Knowing exactly where to draw the line can help you respond. National Council of State Boards of Nursing, Inc. All Rights Reserved. It may also result in filing formal charges or assigning the nurse to an alternative-to-discipline program. Referral to an alternative to discipline program for practice monitoring and recovery support (drug or alcohol dependent nurses, or in some other mental or physical conditions), Public reprimand or censure for minor violation of nurse practice act often with no restrictions on license, Imposition of requirements for monitoring, remediation, education or other provision tailored to the particular situation, Limitation or restriction of one or more aspects of practice (e.g., probation with certain restrictions, limiting role, setting, activities, hours worked), Separation from practice for a period of time (suspension) or loss of license (revocation or voluntary surrender), Remediation (various educational content or exercises). The relevant parts of Article III require that nurses must comply with the practice laws in each state where they practice. Your email address will not be published. Together the NPA and rules/regulations guide and govern nursing practice. In other words, it will not be necessary for the nurse to appear before the BON of the home state or of the states where PTP are held, unless the nurse wishes to offer a defense. Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, or behavior that either endangers a patient or represents a potential danger to patients can file a complaint with the state board of nursing. 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. Emergency Medical Technician (EMT) Defense, Frequently Asked Questions For License Defense Lawyers, New Nail Technician Professional License Requirements, Actions Taken Against Massage Therapist Licenses, Actions Taken Against Licensed Clinical Social Workers Licenses, Actions Taken Against Barbers, Cosmeticians, and Hairdressers, Health Care License Renewal in Connecticut, Complaints Against Connecticut Professional Licenses, Deficient Record Keeping and Professional License Lawyer Defense, Drug Abuse & Professional License Defense, Failure to Report Abuse and Professional License Lawyer Defense, Inappropriate Relationships and Professional License Lawyer Defense, Consumer Complaints Against Professional Licenses. If a PTP is revoked in one compact state, that will preclude the nurse from practicing in other compact states. Department of Public Health Regulatory Reports Disciplinary actions taken against individuals licensed through the Department of Public Health. Retrieved from http://www.bne.state.tx.us/discipline_and_complaints_disciplinary_action_compact_discipline.asp, Texas Board of Nurse Examiners. If, at any time, nurses decide to permanently reside in the PTP state, they must surrender the previous home state license and exchange their PTP for a license in the new state of residence. (2013a). This prompted the National Council of State Boards of Nursing (NCSBN) to take some corrective action. Almost all nursing misconduct is addressed through nursing disciplinary action from the state board of nursing or civil lawsuits. The state's duty to protect those who receive nursing care is the basis for a nursing license. These states, in alphabetical order, are: Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming (NCSBN, n.d.e). NLC model legislation [PDF file]. Journal of Nursing Regulation, 6(3), 11-16. Connecticut. This act requires systematic oversight of regulations. Nurses may and often do get a lawyer during nursing disciplinary action, especially if the potential action includes a suspended or revoked license. Case #1). Even after due process is done and there is a negative result, there is still a change to appeal the decision. RN #069635, Probation 6 months RN #E43134 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. . After our report, most of the board and its executive officer either resigned or were removed. There is, however, an act that was drafted to oversee these state agencies. The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. The best defense is to know and follow your states nurse practice act and discuss questions with a supervisor. Renew or Reinstate, 8 hours of supervised Prelicensure distance education requirements. Joe Raedle / Getty Images The state Board of Examiners for Nursing last week suspended the. each nurse must do due diligence to confirm a specific state's regulations.These cases illustrate that a nurse in a compact state can only hold one license and that must change if her residence changes. What educators need to know about the enhanced Nurse Licensure Compact [Special issue]. The 2011 Uniform Licensure Requirements [PDF file]. Registered Nurse Educational Program Statistics, Practical Nurse Educational Program Statistics, Adjustment of insulin by school nurses with parental input. Hawaii recently signed an agreement to participate (NCSBN, n.d.c). 2016 CT.gov | Connecticut's Official State Website, regular
All applicants must also have passed the applicable licensing examination and be eligible to hold an unencumbered license (NCSBN, n.d.j). The infraction is handled as if the offense took place in their jurisdiction, even if it happened in a remote location.The nurses state of primary residence, and the compact states in which the nurse has a PTP, often automatically take action against a nurses license and PTP respectively. 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. Another scenario concerns the impact of the automatic reporting of disciplinary actions on an individual nurses license. (NCSBN, n.d.d). Examples of Reported Disciplinary Actions under the Nursing Licensure Compact . Find a location that has a supply of COVID-19 therapeutics as part of the Test to Treat initiative here. She has taken several courses in the care of patients airways and related topics. Although the NLC makes nursing practice across state lines more uniform and less costly, it could also have a serious impact on a nurses ability to practice, especially if the nurse is under investigation or is disciplined by a state BON. Impact of Automatic Reporting on Disciplinary ActionArticle VI of the eNLC requires that states share freely any information that pertains to disciplinary actions. The state must also have the capacity to conduct a federal criminal background check (NCSBN, 2016). Retrieved from https://www.ncsbn.org/201106_NLC_JRidenour.pdf, Texas Board of Nurse Examiners. You may verify a license on-line atwww.elicense.ct.gov or by calling 860-509-7603. A consent order Hansen agreed to said that she repositioned the child in an aggressive and rough manner and failed to properly suction the patients airway. Visit the CDC COVID-19 Community Levels Map for updates. ), Suspended practice (loss of license for a specific period), License revocation (complete loss of license). However, she failed to complete all steps necessary to endorse her license to Texas. Retrieved from https://www.ncsbn.org/674.htm, National Council of State Boards of Nursing. 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. Lisa S. Freeman, BA - (Public Member) practicing. Following some charges against her in Texas. (2015b). With increased privilege to practice comes increased exposure to disciplinary action.Greater Privileges Equal Greater Risk and Financial Burden. 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. Podcast: Reporters Charlie Ornstein and Tracy Weber discuss their reporting on delinquent nurses. An RN was more than 30 days delinquent in paying child support obligation. So, when a complaint is filed against you by anyone, and the Board begins an investigation, this is the first stage of the process. It is not enough to initiate paper work to start the process. It recommended, among other things, that States should standardize entry-to-practice requirements and limit them to competence assessments for health professions to facilitate the physical and professional mobility of the health professions, (Pew, 1995, p. ix). Students need to know about how they might prevent actions that could cause disciplinary sanctions. (n.d.d). Reforming health care workforce regulation: Policy considerations for the 21st century: Report of the Taskforce on Health Care Workforce Regulation. Applicants for the eNLC license must not have pled guilty to or have been convicted of a felony. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. Please visit covidtests.gov to request four free COVID-19 self-test kits from the Federal Government. This guide to nursing disciplinary action explains what happens after a professional lapse. font size, Connecticut General Statutes Chapter 378 - Nursing, Pronouncement of Death by a Registered Nurse, Administration of Medications by School Personnel, Nursing Education Programs and Licensure Requirements, Mary E. Dietmann, EdD, APRN, ACNS-BC, CNE - (RN Member), Declaratory Ruling - Licensed Practical Nurse, Declaratory Ruling - Delegation to Unlicensed Assistive Personnel, Declaratory Ruling - Registered Nurse as a First Assistant, Declaratory Ruling - Examinations by Advanced Practice Registered Nurses, Declaratory Ruling Concerning Whether Registered Nurses, Statement on the Use of Controlled Substances, Insertion and Removal of Specialized Intravenous Catheters. dissatisfaction regarding the lack of easy mobility for healthcare professionals emerged from many sources.After a while, dissatisfaction regarding the lack of easy mobility for healthcare professionals emerged from many sources. This was largely in response to the increase in electronic healthcare practice in the United States. The case involving telehealth practice exemplifies the pitfalls that nurses may encounter while engaging in practice at a distance and across state lines. Your attorney will be able to help prepare you on what to say to the board and prepare evidence in support of your defense. This action may be revised after the full investigation. The State of Connecticut is an Affirmative Action/Equal Opportunity Employer and strongly encourages the applications of women, minorities, and persons with disabilities. The state board of nursing must report the results of any nursing disciplinary action to Nursys, the national database of nursing licenses and license status, and to the NPDB. Revocation of a license is rare, but it does occur in the most serious cases where the allegations are very serious or threatening to the public and the evidence against the holder is great. 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. The Nurse Licensure Compact: A historical perspective. Although the NLC limits the nurse to only one license at a time, this does not apply to non-compact states. Contact Info Colorado Board of. Civil Penalty - $200.00, Ellen Sollazzo Retrieved from https://www.ncsbn.org/2016NLC_JPuente.pdf, National Council of State Boards of Nursing. Another caution: Since September 2009, some states may have gone back and entered old actions they took against nurses. Services provided by Nursys include automated license status updates, and regular updates to institutions regarding any changes to their nurses licenses. It must be completed within the required deadline. Reprimand, Reprimand Misdemeanor convictions are considered on a case-by-case basis (NCSBN, n.d.j). 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. It has become necessary to ensure that a nurses license is unrestricted in her home state and/or that it includes multi-state privileges to work in the employers own state, if necessary. At the time of this writing, thirty-one states have joined the eNLC. Case #7, a Texas registered nurse with a PTP in Arizona, illustrates this. First, it is important to remember that the multistate NLC does not change anything for a nurse who obtains one license and does not seek to move to or to practice in another state (NCSBN, n.d.d). It may also proceed by holding a settlement conference or hearing. of Nursing, Voluntary Agreement Not to National Database Flawed - A long-awaited federal database of disciplined healthcare workers had significant gaps in records. 2023 American Nurses Association. DISCIPLINARY ACTION A Warning was issued in respect to this nurse's license. 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. Young chose not to contest the allegations. It is important to note that most likely, if a board has suspended your license before you have your hearing, this is not a violation of your due process rights. Phones: 860.509.7624 or 860.509.7603. practicing After a BON's consideration of the complaint and the immediate evidence available, an emergency action may be necessary. Does this state provide free disciplinary documents online. Covers 2010-present Decisions, consent orders, correspondence, decrees, etc. Disciplinary Impact of a Criminal ConvictionAs stated in the eNLC uniform license requirements, a state or federal felony conviction or plea precludes an applicant from obtaining a multistate license. As has been shown above, there can be a domino effect of disciplinary actions against nurses licenses. The board fined RN Nikita Gena Culton of Katy, Texas $500 and reprimanded her RN license because, a consent order said, she failed to acknowledge that she had been disciplined in Texas when she applied for her Connecticut nursing license in 2018. APRN #003861, Nicholas Lewonczyk RN R48430 by Connecticut Department of Public Health Call Number: Conn Doc H342d Organized by occupation; coverage varies Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. Emergency actions usually take the form of a summary suspension of a nurses license. 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. All rights reserved. Upon moving to the Commonwealth of Virginia, and not being aware of the nursing compact rules, I tried to renew the Texas license. The language used to describe the types of disciplinary actions available to BONs varies according to state law. medication administration, February 6, 2013 Consent Order remains in effect no additional disciplinary terms, Probation which terminates upon successful completion of coursework, Probation 1 Year which terminates upon completion of the supervised medication administration and the coursework, Decisions and Orders - March, April, May and June 2013, Voluntary Agree Not to Review or Reinstate,
Implications for NursesThis section includes some important reminders for nurses regarding license compacts. Board Disciplinary Action Effective Date Of Disciplinary Action Date Range : 01/01/2006 TO 12/31/2022. Retrieved from https://www.nursys.com/EN/ENJurisdictions.aspx, National Council of State Boards of Nursing. RN #075930, Sheryl Lacoursiere Leader to Leader. 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? Below are the number of serious actions against registered nurses that Connecticut reported in recent years, based on a ProPublica analysis of data from the Health Resources and Services Administration (see caveats). This data should not be used to compare one state against another, because it may not be accurate and it is not adjusted for the number of nurses in each state. It demonstrates the concept that under the NLC, nurses are disciplined regardless of which compact state was the location of the infraction. Your question indicates you tried to . When nurses extend practice into another compact state, they do not obtain another license, but will work under a PTP. 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). Retrieved from https://www.ncsbn.org/12_ULR_table_adopted.pdf, National Council of State Boards of Nursing. If an infraction is committed in a PTP location, the home state may or may not revoke the nurses license, but it will certainly result in some form of disciplinary action, as determined by the state nurse practice act (NCSBN, 2017). If your license has been suspended, you will usually receive a notice and information on a hearing. For example, a nurse that obtains a conviction of driving under the influence (DUI) is subject both to the penal code of the state, and the disciplinary provisions of the state nurse practice act (NCSBN, n.d.d). National Council of State Boards of Nursing. License Number, Schuler-Blanchette, Copies of documents referenced in this report, including Memoranda of Decision following a hearing, Consent Orders, Voluntary Surrenders, and Summary Suspensions are available onthe. The report included 10 recommendations to promote healthcare provider mobility (Donaho, Mudge, & Price, 1997; Pew, 1995). 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. (1995). According to the NPDB, there were 18,145 adverse actions against nursing licenses in 2021, while there are more than 3.8 registered nurses alone. Her phone number is (410). . How to request records: Disciplinary documents are available on each nurse's license verification page. 1 Filing a Complaint Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, or behavior that either endangers a patient or represents a potential danger to patients can file a complaint with the state board of nursing. Read our recipe for investigating nursing boards' oversight. The board reprimanded the LPN license of Amanda Hansen, formerly of Wolcott, in connection with her handling of a medically fragile child while working in the patients home for PSA Healthcare of Plainville in 2016, records show. investigation pending, Kerri Ann Brinkerhoff Civil Penalty - $280.00, Colleen Gallagher Board action is required to discipline your nursing license, because only the Board has . States that have not subscribed to the NLC continue to issue single-state licenses; and a nurse may hold as many of those single state licenses as desired, in addition to holding a compact license (Ridenour, 2011). This case clearly invalidates the notion that the NLC allows nurses to fly under the radar when they practice on a compact license. This does not yet determine if the complaint is valid, just whether the board of nursing has jurisdiction. Interested in a conference call with reporters Charles Ornstein and Tracy Weber? 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. It also includes restriction of a license where a nurse can continue practicing but under specific conditions, suspension of a license where a nurse can continue practicing after a set period of time, or the permanent loss of a license. 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. License lookup page How to request records: Send a written request to Bonnie Kuchta at the Maryland Board of Nursing, 4140 Patterson Avenue,Baltimore, MD 21215-2254. License (2012). Dr. Oyeleye is an assistant professor of nursing at the Cizik School of Nursing, University of Texas at Houston. Uniform License Requirements and Background ChecksAll applicants must also have passed the applicable licensing examination and be eligible to hold an unencumbered license.In a new provision, the eNLC established some eligibility and uniform license requirements that an applicant must meet before receiving an Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) license. The Board of Examiners for Nursing on Wednesday disciplined 10 nurses, including revoking the licenses of three nurses and imposing fines on two others. Contact us with questions or updates. (2015a). 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. Practice Restriction, Reprimand With increased privilege to practice comes increased exposure to disciplinary action. Select a jurisdiction from the drop-down list below to obtain a specific jurisdictions nurse practice act and rules. Every board and every type of professional license, depending on the field, has a different procedure for which disciplinary action to proceed with. The Connecticut board can impose discipline on a nurse licensed in Connecticut if the nurse has been disciplined in other states. All Integrity Network members are paid members of the Red Ventures Education Integrity Network. This act requires systematic oversight of regulations. She voluntarily surrendered her PTP in Texas. In addition, State Boards of Nursing (BON) lacked authority to act against a nurses license if a patient in the state was harmed by a nurse practicing remotely from another state (Texas BON, 2013b). 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. 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. (2012). While living in Tennessee, she contacted West Virginia residents by phone and wrote prescriptions for patients with whom she had no provider/patient relationship. The probation will begin concurrently with the suspension. (n.d.g). After the investigation, the board of nursing may decide to close the case if the complaint was found to be not valid. The board fined RN Luisa Young of Trumbull $2,500, reprimanded her license and placed it on probation for a year. The state of Connecticut is home to thousands of licensed barbers, cosmeticians, and hairdressers. This does not preclude a non-compact state from issuing a single-state license to that nurse during the same period. The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. However, it is imperative to understand that the provisions of this compact are of great importance to nurses because practicing in ignorance could lead to serious violations and serious consequences. The order also said that several times between 2014 and 2019, Rowe abused alcohol to excess. This ensures that a license to practice has not been compromised or encumbered at a remote location. COVID-19 Community Levels Update, April 14, 2023: The CDC has listed all eight Connecticut counties in the Low/Green category as part of its weekly Community Levels update. Discipline. The only non-participants were Alabama and Michigan. Civil Penalty - $440.00, Brian Gross Furthermore, a compact state may issue a single-state license to a nurse who resides in its jurisdiction but does not qualify for a multistate license, such as a nurse whose permanent address is in a foreign country (Ridenour, 2011; NLC Administrators, 2012). In the multistate licensure context, however, those violations will be addressed, both at the location of the offense and in all the compact states where the nurse has a license or PTP. Nursing disciplinary action that includes license suspension or revocation is rare. A listing of all appeals filed within the past thirty days is included in this report.
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