WEBVTT 00:00:00.330 --> 00:00:02.310 position:50% align:middle - [Jim] Okay, we're going to get started. 00:00:02.310 --> 00:00:03.730 position:50% align:middle My name is Jim Puente. 00:00:03.730 --> 00:00:06.510 position:50% align:middle I'm the director of the Nurse Licensure Compact. 00:00:06.510 --> 00:00:11.440 position:50% align:middle And today we're going to talk about how the Nurse Licensure Compact works, 00:00:11.440 --> 00:00:15.510 position:50% align:middle in particular for nursing students and new graduates. 00:00:15.510 --> 00:00:21.950 position:50% align:middle And this webinar is being recorded, so we're recording as we speak. 00:00:21.950 --> 00:00:29.100 position:50% align:middle And at the end of the presentation, we will provide you with the slides through email. 00:00:29.100 --> 00:00:32.459 position:50% align:middle At the end of the presentation, if you have any questions, 00:00:32.459 --> 00:00:37.559 position:50% align:middle you may unmute yourself at that time to ask your question. 00:00:37.559 --> 00:00:44.939 position:50% align:middle So, let's go ahead and get started. 00:00:44.939 --> 00:00:50.849 position:50% align:middle The Nurse Licensure Compact: Licensing Without the Hassle. What new grads need to know. 00:00:50.849 --> 00:00:53.089 position:50% align:middle All right. Let's get started. 00:00:53.089 --> 00:00:57.609 position:50% align:middle So, I'm assuming everyone can see the slides. 00:00:57.609 --> 00:00:59.769 position:50% align:middle If you cannot, let me know. 00:00:59.769 --> 00:01:06.139 position:50% align:middle But this is the current map of the Compact states, of which there are 39 states. 00:01:06.139 --> 00:01:11.589 position:50% align:middle And when you have a Compact License, which is a multi-state license, 00:01:11.589 --> 00:01:17.149 position:50% align:middle you're able to practice in every of the Compact states. 00:01:17.149 --> 00:01:21.879 position:50% align:middle Now, the Compact states are those that are blue on the map. Okay? 00:01:21.879 --> 00:01:29.269 position:50% align:middle So that means with one license that is issued in your primary state of residency, 00:01:29.269 --> 00:01:32.257 position:50% align:middle you're able to practice in other Compact states. 00:01:32.257 --> 00:01:34.547 position:50% align:middle And as I said, there are 39. 00:01:34.547 --> 00:01:39.747 position:50% align:middle The goal for the Compact is for all 50 states to be in the Compact. 00:01:39.747 --> 00:01:46.687 position:50% align:middle And so in the next few years, each year, we see more states get added on as they 00:01:46.687 --> 00:01:49.677 position:50% align:middle pass the legislation. 00:01:49.677 --> 00:02:00.088 position:50% align:middle You'll notice on the map that there are two states that are light blue and actually, this map, 00:02:00.088 --> 00:02:05.618 position:50% align:middle it looks like it's a little bit outdated because Vermont is light blue and Vermont is already 00:02:05.618 --> 00:02:07.448 position:50% align:middle in the Compact. 00:02:07.448 --> 00:02:15.468 position:50% align:middle But Ohio, Pennsylvania, and the Virgin Islands, all have passed the Compact, 00:02:15.468 --> 00:02:18.932 position:50% align:middle but they're currently implementing it. 00:02:18.932 --> 00:02:23.758 position:50% align:middle So, within the next year, those states will be dark blue. 00:02:23.758 --> 00:02:31.361 position:50% align:middle They'll be like the rest of them where they're issuing licenses, and you're able to work in those states. 00:02:31.361 --> 00:02:39.221 position:50% align:middle We do know at this point that for the state of Ohio, as of January 1 of 2023, 00:02:39.221 --> 00:02:45.881 position:50% align:middle Ohio will begin issuing Compact Licenses, they'll begin accepting applications for it, 00:02:45.881 --> 00:02:51.611 position:50% align:middle and nurses from other Compact states will be able to start working in Ohio. 00:02:51.611 --> 00:03:00.041 position:50% align:middle We don't have the date for Pennsylvania or the Virgin Islands yet, and I can tell you that the holdup 00:03:00.041 --> 00:03:08.527 position:50% align:middle in Pennsylvania is related to waiting for approval from the FBI to be able to perform 00:03:08.527 --> 00:03:10.477 position:50% align:middle criminal background checks. 00:03:10.477 --> 00:03:16.157 position:50% align:middle They're kind of out of our hands, out of the state's hands as well since the FBI is 00:03:16.157 --> 00:03:19.417 position:50% align:middle a federal agency. 00:03:19.417 --> 00:03:23.767 position:50% align:middle You see a number of gray states on the map, whether they're gray or green, 00:03:23.767 --> 00:03:27.227 position:50% align:middle these are states that are not in the Compact. 00:03:27.227 --> 00:03:35.706 position:50% align:middle We anticipate that all of those that are gray or green will likely introduce legislation in 2023 to try 00:03:35.706 --> 00:03:37.586 position:50% align:middle to join the Compact. 00:03:37.586 --> 00:03:44.326 position:50% align:middle They will not all be successful, but we do anticipate getting past the 30 or getting 00:03:44.326 --> 00:03:50.016 position:50% align:middle past the 40 mark, I should say, and adding some more states in 2023. 00:03:50.016 --> 00:03:57.956 position:50% align:middle Keep in mind that this Compact is for RNs and LPNs. 00:03:57.956 --> 00:04:02.171 position:50% align:middle It does not pertain to advanced practice nurses. 00:04:04.144 --> 00:04:08.782 position:50% align:middle Let's continue. 00:04:08.782 --> 00:04:16.292 position:50% align:middle Okay, these are just some of the objectives for today's webinar to describe how the Compact works, 00:04:16.292 --> 00:04:23.542 position:50% align:middle how it is similar to a driver's license, to understand nursys.com, to answer your questions, 00:04:23.542 --> 00:04:31.246 position:50% align:middle and to talk about resources and common misunderstandings. 00:04:31.246 --> 00:04:33.236 position:50% align:middle Okay, so first, the terminology. 00:04:33.236 --> 00:04:37.216 position:50% align:middle A multi-state license and a Compact License are the same thing. 00:04:37.216 --> 00:04:39.526 position:50% align:middle Two different words for the same thing. 00:04:39.526 --> 00:04:44.246 position:50% align:middle It's one license that's issued in a Compact state. 00:04:44.246 --> 00:04:49.216 position:50% align:middle So, keep that in mind, only a Compact state issues Compact Licenses, 00:04:49.216 --> 00:04:57.156 position:50% align:middle but it needs to be the state where you reside, which is the state that issues the license, 00:04:57.156 --> 00:05:02.641 position:50% align:middle and that with that one license, you can practice in all Compact states. 00:05:02.641 --> 00:05:05.841 position:50% align:middle Party state is another term for a Compact state. 00:05:05.841 --> 00:05:08.261 position:50% align:middle You may not see that too often. 00:05:08.261 --> 00:05:12.761 position:50% align:middle If you live in a non-Compact state, you have a single-state license. 00:05:12.761 --> 00:05:17.731 position:50% align:middle Because non-Compact states don't issue multi-state licenses. 00:05:17.731 --> 00:05:21.201 position:50% align:middle They only issue single-state licenses. 00:05:21.201 --> 00:05:29.491 position:50% align:middle Also, if you're not eligible for a Compact License, then your only other option is to have a number 00:05:29.491 --> 00:05:32.875 position:50% align:middle of different single-state licenses, right? 00:05:32.875 --> 00:05:38.625 position:50% align:middle The home state is always going to be your primary state of residency for legal purposes. 00:05:38.625 --> 00:05:45.609 position:50% align:middle And when we talk about the primary state of residence, we abbreviate that PSOR. 00:05:45.609 --> 00:05:51.205 position:50% align:middle We're talking about the state where your legal documentation shows that you live. 00:05:51.205 --> 00:05:54.965 position:50% align:middle Legal documents such as your driver's license. 00:05:54.965 --> 00:06:00.291 position:50% align:middle A remote state is a Compact state other than your home state. 00:06:00.291 --> 00:06:07.431 position:50% align:middle So, you may live in Florida, but practice as a travel nurse in Arizona. 00:06:07.431 --> 00:06:19.461 position:50% align:middle Arizona would be the remote state. 00:06:19.461 --> 00:06:22.331 position:50% align:middle Okay. And then the privilege to practice. 00:06:22.331 --> 00:06:35.624 position:50% align:middle Privilege to practice is that authority to practice in other Compact states based on your multistate license. 00:06:35.624 --> 00:06:42.234 position:50% align:middle All right, so the Compact...why aren't all 50 states in the Compact? 00:06:42.234 --> 00:06:44.694 position:50% align:middle Because it is legislation. 00:06:44.694 --> 00:06:50.514 position:50% align:middle It's an agreement between states that join the Compact, and it's in the form of a bill. 00:06:50.514 --> 00:06:56.084 position:50% align:middle A state bill that has to be passed through your legislature and signed by the governor. 00:06:56.084 --> 00:06:58.744 position:50% align:middle And all states haven't done that yet. 00:06:58.744 --> 00:07:08.495 position:50% align:middle And it's much like any other issue where there's not uniformity from state to state because all states don't 00:07:08.495 --> 00:07:10.555 position:50% align:middle have the same laws. 00:07:10.555 --> 00:07:12.365 position:50% align:middle And that is our goal. 00:07:12.365 --> 00:07:18.915 position:50% align:middle We're working with each state because nurses in each state want their state to join the Compact. 00:07:18.915 --> 00:07:26.385 position:50% align:middle And we're working so that they can hopefully successfully pass the Compact legislation so that we 00:07:26.385 --> 00:07:33.001 position:50% align:middle can have one nation where you only have to use one multi-state license to practice anywhere. 00:07:33.001 --> 00:07:40.021 position:50% align:middle Okay, we already talked about that this is for RNs and LPNs, but it's important to note that with the 00:07:40.021 --> 00:07:50.021 position:50% align:middle Compact License, this is for practice in another state, whether you are in-person traveling to another state, 00:07:50.021 --> 00:08:00.787 position:50% align:middle or whether you're practicing with a patient in another state through telehealth. 00:08:00.787 --> 00:08:07.517 position:50% align:middle When you're practicing in a telehealth mode, you are required to be licensed in the states where 00:08:07.517 --> 00:08:10.787 position:50% align:middle your patients are located. 00:08:10.787 --> 00:08:18.737 position:50% align:middle So keep that in mind that if you have a job that requires you to practice via telehealth in 10 00:08:18.737 --> 00:08:23.837 position:50% align:middle different states, that requires you to have a license in each of those states. 00:08:23.837 --> 00:08:34.493 position:50% align:middle Of course, unless you have a multi-state license, and these are Compact states. 00:08:34.493 --> 00:08:40.623 position:50% align:middle So, it's important to keep in mind that you have to be a resident of a Compact state in order to be able 00:08:40.623 --> 00:08:42.653 position:50% align:middle to get a Compact License. 00:08:42.653 --> 00:08:49.523 position:50% align:middle Nurses who live in non-Compact states cannot get the Compact License because their state hasn't joined 00:08:49.523 --> 00:08:51.523 position:50% align:middle the Compact yet. 00:08:51.523 --> 00:08:59.773 position:50% align:middle At the time that you're applying for a license, the state Board of Nursing will evaluate to see if you 00:08:59.773 --> 00:09:03.136 position:50% align:middle meet all of the requirements for a Compact License. Okay? 00:09:03.136 --> 00:09:10.026 position:50% align:middle So that is something that they will go through as a part of your application process. 00:09:10.026 --> 00:09:17.126 position:50% align:middle It's a good idea to try to think of the Compact License as a driver's license, 00:09:17.126 --> 00:09:25.466 position:50% align:middle because if you ask yourself which state issues your driver's license, it is the state where you live. 00:09:25.466 --> 00:09:32.547 position:50% align:middle That's where you go to your state Department of Motor Vehicles and get a license. 00:09:32.547 --> 00:09:38.937 position:50% align:middle And if you were to change your state of residency and move to some other state in the country, 00:09:38.937 --> 00:09:43.197 position:50% align:middle you know that you need to get a new driver's license in that new state. 00:09:43.197 --> 00:09:48.107 position:50% align:middle And that's the exact same way that the nurse Compact License works. 00:09:48.107 --> 00:09:53.607 position:50% align:middle While you're holding the license, while you're maintaining residency in a state, 00:09:53.607 --> 00:09:56.827 position:50% align:middle you're able to drive in any state in the country. 00:09:56.827 --> 00:10:03.038 position:50% align:middle And eventually, when all 50 states are in the Nurse Compact, you'll be able to hold one license 00:10:03.038 --> 00:10:07.638 position:50% align:middle in your state of residency and practice in any state in the country. 00:10:07.638 --> 00:10:14.218 position:50% align:middle So keep in mind those similarities that it's issued in your state of residency and allows you to practice 00:10:14.218 --> 00:10:18.758 position:50% align:middle in every other Compact state, the way that your driver's license allows you to drive 00:10:18.758 --> 00:10:23.638 position:50% align:middle in every other state that joined the Driver's License Compact. 00:10:23.638 --> 00:10:28.328 position:50% align:middle Most people aren't aware that there's such a thing as a Driver's License Compact, 00:10:28.328 --> 00:10:34.207 position:50% align:middle but that's the reason that you don't have to get a separate driver's license in every state, 00:10:34.207 --> 00:10:39.767 position:50% align:middle because the other states accept the driver's license of your home state. 00:10:39.767 --> 00:10:42.987 position:50% align:middle And that's the way the nurse Compact works as well. 00:10:42.987 --> 00:10:50.437 position:50% align:middle But the most important aspect here is that knowing that if you ever change your state of legal residency, 00:10:50.437 --> 00:10:52.667 position:50% align:middle there are requirements related to that. 00:10:52.667 --> 00:10:56.087 position:50% align:middle Namely, that you need to get a new driver's license. 00:10:56.087 --> 00:11:02.910 position:50% align:middle And if you happen to have a nurse Compact License, you've got to get a new nurse Compact License because 00:11:02.910 --> 00:11:09.060 position:50% align:middle you change your state of residency. 00:11:09.060 --> 00:11:13.180 position:50% align:middle All right. So, we know that practice requires licensure. 00:11:13.180 --> 00:11:19.700 position:50% align:middle Unfortunately, many nurses don't know that telehealth practice requires licensure as well. 00:11:19.700 --> 00:11:24.880 position:50% align:middle And as we said earlier, that license is required in the state where your 00:11:24.880 --> 00:11:28.600 position:50% align:middle patient is located when you're practicing via telehealth. 00:11:28.600 --> 00:11:34.455 position:50% align:middle So you always have to be aware of where your patients are located if you are practicing 00:11:34.455 --> 00:11:39.605 position:50% align:middle with someone via telephone. All right. 00:11:39.605 --> 00:11:48.045 position:50% align:middle So, let's talk about the application process for new graduates and what that looks like. 00:11:48.045 --> 00:11:53.925 position:50% align:middle First, some of the frequently asked questions that nursing students have of us. 00:11:53.925 --> 00:11:56.125 position:50% align:middle Where can I find the application? 00:11:56.125 --> 00:11:59.855 position:50% align:middle You're going to find it on your state Board of nursing website. 00:11:59.855 --> 00:12:06.583 position:50% align:middle Now, if you live in a Compact state, you want to get that application in the state where 00:12:06.583 --> 00:12:07.743 position:50% align:middle you're going to live. 00:12:07.743 --> 00:12:12.583 position:50% align:middle If you're going to school in a different state than where you plan to live, 00:12:12.583 --> 00:12:17.333 position:50% align:middle you're going to apply to the state where you plan to live. 00:12:17.333 --> 00:12:23.823 position:50% align:middle And the reason is, as we said many times already, that the Compact License is based on your state 00:12:23.823 --> 00:12:29.423 position:50% align:middle of residency, not where you happen to be going to school. 00:12:29.423 --> 00:12:35.923 position:50% align:middle If you're going to school in the same state, that is also your legal state of residency, obviously, 00:12:35.923 --> 00:12:42.343 position:50% align:middle that's the state where you're going to apply for your license, but it all surrounds what your legal state 00:12:42.343 --> 00:12:44.123 position:50% align:middle of residency is. 00:12:44.123 --> 00:12:46.243 position:50% align:middle How much is the application? 00:12:46.243 --> 00:12:50.303 position:50% align:middle So, there's not one uniform cost for a license. 00:12:50.303 --> 00:12:57.193 position:50% align:middle Every state determines their own fees when it comes to nurse licenses, to what the application is, 00:12:57.193 --> 00:13:01.522 position:50% align:middle to what the criminal background check fee is, it varies from state to state. 00:13:01.522 --> 00:13:07.612 position:50% align:middle What I would tell you is that some states have an application fee as low as $50. 00:13:07.612 --> 00:13:12.252 position:50% align:middle Some states are as high as $250 or $300. 00:13:12.252 --> 00:13:19.922 position:50% align:middle So, that information will be on your particular application that you're filling out. 00:13:19.922 --> 00:13:23.362 position:50% align:middle How long does the processing of your application take? 00:13:23.362 --> 00:13:28.032 position:50% align:middle I would say again that that's going to depend on that particular state. 00:13:28.032 --> 00:13:37.615 position:50% align:middle What I tend to see is that the larger the state, the higher volume of applications that they have, 00:13:37.615 --> 00:13:40.255 position:50% align:middle and sometimes it takes longer. 00:13:40.255 --> 00:13:44.995 position:50% align:middle In a smaller state, sometimes you can get a license quicker. 00:13:44.995 --> 00:13:52.265 position:50% align:middle But all in all, I think it's going to take anywhere from one week up to two months, depending on the state. 00:13:52.265 --> 00:13:59.525 position:50% align:middle Do I have to pass NCLEX again if I move to another state? 00:13:59.525 --> 00:14:01.028 position:50% align:middle This is a common question. 00:14:01.028 --> 00:14:08.138 position:50% align:middle The NCLEX is something that you should only have to pass once in your career, and usually, 00:14:08.138 --> 00:14:12.448 position:50% align:middle you're going to do that right when you graduate from your nursing program. 00:14:12.448 --> 00:14:20.538 position:50% align:middle The sooner you take the NCLEX after graduating, the better, because you will have retained the 00:14:20.538 --> 00:14:26.688 position:50% align:middle knowledge as opposed to waiting a period of time when you might have forgotten what you learned. 00:14:26.688 --> 00:14:34.791 position:50% align:middle So, the key here is that, fortunately, you only have to pass it once. 00:14:34.791 --> 00:14:37.701 position:50% align:middle What if I need a license in another state? 00:14:37.701 --> 00:14:43.131 position:50% align:middle So, your very first license when you graduate is you're going to complete the license 00:14:43.131 --> 00:14:45.831 position:50% align:middle by examination application. 00:14:45.831 --> 00:14:49.101 position:50% align:middle And again, you'll find that on your state Board of Nursing website. 00:14:49.101 --> 00:14:54.871 position:50% align:middle But after you've issued that license, if you find you need another license because you've got 00:14:54.871 --> 00:14:59.411 position:50% align:middle a job in a different state, then you're going to go to the Board of Nursing website 00:14:59.411 --> 00:15:05.475 position:50% align:middle in that state and complete the license by endorsement application. 00:15:05.475 --> 00:15:07.355 position:50% align:middle So two different applications. 00:15:07.355 --> 00:15:14.725 position:50% align:middle The first one is license by exam, and every license after that will be the application 00:15:14.725 --> 00:15:20.045 position:50% align:middle for license by endorsement. 00:15:20.045 --> 00:15:21.785 position:50% align:middle This is an example. 00:15:21.785 --> 00:15:27.395 position:50% align:middle So, we have a screenshot here from, I think this is from the state of Florida. 00:15:27.395 --> 00:15:33.017 position:50% align:middle So you can see kind of what it looks like when you go to a Board of Nursing website and you see where the 00:15:33.017 --> 00:15:41.537 position:50% align:middle arrow is pointing to the license by examination application for RNs and LPNs. 00:15:41.537 --> 00:15:47.207 position:50% align:middle That would be the one that a new graduate is completing for their first license. 00:15:47.207 --> 00:15:52.607 position:50% align:middle Now, as you get into the application, one of the things you want to notice is, 00:15:52.607 --> 00:16:00.125 position:50% align:middle is there a checkbox to indicate if you want a single-state license or a multi-state license? 00:16:00.125 --> 00:16:06.045 position:50% align:middle In some states, you will have that option, in some states, you will not. 00:16:06.045 --> 00:16:13.825 position:50% align:middle So in other words, in some states, if you are resident, you are in fact applying for a Compact License. 00:16:13.825 --> 00:16:24.085 position:50% align:middle In other states, there's the option. 00:16:24.085 --> 00:16:31.092 position:50% align:middle This is a helpful resource for students and new graduates because it's a flowchart of all the steps 00:16:31.092 --> 00:16:35.502 position:50% align:middle that you go through in getting your initial license by exam. 00:16:35.502 --> 00:16:41.362 position:50% align:middle This flowchart is available on our website within our toolkit. 00:16:41.362 --> 00:16:51.172 position:50% align:middle And actually, I'm going to have to update this URL, because if you just go to nlc.gov, nlc.gov, 00:16:51.172 --> 00:17:00.818 position:50% align:middle and then click on the toolkit link, you'll get right to where this flowchart is located. 00:17:00.818 --> 00:17:07.598 position:50% align:middle And this kind of just takes you in a closer view of the information on that flowchart. 00:17:07.598 --> 00:17:12.508 position:50% align:middle So, it asks you if you're a resident of a Compact state, yes or no? 00:17:12.508 --> 00:17:16.948 position:50% align:middle And takes you down the path of the steps you need to take. 00:17:16.948 --> 00:17:21.228 position:50% align:middle And again, this is the bottom half of that flow chart. 00:17:21.228 --> 00:17:26.138 position:50% align:middle So, in the end of the process, if you're a resident of a non-complex state, 00:17:26.138 --> 00:17:27.998 position:50% align:middle you're going to get a single-state license. 00:17:27.998 --> 00:17:32.562 position:50% align:middle If you're a resident of a Compact state, it will be a multi-state license, 00:17:32.562 --> 00:17:36.232 position:50% align:middle assuming you're eligible. Okay. 00:17:36.232 --> 00:17:39.882 position:50% align:middle Some of the key points for new graduates. 00:17:39.882 --> 00:17:43.992 position:50% align:middle And these points pertain to NCLEX in particular. 00:17:43.992 --> 00:17:46.702 position:50% align:middle NCLEX can be taken in any state. 00:17:46.702 --> 00:17:51.442 position:50% align:middle So the N is for national, meaning it's a national exam. 00:17:51.442 --> 00:17:54.092 position:50% align:middle That means it's the same wherever you go. 00:17:54.092 --> 00:17:55.592 position:50% align:middle It's not a state exam. 00:17:55.592 --> 00:18:00.012 position:50% align:middle It's not different in certain states. 00:18:00.012 --> 00:18:06.442 position:50% align:middle You're going to...we just said this, it's a national exam and the same everywhere. 00:18:06.442 --> 00:18:07.572 position:50% align:middle That's the second item. 00:18:07.572 --> 00:18:11.082 position:50% align:middle The third item, you never have to pass it again. 00:18:11.082 --> 00:18:16.332 position:50% align:middle You just got to pass it once, even though you move to another state. 00:18:16.332 --> 00:18:22.632 position:50% align:middle Number four, there's not a requirement that you have to take the exam in the state where your 00:18:22.632 --> 00:18:24.682 position:50% align:middle school is located. 00:18:24.682 --> 00:18:29.402 position:50% align:middle And going back to number one, as we said, you can take it in any state. 00:18:29.402 --> 00:18:32.828 position:50% align:middle So, there's testing locations throughout the country. 00:18:32.828 --> 00:18:37.928 position:50% align:middle So you actually take it in the location most convenient for you. 00:18:37.928 --> 00:18:44.138 position:50% align:middle It's not necessarily tied to the state where you're sitting for it. 00:18:44.138 --> 00:18:51.328 position:50% align:middle What's going to happen is the results of your exam are going to get sent electronically to the state where you 00:18:51.328 --> 00:18:53.598 position:50% align:middle applied for a license. 00:18:53.598 --> 00:19:00.360 position:50% align:middle That's why you can sit in a different state than where you live or then where you applied, 00:19:00.360 --> 00:19:08.380 position:50% align:middle because you had to initially ask a request from the Board of Nursing approval to test. 00:19:08.380 --> 00:19:14.520 position:50% align:middle And the Board of Nursing that you're seeking approval from is the one you want to license from. 00:19:14.520 --> 00:19:22.780 position:50% align:middle So that's how the results are going to be routed to the Board of Nursing. 00:19:22.780 --> 00:19:30.197 position:50% align:middle Unless you plan to practice in the same state where you graduated from your nursing program, 00:19:30.197 --> 00:19:34.987 position:50% align:middle there's not a requirement that you get your first license in that state. 00:19:34.987 --> 00:19:37.897 position:50% align:middle So, let me explain this. 00:19:37.897 --> 00:19:43.367 position:50% align:middle If I'm a nursing student in Texas, and that's not my home state, 00:19:43.367 --> 00:19:51.067 position:50% align:middle my home state is Missouri, sometimes we hear students tell us that they are 00:19:51.067 --> 00:19:56.447 position:50% align:middle recommended to get their first license, the same state where they went to school. 00:19:56.447 --> 00:20:02.219 position:50% align:middle Unfortunately, if you're leaving that state after graduation and it's a Compact state, 00:20:02.219 --> 00:20:08.879 position:50% align:middle you're going to end up paying twice because you're going to pay in Texas, in my example, 00:20:08.879 --> 00:20:14.699 position:50% align:middle and then when I get to my home state, which is Missouri, I'm going to pay again because my 00:20:14.699 --> 00:20:19.369 position:50% align:middle license has to be issued by my state of residency. 00:20:19.369 --> 00:20:25.639 position:50% align:middle So, even though you want to take your exam right away after graduation, you can. 00:20:25.639 --> 00:20:32.464 position:50% align:middle And in my scenario, I could still take it from Texas, but I'm applying to the Missouri Board of Nursing 00:20:32.464 --> 00:20:39.124 position:50% align:middle because that's where I want my license issued from because that's my legal state of residency. 00:20:39.124 --> 00:20:47.174 position:50% align:middle Again, it doesn't matter where you take the exam. 00:20:47.174 --> 00:20:54.394 position:50% align:middle So, if you are or you will be a resident of a Compact state, that's the state you want to apply to. 00:20:54.394 --> 00:21:00.631 position:50% align:middle The state where you can declare it's your legal state or primary state of residency. 00:21:00.631 --> 00:21:05.641 position:50% align:middle So, in other words, when we say that, when you complete the application, 00:21:05.641 --> 00:21:10.321 position:50% align:middle there's going to be a form in the application, and that form is going to ask you, 00:21:10.321 --> 00:21:15.481 position:50% align:middle "What is your primary statement residency for legal purposes?" 00:21:15.481 --> 00:21:21.151 position:50% align:middle And you're going to indicate that state on that line, and then the Board of Nursing is going to ask you 00:21:21.151 --> 00:21:26.251 position:50% align:middle for proof to back up what you just indicated on that line. 00:21:26.251 --> 00:21:34.116 position:50% align:middle So, if I say my state of residency is Missouri, now I should have a Missouri driver's license and maybe 00:21:34.116 --> 00:21:43.106 position:50% align:middle an additional piece of identification to verify that that's my state of residency. 00:21:43.106 --> 00:21:48.396 position:50% align:middle Okay? All right. 00:21:48.396 --> 00:21:51.546 position:50% align:middle A few additional things. 00:21:51.546 --> 00:21:52.976 position:50% align:middle Just to reiterate. 00:21:52.976 --> 00:21:59.536 position:50% align:middle Primary state of residency is the state where you legally reside and the state where you can prove 00:21:59.536 --> 00:22:09.897 position:50% align:middle that you reside. So that proof can be shown by your driver's license, your voter's registration card, etc. 00:22:09.897 --> 00:22:15.117 position:50% align:middle When we talk about primary state of residency, we're not talking about owning a home 00:22:15.117 --> 00:22:16.987 position:50% align:middle or owning property. 00:22:16.987 --> 00:22:22.117 position:50% align:middle You may, in fact, not own a home, that doesn't mean you can't get a nursing license. 00:22:22.117 --> 00:22:28.777 position:50% align:middle But the very word residence or residency makes a lot of people think about a house. 00:22:28.777 --> 00:22:35.741 position:50% align:middle And so it does not pertain to where your house is located, but where you live, 00:22:35.741 --> 00:22:42.991 position:50% align:middle as evidenced on your legal documents. 00:22:42.991 --> 00:22:46.651 position:50% align:middle And you'll always only have one primary state of residency. 00:22:46.651 --> 00:22:49.691 position:50% align:middle That's why it includes the word primary. 00:22:49.691 --> 00:22:53.911 position:50% align:middle That one place that's your state of residency. 00:22:53.911 --> 00:23:01.215 position:50% align:middle You obviously, don't have more than one driver's license in your wallet or purse because you can only 00:23:01.215 --> 00:23:02.765 position:50% align:middle legally have one. 00:23:02.765 --> 00:23:10.555 position:50% align:middle And that one is issued in your state of legal residency. 00:23:10.555 --> 00:23:17.935 position:50% align:middle And to avoid any hassles, all of that legal documentation should be aligned. 00:23:17.935 --> 00:23:20.875 position:50% align:middle Everything should be in the same state. 00:23:20.875 --> 00:23:26.295 position:50% align:middle You shouldn't be disorganized to where your driver's license is from one state, 00:23:26.295 --> 00:23:30.399 position:50% align:middle you're voting in a different state, maybe your car's registered in even a 00:23:30.399 --> 00:23:33.189 position:50% align:middle different state, etc. 00:23:33.189 --> 00:23:42.159 position:50% align:middle When you're a resident of a state, everything should be in that one state. 00:23:42.159 --> 00:23:44.269 position:50% align:middle Look, here's a common question. 00:23:44.269 --> 00:23:49.889 position:50% align:middle Which state's continuing education requirements does the nurse need to meet? 00:23:49.889 --> 00:23:56.679 position:50% align:middle Well, within the Compact, how many licenses do you have? 00:23:56.679 --> 00:23:59.169 position:50% align:middle You have one multi-state license. 00:23:59.169 --> 00:24:07.255 position:50% align:middle So if that state that issued your multi-state license requires continuing education, 00:24:07.255 --> 00:24:11.255 position:50% align:middle then that's the state that you owe continuing ed to. 00:24:11.255 --> 00:24:18.365 position:50% align:middle Of course, it's possible that the state that issued your Compact License doesn't require continuing ed, 00:24:18.365 --> 00:24:21.705 position:50% align:middle in which case you don't have to do continuing ed. 00:24:21.705 --> 00:24:26.125 position:50% align:middle That's not something that's uniform across the country. 00:24:26.125 --> 00:24:30.940 position:50% align:middle There are many, many states that don't require continuing education. 00:24:30.940 --> 00:24:36.080 position:50% align:middle But keep in mind that if, in addition to your Compact License, 00:24:36.080 --> 00:24:44.330 position:50% align:middle you also have licenses in non-Compact states, which is possible, then those states may have their own 00:24:44.330 --> 00:24:46.520 position:50% align:middle continuing ed requirements. 00:24:46.520 --> 00:24:52.680 position:50% align:middle So that's separate from the Compacts because they're not a part of the Compact. 00:24:52.680 --> 00:24:58.150 position:50% align:middle All right, a couple of resources. 00:24:58.150 --> 00:25:04.438 position:50% align:middle First of all, you should know about the national database for nurse licenses, 00:25:04.438 --> 00:25:07.188 position:50% align:middle which is called nursys.com. 00:25:07.188 --> 00:25:11.958 position:50% align:middle Again, the national database for nurse licenses. 00:25:11.958 --> 00:25:20.428 position:50% align:middle So there's over 5 million nurses in the country, and you can look them up at nursys.com, 00:25:20.428 --> 00:25:28.928 position:50% align:middle which you see at the top of the slide, N-U-R-S-Y-S, and that's abbreviated for nurse system. 00:25:28.928 --> 00:25:30.080 position:50% align:middle Okay? 00:25:30.080 --> 00:25:34.930 position:50% align:middle And so once the nurses licensed, you will see them in that database. 00:25:34.930 --> 00:25:39.300 position:50% align:middle You can pull up a nurse's information and look at their information. 00:25:39.300 --> 00:25:43.170 position:50% align:middle And this is primarily where employers should go. 00:25:43.170 --> 00:25:50.600 position:50% align:middle When an employer is hiring you and looking to see what licenses you have, they would go to nursys.com because 00:25:50.600 --> 00:25:57.710 position:50% align:middle it's going to show which licenses you have, what the expiration date is, when it was issued, 00:25:57.710 --> 00:26:03.852 position:50% align:middle whether it's a Compact License or a non-Compact License, meaning a single-state license. 00:26:03.852 --> 00:26:09.882 position:50% align:middle But also it's going to show if you have any discipline, because if you were disciplined at any time, 00:26:09.882 --> 00:26:18.242 position:50% align:middle that's public information, and it will be included there. 00:26:18.242 --> 00:26:25.852 position:50% align:middle Within your record, when you pull up your record in nursys.com under the Quick Confirm tab, 00:26:25.852 --> 00:26:33.774 position:50% align:middle you'll see that you also have what's called a Unique Nurse Identifier, which is a number that is unique 00:26:33.774 --> 00:26:39.674 position:50% align:middle to you in the same way that your social security number is unique to you. 00:26:39.674 --> 00:26:47.954 position:50% align:middle Now, this is a relatively newer thing in that it's existed for several years, but in the future, 00:26:47.954 --> 00:26:54.424 position:50% align:middle I think that you will see your unique nurse number attached to many different things 00:26:54.424 --> 00:26:56.294 position:50% align:middle throughout your career. 00:26:56.294 --> 00:27:02.767 position:50% align:middle And I think that that, of course, has yet to roll out, but I believe we'll see it implemented 00:27:02.767 --> 00:27:07.267 position:50% align:middle in many different places. 00:27:07.267 --> 00:27:10.807 position:50% align:middle Okay. One other thing about nursys.com. 00:27:10.807 --> 00:27:14.687 position:50% align:middle So, this is a screenshot of the home page. 00:27:14.687 --> 00:27:20.007 position:50% align:middle In the middle is where you're going to go to look up a license called Quick Confirm. 00:27:20.007 --> 00:27:24.637 position:50% align:middle But on the left where the arrow is pointing is called E-Notify. 00:27:24.637 --> 00:27:34.682 position:50% align:middle And E-Notify is a free service where any nurse can enroll themselves and it gives you reminders of when 00:27:34.682 --> 00:27:38.792 position:50% align:middle your licenses are going to expire in advance. 00:27:38.792 --> 00:27:44.732 position:50% align:middle But it also in the event that you forgot to renew it, it also is going to send you a notification to let you 00:27:44.732 --> 00:27:48.042 position:50% align:middle know that your license has expired. 00:27:48.042 --> 00:27:55.242 position:50% align:middle So basically, it's helpful reminders plus also notification of any change in the status 00:27:55.242 --> 00:28:01.766 position:50% align:middle of your license. 00:28:01.766 --> 00:28:04.966 position:50% align:middle That's basically, the information on this slide as well. 00:28:04.966 --> 00:28:12.476 position:50% align:middle But what this adds is that employers can also enroll all of their nurses in E-Notify for that same type 00:28:12.476 --> 00:28:20.016 position:50% align:middle of information and they'll also be notified of any disciplinary action taken against your license 00:28:20.016 --> 00:28:24.406 position:50% align:middle in any state. 00:28:24.406 --> 00:28:29.116 position:50% align:middle So, we talked a little bit earlier about our toolkit which is on nlc.gov, 00:28:29.116 --> 00:28:36.855 position:50% align:middle and in the left side navigation bar you will see the toolkit where you will see many different fact sheets 00:28:36.855 --> 00:28:44.795 position:50% align:middle as well as brief videos of approximately three to five minutes about different topics within the Compact. 00:28:44.795 --> 00:28:53.345 position:50% align:middle So, if you need to brush up on it or need further clarification, want to hear it again, 00:28:53.345 --> 00:29:00.099 position:50% align:middle you can watch any of those brief videos. 00:29:00.099 --> 00:29:01.892 position:50% align:middle And that's the end of the presentation. 00:29:01.892 --> 00:29:10.121 position:50% align:middle We're going to take questions now but I do want to point out my email address, nursecompact@ncsbn.org. 00:29:10.121 --> 00:29:19.307 position:50% align:middle You're able to send any questions there after this, if your question doesn't get answered 00:29:19.307 --> 00:29:21.163 position:50% align:middle during the webinar. 00:29:21.163 --> 00:29:26.251 position:50% align:middle We will respond to you via email if you send us a question. 00:29:26.251 --> 00:29:34.142 position:50% align:middle And then lastly, since this presentation is focused on nursing students and new graduates, 00:29:34.142 --> 00:29:43.482 position:50% align:middle we also are attending the National Student Nurses Association MidYear Conference coming up in November, 00:29:43.482 --> 00:29:51.062 position:50% align:middle and we will be having several presentations there at the conference, as well as we will be an exhibitor 00:29:51.062 --> 00:29:52.592 position:50% align:middle in the Exhibit Hall. 00:29:52.592 --> 00:29:58.822 position:50% align:middle So if any of you are attending that, you certainly can visit us at our exhibit booth and ask 00:29:58.822 --> 00:30:00.292 position:50% align:middle us questions there. 00:30:00.292 --> 00:30:04.562 position:50% align:middle And we will also be handing out information. 00:30:04.562 --> 00:30:10.722 position:50% align:middle So, I am going to stop sharing at this point. 00:30:10.722 --> 00:30:13.542 position:50% align:middle All right, we are still recording. 00:30:13.542 --> 00:30:18.032 position:50% align:middle And let me go see if there's anything in the chat. 00:30:18.032 --> 00:30:23.762 position:50% align:middle Nothing is in the chat, so you're probably muted, so if you have a question, 00:30:23.762 --> 00:30:27.800 position:50% align:middle you can just unmute yourself and ask your question. 00:30:35.729 --> 00:30:38.999 position:50% align:middle - [Female] I do want to move to Georgia. 00:30:38.999 --> 00:30:47.899 position:50% align:middle So, should I just move to Georgia, get my driver's license over there and get that proof 00:30:47.899 --> 00:30:54.709 position:50% align:middle of residency, and then apply for the Georgia Board of Nursing? 00:30:54.709 --> 00:30:58.529 position:50% align:middle - Yeah. Are you a student, new graduate? 00:30:58.529 --> 00:31:04.922 position:50% align:middle - No, in spring, I will graduate, but I'll be graduating from North Dakota. 00:31:04.922 --> 00:31:10.192 position:50% align:middle - You're going to graduate in North Dakota, but you're going to be living in Georgia? 00:31:10.192 --> 00:31:12.502 position:50% align:middle - Correct. - Okay. 00:31:12.502 --> 00:31:17.792 position:50% align:middle So when you're ready to apply, you're going to apply to the Georgia Board of Nursing, 00:31:17.792 --> 00:31:22.532 position:50% align:middle and you're going to complete the license by examination application. 00:31:22.532 --> 00:31:28.252 position:50% align:middle And that application will ask you to provide a piece of proof that you're a Georgia resident. 00:31:28.252 --> 00:31:37.885 position:50% align:middle - Okay, that sounds good. All right. Thank you. - Okay, sure. You're welcome. 00:31:37.885 --> 00:31:44.775 position:50% align:middle Anyone else? 00:31:44.775 --> 00:31:47.385 position:50% align:middle We do have an item in the chat that just came up. 00:31:47.385 --> 00:31:53.815 position:50% align:middle It says, "Just to confirm if I understand correctly, if a person changes their state of residency to a 00:31:53.815 --> 00:31:59.405 position:50% align:middle Compact state but already has a Compact License, they have to apply for another Compact License?" 00:31:59.405 --> 00:32:01.299 position:50% align:middle That's correct. That is correct. 00:32:01.299 --> 00:32:05.029 position:50% align:middle It's just like a driver's license. 00:32:05.029 --> 00:32:12.679 position:50% align:middle Again, if you were an Arizona resident with an Arizona driver's license and you moved to Florida, 00:32:12.679 --> 00:32:16.629 position:50% align:middle you know that you're required to now get a Florida driver's license. 00:32:16.629 --> 00:32:20.929 position:50% align:middle You don't continue driving on your Arizona driver's license. 00:32:20.929 --> 00:32:26.009 position:50% align:middle So, this is the same way that the nurse Compact works. 00:32:26.009 --> 00:32:34.667 position:50% align:middle Changing your state of residency means it's time for a new license, and the new one replaces the old one, 00:32:34.667 --> 00:32:37.287 position:50% align:middle so the old one goes away. 00:32:37.287 --> 00:32:44.707 position:50% align:middle "When is the appropriate time to apply for a license?" 00:32:44.707 --> 00:32:52.027 position:50% align:middle I don't know if you mean as far as a student graduating or do you mean when someone moves to another state. 00:32:52.027 --> 00:32:54.827 position:50% align:middle Can you specify? 00:32:54.827 --> 00:33:03.173 position:50% align:middle Oh, in regards to taking NCLEX? 00:33:03.173 --> 00:33:11.133 position:50% align:middle I believe it's in your final semester but I am not certain exactly. 00:33:11.133 --> 00:33:18.533 position:50% align:middle Typically, your nursing faculty at your school, in your program tell you when you should be applying. 00:33:18.533 --> 00:33:26.103 position:50% align:middle I believe in some places you can apply even prior to graduation. 00:33:26.103 --> 00:33:28.823 position:50% align:middle So, I'm not positive on that. 00:33:28.823 --> 00:33:34.291 position:50% align:middle But if it's not during your last semester, then it's immediately after graduation. 00:33:34.291 --> 00:33:42.091 position:50% align:middle And that may depend on the state because there are states that give you a temporary license 00:33:42.091 --> 00:33:48.541 position:50% align:middle until it comes in. Okay. 00:33:48.541 --> 00:33:56.341 position:50% align:middle Jasmine says, "If I live in a neighboring state, does my Compact License allow me to work 00:33:56.341 --> 00:33:58.791 position:50% align:middle without additional paperwork?" 00:33:58.791 --> 00:34:01.213 position:50% align:middle Yeah, that's the whole idea of the Compact. 00:34:01.213 --> 00:34:07.653 position:50% align:middle That when your license is issued in your home state, you work in any other Compact state 00:34:07.653 --> 00:34:08.873 position:50% align:middle without doing anything. 00:34:08.873 --> 00:34:11.823 position:50% align:middle Without any paperwork, without any fees. 00:34:11.823 --> 00:34:16.333 position:50% align:middle There's nothing you need to do to work in other Compact states. 00:34:16.333 --> 00:34:25.413 position:50% align:middle Whether it's a neighboring state or a state across the country, there's nothing you need to do. 00:34:25.413 --> 00:34:30.687 position:50% align:middle Deborah says, "In Virginia, the Board of Nursing allows you to apply two weeks 00:34:30.687 --> 00:34:33.747 position:50% align:middle before you complete your nursing program." 00:34:33.747 --> 00:34:39.437 position:50% align:middle So, yeah, that's a good indication that when you can apply may vary by state. 00:34:39.437 --> 00:34:44.657 position:50% align:middle So you want to take a look at the Board of Nursing website. 00:34:50.418 --> 00:34:56.528 position:50% align:middle Stacey says, "Yes, students can begin the application process when they register with Pearson VUE." 00:34:56.528 --> 00:35:03.149 position:50% align:middle So normally, in order to register with Pearson VUE, you have to be authorized to test. 00:35:03.149 --> 00:35:09.889 position:50% align:middle The Board of Nursing authorizes you to test, it's called ATT, and you do that by starting the application 00:35:09.889 --> 00:35:13.999 position:50% align:middle process with the board. 00:35:13.999 --> 00:35:20.609 position:50% align:middle Praise [SP] says, "I'm curious on when you have to get the new license after moving states." 00:35:20.609 --> 00:35:21.999 position:50% align:middle Immediately. 00:35:21.999 --> 00:35:27.099 position:50% align:middle So, upon moving to another state, I would say within the first few weeks, 00:35:27.099 --> 00:35:34.952 position:50% align:middle you should be starting the application process in the new state. 00:35:34.952 --> 00:35:40.240 position:50% align:middle McKenzie says, "So does the Compact License really only benefit those that do travel nursing?" 00:35:40.240 --> 00:35:43.610 position:50% align:middle No, it benefits all types of nurses. 00:35:43.610 --> 00:35:51.210 position:50% align:middle It benefits every nurse that may go to another state, whether it's travel nursing, 00:35:51.210 --> 00:35:57.800 position:50% align:middle whether it's because you're a home health nurse, visiting nurses on either side of the border, 00:35:57.800 --> 00:36:06.506 position:50% align:middle whether you're a flight nurse traveling to other states, whether you're a telephonic or telehealth nurse 00:36:06.506 --> 00:36:13.946 position:50% align:middle talking with patients in other states, whether you're responding to a disaster like the 00:36:13.946 --> 00:36:20.506 position:50% align:middle hurricane that happened recently, or even the pandemic. 00:36:20.506 --> 00:36:26.816 position:50% align:middle So, it's for any nurse that needs the ability to practice in another state without having to go 00:36:26.816 --> 00:36:29.776 position:50% align:middle through a licensure process. 00:36:29.776 --> 00:36:37.142 position:50% align:middle And keep in mind that you may live on a border with another state where you live in one state and work 00:36:37.142 --> 00:36:38.542 position:50% align:middle in the other state. 00:36:38.542 --> 00:36:42.652 position:50% align:middle You only need a license in your home state. 00:36:42.652 --> 00:36:48.822 position:50% align:middle You won't need to get a license in the neighboring state if it's also another Compact state. 00:36:48.822 --> 00:36:57.702 position:50% align:middle So, the Compact was developed because a nurse needs to have a separate license in every state of practice. 00:36:57.702 --> 00:37:04.508 position:50% align:middle And that is a burden, and it's cumbersome and it's expensive, 00:37:04.508 --> 00:37:06.238 position:50% align:middle and it takes time. 00:37:06.238 --> 00:37:11.678 position:50% align:middle And you would have to get a separate background check for every license that you have. 00:37:11.678 --> 00:37:18.208 position:50% align:middle So, it's more convenient and more efficient to have one license for the whole country, 00:37:18.208 --> 00:37:24.378 position:50% align:middle and that is what the Compact's intent is as its goal. 00:37:24.378 --> 00:37:31.673 position:50% align:middle Okay, so Jamila says, "So, if a nurse living in Pennsylvania has a single state 00:37:31.673 --> 00:37:40.213 position:50% align:middle license and then the state transitions into a Compact state, do all the nurses already work in PA have to get 00:37:40.213 --> 00:37:42.743 position:50% align:middle a new license as a result of that?" 00:37:42.743 --> 00:37:45.493 position:50% align:middle So no, it's not a requirement. 00:37:45.493 --> 00:37:51.463 position:50% align:middle So, in PA, for example, PA joined the Compact, but they're currently working 00:37:51.463 --> 00:37:53.873 position:50% align:middle through the implementation process. 00:37:53.873 --> 00:38:01.313 position:50% align:middle So, sometime in 2023, we hope they will complete the implementation process, 00:38:01.313 --> 00:38:11.003 position:50% align:middle and then nurses in PA who want a multi-state license will be able to apply to upgrade their current license 00:38:11.003 --> 00:38:13.453 position:50% align:middle from single-state to multi-state. 00:38:13.453 --> 00:38:18.943 position:50% align:middle So those that don't want to do that can stay at a single-state level. 00:38:18.943 --> 00:38:27.553 position:50% align:middle So it is really up to a particular nurse in that state, but it's not automatic. 00:38:27.553 --> 00:38:34.497 position:50% align:middle All nurses in Pennsylvania won't automatically have a Compact License once it's implemented. 00:38:34.497 --> 00:38:39.277 position:50% align:middle Only those that requested that apply for it. 00:38:39.277 --> 00:38:43.917 position:50% align:middle Praise's question is, "Can you hold multiple licenses at a time, 00:38:43.917 --> 00:38:49.067 position:50% align:middle one Compact and one for different states simultaneously?" 00:38:49.067 --> 00:38:51.997 position:50% align:middle So, that's what we said earlier. 00:38:51.997 --> 00:38:56.517 position:50% align:middle So you can only hold one Compact License, right? 00:38:56.517 --> 00:39:03.063 position:50% align:middle Because if you held more than one, it's not possible because it's only issued in your 00:39:03.063 --> 00:39:04.183 position:50% align:middle state of residency. 00:39:04.183 --> 00:39:05.943 position:50% align:middle So you only need one, right? 00:39:05.943 --> 00:39:10.823 position:50% align:middle It would be like holding two drivers driver's licenses from two different states. 00:39:10.823 --> 00:39:14.873 position:50% align:middle So, you would always only hold one Compact License. 00:39:14.873 --> 00:39:21.633 position:50% align:middle But in addition to that, for example, California is not a Compact state, neither is New York. 00:39:21.633 --> 00:39:27.443 position:50% align:middle In addition to your Compact License, you can hold licenses in non-Compact states, 00:39:27.443 --> 00:39:29.783 position:50% align:middle as many as you need. 00:39:29.783 --> 00:39:35.084 position:50% align:middle And the second part of your question is, how does CE work with that? 00:39:35.084 --> 00:39:43.214 position:50% align:middle So, if the state that issued your Compact License, if they require CE, you would do it for that state. 00:39:43.214 --> 00:39:49.284 position:50% align:middle And if those non-Compact states where you were issued a license require CE, then you also need to do 00:39:49.284 --> 00:39:50.814 position:50% align:middle it for them. 00:39:50.814 --> 00:39:58.074 position:50% align:middle But within the Compact... I'm going to have to mute everyone again, one second. 00:39:58.074 --> 00:40:10.623 position:50% align:middle Within the Compact, you only do it for one state, which is your home state, if they require it. 00:40:10.623 --> 00:40:17.613 position:50% align:middle Any other questions? 00:40:17.613 --> 00:40:22.403 position:50% align:middle "What's an example of discipline that would show on the Nursys database?" 00:40:22.403 --> 00:40:30.749 position:50% align:middle Well, I would say your license gets suspended, your license is revoked. 00:40:30.749 --> 00:40:33.999 position:50% align:middle I think those are the prime examples. 00:40:33.999 --> 00:40:39.769 position:50% align:middle When there's a limitation put on your practice, then that's going to be indicated 00:40:39.769 --> 00:40:43.679 position:50% align:middle on the Nursys database. 00:40:43.679 --> 00:40:49.719 position:50% align:middle There are some very low levels of discipline which do not become public. 00:40:49.719 --> 00:40:58.199 position:50% align:middle In many states, they send the nurse a warning letter saying that, you know, you made this mistake. 00:40:58.199 --> 00:41:02.768 position:50% align:middle Maybe it's a medication error, and they ask you to be careful. 00:41:02.768 --> 00:41:08.558 position:50% align:middle Those low-level discipline like that, that's basically a warning. 00:41:08.558 --> 00:41:14.678 position:50% align:middle It's, typically, not public information and not on the Nursys database. 00:41:14.678 --> 00:41:21.228 position:50% align:middle But if whatever discipline that they took impacts your ability to practice, 00:41:21.228 --> 00:41:26.738 position:50% align:middle then you can be assured it will be public information. 00:41:26.738 --> 00:41:32.551 position:50% align:middle McKenzie says, "How long is it estimated for the whole country allows Compact Licenses?" 00:41:32.551 --> 00:41:34.451 position:50% align:middle That's anyone's guess. 00:41:34.451 --> 00:41:35.971 position:50% align:middle I have no idea. 00:41:35.971 --> 00:41:39.801 position:50% align:middle It depends on how fast things move in each state. 00:41:39.801 --> 00:41:47.301 position:50% align:middle One of the good things is that the Pandemic has caused states who weren't looking at the Compact to take a 00:41:47.301 --> 00:41:48.771 position:50% align:middle second look at it. 00:41:48.771 --> 00:41:57.621 position:50% align:middle And that's why we see states like New York and Nevada and Minnesota all considering the Compact. 00:41:57.621 --> 00:42:03.515 position:50% align:middle And that's exactly why we anticipate all the remaining states to try to join in 2023. 00:42:03.515 --> 00:42:14.125 position:50% align:middle The thing is, no one has a crystal ball to know if they will be successful with passing the legislation or not. 00:42:14.125 --> 00:42:18.565 position:50% align:middle "Are there any states that are likely to not allow it? 00:42:18.565 --> 00:42:22.075 position:50% align:middle So, it's not that the state doesn't allow it. 00:42:22.075 --> 00:42:28.195 position:50% align:middle I think there's support in every state for it, but there's opposition in certain states 00:42:28.195 --> 00:42:30.886 position:50% align:middle from nurse unions. 00:42:30.886 --> 00:42:38.966 position:50% align:middle So, it really depends if the nurse union is successful in persuading the legislature and the governor 00:42:38.966 --> 00:42:41.026 position:50% align:middle to not support it. 00:42:41.026 --> 00:42:46.156 position:50% align:middle That is what everything hinges on in the states where there's opposition. 00:42:46.156 --> 00:42:53.106 position:50% align:middle But if we're just talking about support from the nursing population in any state, 00:42:53.106 --> 00:42:59.996 position:50% align:middle anywhere from 93% to 98% of nurses want their state to join the Compact. 00:42:59.996 --> 00:43:04.546 position:50% align:middle But the thing is that legislators need to vote on it and make a decision on it. 00:43:04.546 --> 00:43:10.546 position:50% align:middle And when they're doing that, they consider whether there's any opposition or not. 00:43:10.546 --> 00:43:19.176 position:50% align:middle And the only opposition that exists is in some states is some nursing unions, not all. 00:43:19.176 --> 00:43:28.996 position:50% align:middle And I especially say not all because about three weeks ago in Hawaii, the nurse union said, 00:43:28.996 --> 00:43:31.530 position:50% align:middle "We support joining the Compact." 00:43:31.530 --> 00:43:36.660 position:50% align:middle So, it's not across the board that they are opposed to it. 00:43:36.660 --> 00:43:39.277 position:50% align:middle Any other questions? 00:44:04.587 --> 00:44:06.477 position:50% align:middle I don't see any others. 00:44:06.477 --> 00:44:13.387 position:50% align:middle If you come up with questions, feel free to send them to nursecompact@ncsbn.org, 00:44:13.387 --> 00:44:16.437 position:50% align:middle and we're happy to answer them for you. 00:44:16.437 --> 00:44:23.917 position:50% align:middle We are going to send you the slides immediately after the webinar, in another minute. 00:44:23.917 --> 00:44:27.377 position:50% align:middle And that's about it. 00:44:27.377 --> 00:44:33.193 position:50% align:middle We'll have another webinar in November, and then we'll take December off, 00:44:33.193 --> 00:44:37.823 position:50% align:middle and we'll be back in January to resume our monthly webinars. 00:44:37.823 --> 00:44:39.693 position:50% align:middle Thank you very much for joining. 00:44:39.693 --> 00:44:41.493 position:50% align:middle Enjoy the rest of your day. 00:44:41.493 --> 00:44:44.000 position:50% align:middle Bye-bye.