WEBVTT 00:00:01.070 --> 00:00:05.140 position:50% align:middle Modern healthcare delivery requires that nursing care be dynamic and fluid 00:00:05.140 --> 00:00:06.330 position:50% align:middle across state boundaries. 00:00:07.090 --> 00:00:12.010 position:50% align:middle The Nurse Licensure Compact, or NLC, is an interstate agreement that authorizes 00:00:12.010 --> 00:00:17.650 position:50% align:middle RNs and LPNs, or VNs holding a multi-state license, to practice in any other state 00:00:17.650 --> 00:00:19.296 position:50% align:middle that has implemented the Compact. 00:00:20.000 --> 00:00:23.220 position:50% align:middle With a mutli-state license, a nurse may practice in person, 00:00:23.220 --> 00:00:24.470 position:50% align:middle or via tele-help. 00:00:24.470 --> 00:00:27.750 position:50% align:middle However, it's important to note that a nurse must be licensed, 00:00:27.750 --> 00:00:31.810 position:50% align:middle or have the privilege to practice in the state where the patient is located at the 00:00:31.810 --> 00:00:33.807 position:50% align:middle time nursing service is provided. 00:00:34.020 --> 00:00:37.230 position:50% align:middle A multi-state license isn't a national license. 00:00:37.230 --> 00:00:41.510 position:50% align:middle It's a state license issued by the Nursing Regulatory body in the nurse's primary 00:00:41.510 --> 00:00:46.190 position:50% align:middle state of residence, or PSOR, the state in which a nurse legally resides 00:00:46.190 --> 00:00:50.450 position:50% align:middle and can prove legal residence with a driver's license, voter registration, 00:00:50.450 --> 00:00:52.089 position:50% align:middle or similar documentation. 00:00:52.660 --> 00:00:57.600 position:50% align:middle Because the NLC has uniform licensure requirements, all states can be confident 00:00:57.600 --> 00:01:01.130 position:50% align:middle that nurses practicing within Compact states have met a standardized 00:01:01.130 --> 00:01:02.216 position:50% align:middle set of requirements. 00:01:02.630 --> 00:01:07.720 position:50% align:middle The NLC enhances public protection, access to care, and nurse mobility. 00:01:07.720 --> 00:01:11.400 position:50% align:middle It reduces the time and expense of applying for multiple single state 00:01:11.400 --> 00:01:15.688 position:50% align:middle licenses and meeting continuing education requirements from different states. 00:01:16.370 --> 00:01:20.180 position:50% align:middle As an example, let's imagine Taylor, a nurse who legally resides 00:01:20.180 --> 00:01:21.630 position:50% align:middle in a Compact state. 00:01:21.630 --> 00:01:25.710 position:50% align:middle Because she holds a multi-state license, she can practice without delay in any 00:01:25.710 --> 00:01:29.860 position:50% align:middle other Compact state without taking additional steps while maintaining legal 00:01:29.860 --> 00:01:32.733 position:50% align:middle residence in the state that issued her multi-state license. 00:01:33.420 --> 00:01:37.090 position:50% align:middle In Taylor's scenario, we can see how the NLC significantly 00:01:37.090 --> 00:01:41.230 position:50% align:middle expands a nurse's practice options and shortens the time to start practicing 00:01:41.230 --> 00:01:42.920 position:50% align:middle in another Compact state. 00:01:42.920 --> 00:01:46.690 position:50% align:middle Let's take a look at other scenarios in which nurses are changing their primary 00:01:46.690 --> 00:01:47.989 position:50% align:middle state of residence. 00:01:50.320 --> 00:01:53.910 position:50% align:middle Amy currently lives in California, a non-Compact state, 00:01:53.910 --> 00:01:57.570 position:50% align:middle and would like to accept a job in Arizona, a Compact state. 00:01:57.570 --> 00:02:01.930 position:50% align:middle Before she can practice in Arizona, Amy must become licensed in Arizona. 00:02:01.930 --> 00:02:06.860 position:50% align:middle If she's making Arizona her new PSOR, she may be issued a multi-state license 00:02:06.860 --> 00:02:11.690 position:50% align:middle by proving legal residency and applying for licensure by endorsement in Arizona. 00:02:11.690 --> 00:02:16.170 position:50% align:middle Nurses moving from non-Compact to Compact states will also be able to maintain the 00:02:16.170 --> 00:02:19.096 position:50% align:middle single state license in their former state of residence. 00:02:22.330 --> 00:02:26.380 position:50% align:middle Rosa, a nurse residing in Missouri, who holds a multi-state license is 00:02:26.380 --> 00:02:28.645 position:50% align:middle changing her legal residence to Iowa. 00:02:28.820 --> 00:02:32.500 position:50% align:middle Both are compact states, so she can start practicing in Iowa 00:02:32.500 --> 00:02:35.660 position:50% align:middle because she has a multi-state license issued by Missouri. 00:02:35.660 --> 00:02:39.750 position:50% align:middle But because she is changing her PSOR, she'll need to apply for licensure 00:02:39.750 --> 00:02:43.623 position:50% align:middle by endorsement in her new state, Iowa, immediately upon moving. 00:02:43.850 --> 00:02:45.860 position:50% align:middle It's important that she doesn't delay. 00:02:45.860 --> 00:02:48.824 position:50% align:middle She should not wait until her Missouri license expires. 00:02:51.900 --> 00:02:54.910 position:50% align:middle James is a nurse in Virginia, a Compact state. 00:02:54.910 --> 00:02:59.330 position:50% align:middle He's planning to accept a job and move to California, a non-Compact state. 00:02:59.580 --> 00:03:03.680 position:50% align:middle James will notify the Virginia Board of Nursing of his change of address and will 00:03:03.680 --> 00:03:05.850 position:50% align:middle apply for licensure in California. 00:03:05.850 --> 00:03:09.490 position:50% align:middle Because he's changing his PSOR, his multi-state license, 00:03:09.490 --> 00:03:13.400 position:50% align:middle issued by Virginia, will be changed to a single state license, 00:03:13.400 --> 00:03:17.510 position:50% align:middle so he will no longer have the privilege to practice in all Compact states, 00:03:17.510 --> 00:03:20.847 position:50% align:middle unless he applies for individual single state licenses. 00:03:21.220 --> 00:03:24.830 position:50% align:middle These scenarios are a broad overview of nurses permanently changing 00:03:24.830 --> 00:03:25.873 position:50% align:middle their home states. 00:03:26.260 --> 00:03:29.670 position:50% align:middle If you're planning to begin practice in another state, be sure to familiarize 00:03:29.670 --> 00:03:33.148 position:50% align:middle yourself first with the details of NLC requirements. 00:03:33.580 --> 00:03:38.280 position:50% align:middle The Nurse Licensure Compact expands career opportunities and mobility for nurses, 00:03:38.280 --> 00:03:41.918 position:50% align:middle while ensuring uniform licensure requirements across states. 00:03:42.200 --> 00:03:47.699 position:50% align:middle Find more information and resources at ncsbn.org/nlc.