The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. They are one of the most trusted professions in the country because of their high standards. The general standard for this action is clear and convincing evidence that continued practice by the nurse would present a danger of immediate and serious harm to the public. even when nurses practice in a remote location from the patient, they are subject to disciplinary measures both by the state where the patient is located, and by their home state.The possibility of long distance or telehealth practice will be of great financial benefit to military spouses who may move from state to state. Probation - 1 year, 12/01/2021 LPN #030756, Nichelle Robinson Enhanced Nurse Licensure Compact (eNLC) implemented Jan. 19, 2018 [News release]. The provisions of the eNLC highly reduce the likelihood that public safety will be compromised. Disciplinary action included license suspension. 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. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. ISSN: 1091-3734 American Nurses Association - 8515 Georgia Avenue - Suite 400 - Silver Spring, MD 20910, Omobola Awosika Oyeleye, EdD, JD, MSN, MEd, BSN, BA, RN-BC, CNE, CHSE, CPHQ, Carolyn Hutcherson MS, RN; Susan H. Williamson MPH, RN, Substance Use Disorders and Related Concerns, The 200th Birthday of Florence Nightingale, Speroni on Professional Pathways in Nursing", Parast and colleagues on Healthcare and Quality, Gaul, Higbee, Taylor, Ensign, Monson & Price on Nursing Education and Crisis in Competency, Parast and Heshka on Past, Present, and Future, Fogg-Martin on Calling Nursing Informatics Leaders", Jean-Gilles on An Historical View of Nursing and Polio, Pattishall on Informatics: Protect Yourself and the Nursing Profession from Predatory Journals, key provisions of the enhanced Nurse Licensure Compact, https://www.nursys.com/EN/ENJurisdictions.aspx, https://www.ncsbn.org/NLC_Key_Provisions-FINAL.pdf, https://www.ncsbn.org/NLC_What_Nurses_Need_to_Know.pdf, https://www.ncsbn.org/eNLC-ULRs_082917.pdf, https://www.ncsbn.org/transcript_NurseLicensureCompact.pdf, https://www.ncsbn.org/12_ULR_table_adopted.pdf, https://www.ncsbn.org/Key_Provisions_of_New_APRN_Compact.pdf, https://www.ncsbn.org/NLC_Final_050415.pdf, https://www.ncsbn.org/2016NLC_JPuente.pdf, https://www.ncsbn.org/Leader_to_Leader_NLC_Issue2017.pdf, https://www.ncsbn.org/NLC_Model_Rules.pdf, https://www.ncsbn.org/Memo2Employers_PSOR.Requirements.pdf, http://www.ohnurses.org/wp-content/uploads/2017/02/Multi-State-Compact-Licensure-Compact-Statement.pdf, https://www.leg.state.nv.us/74th/Interim_Agendas_Minutes_Exhibits/Exhibits/Lasers/E011008E.pdf, https://www.ncsbn.org/201106_NLC_JRidenour.pdf, http://www.bne.state.tx.us/discipline_and_complaints_disciplinary_action_compact_discipline.asp, https://www.bon.texas.gov/discipline_and_complaints_disciplinary_action_10012016.asp, https://www.bon.texas.gov/discipline_and_complaints_policies_and_guidelines.asp, https://www.bon.texas.gov/faq_licensure.asp, Multistate Licensure: Who Owns Your Care? 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. (NCSBN, n.d.d). 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. (n.d.d). State officials said Hansen is now living in California and does not have an active LPN license in Connecticut. If an action is appealed, a court ordered stay may delay the imposition of a Board action. The board revoked the licensed practical nurse license of Laurie Davidson of Bolton after finding that she failed to properly document medical records while working in 2015 as a nurse at Walnut Hill Care Center in New Britain. 410 Capitol Avenue, Hartford, CT 06134. When using this tool, the links will direct you to the state board of nursing website where you can locate the NPA via the state statute or code. It will not be helpful for your situation if you are more concerned with apologizing and speaking out of emotion than cooperating with the board and the investigation. 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. They issue decisions, consent orders, and compliance letters related to these investigations. The disciplinary action may or may not include a fine. Position statement: Multi-state Nurse Compact Licensure [PDF file]. These contributors: Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. Interested in a conference call with reporters Charles Ornstein and Tracy Weber? West Virginia barred her for five years, Oregon for three, and Minnesota and Texas for one year (NCSBN, n.d.h). QuickConfirm License Verification. She had initiated the paperwork to change her primary residence to Texas and was issued an Agreed Eligibility Order by the Texas BNE. Reporting & enforcement. Some of the features on CT.gov will not function properly with out javascript enabled. DISCIPLINARY ACTION -License suspended. Exemplifying telehealth discipline is Case #5, an RN with a Tennessee license and also an advanced practice registered nurse (APRN) license from many states, including Texas and West Virginia. DISCIPLINARY ACTION A Warning was issued in respect to this nurse's license. Find the right nursing program for you. Investigations may take several months depending on the case. After she changed her primary residence to Texas, she continued to practice under a PTP for 3 years. People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. Joe Raedle / Getty Images The state Board of Examiners for Nursing last week suspended the. Their other concern was financial in nature. NurseJournal.org is committed to delivering content that is objective and actionable. 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. A fine, if included, may range from $300 to $1000, or more, depending on the individual circumstances of the case. Visit the CDC COVID-19 Community Levels Map for updates. The Texas action was a result of Culton intentionally sticking the hand of a co-worker with a syringe needle, a consent order she agreed to said. Services provided by Nursys include automated license status updates, and regular updates to institutions regarding any changes to their nurses licenses. 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. The Compact Does Not Affect Everybody. Those were violations of a four-year probation that the board imposed in 2017 because she had abused heroin between 2011 and 2014, state records show. Visit the CDC COVID-19 Community Levels Map for updates. As part of the measures to protect the public, the uniform license requirements also state that when an applicant seeks initial licensure or licensure by endorsement, the states must obtain the applicants criminal history record through fingerprints or biometric data from the Federal Bureau of Investigation (FBI), and the state (NCSBN, n.d.j). Select a jurisdiction from the drop-down list below to obtain a specific jurisdictions nurse practice act and rules. 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. Connecticut. Board actions may include: Fine or civil penalty. in the Operating Room (pdf), Declaratory Ruling - Examinations by Advanced Practice Registered Nurses Retrieved from https://www.ncsbn.org/671.htm, National Council of State Boards of Nursing, Inc. (n.d.h). Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. Connecticut Board of Nursing address is 410 Capitol Ave., MS# 12 APP, Hartford, Connecticut 06134, the main phone number is (860) 509-7603 but, you may also use the following direct phone numbers: Main number: (860) 509-7603 DPH CT number: (860) 509-8000. With increased privilege to practice comes increased exposure to disciplinary action.Greater Privileges Equal Greater Risk and Financial Burden. NCLEX RN/LPN First Time Pass Rates- REVISED May 2022, Patricia C. Bouffard, RN, D.N.Sc.- (RN Member, Chair) Pro Publica Inc. RN #075930, Sheryl Lacoursiere (2015b). Find a location that has a supply of COVID-19 therapeutics as part of the Test to Treat initiative here. 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. If outside the United States, applicants must have graduated from a program approved by authorized accrediting body and must have passed an English proficiency examination. Probation 2 years, Reprimand Your attorney will be able to help prepare you on what to say to the board and prepare evidence in support of your defense. (NCSBN, 2017). Records show he abused alcohol to excess from 2015 to 2017 and has not been compliant with treatment and monitoring in an alternative program run by the Health Assistance InterVention Network since December. 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. Case #1). Dr. Oyeleye is an assistant professor of nursing at the Cizik School of Nursing, University of Texas at Houston. of Public Health 410 Capitol Avenue, MS# 13PHO P.O. In other words, nursing compact practice would be limited only to those whose home states joined the eNLC (NCSBN, 2018a). If your license has been suspended, you will usually receive a notice and information on a hearing. Retrieved from https://www.ncsbn.org/NLC_Model_Rules.pdf, Nurse Licensure Compact Administrators. Prelicensure distance education requirements. 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. The eNLC became effective on July 20, 2017, when North Carolina became the 26th member (NCSBN, 2018a). Retrieved from https://www.ncsbn.org/70.htm, National Council of State Boards of Nursing, Inc. (n.d.c). Retrieved from https://www.ncsbn.org/674.htm, National Council of State Boards of Nursing. Based on this West Virginia event, Texas filed formal charges against her and she voluntarily surrendered her license. 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. Massachusetts Board of Registration In NURSING Disciplinary Actions . So, when a complaint is filed against you by anyone, and the Board begins an investigation, this is the first stage of the process. 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 is exemplified in Case #1, an LVN with a license from South Carolina and a PTP in Texas. 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. The American Academy of Nursing accepts scholarship applications for the Building Academic Geriatric Nursing Capacity, Claire M. Fagin Fellowship Program. The investigation process depends on the nature and seriousness of the complaint. 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. Evans, S. (2015). Contact Info Missouri State Board of. LPN #027133, Dianne Powers These technologies are increasingly being utilized; they are transforming care delivery, and erasing geographical boundaries (NCSBN, 2016, 2017). 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. Boards of Nursing (BON) take disciplinary action in order to protect the public by insuring that only properly qualified and ethical individuals practice nursing. The APRN Compact: A summary of the key provisions [PDF file]. font size, Disciplinary actions may alsobe viewed the Department of Public Health's, Probation 1 year if Once the terms of the disciplinary measures have been satisfied, the original home state may re-issue a multistate license (NLC Administrators, 2012). People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. Box 340308 Hartford, CT 06134-0328 Phone: 860.509.7624 860.509.7603 ( for testing. Many times, at this stage, there is something that the board has found that has led them to hold a hearing. The most crucial part of this process is when it first begins, and there has been a complaint made against you. Many nurses protested and even quit after she was found guilty, alarmed at the criminalization of medical mistakes. Implications of the Compact for EducatorsEducators are not exempt from licensure requirements.Educators are not exempt from licensure requirements. In lieu of a hearing, she surrendered her West Virginia license. Implications of the Compact for EmployersAlthough it used to be sufficient to verify a nurses license with the state board of nursing, it is no longer so. She has taken several courses in the care of patients airways and related topics. Reprimand, Reprimand Therefore, the aim of this manuscript is to examine the NLC and its disciplinary provisions and to discuss the potential consequences and implications of violating those provisions. Practice Restriction, Reprimand Copyright 2023 The License Lawyers - Attorney Jay Ruane is reponsible for the content of this advertising. Read our recipe for investigating nursing boards' oversight. Depending on the number of states in which a nurse desired to practice, this could be burdensome and bureaucratically onerous. Our Recipe: Investigate Your State's Oversight of Health Care Professionals, Editor's Note: Why We're Sharing Our Recipe, Chart: Serious Actions Reported Nationwide, When Caregivers Harm - Our complete coverage of flawed regulation of healthcare workers California and nationwide. At a hearing, there will usually be a panel of board members who will hear the evidence against you that was produced in the investigation. However, even when nurses practice in a remote location from the patient, they are subject to disciplinary measures both by the state where the patient is located, and by their home state (NCSBN, 2017). During the review, the state board of nursing first decides if the complaint falls under nursing disciplinary actions, that is, if it violates the nurse practice act for that state. 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. Retrieved from https://www.ncsbn.org/11945.htm, Nurse Licensure Compact Administrators. Specific examples of disciplinary actions and implications for nurses, employers, and educators are presented. When nurses extend practice into another compact state, they do not obtain another license, but will work under a PTP. Key Disciplinary ProvisionsIn addition to the eligibility requirements, the eNLC contains key provisions that are explained in eleven articles. Following some charges against her in Texas. Nurse Licensure Compact: What nurses need to know [PDF file]. 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. Board action is required to discipline your nursing license, because only the Board has . practicing You can see this at www.nursys.com, click on the HELP tab, then FAQs in the drop-down menu. Nurses are trained to always be mindful of safety and professional ethics. ANNA Journal, 24(5), 507-515. Retrieved from https://www.bon.texas.gov/enlcnotice.asp, https://doi.org/10.3912/OJIN.Vol24No02PPT09. Although each disciplinary hearing and process is unique, there is some general consistency for disciplinary boards among different agencies. She voluntarily surrendered her PTP in Texas. Donaho, B., Mudge, C., & Price, C. A. The board also placed the licenses of the following nurses on probation for four years and ordered them to pass random drug and alcohol tests: LPN Tammy Piccirillo of Seymour who, according to a consent order she signed, abused opiates from 2017 to 2018. Once the Virginia license was granted, the Texas license became invalid. ), Suspended practice (loss of license for a specific period), License revocation (complete loss of license). Retrieved from https://www.ncsbn.org/eNLC-ULRs_082917.pdf, National Council of State Boards of Nursing. Case #7, a Texas registered nurse with a PTP in Arizona, illustrates this. Military brass, judges among professions at new image lows. Reforming health care workforce regulation: Policy considerations for the 21st century: Report of the Taskforce on Health Care Workforce Regulation. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. This could be a positive because the standard of proof at these hearings is higher than a preponderance of the evidence and requires evidence that is so clear that it leaves little room for doubt. Together the NPA and rules/regulations guide and govern nursing practice. Podcast: Reporters Charlie Ornstein and Tracy Weber discuss their reporting on delinquent nurses. investigation is pending, Reprimand People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. The relevant parts of Article III require that nurses must comply with the practice laws in each state where they practice. Nursing disciplinary action can include fines or civil penalties. 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. 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. It is important to remember to be cooperative and not appear resistant to the board. Phones: 860.509.7624 or 860.509.7603. I was advised to surrender the Texas license and apply for a license in my new home state. of Nursing, Voluntary Agreement Not to Other healthcare professionals are mandatory reporters, meaning they must report violations. Dept. 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. However, Connecticut can issue a summary suspension, which suspends a persons license before giving any notice or a hearing if they feel there is a risk to the safety of the public before having a hearing. This guide answers your questions about complaints against nurses and how they are resolved. 2023 American Nurses Association. Read our recipe for investigating nursing boards' oversight . To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers. Their home state licenses would be accepted in all of the NLC states and they would be subject to the laws and nurse practice acts of all the state(s) in which they practiced (NCSBN, 2011, 2016). It must be emphasized that most nurses render care in a competent manner and that only a very small minority are charged with violations. 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The applicants criminal history should not contain a conviction, a plea, or an agreed disposition of a felony offense at the state or federal level, or a misdemeanor offense committed during the practice of nursing. Board actions may include: A state BON has the authority to take action against a licensee on the basis of another states licensure disciplinary action that implicates the individuals ongoing ability and likelihood to practice professionally and safely. The appeal process is the opportunity to go in front of the board and refute the charges against you or the disciplinary action against you. Nursing faculty will also need only one license to practice in compact states. Department of Public Health Regulatory Reports Disciplinary actions taken against individuals licensed through the Department of Public Health. Please click the appropriate link below for specific licensing requirements: Information Regarding the Increase in Renewal Fees, Information Regarding the Recent Renewal Fee Increase, 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. Retrieved from https://www.bon.texas.gov/discipline_and_complaints_disciplinary_action_10012016.asp, Texas Board of Nursing. Frequently asked questions - licensure. (2017, March). Probation - 4 years (2017). Nurses can get legal counsel at any stage of nursing disciplinary action, from the initial complaint through the board's actions. Call our office today to speak with someone about your professional license. Hawaii recently signed an agreement to participate (NCSBN, n.d.c). Copyright 2013 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. 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. This retained jurisdictional authority, allowed by administrative law principles and case law, seeks to prevent the nurse from evading disciplinary action merely by fleeing the state. Emergency actions usually take the form of a summary suspension of a nurses license. There is, however, an act that was drafted to oversee these state agencies. Implications for NursesThis section includes some important reminders for nurses regarding license compacts. Disciplinary actions by state boards of nursing are shared with other boards of nursing across state lines through various means, one being the National Council of State Boards of Nursing's Disciplinary Data Bank established in 1981. Retrieved from https://www.ncsbn.org/12_ULR_table_adopted.pdf, National Council of State Boards of Nursing. In 1995, the Commission released its full report: Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century. 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. National Council of State Boards of Nursing, Inc. All Rights Reserved. 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). Explore our full list of Integrity Network members. Journal of Nursing Regulation, 6(3), 11-16. Retrieved from https://www.ncsbn.org/NLC_Key_Provisions-FINAL.pdf, National Council of State Boards of Nursing. Facing Investigations. LPN #033506, Reprimand This act requires systematic oversight of regulations. One allegation brought against her was failing to apply for licensure in Texas within 30 days of establishing residence in Texas. Civil Penalty - $200.00, Ellen Sollazzo The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. Under the eNLC the states have uniform licensure requirements, are authorized to obtain and submit criminal background checks, and are required to report all disciplinary measures (NCSBN, n.d.j, 2015a, 2016). Disciplinary actions may alsobe viewed the Department of Public Health's Regulatory Action Reports. renew License, Reprimand . It seems that JavaScript is not working in your browser. It must be completed within the required deadline. 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). 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. 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. If you have a professional license and you are worried about losing it, you may be wondering what happens now. in Connecticut, Naomi Williams-Wal This led to a charge before the BON, and some disciplinary action (Texas BNE, n.d.). Nurses must also pay for any remedial requirements (such as mandatory education) or substance misuse treatment. 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.
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