Discipline, Delegation, Telenursing MBP 2014 Beth Radtke
7/22/2015 11:22:07 AM
48 Jurisdictions Included in the report:
Table of Contents
1 . Terminology
2 . Agency Type
3 . Required Reporting to Law Enforcement
4 . Mandatory Reporting to Board of Nursing
5 . Investigation of Complaints
6 . Subpoena Power
7 . Malpractice Payment Reports
8 . Evaluations during Investigation
9 . Disciplinary Proceedings, Standard of Proof, Actions
10 . Payment of Fees
11 . Required Disciplinary Actions
12 . Non-disciplinary Alternative Programs
13 . References to Delegation
14 . Telenursing/telehealth
Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)
Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA)
Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Iowa (IA)
Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME) Maryland (MD)
Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO)
Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM)
North Carolina (NC) North Dakota (ND) Northern Mariana Islands (CNMI)
Ohio (OH) Oklahoma (OK)
Oregon (OR) Pennsylvania (PA) South Dakota (SD) Tennessee (TN) Texas (TX)
Utah (UT) Vermont (VT) Virgin Islands (VI) Virginia (VA) Washington (WA)
West Virginia-PN (WV-PN)
Wisconsin (WI) Wyoming (WY)
11 Jurisdictions not included in the report due to non-response:
Alabama (AL) American Samoa (AS) California-VN (CA-VN) Indiana (IN) Louisiana-PN (LA-PN)
Montana (MT) Nebraska-AP (NE-APRN)
New York (NY) Rhode Island (RI) South Carolina (SC)
West Virginia-RN (WV-RN)
Page 1 of 31Discipline, Delegation, Telenursing MBP 2014
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Member Board Profile Terminology
The following terms are used throughout all profiles:
Board of Nursing: Jurisdiction's governmental agency responsible for the regulation of nursing practice. Includes any other terminology to refer to the regulatory authority (i.e. commission, examiners, registration, jurisdiction). When referring to board of nursing, the reference collectively includes Board Members, Executive Officer and Staff.
Jurisdiction: Refers to state, territory or district where a board of nursing is located. May also be used to refer generally to the board of nursing in a particular jurisdiction.
Board Staff: Staff of the board of nursing
Executive Officer: Person responsible for running the board of nursing. Includes any other terminology to refer to that authorized person (i.e. Executive Director)
Board Member: Member of the governing body of the board of nursing as outlined by statute
Practical nurse or PN: licensed practical or vocational nurse (LPN/LVN)
Page 2 of 31Discipline, Delegation, Telenursing MBP 2014
Terminology 1.1
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Agency Type:
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent agency within state government
AR, AZ, CNMI, IA, ID, KS, KY, LA-RN, ME, MN, MO, MS, ND, NH, NM, NV, OH, OK, OR, SD, TX, WV-PN, WY 23 48%
Board within an umbrella state agency
AK, CA-RN, CO, CT, DC, DE, FL, GA, GU, HI, IL, MA, MD, MI, NE, NJ, PA, TN, UT, VA, VI, VT, WA, WI 24 50%
Independent agency outside state government
NC 1 2%
Page 3 of 31Discipline, Delegation, Telenursing MBP 2014
Agency Type 2.1
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Is child, elder, vulnerable adult abuse by a licensee required to be reported to law enforcement or another agency?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No GA, MI, MN, NC, NJ, VA, WI, WV-PN 8 17%
YesAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MO, MS, ND, NE, NH, NM, NV, OH, OR, PA, SD, TN, TX, UT, VI, VT, WA, WY
39 83%
Page 4 of 31Discipline, Delegation, Telenursing MBP 2014
Required Reporting to Law Enforcement 3.1
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Is there a provision requiring mandatory reporting of violations of the nurse practice act?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, CA-RN, CO, CT, HI, ID, MA, SD 8 17%
YesAR, AZ, CNMI, DC, DE, FL, GA, GU, IA, IL, KS, KY, LA-RN, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, TN, TX, UT, VA, VI, VT, WA, WI, WV-PN, WY
40 83%
Page 5 of 31Discipline, Delegation, Telenursing MBP 2014
Mandatory Reporting to Board of Nursing 4.1
Are any of the following allowed as exception to the mandatory reporting requirement? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Mandatory reporting of substance use disorder is not required if the nurse is monitored by an employer or an Alternative to Discipline Program.
DC, FL, GA, IL, MD, ME, MN, MS, NJ, TN, UT, VT, WA 13 33%
Mandatory reporting is not required by a nurse who has a bona fide health professional-patient relationship with a licensee or applicant
GA, KS, MD, MI, NM, NV, PA, TX, WA 9 23%
Mandatory reporting pertains only to hospital and other health care institutions
VT 1 3%
Mandatory reporting is not required if violations of the nurse practice act are not directly observed
0 0%
None AR, AZ, CNMI, DE, GU, IA, KY, LA-RN, MO, NC, ND, NE, NH, OH, OR, VA, VI, WI, WV-PN, WY 20 51%
Page 6 of 31Discipline, Delegation, Telenursing MBP 2014
Mandatory Reporting to Board of Nursing 4.2
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Who conducts investigations of complaints against licensees? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Executive Officer GU, MS, SD, VI, WV-PN 5 10%
RN or PN investigative Board of Nursing staff
AR, AZ, CNMI, CT, GU, IA, ID, KS, KY, LA-RN, MA, MD, MN, MS, NC, ND, NM, NV, OH, OK, OR, SD, TX, VI, WA, WV-PN, WY 27 56%
Non-nursing investigative Board of Nursing staff
AZ, CA-RN, CO, CT, IA, IL, ME, MI, MN, MO, MS, NC, OH, OR, TX, VI, WA, WY 18 38%
Non-nursing investigative staff from another department/division
AK, CA-RN, CT, DC, DE, FL, GA, HI, ME, MI, MS, NC, NJ, PA, UT, VA, VI, VT, WA, WI 20 42%
Office of Attorney General GU, ME, MN, MS, NH, UT, VI 7 15%
Attorney MS, VI 2 4%
RN or PN investigative staff from another department/division
NE, NJ, TN, VI 4 8%
Page 7 of 31Discipline, Delegation, Telenursing MBP 2014
Investigation of Complaints 5.1
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Does the Board of Nursing have subpoena power during investigation?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No HI, ID, MA, NE, VI 5 10%
Yes
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, IA, IL, KS, KY, LA-RN, MD, ME, MI, MN, MO, MS, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY
43 90%
Page 8 of 31Discipline, Delegation, Telenursing MBP 2014
Subpoena Power 6.1
Does the Board of Nursing have subpoena power during prosecution?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No HI, NE, OR, SD, VI 5 10%
Yes
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, NC, ND, NH, NJ, NM, NV, OH, OK, PA, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY
43 90%
Page 9 of 31Discipline, Delegation, Telenursing MBP 2014
Subpoena Power 6.2
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Does the Board of Nursing receive malpractice payment reports as a result of insurers reporting to the National Practitioner Data Bank?
No
Yes, as a mandatory requirement under state law
Yes, even though there is no mandatory requirement under state law
Occasionally
No
Yes, as a mandatory requirement under state law
Yes, even though there is no mandatory requirement under state law
Occasionally
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No CNMI, GU, IA, MS, UT, VA, VI, VT, WV-PN 9 19%
Yes, as a mandatory requirement under state law
AR, AZ, CA-RN, CO, CT, FL, GA, IL, KS, KY, MA, MD, MI, MN, MO, ND, NE, NJ, NV, OK, OR, TN, TX, WI 24 50%
Yes, even though there is no mandatory requirement under state law
AK, DE, ID, LA-RN, ME, NH, NM, OH, PA, SD, WA 11 23%
Occasionally DC, HI, NC, WY 4 8%
Page 10 of 31Discipline, Delegation, Telenursing MBP 2014
Malpractice Payment Reports 7.1
Are malpractice payment reports reviewed to determine if a disciplinary investigation is warranted?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No ID, NH, NM 3 8%
YesAK, AR, AZ, CA-RN, CO, CT, DC, DE, FL, GA, HI, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, NC, ND, NE, NJ, NV, OH, OK, OR, PA, SD, TN, TX, WA, WI, WY
36 92%
Page 11 of 31Discipline, Delegation, Telenursing MBP 2014
Malpractice Payment Reports 7.2
Are malpractice payment reports stored/filed for future reference?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AR, ID, MO, NE, NM, OH 6 15%
YesAK, AZ, CA-RN, CO, CT, DC, DE, FL, GA, HI, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, NC, ND, NH, NJ, NV, OK, OR, PA, SD, TN, TX, WA, WI, WY
33 85%
Page 12 of 31Discipline, Delegation, Telenursing MBP 2014
Malpractice Payment Reports 7.3
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Can the Board of Nursing require evaluation for substance use disorder during an investigation?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, CA-RN, CNMI, DC, DE, HI, MA, MO, NC, NM, OK, TN, VA, WI 14 29%
YesAR, AZ, CO, CT, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NV, OH, OR, PA, SD, TX, UT, VI, VT, WA, WV-PN, WY
34 71%
Page 13 of 31Discipline, Delegation, Telenursing MBP 2014
Evaluations during Investigation 8.1
Can the Board of Nursing require evaluation of physical and/or mental health during an investigation?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, CA-RN, CNMI, DC, DE, HI, MA, MO, NC, NM, OK, TN, VA, WI 14 29%
YesAR, AZ, CO, CT, FL, GA, GU, IA, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NV, OH, OR, PA, SD, TX, UT, VI, VT, WA, WV-PN, WY
34 71%
Page 14 of 31Discipline, Delegation, Telenursing MBP 2014
Evaluations during Investigation 8.2
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What is the standard of proof for final adjudication?
Clear and convincing evidence
Preponderance of the evidence
Substantial evidence
Reasonable cause/suspicion evidence
Clear and convincing evidence
Preponderance of the evidence
Substantial evidence
Reasonable cause/suspicion evidence
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Clear and convincing evidence
CA-RN, CNMI, FL, GU, IL, MS, NC, NJ, OK, OR, SD, VA, VI, WA, WY 15 31%
Preponderance of the evidence
AK, AZ, CT, DC, DE, GA, IA, ID, KY, LA-RN, MA, MD, ME, MI, MN, MO, ND, NE, NH, NM, NV, OH, PA, TN, TX, UT, VT, WI, WV-PN 29 60%
Substantial evidence AR, CO, HI, KS 4 8%
Reasonable cause/suspicion evidence
0 0%
Page 15 of 31Discipline, Delegation, Telenursing MBP 2014
Disciplinary Proceedings, Standard of Proof, Actions 9.1
Who hears formal disciplinary proceedings? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Hearing officer/examiner
DE, FL, GU, HI, ID, KS, KY, MA, MO, NE, OH, PA, SD, VI, WA, WV-PN, WY 17 35%
Administrative law judge
AK, AZ, CA-RN, CO, DC, GA, HI, IA, IL, MI, MN, MS, ND, OR, TX, UT, WA, WI 18 38%
All board members AR, CA-RN, CNMI, CT, DC, DE, GA, GU, IA, ID, KS, MD, ME, MN, MS, NC, NH, NJ, NM, NV, OK, OR, SD, UT, VA, VI, VT, WI, WY 29 60%
Panel/committee of board members CO, DC, DE, KS, KY, LA-RN, MS, NC, OH, PA, TN, UT, VA, WA 14 29%
Board chair or board member IL, KS, MS, UT, VI 5 10%
Page 16 of 31Discipline, Delegation, Telenursing MBP 2014
Disciplinary Proceedings, Standard of Proof, Actions 9.2
Which of the following disciplinary actions can be ordered? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Censure AK, AZ, CT, DE, HI, IA, KS, LA-RN, ME, MO, NC, NE, NM, NV, OR, VT, WA 17 35%
Cease and desist order
AR, AZ, CO, CT, DC, GA, GU, HI, IA, ID, KY, LA-RN, ME, MN, MO, NC, ND, NE, NJ, NM, NV, SD, TN, TX, VA, VI, VT, WA, WI, WY 30 62%
ReprimandAK, AR, AZ, CA-RN, CT, DC, DE, FL, GA, HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-PN, WY
43 90%
Remediation AZ, CT, FL, GA, HI, IA, ID, IL, LA-RN, MA, MI, MN, MS, NC, NJ, NM, NV, OK, PA, SD, TN, TX, VI, VT, WA, WI 26 54%
Citation Order CT, HI, IA, MD, NV, PA, TN, UT 8 17%
Warnings AR, CT, GA, HI, IA, IL, ME, MS, NC, NE, NM, OH, OK, SD, TX, UT, VA, VI, VT, WI, WY 21 44%
Practice limitation with probation
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, FL, GA, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VT, WA, WI, WV-PN, WY
45 94%
Practice limitation without probation
AK, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, KS, LA-RN, MA, MN, MS, NC, NJ, NM, NV, OH, OK, PA, SD, TX, VA, VT, WA, WI, WY 30 62%
ProbationAK, AR, AZ, CA-RN, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VI, VT, WA, WV-PN
43 90%
Conditional Probation
AK, AZ, DE, HI, IA, ID, IL, KY, LA-RN, MI, MN, MS, NC, NE, NJ, NM, NV, PA, SD, TX, UT, VA, WY 23 48%
Summary suspension
AR, AZ, CA-RN, CO, CT, DC, GA, HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MS, NC, NE, NJ, NM, NV, OH, OK, PA, SD, TN, TX, VA, VT, WA, WI, WV-PN, WY
36 75%
Suspension
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-PN, WY
48 100%
Page 17 of 31Discipline, Delegation, Telenursing MBP 2014
Disciplinary Proceedings, Standard of Proof, Actions 9.3
Revocation
AK, AR, AZ, CA-RN, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-PN, WY
46 96%
Fine/civil penaltyAK, AR, AZ, CO, CT, DC, FL, GA, GU, HI, IA, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MS, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, TN, TX, UT, VA, VI, VT, WA, WV-PN
39 81%
Assessment of costs AZ, CA-RN, FL, GA, HI, IA, ID, KS, KY, LA-RN, ME, NC, ND, NJ, NM, NV, OK, PA, SD, TN, TX, WA, WI 23 48%
License surrenderAK, AZ, CA-RN, CNMI, CO, CT, DC, GA, GU, HI, IA, IL, KY, LA-RN, MA, ME, MN, MS, NC, ND, NE, NJ, NV, OH, OK, PA, SD, TN, TX, VA, VI, VT, WA, WI, WV-PN, WY
36 75%
Community service CT, FL, HI, LA-RN, ND, NM, NV, SD, TX, WA 10 21%
Page 18 of 31Discipline, Delegation, Telenursing MBP 2014
Disciplinary Proceedings, Standard of Proof, Actions 9.4
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Can the licensee be ordered to pay investigative fees?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, AR, AZ, CNMI, CO, CT, DC, DE, IA, IL, KS, KY, MA, MD, MI, MN, MO, MS, NC, ND, NE, NH, OH, OR, TX, UT, VA, VT, WY 29 60%
Yes CA-RN, FL, GA, GU, HI, ID, LA-RN, ME, NJ, NM, NV, OK, PA, SD, TN, VI, WA, WI, WV-PN 19 40%
Page 19 of 31Discipline, Delegation, Telenursing MBP 2014
Payment of Fees 10.1
Can the licensee be ordered to pay legal fees?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
NoAK, AR, AZ, CNMI, CO, CT, DC, DE, GA, IA, ID, IL, KS, KY, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, OH, OR, PA, SD, TX, UT, VA, VT, WV-PN, WY
35 73%
Yes CA-RN, FL, GU, HI, LA-RN, NJ, NM, NV, OK, TN, VI, WA, WI 13 27%
Page 20 of 31Discipline, Delegation, Telenursing MBP 2014
Payment of Fees 10.2
Can the licensee be ordered to pay monitoring fees?
No
Yes
Does not apply
No
Yes
Does not apply
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AR, AZ, CA-RN, CO, ID, KS, MA, MD, MN, MO, NC, NH, NM, OH, OK, OR, SD, VA, VT, WY 20 42%
Yes AK, DC, DE, FL, GU, HI, IL, KY, LA-RN, ME, MI, MS, ND, NE, NJ, NV, PA, TN, TX, UT, VI, WA, WI, WV-PN 24 50%
Does not apply CNMI, CT, GA, IA 4 8%
Page 21 of 31Discipline, Delegation, Telenursing MBP 2014
Payment of Fees 10.3
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Is the Board of Nursing required to take disciplinary action in any of the following instances? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Non-payment of child support
AK, AR, AZ, DE, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, ME, MN, NC, NE, NJ, NM, NV, OH, OK, OR, PA, TN, TX, VT, WA, WV-PN
30 62%
Non-payment of student loan
AK, FL, GA, GU, HI, IA, IL, KY, LA-RN, MN, MS, NJ, OK, TN, TX, WA 16 33%
Non-payment of alimony/spousal support
GU, MN 2 4%
Non-payment of jurisdiction taxes CA-RN, DC, GU, IA, IL, KY, MA, ME, MN, MO, OR, VI, VT 13 27%
Does not apply CNMI, CO, CT, MD, MI, ND, NH, SD, UT, VA, WI, WY 12 25%
Page 22 of 31Discipline, Delegation, Telenursing MBP 2014
Required Disciplinary Actions 11.1
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Does the Board of Nursing use non-disciplinary alternative programs for any of the following types of cases? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Substance Use Disorder
AZ, CA-RN, CO, CT, DC, DE, FL, GU, HI, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MS, NC, NJ, NM, NV, OH, OK, OR, PA, SD, TN, TX, UT, VA, VT, WA, WI
36 75%
Psychiatric/mental health related
CA-RN, CT, DC, DE, FL, GU, ID, KS, LA-RN, MD, MI, MN, MS, NC, NJ, NV, OR, PA, SD, TN, TX, VA, WI 23 48%
Physical or health related CT, DC, FL, GU, KS, LA-RN, MN, MS, NC, NJ, PA, TN, VA 13 27%
Practice related GU, HI, ID, MS, NC, NJ, NV, OH, PA, VT, WA 11 23%
Does not apply AK, AR, CNMI, GA, IA, MO, ND, NE, NH, VI, WV-PN, WY 12 25%
Page 23 of 31Discipline, Delegation, Telenursing MBP 2014
Non-disciplinary Alternative Programs 12.1
Does the Board of Nursing offer an in-house non-disciplinary monitoring program for Substance Use Disorder?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
NoAK, AR, CA-RN, CNMI, CO, CT, FL, GA, GU, HI, IA, ID, IL, KS, ME, MI, MN, MO, ND, NE, NH, NJ, OR, SD, TN, TX, VA, VI, WV-PN, WY
30 62%
Yes AZ, DC, DE, KY, LA-RN, MA, MD, MS, NC, NM, NV, OH, OK, PA, UT, VT, WA, WI 18 38%
Page 24 of 31Discipline, Delegation, Telenursing MBP 2014
Non-disciplinary Alternative Programs 12.2
Does the Board of Nursing refer the licensee to a contracted alternative to discipline program for Substance Use Disorder?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, AR, AZ, DC, GA, GU, HI, IA, KY, LA-RN, MA, MD, MO, NC, ND, NE, NH, NM, NV, OH, OK, UT, WI, WV-PN, WY 25 52%
Yes CA-RN, CNMI, CO, CT, DE, FL, ID, IL, KS, ME, MI, MN, MS, NJ, OR, PA, SD, TN, TX, VA, VI, VT, WA 23 48%
Page 25 of 31Discipline, Delegation, Telenursing MBP 2014
Non-disciplinary Alternative Programs 12.3
If the Board of Nursing uses a non-disciplinary practice-related alternative program, which of the following may be included in the alternative program? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Civil penalty KS 1 2%
Conference/meeting CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, NC, NJ, OH 11 23%
Community service KS, WA 2 4%
Continuing education CT, DC, GU, ID, KS, LA-RN, MS, NC, NV, OH, PA, TX, VI, VT, WA, WI 16 33%
Fine GU, KS, LA-RN, MS, NH 5 10%
Mediation KS 1 2%
Monitored practice AZ, CA-RN, CT, DC, GU, ID, KS, KY, LA-RN, NC, NJ, OH, PA, TX, VI, VT, WA, WI 18 38%
Non-disciplinary probation CT, DC, KS, KY, LA-RN, NJ, PA, VT 8 17%
Restitution 0 0%
Self-study CT, ID, KS, NC, PA, VT, WA 7 15%
Teaching conference CT, KS, NC, NV, PA, WA 6 12%
Warning letter CT, GU, KS, LA-RN, MS, NC, NH, VI 8 17%
Does not apply AK, AR, CNMI, CO, DE, FL, GA, HI, IA, IL, MA, MD, ME, MI, MN, MO, ND, NE, NM, OK, OR, SD, TN, UT, VA, WV-PN, WY 27 56%
Page 26 of 31Discipline, Delegation, Telenursing MBP 2014
Non-disciplinary Alternative Programs 12.4
Is participation by the licensee in non-disciplinary practice-related alternative program disclosed as public information?
No
Yes
Yes, if requested
No
Yes
Yes, if requested
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AZ, CA-RN, CT, DC, GU, LA-RN, MS, NH, NJ, NV, OH, PA, TX, VI, VT, WI 16 76%
Yes KY 1 5%
Yes, if requested ID, KS, NC, WA 4 19%
Page 27 of 31Discipline, Delegation, Telenursing MBP 2014
Non-disciplinary Alternative Programs 12.5
Back To Table of Contents
Are there specific references to delegation in any of the following: (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse Practice ActAK, AZ, CA-RN, CNMI, CO, DE, FL, HI, ID, IL, KS, KY, LA-RN, MD, ME, MI, MN, MO, MS, NC, ND, NE, NV, OH, OK, OR, SD, TX, UT, VA, VI, VT, WA
33 69%
Rules and Regulations
AK, AR, AZ, CNMI, CO, DC, DE, FL, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, SD, TN, TX, UT, VA, VI, WA, WY
38 79%
Declaratory ruling/advisory opinion
AZ, CA-RN, CT, GU, IA, KY, LA-RN, MA, MS, ND, NH, NV, OK, TX, WA, WY 16 33%
Position statement CA-RN, GA, GU, ID, KY, LA-RN, MO, MS, NC, ND, NV, TN, TX, VT 14 29%
Written Guideline NC, NJ, NV, OK, TN, TX, WV-PN 7 15%
Does not apply PA, WI 2 4%
Page 28 of 31Discipline, Delegation, Telenursing MBP 2014
References to Delegation 13.1
Do the references to delegation apply to registered nurses or practical nurses? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Registered Nurses
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, SD, TN, TX, UT, VA, VI, VT, WA, WV-PN, WY
46 100%
Practical NursesAK, AR, AZ, CNMI, CT, DC, FL, GA, GU, HI, IA, ID, KS, KY, MA, MD, ME, MI, MN, MO, MS, NC, ND, NH, OH, OK, OR, SD, TN, TX, UT, VI, VT, WA, WY
35 76%
Page 29 of 31Discipline, Delegation, Telenursing MBP 2014
References to Delegation 13.2
Back To Table of Contents
Are there specific references to telenursing, telehealth or other terms referring to electronic practice in any of the following: (Check all that apply):
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse Practice Act HI, KY, MD, NV, TN 5 11%
Rules and Regulations CO, DE, HI, MA, MD, NV 6 13%
Declaratory rulings/advisory opinions
AZ, KY, LA-RN, MA, NH, NV, WA, WY 8 17%
Position statements CA-RN, GA, ID, LA-RN, NV, TN, TX 7 15%
Written Guidelines IA 1 2%
None AK, AR, CNMI, CT, DC, FL, GU, IL, KS, ME, MI, MN, MO, MS, NC, ND, NE, NJ, NM, OH, OR, PA, SD, UT, VA, VI, VT, WI, WV-PN 29 62%
Page 30 of 31Discipline, Delegation, Telenursing MBP 2014
Telenursing/telehealth 14.1
Does the Board of Nursing permit a nurse licensed and practicing telenursing in another jurisdiction to provide telenursing services to in-jurisdiction patients?
No
Yes
Yes, provided the practitioner has a valid Compact license
Other*
No
Yes
Yes, provided the practitioner has a valid Compact license
Other*
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No AK, CO, DC, GA, IA, IL, LA-RN, MA, MI, MN, NV, OH, OR, PA, VI, VT, WA, WV-PN, WY 19 40%
Yes HI, KS, KY, NH 4 9%
Yes, provided the practitioner has a valid Compact license
AR, AZ, CT, GU, ID, MD, MO, MS, NC, ND, NE, NM, SD, TN, TX, VA, WI 17 36%
Other* CA-RN, CNMI, DE, FL, ME, NJ, UT 7 15%
Other*
CA-RN Yes, if the RN has a valid CA-RN license
CNMI Not in R & R,No guideline, not in nurse practice act
DE Must have valid DE license or PtoP
FL w/ a FL license
ME Has to have a license in Maine or a MSP from another Compact state
NJ Only if licensed in NJ
UT silent on issue
Page 31 of 31Discipline, Delegation, Telenursing MBP 2014
Telenursing/telehealth 14.2