Profile - NA
Profile - NA
General Disclaimer:
The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate.

Availability Disclaimer:
Healthcare professionals who have an inactive or lapsed license are not required to complete a Healthcare Professions Profile until they apply for reactivation or reinstatement. If you have questions about a missing Healthcare Professions Profile or any missing documents that should be listed, please contact the Healthcare Professions Profile Program at dora_dpo_hppp@state.co.us or 303-894-5942.

Malpractice Claims Disclaimer: Some studies have shown that there is no significant correlation between malpractice history and a healthcare professional's competence. At the same time, consumers should have access to malpractice information. To make the best healthcare decisions, you should view this information in perspective. You could miss an opportunity for high quality care by selecting a healthcare professional based solely on malpractice history. When considering malpractice data, please keep in mind: Malpractice histories tend to vary by profession and by specialty. Some professions or specialties are more likely than others to be the subject of litigation. You should take into account how long the healthcare professional has been in practice when considering malpractice averages. The incident causing the malpractice claim may have happened years before a payment is finally made. Sometimes, it takes a long time for a malpractice lawsuit to move through the legal system. Some healthcare professionals work primarily with high-risk patients. These healthcare professionals may have malpractice histories that are higher than average because they specialize in cases or patients who are at very high risk for problems. Settlement of a claim may occur for a variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the healthcare professional. A payment in settlement of a malpractice action or claim should not be construed as creating a presumption that malpractice has occurred. You may wish to discuss information provided, and malpractice generally, with your healthcare professional.
Name nicole Dawn Sherman-luce
Credential NA

Healthcare Profile - Certified Nurse Aide Introduction

Healthcare Professions Profile | Introduction
Please be aware that this profile is only for your CERTIFIED NURSE AIDE certification. Do not provide information for other license types you hold on this profile. You will be required to complete a profile for every license you hold that is included in the profiling requirement.

All information provided in this profile must be updated within 30 days of any change of information unless your profession's statute says otherwise, or unless the question specifies otherwise.
 

Healthcare Profile - Certified Nurse Aide Location of Practice

Healthcare Professions Profile | Location of Practice
Are you currently practicing in the healthcare profession associated with this profile?
No
 

Healthcare Profile - Location of Practice if Yes

Healthcare Professions Profile | Location of Practice
Practice Locations:
Address  City  State  Zip Code  Phone Number 
 

Healthcare Profile - Certified Nurse Aide Education and Training

Healthcare Professions Profile | Education and Training
School or Education Level:
Training Program
 

Healthcare Profile - Certified Nurse Aide Other Licenses

Healthcare Professions Profile | Other Licenses
Have you ever held, or do you currently hold any other licenses in this profession from any other state, country or province?
No
 

Healthcare Profile - Other Licenses if Yes

Healthcare Professions Profile | Other Licenses
Other Licenses:
State  License Status  Year Originally Issued 
 

Healthcare Profile - Certified Nurse Aide Business Ownership

Healthcare Professions Profile | Business Ownership
Do you have a current business ownership interest in any healthcare-related business?
No
 

Healthcare Profile - Business Ownership if Yes

Healthcare Professions Profile | Business Ownership
Business Ownership:
Business Name  City  State 
 

Healthcare Profile - Certified Nurse Aide Employer

Healthcare Professions Profile | Employer
Do you have an employer in the profession in which you are licensed or are applying for a license?
No
 

Healthcare Profile - Employer if Yes

Healthcare Professions Profile | Employer
Employer:
Employer Name  Address  City  State  Zip Code  Phone Number 
 

Healthcare Profile - Certified Nurse Aide Employment Contracts

Healthcare Professions Profile | Employment Contracts
Do you have a contract with any business whose mission relates to healthcare services or products where the value is greater than $5000 annually?
No
 

Healthcare Profile - Employment Contracts if Yes

Healthcare Professions Profile | Employment Contracts
Employment Contracts:
Entity Name  Length of Contract  Contract Position 
 

Healthcare Profile - Certified Nurse Aide Disciplinary Actions

Healthcare Professions Profile | Disciplinary Actions
Have you ever had public disciplinary action taken against your license by any board or licensing agency in any state or country?
No
 

Healthcare Profile - Disciplinary Actions if Yes

Healthcare Professions Profile | Disciplinary Actions
Disciplinary Actions:
Discipline Year  State 
 

Healthcare Profile - Certified Nurse Aide Restrictions and Suspensions

Healthcare Professions Profile | Restrictions and Suspensions
Have you ever entered into any agreement or stipulation to temporarily cease your practice or had a board order issued restricting or suspending your license?
No
 

Healthcare Profile - Restrictions and Suspensions if Yes

Healthcare Professions Profile | Restrictions and Suspensions
Restrictions and Suspensions:
Restriction Year  State 
 

Healthcare Profile - Certified Nurse Aide Termination of Employment

Healthcare Professions Profile | Termination of Employment
Have you ever been terminated by an employer for a reason that would be considered a violation of your profession's practice law?
No
 

Healthcare Profile - Termination of Employment if Yes

Healthcare Professions Profile | Termination of Employment
Terminations:
Employer Name  Termination Date 
 

Healthcare Profile - Certified Nurse Aide Convictions

Healthcare Professions Profile | Convictions
Since you were issued a license to practice your profession in any state or country, have you had any final criminal conviction(s) or plea arrangement(s) resulting from the commission or alleged commission of a felony or crime of moral turpitude in any jurisdiction?
No
 

Healthcare Profile - Convictions if Yes

Healthcare Professions Profile | Convictions
Convictions:
Year  State  Jurisdiction 
 

Healthcare Profile - Certified Nurse Aide Optional Narrative

Healthcare Professions Profile | Optional Narrative
Optional Narrative:

 

Healthcare Profile - Certified Nurse Aide Attestation

Healthcare Professions Profile | Attestation
By submitting this Healthcare Professions Profile to the Division of Professions and Occupations you are attesting that:
  • I am the person identified in this profile; or
  • You are authorized to submit information on behalf of the person identified in this profile; and
  • The information contained herein is true and correct to the best of my knowledge.
 
Submission Date:
08/29/2020
 

Expanded Scope of Practice - Introduction

Certified Nurse Aide Expanded Scope of Practice | Introduction
The following questions are not a part of the Healthcare Professions Profile statute and are instead collected pursuant to Section 7.3 of Chapter 10 Rule. These questions are required by statute to be available to the public for review.

Within 30 days of being deemed competent to perform the tasks in Section 7.3 of the Chapter 10 Rules, the CNA must update the expanded scope questions on the Healthcare Professions Profile (HPPP) indicating the tasks the CNA has been deemed competent to perform, the name and license number of the RN that deemed the CNA competent, along with the date deemed competent.

 

Expanded Scope of Practice - Stimulation

Certified Nurse Aide Expanded Scope of Practice | Stimulation
Have you been deemed competent to perform digital stimulation, insertion of a suppository, or the use of an enema, or any other medically acceptable procedure to stimulate a bowel movement for clients/patients with stable health conditions and are not considered high risk.
No
 

Expanded Scope of Practice - Stimulation if Yes

Certified Nurse Aide Expanded Scope of Practice | Stimulation
The full name (first and last) of the RN that deemed you competent:

 
The license number of the RN that deemed you competent:

 
The date you were deemed competent or deemed to have continued competence:

 

Expanded Scope of Practice - Gastrostomy

Certified Nurse Aide Expanded Scope of Practice | Gastrostomy
Have you been deemed competent to perform gastrostomy-tube and jejunostomy-tube feedings for clients/patients with stable health conditions and are not considered high risk.
No
 

Expanded Scope of Practice - Gastrostomy if Yes

Certified Nurse Aide Expanded Scope of Practice | Gastrostomy
The full name (first and last) of the RN that deemed you competent:

 
The license number of the RN that deemed you competent:

 
The date you were deemed competent or deemed to have continued competence:

 

Expanded Scope of Practice - Medication

Certified Nurse Aide Expanded Scope of Practice | Medication
Have you been deemed competent to perform placement in a client's mouth of presorted medication that has been boxed or packaged by a Registered Nurse, a Licensed Practical Nurse, or a Pharmacist for clients/patients with stable health conditions and are not considered high risk.
No
 

Expanded Scope of Practice - Medication if Yes

Certified Nurse Aide Expanded Scope of Practice | Medication
The full name (first and last) of the RN that deemed you competent:

 
The license number of the RN that deemed you competent:

 
The date you were deemed competent or deemed to have continued competence:

 

Review
It's a good idea to print this screen for your records as after you submit your application you will not be able to access it again. To do so follow the below steps:

  • Select the "Print Review" button in the upper right hand corner of this page
  • The Print Review window will open in a new browser tab. In that window select "Print" and your document will print to your selected printer.
  • After printing, close the Print Review browser tab.

After you close the Print Review tab, you will be returned to this page and can complete your submission.