Building the perfect BON

Sour Lemon · Oct 20, 2016

Has anyone wondered what would happen if all the nurses in your state refused to renew their license? Albeit the state would do some serious corrective action. What are your thoughts?

The unlicensed, unemployable nurses would give in and take "corrective action" long before anyone else felt bothered enough to do so.

elkpark · Oct 20, 2016

The state BON would happily license all the people who would want to get licensed in order to come work in the state to take all those jobs ...

Editorial Team / Admin · Oct 20, 2016

The state BON would happily license all the people who would want to get licensed in order to come work in the state to take all those jobs ...

Yep. There are states where new grads are searching for up to a year or more for their first job. An entire state in need of nurses? Problem solved! And those who chose not to renew will no longer have jobs, a gap in licensure and thus employment to explain, and a job hunt.

Cat365 · Oct 20, 2016

I'm sure they would. I'm also sure that they would have a huge workforce crisis on their hands. However I'm also sure that there would be no possible way to convince all of the states nurses to do this.

it is a nice fantasy though.

vanilla bean · Oct 21, 2016

Has anyone wondered what would happen if all the nurses in your state refused to renew their license?

No, I have not. In fact, I give little to no thought about the BON.

I don't see the point you're trying to make. How will nurses refusing to renew their licenses build the "perfect" BON?

Buyer beware, BSN · Oct 27, 2016

Yep. There are states where new grads are searching for up to a year or more for their first job. An entire state in need of nurses? Problem solved! And those who chose not to renew will no longer have jobs, a gap in licensure and thus employment to explain, and a job hunt.

So by all means let's go abroad and search the four corners of the Earth to find nurses who can do the job at a fraction of the price.

Better yet all nurses should go on a nationwide strike and let the doctors take care of the patients.

They'd be dropping like flies; doctors and patients alike.

Susie2310 · Oct 27, 2016

I could see many facilities seeing this as a marvelous business opportunity to try to lower the standard of care and their expenses (in the short term) by making a business case for hiring unlicensed, unqualified personnel to provide patient care instead of licensed nurses.

AliNajaCat · Oct 27, 2016

1) Facilities would not hire unlicensed personnel because their respective state departments of public health would yank their operating licenses so fast it would make their heads spin and because all insurance reimbursement would cease.

2) The nursing unions at the hospitals would be out of a job, too, because if they represent licensed nurses and there are none...

3) I don't know about your state, but mine does licensure periods by birthdays. so unless somebody wanted to support the January refuseniks and everybody else until they get through to December (meanwhile not allowing hospitals to hire for vacancies), this is sort of a nonstarter.

4) This kind of job action is called a "strike." There are rules for how to do it, too.

5) BoNs don't really care about whether their licensees are employed in hospitals or not, as long as their licenses are current and not fraudulently obtained.

6) Therefore, since this is a first post by a "new member," I call BS. This person is not a real nurse, or if she or he really is one, is ignorant of how it works in real life, or is trolling for people who are. Either way.

AlmostANurse321 · Oct 27, 2016

Has anyone wondered what would happen if all the nurses in your state refused to renew their license? Albeit the state would do some serious corrective action. What are your thoughts?

Better question, what did the BON do to you and why did they do it?

Susie2310 · Oct 27, 2016

1) Facilities would not hire unlicensed personnel because their respective state departments of public health would yank their operating licenses so fast it would make their heads spin and because all insurance reimbursement would cease.

In some types of facilities and in some states there are medication aides who are unlicensed who work under the supervision of an RN. I could see business making a case with the relevant authorities for one RN supervisor/manager supervising any number of unlicensed workers providing patient care.

AliNajaCat · Oct 30, 2016

In some types of facilities and in some states there are medication aides who are unlicensed who work under the supervision of an RN. I could see business making a case with the relevant authorities for one RN supervisor/manager supervising any number of unlicensed workers providing patient care.

In our state, and in every state that does this, the UAPs (unlicensed assistive personnel) are required to take and pass a program to teach them how to do this, and in my state this includes taking off MD prescriptions. The programs are taught by RNs or LPNs who took and passed a train-the-trainer course, so they know how to teach that program.

You can get away with this in some settings, especially assisted living and SNFs, but I would be astonished if state depts of public health allowed it in acute care.

I still call BS on this OP.