Code of Conduct and Standardisation of Training.

Thanks for starting this Nightmare, hopfully will be an interesting discussion and I do like hearing about what other nationalities do as far as nursing practice.

reason for lack of national license and standards is licensing is function of state not federal government.

federalism: national vs. state government

[color=#333333]the u.s. constitution establishes a government based on "federalism," or the sharing of power between the national, and state (and local) governments. our power-sharing form of government is the opposite of "centralized" governments, such as those in england and france, under which national government maintains total power.

[color=#333333]under the u.s. constitution, both the national and state governments are granted certain exclusive powers and share other powers.

[color=#333333]powers reserved to state governments include:

[color=#333333]-[color=#333333] establish local governments

[color=#333333]-[color=#333333] issue licenses (driver, hunting, marriage, etc.)

[color=#333333]-[color=#333333] regulate intrastate (within the state) commerce

[color=#333333]-[color=#333333] conduct elections

[color=#333333]-[color=#333333] ratify amendments to the u.s. constitution

[color=#333333]-[color=#333333] provide for public health and safety

- exercise powers neither delegated to the national government or prohibited from the states by the u.s. constitution (for example, setting legal drinking and smoking ages.)

this is why us has 50+ state boards of nursing compared to one nursing & midwifery council

a uk organization set up by parliament to ensure that practitioners deliver a high standard of care through professional standards.

royal college of nursing is equivelent to our [color=#0000cc]american nurses association - about ana and is the professional association responsible for protecting and fostering high nursing standards and promoting the profession of nursing in the us at the national level.

ana's code of ethics for nurses with interpretive statements independent study module

ana first developed the code of ethics for nurses and published it in 1926 but was not formally adopted until 1950. it has been periodically updated to reflect current practice concerns.

see: [color=#0000cc]the evolution of nursing's code of ethics

some state practice acts refer to ana standards while other boards just cite it in reference to disciplinary hearings. from reading our boards, there is much misunderstanding of the role of a professionally organization, eg “i’m not a member, i don’t have to follow their standards" along with low participation in us –less than 10% licensed rn’s are members, cost. most often cited reason.

my dues are ~ $27.00/month; states that have a nursing union also bear the costs of the union therefore dues 2-3x amount.

us education and training standards are developed and fostered by national league for nursing - about the nln. since 1893. because each state has the right to set it's own education standards, they've worked tirelessly to develop standards for that each type of program must maintain in order to have accreditation.

with the advent of the national council of state boards of nursing [color=#0000cc]ncsbn, national exam and standards occured along with the formation of compact states.

i expect pa to be the last state to join due to commonwealth status and above federalism concerns.

With the NCSBN does this mean that your state registration will be transferrable to another state?

Only NCLEX results are transferable. If wanting to work in another state you can use compact (as long as state participates in compact and you meet criteria for compact) or you have to endorse and meet new state's requirements. Can have as many state licenses as you want but will have to pay and meet their requirements even when renewing

https://www.ncsbn.org/NurseLicensureCompactFAQ.pdf

So moving between states, is the transfer a formality or is it difficult to do.

I'm supprised members haven't responded to poll/thread!