Nurse Licensure Compact

Last updated

The Nurse Licensure Compact (NLC) is an agreement that allows mutual recognition (reciprocity) of a nursing license between member U.S. states ("compact states"). Enacted into law by the participating states, the NLC allows a nurse who is a legal resident of and possesses a nursing license in a compact state (their "home state") to practice in any of the other compact states (the "remote states") without obtaining additional licensure in the remote states. It applies to both registered and practical nurses and is also referred to as a multi-state license. [1]

Contents

Per the NLC rules, nurses who are licensed in and legal residents of a compact state may not hold licenses from other compact states that is, they can only hold one compact state license at a time, which must be from their home state, and a nurse temporarily practicing in a remote state retains their license in their home state. However, if a nurse changes their primary state of residence from one compact state to another compact state, they must transfer their license by applying for licensure by endorsement in the new home state; upon issuance of the new home state license, the license from the former home state is inactivated.

A license obtained in a compact state that is not one's state of legal residency is not recognized by the other compact members, so nurses who are legal residents of non-compact states must obtain licenses for each compact state in which they wish to practice. [2] [3]

Participating states

Map of Nurse Licensure Compact
.mw-parser-output .legend{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .legend-color{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid black;background-color:transparent;color:black}.mw-parser-output .legend-text{}
NLC Member Nurse Licensure Compact Member Status Map2.svg
Map of Nurse Licensure Compact
  NLC Member
  
  

As of April, 2024, the 39 NLC states are:

Nine other states and the District Of Columbia all have active NLC bills. They are: Alaska, California, Connecticut, Hawaii, Illinois, Massachusetts, Michigan, Minnesota, and New York.

Related Research Articles

<span class="mw-page-title-main">Registered nurse</span> Nurse who has graduated from a nursing program

A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license. An RN's scope of practice is determined by legislation, and is regulated by a professional body or council.

Structural engineers analyze, design, plan, and research structural components and structural systems to achieve design goals and ensure the safety and comfort of users or occupants. Their work takes account mainly of safety, technical, economic, and environmental concerns, but they may also consider aesthetic and social factors.

<span class="mw-page-title-main">Medical license</span> Occupational license that permits a person to legally practice medicine

A medical license is an occupational license that permits a person to legally practice medicine. In most countries, a person must have a medical license bestowed either by a specified government-approved professional association or a government agency before they can practice medicine. Licenses are not granted automatically to all people with medical degrees. A medical school graduate must receive a license to practice medicine to legally be called a physician. The process typically requires testing by a medical board. The medical license is the documentation of authority to practice medicine within a certain locality. An active license is also required to practice medicine as an assistant physician, a physician assistant or a clinical officer in jurisdictions with authorizing legislation.

In the United States, an interstate compact is a pact or agreement between two or more states, or between states and any foreign government. The Compact Clause of the United States Constitution provides that "No State shall, without the Consent of Congress,... enter into any Agreement or Compact with another State, or with a foreign Power,..."

A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who cares for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their jurisdiction.

<span class="mw-page-title-main">Nurse practitioner</span> Mid-level medical provider

A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion.

An advanced practice nurse (APN) is a nurse with post-graduate education and training in nursing. Nurses practicing at this level may work in either a specialist or generalist capacity. APNs are prepared with advanced didactic and clinical education, knowledge, skills, and scope of practice in nursing.

The National Council Licensure Examination (NCLEX) is a nationwide examination for the licensing of nurses in the United States, Canada, and Australia since 1982, 2015, and 2020, respectively. There are two types: the NCLEX-RN and the NCLEX-PN. After graduating from a school of nursing, one takes the NCLEX exam to receive a nursing license. A nursing license gives an individual the permission to practice nursing, granted by the state where they met the requirements.

An Associate of Science in Nursing (ASN) is a tertiary education nursing degree which typically takes 2–3 years to complete. In the United States, this type of degree is usually awarded by community colleges or similar nursing schools. Some four-year colleges also offer this degree. Students awarded an Associate of Science in Nursing are qualified to sit for the NCLEX-RN and apply for licensure as a Registered Nurse.

<span class="mw-page-title-main">National Council of Architectural Registration Boards</span>

The National Council of Architectural Registration Boards (NCARB) is a nonprofit corporation comprising the legally constituted architectural registration boards of the 50 states, the District of Columbia, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands as its members. Its mission is to collaborate with licensing boards to facilitate the licensure and credentialing of architects to protect the health, safety, and welfare of the public.

The National Association of State Boards of Accountancy (NASBA) is an association dedicated to serving the 56 state boards of accountancy. These are the boards that regulate the accountancy profession in the United States of America.

Travel nursing is a nursing assignment concept that developed in response to the nursing shortage in the United States in the 1970s. This business supplies nurses who travel to work in temporary nursing positions, mostly in hospitals. While travel nursing historically refers specifically to the nursing profession, it can also be used as a blanket term to refer to nursing and allied health professionals, physicians, advanced practice nurses, physician assistants, dentists and other support staff including certified nursing assistants.

<span class="mw-page-title-main">Nursing in the United States</span> Overview of nursing in the United States of America

Nurses in the United States practice nursing in a wide variety of specialties and departments.

The Federation of State Medical Boards (FSMB) of the United States is a national non-profit organization that represents the 71 state medical and osteopathic boards of the United States and its territories and co-sponsors the United States Medical Licensing Examination. Medical boards license physicians, investigate complaints, discipline those who violate the law, conduct physician evaluations, and facilitate the rehabilitation of physicians where appropriate. The FSMB's mission calls for "continual improvement in the quality, safety and integrity of health care through the development and promotion of high standards for physician licensure and practice."

<span class="mw-page-title-main">Health professional requisites</span> Regulations used by countries

Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions.

Nurse licensure is the process by which various regulatory bodies, usually a Board of Nursing, regulate the practice of nursing within its jurisdiction. The primary purpose of nurse licensure is to grant permission to practice as a nurse after verifying the applicant has met minimal competencies to safely perform nursing activities within nursing's scope of practice. Licensure is necessary when the regulated activities are complex, require specialized knowledge and skill and independent decision making.

Advanced practice registered nurses (APRNs) are registered nurses with graduate degrees in nursing. APRN roles include: certified nurse midwife, clinical nurse specialist, certified registered nurse anesthetist, and nurse practitioner. APRNs assess, diagnose, manage patient medical problems, order diagnostic tests, and prescribe medications. Rules, regulations, and credentialing for APRNs vary by state. This page outlines the regulatory processes for nurse practitioners in Wisconsin, including education, certification, licensing, and credentialing. Regulatory and credentialing processes are continuously changing, and the information contained on this page is current as of November 2015.

Nursing is the largest healthcare profession in the United States, with more than 3.1 million registered nurses. Between 2012 and 2022, employment for nurses is projected to grow by 19 percent, which is more than any other profession. Nurses make up the largest component of staff in hospitals but are also able to provide care in clinic settings, patient's homes, schools, nursing homes, public health agencies, and mental health centers. In addition, nurses can be found in the military, in industry, nursing education, and do health care research. Nurses in these various roles and settings can provide direct patient care and case management, but also develop and establish nursing practice and quality standards within complex healthcare systems. As each degree can provide a different level of care for patients and function in vastly different roles, it is important to differentiate between them. The levels of nursing degrees have different educational requirements, licensure, and credentialing that can vary state to state.

<span class="mw-page-title-main">Graduate nurse</span> Nurse who has not completed registration requirements

The graduate nurse (GN) is a nurse who has completed their academic studies but not completed the requirements to become a registered nurse (RN). Depending on the country, state, province or similar licensing body, the graduate nurse may be granted provisional nursing licensure. A graduate nurse has not yet passed the National Council Licensure Examination (NCLEX-RN) to become a registered nurse (RN).

<span class="mw-page-title-main">Recognition of EMS Personnel Licensure Interstate CompAct</span> United States interstate compact

The Recognition of EMS Personnel Licensure Interstate CompAct, also known as REPLICA, is an interstate compact that extends a "privilege to practice" in the United States from a 'home state' to 'remote states' for qualified Emergency Medical Services personnel. For a state to participate in the compact, a state must pass the model legislation into law. On October 11, 2017, when Georgia signed the REPLICA legislation into law, the EMS Compact was formalized and the Interstate Commission for EMS Personnel Practice was established.

References

  1. "Nurse Licensure Compact (NLC)". National Council of State Boards of Nursing. 2009-11-30. Retrieved 2009-11-30.
  2. "NLC FAQs". National Council of State Boards of Nursing, Inc. Retrieved 22 September 2020.
  3. "Moving Scenarios Factsheet" (PDF). National Council of State Boards of Nursing, Inc. Retrieved 22 September 2020.

NLC history and basic information, bill progress, position statements