Federalize Nursing Licenses! Who's with me? - page 2
Okay, I've had it. Over the past few months I've spent several hundred dollars on nursing licenses for three states. Between fingerprint fees, license fees,transcript fees, notary fees and worst of... Read More
Apr 29, '04Why not one federal license? When we took our nursing license exam we took the same exam (NCLEX)--wasn't that a national exam, i.e., it's the same test that the RN from IN, or TX, or MS, and that I took here in KY. So why not one federal license? Yeah, I know about the boards loosing their hands in the pot theses. But why not make regional offices and state/local outposts to oversee the national mandates of a federal board? Would it really be so tough to do? Pipe dreams! Who knows, it could happen? I'm in favor of it!
Apr 29, '04I'm with ya'. My ex was in the military and after 15 yrs of moving around, I shudder to think of what I've spent!!!
Apr 29, '04I'm just a student, however, I used to work for a licensing board (engineers), and it all boils down to money. Licensing boards many times are given budgetary autonomy. They operate off of what they bring in; and by doing so, receive no general fund money from the state - and if it doesn't cost the executive office money, they don't care much about it. Also, their executive directors and board members have carte blanche to give themselves raises and take expensive trips all in the name of serving the board. They operate with very little regulation, with changes from the legislature coming only when the board itself initiates a change. Just my $.02 worth . My point being, there's incentive in many states for the boards to operate individually, it's all about the buckolas.
Apr 29, '04i am in the midst of refreshing my license and endorsing....what a pain in the butt :angyfire: i can relate to the px w/ one delay after another. I am soooooooo fed up at this point! what a great idea! would save me a lot of awful automated phonecalls, aggrivation (sp?) and $$$$$
Apr 29, '04Isn't EVERYTHING about $$ these days? Well, Federal licenses would surely put an end to revoked licencees going to the neighboring state to practice. Since we are tested on a federal level, wouldn't it make sense to have Federal licensure, and from there maybe just registering in each state that you practice?
But....could you imagine the hoops they would make you go through to renew the Fed. license, not to mention what they woudl probably charge?
Apr 29, '04Quote from rollingstoneI am curious. NOT disagreeing with you outright, but can you please expound on this by explaining WHY you prefer to pay for several licenses by state?I'll be the lone voice of dissent. I'd rather not have a federalized license. I'll pay the fee for any state in which I choose to work.
Apr 29, '04It's all a money game, of course. Many states are now compact, mine just recently went compact, I think there are what, 17 compact states now? I think that's the way we are all headed, pretty much. Our state, to compensate for loss of reciprocity money is increasing the renewal fees.
Apr 29, '04I'm actually toying with the idea of finding out which states have the lowest licensing fees, and which states have reciprocity with which other states, and going from there.
I'm surprised nobody mentioned driver's licenses and marriage licenses being recognized state to state.
Does seem we have a precedent here. The earlier states' rights/states' control thing with nurses predates the national exam.
Where's our lobby? The ANA won't do a thing--they're made up of that bunch depending on our "buckolas." (I really like that word, "buckolas.")
I agree--time for grassroots action. (And I too want to know why rollingstone would oppose federalization--yes, it's a word.)
Apr 29, '04Map of states participating in the compact.
If your state isn't participating, maybe it's time to get some campaigning started!
Apr 29, '04I'd like to see MD licenses federalized to protect the public. How many times have we read about an MD commiting a crime in one state & thus losing his priviledges, only to move to another stata and practice without any restrictions?? Those type of stories drive me nuts. Since the AMA doesn't police itself, there needs to be federal oversight of MD practice.
Apr 30, '04My concern would be disciplinary actions. Local nursing boards can be a lot more responsive in my opinion. Federal issues seem to take a lot longer and need a lot more bureauocracy. I wouldn't mind a national license if local control still existed. Look at JCAH, I don't THEM controlling my personal license, they pull enough nonsense at the hospital level.
Apr 30, '04great series of articles on this subject in online journal of issues in nursing
multistate licensure: who owns your care?
by greer glazer, rn, phd, cnp, faan (may 31, 1999)
- the regulatory dilemma surrounding interstate practice
by terri gaffney, mpa, rn
- response to "the regulatory dilemma surrounding interstate practice"
response by shannon l. riedel, rn, bsn (feb. 3, 2000)
- nursing regulation for the new millennium: the mutual recognition model
by carolyn hutcherson, ms, rn
susan h. williamson, mph, rn
- multistate licensure: premature policy
by susan e. king, ms, rn
- the utah experience: adopting the nursing regulation interstate compact
by laura poe, ms, rn
the major concerns expressed by nurses across the country against multistate licensure are:
1.the standards of a state will be weakened
2. consumer protection is not improved with the model
3. state boards of nursing will be weakened
4. there is lack of detail about the centralized database-
5. the ability of state nurses associations to achieve optimal standards,
working conditions and compensation for nurses may be compromised
6. there is lack of clarity about dual disciplinary actions
7. the cost of mutual recognition is unknown
8. any major change in nurse licensure should be made by the profession and the consumers it serves.
i've highlighted my concerns, let the discussion continue.Last edit by NRSKarenRN on Apr 30, '04
- the regulatory dilemma surrounding interstate practice