(2017). Many times, at this stage, there is something that the board has found that has led them to hold a hearing. 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. After she changed her primary residence to Texas, she continued to practice under a PTP for 3 years. This page has information and updates on nursing boards and regulation specific to Missouri. (NCSBN, 2017). Decisions, consent orders, correspondence, decrees, etc. Patricia C. Bouffard, Connecticut nursing board chair and a registered nurse, said that during her 15 years on the board, the number of substance abuse cases has always hovered at 80 percent, although more now involve opioids. Copyright 2013 By signing the order in Connecticut, she chose not to contest the allegations. medication administration, February 6, 2013 Consent Order remains in effect no additional disciplinary terms, Probation which terminates upon successful completion of coursework, Probation 1 Year which terminates upon completion of the supervised medication administration and the coursework, Decisions and Orders - March, April, May and June 2013, Voluntary Agree Not to Review or Reinstate, Implications for nurses include the concept that a compact does not affect nurses who only hold one license, and also that idea that greater privileges for nurses bring greater risk as well. We also analyzed the gap in time between the board's public accusation and disciplinary decision. Their other concern was financial in nature. practicing To be eligible for a multistate license, the applicant must not currently be in an alternative program (NCSBN, n.d.j). font size, Connecticut General Statutes Chapter 378 - Nursing, Pronouncement of Death by a Registered Nurse, Administration of Medications by School Personnel, Nursing Education Programs and Licensure Requirements, Mary E. Dietmann, EdD, APRN, ACNS-BC, CNE - (RN Member), Declaratory Ruling - Licensed Practical Nurse, Declaratory Ruling - Delegation to Unlicensed Assistive Personnel, Declaratory Ruling - Registered Nurse as a First Assistant, Declaratory Ruling - Examinations by Advanced Practice Registered Nurses, Declaratory Ruling Concerning Whether Registered Nurses, Statement on the Use of Controlled Substances, Insertion and Removal of Specialized Intravenous Catheters. If an infraction is committed in a PTP location, the home state may or may not revoke the nurses license, but it will certainly result in some form of disciplinary action, as determined by the state nurse practice act (NCSBN, 2017). While nursing mistakes or misconduct may lead to other consequences, such as employer reprimands, terminations, civil suits, or criminal charges, nurse disciplinary action directly affects a nurse's license. Probation 1 - year, Reinstated to Probation - 1 year Reprimand, Reprimand Please click the appropriate link below for specific licensing requirements: Information Regarding the Increase in Renewal Fees, Information Regarding the Recent Renewal Fee Increase, In 2021, there were 18,145 adverse actions against nursing licenses, according to the National Practitioner Data Bank (NPDB), affecting 140,859 nurses, 93,998 licensed practical nurses, and 9,002 nurse practitioners. 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). Mary E. Dietmann, EdD, APRN, ACNS-BC, CNE - (RN Member) Going through an investigation and a disciplinary process can cause a lot of stress and anxiety on the person involved. The order also said that several times between 2014 and 2019, Rowe abused alcohol to excess. This means that an event in another state could have an impact on the practice and availability of their nursing employees (NCSBN, n.d.d). This act requires systematic oversight of regulations. It is not enough to initiate paper work to start the process. For example, while accepting valuable presents or money from a current or past patient is against nurse practice acts, most nurses dont want to hurt a patients feelings if they're offered a small personal gift of little financial value. Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. She voluntarily surrendered her PTP in Texas. References, The Regulatory Dilemma Surrounding Interstate Practice, Nursing Regulation for the New Millennium: The Mutual Recognition Model, The Utah Experience: Adopting the Nursing Regulation Interstate Compact. In addition to suspending or revoking a nursing license, state boards of nursing may issue fines or warnings and possibly require a nurse to complete professional education as part of their nursing disciplinary action. Rebecca Martinez, LPN - (LPN Member) If you need assistance contact us. (1995). investigation pending, Kerri Ann Brinkerhoff The board ' s final disciplinary action can take several forms including license suspension or revocation, censure or reprimand, probation, practice limitation . Discipline & complaints - policies & guidelines. RN #E43134 Nurse disciplinary actions include fines, reprimands, or remedial action (such as completing mandatory education). Disciplinary actions may alsobe viewed the Department of Public Health's Regulatory Action Reports. Depending on the field of work, there may be requests or demands to produce documents and other information related to your professional work or business. Key provisions of this compact are reviewed with examples of how it has impacted individual nurses. Discipline: Maine State Board of Nursing At the time of this action, Texas required that the change of license process begin within 30 days of the nurses move. She had initiated the paperwork to change her primary residence to Texas and was issued an Agreed Eligibility Order by the Texas BNE. Unlocking access to nursing care across the nation [Brochure]. This data should not be used to compare one state against another, because it may not be accurate and it is not adjusted for the number of nurses in each state. One such rule is the one primary residence rule (NCSBN, n.d.d). Nursing faculty will also need only one license to practice in compact states. Probation 2 years, Reprimand (2012). COVID-19 Community Levels Update, April 14, 2023: The CDC has listed all eight Connecticut counties in the Low/Green category as part of its weekly Community Levels update. of Nursing, Voluntary Agreement Not to 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). Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. The state's duty to protect those who receive nursing care is the basis for a nursing license. The provisions of the eNLC highly reduce the likelihood that public safety will be compromised. Below, I will discuss the implications of the NLC for nurses, employers, and educators. For example, the length of time for which she was barred from practice was different from state to state respectively. Copies of documents referenced in this report, including Memoranda of Decision following a hearing, Consent Orders, Voluntary Surrenders, and Summary Suspensions are available onthe. Please note that effective dates of all actions are included. Important notice to licensees and nurse license applicants: The new enhanced Nurse Licensure Compact is coming. The board fined RN Nikita Gena Culton of Katy, Texas $500 and reprimanded her RN license because, a consent order said, she failed to acknowledge that she had been disciplined in Texas when she applied for her Connecticut nursing license in 2018. (2011, June). Therefore, all disciplinary actions are documented in one depository known as Nursys (NCSBN, 2016). The article begins by presenting the history of the NLC, followed by discussion about the effective and implementation dates and a review of key provisions of the enhanced Nurse Licensure Compact. Lisa S. Freeman, BA - (Public Member) It demonstrates the concept that under the NLC, nurses are disciplined regardless of which compact state was the location of the infraction. (n.d.j). The best defense is to know and follow your states nurse practice act and discuss questions with a supervisor. At the time of this writing, thirty-one states have joined the eNLC. The relevant parts of Article III require that nurses must comply with the practice laws in each state where they practice. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. License Number, Schuler-Blanchette, Find the right nursing program for you. Box 340308Hartford, CT 06134-0328, Phone: 860.509.7624860.509.7603 (for testing candidates only)Fax: 860.509.7553Online: http://www.state.ct.us/dph/ Contact Person: Jennifer L. Filippone, Chief, Practitioner Licensing and Investigations Section. This is called the Uniform Administrative Procedures Act. The board, after hearing all the evidence, will make a decision to move forward with disciplinary action that could include suspension, probation, revocation, or other restrictions. Complaints fall into the following categories: According to the CNA and NSO Nurse Professional Liability Exposure Claim Report, published in 2020, the most common allegations are the following: Drug diversion or substance misuse made up 42.3% of all professional conduct alleged violations, and failure to maintain standards accounted for 58.9% of all scope of practice violations allegations. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. Retrieved from https://www.ncsbn.org/NLC_Model_Rules.pdf, Nurse Licensure Compact Administrators. 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. However, in the absence of a specific statute to the contrary, statutes of limitation are inapplicable to administrative board of nursing license revocation and disciplinary proceedings. font size, Practitioner Licensing and Investigations Section, Mandatory Reporter of Abuse Neglect and Exploitation. This license switch must be done in a timely manner. L Arpin, EdD, MSN, RN- (RN Member) The main accomplishment of the NLC was that there would be one license by which a nurse may practice in multiple states, physically and by distance, without any additional application requirements or fees. With increased privilege to practice comes increased exposure to disciplinary action. The board revoked the registered nurse license of Amanda Alarcon of Shelton for failing to attend therapy sessions or submit to drug tests, its memorandum of decision said. The language used to describe the types of disciplinary actions available to BONs varies according to state law. In 1995, the Commission released its full report: Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century. Licensure compacts. Number, Name There is, however, an act that was drafted to oversee these state agencies. Military brass, judges among professions at new image lows. Find Your Nurse Practice Act | NCSBN practicing. The probation requires her to pass random drug tests and see a therapist for chemical dependency. The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. The board reprimanded the LPN license of Amanda Hansen, formerly of Wolcott, in connection with her handling of a medically fragile child while working in the patients home for PSA Healthcare of Plainville in 2016, records show. Young chose not to contest the allegations. The board fined RN Luisa Young of Trumbull $2,500, reprimanded her license and placed it on probation for a year. This public safety objective is not time-limited. Nursys is an online database of the NCSBN that stores nurse licensure and disciplinary information. 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. 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). The state board of nursing must report the results of any nursing disciplinary action to Nursys, the national database of nursing licenses and license status, and to the NPDB. That action did not stop the Commonwealth of Virginia from placing her license on probation. 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. 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