Webinar Presentation for Nurses and Employers April 9, 2019 · Webinar Presentation for Nurses and...
18
5/14/2019 1 Nurse Licensure Compact Webinar Presentation for Nurses and Employers April 9, 2019
Transcript of Webinar Presentation for Nurses and Employers April 9, 2019 · Webinar Presentation for Nurses and...
5/14/2019
1
Nurse Licensure Compact
Webinar Presentation for Nurses and Employers
April 9, 2019
5/14/2019
2
A statutory agreement (a contract) between two or more states established for the purpose of remedying a particular problem of multistate concern
The NLC is an interstate compact.
It authorizes a nurse holding one multistate license in the primary state of residence to practice (physically or via telehealth) in any compact state.
5/14/2019
3
Nurse is issued a multistate license in the declared primary state of residence (PSOR) known as the home state
Nurse holds only one multistate license issued by the home state. (It is not a national license. It is still a state-issued license)
Nurse has a multistate licensure privilege to practice in other Compact states (remote states)
5/14/2019
4
Requires Legislative Enactment in Each State
7
States with Pending Legislation in 2019
See https://www.ncsbn.org/nurse-licensure-
compact.htm
5/14/2019
5
How Can Nurses Become Involved
in Supporting Legislation?
• Educate stakeholders about the NLC
• Send letter to legislator and governor via www.nursecompact.com;
contact or meet with these elected officials
• Start a petition at www.change.org and send to your legislator
• Volunteer to testify when a bill is heard before a legislative committee
• Be a leader within your organization for NLC advocacy
• Be the catalyst to get your national organization/employer to formally
endorse the NLC
10
5/14/2019
6
11
Public protection Reducing duplicative licensure Uniform licensure requirements Enhance access to care (enable telehealth practice) Nurse mobility Sharing of information (and cooperation) Decrease redundancy in regulatory processes
Why? What’s the Purpose?
5/14/2019
7
A Definition of Nursing Practice
• Most states include these elements in the state’s
definition of nursing practice.
When a nurse utilizes her or his:
– Education / knowledge
– Judgment
– Decision-making skills
13
The practice of nursing is regulated by each state. Each state requires that a nurse be licensed in order to practice in that jurisdiction.
States regulate professions in order to protect the public in that state.
Public protection is key.
5/14/2019
8
A nurse must have the authority to practice in the state where the pt/consumer is located at the time nursing service is provided.
“As the organizations representing…state…licensing boards…that regulate the practice of medicine, pharmacy and nursing, … (we) affirm that in a consumer protection model, health care practice occurs where the recipient of healthcare services is located.”
Source: The Tri-Regulator Collaborative Position Statement on Practice Location for Consumer Protection
Where Does Practice Take Place?
Examples of Nurses who may Need Multiple Licenses
5/14/2019
9
17
Benefits Related to Recruitment of Nurses
New Grads:
• Today’s millennials want mobility and maximized benefits.
• Nursing students overwhelmingly say that they plan to live and work in a NLC
state rather than a non-NLC state, post-graduation.
Employers:
• When a nurse holds a multistate license and is being recruited by an employer in
another NLC state, the nurse can be available to the prospective employer
immediately since the nurse already has the authority to practice in that state.
18
Moving Scenarios
(Changing Primary State of Residence,
i.e., Changing State of Legal Residency)
5/14/2019
10
How is Primary State of Residence (PSOR) defined?
• Signed Declaration of PSOR form
• State Where Applicant Can Prove Legal
Residence
– Drivers license with home address
– Voter registration card with home address
19
20
From Non-Compact State to Compact State
5/14/2019
11
21
From a Compact State to a Compact State
22
From a Compact State to a Non-Compact State
5/14/2019
12
23
How Can Hospitals / Employers Best Ensure that Nurses Hired from other NLC States are Appropriately Licensed?
Is the nurse relocating to your state on a permanent basis? I.e., Changing primary state of legal residency(Is it the nurse’s intent to return to live in the home state in the foreseeable future?)
The nurse should immediately apply for license by endorsement in the new state of residence. There is no grace period. (Employers have managed this successfully by implementing a policy whereby the nurse must provide proof of application for licensure to the employer within X number of days.)Exception: You hire a nurse from a neighboring state who commutes daily. The nurse is able to practice in your state under the multistate license issued by the former home state, until the new multistate license is issued.
Is the nurse a travel nurse / temporarily in practicing in your state? I.e., The nurse is a visitor to your state and NOT becoming a legal resident.
The nurse can practice in the state under the multistate license issued by the home state/primary state of residence. There is no time limit.A military spouse working in a civilian facility and stationed in your state for several years, would fall in this category.
Resources
5/14/2019
13
See the NLC Toolkit at
https://www.ncsbn.org/nlc-toolkit.htm
How to Locate the NPA
https://www.ncsbn.org/npa.htm
26
5/14/2019
14
Nursys.com
The national nurse licensure database
27
Where Does a Nurse Have the Authority to Practice?
28
5/14/2019
15
Authority to Practice Map on www.Nursys.com
29
30
5/14/2019
16
31
Common Questions
32
What are the Requirements for Military Spouses?
(Not the same as Military/VA personnel)
The NLC applies to military spouses in the same way it applies to other non-federal nurses. The military spouse may practice with a multistate license throughout successive military relocations while maintaining legal residency in a home state/domicile state/home of record.
5/14/2019
17
33
Which State Requires My Continuing Education (CE)?
The state which issued your multistate license. If you hold any non-compact state licenses, each such state may have their own CE requirements.
Which Nurse Practice Act Do I Follow When
Practicing in a Remote State?
The state of practice, i.e., the state in which the pt is located at the time nursing service is provided.
5/14/2019
18
Is it true that I can never allow my original
license to lapse?
A nurse should always hold at least one active license for purposes of endorsement. It does not need to be the original license.
36
Thank you!
Jim Puente, MS, MJ, CAE
Director, Nurse Licensure Compact
nursecompact.com
