Federalize Nursing Licenses! Who's with me? - page 4

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

  1. by   Stacy Motorsports
    If you think it is messed up now, just let the Feds get a hold of it!! Ever have a problem with the IRS? The VA? I understand the desire. As someone who has been licensed in several states, I have been "challenged" at times with certain states. But the Federal Government can REALLY present "challenges". Just my thoughts! Watch what you wish for. The states will not want to give up the control or revenue. If your license costs too much now, just wait until the Feds put their fees on it too.
  2. by   PedsNurse1981
    I agree. As a future traveler, I don't look forward to paying all those licensure fees. Uggh!
  3. by   globalRN
    A national registry with a national license would be logical.

    As someone mentioned, it IS mostly all about the money.
    If one license worked for all states...there would be a decrease in revenue from ....verifications and new registrations.

    Another issue is the variation in CEUs to renew registration and other state specific requirements for registration(eg. Washington requires a HIV nursing course...NY state requires infection control course etc)

    From a NP perspective: even the DEA license has to be reapplied for since it is state-specific.
    Not all states require that NPs be nationally certified...there are different precribing privileges and
    different CEU requirements.
    One standard for education, certification, prescriptive authority and CEUs would be helpful.

    I have been registered/am registered in 4 jurisdictions so if I went to a fifth jurisdiction...I would require 4 verifications....it is a lot of paperwork, money and
    a huge headache. That is why I wrote NCLEX-RN in my state of licensure even though I was warned that if I failed I would lose my RN license(by endorsement) and my NP
    license too. I didn't want to write it in another state and have even more jurisdictions to coordinate!!!

    The more states you register with, the more it costs you to register for another new state( you require verifications from every state you have ever held a license with).
  4. by   Used and abused
    I think this is where the compact is going. There was disagreement and so those states that were willing to comply are joined, I believe 11 states now? It's getting there. I understand completely. I have a friend who is a traveling nurse, she told me that how things are done in some places would never happen in others. I think that is a symptom of what the problems are. Each facility does have it's own set of rules as does each state? It's going to happen due to the shortage that is going to get worse.
  5. by   Mazodze
    Quote from flowerchild
    Sounds like a wonderful idea. Unfortunatly, the laws pertaining to our practice are governed by each individual state and this will not change. What they could do is give us reciprocity. The problem with that lies within the fact that if a nurse has a licensed revoked in one state, could go to another state, start working before anyone knew that they really didn't have a license anymore.
    I am sure when and if your license is revoked in one state, your record is public and the other state can access it. Also, I would not mind if each state did criminal checks and finger prints to curtail such problems. If we all write the same NCLEX for all states, why is the license not the same? I would go for a universal license. Globally, most countries have a universal license and there is mechanism for background and criminal record checks.
  6. by   Denise Ashley
    I think with the nursing shortage the way that it is, it would be very beneficial to all. The need to have our nursing lincense reciprocated is long overdue. I believe that it would solve the bad nursing care some people are receiving because of the understaffing of nurses. What do we have to do to get this done? I will be glad to help in any way that I can.
  7. by   Mazodze
    May be from the start of this discussion there was a misrepresentation of terms when the originator used "Federalize". Automatically, it goes to the mind of the reader that this will involve federal Gvt. My understanding is that there is need to universalize/nationalize licensure just as it is nationally recognized to take the same NCLEX. In other words, once you pass the NCLEX, then you have a license that you can use in any state in the USA. But for practice purposes you are mandated by the state in which you perform your dities. I believe that for one to sit for the NCLEX one has to meet certain criteria and by the same token, those criteria seem to be universal. Therefore your basic license should be recognized by all states. For example the NCSBN should run the licensure and the states will then mandate the practice formula as per their needs and the nurses could pay annually or so for continuation of certification to practise in the state. The state boards will still have the powers to set standards, discipline etc (at a cost of course) and all information is logged into the national database... the good and the bad that nurses do and will be public information. That way there is no way a revoked license or one under investigation can be used in another state; it will be easily detected. I believe in this case then nurses will be able to work where and when they are needed and also they can choose to work where they are satisfied eg close to home (or away), relocate to a fiance/spouse or go to warm or cold weather. Performance would increase and quality of care improved.
    A long shot but my opinion.
    Just to add another advantage: International nurses that are currently helping to curtail the shortage will be able to move to those areas of need without the hussles. Imagine how difficult it is for a foreigner to follow all those verifications with the need to get transcripts from some far away lands some of which have very limited mail capacity. May be it is time for nurses to really look into their own welfare square in the eye considering the shrinking size of the global village
    Last edit by Mazodze on May 6, '04
  8. by   border rn
    Sounds like a great idea to me. With all the technology we should be able to be in one data bank. Easier way to keep track of "problem nurses" too. And what the heck is up with Homeland Security and their Visa screen???? I have been credentialed through Michigan and taken the Neclex with Michigan and now I am being asked to prove my schooling in ontario was up to standard? Did they not already do that before I was granted permission to sit for Michigan Boards. Geeeshhh why make it so hard for people when there is such a nursing shortage?:angryfire
  9. by   Mazodze
    Quote from border rn
    Sounds like a great idea to me. With all the technology we should be able to be in one data bank. Easier way to keep track of "problem nurses" too. And what the heck is up with Homeland Security and their Visa screen???? I have been credentialed through Michigan and taken the Neclex with Michigan and now I am being asked to prove my schooling in ontario was up to standard? Did they not already do that before I was granted permission to sit for Michigan Boards. Geeeshhh why make it so hard for people when there is such a nursing shortage?:angryfire
    My professor once said, regarding the way nurses manage their affairs, " nurses eat their young". In other words our difficulties are self made. It is us as nurses who should be in charge of the regulations governing our own practice. Therefore this forum is the very instrument that will influence this much needed change. Am I wrong to think that BONs are headed by nurses, including the NCSBN? If that's the case then we have to turn back to ourselves and ask, "Why are we suffering for /with something that can be modefied to help us and those client we save? Wake up nurses. Noone will help you but you. In the history of Councils/boards of nursing worldwide, no government/legislator ever wanted nurses to be autonomous, but we fought it out and got it. Only to thwart ourselves with a lot of restricting rules.
    Last edit by Mazodze on May 7, '04
  10. by   EarthAngel
    I completely agree! I plan on moving back North when I finish school, and I am NOT looking forward to having to shell out hundreds of dollars for my license! What if I change my mind and try another state?? Thats right! another few hundred dollars. sheesh.
  11. by   NursesRmofun
    I agree! ..................
  12. by   purplemania
    I agree. Should be national. However, the license fees are a source of income that offsets the cost of staffing the Boards. Every state would have to either collect a portion from nurses residing in their state, or the Fed govt would have to set up a central location for ALL nurses to register (and use the fees for expenses). It could be done.
  13. by   stretch thin
    I agree a 100% also. Thank about it. Theres a nursing shortage across the country, but yet each state sets their price on the nursing license. You know how that old saying goes, "The rich getter richer and the poor get poorer!

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