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North Carolina: A look at the realities of 10 years in the NLC

North Carolina: A look at the realities of 10 years in the NLC. Julia L. George, RN, MSN, FRE Executive Director North Carolina Board of Nursing. Objectives. Discuss the historical perspective of NLCA participation Identify at least three exemplars of NLCA collaboration. Survivor!.

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North Carolina: A look at the realities of 10 years in the NLC

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  1. North Carolina: A look at the realities of 10 years in the NLC Julia L. George, RN, MSN, FRE Executive Director North Carolina Board of Nursing

  2. Objectives • Discuss the historical perspective of NLCA participation • Identify at least three exemplars of NLCA collaboration

  3. Survivor! • July 1, 2000 • Revenue • Personnel • Expenses • Complaints • Discipline

  4. North Carolina Experience • NC nurses working in compact states • Actions on privilege to practice • Actions taken by other states on NC nurses • Nurses in AP programs

  5. North Carolina Experience cont… Communicate externally and internally Takes time to adjust to new model Collaboration is essential!

  6. North Carolina Experience cont… Exemplars for: • Investigation • Discipline • Border calls

  7. Lessons Learned • Important that home and remote state collaborate to ensure appropriate handling of case from receipt of complaint to resolution • Establish relationships and trust • Use one staff member to monitor flow of information for compact cases

  8. Lessons Learned cont… • Support and education of staff is very important • Resilience is important • Establish early communication links with border states • There WILL be a period of adjustment!

  9. Concerns • Need for uniform licensure requirements, irrespective of licensure model • Timely sharing of investigative information

  10. Concerns cont… • Need consistency in posting and removing current significant investigative information in Nursys • Need consistency in defining key terms and key licensure actions • CBC

  11. Summary We all want the same things: • Facilitation of regulation and practice that affords public protection • Core licensure requirements that facilitate mobility and access to care

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