Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR...

34
Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee

Transcript of Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR...

Page 1: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Uniform Licensure Requirements

Brenda McDougal, Chair

ULR Committee

Page 2: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

References

NCSBN. (1999). The 1999 Uniform Core Licensure Requirements

NCSBN. (2008). The 2008 UCLR Survey to Member Boards

NCSBN. Policy Compendium. Positions of the NCSBN Delegate

Assembly and the Board of Directors

State and federal information on criminal background checks and

fingerprint systems, including the Rap-Back System;

The Americans with Disabilities Act

NCSBN. (2010) Member Board Profiles

NCSBN. (2008). The report from the NCSBN and Nurse Licensure

Compact Administrators (NLCA) action plan that emerged from the

2008 focus groups

Page 3: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

References

National Organization of Nurse Practitioner Faculties. (2009, June).

Clarification of nurse practitioner specialty and subspecialty clinical

track titles, hours, and credentialing.

Fitzgerald Miller, J., & Holm, K. (2011). Graduate programs in

nursing for non nurses: a national perspective. Journal of Nursing

Regulation, 2 (2), (in press).

Polfliet, S. (2008, November). A national analysis of medical

licensure applications. Journal of the American Academy of

Psychiatry and the Law, 36 (3), p.369-374.

Priola Surowiec, V. (2010, October). Does past criminal behavior

predict future criminal behavior?. Journal of Nursing Regulation, 1

(3), p.33-37.

Schroeder, R., Brazeau, C., Zackin, F., Rovi, S., Dickey, J., Johnson,

M., & Keller, S. (2009, June). Do state medical board applications

violate the Americans with Disabilities Act?. Academic Medicine, 84

(6), p.776-781).

Page 4: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Consultants

Dr. Victoria Priola Surowiec, Psy.D., Chair, Forensic and

Police Psychology, Adler School of Psychology

Dr. Stephen P. Griffin, Psy.D., Chief Psychologist, Public

Safety and Security Services, Institute for Personality and

Ability Testing

Dr. Karen Holm, PhD, RN, FAAN, Professor, DePaul

University, College of Nursing

Mr. Thomas G. Abram, Vedder Price

Mr. Nathan Goldman, General Counsel, Kentucky Board of

Nursing

Page 5: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

A. Initial Licensure

Page 6: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Education

Requirement: RN

Graduation from or verification of completion

and eligibility for graduation from state-

approved registered nursing program.

Page 7: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Nursing

Education Requirements: RN

Applicant Responsibility Board Duty

Graduation or eligibility for

graduation from a Member

Board approved RN

prelicensure program*.

*For students enrolled in a 2nd degree

generic Masters Program: Successful

completion of all pre-licensure nursing

courses from a Member Board

approved program with attestation from

program director or dean.

Verification of graduation or

eligibility for graduation from a

Member Board approved RN

prelicensure program.

Page 8: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Education

Requirement: PN

Graduation from or verification of completion

and eligibility for graduation from state-

approved practical nursing program.

Page 9: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Nursing

Education Requirements: PN

Applicant Responsibility Board Duty

Graduation or eligibility for

graduation from a

Member Board approved

PN prelicensure program.

*Graduates from RN prelicensure

programs who wish to take the

NCLEX-PN must have successfully

completed a Member Board

approved PN role delineation

course.

Verification of graduation

or eligibility for graduation

from a Member Board

approved PN prelicensure

program.

Page 10: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Education

Requirement for Foreign-

Educated Candidates: RN

Graduation from nursing program

comparable to U.S. state-approved RN

nursing programs as verified by credentials

review agency.

Page 11: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Nursing

Education Requirements of

International Candidates:

RN

Applicant Responsibility Board Duty

Graduation from a nursing

program comparable to a

Member Board approved

RN prelicensure program

Verification by a

credentials review of

graduation from a nursing

program comparable to a

Member Board approved

RN prelicensure program.

Page 12: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Education

Requirement for Foreign-

Educated Candidates: PN

Graduation from nursing program

comparable to U.S. state-approved LPN/VN

nursing programs as verified by credentials

review agency.

Page 13: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Nursing

Education Requirements of

International Candidates:

PNApplicant Responsibility Board Duty

Graduation from a nursing

program comparable to a

Member Board approved

prelicensure PN/VN

program.

Verification by a

credentials review of

graduation from a nursing

program comparable to a

Member Board approved

prelicensure PN/VN

program.

Page 14: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR NCLEX

Requirements

• U.S. CANDIDATES: RN

– NCLEX-RN® examination, unlimited attempts.

• U.S. CANDIDATES: LPN/VN

– NCLEX-PN® examination, unlimited attempts.

• FOREIGN-EDUCATED CANDIDATES: RN

– NCLEX-RN® examination, unlimited attempts.

• FOREIGN-EDUCATED CANDIDATES: LPN/VN

– NCLEX-PN® examination, unlimited attempts.

Page 15: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR NCLEX

Requirements: All Applicants

Applicant Responsibility Board Duty

Successful completion of

NCLEX RN or PN exam.

Verification that applicant

successfully completed

NCLEX RN or PN exam.

Page 16: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Additional

Requirements for Foreign-

Educated Nurses

• FOREIGN-EDUCATED CANDIDATES: RN

– CGFNS certificate or equivalent credentials review that

includes verification of the candidate's education, training,

experience and licensure with respect to the statutory and

regulatory requirements for the nursing profession, as well

as oral and written competence in English.

• FOREIGN-EDUCATED CANDIDATES: LPN/VN

– Credentials review that includes verification of the

candidate's education, training, experience and licensure

with respect to the statutory and regulatory requirements

for the nursing profession, as well as oral and written

competence in English.

Page 17: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Additional

Requirements for International

Candidates:

RN and PN/VNApplicant Responsibility Board Duty

Self disclosure of nursing licensure

status in country of origin, if applicable.

Successful passage of an English

proficiency exam that includes the

components of reading, speaking,

writing and listening, except for

applicants from nursing programs that

were taught in English and used

English textbooks.

Verification of nursing licensure status

in country of origin, if applicable.

Verification of successful passage of an

English proficiency exam that includes

the components of reading, speaking,

writing and listening, except for

applicants from nursing programs that

were taught in English and used

English textbooks

Page 18: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Criminal

Background Check

Requirements: RN and LPN/VN

Self report regarding all felony convictions

and all plea agreements and misdemeanor

conviction of lesser-included offenses

arising from felony arrests. Local/state and

federal background checks using current

technology (i.e., fingerprinting) to validate

self-reports.

Page 19: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Additional Public

Protection Requirements:

Criminal Background Check

Applicant Responsibility Board Duty

-Self disclosure of all misdemeanor

convictions, felony convictions and plea

agreements (even if adjudication was

withheld).

-Submit state and federal finger print checks

Assessment of all misdemeanor convictions,

felony convictions and plea agreements

(even if adjudication was withheld) of all

individuals applying for licensure on a case

by case basis to determine board action

Psychological evaluation for all individuals

convicted of a sexual offense involving a

minor or performing a sexual act against the

will of another person. This evaluation should

be performed by a qualified expert approved

by the board. If the evaluation reveals a

diagnosis or equivalent classification of

sexual predator or pedophilia the board

should deny licensure.

Page 20: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

1999 UCLR Chemical

Dependency and Functional

Abilities Requirements: RN and

LPN/VN

• CHEMICAL DEPENDENCY

– Self report regarding any drug-related behavior

that affects the candidate's ability to provide safe

and effective nursing care.

• FUNCTIONAL ABILITIES - Eliminated– Self report regarding any functional ability deficit that

would require accommodation to perform essential nursing

functions.

Page 21: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Additional Public

Protection Requirements:

Substance Use Disorders

Applicant Responsibility Board Duty

Self disclosure of any

substance use disorder in the

last 5 years.

Verification of any applicant for

licensure who may be impaired

by drugs or alcohol that affects

her/his ability to practice

nursing safely.

Page 22: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Additional Public

Protection Requirements:

Other licenses,

certifications, registrations

Applicant Responsibility Board Duty

Self disclosure of any actions taken

or initiated against a professional

or occupational license, registration

or certification.

Identification of any actions taken

or initiated against a professional

or occupational license, registration

or certification and consideration of

the individual’s ability to practice

nursing safely.

Page 23: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

B. Renewal/Reinstatement

Requirements

Page 24: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Criminal

Background CheckApplicant Responsibility Board Duty

Self disclosure of all misdemeanor

convictions, felony convictions and plea

agreements (even if adjudication was

withheld) not previously reported to the

board.

Verification of all misdemeanor convictions,

felony convictions and plea agreements (even if

adjudication was withheld) not previously

reported to the board for determination of

eligibility for renewal or reinstatement of

licensure.

State and federal fingerprint checks using

automatic criminal background feedback system

(such as Rap-Back).

Psychological evaluation for all individuals

convicted of a sexual offense involving a minor

or performing a sexual act against the will of

another person. This evaluation should be

performed by a qualified expert approved by the

board. If the evaluation reveals a diagnosis or

equivalent classification of sexual predator or

pedophilia the board should deny licensure.

Examine all other charges on a case by case

basis

Page 25: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Substance Use

Disorders

Applicant Responsibility Board Duty

Self disclosure of any substance

use disorder in the last 5 years.

Verification of any applicant for

renewal or reinstatement of

licensure who may be impaired by

drugs or alcohol that affects her/his

ability to practice nursing safely.

Page 26: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Nursing

Disciplinary Actions

Applicant Responsibility Board Duty

Self disclosure of any Member

Board action taken on a nursing

license or current/pending

investigation by a Member Board.

Verification of any Member Board

action taken on a nursing license

or current/pending investigation by

a Member Board.

Check Nursys for discipline in other

jurisdictions.

Page 27: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Other licenses,

certifications, registrations

Applicant Responsibility Board Duty

Self disclosure of any actions taken

or initiated against a professional

or occupational license, registration

or certification not previously

reported to the board.

Review of any actions taken or

initiated against a professional or

occupational license, registration or

certification not previously reported

to the board and consideration of

the individual’s ability to practice

nursing safely.

Page 28: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

C. Endorsement Requirements

Page 29: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Education, Exam

and Licensure Verification

Applicant Responsibility Board Duty

Completion of a Member Board approved RN

or PN prelicensure education program.

Successful passage of the NCLEX/State

Board Test Pool Exam.

Self disclosure of status of all nursing

licenses (includes any board actions taken or

any current or pending investigations by a

Member Board)

Self disclosure of participation in an

alternative to discipline program in any

jurisdiction

Verification of education.

Verification of successful passage of the

NCLEX/State Board Test Pool Exam.

Verification of all nursing licenses.

Page 30: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Criminal

Background Check

Applicant Responsibility Board DutySelf disclosure of all misdemeanor

convictions, felony convictions and plea

agreements (even if adjudication was

withheld).

Verification of all misdemeanor convictions,

felony convictions and plea agreements

(even if adjudication was withheld) of all

individuals applying for licensure.

State and federal fingerprint checks.

Psychological evaluation for all individuals

convicted of a sexual offense involving a

minor or performing a sexual act against the

will of another person. This evaluation should

be performed by a qualified expert approved

by the board. If the evaluation reveals a

diagnosis or equivalent classification of

sexual predator or pedophilia the board

should deny licensure.

All other convictions should be determined on

a case by case basis.

Page 31: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Substance Use

Disorders

Applicant Responsibility Board Duty

Self disclosure of a substance

use disorder within the last 5

years

Verification of any applicant for

licensure who may be impaired

by drugs or alcohol that affects

her/his ability to practice

nursing safely.

Page 32: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Revised ULR Other licenses,

certifications, registrations

Applicant Responsibility Board Duty

Self disclosure of any actions taken

or initiated against a professional

or occupational license, registration

or certification not previously

reported to the board.

Verification of any actions taken or

initiated against a professional or

occupational license, registration or

certification and consideration of

the individual’s ability to practice

nursing safely.

Page 33: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Additional Recommendations

• Language has been changed to “Member Board”,

as defined in the ULR definitions, to include all

jurisdictions.

• Requirements apply to full members of NCSBN

only, not associate members, as defined by

NCSBN.

• Administrative code regulations such as child

support, payment of taxes, school loans, etc. are

not included in these licensure requirements as

these are state specific and do not solely apply to

the board of nursing.

Page 34: Uniform Licensure Requirements - NCSBN · Uniform Licensure Requirements Brenda McDougal, Chair ULR Committee. ... Chair, Forensic and ... Revised ULR Education, Exam and Licensure

Thank you for your attention!