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, FRE

Executive 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