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Dr. S.Ani Grace Kalaimathi,
M.Sc.(N), Ph.D.,
Registrar,
Tamil Nadu Nurses and Midwives
Council, Chennai
MULTI LICENSURE – A
BOON OR BANE?
Do u and me need quality Life ?
If standard of living
is your major objective,
Quality of life almost
never improves,
BUT
If quality of life
is your number one objective,
your standard of living
always improves .
Zig ziglar
Hope you agree ! ! !
Health
is
an
important
Indicator
of
QUALITY
LIFE
1. multi state licensure boon or bane
 Licensing is a legal endorsement awarded by a
competetent authority within the state that grants
permissions to individuals to practice in a given
profession. (eg. R.N , R.M, A.N.M., H.V. )
 The individuals seeking license must have
demonstrated an essential amount of competency
necessary to perform a unique scope of practice prior
to receiving the license. (eg. Diploma / B.Sc(N) Degree
from University/Board received through recognised
nursing institutions)
Courses Category of License Privilieging Avenues
 Basic Courses : }
ANM, HV, GNM, B.Sc.(N) } * Education
 } *Services - Hospital
 Higher Education Courses: } - Community
 M.Sc.(N), M.Phil, P.Hd } ANM, HV, RN, RM *Administration &
 } * Research
 Nursing Speciality Courses: }
P.B.Diploma in Nursing }
Specialities }
 RNs are professionals licensed by the state
in which they work.
 RNs function as active members of the
health care team.
 RNs provide and manage care for individuals
who are ill and their families.
A practice of nursing (license)
that
requires
rules & regulations (credentials –
education & practice)
to
ensure
patient safety
and
a competent level of behaviour
in the
professional role of the nurse (privilege)
KEEP IN MIND
Obtaining
a
license
to
practice
nursing
requires
learning
safe nursing
practice.
Updating/
Keeping
a
license
to
practice
requires
maintaining
safe nursing
practice
Why to have a License?
• Protect the public’s health & safety
• Hold each state and nurse accountable
• Facilitate the exchange of information
• Promote compliance with laws
State Nursing Council
• Regulates the practice of nursing
• Functions
– Licensing and certifying
– Setting fees
– Establishes standards for educational programs
– Determines duration and renewal of licenses (and
CEU’s)
– Carries out disciplinary actions for violators
– Suspends and revokes licenses and appeals
13
Concepts of License
Multi-State Nursing Licensure
The Issue
• Nurse Licensure rules and regulations were formed when
nursing was practiced primarily within the boundaries of one
or two states.
• With the development of managed care, tele-health and
mobile populations, nurses are frequently required to work
with patients who travel or reside across multiple state lines.
• Unlike driver’s licenses, many state nursing licenses are not
recognized by other states.
• When applying for endorsement into
another state. Nurses can verify their
licenses by completing the verification
process by paying stipulated fee as per
license type, per each nursing council
where the nurse is applying.
• The nurse’s license verification is
available immediately to the endorsing
nursing council.
Viol Violations ationsViolations
Violations of nurse licensure
and other laws regulating
the practice of nursing
may result in injury or
harm to the public.
SUSPENDED
Duplication
Duplication
• The current system of duplicative
licensure for nurses practicing in
multiple states is cumbersome
and redundant to both nurses
and states.
Advantages
• Verify nurse's licensure details
• Enter and review disciplinary actions
• Identify licenses from all States she has
obtained
• Enhance communication between member
concils
• Retrieve discipline and various other reports
STEPS INVOLVED IN ISSUING CREDENTIALING AND LICENSING IN INDIA
STATE GOVT --- ESSENTIALITY CERTIFICATE FROM
THE STATE
INC --- CENTRAL STATUTORY BODY TO ISSUE SUITABILITY / PRESCRIBING CREDENTIAL
FOR NURSING COURSES
SNC ---RECOGNITION / Endorsing the Credential
EXAMINING BODY
(Issuing Credential Certificate)
Affiliation
UNIVERSITY GOVT BOARD CMAI BOARD
SCHOOL OF NURSING
(Diploma – ANM , GNM & DNEA)
COLLEGE OF NURSING
(Baccalaureate, Masters, PG Diploma
CANDIDATES PASSED OUT FROM THE APPROVED
NURSING INSTITUTION WILL BE PERMITTED TO
RECEIVE LICENSE AND PRIVILEGE TO WORK AS A
PROFESSIONAL NURSE IN PAR WITH COMPETENCIES
KEY elements to safe and quality
nursing practice
KEY elements to safe and quality
nursing practice
The
future
politician
Collective
bargaining
Our
rights
Rights in
Professional
certification
REGISTERED
/License to
practice
Is it mandatory ?
WHAT
SHOULD THE
NURSE
EDUCATORS
DO TO
TRANSFORM
Disseminate
knowledge on
In summary
Credentialing & licensing will allow for safe and
quality nursing practice by
Protecting patients
Avoiding risk management or legal liabilities
(claims of negligent credentialing)
Complying with regulatory/accrediting agencies
Protecting the reputation of the organization
Preventing illegal or unlawful practice
MULTI LICENSURE –
A BOON OR BANE
QUESTION
ANSWER
DISCUSSION
1. multi state licensure boon or bane

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1. multi state licensure boon or bane

  • 1. Dr. S.Ani Grace Kalaimathi, M.Sc.(N), Ph.D., Registrar, Tamil Nadu Nurses and Midwives Council, Chennai MULTI LICENSURE – A BOON OR BANE?
  • 2. Do u and me need quality Life ?
  • 3. If standard of living is your major objective, Quality of life almost never improves, BUT If quality of life is your number one objective, your standard of living always improves . Zig ziglar
  • 4. Hope you agree ! ! ! Health is an important Indicator of QUALITY LIFE
  • 6.  Licensing is a legal endorsement awarded by a competetent authority within the state that grants permissions to individuals to practice in a given profession. (eg. R.N , R.M, A.N.M., H.V. )  The individuals seeking license must have demonstrated an essential amount of competency necessary to perform a unique scope of practice prior to receiving the license. (eg. Diploma / B.Sc(N) Degree from University/Board received through recognised nursing institutions)
  • 7. Courses Category of License Privilieging Avenues  Basic Courses : } ANM, HV, GNM, B.Sc.(N) } * Education  } *Services - Hospital  Higher Education Courses: } - Community  M.Sc.(N), M.Phil, P.Hd } ANM, HV, RN, RM *Administration &  } * Research  Nursing Speciality Courses: } P.B.Diploma in Nursing } Specialities }
  • 8.  RNs are professionals licensed by the state in which they work.  RNs function as active members of the health care team.  RNs provide and manage care for individuals who are ill and their families.
  • 9. A practice of nursing (license) that requires rules & regulations (credentials – education & practice) to ensure patient safety and a competent level of behaviour in the professional role of the nurse (privilege)
  • 10. KEEP IN MIND Obtaining a license to practice nursing requires learning safe nursing practice. Updating/ Keeping a license to practice requires maintaining safe nursing practice
  • 11. Why to have a License? • Protect the public’s health & safety • Hold each state and nurse accountable • Facilitate the exchange of information • Promote compliance with laws
  • 12. State Nursing Council • Regulates the practice of nursing • Functions – Licensing and certifying – Setting fees – Establishes standards for educational programs – Determines duration and renewal of licenses (and CEU’s) – Carries out disciplinary actions for violators – Suspends and revokes licenses and appeals
  • 14. Multi-State Nursing Licensure The Issue • Nurse Licensure rules and regulations were formed when nursing was practiced primarily within the boundaries of one or two states. • With the development of managed care, tele-health and mobile populations, nurses are frequently required to work with patients who travel or reside across multiple state lines. • Unlike driver’s licenses, many state nursing licenses are not recognized by other states.
  • 15. • When applying for endorsement into another state. Nurses can verify their licenses by completing the verification process by paying stipulated fee as per license type, per each nursing council where the nurse is applying. • The nurse’s license verification is available immediately to the endorsing nursing council.
  • 16. Viol Violations ationsViolations Violations of nurse licensure and other laws regulating the practice of nursing may result in injury or harm to the public. SUSPENDED
  • 17. Duplication Duplication • The current system of duplicative licensure for nurses practicing in multiple states is cumbersome and redundant to both nurses and states.
  • 18. Advantages • Verify nurse's licensure details • Enter and review disciplinary actions • Identify licenses from all States she has obtained • Enhance communication between member concils • Retrieve discipline and various other reports
  • 19. STEPS INVOLVED IN ISSUING CREDENTIALING AND LICENSING IN INDIA STATE GOVT --- ESSENTIALITY CERTIFICATE FROM THE STATE INC --- CENTRAL STATUTORY BODY TO ISSUE SUITABILITY / PRESCRIBING CREDENTIAL FOR NURSING COURSES SNC ---RECOGNITION / Endorsing the Credential EXAMINING BODY (Issuing Credential Certificate) Affiliation UNIVERSITY GOVT BOARD CMAI BOARD SCHOOL OF NURSING (Diploma – ANM , GNM & DNEA) COLLEGE OF NURSING (Baccalaureate, Masters, PG Diploma CANDIDATES PASSED OUT FROM THE APPROVED NURSING INSTITUTION WILL BE PERMITTED TO RECEIVE LICENSE AND PRIVILEGE TO WORK AS A PROFESSIONAL NURSE IN PAR WITH COMPETENCIES
  • 20. KEY elements to safe and quality nursing practice
  • 21. KEY elements to safe and quality nursing practice
  • 26. In summary Credentialing & licensing will allow for safe and quality nursing practice by Protecting patients Avoiding risk management or legal liabilities (claims of negligent credentialing) Complying with regulatory/accrediting agencies Protecting the reputation of the organization Preventing illegal or unlawful practice
  • 27. MULTI LICENSURE – A BOON OR BANE

Editor's Notes

  1. Discipline = fraud and deceit (using someone else license) criminal activity = conviction of a felony – murder, gross immorality (theft, fraud, personal) negligence = risk to the patient because of menta or physical incapacity: serious risk to health, safety, or physical or mental health of a patient, which includes patient injury violation of the nurse practice act = unprofessional conduct discipline by another jurisdiction = another state incompetence = failure to meet generally accepted standards of care unethical conduct = breach of confidentially, refusal to provide nursing care because of race, creed, color, national orgin, failure to maintain nursing competence alcohol or drug abuse = using or steeling syringes, IV tubing, depriving patient of medication, falsifying records
  2. The multistate license is still a state-based license. It is issued by a state BON. It should not be confused with or referred to as a national license. Nevertheless, it is recognized nationally. Enforcement takes place in the state where a violation occurs.
  3. SUSPENDED
  4. DISCUSSION