Legal Nurse Consultant (LNC)

The Legal Nurse Consultant (LNC) is a Registered Nurse (RN) that is an expert in clinical Nursing Practice and possesses the ability to understand and apply the Nurse Practice Act (NPA), Scope of Practice (SOP), Standard of Care (SOC), and hospital policies and procedures to medico-legal cases. Specialties Legal Knowledge

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Many Legal Nurse Consultants (LNC) work alongside attorneys as they glean through reams and reams of paperwork to attempt to find deviation(s) from/adherence(s) to the Scope of Practice (SOP), the Standard of Care (SOC), and/or hospital/entity policies and procedures (P/P). They also work in hospitals, for example, as case managers and with the legal department.

If a Registered Nurse (RN) is interested in a career as a Legal Nurse Consultant, he/she needs to start researching different avenues of education. Also, the RN should truly understand why he/she desires to seek this nursing career path. Examine your own reasons why you are choosing to enter into the world of medical-legal nursing. Many choose this career thinking it is a "get-rich-quick" career. It is not. Many think this is a great way to get out of bed-side nursing and/or cure burn-out. These are the wrong reasons to seek a career as an LNC. Much hard work is expected to be successful. In fact, this is probably one of the most challenging nursing jobs you will ever do. The most important way to be successful is to sell yourself.

Marketing is the key that unlocks the door to success. You need to possess the ability to market yourself. This takes determination, persistence, and an undying ability to forge ahead despite numerous disappointments.

Duties / Responsibilities

Here are but a few of the duties of the LNC:

  • Review a case for merit
  • Comprehensive interpretation of the medical record
  • Translate medical/nursing terms, diagnoses, and treatment plans for the attorney-client
  • Write brief to comprehensive reports
  • Create timelines of important events
  • Develop illustrations for demonstrative evidence
  • Product liability consultant
  • Locate expert witnesses
  • Prepare for deposition and trial preparation
  • Coordinate and attend independent medical exams (IME)

Skills / Qualities

The LNC must:

  • Be dedicated and persistent
  • Possess the ability to interpret accurately, the medical record
  • Be willing to spend countless hours pouring over a medical record (one of merit), searching for the four elements that a plaintiff must prove to win a negligence suit:
    • duty was owed
    • the duty was breached
    • the breach caused an injury
    • damages occurred

Education Requirements

  • Graduate from an accredited RN nursing program with a Diploma, ADN, BSN, or higher degree
  • Successfully pass the NCLEX-RN
  • Current, unencumbered RN license in U.S. state of practice

Of course, experience in a wide range of nursing areas is better than minimal one-area experience. Currently, formal education and/or certification is not mandatory in order to practice as an LNC, but it is highly recommended.

Educative LNC Entities (not all-inclusive)

Several entities prepare the RN to practice as an LNC. Most offer essential LNC preparation as certificates of completion. Many universities have Legal Nursing programs as well.

The following are just a few offerings.

American Association of Legal Nurse Consultants (AALNC)

The American Association of Legal Nurse Consultants (AALNC) "is the gold standard for professionals with an interest in the legal nurse consulting arena including novice and veteran legal nurse consultants".

The American Legal Nurse Consultant Certification Board (ALNCCB) administers the Legal Nurse Consultant program and is accredited by the American Board of Nursing Specialties (ABNS).

Certification and Exam Eligibility

The LNCC® credential is awarded to those who successfully complete the certification process by meeting the eligibility criteria and passing a written multiple-choice examination. Those who achieve certification are designated as Legal Nurse Consultant Certified and may use the LNCC® credential after their names.

  • Current, unencumbered RN license in U.S. state of practice or its territories
  • Minimum five years RN experience
  • 2000 hours of legal nurse consulting experience within past five years

LegalNurse.com

LegalNurse.com is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. The program and certification offered is the Certified Legal Nurse Consultant (CLNC®). Eligible Registered Nurses (RN) who successfully pass the certification examination can legally use the CLNC® credential.

There are three (3) ways to become certified:

  • Basic CLNC® Certification System
  • Executive CLNC® Certification System
  • VIP CLNC® Certification System

LNC STAT

LNC STAT is nationally accredited by the Boards of Nursing. Certification programs for the Registered Nurse (RN) include:

  • Advanced Legal Nurse Consultant (ALNC) Certification
  • Expert of Medical Legal Specialties (EMLS) Certification

Salary (2024)

According to ZipRecruiter, the average yearly salary for a Legal Nurse Consultant in the U.S. is $87,681 a year with salaries as high as $126,000.

According to glassdoor, the national average salary is $105,265.

As stated, most LNCs branch out seeking their own self-employed business and may have business partners with whom they work. Others seek out working with an attorney firm. The former is the more difficult way to start a business; the latter seems easier.

Independent contractors can set their own fees, including travel expenses and salaries. Higher fees depend on the ability to market oneself, the area of nursing experience, and location. Some may command the higher fees you may have seen advertised, but not often. Many will see ads that state one can make $250/hour. This is probably unrealistic. When starting out, fees of $100-$125/hour are more reasonable, then slowly increase as the business grows.

Working with an attorney firm ensures a set salary, whereas being self-employed depends on what business one can find. A lot of business will probably originate from "word of mouth."

Realistically, securing business will be "hit or miss" initially. Be professional at all times, expect disappointment, but never give up; be persistent.

Remember ...

As an RN consultant (LNC), you are not an amateur. LNCs need to remember that. You are the expert in clinical nursing practice and the nursing process. You are neither a paralegal nor an expert in the Law (attorney).

So, market yourself and sell yourself as such ... the Legal Nurse Consultant expert.


Resources

Please review other Articles here at allnurses that will be helpful in your decision to become a successful Legal Nurse Consultant.

Legal Nurse Consultant (LNC): Educative Entities

RN Experience When Considering the Legal Nurse Consultant Career

FAQ: Role of the Legal Nurse Consultant (LNC)

Specializes in Education, FP, LNC, Forensics, ED, OB.
SarahMaria said:
I am very interested in the LNC, but don't know where to start. I have had my JD since 2007, and have my RN BSN. I would love to combine both aspects. I have always worked in psychiatry. Would that be helpful? Not having a med-surg background could be a hindrance?

Any guidance is welcomed. Thanks!

Hello, SarahMaria

What Attorneys want are RNs who are able to interpret the Medical Record. Yes, experience in several areas is a plus, but do not allow a narrow field of experience to discourage you.

As I've stated in the past, formal education as an LNC is not required, but if you receive it, it is never wasted.

I would start out by comparing several LNC programs.

Since you are just starting to consider this, first check out AALNC about their modules as well as CERTIFICATION that would come later on after you've worked as an LNC for a few years.

Your background looks impressive (PSYCH RN and JD) ...

I wish you much good luck and if you have other questions, please do not hesitate to post them on the site.

Specializes in Psychiatry, Forensics, Addictions.
On 11/17/2013 at 2:48 PM, sirI said:

If anyone is truly interested in a career as LNC, I will be glad to assist you to market yourself and build a good clientele on the public boards. We can also discuss how to successfully use professionally looking marketing materials.

This will be very exciting and hopefully you can learn how to benefit your client (defendant and/or Attorney(s). (note as I said above, I exclusively work with defendants).

Just post here and I will contact you via private message for your email address. Do not post your email address on the public boards.

I will answer any questions that are deemed private; ones that you do not wish to be publicly discussed, but I prefer to help you on the public boards for others can benefit from our discussions.

I want all to know that I do this to help you and expect no compensation for my efforts. It is my way to give back to those who are interested in this career path. My way of giving back to the nursing community.

Stay tuned ....

Sirl,

I am an RN with a BSN and a JD. I am very interested in becoming a LNCC. I am aware that the eligibility criteria requires 2000 hours of experience. What would be the best way to go about getting said experience?

Thank you.

Specializes in Education, FP, LNC, Forensics, ED, OB.
7 hours ago, SarahMaria said:

Sirl,

I am an RN with a BSN and a JD. I am very interested in becoming a LNCC. I am aware that the eligibility criteria requires 2000 hours of experience. What would be the best way to go about getting said experience?

Thank you.

Hello @SarahMaria,

I sent you a personal message (pm).

On 11/17/2013 at 12:48 PM, sirI said:

If anyone is truly interested in a career as LNC, I will be glad to assist you to market yourself and build a good clientele on the public boards. We can also discuss how to successfully use professionally looking marketing materials.

This will be very exciting and hopefully you can learn how to benefit your client (defendant and/or Attorney(s). (note as I said above, I exclusively work with defendants).

Just post here and I will contact you via private message for your email address. Do not post your email address on the public boards.

I will answer any questions that are deemed private; ones that you do not wish to be publicly discussed, but I prefer to help you on the public boards for others can benefit from our discussions.

I want all to know that I do this to help you and expect no compensation for my efforts. It is my way to give back to those who are interested in this career path. My way of giving back to the nursing community.

Stay tuned ....

Hello! I have been extensively researching how to get into this field. I am currently a cvicu rn and am looking for a career change. I have applied for a few positions and get turned down for lack of experience. Will adding a trade school to my resume help?

My concern is that most programs are very expensive up to 5g. There are programs for less but do not have the Networking.

I have seen mixed reviews on classes and different types.

[https://www.legalstudies.com/product/university-of-arizona-legal-nurse-consultant-training-course/](https://www.legalstudies.com/product/university-of-arizona-legal-nurse-consultant-training-course/)

which is accredited and by UofA, and of course there is the Vickie Milazzo class for a grand more. $$$.

[https://www.legalnurse.com/legal-nurse-consultant-certification-programs/clnc-certification-overview

Just like my CCRN or any other certification you need time in the field before you can test for it. So, is it necessary to even take these classes? I do not want to waste my money when there is [http://www.lnctips.com/reportwriting](http://www.lnctips.com/reportwriting)for one small example.

Then there is also the question of benefits and cons to working for a law firm or independently contracting yourself.

Many online resources suggest finding a mentor to help facilitate resources and walk you through examples and ask questions.

Any help with these questions would be great; is it necessary to take classes, is it better to find a law firm or work as an independent contractor, and how to find a willing mentor?
Mainly how to I get a foot in the door in the field?

Specializes in Education, FP, LNC, Forensics, ED, OB.

Hello @Bre Kakacek and welcome to allnurses.com

Quote

Hello! I have been extensively researching how to get into this field. I am currently a cvicu rn and am looking for a career change. I have applied for a few positions and get turned down for lack of experience. Will adding a trade school to my resume help?

What type of "positions" are turning you down? You asked about adding a trade school. I'm not sure what this means.

Quote

My concern is that most programs are very expensive up to 5g. There are programs for less but do not have the Networking.

I have seen mixed reviews on classes and different types.

https://www.legalstudies.com/product/university-of-arizona-legal-nurse-consultant-training-course/

which is accredited and by UofA, and of course there is the Vickie Milazzo class for a grand more. $$$.

https://www.legalnurse.com/legal-nurse-consultant-certification-programs/clnc-certification-overview

There are many educative entities available. You just need to see which one fits your needs.

Read through this Article topic about a few LNC educative entities:

Quote

Just like my CCRN or any other certification you need time in the field before you can test for it. So, is it necessary to even take these classes? I do not want to waste my money when there is http://www.lnctips.com/reportwriting for one small example.

You are correct that certification in a specialty area demonstrates expertise in that specialty area. The following from the AALNC is a good explanation regarding certification and certificate of program completion: Certification vs. Certificate

Quote

Then there is also the question of benefits and cons to working for a law firm or independently contracting yourself.

Many online resources suggest finding a mentor to help facilitate resources and walk you through examples and ask questions.

I agree that a mentor (LNC you may know) is a good way to help get you started.

Quote

... is it necessary to take classes, is it better to find a law firm or work as an independent contractor, and how to find a willing mentor?
Mainly how to I get a foot in the door in the field?

Education is never wasted

Are you leaning towards becoming a self-employed business owner?

Or,

Are you wanting to work exclusively for an established legal entity?

Read through this Article topic about marketing strategies: Marketing as a Legal Nurse Consultant: The Key to Success Part I

If you have other specific questions, please either start a separate topic or post in this thread.

Good luck.

Specializes in surgical ICU.

With a few years of Oncology and 8 years in surgical ICU, I, as many, am looking for new avenues. I have reviewed the posts and AALNC site for course/exam info, but one thing I will need help understanding: one of the certification criteria listed is "evidence of 2000 hours of legal nurse consulting experience within the past five years". So how does that work? You take the course, study, take the exam and practice as LNC? Or take the course, and work for a legal firm without certification to gain the 2,000 hours required to be certified? You can practice before you get certified? What do you market yourself as if you are not certified? Kind of confused.... Please help! I really want to know it all before I dive into it.

Gosia

Specializes in Education, FP, LNC, Forensics, ED, OB.
16 hours ago, ICU_Gosia said:

With a few years of Oncology and 8 years in surgical ICU, I, as many, am looking for new avenues. I have reviewed the posts and AALNC site for course/exam info, but one thing I will need help understanding: one of the certification criteria listed is "evidence of 2000 hours of legal nurse consulting experience within the past five years". So how does that work? You take the course, study, take the exam and practice as LNC? Or take the course, and work for a legal firm without certification to gain the 2,000 hours required to be certified? You can practice before you get certified? What do you market yourself as if you are not certified? Kind of confused.... Please help! I really want to know it all before I dive into it.

Gosia

Hello @ICU_Gosia,

Again, welcome to allnurses.

I replied to your other topic about certification: Certification vs Certificate

Yes, you can practice as a Legal Nurse Consultant (LNC) before sitting for the AALNC certification examination. You will "market" yourself as a Legal Nurse Consultant, get the experience, then sit for the certification if you so choose.

If you have worked for at least 2,000 hours as an LNC, you can then choose to sit for the LNCC certification examination. The AALNC requires 2,000 hours of specified experience before you are eligible to sit for the examination. See your other thread for additional info.

Good luck with your decisions.