (KARE) for Nurses Program.

Sincerely,

Jessica Wilson, PhD,

APRN, ANP-C President

Kelly Jenkins, MSN, RN,

NE-BC Executive Director

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2021 Kentucky Nurses Association

Board Members

*JESSICA WILSON, APRN

President

Nicholasville

2018-2022

*MICHELE DICKENS, RN

Vice-President

Campbellsville

2017-2021

ASHLEY ADKINS,

Citizen-at- Large

Morehead

2021-2023

*JANA BAILEY, APRN

Taylorsville

2020-2024

*AUDRIA DENKER, RN

Louisville

2018-2022

JACOB HIGGINS, RN

Maysville

2020-2024

*KRISTI HILBERT, RN

Bellevue

2018-2021

*JIMMY ISENBERG, RN

Glasgow

2018-2022

SUSAN LAWSON, LPN

Kevil

2019-2023

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2021 Kentucky Nurses Association

*ERICA LEMBERGER, RN

Louisville

2020-2024

*ADAM OGLE, RN

Paducah

2019-2022

DANA STEFFEY, LPN

Versailles

2020-2024

CARL VINSON, LPN

Paducah

2019-2022

*MANDI WALKER, RN

Louisville

2019-2022

*ROBYN WILCHER, RN

Versailles

2017-2021

VACANT, Citizen-at-Large

Current

DAVID DICKERSON,

Citizen-at- Large

Glasgow

2019-2021

Resigned February 2021

CHRISTINA PERKINS,

Citzen-at- Large

Owenton

2017-2021

Resigned May 2021

2020-2021 Board Meeting Dates

August 20, 2020 February 18, 2021

October 15, 2020 April 16, 2021

December 17, 2020 June 17, 2021

*Upon receipt of applications from KNA members, the KNA Board of Directors recommends those for

consideration for appointment by the Governor to the KBN. See page 51 for application information.

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2021 Kentucky Nurses Association

Mission Statement

The Kentucky Board of Nursing protects the public by development and enforcement of state laws

governing the safe practice of nurses, dialysis technicians, and licensed certified professional midwives.

Core Values and Vision

Core Values

In order to protect the public, we are

committed to:

Excellence – Excellence and quality by

delivering consistent, effective, and

efficient services

Integrity – Honesty, fairness, and

objectivity in the development and

enforcement of laws and regulations

Responsiveness –Taking initiative,

communicating openly, and

demonstrating care and concern in all

endeavors

Collaboration – Working in a cooperative

spirit while maintaining respect for all

individuals

We aspire to:

Vision

Deliver benchmark quality services in

healthcare regulation

Meet the challenges of a dynamic and

ever-changing healthcare environment

Have an organizational environment

that fosters creativity, innovation, and

outstanding leadership

Have a committed and appropriately

compensated board/staff who have

exceptional knowledge and skills

Achieve integration of regulatory efforts

affecting the health of the public

Have effective and efficient board

functions

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2021 Kentucky Nurses Association

Goals

Goal I: Sound, defensible regulatory practice that protects the public

• Increase public awareness and understanding of the role and purpose of the KBN

• Continue enhancements for the disciplinary action and compliance monitoring processes

• Continue to evaluate pre-licensure nursing education program requirements

• Continue to evaluate issues related to the legal scope of licensed practical, registered and advanced

registered nursing practice

Goal II: Efficient delivery of services that meets the needs of consumers and regulated entities in a fiscally

responsible manner

• Continue technological enhancements for licensure and credentialing processes

• Use available technology to evaluate agency services

• Ensure responsible fiscal management in order to fulfill agency mission

Goal III: Optimal use of technology that support agency services

• Improve utilization of technology to support Board activities and services

Goal IV: Support an organizational culture consistent with Board mission, vision and values

• Optimize ongoing orientation and development of Board members and staff to their role and the

agency mission, structure and services

• Ensure compliance with state government requirements for KBN organizational structure

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2021 Kentucky Nurses Association

Highlights of Board Councils and Committees

Advanced Practice Registered Nurse Council

Committee Membership:

Mandi Walker, RN – Chair

Jessica Wilson, APRN

Jana Bailey, APRN

Chris Harlow, PharmD, BCGP - KBP

Donna Fiaschetti, APRN, CRNA – KyANA

Elizabeth Archer-Nanda, APRN, Adult PMHCNS – KNA

Lucinda Crager, APRN, FNP – KNA

Misty Ellis, APRN, ACPNP, PCPNP – KNA

Kendra Faucett, DNP, APRN, CNM – KANPNM

Carol Darwin, APRN, AGNP-C – KANPNM

Mary Nan S. Mallory, MD, MBA, KBML

KBN Staff: Myra Goldman, MSN, APRN, FNP-C

Meeting Dates:

November 2, 2020

December 1, 2020

February 19, 2021

May 21, 2021

Purpose

The Advanced Practice Registered Nurse Council, in keeping with the mission of the Kentucky

Board of Nursing, shall recommend standards of advanced practice registered nursing to the

Kentucky Board of Nursing, which protects the well-being of the public and ensures the safe practice of

nursing. The Council shall recommend standards regarding the performance of acts requiring additional

education. This includes the performance of acts relative to nurse anesthesia, nurse midwifery, nurse

practitioner, and clinical nurse specialist practice.

Functions

1. Submits recommendations to the Board as needed.

2. Submits to the Board new and/or revised regulations governing advanced practice registered

nursing practice, education and registration to ensure safe and effective care to the citizens of the

Commonwealth.

3. Advises the Board regarding the interpretation of the legal scope of advanced practice registered

nursing practice as defined in KRS 314.011(8).

4. Reviews new and/or revised scope and standards of practice statements promulgated by national

organizations cited in 201 KAR 20:057 (1) Scope and standards of practice of APRNs, and if

acceptable by the Board, such statements shall be filed by reference to said regulation with the

Legislative Research Commission.

5. Reviews new and/or revised regulations: 201 KAR 20:056 and 201 KAR 20:062 related to

registration and education.

6. Reviews new and/or revised regulations: 201 KAR 20:063 related to ordering, prescribing, and

administering amphetamine like controlled substances and 201 KAR 20:065 relating to standards

for prescribing Buprenorphine-Mono-Product or Buprenorphine-Combined-with- Naloxone for

medication assisted treatment for opioid use disorder.

7. Advises the Board on the recognition of national certifying organizations that grant certification to

meet eligibility requirements for registration as an advanced practice registered nurse.

8. Provides a forum for the representative members and organizations to express concern related to

the education and delivery of health care by the advanced practice registered nurse.

9. Recommends objectives to be accomplished annually.

10. Submits an annual report to the Board.

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2021 Kentucky Nurses Association

Committee Recommendations Approved by the Board:

1. That advisory opinion statement (AOS) #35 – Roles Of Nurses In Cosmetic And Dermatological

Procedures, as presented, be approved. (The revised version of AOS #35 was reviewed at several

APRN Council and Practice Committee Meetings this past fiscal year. The Board approved it initially

in April, and again in June after further review from the Practice Committee)

2. That advisory opinion statement (AOS) #37 – Role Of The Advanced Practice Registered Nurse In

The Prescribing Of Medications To Self And/Or Family, as presented, be approved.

3. That disciplinary guidelines for APRNs be approved.

4. That the agreed order template for APRNs be approved.

5. The following recommendations concerning amendments to 201 KAR 20:065:

A. To abolish the mental health evaluation requirement altogether [section 1(3), section 3(4)(a)(8),

section 3(4)(k)(2)].

B. To modify objective behavioral modification requirement to mirror KBML requirement, both in

terms of what is required and who is qualified to provide care or perform services. The KBML

regulation is silent as to the requisite qualifications of counselors. [section 1(3), section 3(4)(a)

(8), section 3(4)(k)(2)].

C. To remove the definition of “expertise in addiction” as it no longer appears as a phrase within

the regulation.

D. To create a different definition of consultation [section 1(3)].

E. To modify the regulation to require a review of the lab test results within 30 days of induction.

[section 3(4)(a)(1)(f)].

F. To modify the regulation to allow for obtaining consent forms related to the patient’s medical

records within 30 days of induction. [section 3(4)(a)(2)].

G. To revise the regulation in a manner consistent with the KBML regulation pertaining to

pregnancy tests (the KBML regulation only requires a pregnancy test as to female patients ‘of

child bearing age and ability.’[section 3(4)(b)(1)].

H. To add new text to make OB consult a plan rather than a prerequisite, to provide for a patient’s

decision to ‘decline’ consult, and to specify that an APRN who is an obstetrical care provider is

not required to plan for a consult by another obstetrical provider. [section 3(4)(b)(2)].

I. To require alcohol and gabapentin testing only with required gcms/lcms testing, while testing

for buprenorphine, methadone, opioids, thc, benzodiazepines, amphetamines, and cocaine is

required as a component of all drug/alcohol testing. [section 3(4)(g)(3)(b)].

J. To modify the regulation to remove buprenorphine-specific KASPER review requirements that

differ from 201 KAR 20:057. [SECTION 3(4)(G)].

K. To modify objective behavioral modification requirement to mirror KBML requirement, both in

terms of what is required and who is qualified to provide care or perform services. The KBML

requirement is silent as to the requisite qualifications of counselors. [section 3(4)(a)(8), section

3(4)(k)(1)].

L. To modify regulation to add draft language authored by staff and issue COVID-19 advisory

authored by staff. [section 7].

M. To break the sentence referencing weaning into two sentences, and condition measures

required by second sentence on relevance and clinical appropriateness. [section 3(4)(g)(2)].

N. To approve the staff suggested minor edit to require the submission of the DEA-X certificate to

be submitted to the KBN via the APRN update portal. [section 2(3)].

O. To approve the staff suggested minor edits to modify the text applicable to an APRN’s

discussion with the patient regarding lost or stolen medication. [section 3(4)(j)].

P. To approve the staff suggested minor edit that the required pharmacology hours must be on

the dual subjects of addiction disorders and pharmacology. [section 4].

6. That 201 KAR 20:057 scope and standards of practice of advanced practice registered nurses, as

proposed, be amended.

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2021 Kentucky Nurses Association

Certified Professional Midwives Advisory Council

Committee Membership:

Robin Weiss, PhD (Public Member) – Chair

Jimmy Isenberg, RN – KBN Liaison

Elizabeth Regan, CPM

Meghan Nowland, CPM

Jennifer Fardink, CPM

Dolores Politio, APRN, CNM

Sarah Ferguson, APRN, CNM

Jeffrey Goldberg, MD

Elizabeth Case, MD

Jonathan Cohen, MD

KBN Staff: Michelle Rudovich, JD

Michelle Gary, Practice Assistant

Meeting Dates:

September 3, 2020

November 12, 2020

December 2, 2020

January 25, 2021

May 10, 2021

June 21, 2021

Purpose

Pursuant to KRS 314.402 (1), the Certified Professional Midwives Advisory Council shall meet at regular

intervals, and guided by newly available evidence in peer-reviewed medical literature, advise the Board

on promulgating administrative regulations regarding qualifications, standards for training, competency

determination of licensed certified professional midwives, any necessary statutory changes, and all other

matters relating to licensed certified professional midwives.

Functions

1. Submits recommendations and new or revised regulations to the Board governing licensed certified

professional midwives and certified professional midwifery services to ensure safe and effective

care for the citizens of the Commonwealth.

2. Advises the Board regarding certified professional midwifery services and licensed certified

professional midwives as defined in KRS 314.400.

3. Advises the Board on the national certifying organization, North American Registry of Midwives

(NARM) which grants certifications required to meet competency validation requirements and the

Midwifery Education Accreditation Council (MEAC) which accredits education programs.

4. Provides a forum for the representative members and organizations to express concern related to

the education and delivery of health care by licensed certified professional midwives.

5. Recommends objectives to be accomplished annually.

6. Reviews LCPM Incident Reports and Annual Reports

7. Submits an annual report to the Board.

Committee Recommendations Approved by the Board:

1. That the proposed amendments to 201 KAR 20:660 licensed certified professional midwives duty

to report with specific revisions be promulgated.

2. That the proposed LCPM annual reporting form with specific revisions be approved.

3. That proposed board guidelines for LCPM disciplinary actions, as presented, be approved.

4. To amend 201 KAR 20:650 licensed certified professional midwives permitted medical tests and

formulary section 1 to include lactated ringers in the formulary list an LCPM may order, transport

and administer.

5. To amend 201 KAR 20:650 licensed certified professional midwives permitted medical tests and

formulary section 3, to include neo-bilirubin or total-bilirubin, coombs, and blood type tests of the

newborn, and the fetal screen and rhogam tests of the client an LCPM may order.

6. To amend 201 KAR 20:650 licensed certified professional midwives permitted medical tests and

formulary section 3(2)(a) to state:

a. An LCPM shall obtain and have immediately available for emergencies oxytocin (Pitocin) for

management of postpartum hemorrhage, including lactated ringers or normal saline and

equipment needed for IV infusion if needed.

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2021 Kentucky Nurses Association

Consumer Protection Committee

Committee Membership:

Michele Dickens, RN – Chair

Ashley Adkins – Citizen-at-Large (appointed 5/11/21)

Audria Denker, RN

David Dickerson – Citizen-at-Large (resigned 2/2/21)

Kristi Hilbert, RN

Christina Perkins, Citizen-at-Large

Dana Steffey, LPN

KBN Staff: Tricia Smith, RN

Meeting Dates:

September 17, 2020

November 19, 2020

March 18, 2021

Purpose

The purpose of the Consumer Protection Committee is to consider those matters relating to Public

Protection. This includes the Investigation Branch, Compliance Branch and Legal Services.

Functions

1. Reviews and revises guidelines for matters relating to public protection processes.

2. Assists in the review, revision or initiation of statutory and/or administrative regulations related to

public protection.

3. Serves as resource to the Board and staff members in matters relating to monitoring and

disciplinary action processes.

4. Reviews reports on final disposition of select cases and other matters relating to the monitoring and

disciplinary action processes.

5. Reviews and monitors randomly selected Agreed Orders, Consent Decrees and Suspension/Denial

of Reinstatement Notices.

6. Submits recommendations to the Board on matters related to the above functions.

Committee Recommendations Approved by the Board:

1. The revised guidelines for review of criminal convictions and action in another jurisdiction were approved.

2. A revised term of the KARE agreement was approved. (The participant agrees that he/she may

not work without, and will provide any and all patient care only if a nurse or physician, with an

unencumbered license, is physically present on the facility grounds and readily available to provide

assistance and intervention if necessary.)

3. The template for advanced practice registered nurse (APRN) agreed order was approved.

4. The disciplinary guidelines for APRNs was approved.

5. The disciplinary guidelines for LCPMs was approved.

6. The agreed order template was revised to reflect that a violation of the agreed order would be

a standard two (2) years for suspension, denied reinstatement or surrender except if the agreed

order was for an eighteen month term.

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2021 Kentucky Nurses Association

Credentials Review Panel

Committee Membership:

Robyn Wilcher, RN – Chair

Jimmy Isenberg, RN

Mandi Walker, RN

Jessica Wilson, APRN

KBN Staff: Ann Tino, RN

Meeting Dates:

July 16, 2020

August 20, 2020

September 17, 2020

October 15, 2020

November 19, 2020

December 17, 2020

January 21, 2021

February 18, 2021

March 18, 2021

April 15, 2021

June 18, 2021

Purpose

The purpose of the Credentials Review Panel is to consider those matters not otherwise covered by

guidelines set by the Board of Nursing and applicable laws related to licensure, credentials, investigation,

discipline, and matters related to the participants or potential participants to the Kentucky Alternative

Recovery Effort (KARE) for Nurses Program.

Functions

1. Furnish guidance to staff for the resolution of disciplinary complaints or issues related to KARE

for Nurses Program participants or potential participants that fall outside the scope of available

precedent because of factual, evidentiary, legal, or equitable consideration.

2. Propose recommendations and review guidelines for a specific licensee/applicant for licensure,

credential, disciplinary matter, and KARE for Nurses Program participation.

3. Refer issues raised by disciplinary cases or the KARE for Nurses cases to the Credentials Review

Panel for consideration while preserving the confidentiality of the case(s) involved.

4. Review of applicants for licensure or credentialing.

5. Serve as resource to staff as needed.

6. Submit annual statistical reports to the Board and other reports as necessary while preserving the

confidentiality of the case(s).

7. Review conviction records and give direction for disposition.

8. Review disciplinary action imposed upon a licensee/applicant’s other professional license or nursing

license in another jurisdiction and give direction for disposition.

9. Review medical malpractice payment reports and consider information for direction.

10. Furnish guidance regarding amendments to existing Agreed Orders.

11. Review information related to the Nurse Licensure Compact and disciplinary issues. Credentials

Review Panel Scope, Functions and Membership.

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2021 Kentucky Nurses Association

Dialysis Technician Advisory Council

Committee Membership:

Carl Vinson, LPN – Chair

Robin Wilcher, RN

Ashley Parrish, DT

Aquiashala Ware, DT

Lyrissa Wash, DT

Tyne Strickert, RN

Amy Simms, RN

Elizabeth Ewalt, RN

KBN Staff: Kim Richmond, DNP, RNC-OB

Myra Goldman, MSN, APRN, FNP-BC

Meeting Dates:

November 5, 2020

January 7, 2021

February 5, 2021

March 19, 2021

April 5, 2021

Purpose

The Dialysis Technician Advisory Council shall advise the Board regarding qualifications, standards

for training, competency determination of dialysis technicians, and all other matter related to dialysis

technicians.

Functions

1. Submits recommendations to the Board as needed.

2. Submits to the Board proposed new and/or revised administrative regulations governing dialysis

technician credentialing requirements and training program requirements.

3. Advises the Board regarding the interpretation of the legal scope of dialysis technician practice. 4.

Provides a forum for the public, representative members and organizations to express concerns/

needs regarding the regulation of dialysis technicians.

Committee Recommendations Approved by the Board:

1. That proposed regulations, with specific revisions, be promulgated, and 201 KAR 20:470 be

repealed. [201 KAR 20:471 (initial approval for DT training program); 201 KAR 20:472 (continuing

approval of DT programs); 201 KAR 20:473 (DT credentialing); 201 KAR 20:474 (dialysis technician

scope of practice, discipline, and miscellaneous requirements)]. (Official numbers assigned by the

Legislative Research Commission are 201 KAR 20:472; 201 KAR 20:474; 201 KAR 20:476; and 201

KAR 20:478 respectively.)

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2021 Kentucky Nurses Association

Education Committee

Committee Membership:

Jimmy Isenberg, RN – Chair

Michele Dickens, RN

Susan Lawson, LPN

Mandi Walker, RN

Jessica Wilson, APRN

Erica Lemberger, RN

KBN Staff: Valerie Jones, RN

Meeting Dates:

September 17, 2020

November 19, 2020

January 21, 2021

March 18, 2021

May 20, 2021

Purpose

The purpose of the Education Committee is to consider matters related to pre-licensure PN, RN, MSN/APRN

and DNP/APRN education in the Commonwealth, and mandatory continuing education/competency.

Functions

1. Initiate, review and/or recommend statutes and/or administrative regulations governing nursing

education and continuing competency.

2. Review and recommend program approval status of pre-licensure nursing programs, including

MSN/APRN and DNP/APRN programs.

3. Assess and respond to programs of nursing in relation to compliance with regulatory requirements.

4. Stay informed of trends and issues that impact the knowledge base for nursing practice within the

nursing education and continuing competency environment.

Committee Recommendations Approved by the Board:

1. The request, dated August 27, 2020, from Medquest College to start an ADN program in Lexington,

KY at this time be denied

2. The request, dated March 1, 2020, to establish a specialty track in pediatric acute care nurse

practitioner within the University of Louisville’s doctor of nursing practice(DNP) degree program be

accepted, and

3. The University of Louisville DNP program request to submit a proposal for specialty track in

pediatric acute care nurse practitioner within the DNP degree program, be granted.

4. The request, dated October 15, 2020, to establish a certified registered nurse anesthesia specialty

track within the University of Louisville’s doctor of nursing practice (DNP) degree program be

accepted, and

5. University of Louisville be granted approval to submit a proposal for a certified registered nurse

anesthesia specialty program within the DNP degree program

6. The September 14-16, 2020 site visit report of the Galen College of Nursing BSN program, Louisville,

KY, be accepted; and

7. Galen College of Nursing BSN program, Louisville, KY be granted program approval

8. The October 5-8, 2020 site visit report of the Morehead State University AASN program –

Morehead and Mount Sterling campuses – be accepted;

9. The university review of nursing recruitment strategies be reviewed to fill vacant faculty positions;

and

10. That the Morehead State University AASN program – Morehead and Mount Sterling campuses –

continues to be an approved program of nursing

11. The proposal, dated October 23, 2020, to establish an associate degree of nursing program at

Jefferson Community and Technical College, Shelby County, KY be accepted; and

12. Jefferson Community and Technical College, associate degree nursing program, Shelby County, KY

be granted developmental approval status

13. The request, dated September 9, 2020, from Southeast KCTC Middlesboro to increase baseline

enrollment from 40 students annually to 55 students annually, be denied.

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2021 Kentucky Nurses Association

14. The request, dated October 24, 2020, from Western Kentucky University (online) LPN to ASN

program to increase baseline enrollment from 96 students annually to 150 students annually, be

denied; and

15. Western Kentucky University (online) LPN to ASN program be granted a baseline enrollment

increase to 120 students annually.

16. The proposal, dated September 23, 2020, to establish an associate degree program at Somerset

Community College McCreary Center in Whitley City, KY, not be accepted; and

17. The Somerset Community College’s proposed associate degree of nursing program at SCC

McCreary Center in Whitley City, KY not be granted developmental approval status.

18. The proposal, dated October 13, 2020, to establish an associate degree nursing program for

Somerset Community College at EKU Manchester campus in Manchester, KY, not be accepted; and

19. The Somerset Community College’s proposed associate degree of nursing program at EKU

Manchester campus in Manchester, KY not be granted developmental approval status.

20. The proposal, dated October 19, 2020, to establish a practical nursing program at Sullivan

University Lexington campus in Lexington, KY, not be accepted; and

21. The Sullivan University Lexington campus proposed practical nursing program not be granted

developmental approval status.

22. The proposal, dated October 19, 2020, to establish an associate degree in nursing program at

Sullivan University Lexington, KY, not be accepted; and

23. The Sullivan University Lexington campus proposed associate degree of nursing program not be

granted developmental approval status.

24. The proposal, dated March 1, 2020, to establish a specialty track in pediatric acute care nurse

practitioner within the University of Louisville’s doctor of nursing practice (DNP) degree program

be accepted; and

25. The University of Louisville, Louisville campus, be granted developmental approval status for

establishment of an additional specialty track, pediatric acute care practitioner, within the doctor of

nursing practice (DNP) degree program

26. The October 6-8, 2020 site visit report of ATA College practical nurse to associate degree nursing

program and traditional associate degree program, Louisville, KY, be accepted; and

27. The requirements to be met as stated in the October 6-8, 2020 site visit report of ATA College

practical nurse to associate degree nursing program and traditional associate degree program,

Louisville, KY, be approved; and

28. The ATA College practical nurse to associate degree nursing program and traditional associate

degree program, Louisville, KY, be denied program approval status.

29. The request, dated December 15, 2020, from Galen College of Nursing, Hazard campus, ADN

program, to increase the baseline enrollment from two hundred and fifty (250) students annually to

two hundred and seventy-five (275) students annually, be approved.

30. The proposal, submitted on January 23, 2021, to establish an associate degree of nursing program

at Bluegrass Community and Technical College, in Winchester, KY be deferred pending revisions;

and

31. The revised proposal provide clarification in consideration of faculty salary lines and clinical rotation

composition; and

32. That the revised proposal come before the education committee for consideration.

33. the October 12-15, 2020 site visit report for the Galen College of Nursing ADN programs for both

the Louisville and Hazard campuses be accepted;

34. That the Galen College of Nursing ADN program – Louisville and Hazard campuses – continue to be

an approved program of nursing.

35. The 2020 NCLEX pass rates and benchmarks be accepted. That site visits be conducted at the

following programs of nursing, listed in order of descending priority, as soon as feasible given

trends over the last five (5) years of benchmarks:

i. Spalding University

ii. Ashland Community and Technical College

iii. Bluegrass Community and Technical College

iv. Big Sandy Community and Technical College

v. Maysville Community and Technical College

36. That the following programs of nursing provide benchmark analysis reports ahead of the next

education committee meeting in May 2020:

i. Eastern Kentucky University ADN Program

ii. West Kentucky Community & Technical College PN

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2021 Kentucky Nurses Association

37. Action on 201 KAR 20:320 be deferred until the May Education Committee meeting;

38. That KBN staff prepare information on the use of remediation in programs of nursing and provide

drafted language that clarifies the definitions of remediation and external examination

39. The Board move toward the requirement that all programs of nursing in Kentucky be accredited,

with specifics to be determined.

40. A subcommittee of the Education Committee be assigned to propose revisions to 201 KAR 20:320

in preparation for the board meeting in June;

41. That the amendments to 201 KAR 20:320 recommended by the sub-committee and reviewed by

the Education Committee be approved by the Board.

42. That Medical Career and Technical College furnishes documentation showing that all schools within

the fifty-mile radius have been notified per 201 KAR 20:280 section 3 (3)(c).

43. That Medical Career and Technical College provide data concerning their current programs’

outcomes and benchmarks

44. The requested changes in the ADN curriculum at the University of Cumberland be granted.

45. The proposal, dated April 29, 2021, establish an ADN program at Somerset Community College –

McCreary center be accepted; and

46. That the proposed Somerset Community College ADN program at McCreary center in Whitley City,

KY be granted developmental approval status.

47. The proposal dated April 29, 2021 to establish an associate degree nursing program for Somerset

Community College at EKU Manchester campus in Manchester, KY, be accepted.

48. The Somerset Community College’s proposed associate degree of nursing program at EKU

Manchester Campus in Manchester, KY be granted program developmental approval status.

49. The request to increase enrollment in Beckfield College’s associate degree nursing program’s

enrollment baseline from one hundred and sixty (160) students to two hundred (200) students be

granted.

50. The benchmark analysis report for Eastern Kentucky University’s ADN program, submitted on May

6, 2021, be accepted.

51. The benchmark analysis report for the practical nursing program at West Kentucky Community

College, submitted on May 5, 2021 be accepted

52. That the site visit report for the American National University (ADN program) in Pikeville, KY

conducted October 26-28, 2020 be accepted;

53. That the requirements to be met as stated in the October 26-28, 2020 site visit report of American

National University ADN program in Pikeville, KY be approved as written;

54. That a focused follow-up site visit be conducted in one (1) year to determine the progression and

implementation of the requirements to be met;

55. The March 1-4, 2021 site visit report be accepted for the following pre-licensure Campbellsville

University programs:

Associate degree nursing program in Harrodsburg, KY;

Practical nursing program in Harrodsburg, KY;

Practical nursing program in Campbellsville, KY; and

56. That the aforementioned pre-licensure programs of Campbellsville University be granted approval

status.

57. Per 201 KAR 20:062 section 3(17)(a), Campbellsville University’s MSN-FNP track, having obtained

initial accreditation status through ACEN, be granted KBN approval status through May 31, 2026 to

allow for the completion of the ACEN accreditation process scheduled to occur in the fall of 2025.

58. The January 26-28, 2021 site visit report of the Kentucky State University associate degree nursing

program, Frankfort, KY, be accepted; and

59. The requirements to be met as stated in the January 26-28, 2021 site visit report of Kentucky State

University associate degree nursing program, Frankfort, KY, be approved

60. The program of nursing is to submit quarterly progress reports with supportive evidence concerning

the progress in the implementation of the requirements to be met beginning August 31, 2021.

61. A sub-committee be formed to prepare a draft of proposed regulations for both 201 KAR 20: 215

and 201 KAR 20:320;

62. That the amendments to 201 KAR 20:320 recommended by the sub-committee and reviewed by

the Education Committee be approved by the Board.

63. A sub-committee be formed to prepare a draft of proposed regulation amendments for both 201

KAR 20: 215 and 201 KAR 20:320;

64. That the amendments to 201 KAR 20:201 and KAR 20:320 recommended by the sub-committee

and reviewed by the Education Committee be approved by the Board

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Governance Committee

Committee Membership:

Audria Denker, RN – Chair

Ashley Adkins, JD – Citizen-at-Large (appointed 5/11/21)

Michele Dickens, RN

Jimmy Isenberg, RN

Dana Steffey, LPN

Jana Bailey, APRN

KBN Staff: Morgan Ransdell, JD

Meeting Dates:

September 17, 2020

November 19, 2020

January 21, 2021

March 18, 2021

May 21, 2021

Purpose

The purpose of the Governance Committee is to consider those matters related to internal board

governance, operations and structure.

Functions

1. Review Board guidelines dealing with administrative functions for necessary revision.

2. Oversee plans for Board member development including orientation processes.

3. Recommend revisions to Board structure.

4. Review and evaluate Board operations.

5. Initiate strategic planning.

6. Review financial issues as needed.

Committee Recommendations Approved by the Board:

1. The proposed agency housekeeping legislation (HB202) be advanced for passage during the 2021

General Assembly.

2. The modifications to the agency housekeeping legislation (HB202) be accepted.

3. The emergency measures be lifted regarding fingerprint-driven criminal background checks, continuing

education hours required of reinstatement applicants, and extension of temporary licenses, provisional

license, and temporary work permits. A memorandum will be presented to the governor’s office for

approval. Once signed, the foregoing requirements will be reinstated 30 days thereafter.

4. The material incorporated by reference regarding the update to 201 KAR 20:506 be approved.

This change promulgates the new nurse licensure compact commission rules, as required by KRS

314.475 art. 1(c)(2).

5. The amendments to the KBN application and KBN renewal applications be approved, which

is material incorporated by reference in 201 KAR 20:370 and 201 KAR 20:411. The proposed

amendments include:

a. Add a question regarding branch of military service to reduce the error rate (erroneous “yes”

response to military service question);

b. Add clarification in conviction questions to specify that traffic misdemeanors should not be

reported, in conformity with the governing regulation;

c. Remove KHEAA reference from attestation in light of complete elimination of KHEAA- based

licensure discipline, which was implemented as a statutory change in 2019;

d. Add statement related to primary state of residence, to indicate that verification of PSOR may

be requested;

e. Change header for address section from “Data Corrections: Complete ONLY if Needed” to

“Current Mailing Address” as applicants will be required to fill out their current address with

each renewal application, as the feature of prepopulating address with the previous year’s

address is being removed to reduce the error rate; and

f. Change publication date of this version of the application.

6. The KBN mission statement be revised to include all regulated license and credential types, as

follows: “the Kentucky Board of Nursing protects the public by development and enforcement

of state laws governing the safe practice of nurses, dialysis technicians, and licensed certified

professional midwives.”

7. The per diem policy revisions suggested by KBN general counsel to clarify the policy and to ensure

board members are being compensated for time appropriately be approved.

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8. The DEI training on November 18-19, 2021 should be made available to any board members who

wish to attend, as an agency-related activity, with those board members to provide a summary of

the information obtained during the December board meeting.

9. The retreat planning committee formed by the Governance Committee to include the following

persons: Jessica Wilson, Audria Denker, Ashley Adkins, Jana Bailey, and Kelly Jenkins be approved.

Practice Committee

Committee Membership:

Adam Ogle, RN – Chair

Kristi Hilbert, RN

Susan Lawson, LPN

Jacob Higgins, RN

Carl Vinson, LPN

Jana Bailey, APRN

KBN Staff: Kim Richmond, DNP, RNC-OB

Michelle Gary, Practice Assistant

Meeting Dates:

September 18, 2020

November 20, 2020

January 22, 2021

March 19, 2021

May 21, 2021

Purpose

The purpose of the Practice Committee is to consider those matters related to the interpretation of the legal scope

of nursing practice as defined in Kentucky Revised Statutes Chapter 314 and Board of Nursing administrative

regulations. Committee deliberations may include review of other relevant statutes and regulations as necessary.

Functions

1. Studies nursing practice issues related to the legal scope of nursing practice.

2. Assists in the review, revision or initiation of administrative regulations pertaining to nursing

practice as authorized by KRS Chapter 314.

3. Develops guidelines and advisory opinion statements on matters related to nursing practice. 4.

Submits recommendations to the Board on matters related to the function.

Committee Recommendations Approved by the Board:

1. That Advisory Opinion Statement (AOS) #6 - The Performance of Arterial Puncture by Registered Nurses

– be withdrawn.

2. That the revision of AOS #25 - Placement of Central Lines and Arterial Lines -be approved.

3. That the revision of AOS #32 - Procedural Sedation and Analgesia -be approved.

4. That revisions to AOS #14 – Implementation of Patient Care Orders – be approved.

5. That revisions to AOS #17 – Administration of PRN Medication and Placebos – be approved.

6. That AOS #35 – Role of Nurses in Cosmetic and Dermatological Procedures, with specific revisions, be

approved.

7. That the Board reaffirms the opinion issued in June of 2019:

A. It is not within the scope of practice of a registered nurse to insert hormone pellets into the

subcutaneous tissue under the supervision of a doctor; and

8. That the Board reaffirms its opinion issued in the December 2013 and April 2021 versions of AOS #35:

A. It is within the scope of licensed practical nursing (LPN) practice, for the LPN who is educationally

prepared and clinically competent to perform cosmetic and dermatological procedures (except

sclerotheraphy) under direct supervision of a physician or advanced practice registered nurse (APRN)

(designated nurse practitioner or clinical nurse specialist performing within scope of certification/

practice). The LPN who performs these acts should meet the criteria described in sections ii and iii of

this statement.

9. That it is within the scope of practice for an LPN to administer the following cosmetic injectable classes

of neuromodulators (botulinum exotoxins, e.g. Botox ®) or tissue/dermal fillers/tissue volumizers (e.g.

Juvederm®, Restylane®, or Sculptra®) as authorized by a physician, physician assistant, dentist, or

advanced practice registered nurse and as further authorized or limited by the board pursuant to KRS

314.011.

10. That AOS #35 – Role of Nurses in Cosmetic and Dermatological Procedures, as revised, be

approved.

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Fiscally Responsible Use of Funds

The KBN is a 100% fee supported agency utilizing no General Fund revenues. The bulk of the revenues

realized by KBN are the result of licensing fees, which are assessed annually. This fiscal year receipts totaled

$8,173,125 with outgoing expenditures totaling $7,722,702. This supports the operations of the KBN. The

balance of receipts remaining after expenditures are utilized to carry the agency through the first quarter of

the following year until the licensure renewal process produces additional funds.

Two changes to the KBN’s fiscal operations during this fiscal year include the implementation of prompt

pay, a convenient option for licensees to pay select fees to the board, and licensees paying the fees that

the banking industry charges for transactions. By the KBN adopting this change, which is common in many

other industries and government agencies, the KBN realizes an approximate savings of $175,000 annually.

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Protecting the Public Through Education

If all programs in initial and developmental status receive approval from the Board, there will be a total of 93

pre- licensure programs of nursing in Kentucky.

Please Note: The following figures utilize program data for fiscal year 2019-2020. Some figures also present

data from prior years for comparison. Data for reporting period ending June 30, 2021 (FY 2020- 2021) has

not yet been collected.

Not all pre-licensure programs submit annual reports. Programs in developmental status will not have data

to report. Programs that are in initial status may similarly not have data to report depending on when their

first cohort commenced their coursework. In contrast, initial status programs whose first cohort graduated

in that reporting period will have sufficient data. These programs remain in initial status until the Board

receives and reviews the first cohort graduation site visit report, at which time direction may be given

regarding the program’s status.

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Approved Nursing Programs

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Continuing Education

LPNs and RNs must earn fourteen (14) contact hours (or the equivalent) of approved continuing education

each year to renew their licenses. APRNs and SANE nurses have additional CE requirements.

Equivalencies for fourteen (14) contact hours include:

• Proof of earning seven (7) approved contact hours, PLUS a nursing employment evaluation that is

satisfactory for continued employment. A copy of the evaluation must be signed by the supervisor

and must include the employer’s name, address, and phone number, and cover at least six (6) months

of the earning period, as well submit the KBN Nursing Employment Evaluation, which is located on the

KBN website Form; OR

• Successful completion of a postlicensure academic course at a college, university, or postsecondary

vocational institution. The course must be beyond the prelicensure curriculum and relevant to nursing

practice (i.e. nursing course designated by nursing course number) or applicable to the nurses role.

It must have been completed and a grade of “C” or higher or “Pass” on a pass-fail grading system

awarded during the earning period. One (1) semester credit hour is equal to 15 contact hours. One (1)

quarter hour is equal to 12 contact hours. OR

• National certification related to the nurse’s practice role (in effect during the entire period, or initially

earned or recertified during the period); OR

• Participation as a preceptor for at least one nursing student or new employee. Must be for at least

120 hours, have a one-to-one relationship with student or employee, may precept more than one

student during the 120 hours, and preceptorship shall be evidenced by written documentation from

the educational institution or preceptor’s supervisor;

• Completion of a nursing research project as principal investigator, coinvestigator, or project director.

Must be qualitative or quantitative in nature, utilize research methodology, and increase knowledge

resulting in improved outcomes or changes in behavior. Submissions must include a project abstract

and a summary of the findings; OR

• Publication of an article in a peer-reviewed health-related journal. A copy of the article published

during the earning period must be submitted; OR

• A nursing continuing education presentation that is developed by the presenter, presented to nurses

or other health professionals, and is evidenced by a program brochure, course syllabi, or a letter from

the offering provider identifying the licensee as the presenter of the offering. The number of contact

hours earned shall be twice the number of contact hours offered to presentation attendees.

All nurses must also complete the following one-time requirements: Pediatric Abusive Head Trauma,

Domestic Violence, and Licensed Practical Nurse Infusion Therapy before performing. Based on the date of

completion of a Kentucky program of nursing, nurses may meet these requirements prior to obtaining their

license and are not required to retake the course as CE.

APRNs have the following additional continuing education requirements:

• Five (5) contact hours of approved pharmacology CE must be earned by all APRNs each licensure

period.

• APRNs with a CAPA-CS: Pursuant to 201 KAR 20:215(5)(b), of the five (5) approved pharmacology

contact hours required for APRN licensure renewal, one and one-half (1.5) of these approved contact

hours must be on the use of KASPER, pain management, or addiction disorders each licensure period.

• APRNs with a DEA-X Registration: Pursuant to 201 KAR 20:065, an APRN who has obtained a DEA-X

registration shall complete a total of four (4) contact hours annually in addiction disorders, which shall

include 1.5 hours in addiction disorder pharmacology CE.

Sexual Assault Nurse Examiners must complete five (5) contact hours every earning period. Forensic

medicine or domestic violence continuing education will meet this requirement.

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Summary of Approved Continuing Education Providers

Summary of the number of approved Kentucky continuing education providers by category:

Professional Nursing Organizations: 4

Related Nursing Organizations: 3

Educational Institutions: 23

Health Services Agencies: 87

Health Related Organizations: 21

Commercial Organizations: 4

Other: 21

Total: 163

Fiscal Year 2020 - 2021 Provider Renewals

Provider Renewals Due 98

Providers Renewed through 2022 83

Providers Not Renewed 15

Fiscal Year 2020 - 2021 Initial Providers Approved

Health Services Agencies: 1

• Russell County Hospital

Health Related Organizations: 1

• Markey Cancer Center Affiliate Network

Commercial Organizations 3

• Noble Nurses, LLC

• JRS Consulting, LLC

• #1 Premiere Continuing Education

Fiscal Year 2020 - 2021 Individual Review of CE Offerings

• Individual CE Offerings Approved 9

Continuing Education Audit

The CE/Competency earning period occurs from November 1 through October 31. To ensure compliance

with CE requirements, the KBN performs an annual audit of nurse licensees.

New this fiscal year, the KBN partnered with CE Broker as the official CE tracking system for the KBN. CE

Broker is offered to licensees and the KBN at no cost. This tool allows nurses to upload CE documents into

their CE Broker account to provide proof of completion of their CE requirements and to track continuing

education. CE Broker was first used during this fiscal year for nurses selected to the audit and was then

made available as an optional program to all nurse licensees.

2020 Annual Continuing Education Audit

Audits Performed by License Type

Licensed Practical Nurses 141

Registered Nurses 670

Advanced Practice Registered Nurses 95

Sexual Assault Nurse Examiners 5

Total: 911

Audit Responses

KBN received eight hundred and fifty-nine (859) responses to the audit, a ninety-four percent (94%)

response rate.

Seven hundred and eighteen (718) of the total number of individuals audited were approved for compliance.

A seventy-nine percent (79%) compliance rate of the total audited.

Non-Compliant Individuals

A total of one hundred and forty-one (141) nurses who submitted documents for the 2020 CE audit were

deemed to be non-compliant for the November 1, 2019 – October 31, 2020 earning period.

Fifty-two (52) of nurse selected for the audit failed to respond to requests for submission of proof of

completion of continuing competency requirements.

Non-compliant individuals were referred to the Investigation Branch.

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Nursing Practice: Advisory Opinion Statements

KBN interprets the legal scope of nursing practice according to Kentucky nursing laws and administrative

regulations in the determination of safe and effective nursing care for the citizens of the Commonwealth.

Advisory Opinion Statements (AOS) are issued when multiple inquires are received on the same practice

matter as guidelines for safe practice. Advisory Opinion Statements are available at https://kbn.ky.gov/

Practice/Pages/Advisory-Opinion-Statements.aspx.

AOS # Topic (changes made during this fiscal year are bolded for emphasis)

1. **Withdrawn from Publication** (2020)

2. Scope of Nursing Practice in Gynecological Cancer Detection (Revised 05/18)

3. Recommended Course Content Infusion Therapy for Registered Nurses and Licensed Practical Nurses (Revised

04/2019)

4. Roles of Nurses in the Administration of Medication Per Intraspinal Routes (Revised 05/2018)

5. **Withdrawn from Publication** (2018)

6. **Withdrawn from Publication** (10/2020)

7. Roles of Nurses in Stapling, Suturing, and the Application of Topical Adhesives (Revised 10/2018)

8. Nurses Practicing in the Perioperative Setting (Revised 02/2020)

9. Wound Assessment, Staging, and Treatment by Nurses (Revised 05/2018)

10. Roles of Nurses in the Care of Prenatal and Intrapartum Patients (Revised 05/2018)

11. Insertion and Removal of Nasogastric Tubes and Reinsertion of Percutaneous Endoscopic Gastrostomy (PEG) Tubes

(Reviewed 05/2018)

12. **Withdrawn from Publication** (1997)

13. Roles of Nurses in Psychiatric-Mental Health Nursing Practice (Revised 05/2018)

14. Implementation of Patient Care Orders (Revised 12/2020)

15. Supervision and Delegation of Nursing Acts to Unlicensed Personnel (Revised 10/2019)

16. Roles of Nurses in the Administration of Medication via Various Routes (Revised 02/2019)

17. Administration of “PRN” Medication and Placebos (Revised 12/2020)

18. Employment of Nursing Students as Nursing Personnel Using Either an Academic or a “Nurse Extern” Service Model

(Revised 12/2018)

19. Responsibility and Accountability of Nurses for Patient Care Assignments and Nursing Care Delivery (Revised

12/2018)

20. Roles of Registered Nurses in Invasive Cardiac Procedures (Revised 05/2018)

21. Roles of Nurses and Technicians in Dialysis (Revised 05/2018)

22. Roles of Nurses Who Provide “Private Duty” Nursing (Revised 05/2018)

23. The Application and Removal of a Cast by Nurses and Closed Reduction of a Fracture by Advanced Practice

Registered Nurses (Revised 05/2018)

24. Patient Abandonment by Nurses (Revised 06/2018)

25. Placement of Central and Arterial Lines and Arterial Blood Sampling by Nurses (Revised 10/2010)

26. Roles of Nurses in the Performance of Advanced Life Support and Delivery of Emergency Medical Care via

Ambulance Services (Revised 04/2018)

27. Components of Licensed Practical Nursing Practice (Revised 02/2019)

28. Roles of Nurses in Endoscopic Procedures (Revised 02/2019)

29. Cardiopulmonary/Respiratory Nursing (Revised 06/2018)

30. School Nursing Practice (Revised 02/2020)

31. Removal of Arterial and Venous Access Devices (Sheaths) and Use of Mechanical Compression Devices by Nurses

(Revised 05/2018)

32. The Role of Nurses in Procedural Sedation, Analgesia, Airway Management, and Chest Tube Removal (Revised

10/2020)

33. Roles of Nurses in the Delegation of Tasks to Paramedics in a Hospital Emergency Department (Revised 12/2018)

34. Roles of Nurses in Maintaining Confidentiality of Patient Information (Revised 04/2018)

35. Cosmetic and Dermatological Procedures by Nurses (Revised 04/2021)

36. Resuscitation Orders, Pronouncement of Death, and Death Certificates (Revised 10/2019)

37. Role of the Advanced Practice Registered Nurse in the Prescribing of Medications to Self and/or Family (Revised

12/2020)

38. **Withdrawn from Publication** (2015)

39. Scope of Registered Nursing Practice in the Deactivation of Implanted Cardioverter Defibrillators (ICDs) and

Ventriculrar Assist Devices (VADs) (Revised 12/2019)

40. Social Media for Nurses (Approved 12/2017)

41. RN/LPN Scope of Practice Determination Guidelines (Approved 02/2018)

42. Telehealth and Nursing (Approved 12/2019)

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Kentucky Administrative Regulations

Amended KBN Regulations for FY2021

201 KAR 20:057 – Scope and standards of practice of advanced practice registered nurses. Amendment

effective 7/29/2020. The amendments: (1) add restrictions related to the prescribing of controlled

substances for self and family; (2) mirror the KRS 218A.202(2) requirement for KASPER registration for all

DEA registrants; (3) require APRN documents to be uploaded via the ARPN Update online portal, in lieu of

all other methods of transmittal; and (4) modify documentation requirements regarding KASPER reviews

for APRNs who access KASPER data in EMR systems.

201 KAR 20:065 – Professional standards for prescribing Buprenorphine-MonoProduct or Buprenorphine-

Combined-with-Naloxone by APRNs for medication assisted treatment (“MAT”) for opioid use disorder.

Amendments effective 11/19/2020 and 06/16/2021. The latter revision:

• abolishes the mental health evaluation requirement, which brings the regulation into greater harmony

with 201 KAR 9:270, thus facilitating collaboration between physicians and APRNs in the treatment of

opioid use disorder;

• relaxes the regulation requirement as to who may serve as a mental health counselor for an APRN’s

opioid use disorder patients, which will bring the regulation into greater harmony with 201 KAR 9:270,

and which will allow other licensed professionals such as LCADCs and CADCs to participate in the

implementation of objective behavioral modification;

• provides a definition of consultation which clarifies the APRNs regulatory obligations when

prescribing Buprenorphine in three (3) contexts: (i) in conjunction with other sedative hypnotics,

stimulants or other opioids; (ii) when prescribing Buprenorphine to pregnant/breastfeeding patients;

(iii) when prescribing a daily dose of greater than sixteen (16) mg daily dose of buprenorphine on an

ongoing basis;

• requires that laboratory test results be completed and reviewed within thirty (30) days of induction,

instead of prior to induction;

• requires patient consent for the release of prior medical records to be obtained within thirty (30) days

of induction;

• requires a pregnancy test only as to female patients of child bearing age and ability, which brings

the regulation into greater harmony with 201 KAR 9:270, thus facilitating collaboration between

physicians and APRNs in the treatment of opioid use disorder;

• relaxes the obstetrical consult requirement for pregnant or breastfeeding patients by, among other

things, allowing the patient to decline the consult;

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• reduces the number of drug/alcohol screens that specifically test for gabapentin and alcohol from

eight (8) each year to two (2) each year;

• brings the regulation into conformity with 201 KAR 20:057 §9(5) by requiring a review of patient

KASPER data every 90 days, instead of at every visit;

• modifies the objective behavioral modification requirement to bring the regulation into greater

harmony with 201 KAR 9:270, thus facilitating collaboration between physicians and APRNs in the

treatment of opioid use disorder; and

• provides instructions on what a buprenorphine prescriber should do when the prescriber determines

that is necessary and appropriate to deviate from the requirements of the regulation in the treatment

of an opioid use disorder patient.

201 KAR 20:085 – Licensure periods and miscellaneous requirements. Amendment effective 12/15/2020.

The amendments: (1) require all KBN licensees to notify KBN of an email address; and (2) specify that the

email address will be exempt from disclosure under the Kentucky Open Records Act.

201 KAR 20:110 – Licensure by endorsement. Amendment effective 09/23/2020. The amendment extends

the expiration date of an endorsement application from six (6) months to twelve (12) months.

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201 KAR 20:161 – Investigation and disposition of complaints. Amendment effective 12/15/2020. The

amendments: (1) authorize the submission and service of complaints by email; (2) authorize the random

audit of APRN prescribing practices; (3) require cooperation with audits regarding APRN prescribing; and

(4) allow the initiation of disciplinary action for any potential violation of law.

201 KAR 20:162 – Disciplinary proceedings. Amendment effective 07/29/2020. The amendments: (1)

allow video recording of hearings in lieu of verbatim written transcription; (2) remove financial hardship

as a criteria related to the imposition of hearing costs, though the imposition of such costs remains

discretionary; and (3) specify the hearing rights for KBN licensees who are subject to a loss of their

multistate license designation as a result of a disqualifying event under the Nurse Licensure Compact.

201 KAR 20:230 – Renewal of licenses. Amendment effective 07/29/2020. The amendment clarifies the

deadline for online renewal applications and supporting materials, and specifies that a license will lapse

if the application and supporting materials are not received by midnight on the last day of the licensure

period.

201 KAR 20:320 – Standards for curriculum of pre-licensure registered nurse and practical nurse programs.

Amendment effective 02/04/2021. The amendments: (1) define the term “remediation;” (2) define the term

“external examination;” (3) specify that an external exam cannot be used to determine student progression

or graduation; (4) allow external exams to be used as a remediation strategy, but they may not be the sole

remediation strategy; (5) specify that such remediation occur in the same semester or quarter; and (6)

require the use of external exams to be outlined clearly in the academic progression policy of a program of

nursing.

201 KAR 20:370 – Applications for Licensure. Amendments effective 07/29/2020 and 06/16/2021. The

2020 amendment deleted a provision regarding the deadline for the submission of renewal applications, as

that requirement has been added to 201 KAR 20:230, as indicated above. The 2021 amendment did not alter

the substance of the regulation text, but amended the renewal applications included within the material

incorporated by reference in the regulation. The changes include: “Verification of primary state of residence

may be required” where PSOR question is present; “Traffic misdemeanors, other DUI, should not be

reported;” remove KHEAA sentence from attestation; added “branch of active duty service” where military

questions is present; require entry of current mailing address each year; change date to 2/2021.

201 KAR 20:390 – Nursing Incentive Scholarship Fund. Amendment effective 02/04/2021. The

amendments: (1) change the scholarship criteria to heighten the emphasis on financial need, as established

by the estimated Federal Expected Family Contribution (EFC) as calculated by the annual FAFSA; (2)

remove healthcare experience from being a factor in award determinations; (3) allow for collection of

amounts owed by a third party collector in cases of breach or default; and (4) to specify that deferment or

method of curing default shall not be available after referral of the debt to a third party collector.

201 KAR 20:410 – Expungement of records. Amendment effective 07/29/2020. The amendments removed

a provision that delayed eligibility for the expungement of consent decrees for ten years, if the consent

decree related to returned checks to practice without an active license, bad debit authorizations or cold

checks to KBN, and failure to obtain required continuing education.

201 KAR 20:411 – Sexual Assault Nurse Examiner Program standards and credential requirements.

Amendment effective 06/16/2021. The text of the regulation is unchanged; however, the SANE renewal

applications have been updated, as have the educational guidelines.

201 KAR 20:600 – Standards for training programs for licensed certified professional midwives. New

regulation effective 07/29/2020. This regulation sets the standards for KBN approval of LCPM training

programs in the Commonwealth.

201 KAR 20:610 – Approval process for training programs for licensed certified professional midwives. New

regulation effective 07/29/2020. This administrative regulation establishes the approval process for training

programs for LCPMs.

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201 KAR 20:620 – Licensing requirements for licensed certified professional midwives. New regulation

effective 07/29/2020. This administrative regulation establishes the fees and requirements for initial

licensure, renewal, and reinstatement for LCPMs.

201 KAR 20:630 – Disciplinary actions for licensed certified professional midwives. New regulation effective

07/29/2020. This administrative regulation establishes conditions for disciplinary action, permits a penalty

in addition to other disciplinary actions, and provides an appeal process.

201 KAR 20:640 – Requirements for informed consent for licensed certified professional midwives. New

regulation effective 07/29/2020. This administrative regulation establishes requirements for informed

consent for LCPMs.

201 KAR 20:650 – Licensed certified professional midwives permitted medical tests and formulary. New

regulation effective 07/29/2020. This administrative regulation establishes the medical tests and formulary

for LCPMs.

201 KAR 20:660 – Licensed certified professional midwives duty to report. New regulation effective

07/29/2020. Amendments effective 06/16/2021. This administrative regulation establishes reporting

requirements for LCPMs, and directs the review of those reports. The 2021 amendments: (1) remove the

requirement for reporting the outcome of all referrals; (2) provide for the confidentiality of LCPM incident

reports and annual reports; (3) require the reporting of aggregate incident and annual report data that does

not disclose confidential information; and (4) incorporate the new annual report form by reference.

201 KAR 20:670 – Licensed certified professional midwives consultation, collaboration, and referral

provisions. New regulation effective 07/29/2020. This administrative regulation establishes the process for,

and the list of conditions requiring, collaboration, consultation, and referral.

201 KAR 20:680 – Licensed certified professional midwives client records. New regulation effective

07/29/2020. This administrative regulation establishes requirements for recordkeeping by LCPMs.

201 KAR 20:690 – Licensed certified professional midwives transfer guidelines. New regulation effective

07/29/2020. This administrative regulation establishes requirements for licensed certified professional

midwives regarding the transfer of care.

Emergency regulation revisions ongoing as of 06/30/2021 per SB150 (2020RS)

201 KAR 20:057 – Scope and standards of practice of advanced practice registered nurses. Emergency

modification effective 03/31/2020. The temporary changes suspended the 201 KAR 20:057 Section 7

requirement for the filing of collaborative agreement notifications, in conjunction with the simultaneous

suspension of all collaborative agreement requirements in KRS 314.042(8,10).

201 KAR 20:320 – Standards for curriculum of prelicensure registered nurse and practical nurse programs.

The amendment relaxed enforcement of RN and LPN education requirements. Specifically, the onehundred-twenty

(120) hour integrated practicum is no longer confined to a concentrated period of seven

(7) consecutive weeks. Also, the fifty percent (50%) simulation cap has been abolished, and the practicum

may be up to 100% simulation.

Emergency regulation revisions per SB150 (2020RS) that are no longer effective

The following regulations were modified temporarily to provide a path to licensure while fingerprintdriven

criminal background checks and scheduling of the NCLEX were delayed due to social distancing

requirements. Also, continuing competency requirements for reinstatement applicants were suspended.

On 03/05/2021, all emergency modifications related to fingerprint-driven criminal background checks

were rescinded in light of the implementation of IdentoGO fingerprint scanning across the Commonwealth,

and the renewed availability of the NCLEX. CE requirements for reinstatement applicants resumed

their effectiveness on the same date. Emails have been sent to all licensees who obtained licensure

or reinstatement without fingerprints and NCLEX results, to advise the recipients of the deadline for

completion of these requirements.

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Protecting the Public Through Investigation and Enforcement

Pursuant to KRS 314 and 201 KAR 20, the KBN investigates and, where appropriate, disciplines licensees,

credential holders, applicants, and those who hold a privilege to practice in Kentucky through a compact

license. During this fiscal year, the KBN received 2055 complaints an increase of over 10% from the number

received the previous year and closed 2222 complaints an increase of over 25% from the number closed the

previous year.

Through a collaborative effort with the Cabinet for Health and Family Services, Office of the Inspector

General the KBN performed two audits to ensure compliance with prescribing laws during this fiscal year:

APRNs who held a current DEA number without a KASPER account and APRNs who held a KASPER

account without the required Kentucky Online Gateway account. Further, when complaints are received

regarding APRNs the provider’s KASPER prescribing report is evaluated to determine whether additional

analysis is needed. These actions are in addition to the review that is conducted on every complaint

received by the KBN.

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Kentucky Alternative Recovery Effort (KARE) for Nurses Program

The Kentucky Alternative Recovery Effort (KARE) for Nurses Program was developed and is offered by the

Kentucky Board of Nursing to identify nurses whose abilities to provide nursing care are compromised by

a Substance Use Disorder with the goal of assisting these nurses so that they can return to competent and

safe practice. The foundation of the KARE for Nurses Program is that substance use disorders are treatable

and that the nurse’s recovery and return to competent nursing practice is in the best interest of the nurse

and public health.

Candidates for the KARE for Nurses Program must be a Licensed Practical Nurse, Registered Nurse, or

Advanced Practice Registered Nurse licensed in the Commonwealth of Kentucky, or an applicant for

such licensure. In order to be eligible for admission into or continued participation in the KARE Program,

candidates and participants must agree to the terms set forth in the KARE for Nurses Program Agreement.

“Thank you so much. I appreciate you and all you do. This is a great program that not only holds me accountable,

but also gives me the support I need through my recovery. I look forward to the next 3 years.” – S.B.

“I want to thank you for all the guidance and encouragement you have provided on my recovery journey to

sobriety, wholeness and finding me again.” – J.T.

“I can’t stress enough how grateful I am for all the blessings I have received in my recovery and I would like

to thank the Board of Nursing for giving nurses the opportunity to recover and stay in the field!!!” – D.C.

“I wanted to thank you for all your patience and help! I appreciate everything.” – S.R.

“Thanks for everything. You have been very helpful and kind. It has really helped and meant a lot over the

years.” – D.A.

“Thank you so very much!!!! This program truly helped save my life; I am so very grateful!!!” – P.E.

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Protecting the Public Through Licensure and Credentialing

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Communications

Throughout the majority of this fiscal year, the KBN offices were closed to the public and employees

maximized telecommuting. These changes necessitated that KBN staff reimagine how to provide excellent

customer service in the context of the challenges presented by the pandemic. As many public agencies

have done, the KBN transitioned to virtual platforms and an increased customer service response based

largely on telephone calls and emails. While all branches of the KBN fielded inquiries from constituents and

members of the public, the Professional Support Branch and Credentials Branch fielded the highest volume

of contacts.

Communications: Credentials Branch

During the course of this fiscal year, the Credentials Branch responded to over 60,500 phone calls from

licensees, applicants, and the public. It should be noted that the majority of these communications were

fielded by seven Credentials Branch employees.

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2021 Kentucky Nurses Association

Communications: Professional Support Branch Practice Inquiries

During the fiscal year July 1, 2020 – June 30, 2021, KBN Nursing Consultants responded to one thousand

fifty-eight (1058) practice inquiries via email and seven hundred ten (710) via telephone. Inquiries

responded to via phone call and followed up by email are included in the total number of email responses.

Email Responses

The following chart illustrates the number of email responses by license type. Of the total one thousand

fifty-eight (1058) email responses:

• Five hundred sixty-four (564) - fifty-eight percent (58%) APRNs;

• One hundred seventy-seven (177) - seventeen percent (17%) RNs;

• Two hundred seventy-five (275) - twenty-six percent (26%) to LPNs;

• Sixteen (16) - two percent (2%) dialysis technicians (DT),

• One (1) - less than one percent (>1%) licensed certified professional midwives (LCPM);

• Nineteen (19) - two percent (2%) SANE; and

• Six (6) - one percent (1%) Other.

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2021 Kentucky Nurses Association

Telephone Inquiry Responses

Practice Inquires responded to via telephone: During this time, practice nursing consultants responded to

seven hundred ten (710) practice inquiries via telephone.

Of the seven hundred ten (710) responses:

• Four hundred eighty-one (481) - sixty-eight percent (68%) were not specific to license type;

• One hundred fifty-two (152) – twenty-two percent (22%) APRNs;

• Twenty-three (23) – three percent (3%) RNs;

• Twenty-four (24) – three percent (3%) LPNs; and

• Thirty (30) – four percent (4%) Other.

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Presentations

Prior to COVID-19, KBN staff regularly presented at conferences and programs of nursing, often hosting

meetings. Opportunities for in-person presentations were limited during this fiscal year; however, KBN staff

members pivoted to virtual presentations. The following list includes highlights of presentations conducted

by KBN staff members:

• Webinar for Licensed Certified Professional Midwives

• Medical Staff Services Association (Webinar)

• RN/PN Faculty Essentials

• Madisonville Community College

• Campbellsville University

• Program Administrators Q & A

• NAPNAP

• Nurse Leadership Presentation Students*

• APRN University of Kentucky COVID-19

• Nurse Leadership Presentation Nurses with the Kentucky Nurses Association*

• APRN University of Louisville COVID-19

• Weekly presentations on the impact of Indiana joining the Nurse Licensure Compact and the impact

on Kentucky license holders

Kentucky League for Nursing Conference

• Presentation for the following programs of nursing regarding the licensure process: Bellarmine

College; University of Kentucky; University of Louisville, Louisville; University of Louisville, Owensboro;

Galen College

*Beginning in March of 2021, the KBN began offering the Nurse Leadership Program four (4) times annually.

Two presentations are for nursing students in their last semester or quarter of a nursing program and two

are for current nurses. Each presentation was limited to 500 participants.

Social Media Initiative

The KBN launched a social media initiative on March 1, 2021.

47 tweets between

March 1 – June 30, 2021

52 Facebook posts between

March 1 – June 30, 2021

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2021 Kentucky Nurses Association

KBN Connection

The KBN Connection is published on a quarterly basis and is distributed to over 90,000 licensees, credential

holders, healthcare facilities, health departments, programs of nursing, and other interested parties.

At the time of KNA publication, additional data points were pending. Please visit www.kbn.ky.gov for the

final version of the Kentucky Board of Nursing Annual Report.

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Kentucky Nurses Association

305 Townepark Circle, Suite 100

Louisville, KY 40243

(502) 245-2843

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Princeton, MN

55371

current resident or

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1st year 100% online with 6 days maximum on-campus days per year

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Post-Master's DNP Program 100% online

For more information contact:

Dr. Katy Garth, 270-809-6669 | kgarth@murraystate.edu

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murraystate.edu/nursing

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