WEBVTT 00:00:00.580 --> 00:00:04.179 position:50% align:middle Welcome to this brief educational video that will serve as a guide 00:00:04.900 --> 00:00:07.369 position:50% align:middle to the Nurse Licensure Compact for Nurse Employers. 00:00:10.000 --> 00:00:13.659 position:50% align:middle The objectives of this video are to provide an overview 00:00:13.659 --> 00:00:15.256 position:50% align:middle of the Nurse Licensure Compact, 00:00:15.794 --> 00:00:18.202 position:50% align:middle to explain Privilege to Practice, 00:00:18.866 --> 00:00:22.039 position:50% align:middle to very briefly explain Primary State of Residence, 00:00:22.526 --> 00:00:25.288 position:50% align:middle to share some valuable employer resources 00:00:25.423 --> 00:00:27.093 position:50% align:middle and to answer some key questions. 00:00:30.134 --> 00:00:32.366 position:50% align:middle So what is the Nurse Licensure Compact? 00:00:34.800 --> 00:00:40.550 position:50% align:middle The NLC is an interstate agreement that allows nurses, RNs, and LPNs 00:00:41.100 --> 00:00:45.396 position:50% align:middle to practice in all compact states with a Multistate License 00:00:45.396 --> 00:00:48.147 position:50% align:middle issued from their primary state of residence. 00:00:49.760 --> 00:00:54.012 position:50% align:middle They can practice physically, via telehealth, or via other electronic 00:00:54.012 --> 00:00:56.413 position:50% align:middle means with their one Multistate License. 00:00:58.580 --> 00:01:01.445 position:50% align:middle Now, which states are part of the NLC? 00:01:02.650 --> 00:01:05.828 position:50% align:middle You can see from the map that there are 34 blue states. 00:01:06.340 --> 00:01:09.804 position:50% align:middle This means that 34 states have enacted the NLC. 00:01:10.340 --> 00:01:13.734 position:50% align:middle 32 of those states have implemented. 00:01:15.020 --> 00:01:20.950 position:50% align:middle You can also see that Indiana and New Jersey are light blue because they have yet 00:01:20.950 --> 00:01:23.930 position:50% align:middle to implement the NLC. 00:01:24.517 --> 00:01:28.159 position:50% align:middle Indiana implementation date is still to be decided. 00:01:28.770 --> 00:01:32.730 position:50% align:middle New Jersey’s implementation date is also to be decided. 00:01:33.770 --> 00:01:36.730 position:50% align:middle They will likely implement in the 3rd or 4th quarter of 2020. 00:01:38.770 --> 00:01:41.730 position:50% align:middle Once the NLC is implemented in those newer states that were mentioned, 00:01:41.930 --> 00:01:45.670 position:50% align:middle nurses with legal residents in those states will then be able to apply 00:01:45.970 --> 00:01:47.219 position:50% align:middle for a Multistate License. 00:01:48.870 --> 00:01:53.100 position:50% align:middle Nurses from other NLC states who already have a Multistate License will then be 00:01:53.100 --> 00:01:56.058 position:50% align:middle able to practice in those newer states as well. 00:01:56.140 --> 00:02:02.090 position:50% align:middle Now that we explained all that, let's take a look at exactly who is 00:02:03.090 --> 00:02:04.180 position:50% align:middle eligible for a Multistate License. 00:02:05.911 --> 00:02:12.970 position:50% align:middle To be eligible, a nurse's primary state of legal residence must be a state that is 00:02:12.970 --> 00:02:14.509 position:50% align:middle part of the NLC. 00:02:15.090 --> 00:02:20.960 position:50% align:middle That nurse will also have to meet the 11 Uniform Licensure Requirements 00:02:20.960 --> 00:02:22.465 position:50% align:middle for a Multistate License. 00:02:22.290 --> 00:02:25.103 position:50% align:middle These are included in the licensure application. 00:02:53.740 --> 00:02:32.307 position:50% align:middle So, who besides travel nurses benefits from the NLC? 00:02:33.050 --> 00:02:38.259 position:50% align:middle On the screen, you can see the extensive list of job positions that benefit. 00:02:39.030 --> 00:02:43.052 position:50% align:middle As stated before, any nurse that may deal with a patient in another state 00:02:43.052 --> 00:02:46.826 position:50% align:middle time of practice, benefits. 00:02:47.910 --> 00:02:51.905 position:50% align:middle It also benefits military and VA nurses who move a lot. 00:02:52.430 --> 00:02:57.570 position:50% align:middle Although they can have a license anywhere in the country, when practicing in a 00:02:57.570 --> 00:03:00.776 position:50% align:middle civilian facility, they aren't covered under federal supremacy, 00:03:00.776 --> 00:03:06.336 position:50% align:middle thus, they need a license in the state where the civilian facility is located. 00:03:06.820 --> 00:03:12.965 position:50% align:middle Finally, you, the employer, benefits as well. 00:03:13.490 --> 00:03:17.460 position:50% align:middle When a nurse has a Multistate License, the nurse can be available in a compact 00:03:17.460 --> 00:03:21.601 position:50% align:middle state immediately because they have authority to practice in that state. 00:03:22.130 --> 00:03:26.848 position:50% align:middle This is obviously to your advantage when it comes to staffing. 00:03:27.030 --> 00:03:33.510 position:50% align:middle As employers, you should also know a nurse can only hold one Multistate License that 00:03:33.510 --> 00:03:36.153 position:50% align:middle is issued by his or her home state. 00:03:36.200 --> 00:03:41.305 position:50% align:middle A Multistate License is a state-based license and it is not a national license. 00:03:42.190 --> 00:03:47.517 position:50% align:middle This means that a nurse with a multistate license, who maintains PSOR in a 00:03:47.760 --> 00:03:52.590 position:50% align:middle compact state, can work in any state within the compact without taking 00:03:52.590 --> 00:03:54.016 position:50% align:middle any additional steps. 00:03:56.110 --> 00:04:01.060 position:50% align:middle But when a nurse changes their state of legal residency, they will need to obtain 00:04:01.060 --> 00:04:04.788 position:50% align:middle a new license from their new primary state of legal residence. 00:04:05.800 --> 00:04:10.860 position:50% align:middle For more information regarding changing legal residence, we suggest that you watch 00:04:10.860 --> 00:04:14.750 position:50% align:middle the video, NLC and PSOR requirements. 00:04:16.610 --> 00:04:21.050 position:50% align:middle What if a nurse is practicing in a state that is not an NLC state, 00:04:21.050 --> 00:04:23.390 position:50% align:middle such as California or Nevada? 00:04:23.810 --> 00:04:28.388 position:50% align:middle They will need a single-state license valid in that noncompact state. 00:04:29.260 --> 00:04:32.468 position:50% align:middle They can apply by completing the appropriate application 00:04:32.468 --> 00:04:34.695 position:50% align:middle on the Board of Nursing website. 00:04:35.820 --> 00:04:41.480 position:50% align:middle A nurse can only have one Multistate Cicense, but as many single-state licenses 00:04:41.480 --> 00:04:45.194 position:50% align:middle in noncompact states as he or she needs. 00:04:48.746 --> 00:04:53.740 position:50% align:middle As an employer, how can you ensure that nurses hired from NLC states 00:04:53.740 --> 00:04:55.274 position:50% align:middle are appropriately licensed? 00:04:56.230 --> 00:04:59.924 position:50% align:middle Let's take a look at some situations to help explain this. 00:05:02.010 --> 00:05:07.190 position:50% align:middle First, is the nurse relocating to your state on a permanent basis and changing 00:05:07.190 --> 00:05:09.036 position:50% align:middle their PSOR to your state? 00:05:09.670 --> 00:05:10.761 position:50% align:middle Yes. 00:05:10.850 --> 00:05:15.210 position:50% align:middle Then the nurse should immediately apply for License by Endorsement in their new 00:05:15.210 --> 00:05:16.597 position:50% align:middle state of residence. 00:05:16.980 --> 00:05:18.313 position:50% align:middle There is no grace period. 00:05:20.350 --> 00:05:25.270 position:50% align:middle Many employers implement a policy where a nurse must provide proof of application 00:05:25.270 --> 00:05:27.998 position:50% align:middle for licensure within a certain number of days. 00:05:30.830 --> 00:05:36.440 position:50% align:middle However, if you hire a nurse from an NLC state, that nurse will be able to practice 00:05:36.440 --> 00:05:39.038 position:50% align:middle on his or her former Multistate License until the new Multistate 00:05:39.360 --> 00:05:42.101 position:50% align:middle until the new Multistate License is issued. 00:05:44.870 --> 00:05:49.977 position:50% align:middle An exception to this is when a nurse accepts a job in Kansas City, Missouri, 00:05:50.380 --> 00:05:56.619 position:50% align:middle but intends on making Kansas City, Kansas, her new PSOR, and commuting to Missouri. 00:05:57.210 --> 00:06:03.175 position:50% align:middle In this case, the nurse should obtain her Multistate License from Kansas, her PSOR. 00:06:04.870 --> 00:06:09.590 position:50% align:middle Now, what happens when a nurse is temporarily practicing in your state and 00:06:09.590 --> 00:06:13.287 position:50% align:middle has no intention on changing their PSOR to your state? 00:06:14.000 --> 00:06:19.290 position:50% align:middle That nurse can practice in your state with their Multistate License issued from their 00:06:19.290 --> 00:06:21.690 position:50% align:middle primary state of legal residence. 00:06:21.690 --> 00:06:23.030 position:50% align:middle There is no time limit. 00:06:24.900 --> 00:06:29.830 position:50% align:middle Military spouses fall into the category of nurses who may practice in your state 00:06:29.830 --> 00:06:34.990 position:50% align:middle for a prolonged period of time, as they may work in a civilian facility 00:06:34.990 --> 00:06:37.204 position:50% align:middle and be stationed in your state for years. 00:06:38.590 --> 00:06:43.430 position:50% align:middle Sometimes, employers have a policy requiring a nurse to be licensed in the 00:06:43.430 --> 00:06:45.172 position:50% align:middle state where the employer is. 00:06:45.830 --> 00:06:50.890 position:50% align:middle They should consider amending such a policy to allow for nurses holding compact 00:06:50.890 --> 00:06:55.325 position:50% align:middle licenses from different primary states of legal residence. 00:06:57.200 --> 00:07:01.310 position:50% align:middle As an employer, how can you confirm whether a nurse has the authority 00:07:01.310 --> 00:07:02.906 position:50% align:middle to practice in your state? 00:07:03.680 --> 00:07:05.694 position:50% align:middle You can do so via nursys.com. 00:07:06.400 --> 00:07:10.552 position:50% align:middle A quick confirm report allows you to search for the nurse by name, 00:07:10.670 --> 00:07:13.813 position:50% align:middle license number, or NCSBN ID. 00:07:16.487 --> 00:07:21.460 position:50% align:middle When you click "View Report," you see an Individualized Authority to Practice map 00:07:21.460 --> 00:07:24.814 position:50% align:middle that displays the states where the nurse can legally practice. 00:07:25.630 --> 00:07:28.820 position:50% align:middle Nursys.com is a national database. 00:07:28.820 --> 00:07:34.182 position:50% align:middle All boards of nursing upload their licensure database into Nursys daily. 00:07:36.780 --> 00:07:41.364 position:50% align:middle We've been using the term practice a lot, but what exactly does it mean? 00:07:42.360 --> 00:07:46.320 position:50% align:middle Practice is when a nurse utilizes knowledge, education, 00:07:46.320 --> 00:07:49.134 position:50% align:middle training or decision-making skills. 00:07:49.660 --> 00:07:53.610 position:50% align:middle So with each job function a nurse has, practice is in play. 00:07:55.590 --> 00:07:59.970 position:50% align:middle Lawful practice requires a nurse be licensed in the state where the patient is 00:07:59.970 --> 00:08:03.209 position:50% align:middle located at the time nursing service is provided. 00:08:03.990 --> 00:08:07.055 position:50% align:middle This is where the Multistate License comes in handy. 00:08:10.250 --> 00:08:14.149 position:50% align:middle If the patient is located in a compact state, and the nurse has a 00:08:14.149 --> 00:08:19.190 position:50% align:middle Multistate License, the nurse is covered to practice in the patient's state. 00:08:19.190 --> 00:08:23.230 position:50% align:middle However, if the nurse only has a single-state license from a 00:08:23.230 --> 00:08:28.340 position:50% align:middle noncompact state, she will need to make sure she is licensed in the state where 00:08:28.340 --> 00:08:29.367 position:50% align:middle the patient is. 00:08:31.190 --> 00:08:35.420 position:50% align:middle Which Nurse Practice Act should a nurse follow when practicing with a patient 00:08:35.420 --> 00:08:36.565 position:50% align:middle in another state? 00:08:37.650 --> 00:08:41.780 position:50% align:middle Follow the Nurse Practice Act from the state of practice or the state where the 00:08:41.780 --> 00:08:43.810 position:50% align:middle patient is located. 00:08:43.810 --> 00:08:48.388 position:50% align:middle You can find the Nurse Practice Act for each state at this website. 00:08:51.270 --> 00:08:54.050 position:50% align:middle Another great resource is E-Notify. 00:08:54.050 --> 00:08:58.670 position:50% align:middle It's free and provides reminders about license expiration dates and notifies 00:08:58.670 --> 00:08:59.917 position:50% align:middle of any discipline. 00:09:00.190 --> 00:09:04.100 position:50% align:middle By registering your nursing workforce here, you can receive a notice 00:09:04.100 --> 00:09:09.010 position:50% align:middle of disciplinary action taken on any license a nurse holds in the U.S. 00:09:10.940 --> 00:09:15.800 position:50% align:middle If there is a discipline on a license, a Multistate License may be converted to a 00:09:15.800 --> 00:09:19.980 position:50% align:middle single-state and practice would be limited only to the home state. 00:09:20.710 --> 00:09:24.830 position:50% align:middle This often happens when the level of discipline restricts or limits 00:09:24.830 --> 00:09:26.148 position:50% align:middle the nurse's practice. 00:09:27.170 --> 00:09:31.185 position:50% align:middle As we start wrapping up, let's take a quick look at some other 00:09:31.280 --> 00:09:34.771 position:50% align:middle common questions that nurse employers often have. 00:09:36.900 --> 00:09:39.791 position:50% align:middle Are APRN nurses included in the compact? 00:09:40.460 --> 00:09:41.418 position:50% align:middle No. 00:09:41.430 --> 00:09:45.810 position:50% align:middle APRNs must apply for license by endorsement in each state where 00:09:45.810 --> 00:09:49.659 position:50% align:middle they practice, unless exempted in a federal facility. 00:09:51.850 --> 00:09:54.450 position:50% align:middle What about continuing education requirements? 00:09:54.890 --> 00:09:59.060 position:50% align:middle In terms of the compact, the nurse's PSOR that issued the 00:09:59.060 --> 00:10:03.712 position:50% align:middle Multistate License is the state to which the nurse owes the CEs. 00:10:04.330 --> 00:10:09.550 position:50% align:middle If a nurse holds a license in noncompact states, each of those states might have 00:10:09.550 --> 00:10:10.843 position:50% align:middle their own requirements. 00:10:12.210 --> 00:10:15.680 position:50% align:middle What if the licensee only wants a single-state license? 00:10:16.600 --> 00:10:22.120 position:50% align:middle In that case, a compact party state may issue a single-state license upon request. 00:10:23.970 --> 00:10:27.090 position:50% align:middle But why would a nurse request a single-state license? 00:10:27.500 --> 00:10:29.365 position:50% align:middle Let's take a look at some examples. 00:10:30.900 --> 00:10:34.914 position:50% align:middle In the first example, you have a nurse who has PSOR in Florida. 00:10:34.914 --> 00:10:38.930 position:50% align:middle That nurse has always maintained her single-state license even 00:10:38.930 --> 00:10:43.966 position:50% align:middle upon implementation of the NLC because she only plans to practice in Florida. 00:10:44.230 --> 00:10:47.603 position:50% align:middle The nurse may elect to maintain their single-state license. 00:10:51.330 --> 00:10:54.461 position:50% align:middle If a nurse does not qualify for a Multistate License, 00:10:55.430 --> 00:10:58.310 position:50% align:middle the home state may iissue them a single-state license, 00:10:58.310 --> 00:11:00.266 position:50% align:middle subject to the state licensure requirements. 00:11:02.220 --> 00:11:06.800 position:50% align:middle Another example is that a nurse may be a legal resident of a compact state such 00:11:06.800 --> 00:11:11.560 position:50% align:middle as Arizona, but that nurse may have an unencumbered single-state license. 00:11:11.560 --> 00:11:16.540 position:50% align:middle Upon completion of the conditions, the nurse may still elect to maintain his 00:11:16.540 --> 00:11:18.581 position:50% align:middle or her single-state license. 00:11:21.600 --> 00:11:26.502 position:50% align:middle Finally, a nurse's primary legal residence in Arizona, for example, 00:11:26.910 --> 00:11:29.459 position:50% align:middle may not have met the grand-fathering criteria. 00:11:29.690 --> 00:11:33.438 position:50% align:middle That nurse may also elect to maintain their single-state license. 00:11:34.890 --> 00:11:38.580 position:50% align:middle Those were just a few examples we've encountered, where a nurse may choose 00:11:38.580 --> 00:11:41.338 position:50% align:middle to maintain his or her single-state license. 00:11:41.700 --> 00:11:46.950 position:50% align:middle However, a licensee who has PSOR in a compact state, and wishes to practice 00:11:46.950 --> 00:11:50.960 position:50% align:middle in other compact states, should obtain a Multistate License 00:11:50.960 --> 00:11:52.027 position:50% align:middle from their home state. 00:11:54.960 --> 00:11:56.632 position:50% align:middle Thank you for watching this video. 00:11:56.632 --> 00:11:58.736 position:50% align:middle We hope that you enjoyed the information. 00:11:58.880 --> 00:12:02.169 position:50% align:middle And if you have any questions, don't hesitate to contact us. 00:12:02.590 --> 00:12:06.032 position:50% align:middle We have a variety of other videos and resources available. 00:12:06.400 --> 00:12:08.525 position:50% align:middle You can find those on our Toolkit page.