Keeping Up With the Board of Nursing

1. Keeping Up With the Board of Nursing Sue A. Tedford, MNSc, RN Arkansas State Board of Nursing Executive Director

2. The mission of the board of nursing is to protect the public and act as their advocate by effectively regulating the practice of nursing. Mission

3. Appointed by the Governor • 4 year terms (maximum is 2 terms) • 13 members • 6 RNs • 4 LPNs/LPTNs • 1 APN • 1 consumer • 1 older than 60 years Board Members

4. Board Composition

5. Board Composition • Increase the number of APNs from one to two • Only one of the APNs will be required to have Prescriptive Authority • Decrease the number of RNs from six to five Proposed Changes 17-87-201

6. Prescriptive Authority Committee • General clean up • Rules • Chapter 1- new definitions • Chapter 2 – refresher course for endorsements (>5 yrs) • Chapter 3 – only clean up • Chapter 4 – change in titles (APRN, CNP), refresher course if out >2 years, Prescribing Anorexiant Drugs • Chapter 6 – new program requirements, student:faculty ratio Other Proposed Changes

7. Only ASBN has the authority to determine in Arkansas • Nurse Practice Act/Rules • Position Statements • Decision Making Model • Delegated Medical Acts (99-2) Scope of Practice

8. Number of Nurses

9. Education Update

10. Associate Degree: 15 Baccalaureate Degree: 11 Diploma: 2 Total RN: 28 Practical: 27 Arkansas Nursing Programs

12. Arkansas State University • University of Arkansas • University of Arkansas for Medical Sciences • University of Central Arkansas Doctorial Programs

13. Process • Take exam • Results to ASBN next business day • Temporary permit automatically null & void • PUSH notification • Issuance of license • License appears on Registry Search next business day • PUSH notification Licensure of New Grads

14. Allowed to take NCLEX without official transcript • ASBN must have official transcript to issue license • May hold issuance of license if other issues arise (i.e. complaint) Licensure of New Grads

15. If there isn’t an active license (or temporary permit) displayed on the Registry Search, the nurse cannot work as a nurse (may work in an unlicensed position) Bottom Line

16. Enforcement Update

18. Drug Related • Prescription medications • Street drugs • Practice Issues • Medication issues • Documentation • Boundary crossings • Convictions • Waiver Requests (ACA 17-87-312) • Nonwaiver Requests Types of Cases

19. Social Media

21. Violation of the Nurse Practice Act and/or Rules When Should You Report a Nurse to the Board of Nursing?

22. Were there significant circumstances involving the system which caused or contributed to the error? Did the nurse play a role in the error? YES Did the nurse conceal the error? YES REPORT TO BON

23. Did the nurse conceal the error? YES REPORT TO BON NO Are the stories from all involved consistent? NO REPORT TO BON

24. Are the stories from all involved consistent? NO REPORT TO BON YES Is there a substance use disorder or medical condition which contributed to the error? YES REPORT TO BON or EAP

25. Is there a substance use disorder or medical condition which contributed to the error? REPORT TO BON or EAP YES NO Was the nurse terminated? YES REPORT TO BON

26. Was the nurse terminated? REPORT TO BON YES NO Is there a history of other similar or serious errors by this nurse? YES REPORT TO BON

27. Is there a history of other similar or serious errors by this nurse? YES REPORT TO BON NO Counsel nurse, action plan for remediation.

29. Applies to RNs and LPNs only • 24 compact states • May work in any other compact state • If primary state of residence changes, may work for 30 days • Driver’s license • Voter registration • Federal tax return Compact Licensure

30. Compact Licensure www.ncsbn.org

31. Practice or Educator • Enrolled in a nursing program • Scholarship vs. loan • Fall 2011 & Spring 2012 - $71,100 • Educator loans – 15 • Practice loans - 34 Faith A. Fields Scholarship/Loan

32. Types of Programs attended by receipients

33. Issued one time • No expiration date • Verify licensure on ASBN Registry • Renewal every two years Permanent Licensure Cards

35. Check current status • Updated every 24 hours • Primary source verification • Push notifications Registry Search

36. All licenses listed Click on name of nurse

38. Employers who subscribe can enter the license number of each nurse on staff • Emails will automatically be sent when specific criteria change

39. Name change • Change in license status • Issued • Null & Void • Expired • Placed under investigation • Multistate • Disciplinary action Information Pushed

40. All renewals must be reviewed & approved by ASBN staff • Shows on ASBN Registry on the 2nd business day • Don’t wait until the last day of the month Online Renewals

41. Renewal Process

42. License #: R012345 License Status: Pending

43. Back-up if ASBN registry is down • Check out-of-state license status • Disciplinary documents www.nursys.com Nursys

44. Graduate must apply for a temporary permit within 90 days of graduation • Temporary permits are no longer printed – information is available on the ASBN Registry Search • New graduates working on a temporary permit sign their legal name followed by LPN or RN Did you know????

45. Nurse managers may be disciplined for allowing a nurse to work without a valid license to practice • You can find us on Facebook • You can follow us on Twitter Did you know????

46. New & Upcoming

47. Application and criminal background check combined • Available for all applications except internationally educated nurses • Payment by credit card or e-check Online Applications

48. Old number ----- L45435 • New number ---- L045435 Six Digit License Numbers

49. ASBN is 100 years old!

50. 9th Annual Expo Saturday Dec 1, 2012 • T-Shirt design winner • Centennial Pin • Birthday party – March 5th, 2013 • Luncheon – June 8th, 2013 • Video contest • Compassionate Nurse & Educator of the Year Awards & Others