North Carolina: A look at the North Carolina: A look at the realities of 10 years in the NLCrealities of 10 years in the NLC
Julia L. George, RN, MSN, FREJulia L. George, RN, MSN, FREExecutive DirectorExecutive Director
North Carolina Board of NursingNorth Carolina Board of Nursing
ObjectivesObjectives Discuss the historical perspective of NLCA Discuss the historical perspective of NLCA
participationparticipation
Identify at least three exemplars of NLCA Identify at least three exemplars of NLCA collaborationcollaboration
Survivor!Survivor!
July 1, 2000July 1, 2000 RevenueRevenue PersonnelPersonnel ExpensesExpenses ComplaintsComplaints DisciplineDiscipline
North Carolina ExperienceNorth Carolina Experience NC nurses working in compact statesNC nurses working in compact states Actions on privilege to practiceActions on privilege to practice Actions taken by other states on NC nursesActions taken by other states on NC nurses Nurses in AP programs Nurses in AP programs
North Carolina Experience cont…North Carolina Experience cont…
Communicate externally Communicate externally and internallyand internally
Takes time to adjust to Takes time to adjust to new modelnew model
Collaboration is essential!Collaboration is essential!
North Carolina Experience cont…North Carolina Experience cont…
Exemplars for:Exemplars for:
InvestigationInvestigation
DisciplineDiscipline
Border callsBorder calls
Lessons LearnedLessons Learned Important that home and remote state Important that home and remote state
collaborate to ensure appropriate handling of collaborate to ensure appropriate handling of case from receipt of complaint to resolutioncase from receipt of complaint to resolution
Establish relationships and trustEstablish relationships and trust Use one staff member to monitor flow of Use one staff member to monitor flow of
information for compact casesinformation for compact cases
Lessons Learned cont…Lessons Learned cont… Support and education of staff is very important Support and education of staff is very important Resilience is importantResilience is important Establish early communication links with border Establish early communication links with border
statesstates There WILL be a period of adjustment!There WILL be a period of adjustment!
ConcernsConcerns
Need for uniform licensure requirements,Need for uniform licensure requirements, irrespective of licensure modelirrespective of licensure model Timely sharing of investigative informationTimely sharing of investigative information
Concerns Concerns cont…cont… Need consistency in posting and removing Need consistency in posting and removing
current significant investigative information current significant investigative information in Nursysin Nursys
Need consistency in defining key terms Need consistency in defining key terms and key licensure actionsand key licensure actions
CBCCBC
SummarySummaryWe all want the same things: We all want the same things:
Facilitation of regulation and Facilitation of regulation and practice that affords public practice that affords public protectionprotection
Core licensure requirements that Core licensure requirements that facilitate mobility and access to facilitate mobility and access to carecare