MN Board of Nursing’s Old-Fashioned Views Limit Nursing Education (Page 64)

By Mathew Keller, RN JD, MNA Regulatory and Policy Nursing Specialist

In early August, Minnesota registered nurse Andy Gladstein had just completed his third week of an online RN to MSN program via Grand Canyon State University in Arizona.  Andy had entered the program to further his education in response to national calls for increased nurse education, and he was excited about his progress. Much to his surprise, Andy was suddenly and without warning disenrolled by his university due to the Minnesota Board of Nursing’s old-fashioned views of online education. Because of the Board’s outdated views, Andy’s university was no longer willing to offer its courses to students located in Minnesota.  This is not because Minnesota would not recognize his degree, but rather because the Board is treating online education differently than traditional nursing education. Specifically, the MN BoN has adopted a policy requiring online nurse educators accredited and located in other states to obtain their Minnesota nursing licenses before teaching students who may happen to be located in Minnesota.  This is in direct contrast to the Board’s view of traditional out-of-state nursing programs, which are required only to be licensed and accredited by their home states in order to train prospective Minnesota residents. The Board’s out-of-touch views are a large barrier to the educational progress of Minnesota nurses and to a field of education that is only growing larger.

diploma The Board’s views, taken to an extreme, result in some absurd scenarios.  For example, Andy could have simply driven across the border to Wisconsin to take his courses.  The BoN would then have recognized his education as legitimate.  Andy could have taken his courses in person in Arizona.  The Board would have also then recognized the education as legitimate. In fact, Andy could have taken his courses in any state in the country, and the Minnesota Board would have recognized his education as legitimate; but in the Board’s view, for Andy to take his courses in Minnesota would have been to place his instructors at risk of practicing nursing “in” Minnesota without a license. The Board’s out-of-touch view begs the question: what about a student enrolled in the traditional RN program at the University of Wisconsin-Eau Claire?  If that student were to bring his/her coursework home to Minnesota for the weekend, or view an online lecture in Minnesota while driving through, or email his/her professor a nursing-related question while visiting this state, would that professor be liable for practicing nursing in Minnesota without a license?  Using the Board’s logic, the answer would be yes. The BoN fails to understand the distinction between where teaching occurs and where learning occurs: teaching occurs where the instructor is located, and learning occurs where the student is located. To interpret otherwise leads to unreasonable situations such as those faced by Andy Gladstein and others, and draws a distinction between online and traditional education that has no basis in reality. The Board’s  views are not in the best interest of students, nurses, patients, citizens, or the state of Minnesota.  The Board can and should change its interpretation of where online teaching occurs in order to protect the best interest of Minnesotans. As an advocate for enabling nurses to achieve higher education through all available avenues, MNA recognizes that teaching occurs where the instructor is located, and learning occurs where the student is located.  We recommend that the BoN adopt a similar view.

By Mathew Keller, RN JD, MNA Regulatory and Policy Nursing Specialist

In early August, Minnesota registered nurse Andy Gladstein had just completed his third week of an online RN to MSN program via Grand Canyon State University in Arizona.  Andy had entered the program to further his education in response to national calls for increased nurse education, and he was excited about his progress. Much to his surprise, Andy was suddenly and without warning disenrolled by his university due to the Minnesota Board of Nursing’s old-fashioned views of online education. Because of the Board’s outdated views, Andy’s university was no longer willing to offer its courses to students located in Minnesota. 
… Read more about: MN Board of Nursing’s Old-Fashioned Views Limit Nursing Education  »

Please contact Senators Klobuchar and Franken today – and ask them to vote against the Consolidated and Further Continuing Appropriations Act (CROmnibus) bill unless unacceptable provisions are removed.

The bill, which narrowly passed the House this week, is up for a vote in the Senate this weekend.

According to National Nurses United, the measure contains new handouts for Wall Street, wealthy political donors, and attacks the living standards of pensioners.

In a letter to members of the Senate on Friday, NNU Co-President Karen Higgins warned that “cutting pensions for seniors on fixed incomes, providing one more give-away to Wall Street and allowing the rich to further corrupt our nation’s elections move this country in the wrong direction.”

MNA members can compose and send messages directly to the senators from the online Action Center.
… Read more about: Urgent message for MNA members  »

RNs at Cambridge Medical Center made final preparations for their Nov. 20 informational picketing on Tuesday night.

MNA Cambridge members and their families turned out in force to make signs and other preparations for Thursday’s picketing.

The RNs say they are frustrated with the hospital’s emphasis on profit over patient care and staff.

RNs are very concerned about the hospital’s proposals during the current contract negotiations, and recent staff layoffs.

Community members are solidly behind nurses. “I support our nurses” signs are in yards and businesses throughout Cambridge, and community residents will join the RNs on the picket line on Thursday.
… Read more about: Cambridge RNs ready for Nov. 20 informational picketing  »

Nurses and other healthcare workers urged the state to live up to its responsibility to protect front-line healthcare workers dealing with Ebola and other infectious diseases at a Nov. 12 rally and candlelight vigil on the front lawn of the State Capitol.

Nurses and other healthcare workers spoke about their experiences and concerns about their hospitals’ different levels of preparedness for caring for patients who may have infectious diseases like Ebola.

“At my hospital, we do have some equipment and we have had some training – but it’s just not enough,” said Gail Olson, RN at Unity Hospital. “Nurses keep asking the hospital for more because we know what we have is too little.
… Read more about: Nurses vow to file OSHA complaints over Ebola preparedness  »

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Nurses at Sanford Bemidji Clinic are now part of the Minnesota Nurses Association, after a five-month campaign to be part of the union.

The nurses knew the value of belonging to a union, and campaigned hard for representation. They wore “Union Now” stickers and marched a petition to management  to show they were standing strong for union representation and a voice in the workplace.

Nurses at the Sanford  Bemidji Medical Center, who are already MNA members, circulated petitions expressing their support of clinic nurses becoming part of their bargaining unit.
… Read more about: MNA welcomes Bemidji Clinic nurses  »

Nurses and their families gather at the Minnesota State Capitol to honor those frontline healthcare workers who have been caring for or have pledged to care for Ebola patients.  Nurses asked the state for mandatory standards to be enforced by OSHA that will protect them from all infectious diseases, and they pledged to make complaints to OSHA if hospitals aren’t ready.
… Read more about: Video: Ebola Day of Action in Minnesota  »

vite2Minnesota nurses saw mixed results in the Nov. 4 elections. Many candidates who support nurses and issues including a Safe Patient Standard, won at the ballot box.

All candidates for statewide office endorsed by MNA were elected. Governor Mark Dayton, Attorney General Lori Swanson, and State Auditor Rebecca Otto were re-elected. Steve Simon, MNA’s endorsed candidate for Secretary of State, will replace outgoing Secretary of State Mark Ritchie. Nearly two-thirds of MNA’s endorsed candidates from both parties for the House were elected.

As a result of the elections, Republicans will hold a 72-62 seat majority in the House (pending recounts in several close races) when the 2015 Legislative Session convenes.
… Read more about: Mixed results in 2014 Elections  »

By Mathew Keller, RN JD, MNA Nurse Policy Specialist

We all know the five rights of medication administration: right patient, right route, right dose, right time, and right medication. Right documentation is often added as a sixth right.

But how can an RN give the right dose if she or he has not checked the patient’s blood glucose? In the clinical setting, blood glucose monitoring is often a delegated task. Whether the task is delegated to the patient or another properly trained assistive personnel is within the nurse’s discretion.

Diabetic items

Administering insulin based on an inmate’s self-reported blood glucose, however, presents an especially challenging ethical dilemma for  nurses in a prison setting.
… Read more about: Protect Your Practice: Insulin Administration in the Prison Setting  »

Be prepared when you vote on Nov. 4 – know who you’re voting for and know your rights before you get to the polls.

MNA has endorsed candidates for Governor, Secretary of State, Attorney General, State Auditor, and the Minnesota House who support nurses and important issues like safe patient standards. The list is on MNA’s website.

Nurses vote 2014

There’s still time to get involved and make sure those people are elected. You can make phone calls or knock on the doors of voters who share our values but need a push and a little information to get them to vote. 
… Read more about: Know your rights on Election Day – and use them!  »