aprn compact pros and cons

These are some cons that might put you off getting a car cover: Inconvenient to Use. Nurse Licensure Compact myths & facts [PowerPoint slides]. American Association of Nurse Practitioners, AANPs Position Statement on the APRN Compact, National Association of Pediatric Nurse Practitioners (NAPNAP), Nurse Practitioner Association of Maryland, Current APRN Compact legislative language. (2011, June). Author. (2016). The Texas Board of Nursing explained to me that I could only continue to practice with a Texas license if Texas was my state of residence. Retrieved from https://www.ncsbn.org/12_ULR_table_adopted.pdf, National Council of State Boards of Nursing. The AMA's professional satisfaction and practice sustainability webinar series focuses on physician well-being, practice redesignand implementing telehealth. APRN Compact Licensure - The American Association of Nurse Practitioners 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. However, if the faculty is in a compact state, and the student is in a remote compact state, the multistate license will suffice. Another timely development in 1996 was the enactment of the Telecommunications Act by the U.S. Congress. The pros and cons. In other words, it will not be necessary for the nurse to appear before the BON of the home state or of the states where PTP are held, unless the nurse wishes to offer a defense. How did we get here? In other words, the PTP is only used in a state other than the primary residence. The pros and cons Ohio Nurses Rev. The impact of a criminal conviction is also presented. Finally, the ONA opposed the NLC because of the belief that it would shift power and influence from the nurses and the state nurses associations to the Interstate Commission of Nurse Licensure Compact Administrators. The Council on Medical Service recommends policies and actions to the House of Delegates on socioeconomic factors that influence the practice of medicine. Reforming health care workforce regulation: Policy considerations for the 21st century: Report of the Taskforce on Health Care Workforce Regulation. 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 COVID-19 pandemic highlighted the need for a mobile workforce, which interstate licensure compacts support. At the time of this action, Texas required that the change of license process begin within 30 days of the nurses move. . Nurse Licensure Compact model rules and regulations [PDF file]. PDF Advanced Practice Registered Nurse Compact - NACNS North Dakota was the first state to pass legislation to adopt the new compact in April 2021, and Delaware joined in August 2021. 2024 Ford Maverick: This Is How Much The Compact Pickup Will - MSN The One Primary Residence Requirementthe state in which nurses obtain a license is considered the primary residence or home state.Article III of the NLC requires that a nurse follow the rules of the compact state. 10 Pros and Cons of Being a Nurse Practitioner - NursingProcess.org At the time of this writing, thirty-one states have joined the eNLC. To varying degrees, it allows employers and the public easy access to information about the status of nurses licensure and any disciplinary actions taken against them (NCSBN, 2011). (NCSBN, n.d.d). Retrieved from https://www.ncsbn.org/Key_Provisions_of_New_APRN_Compact.pdf, National Council of State Boards of Nursing. I believe telemedicine will continue to play more of an important role as shortages for healthcare providers continue to grow. Not every nurse or nursing organization greeted the news with excitement. It has become necessary to ensure that a nurses license is unrestricted in her home state and/or that it includes multi-state privileges to work in the employers own state, if necessary. If you are eager to learn more about it, check out the National Council of State Boards of Nursing. Hawaii recently signed an agreement to participate (NCSBN, n.d.c). Reporting & enforcement. The AMA helps physicians build a better future for medicine, advocating in the courts and on the Hill to remove obstacles to patient care and confront todays greatest health crises. Once the Virginia license was granted, the Texas license became invalid. 32 The compact will not be implemented until 10 states have enacted the legislation. Connect with AANP staff at statepolicy@aanp.org. Options are always important to have. Key provisions of the enhanced NLC [PDF file]. Posted 02/08/2020. Meaning one multi-state license will give you the ability to practice in the compact member states. State boards of nursing adopted the APRN Compact on Aug. 12, 2020, but states must enact legislation for the compact to be implemented. For decades, the licensing of nurses followed a single-state-licensing format in which a nurse was required to obtain a license in every state in which the nurse desires to practice. Multi-state licensure. The pros and cons - PubMed Nursing faculty will also need only one license to practice in compact states. Multi-state licensure. Nurses in the enhanced nurse licensure compact (eNLC) states can apply for a multi-state nurse license that is valid in any of the other states involved in the eNLC. An example is the APRN Compact. (n.d.e). She voluntarily surrendered her PTP in Texas. In the United States, the Nursing Licensure Compact (NLC) lets nurses work across multiple states without the impediments of having to register and gain licensing in each state. The only non-participants were Alabama and Michigan. What Is a Nonphysician Practitioner (NPP)? - AAPC If adopted, the Consensus Model would align state laws related to APRNs and would clear the way for an APRN Compact, which would allow APRNs to practice across . AANP has played an instrumental role in securing Full Practice Authority across the country and finalizing more than 100 state statutes that benefit nurse practitioners (NPs) and their patients, including laws that adopt the APRN title, role and educational requirements. (n.d.j). The American Association of Nurse Practitioners (AANP) released a statement opposing the compact because they say: Regardless of your position on the new compact, Livanos encourages NPs and CRNAs to get involved in their home state. "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 . (2012). Among other tips from a student-loan insider, find out how proposed tweaks to income-driven repayment could benefit physicians and other borrowers. Retrieved from https://www.ncsbn.org/eNLC-ULRs_082917.pdf, National Council of State Boards of Nursing. References, The Regulatory Dilemma Surrounding Interstate Practice, The Utah Experience: Adopting the Nursing Regulation Interstate Compact, Nursing Regulation for the New Millennium: The Mutual Recognition Model. Nurses Employers Students NLC Commission Resources Members only NLC resources for Boards of Nursing (BONs). PDF Midwifery in the United States and the Consensus Model for APRN - Home If youre a travel nurse, Im sure you get why this is a big deal. The original agreement was started in 2000. You can help bring the benefits of the compact to your state by sending a message to your legislators asking them to support APRN Compact legislation. One of the most significant pieces of legislation that could affect nurse practitioner (NP) practice in New Mexico is the proposed interstate compact for advanced practice registered nurses (APRNs). Under Article V of the eNLC, member states may take adverse action, including revoking a nurses PTP in their state, even while the nurse is still under investigation or if the license is encumbered in any way (NCSBN, n.d.d). APRNs had to navigate complex and ultimately patchwork regulatory structures guided by statute, regulation, or this plethora of executive orders from governors offices that adjust the healthcare workforce, she says. As has been shown above, there can be a domino effect of disciplinary actions against nurses licenses. Each member state may issue a single state license to such an applicant, upon consideration of each individual case. Should A Nursing License Be Valid in All States? When done well, interstate compacts have the potential to reduce licensure variability between states and make it easier for clinicians to work across state lines. Discipline. Retrieved from https://www.ncsbn.org/discipline.htm, National Council of State Boards of Nursing. An Update on the Consensus Model for APRN Regulation: More Than a Citation: Oyeleye, O.A., (May 20, 2019) "The Nursing Licensure Compact and Its Disciplinary Provisions: What Nurses Should Know" OJIN: The Online Journal of Issues in Nursing Vol. They feared that states would lose the ability to review and approve all nurses wishing to practice in their jurisdiction. Expanding the scope of practice for advanced practice registered nurses (APRNs) leads to higher costs and reduced safety for patients who are better served by an integrated care team led by a physician whose education and training requirements far exceeds those of other health professionals. AMA Resolution Opposes Independent Practice by APRNs 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). Legislative Corner - Compact Licensure for APRNs - New Mexico Nurse Become a member and help the AMA defend against scope of practice expansions that threaten patient safety. 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). NLC model legislation [PDF file]. 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. Keep an eye out for AANP emails to discover ways you can be heard. Uniform License Requirements and Background ChecksAll applicants must also have passed the applicable licensing examination and be eligible to hold an unencumbered license.In a new provision, the eNLC established some eligibility and uniform license requirements that an applicant must meet before receiving an Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) license. Finally, one case demonstrates the impact of a BON investigation on a nurses ability to continue practice. An Update on the Consensus Model for APRN Regulation: More Than a AANP has played an instrumental role in securing Full Practice Authority across the country and finalizing more than 100 state statutes that benefit nurse practitioners (NPs) and their patients, including laws that adopt the APRN title, role and educational requirements. The significance of the implementation date is that it was the date by which nurses who possessed multistate licenses were able to begin practicing in eNLC states (NCSBN, 2018a). Retrieved from https://ncsbn.org/compacts.htm, National Council of State Boards of Nursing. AANP relies on key information from profiles, such as specialty, work site and education, to characterize the NP workforce. Patients are better served when all members of the health care team share information, and decision-making based on their unique skillsall with the common goal of improving the health of the patient, AMA President Susan R. Bailey, MD, told the Nebraska APRN Technical Review Committee. Journal of Nursing Regulation, 6(3), 11-16. You will have more ways to leverage yourself and your skillset. Developing a relationship with your elected representative will allow those representatives to learn what APRNs are and what services they provide, she says. The average cost for NP school is between $35,000 and $70,000. The Commission would also evaluate the effectiveness of regulations from the perspective of protecting the public. Lets work together to resolve the outstanding concerns around uniform licensure standards, prescribing practice and the lack of a formal mechanism for APRN representation before adopting an APRN Compact. It is not enough to initiate paper work to start the process. Legal memorandum to employers [PDF file]. PDF Advanced Practice Registered Nurse Compact - National Council of State Take on a leadership role in the RFS and make an impact on issues facing residents and fellows, patients and the medical profession. A compact license will save APRNs from the unnecessary time and cost of obtaining additional licenses. 24, No. The Pew Commission Report: Nursing's challenge to address it. By reviewing the draft model legislation , submitting feedback via the survey and attending a stakeholder review session , individuals can help make the compact work best for . The AMA fights for physician-led care nationwide at the state and federal levels. APRNs are prepared by education and certification to assess, diagnose, and manage patient problems, order . Amidst concerns that the NLC did not successfully guarantee the competence of nurses who practiced across state lines, membership in the compact stalled after the twenty-fifth state joined. The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification, and Education (Consensus Model) was developed in 2008 to provide . Some states may still be in the process of changing, so each nurse must do due diligence to confirm a specific state's regulations (NCSBN, n.d.a). (Texas BNE, n.d.). There is no timeline provided as to when each state will be accepted. Position statement: Multi-state Nurse Compact Licensure [PDF file]. What NPs and CRNAs need to know about the APRN compact - CompHealth NurseMoneyTalk.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Pros and Cons of Employing NPPs in Practices. The Consensus Model's "Foundational Requirements for Licensure" advocate that APRNs be licensed "as independent practitioners with no regulatory requirements for collaboration, direction or supervision" (p. 13). The following year, the National Council of State Boards of Nursing (NCSBN) Delegate Assembly made a move toward licensure uniformity by unanimously endorsing a mutual recognition model of nursing regulation (NCSBN, n.d.b). 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. The avenue by which an employer may verify multistate licensure is through Nursys (NCSBN, n.d.h). Nurse Practitioner vs Physician Assistant | Pros and Cons In the past, the association has supported the concept of a multistate licensure compact for APRNs. The Compact Does Not Affect Everybody. Time and money savings. NP school tends to be cheaper because the classroom portion is often completed online, while PA students must be on campus for all of their program components. Whether you get a licensed practical nurse (LPN or LVN) or a registered nurse (RN) license, it doesnt matter. (n.d.f). If you didnt know state licensure requirements can vary significantly from state to state. Tune in for stories and in-depth conversations with NPs and health care leaders who you cant hear anywhere else. All applicants must also have passed the applicable licensing examination and be eligible to hold an unencumbered license (NCSBN, n.d.j). Advanced Practice Registered Nurse Compact - ATA Here are four things you need to know about the APRN compact. Stay Informed | APRNCOMPACT Take Action | APRNCOMPACT (2017). Take Action Show your support to help bring the NLC or APRN Compact to your state. (n.d.i). The mutual recognition initiative was designed to enhance the protection of public health and safety by promoting cooperation and exchange of information in licensure, regulation, investigation, and disciplinary action. Retrieved from https://www.ncsbn.org/NLC_What_Nurses_Need_to_Know.pdf, National Council of State Boards of Nursing. In comparing data from the eNLC and other compacts, Livanos points out that nurses in eNLC compact states were mobilized immediately to help in COVID-19 hot spots. Dates are tentative. Retrieved November 29, 2017, from https://dailynurse.com/should-a-nursing-license-be-valid-in-all-states/. Relative to the history of nursing in the United States, the Nursing Licensure Compact is a new phenomenon.Relative to the history of nursing in the United States (US), the Nursing Licensure Compact (NLC) is a new phenomenon. With the NLC's current state of evolution . When I moved back to Texas permanently a few years later, the reverse was the case. Note that the NLC is also sometimes called the compact and the Multistate License. Hes worked in the ICU, mental health (inpatient, outpatient), & GI specialty areas. Similar to the nurseEnhanced Nurse Licensure Compact, this compact will give NPs and CRNAs the flexibility to practice medicine in multiple states with one license. Explore the MSS standing committees, their responsibilities and how they support the section's governing council. APRN mobility is key to providing greater access to care. APRN Education. Each state has their own board of nursing. How NPs can help expand telehealth services : The Nurse Practitioner - LWW Information and best practices are forever changing. 10 Pros and Cons of Nurse Licensure Compact - NursingProcess.org Policy, Terms of For example, a nurse that obtains a conviction of driving under the influence (DUI) is subject both to the penal code of the state, and the disciplinary provisions of the state nurse practice act (NCSBN, n.d.d). One such rule is the one primary residence rule (NCSBN, n.d.d). The state must also have the capacity to conduct a federal criminal background check (NCSBN, 2016). Case #7, a Texas registered nurse with a PTP in Arizona, illustrates this. 1. Specific examples of disciplinary actions and implications for nurses, employers, and educators are presented. Applicants for the eNLC license must not have pled guilty to or have been convicted of a felony. In the last year, the Nurse Licensure Compact (NLC) has experienced extraordinary growth and change. Her experience includes teaching students and nurses about legal issues that impact nurses. Cons of Using a Car Cover. Enhanced nurse licensure compact is not recognized by all states. Retrieved from http://www.bne.state.tx.us/discipline_and_complaints_disciplinary_action_compact_discipline.asp, Texas Board of Nurse Examiners. About | APRNCOMPACT The inclusion of minimum practice hours as a requirement for a multistate APRN license creates unnecessary and costly regulations for all states and new challenges for the states currently working to retire similar barriers. National Council of State Boards of Nursing. Support the NLC Support the APRN Compact While that may create anxiety for some nurses, it should comfort others that the eNLC will not be an avenue for errant nurses to practice under the radar. In November 2017, the American Medical Association (AMA) adopted Resolution 214 opposing the APRN Compact, which allows an advanced practice registered nurse (APRN) holding a multistate license to practice in states belonging to the compact. In spite of these concerns, as many as 25 states did join the NLC. While many APRNs turned to telehealth to provide care while the COVID-19 pandemic limited in-person contact, the APRN Compact could expand this coverage to millions of patients. This led to a charge before the BON, and some disciplinary action (Texas BNE, n.d.). This means that when the Enhanced Nurse Licensure Compact (eNLC) goes live on January 19, 2018 nurses with a multi-state NLC license from those three states can only practice within themselves and will be excluded from practicing in the Enhanced Nurse Licensure Compact (eNLC) states.