Dr. S.Ani Grace Kalaimathi,M.Sc.(N), Ph.D.,Registrar,Tamil Nadu Nurses and Midwives Council, Chennai

MULTI LICENSURE – A BOON OR BANE?

Do u and me need quality Life ?

If standard of living

is your major objective,

Quality of life almost

never improves,

BUT

If quality of life

is your number one objective,

your standard of living

always improves .

Zig ziglar

Hope you agree ! ! !

Health is an

important Indicator

of QUALITY

LIFE

Licensing is a legal endorsement awarded by a competetent authority within the state that grants permissions to individuals to practice in a given profession. (eg. R.N , R.M, A.N.M., H.V. )

The individuals seeking license must have demonstrated an essential amount of competency necessary to perform a unique scope of practice prior to receiving the license. (eg. Diploma / B.Sc(N) Degree from University/Board received through recognised nursing institutions)

Courses Category of License Privilieging Avenues

Basic Courses : } ANM, HV, GNM, B.Sc.(N) } * Education } *Services -

Hospital Higher Education Courses: } -

Community M.Sc.(N), M.Phil, P.Hd } ANM, HV, RN, RM *Administration & } * Research Nursing Speciality Courses: } P.B.Diploma in Nursing } Specialities }

RNs are professionals licensed by the state in which they work.

RNs function as active members of the health care team.

RNs provide and manage care for individuals who are ill and their families.

A practice of nursing (license)that

requires rules & regulations (credentials –

education & practice)to

ensure patient safety

and a competent level of behaviour

in the professional role of the nurse

(privilege)

KEEP IN MINDObtaining

a license

topractice

nursing requires

learning

safe nursing practice.

Updating/Keeping

a license

to practice requires

maintaining safe nursing

practice

Why to have a License?

• Protect the public’s health & safety

• Hold each state and nurse accountable

• Facilitate the exchange of information

• Promote compliance with laws

State Nursing Council• Regulates the practice of nursing• Functions

– Licensing and certifying– Setting fees– Establishes standards for educational programs– Determines duration and renewal of licenses (and

CEU’s)– Carries out disciplinary actions for violators– Suspends and revokes licenses and appeals

13

Concepts of License

Multi-State Nursing LicensureThe Issue• Nurse Licensure rules and regulations were formed when

nursing was practiced primarily within the boundaries of one or two states.

• With the development of managed care, tele-health and mobile populations, nurses are frequently required to work with patients who travel or reside across multiple state lines.

• Unlike driver’s licenses, many state nursing licenses are not

recognized by other states.

• When applying for endorsement into another state. Nurses can verify their licenses by completing the verification process by paying stipulated fee as per license type, per each nursing council where the nurse is applying.

• The nurse’s license verification is available immediately to the endorsing nursing council.

Viol Violations ationsViolations

Violations of nurse licensure and other laws regulating the practice of nursing

may result in injury or harm to the public.

SUSPENDED

DuplicationDuplication

• The current system of duplicative licensure for nurses practicing in multiple states is cumbersome and redundant to both nurses and states.

Advantages

• Verify nurse's licensure details • Enter and review disciplinary actions • Identify licenses from all States she has

obtained • Enhance communication between member

concils • Retrieve discipline and various other reports

STEPS INVOLVED IN ISSUING CREDENTIALING AND LICENSING IN INDIA STATE GOVT --- ESSENTIALITY CERTIFICATE

FROM THE STATE

INC --- CENTRAL STATUTORY BODY TO ISSUE SUITABILITY / PRESCRIBING CREDENTIAL FOR NURSING COURSES

SNC ---RECOGNITION / Endorsing the Credential

EXAMINING BODY

(Issuing Credential Certificate)

AffiliationUNIVERSITY GOVT BOARD CMAI BOARD

SCHOOL OF NURSING

(Diploma – ANM , GNM & DNEA)COLLEGE OF NURSING

(Baccalaureate, Masters, PG Diploma

CANDIDATES PASSED OUT FROM THE APPROVED NURSING INSTITUTION WILL BE PERMITTED TO RECEIVE LICENSE AND PRIVILEGE TO WORK AS A PROFESSIONAL NURSE IN PAR WITH COMPETENCIES

KEY elements to safe and quality nursing practice

KEY elements to safe and quality nursing practice

The future politician

Collective bargaining

Our rights

Rights in

Professiona

l certificatio

n

REGISTERED /

License to

practice

Is it mandatory ?

WHAT SHOULD THE

NURSE EDUCATORS

DO TO TRANSFORM

Disseminate

knowledge on

In summaryCredentialing & licensing will allow for safe and quality nursing practice by

Protecting patientsAvoiding risk management or legal liabilities

(claims of negligent credentialing)Complying with regulatory/accrediting

agenciesProtecting the reputation of the organizationPreventing illegal or unlawful practice

MULTI LICENSURE –

A BOON OR BANE

QUESTION

ANSWER

DISCUSSION