The National Council of State Boards of Nursing (NCSBN) became the first organization to develop and implement two interstate compacts to reduce regulatory barriers to cross-border nursing practice for licensed practical/vocational nurses, registered nurses, and advanced practice registered nurses. The compacts were intended to move from the traditional single-state license to a state-of-residence license allowing the licensee to practice in other participating states. After 15 years, adoption of the compacts by states had stalled. In response, NCSBN identified impediments to adoption of the compacts and initiated steps to promote their acceptance. Two new compacts were developed and are being introduced as the preferred regulatory model to preserve state autonomy while providing solutions to the problems of regulating nursing practice across state lines.
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- Taskforce on Health Care Workforce Regulation.Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century. Pew Health Professions Commission, San Francisco, CA1995
- The future of nursing: Leading change, advancing health.The National Academies Press, Washington, DC2011
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The Nurse Licensure Compact: A Historical Perspective
- •Summarize the history of nurse licensure compacts.
- •Explain the advantages of nurse licensure compacts.
- •Identify the barriers to nurse licensure compacts.
If you reside in the United States and wish to obtain 1.0 contact hours of continuing education (CE) credit, please review these instructions.
Go online to take the posttest and earn CE credit:
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If you cannot take the posttest online, complete the print form and mail it to the address (nonmembers must include a check for $15, payable to NCSBN) included at bottom of form.
The NCSBN is accredited as a provider of CE by the Alabama State Board of Nursing.
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Contact hours: 1.0
Posttest passing score is 75%.
Expiration: October 2018
Please circle the correct answer.
- 1.When was the Nurse Licensure Compact (NLC) first released?
- 2.According to the Pew Commission’s 1995 report, what effect does the single-state licensure model have on health care?
- a.Ensures professional flexibility
- b.Allows for greater access to care
- c.Improves quality of care
- d.Increases costs
- 3.What issue is cited as one of the driving forces for an interstate compact?
- a.Affordable Care Act
- c.Telecommunications technology
- d.Public protection
- 4.What is the new governing body for the Nurse Licensure Compact?
- a.Delegate Assembly
- b.Interstate Commission
- c.Institute of Medicine
- d.Consensus Model
- 5.Which of the following is an optimal feature of a multistate licensure model?
- a.A clear source of legal authority for scope of practice and discipline
- b.Support from nurse unions
- c.Allows for differing individual state standards for licensure and discipline
- d.Revenue for boards of nursing (BONs)
- 6.Which statement best describes the mutual recognition model of licensure?
- a.A nurse must acquire one license, which is recognized in every state.
- b.A nurse must acquire one license for every state in which he or she practice.
- c.A nurse must acquire one license, which is recognized in all other states that participate in the model.
- d.A nurse must practice in a state before he or she may acquire a license in that state.
- 7.What should the public understand about nurses with a multistate license?
- a.They are safe and competent to practice.
- b.They have met the NCSBN Guidelines for Practice.
- c.They have prescriptive authority.
- d.They hold a bachelor’s degree in nursing.
- 8.What is the most important advantage of an interstate compact for nurses?
- a.It enables any participating state to discipline a nurse’s license.
- b.It allows a nurse to have multiple licenses for the price of one.
- c.It allows a nurse to practice nursing in all participating states.
- d.It protects the right of each state to adopt different standards for licensure.
- 9.What is the advantage of having the Uniform Licensure Requirements?
- a.Requires strict adherence to identical rules in state laws
- b.Assists in aligning licensure regulation between states
- c.Helps boards of nursing understand the differences in state laws
- d.Mandates acceptable nursing practice
- 10.Which statement about interstate compacts is correct?
- a.There is one compact for registered nurses (RNs) and another compact for licensed practical/vocational nurses (LPN/VNs).
- b.There is one compact for RNs and LPN/VNs and another for APRNs.
- c.All states are required to participate in the compacts.
- d.Many different licensed professions already have an interstate compact.
- 11.Which two areas of concern are identified as a barrier to adoption of the NLC?
- a.Discipline and revenue
- b.Citizenship and ability to speak English
- c.Criminal history and history of addiction
- d.Prescription authority and education
- 12.Which of these factors influenced the BONs’ decision to revise the NLC?
- a.U.S. Congress is considering national nurse licensure.
- b.Nursing unions are calling for changes in collective bargaining.
- c.State attorneys general are proposing changes to state constitutions.
- d.BONs are removing themselves from the NLC.
Evaluation Form (required)
- 1.Rate your achievement of each objective from 5 (high/excellent) to 1 (low/poor).
- •Summarize the history of nurse licensure compacts.12345
- •Explain the advantages of nurse licensure compacts.12345
- •Identify the barriers to nurse licensure compacts.12345
- 2.Rate each of the following items from 5 (very effective) to 1 (ineffective):
- •Were the authors knowledgeable about the subject?12345
- •Were the methods of presentation (text, tables, figures, etc.) effective?12345
- •Was the content relevant to the objectives?12345
- •Was the article useful to you in your work?12345
- •Was there enough time allotted for this activity?12345Comments:_____________________________________________________________________________________________________________________________________________________________________________________________
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