OPEN SESSION TELEPHONE CONFERENCE CALL BOARD MEETING

BOARD OFFICE CONFERENCE ROOM NEVADA STATE BOARD OF MEDICAL EXAMINERS

1105 TERMINAL WAY, SUITE 301 RENO, NEVADA 89502

 

FRIDAY, AUGUST 17, 2001

 

MEMBERS PRESENT: Cheryl A. Hug-English, M.D., President; Jaculine C. Jones, Ed.D., Vice President; Joel N. Lubritz, M.D., Secretary-Treasurer; Paul A. Stewart, M.D.; Donald H. Baepler, Ph.D.; Robin L. Titus, M.D.; Sohail U. Anjum, M.D.; Marlene J. Kirch

MEMBER ABSENT: Dipak K. Desai, M.D.

STAFF PRESENT: Maureen E. Lyons, Deputy Executive Director; Richard J. Legarza, J.D., General Counsel; Charlotte M. Bible, J.D., Assistant Chief Deputy Attorney General; Michael J. Garcia, R.R.T., Practitioner of Respiratory Care Advisory Committee Member; Donald W. Wright, R.R.T., Practitioner of Respiratory Care Advisory Committee Member; Steven Kessinger, C.R.T.T., Practitioner of Respiratory Care Advisory Committee Member

 

AGENDA ITEM 1

Call to Order- Cheryl A. Hug-English, M.D., President

The ATT telephone conference call operator took roll call and the meeting was called to order by the board's vice President, Jaculine C. Jones, Ed.D., at 3:03 p.m. The President, Cheryl A. Hug-English, M.D. arrived at 3:07 p.m.

 

AGENDA ITEM 2

Consideration of Proposed Regulations to License and Discipline Practitioners of Respiratory Care

Mr. Legarza reviewed the proposed regulations and asked that the board approve the proposed regulations for public workshops. He suggested holding the public workshops on the proposed regulations in Las Vegas at the Sawyer State Building in room 4412E on September 12, 2001, and in Reno at the board's offices on September 13, 2001. He also suggested the date of October 11, 2001, for a board telephone conference call meeting to consideration adoption of the regulations by the board.

Dr. Stewart moved to authorize Mr. Legarza to proceed with the public workshops on the regulations and the board telephone conference call meeting to consider adoption of the regulations as recommended by Mr. Legarza. Mrs. Kirch seconded the motion.

Dr. Hug-English recognized Maryanne Dawicki, Political Director for Nevada Service Employees Union, and Eric Schweitzer, C.RT., who appeared at the meeting in the Reno office to make a statement regarding the proposed regulations. Ms. Dawicki stated that the Nevada Service Employees Union feels that it "sends a bad message" that the "rank and file" (the worker) members of the practitioners of respiratory care profession, namely the Nevada Service Employees Union, weren't allowed the opportunity to be involved in the initial processes of the creation of the law regarding licensure ofthe profession. Dr. Hug-English thanked Ms. Dawicki for her comments and advised her to attend the public workshops on the proposed regulations to provide input for the record and the board's consideration.

The motion passed unanimously, with the Chair voting in favor of the motion.

 

AGENDA ITEM 3

Consideration of Procedure for Administratively Approving Practitioners of Respiratory Care Licensure to be Effective January 1. 2002

Mrs. Lyons requested the board's authorization for staff to administratively issue licenses to practitioners of respiratory care prior to January 1, 2002, which licensure will becoming effective on that date.

Dr. Baepler moved to authorize board staff to administratively issue licensed to practitioners of respiratory care prior to January 1, 2002. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

 

AGENDA ITEM 4

Approval of Application and Biennial Registration Renewal Forms for Practitioner of Respiratory Care Licenses, Volunteer Licenses, and Special Purpose (Telemedicine) Licenses

Mrs. Lyons requested that the board approve the forms as they appear in the agenda packet.

Dr. Titus moved to approve the forms. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

 

AGENDA ITEM 5

Consideration of Application Fee ($100.00 - recommended by staff) and Biennial Registration Renewal Fee ($600.00 - recommended by staff) for Special Purpose (Telemedicine) Licensure

Mrs. Lyons requested the board's approval of the staff proposed fees for special purpose (telemedicine) licensure. Discussion ensued.

Dr. Baepler moved to approve the fees for special purpose licensure, as recommended by staff. Dr. Lubritz seconded the motion, and it passed, with the Chair opposing the motion.

 

AGENDA ITEM 6

Consideration of Request from Carlos E. Fonte, M.D. for Approval of Medical Training Per NRS 630.0470)

Mrs. Lyons reviewed the request from Carlos E. Fonte, M.D. for board members, explaining that per NRS 630.047(1), physicians not licensed in Nevada may come into the state for medical training only upon prior board approval of the training.

Discussion ensued, with some board members expressing concern about whether or not patients being treated during the course of Dr. Fonte's training would be informed that they may be operated on by physicians in training. It was also of concern to some board members that the medical procedure for which Dr. Fonte will be training have a history of positive outcomes.

Dr. Stewart moved to table the agenda item until the September board meeting. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Mrs. Lyons stated that she will draft a letter to Dr. Fonte requesting additional information and clarification regarding the medical training for which he is seeking approval by the board.

 

AGENDA ITEM 7

Petition for Approval to Allow Simultaneous Collaboration/Supervision of More than Three Advanced Practitioners of Nursing/Physician Assistants per NAC 630.047(1)

- Jeffrey A. Wrightson, M.D.

Mrs. Lyons reviewed the request from Jeffrey A. Wrightson, M.D. for board members, explaining that per NRS 630.495(2), a supervising/collaborating physician may petition the board for approval to supervise/collaborate with more than three physician assistants/advanced practitioners of nursing under special circumstances.

Discussion ensued, with some board members expressing concern about Dr. Wrightson's reasons for needing to be approved to supervise/collaborate with more than three advanced practitioners of nursing/physician assistants. It was also of concern to some board members whether he would be able to competently and satisfactorily supervise/collaborate with more than three advanced practitioners of nursing/physician assistants in his practice setting(s).

Dr. Stewart moved to table the agenda item until the September board meeting. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Mrs. Lyons stated that she will draft a letter to Dr. Wrightson requesting additional information and clarification regarding his petition to the board.

 

AGENDA ITEM 8

Matters for Future Agenda

There was no discussion of matters for future agenda.

 

AGENDA ITEM 9

Public Comment

There was no public comment.

 

ADJOURNMENT

Dr. Baepler moved to adjourn the meeting. Dr. Jones seconded the motion, and it passed unanimously. The meeting adjourned at 3:55 p.m.