NOW I'm in shock.

BBFRN, BSN, PhD · May 22, 2006

Man, that sucks. Are you going to call the MBON to see when this began? Maybe you can be grandfathered in, since you didn't get a warning from them when you started.

traumahawk99 · May 22, 2006

i've got an email in to the bon to see the particulars of this.

pedinurse05 · May 22, 2006

That stinks! Unfortunately this is the pattern that repeats itself...and it boils down to the clinical. In order to maintain their reputation the college needs to revise their clinical. I get flamed for this but the CPNE is extremely basic and barely scrapes the surface. An YES, on the job experience makes the nurse...but clinicals enhance learning and transitioning from student to RN. I hope you get a clear answer. These boards need to give some warning...that is only fair.

Sheri257 · May 22, 2006

Now while I didn't check with the BON specifically when I started, I knew others who had finished/just etc. and never heard of anyone in my area having a problem getting a license. So this has to be new. Until just now, there was even a "warning" about study guide agencies trying to pass themselves off as Excelsior right on the front page of the MDBON website.

That warning is still posted as a sticky in the Maryland section of this board:

https://allnurses.com/forums/f152/maryland-nursing-links-133403.html

That was posted as recently as December, which certainly indicates they were accepting EC at that time. But now it's gone from the Maryland BON website. I can't find anything on the Maryland BON website that mentions Excelsior at all, or a change in policy.

They should let people know with some kind of public notice on their website. At least California let people know and grandfathered those who were already enrolled. It's the only fair thing to do.

:typing

deej · May 23, 2006

According to the MBON site, you can apply for endorsement with either 1000 hours of practice in the last 5 years or an approved refresher course. The endorsement page states only that the initial licensure program be NLN approved (specifically: 5. A minimum of 1,000 hours of nursing practice in the five years preceding the application or the satisfactory completion of a Board approved refresher course for an active license. and 6. Graduates of schools outside the United States or graduates of non- NLN or CCNE accredited programs may be asked to provide additional information following review of their application. http://www.mbon.org/main.php?v=norm&p=0&c=licensure/endorsement.html)

So, get your WV (or other) license, take a MBON approved refresher (their site lists two approved online courses and a bunch of onsite ones), and apply away.

Also, MD is a compact state, right? Although, if your primary residence isn't another compact state (DE or VA, for example) I don't think you can play that angle. I don't live in a compact state, so I'm not 100% sure on how that works.

Sheri257 · May 23, 2006

Since that link doesn't specifically mention EC ...

http://www.mbon.org/main.php?v=norm&p=0&c=licensure/endorsement.html

I would contact the Maryland BON and make sure this would apply to EC grads. Since they didn't give any notice on anything regarding EC, you might want to make sure this would apply to EC grads as well.

:typing

deej · May 24, 2006

Sure it specifically mentions EC.

Graduates of schools outside the United States or graduates of non- NLN or CCNE accredited programs may be asked to provide additional information following review of their application.

See? It specifically mentions NLN accredited programs. There ya go.

Now, had it said "graduates of non-NLN or CCNE accredited programs, excepting of course certain NLN-accredited programs that certain people don't like," then we'd be in trouble.

DJ

(EC grad, oh, California RN, by the way)

pedinurse05 · May 24, 2006

Excelsior is NLN accredited

Home Health Columnist / Guide · May 24, 2006

it is imperative that persons thinking of attending excelsior check the nurse practice acts of the states they desire to work in to see what the requirements for nursing education programs are --they vary by state.

as the complexity of healthcare has changed, states have modified their practice acts educational requirements. one must meet that state's education requirements along with passing nclex to be licensed in that state.

maryland requirements:

(5) "educational qualifications" means that at the time the applicant graduated from a registered nurse or practical nurse education program, that program was substantially equivalent to the registered nurse or practical nurse education programs approved in this state.

(6) "endorsement" means licensure by waiver in accordance with health occupations article, 8-307, annotated code of maryland.

(7) "nclex" means the national council licensure examination.

(8) "preceptor" means a registered nurse who meets the qualifications of faculty as described in regulation .11 of this chapter.

(9) "preceptorship" means an individualized refresher course approved by the board and offered by an institution employing nurses which complies with regulation .11 of this chapter.

(10) "student" means a registered nurse or licensed practical nurse who is required to complete a refresher course in order to maintain or reestablish an active license.

(11) "substantially equivalent" means a registered nurse or practical nurse education program which:

(a) contains correlated clinical and theoretical learning experiences which meet the curriculum requirements for maryland schools of nursing to include but which are not limited to:

(i) medical nursing,

(ii) surgical nursing,

(iii) pediatric nursing,

(iv) gerontologic nursing,

(v) psychiatric nursing, and

(vi) obstetric nursing; and

(b) certifies that its graduates are competent in their ability to communicate in the english language.

http://www.dsd.state.md.us/comar/10/10.27.01.01.htm

contrast that language with pa's:

21.81. general curriculum requirements.

(a) the curriculum shall be developed, implemented and evaluated by the faculty and shall implement the philosophy and objectives of the school.

(b) the curriculum shall be organized and developed to include the knowledge, attitudes, skills and abilities necessary for the specific levels of student achievement.

© physical and biological sciences shall include content from the areas of anatomy and physiology, chemistry, microbiology, physics and nutrition, which may be integrated, combined or presented as separate courses; the scientific facts and principles drawn from these areas serve as a basis for planning and implementing nursing care. when the basic sciences are presented as distinct academic courses—that is, chemistry, anatomy and physiology and microbiology—there shall be a related laboratory experience. a related laboratory experience is defined as an assigned period of time during which students participate in the testing of scientific principles.

(d) selected courses shall be included in the humanities and social and behavioral sciences that support the philosophy, purposes, educational concepts and terminal objectives of the program.

(e) the curriculum shall provide concurrent theory and clinical experience in the care of men, women and children in age groups and with the health problems characteristic of each group. experiences shall be provided which include preventive aspects of nursing care during acute and chronic illness and rehabilitative care. opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. evening and night assignments are considered part of the curriculum only in terms of the objectives to be achieved and if faculty supervision is provided.

(f) content related to history, trends and professional responsibilities of nursing may be integrated, combined or taught as separate courses.

(g) the board encourages curriculum experimentation designed to replicate or validate educational theories or to promote open-ended career development.

http://www.pacode.com/secure/data/049/chapter21/chap21toc.html#21.81.

link to all state boards of nursing:

https://allnurses.com/forums/boards-of-nursing.php

Sheri257 · May 24, 2006

it is imperative that persons thinking of attending excelsior check the nurse practice acts of the states they desire to work in to see what the requirements for nursing education programs are --they vary by state.
maryland requirements:
(11) "substantially equivalent" means a registered nurse or practical nurse education program which:
(a) contains correlated clinical and theoretical learning experiences which meet the curriculum requirements for maryland schools of nursing to include but which are not limited to:
(i) medical nursing,
(ii) surgical nursing,
(iii) pediatric nursing,
(iv) gerontologic nursing,
(v) psychiatric nursing, and
(vi) obstetric nursing; and
(b) certifies that its graduates are competent in their ability to communicate in the english language.
http://www.dsd.state.md.us/comar/10/10.27.01.01.htm
contrast that language with pa's:
21.81. general curriculum requirements.
(e) the curriculum shall provide concurrent theory and clinical experience in the care of men, women and children in age groups and with the health problems characteristic of each group. experiences shall be provided which include preventive aspects of nursing care during acute and chronic illness and rehabilitative care. opportunities shall be provided for the student to participate in case findings, health teaching and health counseling for patients and their families. evening and night assignments are considered part of the curriculum only in terms of the objectives to be achieved and if faculty supervision is provided.

a lot of states have these type of requirements in one form or another. the problem here, imho, is that the boards don't always give clear guidance as to the extent to which they will enforce and/or exempt these requirements when it comes to ec ... especially if they decide to change their policy.

not too long ago kansas initially decided the concurrent with theory requirement would apply to everyone regardless of whether they were already enrolled in ec. for awhile, it looked like people who had already graduated could also lose their licenses. but, due to pressure from the legislature, they changed their initial position, grandfathered everyone in and now require newly enrolled ec students to practice out-of-state for 1,000 hours and then endorse in.

as far as we know, alabama has never publicly clarified their position on ec except that they evaluate people on an "individual basis." all we know is that an rt was denied licensure a few years ago due to the lack of theory concurrent with clinical. and now, apparently, maryland may have changed their mind with the concurrent clinical theory requirements.

all of this seems to indicate that it not only depends on what the requirements are but, also, how the board decides to enforce and/or exempt certain schools from those requirements. since the requirements are there in many cases, and the board may change their mind down the road, it makes the whole situation somewhat arbitrary, especially when a board doesn't give clear guidance.

:typing

traumahawk99 · May 24, 2006

a shining example of the buffoonery that occurs without a national license. we need one license that allows medical professionals to work in all states.