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
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.
1. multi state licensure boon or bane
Dr. S.Ani Grace Kalaimathi,
Tamil Nadu Nurses and Midwives
MULTI LICENSURE – A
BOON OR BANE?
If standard of living
is your major objective,
Quality of life almost
If quality of life
is your number one objective,
your standard of living
always improves .
Hope you agree ! ! !
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
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)
rules & regulations (credentials –
education & practice)
a competent level of behaviour
professional role of the nurse (privilege)
KEEP IN MIND
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
– Licensing and certifying
– Setting fees
– Establishes standards for educational programs
– Determines duration and renewal of licenses (and
– Carries out disciplinary actions for violators
– Suspends and revokes licenses and appeals
Multi-State Nursing Licensure
• 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
Viol Violations ationsViolations
Violations of nurse licensure
and other laws regulating
the practice of nursing
may result in injury or
harm to the public.
• The current system of duplicative
licensure for nurses practicing in
multiple states is cumbersome
and redundant to both nurses
• Verify nurse's licensure details
• Enter and review disciplinary actions
• Identify licenses from all States she has
• Enhance communication between member
• Retrieve discipline and various other reports
STEPS INVOLVED IN ISSUING CREDENTIALING AND LICENSING IN INDIA
STATE GOVT --- ESSENTIALITY CERTIFICATE FROM
INC --- CENTRAL STATUTORY BODY TO ISSUE SUITABILITY / PRESCRIBING CREDENTIAL
FOR NURSING COURSES
SNC ---RECOGNITION / Endorsing the Credential
(Issuing Credential Certificate)
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
KEY elements to safe and quality
Is it mandatory ?
Credentialing & licensing will allow for safe and
quality nursing practice by
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