Registration and Licensure Details

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Registration Number:
29662
Given Name(s):
STARR IOLA
Last Name(s):
NELSON
Register:
Registered Nurses
Category of Licence:
Not Licenced
Essential Information:
None

Decisions and Outcomes

Decision Outcomes:
Other
Date:
July 25, 2017

Reinstatement Application Dismissed
Shelburne, NS

The Reinstatement Committee of the College of Registered Nurses of Nova Scotia (CRNNS) held a hearing on the following dates to consider Ms. Nelson’s application for reinstatement of her license to practice nursing: January 12, 16, 17, 18, 31 and February 14, 2017. The application was opposed by CRNNS.

On January 7, 2013, Ms. Nelson signed a Request for Consent Revocation of her license to practice nursing. She admitted to the following incidents of professional misconduct and incapacity:

  1. Providing false information to the College respecting the number of jurisdictions where she held a nursing license;
  2. Providing false information and/or engaging in concealment of a material fact(s) when applying or securing registration or a license to practice nursing in Nova Scotia and/or other nursing jurisdictions;
  3. Breaching the terms of a Settlement Proposal approved by a Committee of the College on September 16, 2009;
  4. Engaging in the practice of nursing in certain jurisdictions while her license was suspended.

The Professional Conduct Committee accepted her application for consent revocation and barred her from applying for reinstatement of her license until after May 28, 2014.

Ms. Nelson then brought this application for reinstatement of her license under section 52 of the Registered Nurses Act, 2006, c. 21, s. 1.

During the hearing, the Reinstatement Committee reviewed extensive written evidence and heard from several witnesses presented by Ms. Nelson and CRNNS.

In coming to their decision, the Reinstatement Committee assessed the gravity of the past misconduct, along with all of the other circumstances of the case. In deciding to dismiss Ms. Nelson’s application, the Reinstatement Committee found that Ms. Nelson failed to demonstrate that she currently poses no substantive risk to patients and the public.

A detailed summary of the written reasons of the Reinstatement Committee’s decision can be found here.

In a written decision dated July 25, 2017, the Reinstatement Committee ordered Ms. Nelson to pay a portion of the costs of CRNNS in relation to this matter. The costs, in the amount of $88,564.68, are to be paid in the following manner:

  1. $29,521.56 within 12 months of the date of the costs decision.
  2. $29,521.56 within 24 months of the costs decision.
  3. $29,521.56 within 36 months of the costs decision.

The written reasons of the Reinstatement Committee’s Decision on Costs can be found here.

Decision Outcomes:
Revocation
Date:
January 10, 2013

Consent Revocation
Shelburne, NS

The Professional Conduct Committee of the College of Registered Nurses of Nova Scotia (the College) met on January 10, 2013, to review a Request for Revocation of Licence from Starr Iola Nelson, which had been agreed upon by the College. The Request for Revocation of Licence was advanced pursuant to Section 86 of the Registered Nurses Regulations.

Ms. Nelson has been a registered nurse since 1999. In a decision from 2004, the Professional Conduct Committee found that Ms. Nelson was incapacitated and required that she: 1) complete mandatory treatment; 2) be subject to an undertaking to the College; and 3) abide by conditions and restrictions placed on her licence to practise nursing. By 2006, Ms. Nelson had satisfied the requirements of the Professional Conduct Committee and the conditions and restrictions were removed from her licence, with the exception of the undertaking to the College.

In a decision from 2009 dealing with a second complaint filed against Ms. Nelson, the Professional Conduct Committee reprimanded Ms. Nelson for professional misconduct. The professional misconduct arose from Ms. Nelson altering her licence to practise nursing by removing reference to conditions imposed by the Professional Conduct Committee that were still in effect when she altered her licence. The Professional Conduct Committee also made a finding of incapacity and ordered that the interim suspension of Ms. Nelson’s licence, originally ordered by a Complaints Committee in 2008, be continued until she completed mandatory treatment and was deemed fit to return to the practice of nursing.

The current complaint before the Professional Conduct Committee arose after Ms. Nelson applied to have the suspension of her licence lifted in August 2010, and resulted in the following allegations against Ms. Nelson:

  1. In or about September 2010, Ms. Nelson provided false information to the College respecting the number of jurisdictions where she held a nursing licence;
  2. Between 2003 and 2011, Ms. Nelson provided false information and/or engaged in concealment of a material fact(s) when applying for or securing registration or a licence to practise nursing in Nova Scotia and/or other nursing jurisdictions;
  3. On at least two occasions in February and March, 2011 Ms. Nelson breached the terms of a Settlement Proposal approved by a Hearing Committee of the College on September 16, 2009; and
  4. Despite suspensions of her licence to practise nursing issued by the Complaints Committee of CRNNS in September 2008, May 2009, July 2009, and February 21, 2011, and despite referral of allegations to the Professional Conduct Committee in February, 2011 Ms. Nelson (a) engaged in the practice of nursing in North Carolina between 2008 and 2009; and (b) renewed her licence to practise nursing in the State of New York in June, 2011.

Ms. Nelson did not contest the above allegations and requested, with the consent of the College, that the PCC revoke her licence to practise nursing.

On January 10, 2013, the Professional Conduct Committee consented to the revocation of Ms. Nelson’s licence to practise nursing, effective May 28, 2012. The PCC agreed that Ms. Nelson is entitled to apply for re-instatement of her licence to practise nursing two years from the effective date of the revocation.

In its decision, the Professional Conduct Committee found that Ms. Nelson continues to suffer from incapacity. The Professional Conduct Committee noted, however, that the lack of integrity and honesty of Ms. Nelson, as she conducted herself in the matters leading to the allegations, was concerning. The Professional Conduct Committee stated that honesty and integrity are fundamental to all individuals, and hoped that the lack of honesty and integrity shown by Ms. Nelson is founded in her incapacity and not that she is a dishonest person without integrity. The Professional Conduct Committee noted that its concern was heightened given the previous reprimand issued to Ms. Nelson in 2009 for her professional misconduct.

The Professional Conduct Committee unanimously agreed that the revocation serves and protects the public interest and preserves the integrity of the nursing profession while giving Ms. Nelson the opportunity to re-enter the nursing profession in appropriate circumstances, which the Professional Conduct Committee stated will be seriously considered by any re-instatement process to which Ms. Nelson will be subject.

As the Request for Revocation of Licence contained information which is not germane to the issues in this matter, the Professional Conduct Committee ordered a publication ban on the contents of the document with the exception of the contents of this Summary.

Decision Outcomes:
Reprimand, Suspension
Date:
September 16, 2009

Reprimand
Suspension of Licence
Shelburne, NS

On September 16, 2009, the Professional Conduct Committee of the College of Registered Nurses of Nova Scotia (the College) accepted a Settlement Proposal agreed upon by the College and Starr Iola Nelson and recommended by the Complaints Committee of the College. The Complaints Committee had previously ordered an interim suspension of Ms. Nelson’s licence to practise nursing, pending further disposition by the Professional Conduct Committee.

The Settlement Proposal was advanced pursuant to Section 84 of the Registered Nurses Regulations and contained the following allegations:

  1. Ms. Nelson suffers from an incapacity which rendered and/or renders her unsafe to practise nursing.
  2. In or about September 2008, Ms. Nelson breached an undertaking on her CRNNS licence.
  3. In or about January 2006, Ms. Nelson altered her CRNNS 2006 licence to remove the words “conditions – see attached” when she made application to a nurse practitioner program.

Ms. Nelson admitted to the above allegations. She agreed that allegation I amounts to incapacity and allegations II and III amount to professional misconduct as those terms are defined in the Registered Nurses Act.

The Settlement Proposal provides that Ms. Nelson is reprimanded for her professional misconduct, and that the suspension of her licence to practise nursing will continue until such time as she satisfies the Professional Conduct Committee that she has completed mandatory treatment directed toward recovery and is fit to return to the practice of nursing.

The Settlement Proposal also provides that a breach of any aspect of the Settlement Proposal shall constitute professional misconduct and may form the subject of a hearing before the Professional Conduct Committee.

In a previous decision of the Professional Conduct Committee (dated April 2004), Ms. Nelson was found to be incapacitated; was required to complete mandatory treatment; was subject to an undertaking; and conditions and restrictions were placed on her licence to practise nursing.

Decision Outcomes:
Condition or restriction
Date:
April 21, 2004

Conditions and Restrictions on Licence
Shelburne, NS

The Professional Conduct Committee of the College of Registered Nurses of Nova Scotia (the College: CRNNS) met on April 21, 2004, to review a Settlement Proposal from Starr Iola Nelson, which had been recommended and approved by the Complaints Committee. The Settlement Proposal was advanced pursuant to Section 34 of the Regulations, made pursuant to Section 8 of the Registered Nurses Act, S.N.S. 2001, c.10, and was in response to a complaint made against Ms. Nelson by her instructor in the Nurse Practitioner Program at Dalhousie University.

Ms. Nelson has admitted that she is incapacitated within the meaning of the Registered Nurses Act, and has agreed to various forms of remediation and conditions and restrictions on her licence to practise nursing.

The Professional Conduct Committee accepted the Settlement Proposal, which had been recommended by the Complaints Committee, and ordered the following disposition:

  1. Ms. Nelson shall engage in the various forms of remediation outlined in the Settlement Proposal.
  2. Ms. Nelson shall abide by the restrictions and conditions outlined in the Settlement Proposal.
  3. In the event that Ms. Nelson breaches any of the restrictions or conditions outlined in the Settlement Proposal, the matters relating to the breach shall be referred to the Professional Conduct Committee and may form the subject of a Hearing before the Professional Conduct Committee.
  4. There shall be no costs awarded against Ms. Nelson.
  5. In accordance with Section 44 of the Registered Nurses Act:
    1. The Executive Director shall make the appropriate entries in the records of the College to indicate the restrictions and conditions imposed by the committee;
    2. The name, address, registration number, relevant provisions of the Act and Regulations under which findings had been made, the date of the Decision and this Summary of the Decision shall be published on the website of the College, and in Nursing in Focus or On-Line, whichever is next to be published by the College. The summary shall be placed in the Professional Conduct Digest, available at the offices of the College, with a full copy of the decision available to any subsequent Complaints Committees, or Professional Conduct Committees for whom it may be relevant.
    3. The Executive Director shall notify registering bodies in other Canadian jurisdictions of the existence of the restrictions and conditions imposed by this committee.
    4. The Executive Director shall notify the complainant of this decision, and provide a copy of the decision to the complainant.

The Professional Conduct Committee ordered that a publication ban be placed on the details of Ms. Nelson’s Settlement Proposal, subject to the specific publication and disclosure requirements set out above.

On July 23, 2006 all activities pursuant to sections (a) and (b) above were satisfied and the conditions and restrictions outlined in the Settlement Proposal were lifted.

* In addition to the above, Starr Iola Nelson has provided an Undertaking to the College. Please contact Professional Conduct Services at the College of Registered Nurses of Nova Scotia if information with respect to the Undertaking is required.