Unfortunately, the latest version of the APRN Compact falls short. The APRN Compact, spearheaded by the National Council of State Boards of Nursing (NCSBN), allows an advanced practice . That begs the question if I have a multi-state license how much research should I do before working in a state Ive never worked in before? The Council on Medical Service recommends policies and actions to the House of Delegates on socioeconomic factors that influence the practice of medicine. The author concludes that most nurses provide competent care, and that outside of this compact, the few who violate laws and regulations are usually disciplined by their individual state board of nursing. Once the terms of the disciplinary measures have been satisfied, the original home state may re-issue a multistate license (NLC Administrators, 2012). (Texas BNE, n.d.). Employers should also be aware that their employees are subject to the rules of other jurisdictions. Furthermore, they expressed concern about some inconsistency between some state regulations and the NLC requirements. ANNA Journal, 24(5), 507-515. Dr. Bailey described research showing that independently practicing APRNs raise health care costs by ordering more diagnostic images and prescribing more antibiotics and opioids than physicians. The Pew Commission Report: Nursing's challenge to address it. Reporting & enforcement. Multi-state licensure. Complete the form and we will help you get started. Retrieved from https://www.bon.texas.gov/faq_licensure.asp, Texas Board of Nursing. Android, The best in medicine, delivered to your mailbox. Retrieved from https://www.ncsbn.org/Leader_to_Leader_NLC_Issue2017.pdf, National Council of State Boards of Nursing. Retrieved from https://www.ncsbn.org/transcript_NurseLicensureCompact.pdf, National Council of State Boards of Nursing. In comparison, NPs complete two to three years of graduate-level education and 500 to 720 hours of clinical training. It is noteworthy that the nursing profession led the way, among the healthcare professions, in establishing and implementing an interstate practice model.Three years later, on January 1, 2000, NLC officially began when Maryland, Texas, Utah, and Wisconsin passed it into law (Texas BON, 2013b). With physician employment now the norm in medicine, Nancy Fan, MD, chairs an AMA caucus that gives voice to the unique interests of employed doctors. Incorporating an APRN advisory committee would ensure that there are readily available resources and needed expertise to address the complexity and variety of practice issues. (n.d.e). Evolving with Change: The Benefits of Expanding Interstate Licensure. American Association of Nurse Practitioners. If the patient and the nurse are in two different states than what is the practice location? Drive in style with preferred savings when you buy, lease or rent a car. Furthermore, because the multistate compact is a fairly new concept, nursing educators should begin to include in program courses information about multistate practice and its potential impact on licensure and practice. 32 The compact will not be implemented until 10 states have enacted the legislation. The compact will be implemented when 10 states have adopted it. Learn more about physician well-being programs and the evolving role of Chief Wellness Officer. *disclosure: some of the links on this site are affiliate links. Vermont has been accepted into the NLC and is currently awaiting implementation. the 50 states entry-to-practice requirements were not standardized, thereby creating unreasonable barriers to interstate mobility for many professionals.In this report, the Pew Commission noted that the 50 states entry-to-practice requirements were not standardized, thereby creating unreasonable barriers to interstate mobility for many professionals. This article is going to talk about the enhanced nurse licensure compact (eNLC). When the BON enacts a disciplinary measure that includes a limitation on the nurses ability to practice, such as a revocation, suspension, or voluntary surrender, the nurse will also be required to limit her nursing practice to her home state during the disciplinary period (NLC Administrators, 2012). She faced sanctions with multiple states in 2016 based on an event that happened in a telemedicine practice in West Virginia. The APRN Compact allows advanced practice registered nurses (APRNs) to have one multistate license with the ability to practice in all compact states. Case #7, a Texas registered nurse with a PTP in Arizona, illustrates this. Information related to model . Hawaii recently signed an agreement to participate (NCSBN, n.d.c). Established in 1989, the Commission mission was to assist healthcare professionals, workforce policy makers, and educational institutions manage the challenges of an increasingly changing healthcare system. While such compacts for physicians and psychologists ensure license portability to different jurisdictions, the APRN compact would supersede state scope-of-practice laws by removing any physician supervision or collaboration requirements and allowing APRNs to prescribe non-controlled medications and devices. Dr. Bailey, an allergist and immunologist in Fort Worth, Texas, told the committee. Every couple of weeks, a new regulatory structure would be altered in some way, which creates confusion thats not great when youre dealing with an emergency.. For example, the case relating to the 'one primary residence' rule highlights the extended reach of the nursing licensure compact. It is not enough to initiate paper work to start the process. The report included 10 recommendations to promote healthcare provider mobility (Donaho, Mudge, & Price, 1997; Pew, 1995). Support the NLC Support the APRN Compact Access to care has increased just by removing state barriers. They also believed that there was a lack of clarity regarding how to check on nurses disciplinary infractions in remote states. The state you are currently licensed in must become a member of the compact before recognizing licenses from other compact states. AANP does not endorse the APRN Compact for multistate licensure, which was adopted by the National Council of State Boards of Nursing (NCSBN) in August 2020. West Virginia barred her for five years, Oregon for three, and Minnesota and Texas for one year (NCSBN, n.d.h). If a nurse with a past felony conviction or a guilty plea obtains a license under the original NLC, the nurse remains eligible to hold a multistate privilege under the new eNLC (NCSBN, 2012). Details provided on the application process and deadlines for physicians, residents and medical students interested in joining AMA council and committees. An APRN compact has been drafted to allow an APRN to hold one multistate license with a privilege to practice in other compact states, but only three states have joined the APRN compact so far (Idaho, Wyoming, and North Dakota). APRN COMPACT BENEFITS Increases access to care by allowing APRNs to practice seamlessly across member states. ONA concerns were about state sovereignty, regulation, and public safety. Multistate licensure means, if the compact is enacted, a CRNA or NP could provide care through a video or phone call across states lines to a patient living in another compact member state. Applicants for the eNLC license must not have pled guilty to or have been convicted of a felony.Not only will a felony conviction prevent an applicant from obtaining an initial multistate nursing license, it will most certainly lead to disciplinary sanctions for a nurse who is already licensed (NCSBN, n.d.d). Before I continue, I do want to mention a side note. A physician expert offers insight. Following an investigation, Texas suspended her license and also prohibited her from working in any compact state without obtaining a written permission from both the Texas BON and the BON in the compact state where she desired to work. Retrieved from https://www.ncsbn.org/671.htm, National Council of State Boards of Nursing, Inc. (n.d.h). (n.d.) Discipline & complaints Nurse Licensure Compact disciplinary action. Implications of the Compact for EducatorsEducators are not exempt from licensure requirements.Educators are not exempt from licensure requirements. While the enhanced nurse licensure compact is a big step to improving nurse licensure portability were still a bit ways away from a truly portable nursing licensure. I dont know about you, but I like to simplify my life, and the eNLC simplifies this process. The COVID-19 pandemic highlighted the need for a mobile workforce, which interstate licensure compacts support. (2012). If you didnt know state licensure requirements can vary significantly from state to state. This license switch must be done in a timely manner. As of the time of this writing three states Colorado, New Mexico and Rhode Island have failed to do so. The infraction is handled as if the offense took place in their jurisdiction, even if it happened in a remote location.The nurses state of primary residence, and the compact states in which the nurse has a PTP, often automatically take action against a nurses license and PTP respectively. AANPs brief video overview of the current APRN Compact to learn why we should press pause on adopting this version of the APRN Compact. The eNLC and the APRN Compact are both based on the underlying belief that you should hold a state-based licensure but have the ability to practice across state lines, says Nicole Livanos, JD, MPP, senior associate of state advocacy & legislative affairs for the NCSBN. There is some confusion when it comes to telemedicine. 1999 Mar;74(3):1, 4. We implore you to put patients first and reject this proposal. (n.d.f). Such actions would be unlawful and would violate public policy, since the nurse practice acts prohibit a nurse from holding more than one license under the eNLC (NLC Administrators, 2013). Who should write your letters of recommendation for residency applications and what do they need from you? Tune in for stories and in-depth conversations with NPs and health care leaders who you cant hear anywhere else. Key provisions of this compact are reviewed with examples of how it has impacted individual nurses. Learn more! APRN Compact See how the APRN Compact works and the current status. As has been shown above, there can be a domino effect of disciplinary actions against nurses licenses. Take Action Show your support to help bring the NLC or APRN Compact to your state. There is no timeline provided as to when each state will be accepted. Here are four things you need to know about the APRN compact. Collaborating and networking to advocate for patients and the medical profession. So, much like in some of the cases cited above, a nurse who is disciplined in one state can reasonably expect that similar charges will be filed by other states (NCSBN, n.d.d). Misdemeanor convictions are considered on a case-by-case basis (NCSBN, n.d.j). She was given the liberty, however, to seek a single-state license from a non-compact until she had fulfilled the conditions of her disciplinary sanctions. Information and best practices are forever changing. Impact of Automatic Reporting on Disciplinary ActionArticle VI of the eNLC requires that states share freely any information that pertains to disciplinary actions. What is the Enhanced Nurse Licensure Compact (eNLC), Why You Should Care About the Enhanced Nurse Licensure Compact (eNLC), What States are in the Enhanced Nurse Licensure Compact, Positives of the Enhanced Nurse Licensure Compact, 1. eNLC requires different state regulations and requirements.
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