Licensure requirements

  1. Hello to all. I am looking for information regarding RN licensure requirements for taking triage calls from multiple states. Is it necessary to have a license from every state? Any information will be appreciated. Thanks!
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  2. 14 Comments

  3. by   fiestynurse
    Only need licensure from the state you are working out of, as far as I know. But, it's always good to call your state board of nursing and check with them.
  4. by   PhantomRN
    Actually I have a fellow nurse friend who does telenursing and she is required to have a license in every state that she makes or recieves calls from. Just FYI.
  5. by   cbrn89
    Originally posted by fiestynurse:
    <STRONG>Only need licensure from the state you are working out of, as far as I know. But, it's always good to call your state board of nursing and check with them.</STRONG>
    [QB]Thanks for the input. TX board is vague on the subject and I can't find anything in print.[QB][QUOTE]
  6. by   fiestynurse
    If the Texas Nursing board is not helpful, maybe call a board in another state and see what they say. This sounds like a gray area to me. You may not find anything in print.
  7. by   cbrn89
    Originally posted by PhantomRN:
    <STRONG>Actually I have a fellow nurse friend who does telenursing and she is required to have a license in every state that she makes or recieves calls from. Just FYI.</STRONG>
    Thanks, PhantomRN. Do you know if your friend has any printed information regarding the requirements? I can't find anything in any state nurse practice act that addresses this specific area.
  8. by   fiestynurse
    I will research this a little and see what I can find. If you come across any good articles or information on this, let me know. I am very interested in the specific legal risks of telenursing/telemedicine.
  9. by   PhantomRN
    I don't know What you mean when you say "regarding the requirements".
    I know from speaking to her that she cannot tell a patient what to do. If she thinks they are in trouble she cannot diagnose she has to tell them to go to their MD or go to the ER.

    She has written protocals that she follws, they tell her what questions to ask and if she gets a certain response it direscts her to the next question. It is all scripted. Say if she gets someone on the phone who has diarrhea---she has a protocol for that.

    She also told me that they listen in onher calls sometimes to make sure she is not saying anything she shouldn't legality wise.
    I will ask her what kind of data they gave her for you.
  10. by   DA
    Originally posted by cbrn89:
    <STRONG>Hello to all. I am looking for information regarding RN licensure requirements for taking triage calls from multiple states. Is it necessary to have a license from every state? Any information will be appreciated. Thanks!</STRONG>
    If you check out Carol Rutenburg website at tele-triage.com you may find some information. She has a article about this subject. Board of nursing is another area to check. However, depending on the State there may be no stand or information on telephone triage. The state of Michigan has nothing. Good luck
  11. by   hsmom24boys
    I work in Alabama and we take calls from AL, GA and FL on our public line. We are required to have a license in all three states.
  12. by   cbrn89
    Originally posted by boysmomrn:
    <STRONG>I work in Alabama and we take calls from AL, GA and FL on our public line. We are required to have a license in all three states.</STRONG>
    Thanks to all who have replied. I am still looking for info. I have another question for CA RN's. I was turned down for licensure (did get a temporary) because I didn't take microbiology in college. I'm a BSN with 12 yrs exp, multiple certs, etc. I took epidemiology as an approved alternative to micro. CA says I have to take micro to get a permanent license. I'm currently doing telephone triage in TX, taking CA calls, and the board is adamant (but has nothing written to back it up) that I have this license. Does CA have a pac with any other states to offer reciprocity? Thanks for any and all responses.
  13. by   staciw
    I don't know if you are still looking for information but here is some that might be helpful. I can tell you that CA is very strict on what you must take for your BSN. There are not many classes that you can substitute for another class. The website for the CA BRN is http://www.rn.ca.gov if that helps. They also have information under the Advisories and Publications about tele-nursing and triage in this state.
    Staci
  14. by   olympiad27
    Just curious, do any of you who do telephone triage bill for your services? Or are you paid by a medical group?

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