Licensure & credentials


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  • Registered nurse applicant qualifications. Any applicant for a license to practice as a registered nurse shall submit to the board: (a) An attested written application on a Board of Nursing form; (b) Written official evidence of completion of a nursing program approved by the Board of Trustees of State Institutions of Higher Learning, or one approved by a legal accrediting agency of another state, territory or possession of the United States, the District of Columbia, or a foreign country which is satisfactory to this board; (c) Evidence of competence in English related to nursing, provided the first language is not English; (d) Any other official records required by the board.
  • Licensure & credentials

    1. 1. Issues related to licensure and credentialsCandice Clarkson, Laura Cummings, Madison Moorehead& Courtney Musselwhite
    2. 2. Presentation TopicDiscuss issues related to licensure andcredentials. Give examples and discuss the roleof continuing education, certification, and what isadvanced practice?
    3. 3. The Nursing License: What We All DesireAccording to the Mississippi Nurse Practice Law(2010), “a license means an authorization to practicenursing as a registered nurse or a licensed practicalnurse designated herein” (p. 4).Many medical-related professions, including nursing,are regulated by state practice law, and these sets oflegislation establish standards of professionalpractice and licensing.The concept of licensing is so important to ourprofession of nursing since the overall goal andpurpose of licensing is to protect the health,wellbeing, and safety of the public.
    4. 4. The Nursing License: What We All DesireAs we all know, the steps to reach the point whereone can apply and obtain a nursing license arestrenuous, difficult, and at times maddening.Therefore, as future nurses with that desired RNlicense, we want to do everything we can in order toremain in good standing with the professionalstandards of our state board of nursing and the NursePractice Act.Related to licensure, the Mississippi Board of Nursingdefines what certain requirements are needed toobtain a license and also establishes various limitsand guidelines of the license.
    5. 5. The Nursing License: Licensure LawsThere are two types of licensure laws: mandatory orpermissive.Mandatory law “requires any person who practices theprofession or occupation to be licensed (Chitty & Black, 2011,p. 80).Permissive law “protects the use of the title granted in the lawbut does not prohibit persons from practicing the profession oroccupation if they do not use the title” (Chitty & Black, 2011, p.80).Today, every state has a mandatory licensure law for theprofession of nursing in order to protect the general publicseeking nursing care.
    6. 6. Criteria for Nursing LicensureWhat are the applicant qualification for a nursing license in thestate of Mississippi?In addition to criteria for nursing licensure, each state board ofnursing also has the power to establish criteria and guidelinesfor nursing education programs.Currently, in order to be granted a nursing license, only stateapproval or accreditation of the nursing education program isneeded.This is beginning to create an issue within the profession ofnursing since some states are seeking to require that nursingprograms have national accreditation as well in order for theirgraduates to meet state approval for licensure.
    7. 7. Mobility of Nurses: What does this mean for our licenses?Licensure by Endorsement: Allows RNs topractice and work in other states withoutrequiring nurses to take an additionallicensure examNurse Licensure Compact: Established topromote the mobility of nurses while alsoprotecting and promoting the wellbeing,health, and safety of the general public
    8. 8. Professional Licensure vs. Institutional Licensure According to Marquis and Huston (2012), “professional licensure is a privilege and not a right” (p. 110). Some professionals are now advocating the concept of institutional licensure, which would allow the healthcare institution or agency to determine the professional competency of the nurse and grant licensure. Supporters of this form of licensure believe that it would support better efficiency and usefulness of nurses and greater flexibility. However, most professional nursing organizations completely reject this idea.
    9. 9. Alternative to Institutional Licensure: CertificationCertification is a form of credentialing of nurses that “goesbeyond licensure by validating a high level of knowledge andproficiency in a particular practice area” (Chitty & Black, 2011,p. 162).Completely voluntaryPromotes further professionalism and prestige of the nurseA certifying organization or body awards a certificate to thenurse who successfully passes the certification exam andsubmits documentation of experience and letters of reference.Today, there are 48 different professional certifying bodies thatoffer certification in different areas of expertise.
    10. 10. CertificationExamples of Certifying Bodies: American Associationof Diabetes Education, Pediatric Nursing CertificationBoard, National Association of Neonatal Nurses,American Nurses Credentialing Center (ANCC)ANCC is the largest of the certification organizationsand offers 40 various certification programs forassociate degree or baccalaureate RNS andadvanced practice nurses.Certification usually lasts for three to five years; thenthe nurse must apply for recertification throughretesting or providing documentation of continuingeducation credits and continued clinical practice.
    11. 11. Benefits of CertificationGreater salaryLarger scope of practiceGreater job and professional opportunitiesConfirmation of knowledge, skills, and ability toprovide competent nursing careRecognition and respect from healthcareinstitution and coworkers
    12. 12. Challenges with Certification A lack of uniformity among the many establishedcertification bodies leads to confusion andconcern related to consistency, standardization,testing, and practice prerequisites.Many nurses believe that nursing certificationwould benefit from a national certifying boardrather than continuing to use the multiplestandards of certification currently in place.
    13. 13. It’s all about the license....• Board of Nursing: Their purpose is to carry out the laws outlined in the Nurse Practice act of their state, and provide safety for the general public. The board is put together by the governor of the state, having 13 members from various areas of nursing practice and various locations over the state.• Requirements for licensure: Submit an official transcript from an accredited nursing school, complete a criminal background check and finger printings, submit a notarized application and pay fee, as well as register for the NCLEX and pay the testing fee. (Complete within one years time, any falsification of information will result in withholding ones license and up to a $5000 fee)
    14. 14. Nursing Applicant Rejects - #1
    15. 15. Nursing Applicant Rejects - #2
    16. 16. Nursing Applicant Rejects - #3
    17. 17. Board of Nursing: Disciplinary ActionDenial, Revocation, & suspension of license: “Theboard shall have power to deny, revoke, suspend, orrefuse to renew any license or permit to practice nursingissued by the board or applied for in accordance withthe provision of this act, including the power to fine saidindividual, upon proof that such person has violated theprovisions of Miss. Code Ann. Chapter 15 as morespecifically defined in Section 73-15-29.”*All unprofessional conduct is defined within theMississippi Nurse Practice Act, we will specificallyaddress 10 examples.
    19. 19. #1. Practicing under theinfluence of alcohol.
    20. 20. #3. FalseRepresentation of licensure
    21. 21. #4. Inappropriate Delegation The Nurse…..Oh yeahhh, I’m gettingpaid for this I have no idea what I’m doing!!! ….The UAP doing the nurses’ job.
    22. 22. Laura was the BEST PATIENT EVER!!
    23. 23. #6. ViolatingProfessionalBoundaries
    24. 24. #7. Willfully alteringmedications
    25. 25. HELP!! I’vefallen and I can’t get up!!!!
    26. 26. #9. Conviction of a felonyin the past 5 years.
    27. 27. Defined as “non-degree seeking ways in which nursesmaintain expertise during their professional careers”(Chitty & Black, 2011, p. 163)Promotes continuous and life-long learningThe ANCC is in charge of setting standards for CE,accrediting programs that provide CE, and transferring CEcredits form state-to-state.In 33 states, CE is required and must be documented inorder to renew one’s license.With mandatory continuing education in the field ofnursing, the government guarantees that nurses arestaying current and educated about what is going on theprofession of nursing.
    28. 28. 1. Nurse Practitioner2. Certified Nurse Midwife3. Certified Registered NurseAnesthetist4. Clinical Nurse Specialist
    29. 29. Requirements: Completed a BSN program Complete a NP master’s/doctorate program Pass the national NP exam to become certified From here, the majority of NP choose a specialty area (such as: Family practice, adult or pediatric health care)Scope of practice: NP can perform physical examinations, take medical histories, diagnose and treat illnesses and injuries, order lab tests, and prescribe medications with some physician supervision. Some NPs are independent and can be directly reimbursed by
    30. 30. Requirements: Registered Nurse Complete a formal midwife course over, which expands over a minimum of 9 months.Scope of Practice: CNMs provide woman care and aid in childbirth in a variety of healthcare settings. Births aided by nurse- midwives are among the safest. CNMs have the widest prescriptive rights of all advanced practice nurses.
    31. 31. Requirements: Completion of a BSN program & have RN license Must complete 2 to 3 years of specialized education in a master’s program must also meet national certification and recertification requirementsScope of Practice: CRNAsadminister anesthetics while collaborating with physician anesthetists or working independently They practice in a variety of healthcare settings The safety of care delivered by CRNAs is well established and considered safe.
    32. 32. Requirements: Completed a BSN program Complete a advanced nursing degree – master’s or doctoralScope of practice: Qualified to handle a variety of medical and mental health problems Considered experts in a particular field Qualified to perform health assessments, develop and make diagnoses, and deliver treatment.
    34. 34. References:Chitty, K.K., & Black B.P. (2011). Professional nursing: concepts &challenges. (6th ed.) St. Louis, MO: Saunders Elsevier.Healthcare integrity and protection data bank (HIPDB) and nationalpractitioner data bank (NPDB). (2013). Retrieved from quality improvement act law and legal definition. (2013).Retrieved from, B. L., & Huston, C.J. (2012). Leadership roles andmanagement functions in nursing. (7th ed.). Philadelphia, PA:WoltersKluwer/Lippincott Williams & WilkinsMississippi Nursing Practice Law. (2010). Retrieved from, A. L. (2010, March 4). National practitioner databaseexpanded. Retrieved from http://www.ama-