So, I'm a new grad from a BSN program, and a large majority of my graduating cohort (as well as many others from other programs, from what I've read) have been feeling a great deal of frustration with the delays in receiving our ATT's and the BRN's limited capacity to process applications that it definitely knows it's going to be getting.
Some friends and I got into a discussion today and were trying to see if anything could even be done. It seems like the system itself is what's lacking, and that the applicants AND the employees are both frazzled in trying to deal with it. It seems to me like the BRN could do with some QI of their own.
So... I guess I just wanted to see if I could spark up a discussion about what, if anything, we could advocate for as nurses and future nurses far as improvements to the process?
I don't know if it's allowed here to post, but I started a Change.org petition this afternoon containing some of the ideas that came up today. (The link is: http://www.change.org/petitions/deni...stered-nursing
, but I worry it might not be allowed because it has the name of the Director of the Department of Consumer Affairs in the URL)
In the State of California, 10,814 students completed a prelicensure nursing program in the 2011-2012 school year, compared to fewer than 6,000 in the 2002-2003 school year. Projected new student enrollment is only expected to increase in coming years (1). In order to begin practice as nurses, all of these graduates must submit applications to the California Board of Registered Nursing.
Implementation of the new BreEZe system and "circumstances beyond the control of the Board of Registered Nursing have resulted in inordinate delays in processing new applications, in some cases forcing potential nurses to wait 8-10 weeks after their satisfactory completion of requirements and graduation from nursing school to receive their Authorization to Test (ATT), which in turn allows them to register for the National Council Licensure Examination for Registered Nurses (NCLEX).
The delays in the process of passing this examination cause unjust hardship on applicants, who are depending upon reception of their licensure to be hired or retained in nursing positions. The delays in the process result in time, income, and career opportunities lost.
Moreover, visits in person to the Board of Registered Nursing in Sacramento often reveal that phone inquiries by applicants often yield false or incorrect information being given over the call. Often, phone calls yield no information at all, and many applicants are forced to travel in person from all regions of California in order to receive any helpful information on the status of their applications.
While we recognize that this delay reflects limitations of the new system and of the ability of the available personnel in the Board of Registered Nursing's employ, it is evident that these delays are resulting in undue burden and anxiety among applicants, and that the burden on employees of the Board of Registered Nursing have seen a tremendous increase in their workload which limits their ability to perform their job in a timely fashion.
As such, we petition Governor Edmund "Jerry" Brown, the Department of Consumer Affairs, and the Board of Registered Nursing to implement any or all of the following interventions in processing applications for licensure by the Board of Registered Nursing:
+ MAINTAIN a pool of qualified temporary personnel to aid application evaluators to address the current backlog;
+ HIRE and TRAIN both evaluators and front counter personnel to address increased demand for service and deliver timely, correct information;
+ UTILIZE aforementioned personnel in periods during which high volumes of applications are active (i.e. June and December, when many students complete nursing programs and graduate);
+ OPTIMIZE work flow and protocol to prioritize in state licensure applicants;
+ EXPLORE more efficient ways of communicating application status, rather than constant busy phone lines and the necessity to drive long distances to the Board of Registered Nursing office;
(1) California Department of Consumer Affairs, Board of Registered Nursing. "2011-2012 Pre-Licensure Program Annual School Report: Data Summary"
Anyway, I hope there was nothing inappropriate about me posting this here... anyone named in this post is a public figure, and this isn't self-promotion, but rather trying to see if we can come together as nurses and advocate for something to make things better on the policy end of things, just as we are challenged to do in the clinical setting.