WEBVTT

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♪ [music] ♪

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Good morning, and welcome to the 42nd
gathering of the NCSBN Delegate Assembly.

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On behalf of the board of directors and
staff, I want to express our regrets that

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we cannot meet with
you in person this year.

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We are all adjusting to our new normal
and understandably due to COVID-19,

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holding our meeting virtually is the best
option and safest option for all of us.

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So, I'd like to point out for you a few
of the activities and progress the

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organization has made over the past year
and highlight some things that I feel have

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been impactful and some progress that
I think you would be interested in.

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First, I think we have to address
the virtual elephant in the room,

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and that is COVID-19.

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I couldn't be more proud of the responses
that NCSBN has made to members and the

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support that they have given
this organization since March.

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As you know, on March 11th,
the World Health Organization declared

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COVID-19 as a global pandemic.

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We began to hear of limited capacity for
clinical experiences for nursing students.

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And as states and provinces issued
stay-at-home orders, our test centers,

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our Pearson VUE test centers had to close.

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So, testing for new nurse graduates
for medication aides, for nurse aides,

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and many national certification
examinations for APRN graduates ground

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to a halt.

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Educators, soon-to-be nursing graduates
and employers expecting new graduates

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began to worry understandably.

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From the practice environment,
we saw a desperate need for mobility

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of nurses to respond to
hotspots of the pandemic.

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We saw telehealth become
essentially the default method

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for providing non-emergent health care.

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The world as we knew it changed.

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In our regulatory world,
we experienced an immediate need

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for flexibility of waivers of regulation,
guidance to stakeholders,

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and adaptations to our progress
to follow executive orders.

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NCSBN rose to the challenge
and provided that much-needed help.

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They publish guidance on practice
and academic partnerships,

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various state responses to waivers,
and exceptions in regulation.

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Our CEO schedule weekly calls
with the executive officers each

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Thursday afternoon, which was invaluable.

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The board met frequently to assess
the situations as they evolved.

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And one of the most impactful initiatives,
I have to give a shout out here to Phil

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Dickison and his team was that Phil
gave us a weekly update on progress

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with Pearson VUE in maximizing
testing capacity and opening new test

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centers for us.

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And just when we thought our new
normal could not get any worse,

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we were made painfully aware of social
injustice and racism that continues

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to permeate our country.

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In June, NCSBN issued a statement calling
for critical examination of regulatory

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processes for bias.

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We're committed to developing resources
for our members and to guide regulators

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and better inform
equitable treatment for all.

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Last year, I was really
pleased to introduce you to our

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Global Regulatory Atlas.

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This was an initiative David Benton,
not only envisioned and created,

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but also ensured successful
implementation.

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We now have over 320 countries or
jurisdictions, and over 21 million nurses

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contributing information to this database.

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It's also always nice to reflect on
progress of the Nurse Licensure Compact.

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Our team has worked so hard on
Compact implementation and education

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for legislators and stakeholders.

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We now have 34 states who have fully
implemented the Nurse Licensure Compact.

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So, that's 68% of the country
or of the states.

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And Indiana was our most recent state.

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So, I'd like to, for sure, congratulate
our colleagues in Indiana.

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We take such pride in Nursys as our
integrated database for licensure data,

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disciplinary data,
and license verification.

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Soon, we will have 100% participation of
licensure and disciplinary data.

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And e-Notify, we now have over 9,000
employers plus over 530,000 individual

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nurses who have enrolled in e-Notify.

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For those of you who may not be familiar
with the e-Notify, it's a database that

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pushes licensure and disciplinary
information to individual licensees and

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to employers of licensees.

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There's no cost to their
participating in e-Notify.

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And I would have to say if the Global
Regulatory Atlas was conceived

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by David Benton, then the International
Center for Regulatory Scholarship was

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certainly given birth
by Maryann Alexander.

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It's not an easy feat to move us
from a model of our Institute

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of Regulatory Excellence,
but we needed something that was

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more responsive, more flexible
to our members' needs.

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And if we were to engage a broader segment
of our membership in continued

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professional growth,
we knew we had to make a change.

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So, we're really proud that this has
been launched over this past year

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very successfully with over 142 individual
regulators taking courses and over 8,000

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nurses who took advantage of
our free COVID-19 courses.

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I think that speaks volumes for the work
and the vision of the organization.

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Our office staff in Washington also
continue to have our presence known

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on the Hill.

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Over the past year, we've been invited to
meetings at the White House, VA,

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Health and Human Services,
Council of State Government,

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and the Federal Trade Commission.

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And these connections and partnerships
really prove invaluable for NCSBN as we

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are now recognized in Washington as
the organization to go to about regulation

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of nursing practice.

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We now have a foot in the door for many
impactful meetings and conversations,

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and we are increasingly sought
after for input and collaboration.

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Our business agenda
today is a short agenda.

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You'll find two items on that.

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And those recommendations can be
found on page 11 of your Business Book.

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The first recommendation is to approve
the revised APRN Compact.

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And if you'll remember,
the board withdrew this business item

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from last year's agenda after receiving
significant comments, concerns,

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and requests for clarification.

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NCSBN then convened a meeting with APRN
stakeholders and the LACE Network

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to discuss those concerns.

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Hearing them, there were some
modifications made to the proposed

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language and then those changes
brought to our 2020 mid-year meeting.

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We all had ample opportunity to discuss
both in the plenary session and

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in our area meetings.

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Additionally, after the mid-year meeting,
we sent a survey to all membership and

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asked for further feedback
requests for clarification.

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And staff took all that feedback and
shared it with the board of directors

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at our May meeting.

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After discussion and consideration,
the board approved the version that is

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being brought to you today.

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I believe the proposal before you today
will provide a pathway for momentum and

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for the greater good in realizing
a long-awaited APRN Compact.

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I'd like to close with a quote from one of
my favorite authors, William Faulkner.

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I must admit that when I was in college,
the rest of the girls had posters of The

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Beatles in their rooms around their bed.

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And I had William Faulkner
and Ray Charles, so go figure.

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But William Faulkner has always
been a guiding light for me.

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And I'd like to give you one of his quotes
that is, "You cannot swim to new horizons

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unless you have the courage
to lose sight of the shore."

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So, as we consider the proposed APRN
Compact today, I ask that you look away

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from the shore, take this opportunity to
be bold and embark on a horizon where we

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can see APRN mobility flourish,
hopefully for the first time.

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Thank you.