LPNs, It's Almost Time to Renew! - Official Publication of the Ohio Board of Nursing
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Spring 2022 • Volume 20 Issue 2
Official Publication of the Ohio Board of Nursing
LPNs, It’s Almost Time to Renew!
NOTE: eLicense Renewal Begins July 1!
LPNs Cannot Begin the Renewal Process Before July 1!
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Momentum
is published by the
Ohio Board of Nursing
17 South High St., Suite 660
CONTENTS
SPRING 2022 I Volume 20 Issue 2
Columbus, Ohio 43215-3466
Phone: 614-466-3947
Fax: 614-466-0388
www.nursing.ohio.gov
4 From the President
President
Erin Keels, DNP, APRN-CNP, NNP-BC
6 From the Executive Director
Vice President
8 Administrative Rule Revisions,
12
Donna Hanly, RN Effective February 1, 2022
Executive Director
12
Marlene Anielski, MBA, OCPM
Changes to Ohio’s Laws Regarding
Coverage of Telehealth Services
The mission of the Ohio Board of Effective March 23, 2022
Nursing is to actively safeguard the
health of the public through the
effective regulation of nursing care. 14 Nurses Accompanying School
Students on Trips
18
Information published in Momentum is
not copyrighted and may be reproduced. APRN Notes
The Board would appreciate credit for
20 18
the material used.
Clinical and Laboratory Hours Pre-
Advertisements contained herein
are not necessarily endorsed
Licensure Nursing Education Programs
by the Ohio Board of Nursing.
The publisher reserves the
right to accept or reject
advertisements for Momentum.
22 LPNs: Renewal 2022
25
The Ohio Board of Nursing is an
equal opportunity employer. Board Disciplinary Actions
MOMENTUM is produced
30
at no cost to Ohio taxpayers. Meet New Board Member —
30
Momentum
On the Cover: LPN eLicense Renewal Begins Momentum is the official journal
July 1, 2022! of the Ohio Board of Nursing.
Momentum’s traditional journal &
interactive digital companion serve
pcipublishing.com
over 325,000 nurses, administrators,
Created by Publishing Concepts, Inc. faculty and nursing students, 4 times
David Brown, President • 1-800-561-4686 ext.103
dbrown@pcipublishing.com a year all across Ohio. Momentum is
For Advertising info contact a timely, widely read and respected
Jesseca Youngblood • 1-800-561-4686 ext.115 voice in Ohio nursing regulation.
jyoungblood@pcipublishing.com
ThinkNurse.com
edition 77
Ohio Board of Nursing 3
FROM Erin Keels,
DNP, APRN-CNP, NNP-BC,
THE PRESIDENT
President
A
t the time of writing this column, I have served in the role APRN-CNP; Gina Woods, RN, MS; Barbara Wadsworth, RN;
of Board President for only three months and already Tiffany Knepper, RN, APRN-CNP; and Joseph Quackenbush,
I have witnessed profound transformation! We have LPN. Donna Hanly BSN, MBA, RN was appointed as the Board’s
seen much change in Board operations since the start of the new Vice-President at the March meeting. The new members hit
year, as well as in the make-up of the Board itself. The Board the ground running at their first meeting with the same speed
has a new Executive Director, Marlene Anielski, who comes and ambition being exhibited in Board operations. I will also
to us with a wealth of public administrative and institutional encourage you to read new Board member Candy Rinehart’s
planning experience. I encourage you to read her Executive Q&A on page 30 of this issue, which should give you a better
Director column in this issue of Momentum on page 6, which idea of what motivates her to be a Board member and how she
touches on her background, plans, and her commitment to has fared in her first few months as a member. Future issues will
the communication and licensure changes that the Board has feature similar bios of new Board members.
undertaken in the past six months. There have also been changes to the membership of our Board
advisory groups and committees. I want to thank all past and
I have been kept busy from the outset in my role as President
present committee members for their assistance to the Board
working with outgoing Interim Executive Director Charity Robl,
and their profession. Their expertise is vital to the work we do.
Board staff and the Board to update, refashion and streamline
Board advisory groups meet throughout the year to provide
eLicense technology to mesh with Board licensure requirements.
recommendations to the Board on various programs and issues.
Under Charity’s direction we have significantly reduced steps
The Board’s committees are made up mostly of non-Board
in processing which has resulted in rapidly reduced timelines.
members who volunteer their time to advise the Board in a
Charity and Board staff worked together with LeanOhio
committee structure that includes APRN practice, continuing
facilitators at the Ohio Department of Administrative Services
education, nursing education, dialysis care, and community
to achieve these breakthrough processes. I would like to extend
health workers. Please check the “Events Calendar” section on the
a sincere thanks to the Board staff, particularly in the Licensure
front page of the Board’s website; view meeting dates, minutes,
Unit, for their dedication in implementing these changes. My
and other information at https://nursing.ohio.gov/about-the-
fellow Board members and I are confident that the Board will
board/ ; or email board@nursing.ohio.gov to confirm details
achieve our goal of achieving timely licensure processing for our
about meetings, dates, and times.
summer nursing graduates. We thank Charity for her vision and
hard work as interim Executive Director, and we wish her the Another important and sweeping change that impacts the Board
best as she returns to her role as Assistant Director for the Ohio is the planning and development of the infrastructure and
Department of Commerce. technology currently taking place to implement the Nurse
Licensure Compact (NLC). Changes in Ohio law direct the
We will also miss the expertise and commitment of several Board Board to join the Compact by the start of next year. The Board is
members who leave the Board due to the nature of staggered currently working on NLC implementation which is dependent
and limited terms. Those Board members who have left since on integration and upgrades in the State of Ohio eLicense
the beginning of the year include: past Board President and system. Our expectation is that the Board will begin issuing
Supervising Member Patricia Sharpnack, DNP, RN; past Board multi-state licenses beginning on January 3, 2023. At that time,
Vice-President Sandy Beidelschies, RN; Deborah Knueve, LPN; the Board plans on recognizing Compact licensees practicing in
Daniel Lehmann, LPN; and Nancymarie Phillips, RN. I have fond Ohio who hold current licenses in other NLC member states,
memories and the utmost respect for my fellow Board members and issuing Compact nursing licenses to Ohio residents so that
and the dedication and thoughtfulness they showed during their they may practice in other NLC states. While the Board works
tenures at the Board. on implementation, you may wish to visit the NLC’s website
for general information on the national compact at https://
Our January and March 2022 meetings brought four new www.nursecompact.com/index.htm. When available, additional
appointments to the Board. We welcome: Candy Rinehart, DNP, information, including application processes, will be posted on
4 MOMENTUM
the Board website at www.nursing.ohio.gov and distributed via social
media. You can also expect additional information to be published in
upcoming issues of Momentum. BOARD MEETING
All this should keep Director Anielski, the Board and staff busy in 2022.
Our mission is to actively safeguard the health of the public through the
SCHEDULE 2022
effective regulation of nursing care. Effective also means efficient, and
I am hopeful that you see our commitment to nursing through these
forward looking initiatives.
May 25-26
July 13-14
September 14-15
November 16-17
Nursing is a calling, especially during this unprecedented time.
Nursing is about helping save a life, providing critical care, understanding,
easing the pain and sharing special moments with a patient.
To become a nurse at Cabell Huntington Hospital or St. Mary’s Medical Center,
visit www.mountainhealthnetwork.org/careers.
Ohio Board of Nursing 5
FROM THE
Marlene Anielski, MBA, CPM
Executive Director
EXECUTIVE DIRECTOR
O
I am honored to have
n April 3, 2022, I became the new Executive Director of the Ohio Board of Nursing. I come to the
Nursing Board from the Ohio Vision Professionals Board where I served as the Executive Director been given the
for the past 3 years. I hold a Master’s Degree in Business Administration and my professional opportunity to serve
background is in project management, process improvement, and operational leadership. I also previously
served the citizens of Ohio as a state representative and as a mayor in northeast Ohio. as Executive Director
In this new role, I plan to build upon the groundwork and initiatives that Interim Director Charity Robl and and to carry on the
board staff have been working on over the past 6 months. One of those initiatives has been an increased important public
focus on customer service and communication for our licensees. That increased communication includes
safety mission of the
new instructions for how to obtain criminal background checks that are now posted on our website.
https://nursing.ohio.gov/wp-content/uploads/2022/01/CRC_Process.pdf. We also posted new guidance Board in support of
on our website for nursing students including a timeline for when to apply and when to get criminal nursing and
background checks. https://nursing.ohio.gov/wp-content/uploads/2021/01/Important-Information-
for-Nursing-Students.pdf and https://nursing.ohio.gov/wp-content/uploads/2022/02/Ohio-Exam-App- healthcare professions.
Timeline-2-18.pdf. Also, in March 2022, we hired the Board’s first Chief Communications Officer, Kristin Our licensees have
Howard. Kristin recently worked in Marketing and Communications at The Ohio Colleges of Medicine
Government Resource Center at The Ohio State University. She has a Bachelor’s Degree in Journalism/Public
witnessed and been
Relations and a Master’s Degree in Public Policy with a specialization in health policy. In her new role she’ll an important part of
be responsible for all internal and external communications for the Board, including developing original the impact that Ohio
content, cultivating and managing social media, creating web content, and managing Momentum.
nurses and our
Another area of focus is continuing to implement the licensing changes identified during the LeanOhio Six
Sigma Kaizen licensure improvement event in December 2021. Enhancements to Ohio’s eLicense platform certificate holders
went live in March 2022 allowing reciprocity applicants to attest to completion of their 2 hours of Ohio- have had on the
specific continuing education, rather than download documents for review prior to licensing. In May 2022,
the State’s eLicense system will integrate the results of criminal record checks with the eLicense platform. The health and safety of
enhancements combined with the program completion letter integration with nursing programs are changing Ohioans and the
the entire landscape of license application processing!
nation over the past
I am honored to have been given the opportunity to serve as Executive Director and to carry on the important two years during the
public safety mission of the Board in support of nursing and healthcare professions. Our licensees have COVID-19 pandemic. I
witnessed and been an important part of the impact that Ohio nurses and our certificate holders have had on
the health and safety of Ohioans and the nation over the past two years during the COVID-19 pandemic. I am confident that our
am confident that our licensees will continue to have a positive and transformative impact in health care in licensees will continue
the coming years. The groundwork has been laid at the Board to help Ohio’s nursing workforce grow rapidly
and efficiently.
to have a positive and
transformative impact
Thanks for the dedication of Interim Director Robl, Board members and staff who have laid the groundwork in health care in the
and have achieved so much success in the last 6 months. I plan to continue the path that has been mapped
out to achieve efficient and effective regulation consisting of hard work, duty, and a commitment to public coming years. The
safety. The profession of nursing has been built on that foundation and its regulatory board will reflect those groundwork has been
same values.
laid at the Board to
help Ohio’s nursing
workforce grow
rapidly and efficiently.
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Ohio Board of Nursing 7
ADMINISTRATIVE RULE REVISIONS
EFFECTIVE FEBRUARY 1, 2022
O
hio law requires the Board to review a portion of its Administrator including the minimum qualifications for that role.
administrative rules at least once every five years. In Adding this definition required re-lettering the other paragraphs
addition to the five-year review, the Board may consider in Rule 4723-5-01 and updating references to Rule 4723-5-01 in other
new rules or revisions to the rules at any time due to changes to rules.
law or recommendations. The purpose of rulemaking is to clarify • Rule 5-08, Requirements for seeking conditional approval.
statutory meaning, administrative processes, or practice standards Revision to Rule 4723-5-08(O), specifies all information and
in order to actively safeguard the health of the public through the documentation to be submitted by an existing approved program
effective regulation of nursing. Section 4723.07, Ohio Revised Code that seeks to expand to another location.
(ORC), authorizes the Board to adopt rules governing the practice • Rule 5-09, Organization and administration of the program.
of nursing, including standards and procedures for licensure, o Rule 5-09(A). Revised to explicitly state that the required plan
minimum standards for nursing education programs, continuing of organization and administration must be a written plan
education, and other rules necessary to enforce ORC Chapter “that clearly shows: (1) The relationship between the program
4723. Meetings with interested parties and Board advisory groups and the controlling agency; (2) How faculty and students are
and committees prior to filing the rules allow for additional public involved in determining academic and program policies and
comments and help ensure that rules are applied consistently for the procedures, planning curriculum, and program evaluation; and
regulated community. (3) How faculty are involved in implementing academic and
program policies and procedures.”
In 2021, the Board reviewed and approved proposed revisions to o Rule 5-09(B). References to teaching assistants were added
rules scheduled for five-year review in Ohio Administrative Code with reference to the program administrator’s authority,
(OAC) Chapter 4723-5 Nursing Education Program; Chapter 4723-7 accountability, and responsibility for all aspects of the program.
Examination and Licensure; Chapter 4723-13 Delegation of Nursing o Rule 5-09(D)(2). Revised to clarify that, in addition to meeting
Tasks; and Chapter 4723-27 Medication Administration by Certified all other requirements of Rule 4723-5-09(D)(4), the controlling
Medication Aides. The Board also reviewed proposed revisions to agency shall notify the Board within 45 days of a program
individual rules that were not slated for five-year review, but were administrator’s absence for more than 30 consecutive business
either required to be revised, or recommended to be updated, due days, and shall appoint a registered nurse to replace the
to recent legislative action, or for technical reasons: Rule 4723-1-01, program administrator or designate a registered nurse to serve
4723-1-03, 4723-8-04, 4723-9-10, 4723-16-01, 4723-16-02, 4723-16- as an interim program administrator within 45 days of the
13, 4723-23-05, 4723-26-01, 4723-26-04. The Board also adopted absence.”
two new rules, as required by Section 4729.39, ORC, Rule 4723- o Rule 5-09(D)(3). Defines requirements for appointment as
8-12 Consult agreements for a certified nurse-midwife, certified an interim program administrator, and requires an official
nurse practitioner, and clinical nurse specialist, and Rule 4723-8- transcript be provided to the Board verifying academic
13, Standards for managing drug therapy according to a consult preparation that satisfies the requirements of Rules 4723-5-10
agreement. for a RN program or Rule 4723-5-11, for a PN program.
o Rule 5-09(D)(4). Revised to clarify that the notification and
Prior to the Board considering proposed rules, several Board advisory attestation that is required when a controlling agency appoints a
groups and committees representing various interested parties and new program administrator, is also required when a controlling
associations reviewed applicable rules and provided advice and agency designates an interim program administrator.
recommendations to the Board. For example, the Advisory Group • Rule 5-10(A)(2), Qualifications of administrators, faculty, teaching
on Nursing Education reviewed OAC Chapter 5 Nursing Education assistants and preceptors for a registered nursing education program.
Program rules and shared their recommendations with the Board. Added a reference to “interim program administrator.”
And, the Advisory Committee on Advanced Practice Registered • Rule 5-11(A)(2), Qualifications of administrators, faculty, teaching
Nursing (Committee) reviewed the rules including new Rules 4723- assistants and preceptors for a practical nursing education program.
8-12, 4723-8-13, regarding Consult Agreements. The Committee Added a reference to “interim program administrator.”
made recommendations to the Board regarding adopting changes. • Rule 5-12(B), Program policies. Clarifies that a program shall not
The Board then considered the rules and further public comment implement changes to policies, or to requirements for student
at the public rules hearing following review by the Common Sense progression or completion of the program, regarding students
Initiative through the Lt. Governor’s Office. The rulemaking process enrolled in the program at the time the changes are adopted.
was completed after review by the legislative Joint Committee on • Rule 5-13, Curriculum for a registered nursing education program,
Agency Rule Review. The following provides an overview of some of and Rule 4723-5-14, Curriculum for a practical nursing education
the rule revisions that became effective February 1, 2022. program.
o Rule 5-13(D),5-14(D). Revised to require that the program
Nursing Education Program (Chapter 4723-5, OAC) establish a curriculum plan that sets forth the sequence of
Rule 5-01, Definitions. Added a definition for Associate Program
8 MOMENTUM
courses, the laboratory and clinical experiences that are includ- • Rule 7-03, Authorization to test, accommodations, retesting, and
ed in each course, and the total number of clock hours per term notification. Removed language as required by HB 263.
allotted to theory, laboratory, and clinical experiences within • Rule 7-04, Requirements for licensure for foreign educated
each course. The curriculum plan shall be: (1) Implemented as nurse graduates. Removed language as required by HB 263. Also
written; (2) Distributed to each nursing student. removed language requiring CE documentation to be uploaded
o Rule 5-13(F), 5-14(F). Clarified by specifying that the program with license applications consistent with changes made to Rule
may move hours between laboratory and clinical experiences 4723-14-03.
within a course offering provided the laboratory and clinical • Rule 7-05(B)(4), Registered nurse licensure by endorsement.
experiences are sufficient for student opportunity to achieve Removed language as required by HB 263.
the behavioral objectives and requirements established in the • Removed language requiring CE documentation to be uploaded
course. with license applications consistent with changes made in by the
• Rule 5-15(A), Evaluation plan of the program. Clarifies that a Board to Rule 4723-14-03.
written systematic plan of evaluation shall be established and • Rule 7-06(B)(4), Practical nurse licensure by endorsement.
implemented by the program administrator, and shall specify Removed language as required by HB 263. Removed language
the responsibility, time frame, and procedure for evaluating each requiring CE documentation to be uploaded with license
aspect of the program, including an assessment of the evaluation applications consistent with changes made in by the Board to
plan as set forth in this rule. Rule 4723-14-03. Removed language as required by HB 263.
• Rule 5-16(A), Board approval of a curriculum revision. Revised • Rule 7-07, Original certificate and license, revised to reflect that
to clarify that Board approval is required prior to implementation license certificates are no longer issued by the Board but are made
of a curriculum revision that results from a change in a program’s available to each licensee. (Licensees may self-print decorative
philosophy, conceptual framework, organizing theme, program wall certificates through a secure eLicense account.)
objectives, or program outcomes. • Rule 7-08 Replacement of wall certificate. Rescinded for the same
• Rule 5-19(A), Responsibilities of faculty teaching a nursing reason Rule 7-07 was revised.
course.
o Rule (A)(2)(3). Clarifies that faculty teaching a nursing course An article about HB 263 is available in the Board’s Winter 2022
shall provide a syllabus or outline to each nursing student that Momentum, at: https://nursing.ohio.gov/newsletters/winter-2022/
includes, along with other requirements, at least: “(2) The total
number of theory clock hours for the course, if applicable; (3) Delegation of Nursing Tasks (Chapter 4723-13)
The number of clinical and laboratory clock hours combined • Rule 13-02(D)(1), General information. Cross-references were
for the course, if applicable, and of this combined number: (a) updated.
The total number of planned clinical clock hours for the course; • Rule 13-05(E)(5), Criteria and standards for a licensed nurse
(b) The total number of planned laboratory clock hours for the delegating to an unlicensed person. A typographical error was
course.” corrected (to reference 4723 rather than 4732) and a cross
o Rule (A)(10). Clarifies that when any individual other than reference in paragraph (C) was updated (HB 216, 131st GA
faculty or a teaching assistant provides course content, revised numbering in 4723.48, ORC).
under the direction of the faculty, the syllabus must include
the individual’s job title, credentials, or other information Medication Administration by Certified
describing the background of the individual that demonstrates Medication Aides (Chapter 4723-27)
qualifications directly related to the course content. • Rule 27-04, Medication aide certification. Removed language as
• Rule 5-20, Responsibilities of faculty, teaching assistants and required by HB 263 (133rd GA).
preceptors in a clinical setting. • Rule 27-05(D), Renewal of a medication aide certificate. Removed
o Rule 5-20(B) and (C) were revised to state that it is “faculty” language requiring CE documentation to be uploaded with
that directs students’ clinical experiences and that when license applications consistent with changes made by the Board
supervising a nursing student, a teaching assistant, in addition to Rule 4723-14-03.
to faculty, shall function only as faculty or teaching assistant
during the student’s clinical experience. New Rules/Technical Changes
o Rule 5-20(D) was revised to add a teaching assistant as one • New Rules 4723-8-12, Consult agreements for a certified nurse-
who may assign an observational experience to a student as midwife, certified nurse practitioner, and clinical nurse specialist,
appropriate to meet course objectives. and 4723-8-13, Standards for managing drug therapy according to
• Rule 5-23(C). Clarifies that paragraph (A)’s limitation on consid- a consult agreement. Section 4729.39, ORC, required the Board
eration of NCLEX scores, to only those scores for students who of Nursing to adopt Consult Agreement rules in consultation
took the exam “within six months” of program completion, also with the State Medical Board and Pharmacy Board. (HB 203
applies to when the Board may consider restoring a program to (133rd GA)) An article about Consult Agreements can be found
full approval status after a program has been placed on provi- in the Board’s Winter 2021 Momentum at: https://nursing.ohio.
sional status due to low NCLEX scores. gov/wp-content/uploads/2021/01/Momentum-Winter-2021.pdf
• Rule 4723-8-04(D)(5), Standard care arrangement for a certified
Examination and Licensure (Chapter 4723-7) nurse-midwife, certified nurse practitioner, and clinical nurse
• Rule 7-02, Requirements and application for licensure by examination specialist, and Rule 4723-9-10, Formulary; standards of prescribing
as a nurse. Removed language as required by HB 263 (133rd GA). for advanced practice registered nurses designated as clinical nurse
continued on page 10
Ohio Board of Nursing 9
continued from page 9
specialists, certified nurse-midwives, or mutually agreed upon by the parties.
certified nurse practitioners. Both were • Rule 4723-23-05(I) and (J), Renewal “WHEN I HAVE AN
revised to cross-reference the newly of a certificate to practice as a dialy- ASTHMA ATTACK
adopted Consult Agreement rules and to sis technician, and Rule 4723-26-04(E),
I FEEL LIKE A FISH
remove references to the Committee on Renewal of community health worker
Prescriptive Governance (CPG), because certificate. Removed language requir- WITH NO WATER.”
the CPG was disbanded by SB 331 (133rd ing CE documentation to be uploaded
–JESSE, AGE 5
GA) at the recommendation of the Sunset with license applications consistent with
Review Committee. changes made by the Board to Rule
• Rule 4723-16, Hearings. 4723-14-03.
o Rule 16-01(B)(3), General
information. Revised to allow for All Ohio Administrative Code Chapter
after-normal business hour filings 4723 Rules can be viewed by going to the
by email or fax to be considered Board’s website at https://nursing.ohio.gov/
filed as of the date received. laws-rules/. All Ohio Administrative Rules
o Rule 16-02(D), Hearing can be accessed in full at http://codes.ohio.
representation and appearances, gov/oac/.
and Rule 16-13(F), Authority and
duties of board hearing committee
or hearing examiners. Revised to
allow for hearings to be conducted
by videoconference in the sole ATTACK ASTHMA. ACT NOW.
1- 866 - NO -ATTACKS
discretion of the board hearing W W W. N O AT TA C K S . O R G
committee or hearing examiner, if
CDDIS 10/01
QUICK TIPS
• After submitting your application please check your email that
you registered with in eLicense regularly for updates.
• Decorative wall certificates are available for you to print on demand. To
print out a decorative wall certificate, log into your eLicense account.
Then select “Download Wall Certificate” from the options button drop
down list.
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Ohio Board of Nursing 11CHANGES TO OHIO’S LAWS REGARDING COVERAGE OF
TELEHEALTH SERVICES, EFFECTIVE MARCH 23, 2022
E
ffective March 23, 2022, House Bill 122 or other health care professional specified
of the 134th Ohio General Assembly in law, within the professional’s scope of
expanded Ohio’s Insurance Law practice, when that professional is located at
regarding coverage of telehealth services a site other than the site where the recipient
(formerly referred to as Telemedicine services (either the patient or a consulting health care
under prior law). The bill applies to Advanced professional) is located.
Practice Registered Nurses (APRNs) and
to additional health care providers named The Board of Nursing must permit APRNs to
in the law. The law requires a health plan provide their services as telehealth services.
issuer to reimburse an APRN for a covered The Board may adopt rules that it considers
telehealth service without requiring a specific necessary for implementing the act’s provisions
reimbursement amount. as it relates to those services. These rules
must generally establish a standard of care
Insurance laws specify that a health benefit
for telehealth services that is equal to the
plan may not impose a cost-sharing
standard of care for in-person services. The
requirement for telehealth services that
Board is given specific authority to require
exceeds the cost-sharing requirement for
that an initial Schedule II controlled substance
comparable in-person health care services. A nurse specialist (CNS), certified nurse-midwife
prescription be issued following an initial
health benefit plan means a policy, contract, (CNM), or certified nurse practitioner (CNP),
in-person visit for a new patient, with certain
certificate, or agreement offered by a health licensed and practicing in Ohio to incorporate
limited exceptions that include hospice or
plan issuer to provide, deliver, arrange for, into their practice the law and rules that
palliative care, mental health conditions, MAT
pay for, or reimburse any of the costs of govern the practice of their collaborating
treatment, and emergency situations.
health care services. The services are for the physician or podiatrist. The same is true
diagnosis, prevention, treatment, cure, or APRNs may use synchronous or asynchronous for the certified registered nurse anesthetist
relief of a health condition, illness, injury technology to provide telehealth services (CRNA) in Ohio who must incorporate the
or disease. A health benefit plan may not to a patient during an initial visit if the laws governing the practice of their supervising
impose a cost-sharing requirement for a appropriate standard of care for an initial physician, podiatrist, or dentist. APRNs who
communication with the patient/consumer or visit is satisfied. Additionally, they may use plan to provide telehealth services may
consulting health care professional when each synchronous or asynchronous technology to wish to revisit the article in the Winter
of the following apply: the communication provide telehealth services during a patient’s 2022 issue of Momentum that is entitled
was initiated by the health care professional; annual visit if the appropriate standard of “Advanced Practice Registered Nurses:
the patient consented to receive a telehealth care for an annual visit is satisfied. An APRN Incorporating Other Boards’ Laws and Rules”
service from that provider on any prior may also deny any patient telehealth services at https://nursing.ohio.gov/wp-content/
occasion; and the communication is and instead require an in-person visit. The uploads/2022/02/Winter-2022-Momentum.
conducted for the purposes of preventive APRN shall comply with all state and federal pdf. APRN-CNPs, APRN-CNMs, and
health care services only. laws concerning the protection of patient APRN-CNSs must continue to practice in
information. The APRN must be careful collaboration with a physician and consistent
With respect to communications that are billed to ensure that any username or password with their written standard care arrangement,
using codes based on time, only the time the information and electronic communications as required by Section 4723.431, ORC.
APRN spends engaged in the communication transmitted between the professional and a
is billable. The law also specifies that a patient are securely transmitted and stored. House Bill 122 added laws related to telehealth
health plan issuer is not required to provide services in addition to the provisions
coverage for asynchronous communications An APRN may provide telehealth services described in this article, including Medicaid
that differ from the coverage described in the to a patient located outside Ohio if they are coverage and reimbursement, fees and billing,
health benefit plan. The Ohio Superintendent permitted to do so by the laws of the state immunity from liability, care provided in long
of Insurance will adopt rules necessary to where the patient is located. They also may term care facilities, and requirements for
implement the law as it relates to insurance provide telehealth services using medical services by community mental health service
coverage of telehealth services. devices that enable remote monitoring of a and community addiction service providers.
patient. Additional information and details related to
“Telehealth services” are defined here the content and status of House Bill 122 may
as providing health care services using When providing telehealth services, APRNs be found at https://www.legislature.ohio.
information and communication technology are reminded that Rule 4723-08-02, Ohio gov/legislation/search.
by an Advanced Practice Registered Nurse Administrative Code (OAC), requires a clinical
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Advisory Groups and Committees
All meetings of the Advisory Committee on Advanced Practice Registered Nursing – Chair: Sherri Sievers, APRN-CNP
advisory groups are July 12, November 1, 2022
held in the Board office. Advisory Group on Continuing Education – Chair: Candy Sue Rinehart, RN, APRN-CNP
If you wish to attend July 15, October 27, 2022
one of these meetings, Advisory Group on Dialysis – Chair: Gina Woods, RN
please contact the Board September 13, 2022 (Meeting starts at 1:00 p.m.).
office at 614-466-6940 or Advisory Group on Nursing Education – Chair: Sandra A. Ranck , RN
board@nursing.ohio.gov May 12, October 13, 2022
to confirm the location, Community Health Workers Advisory Group – Chair: Sandra A. Ranck , RN
date or time. July 21, September 15, 2022 (Meeting starts at 1:00 p.m.).
Members Members Members
Ohio Board of Nursing Ohio Board of Nursing Ohio Board of Nursing
City Term Expires City Term Expires City Term Expires
Erin Keels, RN, APRN-CNP, President Josph Quakenbush, LPN Barbara Wadsworth, RN
Columbus 2022 Newark 2023 Brunswick 2023
Donna Hanly, RN, Vice-President, Licensure Sandra A. Ranck, RN, Supervising Member Gina Woods, RN
Liaison, Galena 2025 Ashtabula 2022 Canal Winchester 2025
Matthew Carle, Consumer Member
Blacklick 2023 Joanna Ridgeway, LPN
Hillard 2022
Tiffany Knepper, RN, APRN-CNP Candy Sue Rinehart, DPN, APRN-CNP
Orwell 2025 Springfield 2024
Board Meeting Schedule 2022
April 13-14 (Retreat), May 25-26, July 13-14, September 14-15, November 16-17, 2022
Ohio Board of Nursing 13NURSES ACCOMPANYING SCHOOL STUDENTS ON TRIPS
T
hroughout the year, but especially in the spring and the nurse to delegate their nursing practice responsibilities to
summer, the Board receives inquiries about whether an an unlicensed school employee who accompanies the school
Ohio-licensed nurse may accompany a group of school students to Ohio. Should only an unlicensed school employee
students in their travels to another state, to provide nursing accompany the school students, the employee would be limited to
care to that group during its trip. Nursing practice occurs in acting during an emergency, consistent with Section 4723.32(D),
the state where the patient is located. To determine the law and ORC, as discussed above. The Nurse Practice Act, including the
rules governing nursing practice in a state other than Ohio, the full text of Section 4723.32, ORC, and the administrative rules
Ohio-licensed nurse should first review the appropriate laws in governing nursing practice in Ohio are available on the Board’s
the state where they are traveling to and may choose to consult website: www.nursing.ohio.gov. Click on the “Laws & Rules”
with the agency or board that governs nursing practice in that link. Additional resources that may be of interest include the
jurisdiction (Florida, Illinois, Washington, D.C., etc.) to assist “Medication Administration: School Nurse Scope of Practice”
their review. The Ohio Nurse Practice Act applies only to nursing document, available under “Practice Resources, RN & LPN,”
practice that occurs within the borders of Ohio. and the article, “Volunteer Nursing Practice,” in the Spring 2021
Momentum, under “Publications.” The Board does not require
Nurses licensed in other states, but not licensed in Ohio, may or provide any medication or other forms or templates for use
wish to do similarly, and may contact the Board to determine by nurses/parents/sponsors of group trips into or out of Ohio.
whether they may accompany and provide nursing care to their
school students who are traveling into Ohio. Section 4723.32,
Ohio Revised Code (ORC), states that an individual may be Useful Links:
exempt from Ohio nursing licensure requirements under limited
circumstances if certain conditions are met. These exemptions https://nursing.ohio.gov/practice-resources/practice-rn-lpn/
include, but are not limited to, a nurse licensed in another state https://nursing.ohio.gov/wp-content/uploads/2021/04/
who comes to Ohio with their patient for a limited period of Momentum-Spring-2021.pdf
time, and persons who are acting during an emergency situation. https://nursing.ohio.gov/wp-content/uploads/2019/10/
SchoolNurseModel-10.2019.pdf
Related to school student or similar group trips, Section
4723.32(G), ORC, authorizes an individual, who currently
holds an unencumbered license to practice nursing in another
jurisdiction, to engage in the practice of nursing in Ohio
as an employee of an individual, agency, or corporation
located in another jurisdiction in a position with employment
responsibilities that include transporting patients into, out
of, or through Ohio, as long as each trip in Ohio does not
exceed 72 hours. In doing so, the individual cannot represent
themselves as being licensed to practice nursing in Ohio. In
addition, Section 4723.32(D), ORC, allows even non-nurses to
act in an emergency, for example administering medications to
treat emergent conditions (e.g. administering an EPI-pen for
anaphylaxis, or Diastat for a seizure).
Therefore, a nurse licensed in another jurisdiction who meets
the unencumbered license requirement, may accompany their
patients [school students or other group] in their travels through
or to Ohio, and may meet the nursing care needs of those specific N ow Hirin g RN s , L P N s an d M ore!
patients. While in Ohio, the nurse may not identify themselves as Sign-On Bonus Opportunities
being licensed in Ohio and may not provide nursing care to others Located in Port Clinton, OH
beyond the traveling group, except in emergency situations. www.magruderhospital.com
The exemption in Section 4723.32(G), ORC, is specific to the
nurse licensed in another jurisdiction, and does not authorize /
14 MOMENTUMOhio Board of Nursing 15
APRN NOTES
APRNs Must Maintain Current APRN National
Certification in Addition to Maintaining Ohio
APRN Licensure
Have you renewed your national certification? Has the national
certifying organization sent your national recertification
directly to the Board of Nursing? The next renewal for RN and
APRN licenses issued by the Board will be in 2023. Remember
that it is a requirement to practice nursing in Ohio that your
APRN national certifcation must also be current at all times.
National certification is renewed by the national certifying
organization based on requirements set by the national
certifying organization itself (ANCC, AANPCB, AACN,
AMCB, PNCB, NBCRNA, etc.).
Under Rule 4723-8-08(E), Ohio Administrative Code (OAC),
an APRN who fails to maintain certification or recertification by
the applicable national certifying organization approved by the
Board, may be subject to disciplinary action in accordance with
section 4723.28, Ohio Revised Code (ORC).
Proof of national certification and recertification must be sent log into your account. Once logged in, click the button located
directly to the Board by the national certifying organization to on your APRN license icon. Then click “update collaborating
the Board’s APRN Licensure Unit at: licensureAPRN@nursing. physician” on the menu. The electronic form will ask you to
ohio.gov attach something, which could be a word document you created,
or even a scanned note. Just be certain that whatever information
APRN ICD-10 Code Reminder you attach includes the name and business address of the
Ohio prescribers, including APRNs, are required to include collaborating physician(s) or podiatrist(s).
the diagnosis code on all controlled substance prescriptions
as required by Board of Pharmacy Rule 4729:5-5-15, OAC, You can upload the entire SCA and any other document, but are
and Board of Nursing Rule 4723-9-10(C)(9), OAC. The not required to upload these additional documents, unless the
prescription must indicate the ICD-10-CM diagnosis code Board specifically asks for your SCA or other documentation.
of the primary disease or condition that the controlled The Board does not review or approve SCAs. No response or
substance is being used to treat. The data are captured by receipt is sent.
the Board of Pharmacy through the state’s prescription drug
monitoring program, OARRS. These rules can be accessed in
Relevant law and rule, Section 4723.431(A), ORC, and Rule
full through the following links: https://codes.ohio.gov/ohio-
4723-8-04(H), (I), OAC, can be accessed here:
administrative-code/rule-4723-9-10 https://codes.ohio.gov/
https://codes.ohio.gov/ohio-revised-code/section-4723.431
ohio-administrative-code/rule-4729:5-5-15
https://codes.ohio.gov/ohio-administrative-code/rule-4723-8-04
Updating SCA Information with the Board
Through Your Online Portal
APRNs are required to notify the Board within 30 days of any
change in collaborating physician or podiatrist. This includes
adding a new collaborating physician or podiatrist to a standard
care arrangement (SCA) and any change in a collaborating
physician’s or podiatrist’s name or business address.
To update information please go to www.elicense.ohio.gov and
18 MOMENTUMHOW DO I CHANGE MY INFORMATION: ADDRESS,
NAME OR PASSWORD WITH THE BOARD?
How Do I Change My ADDRESS with the Board? If You Forgot Your Password or Your Password
Make sure you update your address if it changes — it is a Has Expired
requirement by law that licensees report address changes, within 30 If you have not used Ohio eLicense within 12 months, your password
days of the change, to the Board. Your address of record is used for has expired.
communication purposes. • To see if you can log into your account, go to http://elicense.ohio.
• Go to eLicense.ohio.gov gov.
• Log into your account • Click on “Forgot your password?” and enter your email address;
• Scroll to the panel displaying your license type and number then check your email for a password reset link from “elicense-
• Click the “Options” link on the appropriate license panel noreply@das.ohio.gov.”
• Click on the link “Change Address” • Copy the entire link (begin with “https” and ending with your last
• Click “Submit” name) and paste the entire link into Google Chrome to get to the
• Address changes made online are processed through the system reset password page.
automatically • The reset link sent to you will expire after 24 hours; reset your
password as soon as possible.
If you have difficulties, contact the Customer Service Center at 614-
466-3947, “Option 1” (weekdays 8am-5pm, except for holidays). If Changing Your Email in the Ohio elicense System
you need assistance after business hours, email nursing.registration@
Ohio eLicense uses your email address to generate communications
das.ohio.gov and include a brief description of the issue, your
AND serves as your user ID for login/accessing your license
first and last name, telephone number, email address, and license
information.
number, if you have it.
Step 1 –When you change your current email to a new one via
For other questions, email licensure@nursing.ohio.gov and include your Manage Profile page, a notification is sent to the
a brief description of the issue, your first and last names, telephone current email asking you to confirm that you requested
number, email address, and license number, if you have it. the change.
Step 2 – Once you confirm the request, a notification will be sent to
How Do I Change My NAME with the Board? your new email confirming that the change has been made.
Requests received online are processed in 2-3 business days
If you have questions or need assistance, call the Customer Service
• Go to eLicense.ohio.gov
Center at (614) 466-3947 and select “Option 1” (weekdays 8am-5pm,
• Log into your account
except for holidays).
• Scroll to the panel displaying your license type and number
• Click the “Options” link on the appropriate license panel
• Click on the link “Change Name”
Best Web Browsers to Use for Ohio elicense
• Upload one of the following certified court records • Google Chrome (recommended)
o Marriage Certificate/Abstract • Mozilla firefox
o Divorce Decree • Microsoft Internet Explorer (Version 11)
o Court Record indicating change of name
o Documentation from another state/country consistent with the It is Important to Check Your Application Status!
laws of that jurisdiction If your application is in “Pending” or “Generate Fee” status, the
• Click “Submit” application has not yet been received by the Board because it is
incomplete. Return to your application to see if all the information is
If you have difficulties logging into your account or uploading
complete and you paid the fees.
documents, contact the Customer Service Center at 614-466-3947,
“Option 1” (weekdays 8am-5pm, except for holidays). If you need
If your application shows as “Submitted” or “In Review,” you can
assistance after business hours, email nursing.registration@das.ohio.
check if documents are still needed, without calling the Board.
gov and include a brief description of the issue, your first and last
Log into Ohio eLicense -- be sure you are on the “Welcome to
names, telephone number, email address, and license number, if you
your eLicense Dashboard,” and select “Application Status” from
have it.
Options. If you are checking your Submitted or In Review APRN
For other questions, email licensure@nursing.ohio.gov and include endorsement, select “Application Status” from the down arrow box
a brief description of the issue, your first and last names, telephone to the right of your APRN endorsement. Please do not submit more
number, email address, and license number, if you have it. than one application – that will delay processing.
Ohio Board of Nursing 19CLINICAL AND LABORATORY HOURS FOR PRE-
LICENSURE NURSING EDUCATION PROGRAMS
C
hapter 4723-5, Ohio Administrative Code (OAC), contains number of hours devoted to these experiences.
the rules adopted by the Board for the regulation of pre-
license RN and LPN programs. These rules establish Movement of Hours between Laboratory and Clinical
standards for nursing programs which include, but are not limited Experiences within a Course Offering
to, program administrator and faculty responsibilities for student Programs have been authorized since April 1, 2017, to move course
instruction in the classroom, laboratory, and clinical settings; as well hours between those designated for clinical and laboratory. Rules
as required curriculum content. 4723-5-13 and 14(D)(2) and (D)(3), OAC, state that the program
may move hours between laboratory and clinical experiences
The program administrator is responsible for certifying to the Board, within a course offering, provided the laboratory and clinical
by way of a Program Completion Letter, successful completion of experiences are sufficient for student opportunity to achieve the
the educational program for each student who is an applicant for behavioral objectives and requirements established in the course.
licensure in Ohio. Specifically, the Program Administrator certifies This discretion permits programs to move laboratory and clinical
that each applicant successfully completed the requirements of a hours within a course offering for any reason, such as a clinical site
program, including completing the theory, laboratory and clinical not being available for a particular amount of time. No prior Board
hours established in the program’s curriculum plan. approval is required. However, there are tracking and reporting
requirements.
Clinical and Laboratory Experiences Lack of access to clinical sites became an issue most nursing
Pre-licensure nursing programs are required to provide their
programs faced during the ongoing COVID pandemic. Rules already
students a combination of clinical and laboratory experiences
established in 4723-5, OAC, permitted programs the discretion to
concurrently with the related theory instruction. The experiences
move scheduled clinical hours to laboratory hours. However, the
must be directly relevant to the applied theoretical and behavioral
movement of hours for a course offering, as allowed by 4723-5-13
objectives of each course. They must further be sufficient for students
and 14(D)(2), OAC, applies only to laboratory and clinical hours
to practice their cognitive, psychomotor, and affective skills, and
assigned to the course, not theory hours.
allow students to effectively demonstrate their ability to meet the
course’s nursing behavioral outcomes. Clinical and laboratory
There are important points for a program to consider when there
experiences must also provide the student with the opportunity
is a movement of hours between laboratory and clinical hours for
to achieve technical skills including skills related to intravenous
an individual course offering. When hours are moved between
therapy and provide faculty (with input from the teaching assistant
laboratory and clinical, the total combined number of planned
or preceptor, if applicable) the opportunity to effectively evaluate
laboratory and clinical hours must remain the same, as established
and document the student’s achievement of each course’s specified
in the program’s curriculum plan. For example, a course may
behavioral outcomes.
have planned for 20 laboratory clock hours and 20 clinical clock
hours, for a total 40 combined clock hours planned for laboratory
“Clinical experience” is defined in Rule 4723-5-01(F), OAC, as and clinical experiences. If the program moves 10 clinical hours
“an activity planned to meet course objectives or outcomes and to to laboratory hours, the program ends up delivering 30 laboratory
provide a nursing student with the opportunity to practice cognitive, clock hours and 10 clinical clock hours, with the total number
psychomotor, and affective skills in the supervised delivery of nursing of combined laboratory and clinical hours remaining at 40 clock
care to an individual or group of individuals who require nursing hours. This combination would meet the program’s curriculum
care.” “Laboratory experience” is defined in Rule 4723-5-01(S), OAC, plan and be consistent with Board rules.
as an activity planned to meet course objectives or outcomes and
provide a nursing student with the opportunity to practice cognitive, Note that allowing movement of hours between laboratory and
psychomotor, and affective skills in the performance of nursing clinical experiences for an individual course offering changes
activities or tasks in a simulated clinical environment. Laboratory only the number of delivered laboratory and/or clinical hours for
experience may include the opportunity to practice nursing skills that course offering; it does not change the number of planned
through the reproduction of life-like health care experiences using laboratory or clinical hours assigned to the course on the program’s
computerized models and simulator programs. The Board’s rules curriculum plan. A program is not permitted to change the number
establish outcomes and parameters for clinical and laboratory of theory hours, laboratory or clinical hours assigned to a course on
experiences, but the rules do not specify or establish a minimum the curriculum plan for currently enrolled students. Rules 4723-5-
20 MOMENTUMYou can also read
