?? A "National Nursing License" (RN) - page 3

Just out of curiosity...........what do all of you think about the feasibility of there being a National Nursing License, for RN's? What would some of the "pros" and "cons" be? I live... Read More

  1. by   BrandyBSN
    Absolutely! And I know you didnt mean that we (BSN) students are not prepared

    preparedness (is that a word?? ) varies so much. It really does depend on the program, not the degree that comes out of it. I have worked with one ADN new grad who absolutely could run circles around me She was awesome! But she also attended a very well respected nursing school and studied her rear-end off.

    It also depends on attitude, and the willingness to learn. No matter how good a program is, if the student isnt motivated to learn, then the information is wasted.

    Even though I attend the top BSN program in the area, there are some students here that I probably wouldnt trust to take care of a houseplant, let alone a patient. Somehow they squeak by because they are extremely good with the theory, but not the application. Clinicals are worth 50% of the grade, Didactics are work the other 50%.

    So yeah, the quality of the education is more important than the quantity. And quality can be affected by attitude and a motivation to learn. If you have both, its even better

    Now, back to your regular topic, I would really like to see more states join together and have "area" license acceptance. I live right on the Mississippi river in missouri, and i would love to be able to cross over to illinois to do some PRN work without having to file for another license. Would really add to my options!

    BrandyBSN
  2. by   NRSKarenRN
    Check out these sites:

    National Council of State Boards of Nursing
    Mutual Recognition
    http://www.ncsbn.org/public/regulati...tion_nurse.htm
    Since their last upgrade, more difficult to find info here. I have found that if you click on nursing regulation on right side list, you can find more info. Karen


    American Nurses Association
    Multistate Regulation of Nurses
    June 24, 1998
    BACKGROUNDER
    http://www.nursingworld.org/gova/multibg.htm

    ANA Analysis and Comparison Chart
    Evaluation of the American Nurses Association's 1998 House of Delegate's 14 Points on Interstate/Multistate Practice

    http://www.nursingworld.org/gova/charts/intrst.htm

    American Nurses Association
    Multistate Licensure Compact - Areas of Concern
    Talking Points
    Basing licensure to state of residence, rather than state of practice, may increase the opportunity for employers to use mutual recognition as a strike breaking tool.
    http://www.nursingworld.org/gova/concerns.htm


    LEGISLATIVE AND POLICY ISSUES RELATED TO INTERSTATE PRACTICE
    Greer Glazer, PhD, RN, FAAN
    1999 Online Journal of Issues in Nursing
    Article published May 4, 1999
    http://www.nursingworld.org/ojin/tpclg/leg_7.htm

    INTERSTATE NURSING PRACTICE AND REGULATION:
    Ethical Issues for the 21st Century.
    Mary Cipriano Silva, PhD, RN, FAAN
    Ruth Ludwick, PhD, RN,C
    1999 Online Journal of Issues in Nursing
    Article published July 2, 1999

    http://www.nursingworld.org/ojin/ethicol/ethics_1.htm

    Can also do a search @www.nursingworld.org has many additional articles. Google search unsuccessful for more info.
  3. by   rosy
    Hi all,
    Not to contradict Jenny P but Iowa went with the interstate compact in either July of 2000 or January 2001. Which ever it was if you have an Iowa liscense you can practice in a compact state. If you have a compact liscense you can practice in Iowa. Your liscense is required to be in your state of residance.
  4. by   Jenny P
    Rosy, thanks for the info. I hadn't studied up on the interstate Compact for a bit over a year and the last I remember seeing about it was probably June of last year, and I believe that at that time there were maybe 9 or 10 states that were either members or almost memebers of the compact. I guess I hadn't realized that Iowa was a member; although I do remember that Wisconsin and South Dakota were involved and members.
    I used to be on our MNA Nurse Practice Commission, which is why I was so interested in this; but had to be off of it for over a year because of the term limits for Commission members. So I'm a bit rusty on some of my information.
    NRSKarenRN, thanks for the info also. I appreciate the web site listings for this.
  5. by   WriteStuff
    :d

    karen,



    thanks for all the terrific links for info..............

    bonnie c., rn
  6. by   Dplear
    STATE BILL # STATUS DATE OF LAST ACTION IMPLEMENTATION DATE BILL TEXT
    Arizona S 1321 Signed by Governor 7/1/2002

    Arkansas S 28 Signed by Governor 7/1/2000

    Delaware HB439 Signed by Governor 7/1/2000

    Georgia-RN HB 968 Bill introduced

    Idaho HB4 Signed by Governor 7/1/2001

    Illinois HB 2400 Currently in Senate

    Iowa HF 2105 Signed by Governor 7/1/2000

    Maine LD 2558 Permission to implement Compact by rule 7/1/2001

    Maryland S 590 Signed by Governor 7/1/1999

    Mississippi H 535 Signed by Governor 7/1/2001

    Nebraska L 523 Signed by Governor 1/1/2001

    New Jersey A 3302 Introduced

    North Carolina S 194 Signed by Governor 7/1/2000

    North Dakota SB 2115 Permission to implement Compact by Rule. Signed by Governor

    South Dakota H 1045 Signed by Governor 1/1/2001

    Texas H 1342 Signed by Governor 1/1/2000

    Utah S 146 Signed by Governor 1/1/2000

    Wisconsin A 305 Signed by Governor 1/1/2000

    The dates are when the multistate compact went into effect.
    These are the latest states to join the multistate compact. North Dakota is expected to join in 2003-2004 a as soon as the work out the rules.

    Hope this answers a few questions. Also you must be a resident of one of these states for your license to be a multistate license. reciprocity in one of these states with a residence in another state that is not a member will not allow you to work in the other states on that license. You will still need to get reciprocity then in the states you wish to work in if not residing in a member state
    Last edit by Dplear on Sep 26, '01
  7. by   WriteStuff
    :d

    wow, that's a "start".......maybe the "compacting" idea will eventually solidify into a "national license" somehow??

    thanks for the contribution of info dplear.

    bonnie c, rn
  8. by   sgtmedic
    I like the idea. I do know that I beleive S. Dakota you have to have a BSN to be an RN. They do not recognize the ADN.
    It would be possible though difficult to do nationwide. The reason that there are differences is because each state has its own standard. If you change the standards so it's the same everywhere. what happens to the nurses that practice in a state where the standard is new? And where do you draw the line for the standard. Just food for thought.
  9. by   Shannon13
    I have a question for anyone who can help. I attend school in MA. and am moving to florida after i graduate( god willing) and i am curious what would be better to take my boards here or there? I have no idea what to do. if you have any advice i'd appreciate it
  10. by   Katnip
    What about a national license, but being required to register in each state you work in? The state could collect a small fee to keep them happy. That way each state knows who is working there and can prevent those who have lost their license from just moving somewhere else to practice.
  11. by   P_RN
    For Shannon.

    The actual test NCLEX is the same all over. In FL since you have to actually have the FLORIDA license in hand before they let you work.

    So wherever you live is where you take the test, but you should arrange for FL to get the report. It may mean you need to pay for 2 licenses if you will still be in MA when you take it.

    Call the MA Board of Nursing.
  12. by   mosrnc
    I have thought about National Nurses Licenses on several occasions. On one hand, it would make transfering to another location and relieving staffing shortages more easy. On the other it removes the leverage of striking during labor disputes.

    Labor disputes are usually not a financial-wage issue. Usually the strike issue surrounds patient care and the facilities refusal to negotiate staffing levels and address the staffs concerns. Some of the misunderstandings about Unions is that the Union and its negotiations team is made up of Union employees, people not involved in the organization. My experience with Unions and knowledge of Unions is that there are negotiation experts supplied from the Union but the direction is from the membership, those who actually are employees of the facility, those who have a vested interest. For a strike to take place there must also be a strike vote that is passed by the people who are members within the facility. And a time line, ususally about 14 days for the Hosptial to continue to negotiate a settlement in lieu of the strike. The right to strike must be protected.

    Additionally, when a Hospital calls in a strike team they ususally pay the workers $5000-6000 (yes thousand)per week and the agency fee above that. A strike is rarely every about money.

    The second big issue is the "nursing Shortage" I can't list the numbers of nurses who are capable of working but are not because of the working conditions! The shortage is because of an industry created problem. What other 'profession' mandates long hours, minimal and few breaks, discipline for overtime, massive charting requirements, daily exposure to known and unknown diseased, verbal and emotional abuse by patients, coworkers, and boses......and the list goes on. What other industry requires an individual to chronically give up their meals, bathroom breaks, etc in order to promote health????!!

    And then consider the wages!

    It is no wonder we are in a shortage!

    The right to strike must be protected and the idea of a national nurse license mut be put on a shelf until the industry of health care wakes up and agrees to changes.
  13. by   purplemania
    I think a national license is appropriate, since we have a national test. Individual states could still collect $ for giving the test and keeping up licensees educational requirements, who is working without license, who needs reprimands, etc. Continuing education should take the place of repeating the NCLEX. In Texas we are required to prove 20 hr. of CEU's are done q 2 years. I also think we may begin to see more agency nurses as some facilities do not achieve a standard of working conditions that entires younger nurses to work, there is already a shortage and older nurses will be retiring. Moreover, since many nurses find themselves "uninsured" and in litagation, we may be better off with contracts via an agency. Something to think about.

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?? A "National Nursing License"  (RN)