JUNE 2019 EDITION 58RENEWAL FRAUDHONESTY IS THE BEST POLICYOfficial PublicationIndiana State Board of Nursing
Professional LicensingMission StatementOur mission is to provide thehighest level of customer servicefor Hoosier licensees, be acatalyst for business growth andmake Indiana the best place tolive and work.Office LocationIndiana Professional Licensing AgencyIndiana State Board of NursingIndiana Government Center South Building402 W. Washington St., Room W072Indianapolis, IN 46204Contact InformationPhone (317) 234-2043Fax (317) 233-4236Website: www.pla.IN.govE-mail: pla2@pla.IN.govOffice HoursMon. thru Fri. 8:00 a.m. – 4:30 p.m.Nursing Board Staff MembersMichael Minglin JD, Interim Board DirectorPre-LicensureKeri Reed, Assistant Director of Pre-LicensureLorrie Ruble, Customer Service RepresentativeClaire McNally, Customer Service RepresentativeDenina Moore, Customer Service RepresentativeAlma Steeb, Customer Service RepresentativeBijanka Robinson, Customer Service RepresentativeCorey Barber, Customer Service RepresentativeCompliance/LitigationCarri Burke, Compliance DirectorDeanne Bullman, Compliance OfficerToni Herron, Education Compliance OfficerKimberly Oakley, Compliance OfficerRebecca Tinsley, APN Compliance OfficerLisa Chapman, Litigation CoordinatorEdition 58contentsFrom The President4License Renewal Notice5Best of Luck to Board Members and Welcome New Members6Renewal Fraud: Honesty is the Best Policy8Nurses Using Alcohol to Cope With Stress?10A Call For Testing Reform14Nursing Education16Pursuing Competence Through Continuing Education20Disciplinary Actions28pcipublishing.comCreated by Publishing Concepts, Inc.David Brown, President dbrown@pcipublishing.comFor Advertising info contactMalia Ford 800.561.4686 ext n includes over 150,000 licensed nurses and nursing students in IndianaNursing Focus is published by the Indiana State Board of Nursing, Indiana Professional Licensing Agency, Indiana State Boardof Nursing, Indiana Government Center South Building, 402 W. Washington St., Room W072, Indianapolis, IN 462043
From the PresidentKim Cooper, RN, MSNPresident, Indiana State Board of NursingGreetings!As I have pondered this quarter’ssubmission, I have reflected atlength about the belief that mostall things exist along a continuum.The goal of the continuum in aprofession is, in my belief, gearedtoward the continued developmentand purposeful growth of thatprofession. Nursing is no different.In years past, an article carried atag line that has continued to rearits ugly head. From this articlethe phrase, “Nurses Eat TheirYoung” was born. Many nurseshave worked tirelessly to changethat perception. On the educationfront, schools have worked to exposestudents in capstone courses and4clinical offerings to the practiceenvironment to best socializethem in preparation for that firstnursing position. Partnershipsbetween nursing programs andclinical agencies strive to welcomestudents to the field. Healthcareorganizations have implementednurse residency programs andexpanded orientation to newemployees. All of this has been donein an effort to ensure that incomingnurses are mentored and guided intheir practice environment. Ideally,this then becomes an investmentnot just in that particular studentor nurse engaged in the courseor residency, but a longer terminvestment for those patients whowill be cared for by that nurse,and also those healthcare teamcolleagues who will become a part ofthe fabric of the nurse’s practice inthe years to come.As a result, many have notedthat nursing has pulled together.This cohesiveness may not appearto those outside of nursing but itis indeed there. Nurses standingtogether is important in all practicesettings. Recently this was notedwhen our integrity as a professionwas seemingly challenged. Wewere deemed card players! In myexperience, no nurse in any practiceenvironment has time to engage ina hand of “go fish” or “gin rummy”.The response was quick and swift.This was similar to the outcry afew years prior when a celebrityasked why a nurse was using the“doctor’s stethoscope.” If we arereviewing cards at the work site, itis a related to perhaps medicationssuch as “CARD-izem, CARD-uraor perhaps Pro-CARD-ia.” As forthose stethoscopes, we continue touse them with pride and purpose.Nurses will, and must, continue tostand tall and protect the reputationand ultimately the legacy of nursing.In closing, it is importantthat nurses stand together whencalled upon. The protection of theprofession is key. The responsibilityto ensure that those outside ofnursing are clear about the workwe do and that no young are eatenrests with each of us. By doing ourdue diligence, we can certainly keepnursing as the #1 trusted profession.Yours in service,Kim Cooper, RN, MSNPresident, Indiana State Board ofNursingIndiana Nursing Focus
LICENSE RENEWAL NOTICE Your registered nurse (RN) licenseexpires on October 31, 2019 at11:59 pm. Your renewal will beprocessed online. Online renewalis faster and more accurate. The renewal notices will be sentout by email mid-July 2019. CRIMINAL BACKGROUNDCHECKS ARE NOTREQUIRED FOR RENEWALAT THIS TIME. Renew at www.pla.in.gov andselect the “Renew or Update AnyLicense” link. If help is requiredin the instance the login ID orpassword is forgotten, you may usethe links available on the page.You would complete 2 fields onthe search page to locate yourrecord and enter a new password. You can use your Discover,MasterCard or Visa credit card ordebit card. Renew online 24 hours a day, 7days a week. It only takes a fewminutes and is QUICK & EASY. You may update your address,email & phone number during theonline renewal process. Acceptance by the system of yourrenewal fee does not guaranteerenewal. Please check your licensestatus approximately 24 hoursafter completing this process. Atthat time, if your license has notbeen renewed to active status,please call our office at (317) 2342043. The renewal fee is 50.Additional processing fees apply. If you have questions about therenewal process, contact theBoard of Nursing by email atrenewal2@pla.in.gov. If the Indiana Department ofRevenue (IDOR) or the InternalRevenue Service (IRS) has placeda tax hold on your license for anyreason, that hold must be releasedby that office before your licensecan be renewed. If this hold isnot released before the October31st deadline, your license willexpire. POCKET CARDS – The IndianaProfessional Licensing Agencyno longer issues pocket licenseat renewal. To purchase ordownload a free copy of yourupdated license, please visit ourwebsite at http://www.in.pla/3120.htm. Before ordering a card,ensure the status and expirationdate as has been updated at http://www.in.gov/pla/3119.htm. Thehard copy will be mailed out tothe address we have on file. It isthe responsibility of the licenseeto keep this information current.It may be updated at any time atthe same site used to renew thelicense. LATE FEES – If you apply forrenewal of your license afterOctober 31, 2016 11:59 pm localtime, you will be assessed a 50.00late fee in addition to the renewalfee. There are no exceptions – ifyou renew late, you must paythe late renewal fee in order torenew your expired license.5
Best of Luck!We Wish the Best of LuckAs the old saying goes, change isinevitable. We say a heartfelt thank youand goodbye to several members of theIndiana State Board of Nursing as theymove on. Governor Eric Holcomb willappoint new Board members in the verynear future.Beth DeKoninck DNP, APRN-BC,NP-C was appointed to the Board byformer Governor Mike Pence in July2016. Dr. DeKoninck has been activein providing insight into both nursingeducation and advanced practicematters that come before the Board. Dr.DeKoninck has accepted a position asAssistant Dean of Graduate Programs atAverett University in Danville, Virginia.We wish Dr. DeKoninck the best of luckin this new position.India Owens MSN, RN, CEN, NE-BC,FAEN was appointed to the Board in July2015 and has been an active memberof the Board. Her professional andmanagerial perspectives have broughtvaluable insight to the Board. Wewish Ms. Owens the best as she enjoysher long anticipated and well-earnedretirement.Sandra Bushman MSN, RN, FNP-Cwas appointed by Governor EricHolcomb and has provided valuableinsight into nursing advanced practice.Ms. Bushman will be leaving the Boardwhen her term expires on July 31, 2019.We wish her continued success as shecontinues in her professional journey.Karen Medernach completed her termas the consumer member in May andwill be missed. The consumer viewpointis informative and important when theBoard weighs the impact of licensuredecisions. Ms. Medernach brought theconsumer perspective to the Board withclarity and sincerity.Welcome!!Ms. Judy Hamblen LPN was appointedby Governor Eric Holcomb in May 2019to serve a four year term. Ms. Hamblenfills one of the two vacant LPN positionson the Indiana Board of Nursing whichare mandated by statute. Ms. Hamblenbrings a wide range of experience rangingfrom long term care to leadership andmanagement. We welcome Judy to theBoard of Nursing!For AdvertisingCONTACTMalia ana Nursing Focus
David FleischhackerDeputy Attorney GeneralRENEWAL FRAUDHONESTY IS THE BEST POLICYAs we approach summer of 2019,the biennial renewal cycle for licensedRegistered Nurses in Indiana kicks intofull gear. Every two years, nurses arerequired to answer certain questionsin order to renew the license grantedto them by the Indiana State Board ofNursing (“Board”). However, some nurses,whether on purpose or accidentally,answer those questions erroneously. Whenthis happens, the nurse subjects himselfor herself to possible sanctions against hisor her license. This article will provide abrief overview of the renewal fraud statute,the questions on the renewal form, andsituations before the Board involvingnurses who were sanctioned after failingto answer renewal questions correctly.As will be seen, it is best to be upfrontwith the Board and answer the renewalquestions appropriately.8When a nurse answers a questionerroneously while renewing, a complaintcan be filed against his or her licensealleging renewal fraud. Indiana law statesa nurse is subject to disciplinary sanctionsif the Board finds he or she “has engagedin or knowingly cooperated in fraud ormaterial deception in order to obtain alicense to practice, including cheatingon a licensing examination.” Ind. Code§ 25-1-9-4(a)(1)(A). Because the Boardholds each nurse responsible for theanswers on his or her submitted renewalform, any erroneous response, whetherintended to deceive the Board or byinadvertence, could provide the basis forsanctions under the above statute.The renewal application consists of sixquestions for which a nurse must providea “Yes” or “No” answer. All questionsdeal with the time period since your lastrenewal of that particular license, whichfor most nurses who follow the regularrenewal cycle would be the previous twoyears. Question 1 pertains to individualswho have had any professional license,certificate, or permit disciplined or haveany pending charges in any state; thisincludes any Indiana licenses you mayhave, even those outside of nursing.Question 2 deals with any applicationsfor a license, certificate, or permit thathave been denied in any state. Again, thiswould include any denials that occur inIndiana for any license.Question 3 focuses on criminallyrelated activities that have occurred sinceyou last renewed; it does not includeminor traffic violations or any convictionsthat have been expunged by a court. Youdo, however, have to disclose any arrests,diversion agreements, convictions, guiltyIndiana Nursing Focus
Indiana Nursing Focus“When a nurse answersa question erroneouslywhile renewing, acomplaint can befiled against his orher license allegingrenewal fraud.failed to disclose another employmenttermination and a criminal convictionon her January 2011 renewal. Theserenewal fraud actions resulted in 750worth of fines ( 250 fine for each of thethree questions answered erroneously) aspart of the sanctions against her license.If you do have to answer “Yes” toone of the renewal questions, it willnot necessarily result in adverse actionagainst your license. The Board willlikely ask you for additional informationto better understand the nature ofyour situation. The Board may renewyour license based solely on yourexplanation of the events and require nofurther action. Sometimes, the Boarddetermines the situation warrants apersonal appearance before the Board.During these personal appearances, theBoard will ask questions to determine thebest course of action for your situation.This personal appearance may result ina renewal with no further requirements.However, the personal appearance may“pleas, or nolo contendre (no contest)pleas that have occurred in any statesince you last renewed. Question 4pertains to any malpractice judgmentsor settlements. Question 5 deals withyour practice as a nurse or in any healthcare professional capacity. You mustdisclose any employment terminations,reprimands, disciplines, or demotionssince you last renewed. If you are notsure about whether something fallsunder this question, call the Board orconsult with a private attorney. Finally,Question 6 focuses on whether you havebeen excluded from being a Medicaid orMedicare provider.Each year, the Office of the AttorneyGeneral (“OAG”) files numerouscomplaints alleging renewal fraud againstthe licenses of nurses who have answeredrenewal questions erroneously. Themajority of renewal fraud cases stem fromnurses who fail to disclose employmentrelated discipline reportable underQuestion #5. Often times, a complaintis filed by an employer based on thenurse’s actions and, during the course ofthe investigation, the OAG will discoverthe nurse failed to disclose terminations,suspensions, or other discipline byemployers on either the current orprevious renewal forms. A fair numberof renewal fraud cases also involve nurseswho fail to disclose discipline on licensesheld in other states or who have beeninvolved in criminal activity.When the Board considers a caseinvolving a nurse who has engagedin renewal fraud, it does not take thenurse’s actions lightly. The standardminimum sanction by the Board fora nurse who has answered a renewalquestion erroneously is a 250 fine.This fine is applied for every instanceof renewal fraud – that means everyquestion on every renewal applicationthat is answered erroneously. As youcan imagine, the fines could add upquickly if a nurse is not forthright andhas had multiple adverse employmentactions or criminal actions over theyears. For example, in a case before theBoard in January 2013, a nurse failedto disclose an employment terminationon her October 2008 renewal and thenresult in your license being renewed withvarious restrictions, such as probationor participation in the Indiana StateNurses Assistance Program (ISNAP),depending on your history. Finally, theBoard may renew your license as “Validto Practice While Reviewed” and referyour situation to the OAG for furtherinvestigation. As long as you answerthe renewal questions correctly, you willavoid being charged with renewal fraud.As you fill out your renewalapplication this fall, remember that youalone are responsible for the answersprovided no matter who fills it out(employer, spouse, family member,etc.). It is better to be upfront abouta potential issue than wait for theBoard or the OAG to find out and takeaction against your license. If you havequestions about the renewal process orabout whether something falls under aparticular question, contact the Boardor a private attorney to discuss yourparticular situation.9
Nurses UsingTerry Harman, D.Min., PhD, LCAC, LMHC, LMFTISNAP Program DirectorALCOHOL toCOPE WITH STRESS?ISNAP is concerned about nurses.Why? Since July 1, 2018 ISNAP hasserved 625 nurses and too many haveproblems with alcohol. ISNAP wasdesigned to assist nurses strugglingwith substance abuse issues andto provide evaluations, treatmentrecommendations and then entertreatment, if warranted, followed up bymonitoring.Despite the common myth, noteveryone who comes to ISNAP has aSubstance Use Disorder (SUD). Thoseindividuals who are evaluated for aSUD and found not to meet the criteriafor a SUD do not enter the monitoringprogram and the Board of Nursing isnotified that nurse does not qualify formonitoring.Why are these nurses referred toISNAP in the first place? Often, theboard recommendation comes after anursing student applies for a licenseor a nurse completes the application10for license renewal and the applicantanswers “yes” to one of the followingquestions on the renewal application.11. Since you last renewed, hasany health professional license,certificate, registration or permityou hold or have held beendisciplined or are formal chargespending?2. Since you last renewed, have youbeen denied a license, certificate,registration, or permit in anystate?3. Since you last renewed, andexcept for minor violations oftraffic laws resulting in fines andarrests or convictions that havebeen expunged by a court, haveyou been arrested, entered intoa diversion agreement,been4.5.6.convicted of, pled guilty to,or pled nolo contender to anyoffense, misdemeanor, or felonyin any state?Since you last renewed haveyou had a malpractice judgmentagainst you or settled amalpractice action?Have you been reprimanded,disciplined, demoted orterminated in the scope of yourpractice or as another healthcare professional?Since you last renewed haveyou been excluded from being aMedicare or Medicaid provider?Too often, the positive response isdue to being arrested for an alcoholrelated offense such as an OperatingWhile Intoxicated (OWI)or Driving WhileIntoxicated (DW)I. The nurse
Indiana Nursing Focus“For some nurses, in the beginning, they turnto alcohol to be that trusted confidant andfriend to ease the problems of the day.understanding how alcohol effects ourlevel of intoxication.2Even after a nurse enters into arecovery monitoring agreement withISNAP many continue to struggle withusing alcohol as a means of coping orcelebrating! From July 1, 2018 throughApril 15, 2019 ISNAP participantssubmitted 4,630 drug tests as part of theirmonitoring agreement. 225 of the drugscreens were positive for a substance.This represents a positive rate of 4.85%.Of the 225 drug tests that were positive140 or 62% were positive for alcohol!We forget that alcohol, although it islegal, is still America’s number onesubstance related problem! If you are ina recovery monitoring agreement withISNAP alcohol is not permitted.So how does the new nurse, or thenurse renewing a license, avoid a positiveresponse on the renewal application?By knowing how alcohol effects thebody. In most states a blood alcoholconcentration (BAC) of .08% meansyou are legally intoxicated. A simplerule of thumb is it takes your bodyapproximately one hour to metabolizeone drink of alcohol. Another rule ofthumb is for every drink allow one hourper drink to pass before you report towork or drive a car.Here is the part many nurses forget.One drink is not always one drink! Justbecause it comes in one glass or onebottle and is considered “one drink”that may not be the case.3 Today havinga “drink” can vary depending upon whatand how much you are consuming.Alcohol by the Numbers –What equals one drink? 12 ounce can of 5% beer 1drink “appears before the board of nursingand then may be instructed to make anappointment with ISNAP.Why is ISNAP concerned aboutnurses and alcohol? Too many nurses areusing alcohol to cope with the pressuresand stress of being a nurse. Nurses gointo the medical field to serve others!Many times, they beat all the oddsagainst them to enter and to successfullygraduate from nursing school. When theygraduate the nurse then balances theirschool debt with the normal expenses ofeveryday living. Nurses juggle family lifeand work life in a work environment thatdemands a high level of commitment andprofessionalism, regardless of how theirpersonal life is going that day. Thesededicated and highly skilled healers whoare called to be compassionate and caringare also human beings who sometimesneed healing themselves.Who helps the nurse? Often thenurse is the last one to receive helpbecause family, friends, coworkers andeven patients have come to dependupon the nurse to take care of them.The nurse’s needs are overlooked. Someturn to alcohol to self-medicate thepressures and problems of the day. Theseindividuals do not get up one day andsay, “I think today I will go out and geta DUI (Driving Under the Influence) orget into trouble at work.”Nurses, like many others, do notrealize how alcohol affects their bodies!For some nurses, in the beginning,they turn to alcohol to be that trustedconfidant and friend to ease theproblems of the day. As they continueusing alcohol as a coping mechanism,tolerance for alcohol increases andthey progress toward having a seriousproblem with alcohol. For other nurses,they have always balanced the stress oflife and found other ways to cope withthe pressures of the workplace. But thencomes the holiday, cookout, weddingor birthday party and in the mood ofcelebration, the nurse consumes morealcohol than they realize and drive awayfrom the party only to be arrested fordriving under the influence. In bothscenarios, the nurse was not awareof the effect of alcohol on the body.Body weight and the type of alcoholbeing consumed are important in8 to 9 ounces of 7% Malt Liquor 1 drink5 ounces of 12% table wine 1 drink1.5 ounces or one-shot glass of 80proof Hard Liquor 1 drink6.1 ounces of Long Island IcedTea 4 plus drinks5.5 ounces of Brazilian Monk 2 drinksAnd the kicker? When we are makingour own mixed drinks how often do weask for it to be made, “a little stronger?”That “little stronger” could representan additional one or two more drinks.If we are drinking Bacardi 151 it is evenstronger. Bacardi 151 is 75.5% alcoholper volume. This means one shot of 151represents approximately two drinksunless you like it “a little stronger.”Let’s take care of one another andreach out to our coworkers who may bestruggling with alcohol before career,family and livelihood are put at risk.Let’s take care of one another andsupport that coworker who is stressedout with the daily rigors of balancingwork, family and life. As we approachthe summer with graduation parties,weddings and July 4th celebrations letus not forget one drink is not always enew%20doc.pdfFor more information on howour body weight effects bloodalcohol concentration see contentInformation adapted fromwww.USDTL.com11
Indiana Nursing Focus13
June A. Eastridge EdD, MSN, RN, CNE, COINevada State College School of NursingJanuary 24, 2019A Call ForTESTING REFORMNurse educators who teach pre-licensurestudents rely heavily on testing to assessstudent learning. There is a need to notonly help students develop clinical decisionmaking and clinical judgement, but tofunction as nurses in complex professionalsettings. Additionally, educators areresponsible for preparing students to be goodtest takers so they can pass the NationalCouncil Licensure Exam – Registered Nurse(NCLEX-RN) and obtain a nursing license.Because the NCLEX-RN is the gatewayinto nursing practice, faculty traditionallyuse NCLEX-RN style exams throughouttheir courses both to measure learning andto provide students with practice answeringNCLEX-RN style test questions in a secureenvironment. Faculty face many challengesto produce NCLEX-RN style exams thatinclude: finding or creating high-quality testquestions, composing valid tests, post-testitem analysis, academic integrity, and testsecurity. In spite of this focus on testing,there is little evidence on which to basebest practices.Research has shown a lack of consistencywith testing practices in programs nationwide(Bristol, Nelson, Sherrill, & Wangerin,2018). An increase in test anxiety occurswhen students are frequently exposed toinconsistent use of secure individual testing.In most schools of nursing, students mustachieve a minimum average percentage oncourse tests in order to progress and graduatefrom the program. Test anxiety negativelyeffects student learning and performance(Gibson, 2014). To offset this problem, a mixof both high-stakes and low-stakes testingshould be used in nursing courses (Duane &Satre, 2014).Non-traditional approaches to testingare being used more frequently in highereducation, backed by research in psychology,biological science, and healthcare education14(Jang, Lasry, Miller, & Mazur, 2017).Testing can be a great learner-centeredtool for continuation of learning, andnot for assessment only. Testing effect isa phenomenon where information betterbecomes a part of the student knowledgestructure through retrieval. Knowledgeretrieval makes learned information moreaccessible for future use, compared totraditional studying, or knowledge encoding,and has shown to have beneficial shortand long-term effects (Foss & Pirozzolo,2017). Students who learn through testingdemonstrate improved knowledge transferacross test formats, contexts, and domains.Improved learning is seen not only ininformation recall but also in situationalapplication of knowledge, demonstratingstudents gain more than factual informationthrough knowledge retrieval. They also gainan understanding of how that informationcan apply to real-life scenarios (Yang &Shanks, 2018). In a study involving fourthyear medical students, it was found thatrepeated testing enhanced clinical reasoningmore than instructor led case studies(Raupach et al., 2016).There are some nurse educators whoare turning their attention to developingtesting best practices for schools of nursing(Sherrill, 2017). Many schools of nursinghave not developed testing guidelines orpolicies, and sometimes the general academicintegrity policy of the organization serves asthe only guideline (Bristol, Nelson, Sherrill,& Wangerin, 2018). The Arizona Board ofNursing recently attempted to address thisgap with the creation and adoption of aposition statement on testing best practices(Arizona Board of Nursing, EducationCommittee, 2018). These types of positionstatements serve to guide faculty in the useof traditional individual testing, but do notaddress the potential use of non-traditionaltesting to increase learning and help studentsbecome clinical problem-solvers.We need testing reform in schools ofnursing. Nurse educators are needed tofurther the research on uses of testing inschools of nursing, and establish educationbest practices to guide faculty decisions.Without this evidence, faculty will continueIndiana Nursing Focus
to make life-affecting student decisions basedon tradition, trial and error, personal intuition,and authority. This approach violates what weknow and teach our students about evidencebased practice. Considering the changes thatare taking place in nursing, anticipated changesin the NCLEX-RN, and the need to graduatefuture nurses with strong clinical reasoning skills,nurse educators must pursue every opportunityto improve educational practice. Please feel freeto contact me for more information, or to discussways that nurse educators can work together toreform the use of testing in schools of nursing.ReferencesArizona Board of Nursing, EducationCommittee. (2018). Testing guidelines for prelicensure nursing programs in Arizona (AdvisoryOpinion) (pp. 1–7). Phoenix, AZ.Bristol, T. J., Nelson, J. W., Sherrill, K.J., & Wangerin, V. S. (2018). Current stateof test development, administration, andanalysis: A study of faculty practices. NurseEducator, 43(2), 68. https://doi.org/10.1097/NNE.0000000000000425Foss, D. J., & Pirozzolo, J. W. (2017). Foursemesters investigating frequency of testing, thetesting effect, and transfer of training. Journalof Educational Psychology, 109(8), bson, H. A. (2014). A conceptual view oftest anxiety. Nursing Forum, 49, 267–277.Duane, B. T., & Satre, M. E. (2014).Utilizing constructivism learning theory incollaborative testing as a creative strategy topromote essential nursing skills. Nurse EducationToday, 34(1), 31–34. https://doi.org/10.1016/j.nedt.2013.03.005Jang, H., Lasry, N., Miller, K., & Mazur, E.(2017). Collaborative exams: Cheating? Orlearning? American Journal of Physics, 85(3),223–227. https://doi.org/10.1119/1.4974744Raupach, T., Andresen, J. C., Meyer, K.,Strobel, L., Koziolek, M., Jung, W., Anders,S. (2016). Test-enhanced learning of clinicalreasoning: A crossover randomized trial.Medical Education, 50(7), 711–720. https://doi.org/10.1111/medu.13069Sherrill, K. J. (2017). It’s time for testingreform: A call to nurse educators. Arizona Nurse,70(4), 1.Yang, C., & Shanks, D. R. (2018). Theforward testing effect: Interim testing enhancesinductive learning. Journal of ExperimentalPsychology: Learning, Memory, and Cognition,44(3), 485–492. http://dx.doi.org/10.1037/xlm0000449Indiana Nursing Focus15
Irene Coons, PhD, RN, CNE, FAADNProfessor, Department of NursingNURSING EDUCATIONOver the last 15-20 years, the numberof new nursing programs within theU.S. has steadily increased (Buerhaus,Auerbach, and Staiger, 2016). Much ofthis is related to advances in technology(i.e., internet access), the ever-presentnursing shortage and the call for bettereducated nurses (i.e., RN to BSNprograms). During that same time period,multiple nursing schools established newcampuses within the State of Nevada. Itis important that those considering prelicensure and/or post-licensure nursingeducation programs understand the typeof institution they wish to enroll into andthe type of curriculum (i.e., competencybased or outcomes-based) that will betaught. Those characteristics can impactnot only tuition
Oct 31, 2019 · You can use your Discover, MasterCard or Visa credit card or debit card. You may update your address, email & phone number during the online renewal process. The renewal fee is 50. Additional processing fees apply. If you have questions about the renewal process, contact the Board of
Types of economic crime/fraud experienced Customer fraud was introduced as a category for the first time in our 2018 survey. It refers to fraud committed by the end-user and comprises economic crimes such as mortgage fraud, credit card fraud, claims fraud, cheque fraud, ID fraud and similar fraud types. Source: PwC analysis 2
Types of economic crime/fraud experienced Customer fraud was introduced as a category for the first time in our 2018 survey. It refers to fraud committed by the end-user and comprises economic crimes such as mortgage fraud, credit card fraud, claims fraud, cheque fraud, ID fraud and similar fraud types. Source: PwC analysis 2
Card Fraud 11 Unauthorised debit, credit and other payment card fraud 12 Remote purchase (Card-not-present) fraud 15 Counterfeit Card Fraud 17 Lost and Stolen Card Fraud 18 Card ID theft 20 Card not-received fraud 22 Internet/e-commerce card fraud los
Detection of Fraud Schemes Fraud is much more likely to be detected by tips than by any other method. 2012 Association of Certified Fraud Examiners, Inc. 26 Detection of Occupational Frauds 2012 Association of Certified Fraud Examiners, Inc. 27 Why Employees Do Not Report Fraud According to a Business Ethics Study (Association of Certified Fraud Examiners), employees do not .
Fraud by any other name is still fraud “Relatively few occupational fraud and abuse offenses are discovered through routine audits. Most Fraud is uncovered as a result of tips and complaints from other employees.” Association of Fraud
Fraud risk management strategy Fraud prevention Anti-fraud culture Risk awareness Whistleblowing Sound internal control systems A fraud policy statement, effective recruitment policies and good internal controls can minimise the risk of fraud. Fraud detection Performing regular checks. Warning signals/fraud risk indicators:
Auditors are not effectively trained to detect or recognize fraud. One expert noted that fact patterns suggesting that fraud exists (i.e., fraud schemes) are unfamiliar to many auditors because they have not been trained in this area and because fraud is a rare event. Auditors' lack training in fraud detection methods or fraud investigation
Handling Debit Card Fraud STRATEGIZE- Debit card fraud and disputes must have a strategy based on evolving fraud. INVENTORY - Inventory all types of debit card fraud and how you mitigate fraud. TRAIN - Train your front line and investigators. DOCUMENT - Clearly document the strategy and fraud management and