The purpose of this Code is to establish clear & ethical parameters for the Certified Surgical Assistant.
The Standards of Ethics of the National Commission for the Certification of Surgical Assistants (NCCSA) shall apply solely to persons holding the Certified Surgical Assistant (CSA) credential from NCCSA that are either currently certified by NCCSA or that were formerly certified by the National Surgical Assistant Association (NSAA) (collectively, “Credential Holders”), and to persons applying for examination and certification by NCCSA in order to become Credential Holders (“Candidates”). Certified Surgical Assistant (CSA) is a term that is inclusive of the disciplines of surgical assisting. The Standards of Ethics are intended to be consistent with the Mission Statement of NCCSA, and to promote the goals set forth in the Mission Statement.
STATEMENT OF PURPOSE
The purpose of the ethics requirements is to identify individuals who have internalized a set of professional values that cause one to act in the best interests of patients. This internalization of professional values and the resulting behavior is one element of NCCSA’s definition of what it means to be qualified. Exhibiting certain behaviors that are counter to those documented in NCCSA’s Standards of Ethics is evidence of the possible lack of appropriate professional values.
The Standards of Ethics document provides proactive guidance on what it means to be qualified and to motivate and promote a culture of ethical behavior within the profession. The ethics requirements support the NCCSA’s mission of promoting high standards of patient care by removing or restricting the use of the credential by those who exhibit behavior inconsistent with the requirements.
A. CODE OF ETHICS
The Code of Ethics forms the first part of the Standards of Ethics. The Code of Ethics shall serve as a guide by which Credential Holders and Candidates may evaluate their professional conduct as it relates to patients, healthcare consumers, employers, colleagues, and other members of the healthcare team. The Code of Ethics is intended to assist Credential Holders and Candidates in maintaining a high level of ethical conduct and in providing for the protection, safety, comfort and optimal surgical outcomes for patients.
- The Certified Surgical Assistant (CSA) acts in a professional manner, responds to patient needs, and supports colleagues and associates in providing quality patient care.
- The Certified Surgical Assistant (CSA) acts to advance the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind.
- The Certified Surgical Assistant (CSA) delivers patient care that is unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion, or socio-economic status.
- The Certified Surgical Assistant (CSA) assesses situations; exercises care, discretion, and judgment; assumes responsibility for professional decisions; and acts in the best interest of the patient.
- The Certified Surgical Assistant (CSA) acts as an agent through observation and communication to obtain pertinent information for the surgeon to aid in the exposure and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession.
- The Certified Surgical Assistant (CSA) uses equipment and accessories, employs techniques and procedures, performs services in accordance with accepted standards of practice, and demonstrates expertise in all pertinent aspects of surgical patient care.
- The Certified Surgical Assistant (CSA) demonstrates ethical conduct appropriate to the profession and protects the patient’s right to quality care.
- The Certified Surgical Assistant (CSA) respects confidences entrusted in the course of professional practice, respects the patient’s right to privacy, and reveals confidential information only as required by law or to protect the welfare of the individual or the community.
- The Certified Surgical Assistant (CSA) continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues, and investigating new aspects of professional practice.
B. RULES OF ETHICS
The Rules of Ethics form the second part of the Standards of Ethics. They are mandatory standards of minimally acceptable professional conduct for all Credential Holders and Candidates. Certification is a method of assuring the medical community and the public that an individual is qualified to practice within the profession. Because the public relies on Credentials issued by NCCSA, it is essential that Credential Holders and Candidates act consistently with these Rules of Ethics. These Rules of Ethics are intended to promote the protection, safety, and comfort of patients. The Rules of Ethics are enforceable. Credential Holders and Candidates engaging in any of the following conduct or activities, or who permit the occurrence of the following conduct or activities with respect to them, have violated the Rules of Ethics and are subject to sanctions as described hereunder:
- Employing fraud or deceit in procuring or attempting to procure, maintain, renew, or obtain or reinstate certification as issued by NCCSA; employment in surgical assisting; or a state permit, license, or registration of credential to practice surgical assisting. This includes altering in any respect any document issued by the NCCSA or any state or federal agency, or by indicating in writing that one holds certification with the NCCSA when that is not the case.
- Subverting or attempting to subvert NCCSA’s examination process. Conduct that subverts or attempts to subvert the CSA examination includes, but is not limited to:
- disclosing CSA examination information using language that is substantially similar to that used in questions and/or answers from CSA examinations when such information is gained as a direct result of having been an examinee or having communicated with an examinee; this includes, but is not limited to, disclosures to students in educational programs, graduates of educational programs, educators, anyone else involved in the preparation of Candidates to sit for the CSA examination; and/or
- receiving examination information that uses language that is substantially similar to that used in questions and/or answers on a CSA examination from a examinee, whether requested or not; and/or
- copying, publishing, reconstructing (whether by memory or otherwise), reproducing or transmitting any portion of the CSA examination materials by any means, verbal or written, electronic or mechanical, without the prior express written permission of NCCSA or using professional, paid or repeat CSA examination takers, or any other individual for the purpose of reconstructing any portion of the CSA examination; and/or
- using or purporting to use any portion of CSA examination materials that were obtained improperly or without authorization for the purpose of instructing or preparing any Candidate for the CSA examination; and/or
- selling or offering to sell, buying or offering to buy, or distributing or offering to distribute any portion of the CSA examination materials without authorization; and/or
- removing or attempting to remove CSA examination materials from an examination room, or having unauthorized possession of any portion of, or information concerning a future, current, or previously administered CSA examination; and/or
- disclosing what purports to be, or what you claim to be, or under all circumstances is likely to be understood by the recipient as, any portion of, or “inside” information concerning any portion of a future, current, or previously administered CSA examination of NCCSA; and/or
- communicating with another individual during administration of the CSA examination for the purpose of giving or receiving help in answering examination questions, copying another Candidate’s answers, permitting another Candidate to copy one’s answers, or possessing unauthorized materials including, but not limited to, notes; and/or
- impersonating a Candidate, or permitting an impersonator to take or attempt to take the CSA examination on one’s own behalf; and/or
- using any other means that potentially alters the results of the CSA examination such that the results may not accurately represent the professional knowledge base of a Candidate.
- Convictions, criminal proceedings, or military court-martials as described below:
- conviction of a crime, including a felony, a gross misdemeanor, or a misdemeanor, with the sole exception of speeding and parking violations. All alcohol and/or drug related violations must be reported; and/or
- criminal proceeding where a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld, deferred, or not entered or the sentence is suspended or stayed; or a criminal proceeding where the individual enters a plea of guilty or nolo contendere (no contest); or where the individual enters into a pre-trial diversion activity; or
- Military court-martials related to any offense identified in these Rules of Ethics.
- Violating a rule adopted by a state or federal regulatory authority or certification board resulting in the individual’s professional license, permit, registration or certification being denied, revoked, suspended, placed on probation or a consent agreement or order, voluntarily surrendered, subjected to any conditions, or failing to report to NCCSA any of the violations or actions identified in this Rule.
- Performing procedures which the individual is not competent to perform through appropriate training and/or education or experience unless assisted or personally supervised by someone who is competent (through training and/or education or experience).
- Engaging in unprofessional conduct, including, but not limited to:
- a departure from or failure to conform to applicable federal, state, or local governmental rules regarding surgical assisting practice or scope of practice; or, if no such rule exists, to the minimal standards of acceptable and prevailing surgical assisting practice;
- any surgical assisting practice that may create unnecessary danger to a patient’s life, health, or safety. Actual injury to a patient or the public need not be established under this clause.
- Delegating or accepting the delegation of a surgical assisting function or any other prescribed healthcare function when the delegation or acceptance could reasonably be expected to create an unnecessary danger to a patient’s life, health, or safety. Actual injury to a patient need not be established under this clause.
- Actual or potential inability to practice surgical assisting with reasonable skill and safety to patients by reason of illness; use of alcohol, drugs, chemicals, or any other material; or as a result of any mental or physical condition. .
- Adjudication as mentally incompetent, mentally ill, chemically dependent, or dangerous to the public, by a court of competent jurisdiction.
- Engaging in any unethical conduct, including, but not limited to, conduct likely to deceive, defraud, or harm the public; or demonstrating a willful or careless disregard for the health, welfare, or safety of a patient.
- Engaging in inappropriate conduct with a patient that is sexual or may reasonably be interpreted by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning to a patient; or engaging in sexual exploitation of a patient or former patient. This also applies to any unwanted sexual behavior, verbal or otherwise.
- Revealing a privileged communication from or relating to a former or current patient, except when otherwise required or permitted by law, or viewing, using or releasing confidential patient information in violation of HIPAA.
- Knowingly engaging or assisting any person to engage in, or otherwise participating in, abusive or fraudulent billing practices, including violations of federal Medicare and Medicaid laws or state medical assistance laws.
- Improper management of patient records, including failure to maintain adequate patient records or to furnish a patient record or report required by law; or making, causing, or permitting anyone to make false, deceptive, or misleading entry in any patient record.
- Knowingly assisting, advising, or allowing a person without a current and appropriate state permit, license, registration, or an NCCSA Credential to engage in the practice of surgical assisting, in a jurisdiction that mandates such requirements.
- Violating a state or federal narcotics or controlled-substance law.
- Knowingly providing false or misleading information that is directly related to the care of a former or current patient.
- Subverting, attempting to subvert, or aiding others to subvert or attempt to subvert NCCSA‘s Continuing Education Unit (CEU) Requirements for Renewal of Certification. Conduct that subverts or attempts to subvert NCCSA’s CEU Requirements includes, but is not limited to:
- providing false, inaccurate, altered, or deceptive information related to CEU activities to NCCSA or an NCCSA recognized record-keeper; and/or
- assisting others to provide false, inaccurate, altered, or deceptive information related to CEU activities to NCCSA or an NCCSA recognized record-keeper; and/or
- conduct that results or could result in a false or deceptive report of CEU completion; and/or
- conduct that in any way compromises the integrity of the CEU Requirements such as sharing answers to the post-tests or self-learning activities, providing or using false Credentials of participation, or verifying credits that were not earned.
- Subverting or attempting to subvert the NCCSA certification process by:
- making a false statement or knowingly providing false information to NCCSA; or
- failing to cooperate with any investigation by the NCCSA.
- Engaging in false, fraudulent, deceptive, or misleading communications to any person regarding the individual’s education, training, credentials, experience, or qualifications, or the status of the individual’s state permit, license, or registration Credential in surgical assisting or Credential with the NCCSA.
- Knowing of a violation or a probable violation of any Rule of Ethics by any Credential Holder or Candidate and failing to promptly report in writing the same to the NCCSA.
- Failing to immediately report to his or her supervisor information concerning an error made in connection with treating, or caring for a patient. For purposes of this rule, errors include any departure from the standard of care that reasonably may be considered to be potentially harmful, unethical, or improper (commission). Errors also include behavior that is negligent or should have occurred in connection with a patient’s care, but did not (omission). The duty to report under this rule exists whether or not the patient suffered any injury.
C. ADMINISTRATIVE PROCEDURES
These Administrative Procedures provide for the structure and operation of the Ethics Committee; they detail procedures followed by the Ethics Committee and by the Board of Directors of NCCSA in handling challenges raised under the Rules of Ethics, and in handling matters relating to the denial of an application for certification (for reasons other than failure to meet the criteria as stated in Article II, Sections 2.03 and 2.04 of the NCCSA Rules and Regulations, in which case, there is no right to a hearing) or the denial of renewal or reinstatement of a certification. All Credential Holders and Candidates are required to comply with these Administrative Procedures. The failure to cooperate with the Ethics Committee or the Board of Directors in a proceeding on a challenge may be considered by the Ethics Committee and by the Board of Directors according to the same procedures and with the same sanctions as failure to observe the Rules of Ethics.
- Ethics Committee
(a) Membership and Responsibilities of the Ethics Committee
The President, with the approval of the Board of Directors, appoints at least three Trustees to serve as members of the Ethics Committee, each such person to serve on the Committee until removed and replaced by the President, with the approval of the Board of Directors, at any time, with or without cause. The President, with the approval of the Board of Directors, will also appoint a fourth, alternate member to the Committee. The alternate member will participate on the Committee in the event that one of the members of the Ethics Committee is unable to participate. The Ethics Committee is responsible for:
- Investigating each alleged breach of the Rules of Ethics and determining whether a Credential Holder or Candidate has failed to observe the Rules of Ethics and determining an appropriate sanction; and
- Periodically assessing the Code of Ethics, Rules of Ethics, and Administrative Procedures and recommending any amendments to the Board of Directors.
(b) The Chair of the Ethics Committee
The President, with the approval of the Board of Directors, appoints one member of the Ethics Committee as the Committee’s Chair to serve for a term of two years as the principal administrative officer responsible for management of the promulgation, interpretation, and enforcement of the Standards of Ethics. The President may remove and replace the Chair of the Committee, with the approval of the Board of Directors, at any time, with or without cause. The Chair presides at and participates in meetings of the Ethics Committee and is responsible directly and exclusively to the Board of Directors, using staff, legal counsel, and other resources necessary to fulfill the responsibilities of administering the Standards of Ethics.
(c) Preliminary Screening of Potential Violation of the Rules of Ethics
The Chair of the Ethics Committee shall review each alleged violation of the Rules of Ethics that is brought to the attention of the Ethics Committee. If, in the sole discretion of the Chair:
- there is insufficient information upon which to base a charge of a violation of the Rules of Ethics; or
- the allegations against the Credential Holder or Candidate are patently frivolous or inconsequential; or
- the allegations, if true, would not constitute a violation of the Rules of Ethics, the Chair may summarily dismiss the matter. The Chair may be assisted by staff and/or legal counsel of NCCSA. The Chair shall report each such summary dismissal to the Ethics Committee.
(d) Alternative Dispositions
At the Chair’s direction and upon request, the Credentials Liaison of the NCCSA shall have the power to investigate allegations and to enter into negotiations with the Credential Holder or Candidate regarding the possible settlement of an alleged violation of the Rules of Ethics. The Credentials Liaison may be assisted by staff members and/or legal counsel of the NCCSA. The Credentials Liaison is not empowered to enter into a binding settlement, but rather may recommend proposed settlement to the Ethics Committee.
The Ethics Committee may accept the proposed settlement, make a counterproposal to the Credential Holder or Candidate, or reject the proposed settlement and proceed under these Administrative Procedures. A Credential Holder or Candidate who voluntarily enters into an Alternative Disposition Agreement agrees to waive all rights set forth in these Administrative Procedures.
(e) Summary Suspensions
If an alleged violation of the Rules of Ethics involves the occurrence, with respect to a Credential Holder, of an event described in the Rules of Ethics, or any other event that the Ethics Committee determines would, if true, potentially pose harm to the health, safety, or well-being of any patient or the public, then, notwithstanding anything apparently or expressly to the contrary contained in these Administrative Procedures, the Ethics Committee may, without prior notice to the Credential Holder and without a prior hearing, summarily suspend the certification of the Credential Holder pending a final determination under these Administrative Procedures with respect to whether the alleged violation of the Rules of Ethics in fact occurred. Within five working days after the Ethics Committee summarily suspends the certification of a Credential Holder in accordance with this provision, the Ethics Committee shall, by certified mail, return receipt requested, give to the Credential Holder written notice that describes:
- the summary suspension;
- the reason or reasons for it; and
- the right of the Credential Holder to request a hearing with respect to the summary suspension by written notice to the Ethics Committee, which written notice must be received by the Ethics Committee not later than 15 days after the date of the written notice of summary suspension by the Ethics Committee to the Credential Holder. If the Credential Holder requests a hearing in a timely manner with respect to the summary suspension, the hearing shall be held before the Ethics Committee or a panel comprised of no fewer than three members of the Ethics Committee as promptly as practicable, but in any event within 30 days after the Ethics Committee’s receipt of the Credential Holder’s request for the hearing. The applicable provisions of Section 2 (Hearings) of these Administrative Procedures shall govern all hearings with respect to summary suspensions, except that neither a determination of the Ethics Committee, in the absence of a timely request for a hearing by the affected Credential Holder, nor a determination by the Ethics Committee or a panel, following a timely requested hearing, is appealable to the Board of Directors.
(f) Voluntary Surrender of Credentials
At any time during the ethics review process, the Credential Holder may request to voluntarily surrender his or her NCCSA credentials and accept permanent revocation of NCCSA Certification. To request a voluntary surrender, the Credential Holder must complete the Voluntary Credential Surrender and Sanction Agreement form (“Agreement”). Agreement must be signed by the Credential Holder, notarized, and submitted to the NCCSA. The Credentials Liaison of NCCSA shall have the authority to receive the request and may be assisted by staff members and/or legal counsel of NCCSA. The Credentials Liaison is not empowered to enter into a binding agreement, but rather may recommend a proposed action to the Ethics Committee. The Ethics Committee will then decide whether to accept or deny the request for surrender of credentials. If denied by NCCSA, the ethics review will continue according to the Standards of Ethics. If accepted by NCCSA, the ethics review process will be discontinued, the Credential Holder agrees to waive all rights set forth in these Administrative Procedures, and a sanction for permanent revocation will be entered against the Credential Holder.
(g) Civil or Criminal Penalties
Conduct that violates the NCCSA’s Rules of Ethics may also violate applicable state or federal law. In addition to the potential sanctions under the Standards of Ethics, the NCCSA may, without giving prior notice, pursue civil and/or criminal penalties against the Credential Holder or Candidate.
Whenever the NCCSA proposes to take action in respect to the denial of an application for certification (for reasons other than failure to meet the criteria as stated in Article II, Sections 2.03 and 2.04 of the NCCSA Rules and Regulations, in which case there is no right to a hearing) or of an application for renewal or reinstatement of a certification, or in connection with the revocation or suspension of a Credential, or the censure of a Credential Holder or Candidate for an alleged violation of the Rules of Ethics, it shall give written notice thereof to such person, specifying the reasons for such proposed action. A Credential Holder or Candidate to whom such notice is given shall have 30 days from the date the notice of such proposed action is mailed to make a written request for a hearing. The written request for a hearing must be accompanied by a nonrefundable hearing fee in the amount of $100. In rare cases, the hearing fee may be waived, in whole or in part, at the sale discretion of the Ethics Committee.
Failure to make a written request for a hearing and to remit the hearing fee (unless the hearing fee is waived in writing by the NCCSA) within such period shall constitute consent to the action taken by the Ethics Committee or the Board of Trustees pursuant to such notice. A Credential Holder or Candidate who requests a hearing in the manner prescribed above shall advise the Ethics Committee of his or her intention to appear at the hearing. A Credential Holder or Candidate who requests a hearing may elect to appear by a written submission which shall be verified or acknowledged under oath.
Failure to appear at the hearing or to supply a written submission in response to the charges shall be deemed a default on the merits and shall be deemed consent to whatever action or disciplinary measures that the Ethics Committee determines to take. Hearings shall be held at such date, time, and place as shall be designated by the Ethics Committee or the Credentials Liaison. The Credential Holder or Candidate shall be given at least 30 days’ notice of the date, time, and place of the hearing. The hearing is conducted by the Ethics Committee with any three or more of its members participating, other than any member of the Ethics Committee whose professional activities are conducted at a location in the approximate area of the Credential Holder or Candidate in question. In the event of such disqualification, the President may appoint a Trustee to serve on the Ethics Committee for the sale purpose of participating in the hearing and rendering a decision. At the hearing, NCCSA shall present the charges against the Credential Holder or Candidate in question, and the facts and evidence of NCCSA in respect to the basis or bases for the proposed action or disciplinary measure. The Ethics Committee may be assisted by legal counsel. The Credential Holder or Candidate in question, by legal counselor other representative if he or she desires (at the sole expense of the Credential Holder or Candidate in question), shall have the right to call witnesses, present testimony, and be heard in his or her own defense; to hear the testimony of and to cross-examine any witnesses appearing at such hearing; and to present such other evidence or testimony as the Ethics Committee shall deem appropriate to do substantial justice. Any information may be considered that is relevant or potentially relevant. The Ethics Committee shall not be bound by any state or federal rules of evidence. The Credential Holder or Candidate in question shall have the right to submit a written statement at the close of the hearing. A transcript or an audio recording of the hearing testimony is made for in-person hearings only. Ethics Committee deliberations are not recorded.
In the case where NCCSA proposes to take action in respect to the denial of an application for certification (for reasons other than failure to meet the criteria as stated in Article II, Sections 2.03 and 2.04 of the NCCSA Rules and Regulations) or the denial of renewal or reinstatement of a certification, the Ethics Committee shall assess the evidence presented at the hearing and make its decision accordingly, and shall prepare written findings of fact and its determination as to whether grounds exist for the denial of an application for certification or renewal or reinstatement of a Credential, and shall promptly transmit the same to the Board of Directors and to the Credential Holder or Candidate in question.
In the case of alleged violations of the Rules of Ethics by a Credential Holder or Candidate, the Ethics Committee shall assess the evidence presented at the hearing and make its decision accordingly, and shall prepare written findings of fact and its determination as to whether there has been a violation of the Rules of Ethics and, if so, the appropriate sanction, and shall promptly transmit the same to the Board of Directors and to the Credential Holder or Candidate in question. Potential sanctions include denial of renewal or reinstatement of a certification with NCCSA, revocation or suspension of a certification with ARRT, or the public or private reprimand of a Credential Holder or Candidate.
Unless a timely appeal from any findings of fact and determination by the Ethics Committee is taken to the Board of Directors in accordance with Section 3 below (Appeals), the Ethics Committee’s findings of fact and determination in any matter (including the specified sanction) shall be final and binding upon the Credential Holder or Candidate in question.
Except as otherwise noted in these Administrative Procedures, the Credential Holder or Candidate may appeal any decision of the Ethics Committee to the Board of Directors by submitting a written request for an appeal within 30 days after the decision of the Ethics Committee is mailed. The written request for an appeal must be accompanied by a nonrefundable appeal fee in the amount of $250. In rare cases, the appeal fee may be waived, in whole or in part, at the sole discretion of the Ethics Committee.
In the event of an appeal, those Trustees who participated in the hearing of the Ethics Committee shall not participate in the appeal. The remaining members of the Board of Directors shall consider the decision of the Ethics Committee, the files and records of NCCSA applicable to the case at issue, and any written appellate submission of the Credential Holder or Candidate in question, and shall determine whether to affirm or to modify the decision of the Ethics Committee or to remand the matter to the Ethics Committee for further consideration. In making such determination to affirm or to modify, findings of fact made by the Ethics Committee shall .be conclusive if supported by any evidence. The Board of Directors may grant re-hearings, hear additional evidence, or request that NCCSA or the Credential Holder or Candidate in question provide additional information in such manner, on such issues, and within such time as it may prescribe. All hearings and appeals provided for herein shall be private at all stages. It shall be considered an act of professional misconduct for any Credential Holder or Candidate to make an unauthorized publication or revelation of the same, except to his or her attorney or other representative, immediate superior, or employer.
- Publication of Adverse Decisions
Final decisions and summary suspensions that are adverse to the Credential Holder or Candidate will be communicated to the appropriate authorities of certification organizations and state regulatory agencies and provided in response to written inquiries into an individual’s certification status. NCCSA shall also have the right to publish any final adverse decisions and summary suspensions and the reasons therefore. For purposes of this paragraph, a “final decision” means and includes: a determination of the Ethics Committee relating to an adverse decision if the affected Credential Holder or Candidate does not request a hearing in a timely manner; a non-appealable decision of the Ethics Committee; an appealable decision of the Ethics Committee from which no timely appeal is taken; and, the decision of the Board of Directors in a case involving an appeal of an appealable decision of the Ethics Committee.
- Procedure to Request Removal of a Sanction
A sanction imposed by NCCSA specifically provides a sanction time frame and it shall be presumed that a sanction may only be reconsidered after the time frame has elapsed. At any point after a sanction first becomes eligible for reconsideration, the individual may submit a written request (“Request”) to NCCSA asking the Ethics Committee to remove the sanction. The Request must be accompanied by a nonrefundable fee in the amount of $250. A Request that is not accompanied by the fee or is submitted before the matter is eligible for reconsideration will be returned to the individual and will not be considered. In rare cases, the fee may be waived, in whole or in part, at the sole discretion of the Ethics Committee. The individual is not entitled to make a personal appearance before the Ethics Committee in connection with a request to remove a sanction.
Although there is no required format, the Request must include compelling reasons justifying the removal of the sanction. It is recommended that the individual demonstrate at least the following:
- an understanding of the reasons for the sanction;
- an understanding of why the action leading to the sanction was felt to warrant the sanction imposed; and
- detailed information demonstrating that his or her behavior has improved and similar activities will not be repeated.
Letters of recommendation from individuals, who are knowledgeable about the person’s current character and behavior, including efforts at rehabilitation, are advised. If a letter of recommendation is not on original letterhead or is not duly notarized, the Ethics Committee shall have the discretion to ignore that letter of recommendation.
Removal of the sanction is a prerequisite to applying for reinstatement of certification. If, at the sole discretion of the Ethics Committee, the sanction is removed, the individual will be allowed to pursue reinstatement via the policies and procedures in place at that time as stated in Section 4.05 of the NCCSA Rules and Regulations.
If the Ethics Committee denies removal of the sanction, the decision is not subject to a hearing or to an appeal, and the Committee will not reconsider removal of the sanction for as long as is directed by the Committee.
- Amendments to the Ethical Standards
NCCSA reserves the right to amend the Ethical Standards following the procedures under Article IX, Section 9.02 of the NCCSA Rules and Regulations.