NLC model legislation [PDF file]. Probation - 4 years, Reinstated to The Board of Examiners for Nursing on Wednesday disciplined 10 nurses, including revoking the licenses of three nurses and imposing fines on two others. 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. While nurses may have the privilege to practice in many compact states, they can have only one nursing license.If a nurse moves permanently into a state and fails to apply for that states nursing license but continues to use the compact state PTP, he/she violates the NLC, and can be disciplined by the BON in the state where she now lives. In Case #3, a registered nurse from the Commonwealth of Virginia, with a PTP in Texas, the timeline requirement for endorsing a PTP to a license was in issue in 2013. Retrieved from https://www.ncsbn.org/201106_NLC_JRidenour.pdf, Texas Board of Nurse Examiners. Because state boards are in charge of licensing, they are also responsible for investigating complaints. Boards of Nursing (BON) take disciplinary action in order to protect the public by insuring that only properly qualified and ethical individuals practice nursing. Disciplinary Impact on Telehealth PracticeOne of the advantages of the multistate nursing privilege is that nurses can be physically located in one state while engaging in nursing practice in another state through technology and telehealth services. If you need assistance contact us. font size, Practitioner Licensing and Investigations Section, Mandatory Reporter of Abuse Neglect and Exploitation. 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. 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. For example, Case #4 was a registered nurse with a license from Kentucky and a PTP in Texas, who was convicted of DUI and possession of marijuana, both of which were misdemeanor offenses. 2016 CT.gov | Connecticut's Official State Website, regular Legal memorandum to employers [PDF file]. Find the right nursing program for you. Lead Reporters: Charles Ornstein and Tracy Weber. (NCSBN, 2017). Therefore, it is prudent to verify nursing licenses for all employees at Nursys.com, both at the beginning of employment and at intervals. She received disciplinary action by the Texas Board of Nurse Examiners (BNE), for failing to obtain a Texas license after she moved from South Carolina to Texas. RN #E43134 Civil Penalty - $560.00, Probation 1 year if How does nursing disciplinary action work? ANNA Journal, 24(5), 507-515. Davidson has an 18-year history of substance abuse and was suspected of taking excessive amounts of drugs from Walnut Hill, the boards memorandum of decision said. Joe Raedle / Getty Images The state Board of Examiners for Nursing last week suspended the. Dazzella Peoples In lieu of a hearing, she surrendered her West Virginia license. It may adopt, modify, or remand the decisions for further review or the taking of additional evidence. Statutes of limitation are designed for use in civil and criminal litigation to prevent unreasonable delay and the prosecution of stale claims for the purpose of preserving the expectation of private legal rights. 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. It seems that JavaScript is not working in your browser. National Council of State Boards of Nursing, Inc. All Rights Reserved. Nearly 100 nurses also faced disciplinary action 2018. LPN Sandra Rowe of Yantic section of Norwich, who drank alcohol in 2014 while working as a private duty nurse in a patients home, a consent order she signed said. Criminal convictions also trigger a review. Once the Virginia license was granted, the Texas license became invalid. You may ask how another board of nursing would find out about a discipline in another state. Kelman B, et al. Every board and every type of professional license, depending on the field, has a different procedure for which disciplinary action to proceed with. RN #069635, Probation 6 months It seems that JavaScript is not working in your browser. Some of the features on CT.gov will not function properly with out javascript enabled. Impact of Automatic Reporting on Disciplinary ActionArticle VI of the eNLC requires that states share freely any information that pertains to disciplinary actions. If they do not, that is grounds for a complaint against their license. The Department investigates complaints made against licensed individuals and may take disciplinary action against them. In other words, nursing compact practice would be limited only to those whose home states joined the eNLC (NCSBN, 2018a). The BONs are responsible to protect the public from the risk of harm from nurses in the form of reasonable laws to regulate nursing. of Nursing, Voluntary Agreement Not to When there is suspected misconduct from nurses, they can be investigated by the Department of Public Health, the Board of Nursing Examiners, the Department of Consumer Protection, or other licensing agencies. This case clearly invalidates the notion that the NLC allows nurses to fly under the radar when they practice on a compact license. The state must also have the capacity to conduct a federal criminal background check (NCSBN, 2016). While living in Tennessee, she contacted West Virginia residents by phone and wrote prescriptions for patients with whom she had no provider/patient relationship. 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/NLC_Key_Provisions-FINAL.pdf, National Council of State Boards of Nursing. This is called the Uniform Administrative Procedures Act. 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). in the Operating Room (pdf), Declaratory Ruling - Examinations by Advanced Practice Registered Nurses Contact us with questions or updates. It must be emphasized that most nurses render care in a competent manner and that only a very small minority are charged with violations. Many nurses protested and even quit after she was found guilty, alarmed at the criminalization of medical mistakes. 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). States that have not subscribed to the NLC continue to issue single-state licenses; and a nurse may hold as many of those single state licenses as desired, in addition to holding a compact license (Ridenour, 2011). National Council of State Boards of Nursing. Name index by occupation available for select occupations. 2016 CT.gov | Connecticut's Official State Website, regular Her APRN license in Texas included prescriptive privileges, but her West Virginia license did not. Probation 2 years, Reprimand It created the Enhanced Nursing Licensure Compact (eNLC). The positive is that suspension, probation, and restrictions are often temporary and allow for the license holder to continue their work. Your email address will not be published. 410 Capitol Avenue, Hartford, CT 06134. Required fields are marked *. each one of the states took a disciplinary stance, their stipulations and sanctions differed.An important point in this case is that while each one of the states took a disciplinary stance, their stipulations and sanctions differed. The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. All Integrity Network members are paid members of the Red Ventures Education Integrity Network. Identification of the nurses involved have been replaced by assigned numbers (e.g. License Number, Schuler-Blanchette, Maine State Board of Nursing 161 Capitol St. 158 State House Station Augusta, Maine , 04333-0158 Get Directions Phone: (207) 287-1133 Fax: (207) 287-1149 The hours are 8 A.M. to 4:30 P.M. We are closed all state holidays and weekends. This does not yet determine if the complaint is valid, just whether the board of nursing has jurisdiction. Under the compact, however, those violations are addressed in all jurisdictions in which the nurse holds a nursing license or a privilege to practice, thereby ensuring public safety and preventing errant nurses from moving undetected from state to state. Depending on the number of states in which a nurse desired to practice, this could be burdensome and bureaucratically onerous. ), Limited or restricted practice (The nurse may continue to practice but under restrictions, such as not being able to access controlled substances. Retrieved from https://www.ncsbn.org/671.htm, National Council of State Boards of Nursing, Inc. (n.d.h). Civil Penalty - $700.00, Reprimand (n.d.f). Why nurses are raging and quitting after the RaDonda Vaught verdict. Nurse Licensure Compact myths & facts [PowerPoint slides]. Disciplinary actions taken against individuals licensed through the Department of Public Health. (2013b). Additionally, North Dakota, Vermont, Oregon, and Washington, also took disciplinary action against her license; and she also voluntarily surrendered her license in those states (NCSBN, n.d.h; Texas BNE, 2016). Furthermore, a compact state may issue a single-state license to a nurse who resides in its jurisdiction but does not qualify for a multistate license, such as a nurse whose permanent address is in a foreign country (Ridenour, 2011; NLC Administrators, 2012). Case #7, a Texas registered nurse with a PTP in Arizona, illustrates this. by Connecticut Department of Public Health Call Number: Conn Doc H342d Organized by occupation; coverage varies The following is a listing of public actions taken by the Board of Examiners for Nursing or the Connecticut Department of Public Health. Implications for NursesThis section includes some important reminders for nurses regarding license compacts. A fine, if included, may range from $300 to $1000, or more, depending on the individual circumstances of the case. Civil Penalty - $500.00, Suspended while All applicants must also have passed the applicable licensing examination and be eligible to hold an unencumbered license (NCSBN, n.d.j). 24, No. Retrieved from https://www.bon.texas.gov/discipline_and_complaints_policies_and_guidelines.asp, Texas Board of Nursing. Probation - 4 years 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. The sections below will briefly describe the uniform license requirements and the background checks, key disciplinary provisions, and the process for reporting disciplinary actions against the licenses and privileges of nurses with multistate licenses. State officials said Hansen is now living in California and does not have an active LPN license in Connecticut. Visit the CDC COVID-19 Community Levels Map for updates. Below are the number of serious actions against registered nurses that Connecticut reported in recent years, based on a ProPublica analysis of data from the Health Resources and Services Administration (see caveats). Facing Investigations. https://libguides.ctstatelibrary.org/law/state-agency-decisions, Get a Library Card & Use or Borrow Materials, Library for the Blind and Physically Handicapped, Braille and Audio Reading Downloand (BARD), Connecticut Volunteer Services for the Blind & Handicapped, Inc. (CVSBH), Connecticut State Historical Records Advisory Board, The Public Records of the State of Connecticut, Commission of Human Rights and Opportunities, Brief History of the Department of Public Health, Department of Public Health Regulatory Reports, Affirmative Action/Equal Opportunity Employer. Connecticut Board of Examiners for Nursing Dept. Therefore, you must make sure that you do everything you can to find an attorney, understand the allegations against you in the complaint, and prepare yourself for the hearing. 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. Civil Penalty - $200.00, Ellen Sollazzo Tracking Nurses Nationwide - This interactive map and chart shows the state of nursing records access nationwide. Actual cases of disciplinary actions against nurses are used in this article; several measures have been taken to preserve anonymity and confidentiality. our recipe for investigating nursing boards' oversight, See the numbers for every state's serious disciplinary actions, discuss their reporting on delinquent nurses, Investigate Your State's Oversight of Health Care Professionals. Pro Publica Inc. Starting in 2021, nail technicians are now required to obtain and maintain a professional license, Massage therapists are some of the most popular professionals in the state of Connecticut. For example, in some states, certain crimes constitute absolute bars to licensure, while the NLC Uniform Requirements do not consider those same crimes to be an absolute bar to licensure. People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. If there has been a hearing and you have received a notice and information on a hearing, the Board has chosen to move forward with the complaint against you. Read our recipe for investigating nursing boards' oversight . In spite of these concerns, as many as 25 states did join the NLC. Read our recipe for investigating nursing boards' oversight . January 19, 2018 marked the date that multistate licensure practice via a compact would no longer be available to nurses whose states did not switch to the eNLC. License As has been shown above, there can be a domino effect of disciplinary actions against nurses licenses. (2015a). in Connecticut, Naomi Williams-Wal Based on this West Virginia event, Texas filed formal charges against her and she voluntarily surrendered her license. 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. Nursing disciplinary action can include fines or civil penalties. (2017, March). RN R48430 Sign up here. it is important to remember that the multistate NLC does not change anything for a nurse who obtains one license and does not seek to move to or to practice in another state.Secondly, nurses should know that even when they do not qualify for a multi-state license, a single-state license may still be obtained (NLC Administrators, 2012). 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. Another scenario concerns the impact of the automatic reporting of disciplinary actions on an individual nurses license. After a BON's consideration of the complaint and the immediate evidence available, an emergency action may be necessary. People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. (2013). Nurses are trained to always be mindful of safety and professional ethics. These laws are based on the Nursing Practice Act and allow the BONs to issue appropriate . This act requires systematic oversight of regulations. 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. This piece was developed in collaboration with one or more of our writers. Credit: JGI/Tom Grill | Tetra Images | Getty Images, According to the National Council of State Boards of Nursing, according to the National Practitioner Data Bank, https://khn.org/news/article/nurses-react-radonda-vaught-verdict-conviction/, https://news.gallup.com/poll/388649/military-brass-judges-among-professions-new-image-lows.aspx, https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Fact-Sheet, Do Not Sell or Share My Personal Information. Upon moving to the Commonwealth of Virginia, and not being aware of the nursing compact rules, I tried to renew the Texas license. Copyright 2013 Other healthcare professionals are mandatory reporters, meaning they must report violations. (2011). 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). It is noteworthy that the nursing profession led the way, among the healthcare professions, in establishing and implementing an interstate practice model (NCSBN, 2018a). Enhanced Nurse Licensure Compact (eNLC) implemented Jan. 19, 2018 [News release]. Key Disciplinary ProvisionsIn addition to the eligibility requirements, the eNLC contains key provisions that are explained in eleven articles. Key provisions of this compact are reviewed with examples of how it has impacted individual nurses. Resources and articles written by professionals and other nurses like you. The applicant must also possess a valid United States social security number (NCSBN, n.d.j). Civil Penalty - $2500.00 This guide to nursing disciplinary action explains what happens after a professional lapse. This prompted the National Council of State Boards of Nursing (NCSBN) to take some corrective action. She had initiated the paperwork to change her primary residence to Texas and was issued an Agreed Eligibility Order by the Texas BNE. The thought of being disciplined or losing a professional license is something that can be daunting, but familiarizing yourself with what to expect can give you the knowledge to know what to expect and be prepared. . It is noteworthy, however, to understand that a nurse with a felony plea or conviction may still obtain a single state nursing license. Her experience includes teaching students and nurses about legal issues that impact nurses. The disciplinary action may or may not include a fine. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. Board action is required to discipline your nursing license, because only the Board has . Some of the features on CT.gov will not function properly with out javascript enabled. It is not enough to initiate paper work to start the process. . Therefore, all disciplinary actions are documented in one depository known as Nursys (NCSBN, 2016). According to the NCSBN, this represents less than 1% of all nursing licenses. Emergency actions usually take the form of a summary suspension of a nurses license. While enrolled in a masters of nursing program online at Bradley University in Illinois, Young forged the signature of her preceptor, or supervisor, on exams and time logs and created fictitious patient records, a consent order she agreed to said. Your attorney will be able to help prepare you on what to say to the board and prepare evidence in support of your defense. 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. She forged the signature on a log that said she had completed the required 150 hours of training when she had only completed 16 hours, the order said. Many times, at this stage, there is something that the board has found that has led them to hold a hearing. All rights reserved. By signing the order in Connecticut, she chose not to contest the allegations. Connecticut. Connecticut Board of Examiners for Nursing. The boards memorandum of decision says that Francis, who previously lived in Colchester, used controlled substances to excess in 2016 and 2017. She voluntarily surrendered her PTP in Texas. NOTE: The following information is not intended for licensure verification purposes. This is why the RaDonda Vaught case, which resulted in criminal charges from a medical mistake, drew national attention from nurses and nursing organizations. After the investigation, the board of nursing may decide to close the case if the complaint was found to be not valid. 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. Once the terms of the disciplinary measures have been satisfied, the original home state may re-issue a multistate license (NLC Administrators, 2012). If you have a professional license and you are worried about losing it, you may be wondering what happens now. Implications of the Compact for EducatorsEducators are not exempt from licensure requirements.Educators are not exempt from licensure requirements. This act requires systematic oversight of regulations. Disciplinary action included license suspension. If an action is appealed, a court ordered stay may delay the imposition of a Board action. Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, or behavior that either endangers a patient or represents a potential danger to patients can file a complaint with the state board of nursing.

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